Anda di halaman 1dari 618

OKT 14

NO

NAMA OBAT

APBD
2012

HARGA SATUAN

STOK

HARGA

2,152

SISA 2014
APBD 2013

APBN 2013
total

3,120

STOK

HARGA

total

STOK

ACYCLOVIR 5 GR KRIM

ACYCLOVIR 200 MG TABLET

534

ACYCLOVIR 400 MG TABLET

648

ALLOPURINOL 100 MG TABLET

104

ALLOPURINOL 300 MG TABLET

210

AMBROXOL SYRUP 15 MG / 5 ML

2,475

AMBROXOL TABLET 30 MG

86

113

AMINOFILIN 200 MG TABLET

104

105

AMITRIPTILIN 25 MG TABLET

102

220

10

AMLODIPIN 5 MG TABLET

240

11

AMLODIPIN 10 MG TABLET

440

12

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

4,750

13

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

3,700

14

AMOXICILLIN 250 MG KAPLET

200

285

15

AMOXICILLIN 500 MG KAPLET

220

285

369

16

AMOXICILLIN + AS.KLAVULANAT

4,550

5,056

17

ANTALGIN 500 MG TABLET

18

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM


HIDROKSIDA 200 MG + ALUMUNIUM HIDROKSIDA 200
MG)

19

ANTASIDA SUSPENSI

20

ANTI BISA ULAR (ABU) SERUM

471,719

21

ANTI TETANUS SERUM 1500 UI

126,311

22

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500


IU/G + POLIMIKSIN B 10,000IU/G )

2,491

2,517

23

ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM


SALISILAT 3 %)

1,800

1,713

24

ANTI HEMOROID DOEN

3,025

25

ASAM ASCORBIT (VIT.C) 50 MG TABLET

32

26

ASAM ASCORBIT (VIT.C) 250 MG TABLET

27

ASAM MEFENAMAT 500 MG

28

ASAM TRANEKSAMAT 500 MG

1,100

29

ATROPIN SULFAT INJ

1,100

30

ATTAPULGIT / MOLAGIT TABLET

31

AQUABIDEST

32

AQUA PRO INJEKSI 25 ML

33

AZITHROMYCIN 500 MG

34

BEKARBON

35

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

36

BETAMETASONE KRIM 0,1 %

37

BETAHISTIN MESILAT 6 MG TABLET

38

BETAKAROTEN 500 IU SYRUP

21,700

534
648

4,750
12,903

3,700

104

104

8,610

210
2,475

STOK

HARGA

161,400

STOK

1,808,100

HARGA

2,000

2,152

339

4,071,900

8,500

104

884,000

2,475

33,000,000

86

3,282,526

38,200

240

47,741,100

1,720
-

43

4,750

8,170,000

200

146

1,100

330

7,200

102

734,400

11,000

240

134

12,100

81

980,100

126,311

43
-

924
25,300

10,000,000

4,550

10,800,000
-

81

12,150,000
5,549,276

50

126,500

6,325,000

8,942,690

3,000

2,491

7,473,000

128

1,800

230,400

3,025

4,537,500

32
100

330
15,400
11,000

13,080

116

200,200

1,524

159

31,831,800

437,200

100

43,720,000

12,600

1,100

13,860,000

90,000

367

33,000,000

1,006

2,900

2,917,400

4,174,500

1,510,740
-

1,977

100

3,012,948

180

12,185

2,193,300

3,300

60,000

187

3,600

3,000

1,500

200

2,491

12,650

50,000

3,590

2,026

9,107,680

1,866

4,245,467

10,000

2,277

2,974

336

150,000

471,719

11,220,000

4,000

19,882,400

12,185

48,994,000

116

165,880

4,936,000

220

171,400

160,600

3,190

200

222,700

52

24,680

15,400

136

1,045

10,000

3,150

HARGA

3,001

2,927,400

STOK

2,100

86

total
13,757,150
-

102

total
-

28,700

3,850

100

25,300

81

1,524

11,587,800

total

440

3,850

116

2,152

116

2,900

HARGA

75

APBD 2014

120

924

110,880
-

39

BISACODYL 10 MG SUPP

6,199

40

BISOPROLOL 5 MG

2,300

41

BROMHEKSIN HCL 8 MG TABLET

55

42

BROMHEKSIN HCL 8 MG SYRUP

43

BROMHEKSIN HCL 8 MG / 4 ML SOL

66,000

44

CALAMIN LOTION

12,650

45

CAPTOPRIL 12,5 MG TABLET

63

46

CAPTOPRIL 25 MG TABLET

88

88

47

CEFIXIME SYRUP KERING 100 MG

10,588

10,588

10,588

48

CEFIXIME 100 MG

958

958

958

49

CEFIXIME 200 MG

50

CEFOTAXIME INJ 1G

5,000

5,000

51

CEFTRIAXON INJ

5,500

52

CETIRIZINE 5 MG SYRUP

53

CETIRIZINE DROP

54

CETIRIZIN 10 MG

188

55

CIMETIDIN TABLET

108

56

CIPROFLOXACIN 500 MG TABLET

245

57

CLINDAMYCIN 150 MG KAPSUL

58

CLINDAMYCIN 300 MG KAPSUL

527

59

CHLORPHENIRAMIN MALEAT (CTM) 4 MG

60

CHLORPROMAZINE 100 MG

61

DEKSTROMETORPHAN HBR SYRUP

62

DEKSTROMETORPHAN HBR TABLET 15 MG

63

DEKSTROSA LARUTAN INFUS 5 %

5,060

308

5,060

64

DEKSTROSA LARUTAN INFUS 10 %

5,727

448

5,727

65

DEKSTROSA LARUTAN INFUS 40 %

2,061

66

DEXAMETHASON 0,5 MG TABLET

67

DEXAMETHASON INJEKSI

68

DIAZEPAM TABLET

69

DIAZEPAM INJ 5 MG/ML

70

DIFENHIDRAMIN INJ

71

DIGOKSIN 0,25 MG TABLET

72

DOMPERIDON 5 MG SUSPENSI

73

55

11,000

100

66,000

522

6,199

1,600

2,300

3,680,000

132,000

281

37,092,000

430

12,650

5,439,500

100,000

63

6,300,000

242,300

88

21,322,400

344

10,588

3,642,272

18,900

958

18,106,200

100

5,000

500,000

220

5,500

1,210,000

6,600,000

585,800

63

36,905,400

19

5,000

95,000

8,778

10,440

28,050

28,050

116

752

48,800

24

1,171,200

122

15,000

122

1,830,000

1,379

99

69

105

188
-

8,600

245
527

24
2,700
74,200

99

188

24

2,061

2,107,000

7,345,800

8,778

188

108

7,095,200
-

80,000

245

19,600,000

10,000

361

3,610,000

8,400

527

4,426,800

300,000

21

6,300,000

1,379

7,938,000

7,623

245

32,400

3,235,617

10,510,974

1,558,480

2,565,696

103,400

69

7,132,532

30,000

69

2,069,400

2,000

2,595

2,000

5,190,000

30

3,000

30

90,000

2,344

146

2,368

345,728

960

20

800

16,000

91

60

2,344

140,640

4,550,000

DOMPERIDON 10 MG

404

404

74

DOXYCYCLINE 100 MG KAPSUL

220

75

EKSTRAK BELLADONNA TABLET 10 MG

76

EPINEFRIN (ADRENALIN) INJ 0,1%

1,033

77

ERYTHROMYCIN 200 MG SYRUP

7,220

125

7,220

902,500

78

ERYTHROMYCIN 250 MG

440

17,500

440

7,700,000

79

ERYTHROMYCIN 500 MG TABLET

921

44,700

921

41,155,290

80

ETAMBUTOL 500 MG

420

44,000

420

18,480,000

81

ETAKRIDIN 0,1 % / RIVANOL

2,200

16

2,212

35,395

82

ETANOL 70 % 1000 ML

83

FENITOIN 100 MG KAPSUL

84

FENOBARBITAL 30 MG TABLET

85

1,033

25,300

220

528,000

220

25,300

3,624

50,000

91

3,624

136,500

192,000

12,650

2,400

91

960

3,624

1,500

200

1,200

7,220

5,566,000

7,000

220

1,540,000

107

8,100

866,700

8,664,000

200

2,200

440,000

400

35,000

14,000,000

604

8,400

604

5,073,600

65

7,000

65

455,000

FENOL GLISEROL 10 %

1,008

2,136

1,008

2,153,088

86

FITOMENADION INJ

1,450

87

FITOMENADION 10 MG TABLET

88
89
90

FUROSEMID 40 MG TABLET

1,450

579

FLUCONAZOL 150 MG

22,000

200

22,000

4,400,000

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

19,080

220

19,080

4,197,600

91

20,200

91

1,838,200

579

579

8,000

579

4,632,000

39,200

181

91

GAMEKSAN

92

GARAM ORALIT II SERBUK

93

GENTAMYCIN SALEP KULIT

94

GENTIAN VIOLET 1 % - 10 ML

95

GLIBENCLAMIDE 5 MG TABLET

96

GLIMEPIRIDE 2 MG

97

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C


50 MG

98

GLISERIL GUAIAKOLT 100 MG TABLET

99

GLISERIN LARUTAN

100

GRISEOFULVIN 125 MG TABLET

200

4,400

200

880,000

101

HALOPERIDOL 0,5 MG TABLET

165

13,300

165

102

HALOPERIDOL 5 MG TABLET

246

23,600

246

103

HALOPERIDOL 5 MG INJEKSI

14,724

104

HEPARIN 200,000 IU GEL

36,000

105

HEPATOPROTEKTOR SYRUP

106

HEPATOPROTEKTOR TABLET

4,675

107

HIDROKORTISON KRIM 2,5 %

2,399

108

HYOSINE N BUTILBROMIDA TABLET

109

IBUPROFEN 125 MG SUPP

110

IBUPROFEN 200 MG SUSPENSI

292

380

1,469

6,800

895
61

500

72

2,200
95,000

23

4,730

37,000

28

1,036,000

3,488,875

100,000

56

5,600,000

1,640

500

820,000

21,330

5,500

117,315,000

1,924,250
41,704,200

500,000

28

2,000

895

13,950,200

1,790,000

4,730

199

2,194,500

5,805,600

36,000

1,469

54

2,375

895

2,185,000

2,150

500

1,985,600

772,300

5,500

292
1,469

54

28

456

14,724

6,713,916
-

7,080
-

300

300

55,550

3,922

2,399

9,408,878

4,499

29,558

2,399

4,499

91

55,550

5,055,050

8,700

146

6,485,200

93

IBUPROFEN 400 MG TABLET

146

113

ISONIAZID 100 MG

44

114

ISONIAZID 300 MG

8,000

107

853,600

115

IMUNOSTIMULAN SIRUP

55,000

324

55,000

17,820,000

116

IMUNOSTIMULAN TABLET

4,950

117

ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

98

118

ITRAKONAZOL 100 MG

119

KALCIUM LACTAT 500 MG TABLET

120

KALIUM DIKLOFENAK 50 MG

121
122
123

KETOKONAZOL 200 MG TABLET

124

KETOKONAZOL KRIM 2 %

4,164

492

4,164

2,048,688

125

KETOPROFEN 100 MG

1,350

600

1,350

810,000

126

KETOROLAC INJ 10 MG

2,539

7,500

127

KLORAMFENIKOL 250 MG KAPSUL

245

245

128

KLORAMFENIKOL 1 %SALEP MATA

1,562

1,562

129

KLORAMFENIKOL SUSPENSI

4,500

130

KLORAMFENIKOL 0,5 % TETES MATA

5,280

131

KLORAMFINEKOL 3 %TETES TELINGA

1,599

132

KLARITROMISIN 500 MG

133

KODEIN FOSFAT 20 MG TABLET

134

KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN


SULFAT 5 MG KRIM/Mytaderm

135

KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25


MG + PARASETAMOL 400 MG/Hustab

136

KOMB. BUDENOSID FORMATEROL 80/4,5 MCG


INHALER 60 DOSIS

1,400

1,444

KANAMYCINE 2 GR

19,800

KAOLIN SUSP

12,012
410

38

4,500
2,500

116,820

47

267

4,950
97
52

47
75

370

19,800

2,539

146
5,000

44

259,196
-

1,485,000

8,289

2,500

950
6,600

47

5,202,900

1,400

12,012

16,816,800

267

570,000

5,259

4,700

24,717,300

608

1,520,000

2,539

761,700

1,520,000

1,545

5,280

8,157,600

2,375,000
-

110,700

300

1,599

4,389

8,289

36,378,227

300

1,400

2,500

3,126

1,900

36,300,000
-

4,998,474

300

950

60,500

3,800

149

600

400
-

35,000

1,058,763

220,000

417

171,000
-

93

4,499,000

IBUPROFEN 200 MG TABLET

1,200

2,800

4,499

111

93

1,000

112

107

33,099,000
-

4,675

70,909,642

3,200

960,000

46,800

312

14,601,600

137

KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES
MATA/Nelidex

138

KOMB.DEKSTROMETORFAN HBR +
FENILPROPANOLAMIN + GG SYRUP/Dextral syr

7,150

139

KOMB.DEKSAMETASON, DEKSKLORFENIRAMIN
MALEAT/Zestam

1,056

140

KOMB.METHAMPYRON + DIAZEPAM/Danalgin

141

KOMB.DEXTROMETHORPHAN + THIOKOL +
PARASETAMOL + CTM/Febrinex syr

142

KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT/Benacol syr

143

KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


TABLET/Flutab/Tuzalos

578

144

KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


SYRUP/Protexinal

7,920

145

KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC


100 MG/Bioplacenton

10,000

146

KOMB.TEOFILIN + SALBUTAMOL TABLET/Teosal

147

KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG


SYRUP /Tremenza SYRUP

148

KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG


TABLET /Tremenza TABLET

149

KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG


+ VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG +
GLUTAMIC ACID 200 MG TABLET/Neurosanbe

150

KOTRIMOKSAZOL SUSPENSI

151

KOTRIMOKSAZOL ADULT 480 MG TABLET

152

KOTRIMOKSAZOL PEDIATRIK TABLET

153

LEVOFLOXACIN 500 MG TABLET

154

LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

155

LINCOMYCIN 500 MG KAPSUL

156

LISOL

157

LOPERAMID 2 MG TABLET

91

158

MELOXICAM 7,5 MG

234

234

159

MELOXICAM 15 MG

348

348

160

METFORMIN 500 MG

105

105

161

METFORMIN 850 MG

260

162

METHILERGOMETRIN MALEAT 0,125 MG TABLET

163

METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

164

METHYLPREDNISOLON 4 MG TABLET

165

METHYLPREDNISOLON 8 MG TABLET

166

METHYLPREDNISOLON 125 MG INJEKSI

167

METOCLOPRAMIDE HCL 10 MG

168

METOCLOPRAMIDE SYRUP 5 MG / 5 ML

169

7,376

825

2,820

7,376
6,160
182

70

825

20,800,320

5,784

7,150

41,355,600

34,450

1,056

36,379,200

20,000

1,100

22,000,000

2,000

15,855

31,710,000

4,000

10,450

41,800,000

48,000

660

31,680,000

57,750
-

10,450

550

9,680

22,080

156

10,000

1,925
14,069

15,180

924

990

7,920

1,560,000

3,949

12,751,200
-

13,090

2,499

14,069

35,158,431

924

18,050

1,056

19,060,800

27,000

990

26,730,000

968

4,006,800

50

4,140

50

207,000

574

950

1,154

1,096,300

1,030

520

9,000
12,100

3,500

159

72
1,030

648,000

3,015

1,975

2,100

72

520
177
23,900

91

5,000

1,975

12,463,000

5,954,625

13,200

2,174,900

9,875,000

151,200

2,336,400

4,000

105

147,000

3,685

296

375

10

44,000

140

375

440,000

89

2,830

METRONIDAZOL 250 MG TABLET

123

170

METRONIDAZOL 500 MG TABLET

184

171

MICONAZOLE SALEP

172

MINYAK KAYU PUTIH 15 ML

184

1,200

168,000

8,000

123

984,000

700

14,850

10,395,000

6,900

234

1,614,600

348
200,000

105

21,000,000
-

700

121

84,700

43

3,685

158,455

296

8,400

375

6,150,000

40

59,000

2,360,000

5,100

91

464,100

253

2,830

715,990

24,700

164

4,044,378

2,830

2,296,000
-

520

1,400

574

260

140

159

59,000

23,307,625

25,200

13,310

6,325

1,925

159

13,200

3,685

3,949

578

2,200

89

195,800
-

5,500

123

675,400

10,000

300

173

MOMETHASON KRIM 0,1 %

17,800

174

MULTIVITAMIN ANAK DROP

13,750

175

MULTIVITAMIN ANAK SYRUP

20,000

10,670

176

MULTIVITAMIN TABLET

528

177

NATRIUM BIKARBONAT 500 MG TABLET

14

178

NATRIUM DIKLOFENAK 25 MG TABLET

134

179

NATRIUM DIKLOFENAK 50 MG TABLET

174

180

NATRIUM DIKLOFENAK GEL

181

NATRIUM KLORIDA LARUTAN INFUS 0,9%

4,900

182

NATRIUM KLORIDA 100 ML

183

NIFEDIPINE 10 MG TABLET

112

184

NYSTATIN 500.000 IU TABLET

640

185

NYSTATIN VAGINAL TABLET 100.000 IU

370

186

NYSTATIN SUSPENSI 100.000 IU/Ml

187

OBH

188

OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM


+ AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

189

OFLOXACIN 200 MG

413

190

OFLOXACIN 400 MG

654

191

ONDENSETRON INJ

6,050

192

OXYTETRASIKLIN HCL 3 % SALEP KULIT

1,450

193

OXYTETRASIKLIN HCL 1 % SALEP MATA

2,100

194

OXYTOCIN INJ/PITOGIN/SINTOCYNON INJ

13,913

195

PANTOCAIN TM

16,100

196

PAPAVERIN 40 MG TABLET

119

197

PAPAVERIN INJEKSI 40 MG/ML

530

198

PARAFORMALDEHID TABLET 1 GR

60

199

PARASETAMOL 100 MG

32

200

PARASETAMOL SUPP 160 MG

201

PARASETAMOL DROPS

5,227

9,412

5,227

49,196,524

202

PARASETAMOL SYROP 120 MG / 5 ML

1,319

30,831

1,319

40,663,006

20,000

1,319

26,378,000

203

PARASETAMOL 500 MG

84

889,100

84

74,622,163

300,000

84

25,179,000

204

PERMETHRIN KRIM 5 %

22,770

205

PIRANTEL PAMOAT 125 MG

290

206

PIRAZINAMID 500 MG

198

207

PIRIDOKSIN (VIT B6 ) TABLET 10 MG

14

208

PIROXICAM

65

209

POLIKRESULEN SOL

210

POVIDON IODIDA 30 ML

211

POVIDON IODIDA 60 ML

3,500

212

POVIDON IODIDA 300 ML

14,500

100

14,500

1,450,000

213

POVIDON IODIDA 1 L

42,000

55

42,000

2,310,000

214

PREDNISON TABLET 5 MG

215

PROPANOLOL 40 MG

120

216

RANITIDIN TABLET

110

217

RANITIDIN INJ 25 MG/2ML

218

RETINOL 100,000 IU

14,300

219

RETINOL 200,000 IU

19,600

220

RIFAMPICIN 450 MG

594

2,900

660

1,914,000

221

RINGER LAKTAT LARUTAN INFUS

5,200

2,737

5,200

14,232,400

222

RISPERIDONE 1 MG TABLET

1,400

528

440

55,000

14

781,000
134

216

30,800

640

4,950

2,750

7,000

7,000

130
-

1,050

873

530
1,400

60

12,925
17,300

290

500

32,780

14
26,700
2,400

57
120

6,050
3,975
2,100

14,300

10,875,800

16,335

13,558,050

2,391

20,000

47,820,000

68,100

528

35,956,800

10,250

134

7,518,100

46,200

133

174

1,408,000

8,000

176

60

4,900

294,000

100,000

112

11,200,000

4,900

4,600

112

1,200

640

1,728,000

1,500

640

2,000

407

1,534,000

1,500

480

8,000

4,000

4,004,000

206,500

7,332

4,950

15,000

1,450

654

2,616,000

500

2,400

1,200,000

21,750,000

119

119

4,000

21,400

68,293,400

3,620

13,913

50,366,327

16,100

144,900

2,546,600

32

5,227

47,900

198

9,484,200

250,000

18

4,400,000

32,780

5,187,000

204,000
110
1,928
12

12,100
19,600

40,000
5,200

5,763,750

9,051,900

57

515,200

65

91,000

14,500

12,045

22,770

284,000

5,017,000

134

33,013,750

84,000

633

1,450

1,928

17,800

1,700

413

916,650

20,000

30,800
4,290

611
830

13,750

370

2,401

594

1,400

30,000

65

1,945,800
-

234

28,600

6,692,400

119

3,500

416,500

1,000

2,163

2,163,000

156

14,000

2,184,000

100

37,109

3,710,900

145,200
23,760,000

110

81,600

110

8,976,000

350

1,928

674,800

1,000

1,928

1,928,000

600

12,100

7,260,000

400

13,000

5,200,000

573

19,600

11,230,800

83,100

1,500

124,650,000

1,781

###

1,781

215,600

177

215,600

223

RISPERIDONE 2 MG TABLET

224

SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL

225

SALBUTAMOL INHALER 100MCG 200 DOSIS

226

SALBUTAMOL 2 MG TABLET

83

227

SALBUTAMOL 4 MG TABLET

96

228

SALEP 2 - 4

4,950

229

SALISIL BEDAK 2 %

1,120

1,430

230

SALISIL MENTOL BEDAK

3,048

3,050

231

SEFADROKSIL SYRUP

5,248

232

SEFADROKSIL 250 MG

468

233

SEFADROKSIL 500 MG

521

234

SETRALINE 50 MG TABLET

12,100

235

SIANOCOBALAMIN TABLET

236

SIANOCOBALAMIN / VIT. B 12 INJ

237

SILVER SULFADIAZINE 10 MG / 35 GR CREAM

238

SIMVASTATIN TABLET

239

STESOLID RECTAL SUPP

240

STREPTOMISIN SERBUK INJ 1500 MG/ML

2,090

241

SULFASETAMIDA NATRIUM TETES MATA

3,226

242

TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG

968

243

TETRASIKLIN 500 MG KAPSUL

186

244

TEOFILIN 300 MG TABLET

245

THIAMIN (VIT.B1) 100 MG / ML INJ

700

246

THIAMIN (VIT.B1) 50 MG TABLET

38

247

THIAMPHENIKOL 500 MG KAPSUL

431

248

TRAMADOL HCI 50 MG TABLET

189

249

TRAMADOL HCI 50 MG/ML INJ

5,400

250

TRIHEKSILPHENIDIL 2 MG TABLET

40

251

VITAMIN B KOMP. TABLET

22

252

ZINC / ZINCDIAR TABLET

475

83
19,000

96

12

520

520

58,300

42,350

180

23,540
9,900

ALAT AUTOCLIX/LANCET DEVICE

110,000

ALAT SUNTIK SEKALI PAKAI 1 ML

2,662

ALAT SUNTIK SEKALI PAKAI 3 ML

3,120

ALAT SUNTIK SEKALI PAKAI 5 ML

2,673

ALAT SUNTIK SEKALI PAKAI 10 ML

3,300

ALAT SUNTIK SEKALI PAKAI 20 ML

ALAT PEMERIKSAAN HB

ALCOHOL SWABS

BISTURI
BLOOD LANCET

11

CAIRAN PENCUCI ANTISEPTIK

12

CATGUT DENGAN JARUM BEDAH

13

83

473,100

1,120
-

81

5,248

140,000

12

1,722,000
261

11,403

58,300
495

186
700

22
56,800

475

110,000
2,515

3,300

7,750

20,000

59

1,180,000

616

4,950

3,048

425,088
468
5,000

521

7,640,233

5,900

1,250

7,375,000

5,000

3,630

18,150,000

1,500

5,248

7,872,000

7,800

468

3,650,400

4,200

521

2,188,200

4,320

12,100

52,272,000

2,605,000

180

15,216,300

3,049,200

100

46,585

4,658,500

180

35,424,600

240

23,540

5,649,600

919

2,090

1,920,710

483,600

963
1,800

186

334,800

35

323

22

6,728

3,226

21,704,528

32,500

968

31,460,000

50,000

1,023

84,150,000

45,800

1,050

48,090,000

169,000

38

6,388,200

40,200

431

17,326,200

1,350

189

255,056

40

253

5,400

1,366,200

208,000

40

8,320,000

26,980,000
6,000

3,520,000
-

4,000

2,662

10,648,000

1,438

2,420

3,479,960

3,000

2,673

8,019,000

900

3,300

2,970,000

25,575,000

600

7,750

4,650,000

525,000

70,686,000

32

235,620

670

1,781
300

5,248

2,600

1,781

38,161,200

ALAT KESEHATAN DAN REAGEN


1

5,700

6,000

10

1,824,000

275

127

1,920

1,920

23,800
300

8,230

495,000
275

2,469,000

6,545,000
-

11

525,000

20,000

3,120

200

8,360

1,672,000

80,000

275

22,000,000

9,900

396

3,920,400

5,775,000
-

396

902,000

902,000
-

6,392

78,100

499,215,200

CATGUT CHROMIC

5,415,500

5,415,500

5,415,500

14

DENGUE IgG AND IgM DROP TEST

1,650,000

1,650,000

15

DENGUE N5 1 ANTIGEN

2,420,000

2,420,000

16

DEX GLASS

17

EDTA VACUM TUBE 5 ML

302,500

81

39,050

3,163,050
-

1,870

78,100

39,050

78,100

62,400,000

97

302,500

29,342,500

90,600

391

30,000

1,100

18

FESCOPLAST

19

FOLEY CATETHER

15,400

20

GLUCOSA TEST TIP

8,323

21

GOLONGAN DARAH KIT

22

H2O2

23

HAND SCONE / SURGICAL GLOVE

24

HAND SCONE STERILE

8,800

25

HCG CASETTE / PP TEST

5,500

26

HEMASITO METER

27

ISI AUTOCLIX

1,632

1,375

1,617

28

INFUSION SET ANAK

9,900

13,500

9,790

29

INFUSION SET DEWASA

9,900

9,790

30

IODIUM TEST

3,025

31

IV CATETHER

24,200

32

JARUM JAHIT

33

KACA MULUT

34

KAPAS PEMBALUT 250 GR

20,130

35

KAPSUL KOSONG NO.0

44

36

KAPSUL KOSONG NO.1

33

37

KASSA HIDROFIL 40 X 40

38

KASSA HIDROFIL GULUNG

39

KASSA STERIL

6,600

40

KASSA 4 M X 15 CM

5,104

41

LAMPU SPIRITUS

42

LARUTAN ASAM ALKOHOL

43

LARUTAN KOH 10 % 250 ML

44

LOMATUELL H 10 X 10 CM

45

METILEN BLUE 250 ML

46

MICROPIPET 3 UKURAN

47

MASKER

48

MASKER OXYGEN FOR ADULT

22,000

49

MASKER OXYGEN FOR CHILD

22,000

50

MATA BOR HIGH SPEED BUNDAR

95,700

95,700

765,600

51

MATA BOR HIGH SPEED FISURE

95,700

95,700

765,600

52

MATA BOR HIGH SPEED INVERTED CONE

95,700

95,700

669,900

53

MATA SCALLER

236,500

236,500

473,000

54

NASO GASTRIC TUBE

21,450

30

21,450

643,500

55

NEBULIZE MASK FOR INFANT

40,700

56

NEBULIZE MASK FOR ADULT

57

NEEDLE

58

OBJECT GLASS

59

OIL IMERSI

60

OSE

61

PENJEPIT TABUNG

62

PIPET BESAR

63

PIPET KECIL

64

PLESTER

65

POT DAHAK

66

POWDER ENZIMATIC ALKAZYME

946,000

67

PURIFIED PROTEIN DERIVATIVE 2 UT

702,240

68

SELANG O2 ANAK

13,200

92

13,200

1,214,400

69

SELANG O2 DEWASA

13,200

73

13,200

963,600

265

8,316

935,000
18,755

11,000
494,999

13

880

18,755
715

11,000

50

15,400

22,000

27,500

96,800

40

1,000

136,694

8,250

8,323

68,667,500

18

935,000

16,830,000

243,815
-

715

409
10,450
4,425

5,500

286

100
41,954,000

27,500

27,500

69

71,000

4,899,000

96,800

3,872,000

6,600
2,680

16,500
21,450

17,600

418

7,356,800

70,000

880

61,600,000

700

10,890

7,623,000

1,000

8,800

8,800,000

24,337,500

290

9,900
9,900

1,650,000
-

2,871,000

8,800

1,760,000

8,800

3,370,400

200

3,025

605,000

300

24,200

13,530,000

200

19,250

3,850,000

100

26,505

2,650,500

20,000

44

880,000

30,000

33

990,000

332,640

500

6,820

46,200

46,200

101,750

31

101,750

20,130

3,410,000

3,381,840

1,370

5,104

3,154,250

28,729,800

383

1,672,000
168

1,632

200

20,790

9,720

20,900

1,980,000
1,887,600

1,632

16

19,800

80

22,000

136,694

1,907

1,980

17,490,000

14,300

770,000

795

1,980

2,915,000

6,992,480

630

7,317

4,609,710

1,500

5,882

8,823,000

100

143,000

14,300,000

2,090,000

8,360,000

37,400

37,400

2,090,000

1,078,000

1,436

1,056

14,300

1,436

20,534,800

139

22,000

3,058,000

142

22,000

3,124,000

55,000

990

40,700

148

30

110,000

3,300,000

20

104,500

2,090,000

34,100

34,991

69,982

60

34,100

2,046,000

110,000
-

1,496

110

28,000

3,080,000

40,700

6,023,600

148

40,700

6,023,600

15

132,000

1,980,000

100

30,800

3,080,000

13,500

13,500

27,000

5,400

22

5,400

118,800

27,500

26,000

18,600

26,000

27,500

491

23,100

11,342,100

946,000

5,676,000

943,500
17

702,240

11,938,080

3,900

3,300

300

20,900

70

SGOT/SGPT TEST

71

SILK DENGAN JARUM BEDAH

72

STRIP ASAM URAT

73

STRIP HB

74

STRIP GULA DARAH

75

STRIP PROTEIN DAN GLUKOSA

76

1,082,950

58,300

58,300

1,082,950

53,900

191,500

165,000

162,500

359

191,500

68,748,500

95,000

220,000

95,000

152

95,000

14,440,000

77,000

77,000

STRIP KOLESTEROL

175,450

159,500

153

175,450

26,843,850

77

VENOJECT

220,000

220,000

220,000

78

YELLOW TIP

95,700

95,700

95,700

79

TABUNG REAKSI BESAR

2,015

37

2,015

74,555

80

TABUNG REAKSI KECIL

2,015

63

2,015

126,945

81

TERMOMETER DIGITAL

82

TORNIKUET

462,000

83

UMBILICAL CORD CLAMP

132,000

84

UNDER PAD 80 X 180 CM

13,200

85

URINE BAG

86

URINE TEST 3 PARAMETER

87

WIDAL TEST

88

WHITE TIP

89

MASKER N 95 TYPE 1870

90

POCH PACK D

91

POCH PACK L

92

CHECK CONTROL HEMATOANALYZER

93
94

1,082,950

4,950

62,150

162,500

103

22,000
132,000

400

4,950

1,694,000

1,980,000

17,700

1,396,000

2,266,000
-

304

13,200

4,012,800

10

247,500

2,475,000

133,100

1,694,000
24

133,100
506,000

594,000

3,194,400
2,970,000

1,870,000

1,870,000

12

943,000

11,316,000

CELL CLEAN HEMATOANALYZER

1,132,500

2,265,000

CALIBRATION SCS

1,942,295

1,942,295

95

CELL PACK HEMATONANALYZER

1,768,800

5,306,400

96

STROMALYSER WH

1,171,500

3,514,500

97

CHECK CONTROL HEMATOANALYZER XP 100

24

940,200

22,564,800

98

CELL CLEAN HEMATOANALYZER XP 100

1,197,900

7,187,400

99

CALIBRATION SCS XP 100

1,937,600

5,812,800

OBAT GIGI

ARSEN

484,000

ARTIKULATING PAPER

192,500

AIR RAKSA DENTAL USE

225,500

BEIN GIGI

CALCIDOR

209,000

CEVITRON

115,500

CHKM

CRESOPEN

551,000

DENTORIT

154,000

10

DYCAL

333,300

11

ETIL KLORIDA SPRAY

145,200

12

EUGENOL CAIRAN

3,178

13

IODOFORM PASTA

302,500

14

GLASS IONOMER ART

715,000

15

OCO / TSR

16

SILVER AMALGAM SERBUK 65 - 75 %

17

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

192,500
73

225,500

484,000

3,872,000

214,500

1,501,500

16,461,500

3,740,000

3,740,000
209,000
150

115,500

70,000

55,000

660,000

154,000

333,300

108,900

17,325,000
-

551,000

121,000
639

3,178
168,300

2,030,742
-

7
-

302,500

2,117,500

715,000

831,600

10

275,000

2,750,000

24

715,000

17,160,000

330,000

1,265,000

418,000

836,000

418,000

1,470,000

19,456,800

70,000

145,200

330,000

21

134

1,265,000

13

418,000

5,434,000

18

TEMPORARY STROPPING FLETCHER SERBUK DAN


CAIRAN

36,300

NERACA AWAL TAHUN 2016

NAMA OBAT
1

ACYCLOVIR 5 GR KRIM

2
3

ACYCLOVIR 200 MG TABLET

4
5

ALLOPURINOL 100 MG TABLET

6
7

AMBROXOL SYRUP 15 MG / 5 ML

8
9

AMINOFILIN 200 MG TABLET

10
11
12

AMLODIPIN 5 MG TABLET

13
14

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

15
16

AMOXICILLIN 500 MG KAPLET

17
18

ANTALGIN 500 MG TABLET

19
20
21
22

ANTASIDA SUSPENSI

23
24

ACYCLOVIR 400 MG TABLET

ALLOPURINOL 300 MG TABLET

AMBROXOL TABLET 30 MG

AMITRIPTILIN 25 MG TABLET

AMLODIPIN 10 MG TABLET
AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

AMOXICILLIN 250 MG KAPLET


AMOXICILLIN + AS.KLAVULANAT
ANTASIDA DOEN TABLET (KOMB. MAGNESIUM
HIDROKSIDA 200 MG + ALUMUNIUM HIDROKSIDA 200
MG)

ANTI BISA ULAR (ABU) SERUM


ANTI TETANUS SERUM 1500 UI
ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500
IU/G + POLIMIKSIN B 10,000IU/G )
ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM
SALISILAT 3 %)
ANTI HEMOROID DOEN

25
26

ASAM ASCORBIT (VIT.C) 50 MG TABLET

27
28

ASAM MEFENAMAT 500 MG

29
30

ATROPIN SULFAT INJ

31
32

AQUABIDEST

ASAM ASCORBIT (VIT.C) 250 MG TABLET

ASAM TRANEKSAMAT 500 MG

ATTAPULGIT / MOLAGIT TABLET

AQUA PRO INJEKSI 25 ML

#REF!

SALDO
AWAL
TAHUN 2015
13,918,550

MASUK

KELUAR

8
#REF!

SALDO AWAL
TAHUN 2016

6,618,150

23,820,825

(3,284,125)

11,587,800
4,071,900

971,700
6,720,000

10,653,300
14,677,200

(3,885,300)

884,000
1,808,100
33,000,000

5,160,000
399,000
88,440,000

3,403,800
2,228,100
69,267,000

3,282,526
-

6,813,675
80,000

7,860,375
16,000

2,235,826

2,927,400
11,220,000

1,624,000
2,058,870

448,800
15,163,920

4,102,600

8,170,000

33,957,000
-

1,929,840
3,515,000

32,027,160

56,848,780
14,936,000
48,994,000
10,800,000
19,882,400

33,007,500
23,083,400
167,040,000
15,106,740

72,516,015
27,701,500
124,931,400
6,723,000
16,783,200

17,340,265

13,130,100
5,549,276
4,245,467

26,028,000
8,881,000
9,460,000

24,648,296
20,050,270
11,813,471

14,509,804

6,325,000
16,415,690

6,325,000
-

12,010,507
10,586,750

5,828,940

230,400
4,537,500

7,425,000

230,400
8,970,500

2,992,000

31,831,800

50,606,500
-

5,206,000
32,022,600

45,400,500

1,906,200

2,640,200
(21,000)
52,173,000

64,000

(1,885,050)

4,655,000

10,317,900
91,102,600
4,077,000
18,205,940

(5,619,994)
1,891,996
639,493

(190,800)

43,720,000
13,860,000
160,600

27,960,000
2,678,500
110,000

15,760,000

37,174,500
-

18,027,260
-

19,147,240

3,083,280

2,360,020

723,260

11,181,500
50,600

36,300
#REF!

290,400

#REF!

#REF!

33
34

AZITHROMYCIN 500 MG

35
36

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

37
38

BETAHISTIN MESILAT 6 MG TABLET

39
40

BISACODYL 10 MG SUPP

41
42

BROMHEKSIN HCL 8 MG TABLET

43
44
45

BROMHEKSIN HCL 8 MG / 4 ML SOL

46
47

CAPTOPRIL 25 MG TABLET

48
49

CEFIXIME 100 MG

50
51

CEFOTAXIME INJ 1G

52
53

CETIRIZINE 5 MG SYRUP

54
55

CETIRIZIN 10 MG

56
57

CIPROFLOXACIN 500 MG TABLET

58
59
60

CLINDAMYCIN 300 MG KAPSUL

61
62

DEKSTROMETORPHAN HBR SYRUP

63
64

DEKSTROSA LARUTAN INFUS 5 %

65
66

DEKSTROSA LARUTAN INFUS 40 %

67
68

DEXAMETHASON INJEKSI

69
70

DIAZEPAM INJ 5 MG/ML

71
72
73

DIGOKSIN 0,25 MG TABLET

74
75

DOXYCYCLINE 100 MG KAPSUL

76

EPINEFRIN (ADRENALIN) INJ 0,1%

BEKARBON

BETAMETASONE KRIM 0,1 %

BETAKAROTEN 500 IU SYRUP

BISOPROLOL 5 MG

BROMHEKSIN HCL 8 MG SYRUP

CALAMIN LOTION
CAPTOPRIL 12,5 MG TABLET

CEFIXIME SYRUP KERING 100 MG

CEFIXIME 200 MG

CEFTRIAXON INJ

CETIRIZINE DROP

CIMETIDIN TABLET

CLINDAMYCIN 150 MG KAPSUL

CHLORPHENIRAMIN MALEAT (CTM) 4 MG


CHLORPROMAZINE 100 MG

DEKSTROMETORPHAN HBR TABLET 15 MG

DEKSTROSA LARUTAN INFUS 10 %

DEXAMETHASON 0,5 MG TABLET

DIAZEPAM TABLET

DIFENHIDRAMIN INJ

DOMPERIDON 5 MG SUSPENSI
DOMPERIDON 10 MG

EKSTRAK BELLADONNA TABLET 10 MG

2,245,140

11,250,000
2,096,325

5,130,000
2,662,388

6,120,000

2,193,300
3,012,948
110,880

11,096,000
5,544,000

7,002,948
4,352,040

2,193,300

3,235,617

28,600,000
-

2,268,834

28,600,000

3,680,000
37,092,000

522,450
-

4,138,550
18,798,900

6,600,000

18,150,000
-

2,112,000

18,150,000

5,439,500
43,205,400

15,180,000
-

5,439,500
11,088,000

15,180,000

21,322,400
3,642,272

2,184,000
7,128,000

12,865,600
10,418,272

10,640,800

18,106,200
-

18,554,400
96,360,000

33,753,830
-

2,906,770

595,000
1,210,000
-

5,599,300

595,000
1,210,000
7,308,000

(1,708,700)

7,095,200

1,122,200

8,133,500

83,900

29,645,000

2,296,800
-

692,288
10,657,500

18,987,500

3,610,000
4,426,800
7,471,200
1,830,000

56,401,400
-

10,510,974
7,345,800

1,558,480
2,565,696

480,700
469,614

1,809,000
-

247,500
333,888

2,068,000
866,700

1,215,000

63,900
18,293,100

4,488,000

32,117,400

352,000

96,360,000
-

1,604,512

33,990,829

90,000
486,368

5,999,400
4,692,700

966,783

29,881,771
1,830,000

356,400
20,260,100
1,850,800

1,302,840

2,779,700

396,000
27,900,000
474,000

7,106,000

830,300
4,426,800

9,201,932
5,190,000

208,000
4,686,500

1,679,077

43,200
63,700

10,510,974
7,345,800
1,077,780
2,096,082
39,600
16,841,832
3,813,200
1,651,500
152,480
164,800
4,622,800

4,182,915
1,803,600

1,816,485

638,000
-

1,430,000

1,455,065

626,635

2,889,100

77
78

ERYTHROMYCIN 200 MG SYRUP

79
80

ERYTHROMYCIN 500 MG TABLET

81
82

ETAKRIDIN 0,1 % / RIVANOL

83
84

FENITOIN 100 MG KAPSUL

85
86

FENOL GLISEROL 10 %

87
88
89

FITOMENADION 10 MG TABLET

90
91
92

GARAM ORALIT II SERBUK

93
94

GENTAMYCIN SALEP KULIT

95
96

GLIBENCLAMIDE 5 MG TABLET

97
98

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C


50 MG
GLISERIL GUAIAKOLT 100 MG TABLET

99
100
101

GLISERIN LARUTAN

102
103

HALOPERIDOL 5 MG TABLET

104
105

HEPARIN 200,000 IU GEL

106
107

HEPATOPROTEKTOR TABLET

108
109

HYOSINE N BUTILBROMIDA TABLET

110

IBUPROFEN 200 MG SUSPENSI

111

IBUPROFEN 200 MG TABLET

112
113

IBUPROFEN 400 MG TABLET

114
115

ISONIAZID 300 MG

116
117

IMUNOSTIMULAN TABLET

118
119

ITRAKONAZOL 100 MG

ERYTHROMYCIN 250 MG

ETAMBUTOL 500 MG

ETANOL 70 % 1000 ML

FENOBARBITAL 30 MG TABLET

9,566,500
7,700,000

5,256,160
1,320,000

4,310,340

41,155,290
18,480,000
475,395

11,236,200
2,268,000
#VALUE!

29,919,090

5,338,300
2,388,332

14,227,700

1,378,944

455,000

19,566,000
5,073,600
455,000
2,153,088

319,200
-

6,380,000

16,212,000
#VALUE!

3,004,468

774,144

4,632,000

17,119,170
9,510,000

4,612,950
7,186,286

12,506,220

99,000,000
-

11,880,000
-

91,520,000

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

4,400,000
4,197,600

FUROSEMID 40 MG TABLET

1,838,200

464,100

1,374,100

6,954,096
13,257,237

8,769,104

FITOMENADION INJ

FLUCONAZOL 150 MG

6,955,714

4,197,600

GAMEKSAN

GENTIAN VIOLET 1 % - 10 ML

GLIMEPIRIDE 2 MG

GRISEOFULVIN 125 MG TABLET


HALOPERIDOL 0,5 MG TABLET

HALOPERIDOL 5 MG INJEKSI

HEPATOPROTEKTOR SYRUP

HIDROKORTISON KRIM 2,5 %

IBUPROFEN 125 MG SUPP

ISONIAZID 100 MG

IMUNOSTIMULAN SIRUP

ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

KALCIUM LACTAT 500 MG TABLET

1,985,600
3,488,875
3,714,250
47,304,200
820,000
###
17,171,200
-

13,737,600
11,954,360
3,313,600
-

2,185,998

2,595,500
7,338,600

39,965,600

4,133,600
101,475,000

15,840,000

1,118,750

8,877,000
-

8,294,200
-

880,000
2,194,500

2,190,000
-

900,000
2,194,500

2,170,000

5,805,600
6,713,916

1,094,400
-

5,805,600
353,376

1,094,400

12,993,750
17,195,750

2,806,650
2,888,886

10,187,100

59,125,000
18,975,000

78,648,900
14,693,875
4,933,500

13,575,100

33,099,000
80,318,520
-

6,360,540

14,306,864

65,624,645
14,041,500

5,055,050

3,610,750

1,444,300

4,499,000
259,196

4,499,000
260,400

(1,204)

6,485,200
220,000

25,583,300
-

15,407,954
-

853,600
54,120,000

28,600,000

321,000
59,026,000

116,820
-

52,800,000
-

116,400
-

52,800,000

5,202,900

6,720,000

8,370,200

3,552,700

16,660,546
220,000
532,600
23,694,000

420
-

120
121

KALIUM DIKLOFENAK 50 MG

122
123

KAOLIN SUSP

124
125
126
127
128
129

KETOKONAZOL KRIM 2 %

130
131
132
133
134

KLORAMFENIKOL 0,5 % TETES MATA

135

KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25


MG + PARASETAMOL 400 MG/Hustab
KOMB. BUDENOSID FORMATEROL 80/4,5 MCG
INHALER 60 DOSIS

136

KANAMYCINE 2 GR

KETOKONAZOL 200 MG TABLET

KETOPROFEN 100 MG
KETOROLAC INJ 10 MG
KLORAMFENIKOL 250 MG KAPSUL
KLORAMFENIKOL 1 %SALEP MATA
KLORAMFENIKOL SUSPENSI
KLORAMFINEKOL 3 %TETES TELINGA
KLARITROMISIN 500 MG
KODEIN FOSFAT 20 MG TABLET
KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN
SULFAT 5 MG KRIM/Mytaderm

1,485,000

6,040,100
-

994,840
198,000

5,045,260

16,816,800
570,000
26,765,988
2,330,000
1,820,463
-

3,000,000
7,112,600
483,000
9,933,440
5,600,000

9,417,408
1,868,000
18,846,664
4,732,200
1,820,463
1,179,596
3,115,200

7,399,392

1,691,000
8,157,600
4,998,474
960,000
2,375,000

53,355,500
2,904,000
1,920,000
5,500,000

1,333,800
25,322,825
7,889,769
6,445,000

36,378,227
14,601,600

23,760,000
-

165,648,381
2,340,000

11,050,000

1,287,000

1,702,000
7,919,324
4,710,400
483,000
8,753,844
2,484,800
357,200
36,190,275
12,705
2,880,000
1,430,000
(105,510,155)
12,261,600
11,050,000

137

KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES
MATA/Nelidex

138

KOMB.DEKSTROMETORFAN HBR +
FENILPROPANOLAMIN + GG SYRUP/Dextral syr

41,355,600

139
140

KOMB.DEKSAMETASON, DEKSKLORFENIRAMIN
MALEAT/Zestam
KOMB.METHAMPYRON + DIAZEPAM/Danalgin

36,379,200
22,057,750

9,504,000
-

141
142

KOMB.DEXTROMETHORPHAN + THIOKOL +
PARASETAMOL + CTM/Febrinex syr
KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +
GUAIAKOLATSULFONAT/Benacol syr
KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM
TABLET/Flutab/Tuzalos

31,710,000
65,107,625

85,750,500

27,758,250
81,764,650

69,093,475

44,431,200

14,080,000

57,112,480

1,398,720

143

20,800,320

22,128,000

33,622,490

7,733,110

22,434,500
12,597,750

23,448,700

(1,327,680)

9,460,000
3,951,750

144

KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


SYRUP/Protexinal

13,924,020

3,493,050

10,430,970

145

KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC


100 MG/Bioplacenton
KOMB.TEOFILIN + SALBUTAMOL TABLET/Teosal

1,560,000
-

660,000
271,700

1,824,800
146,300

395,200

KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG


SYRUP /Tremenza SYRUP
KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG
TABLET /Tremenza TABLET
KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG
+ VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG +
KOTRIMOKSAZOL
SUSPENSI
GLUTAMIC
ACID 200
MG TABLET/Neurosanbe
KOTRIMOKSAZOL ADULT 480 MG TABLET

35,158,431
19,060,800

60,192,000
68,200,000

95,301,819
57,017,400

26,730,000
15,829,625
4,006,800
1,006,200
3,392,300

63,360,000
4,140,000
369,600

78,474,000
11,850,000
4,809,300
585,000
3,595,496

11,616,000

12,463,000
-

1,556,500
12,785,520

6,231,500
4,095,960

7,788,000

198,813,450
564,200

(186,082,050)

146
147
148
149
150
151
152

KOTRIMOKSAZOL PEDIATRIK TABLET

153
154

LEVOFLOXACIN 500 MG TABLET

155
156

LINCOMYCIN 500 MG KAPSUL

157
158

LOPERAMID 2 MG TABLET

159
160

MELOXICAM 15 MG

1,614,600
-

METFORMIN 500 MG

21,147,000

LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

LISOL

MELOXICAM 7,5 MG

12,731,400
2,174,900

13,299,000
50,957,500
-

125,400
48,612
30,243,400
3,979,625
3,337,500
421,200
166,404

8,689,560

1,610,700

11,242,900
32,972,500

17,985,000

11,455,500

9,691,500

3,670,700

252,700

616,000

522,200

158,455
6,150,000

1,925,000
3,854,000
14,400,000

1,148,455
410,000
16,882,500

2,800,000
659,900

273,000

1,936,000
760,000

864,000

715,990
1,659,400

2,600,000
-

1,131,990
442,800

2,184,000

4,044,378
-

9,000,000

3,608,000
1,686,000

10,875,800

2,035,000
-

7,743,000

2,035,000

46,571,800
47,820,000

46,816,000
289,747,480

279,430,030
203,912,640

(186,042,230)

35,956,800

102,080,000

78,992,100

59,044,700

781,000
7,518,100

4,123,000

210,000
9,938,700

1,702,400

1,408,000
-

4,400,000
7,947,500

3,608,000
476,850

294,000
11,715,200

4,700,000
16,665,000
-

1,943,700
2,333,100
4,614,400

161
162

METFORMIN 850 MG

163
164

METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

165
166

METHYLPREDNISOLON 8 MG TABLET

167
168

METOCLOPRAMIDE HCL 10 MG

169
170

METRONIDAZOL 250 MG TABLET

171
172
173

MICONAZOLE SALEP

174
175

MULTIVITAMIN ANAK DROP

176

MULTIVITAMIN TABLET

177
178

NATRIUM BIKARBONAT 500 MG TABLET

179
180

NATRIUM DIKLOFENAK 50 MG TABLET

181
182

NATRIUM KLORIDA LARUTAN INFUS 0,9%

183
184

NIFEDIPINE 10 MG TABLET

185
186

NYSTATIN VAGINAL TABLET 100.000 IU

187
188
189

OBH

190
191

OFLOXACIN 400 MG

192
193

OXYTETRASIKLIN HCL 3 % SALEP KULIT

194
195

OXYTOCIN INJ/PITOGIN/SINTOCYNON INJ

196
197

PAPAVERIN 40 MG TABLET

198
199

PARAFORMALDEHID TABLET 1 GR

200
201

PARASETAMOL SUPP 160 MG

202
203

PARASETAMOL SYROP 120 MG / 5 ML

49,196,524
67,041,006

PARASETAMOL 500 MG

99,801,163

METHILERGOMETRIN MALEAT 0,125 MG TABLET

METHYLPREDNISOLON 4 MG TABLET

METHYLPREDNISOLON 125 MG INJEKSI

METOCLOPRAMIDE SYRUP 5 MG / 5 ML

METRONIDAZOL 500 MG TABLET

MINYAK KAYU PUTIH 15 ML


MOMETHASON KRIM 0,1 %

MULTIVITAMIN ANAK SYRUP

NATRIUM DIKLOFENAK 25 MG TABLET

NATRIUM DIKLOFENAK GEL

NATRIUM KLORIDA 100 ML

NYSTATIN 500.000 IU TABLET

NYSTATIN SUSPENSI 100.000 IU/Ml

OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM


+ AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP
OFLOXACIN 200 MG

ONDENSETRON INJ

OXYTETRASIKLIN HCL 1 % SALEP MATA

PANTOCAIN TM

PAPAVERIN INJEKSI 40 MG/ML

PARASETAMOL 100 MG

PARASETAMOL DROPS

1,728,000
1,534,000

960,000
922,600

346,500
935,000
3,444,000
3,667,500

172,900

1,216,600
436,378
7,314,000

3,132,800

133,654,840

571,000

2,200,000
7,470,650
3,050,300
14,331,900
7,100,800
768,000
611,400

4,004,000
68,293,400

119,105,250

4,004,000
90,752,400

206,500

6,814,500
-

5,341,050
206,500

1,473,450

3,532,650
1,200,000

960,000

1,396,350
2,196,800

2,136,300

7,184,750
-

20,329,000

27,513,750
-

96,646,250

(36,800)

50,366,327
144,900
2,546,600

885,500

20,730,370
80,500
2,935,000

29,635,957

84,000

57,310
-

8,595
-

48,715

6,673,920

1,267,200

41,317,000

64,400
497,100

84,000
5,406,720

36,113,343
38,310,355

13,083,181

88,141,200

52,976,963

28,730,651

204
205

PERMETHRIN KRIM 5 %

206
207

PIRAZINAMID 500 MG

208
209

PIROXICAM

210
211
212
213

POVIDON IODIDA 30 ML

214
215
216

PREDNISON TABLET 5 MG

217
218

RANITIDIN INJ 25 MG/2ML

219

RETINOL 200,000 IU

220
221

RIFAMPICIN 450 MG

222
223
224
225

RISPERIDONE 1 MG TABLET

226
227

SALBUTAMOL 2 MG TABLET

228
229

SALEP 2 - 4

230
231
232

SALISIL MENTOL BEDAK

233
234

SEFADROKSIL 500 MG

235
236

SIANOCOBALAMIN TABLET

237
238

SILVER SULFADIAZINE 10 MG / 35 GR CREAM

239
240

STESOLID RECTAL SUPP

241
242

SULFASETAMIDA NATRIUM TETES MATA

243
244
245
246
247

PIRANTEL PAMOAT 125 MG

PIRIDOKSIN (VIT B6 ) TABLET 10 MG

POLIKRESULEN SOL

POVIDON IODIDA 60 ML
POVIDON IODIDA 300 ML
POVIDON IODIDA 1 L

PROPANOLOL 40 MG
RANITIDIN TABLET

RETINOL 100,000 IU

RINGER LAKTAT LARUTAN INFUS

RISPERIDONE 2 MG TABLET
SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL
SALBUTAMOL INHALER 100MCG 200 DOSIS

SALBUTAMOL 4 MG TABLET
SALISIL BEDAK 2 %

SEFADROKSIL SYRUP
SEFADROKSIL 250 MG

SETRALINE 50 MG TABLET

SIANOCOBALAMIN / VIT. B 12 INJ

SIMVASTATIN TABLET

STREPTOMISIN SERBUK INJ 1500 MG/ML

TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG
TETRASIKLIN 500 MG KAPSUL
TEOFILIN 300 MG TABLET
THIAMIN (VIT.B1) 100 MG / ML INJ
THIAMIN (VIT.B1) 50 MG TABLET
THIAMPHENIKOL 500 MG KAPSUL

5,017,000

11,475,000
-

5,198,175
2,349,000

6,276,825

9,484,200
4,684,000
1,945,800

9,920,526

99,000
2,188,504
6,260,645

9,385,200

6,692,400
2,579,500
7,344,900

3,478,600
-

8,106,901
665,525
2,965,000

2,064,099

2,016,000
4,731,000

294,000

2,310,000
5,187,000
204,000
8,976,000
2,602,800
21,657,100

130,000
17,700,000
-

2,668,000

2,495,496
5,605,681

(665,525)
2,579,500
4,379,900

456,000

217,000
19,950,000

6,726,000

2,602,800
6,620,900

15,036,200

117,000

11,230,800

37,867,500

11,624,026

37,474,274

25,674,000
14,232,400

10,400,000

3,458,400
17,009,200

22,215,600

###
-

60,480,000

95,285,000
14,968,800

29,365,000

###
1,653,100

6,375,000
2,271,500

108,847,840
2,494,597

1,824,000
3,049,200

2,492,000
1,344,000

2,965,088
3,643,200

7,375,000
18,150,000

5,125,000
-

12,198,000
6,181,890

8,297,088
3,650,400
4,793,200
59,912,233
1,722,000
19,874,800
35,424,600
5,649,600
1,920,710
21,704,528
###
818,400
48,090,000
6,388,200
17,326,200

7,126,000
12,081,900
837,400
67,323,685
3,008,280
-

7,623,200
45,511,200
(640)
6,375,000
1,430,003
1,350,912
750,000
302,000
11,968,110

8,260,352
3,650,400

36,736

9,324,500
15,926,280

2,594,700

43,985,953

264,000
-

1,458,000

5,787,100
39,060,900
6,420,008

14,087,700

4,522,852

1,920,710

8,445,600
66,992

17,181,676

126,252,313
818,400

56,681,372

5,985,000
-

42,105,000

9,554,040
4,956,500

(157,560)

12,369,700

248
249

TRAMADOL HCI 50 MG TABLET

250
251

TRIHEKSILPHENIDIL 2 MG TABLET

252

ZINC / ZINCDIAR TABLET

TRAMADOL HCI 50 MG/ML INJ

VITAMIN B KOMP. TABLET

255,056
1,366,200

63,800
-

313,850
718,200

8,320,000
26,980,000

85,600,000
16,732,200

3,140,000
6,120,400
33,308,700

ALAT KESEHATAN DAN REAGEN

1
2

ALAT AUTOCLIX/LANCET DEVICE

3
4
5

ALAT SUNTIK SEKALI PAKAI 3 ML

6
7

ALAT SUNTIK SEKALI PAKAI 20 ML

8
9

ALCOHOL SWABS

10
11

BLOOD LANCET

12
13

CATGUT DENGAN JARUM BEDAH

14
15

DENGUE IgG AND IgM DROP TEST

16
17

DEX GLASS

18
19
20

FESCOPLAST

21
22

GOLONGAN DARAH KIT

23
24

HAND SCONE / SURGICAL GLOVE

25
26

HCG CASETTE / PP TEST

27
28

ISI AUTOCLIX

29
30

INFUSION SET DEWASA

31
32
33

IV CATETHER

34
35

KAPAS PEMBALUT 250 GR

36

ALAT SUNTIK SEKALI PAKAI 1 ML

ALAT SUNTIK SEKALI PAKAI 5 ML


ALAT SUNTIK SEKALI PAKAI 10 ML

ALAT PEMERIKSAAN HB

BISTURI

CAIRAN PENCUCI ANTISEPTIK

CATGUT CHROMIC

DENGUE N5 1 ANTIGEN

EDTA VACUM TUBE 5 ML

3,520,000

5,006
648,000
5,180,000
79,479,600
10,403,500
3,520,000

10,648,000
65,879,960

4,785,000

7,986,000
69,998,360

2,662,000

38,244,000
2,970,000

2,696,000
-

28,822,250
1,353,000

12,117,750

1,672,000
5,775,000

9,350,000

1,588,400
3,150,000

28,545,000
2,469,000

443,850

8,366,500
2,799,000

20,178,500

3,920,400
###

1,188,000
13,530,000
-

198,000
12,628,000
90,361,700

4,910,400

408,853,500

5,415,500
-

11,000,000

5,415,500
11,550,000

(550,000)

3,163,050

9,570,000
-

16,940,000
195,250

(7,370,000)

8,167,500
-

21,175,000

990,000

29,342,500
-

666,600

1,617,000
83,600
11,975,000

113,850

902,000

2,967,800

3,685,000
68,667,500

1,210,000
12,012,000

3,905,000
17,141,460

16,830,000
243,815

12,787,500
209,000

478,277,937,500
356,895

(478,248,320,000)

68,956,800
16,423,000

4,851,000

61,124,800
114,165,700

7,832,000

24,337,500
28,729,800

36,960,000
35,627,691

53,509,500
34,612,039

29,745,452

4,631,000
3,370,400

5,203,000
43,926,000

6,239,530
11,006,203

36,290,197

2,255,000
72,974,000

798,710
24,665,000

6,270,000
56,468,500

41,170,500

10,448,500
4,204,640

8,184,000

8,641,940
2,016,531,110

(2,004,142,470)

6,032,340
880,000

138,600

3,415,830
831,600

2,616,510

KAPSUL KOSONG NO.0


KAPSUL KOSONG NO.1

990,000

1,039,500

(49,500)

FOLEY CATETHER
GLUCOSA TEST TIP

H2O2

HAND SCONE STERILE

HEMASITO METER

INFUSION SET ANAK

IODIUM TEST

JARUM JAHIT
KACA MULUT

63,538,040

95,920

(92,891,700)
7,788,000
-

3,594,470

(3,216,290)

1,806,560

187,000

37
38

KASSA HIDROFIL 40 X 40

39
40

KASSA STERIL

41
42

LAMPU SPIRITUS

43
44

LARUTAN KOH 10 % 250 ML

45
46

METILEN BLUE 250 ML

47
48
49

MASKER

50
51

MATA BOR HIGH SPEED BUNDAR

52
53

MATA BOR HIGH SPEED INVERTED CONE

54
55

NASO GASTRIC TUBE

56
57

NEBULIZE MASK FOR ADULT

58
59

OBJECT GLASS

60
61

OSE

62
63
64

PIPET BESAR

65
66

POT DAHAK

67
68

PURIFIED PROTEIN DERIVATIVE 2 UT

69
70

SELANG O2 DEWASA

71
72

SILK DENGAN JARUM BEDAH

73
74

STRIP HB

75
76
77

STRIP PROTEIN DAN GLUKOSA

78
79

YELLOW TIP

80

KASSA HIDROFIL GULUNG

KASSA 4 M X 15 CM

LARUTAN ASAM ALKOHOL

LOMATUELL H 10 X 10 CM

MICROPIPET 3 UKURAN

MASKER OXYGEN FOR ADULT


MASKER OXYGEN FOR CHILD

MATA BOR HIGH SPEED FISURE

MATA SCALLER

NEBULIZE MASK FOR INFANT

NEEDLE

OIL IMERSI

PENJEPIT TABUNG

PIPET KECIL
PLESTER

POWDER ENZIMATIC ALKAZYME

1,980,000
-

186,000
13,000,000

1,980,000
8,190,000

9,907,310
15,815,480
-

1,150,000
2,070,000
-

8,252,886
46,699,668
-

431,992

186,000
4,810,000
2,804,424
(28,814,188)
431,992

17,454,250
-

1,038,400

2,950,750
-

14,503,500

8,360,000
20,534,800

14,520,000

2,090,000
30,137,800

6,270,000

1,122,000
1,188,000

1,936,000

3,058,000
3,124,000

1,038,400

4,917,000

1,936,000

765,600
765,600

1,123,650
1,123,650

765,600
765,600

1,123,650

669,900
473,000

1,123,650
-

669,900
236,500

1,123,650

(167,750)

643,500
6,023,600
6,023,600

811,250
976,800
936,100

7,370,000
8,275,982

4,031,500
5,447,236

27,000
118,800
11,342,100
5,676,000

4,488,000
1,176,000
-

1,123,650

236,500

5,046,800
5,087,500
3,338,500
2,828,746

4,488,000

118,800

9,573,901
-

27,000

2,944,200
5,676,000

11,938,080
1,214,400

3,511,200
660,000

15,449,280
1,353,000

963,600
1,082,950
-

660,000
2,310,003

1,128,600
1,082,950
1,390,280

495,000

68,748,500

3,212,000
-

68,748,500

3,212,000

14,440,000
-

68,310,000
759,968

14,440,000
616,000

68,310,000

26,843,850
220,000

105,670,400
4,356,000

26,843,850
220,000

105,670,400

TABUNG REAKSI BESAR

95,700
74,555

1,199,880
-

TABUNG REAKSI KECIL

126,945

SELANG O2 ANAK

SGOT/SGPT TEST

STRIP ASAM URAT

STRIP GULA DARAH

STRIP KOLESTEROL
VENOJECT

2,015

521,400

919,724

143,968

4,356,000
1,295,580
74,555
124,930

81
82

TERMOMETER DIGITAL

83
84

UMBILICAL CORD CLAMP

85
86

URINE BAG

87
88

WIDAL TEST

89
90

MASKER N 95 TYPE 1870

91
92

POCH PACK L

93
94

CELL CLEAN HEMATOANALYZER

95
96
97
98
99

CELL PACK HEMATONANALYZER

TORNIKUET

UNDER PAD 80 X 180 CM

URINE TEST 3 PARAMETER

WHITE TIP

POCH PACK D

CHECK CONTROL HEMATOANALYZER


CALIBRATION SCS

STROMALYSER WH
CHECK CONTROL HEMATOANALYZER XP 100
CELL CLEAN HEMATOANALYZER XP 100
CALIBRATION SCS XP 100

OBAT GIGI

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

ARSEN

16
17
18

SILVER AMALGAM SERBUK 65 - 75 %

ARTIKULATING PAPER
AIR RAKSA DENTAL USE
BEIN GIGI
CALCIDOR
CEVITRON
CHKM
CRESOPEN
DENTORIT
DYCAL
ETIL KLORIDA SPRAY
EUGENOL CAIRAN
IODOFORM PASTA
GLASS IONOMER ART

2,266,000

1,029,600
-

720,720
22,000

4,012,800
1,980,000

18,000,000
2,640,000
-

2,790,000
#REF!

18,000,000

2,475,000
-

41

2,623,500
-

(148,500)

3,194,400
-

3,194,400

2,970,000
1,870,000

2,970,000

11,316,000
2,265,000

5,658,000
-

5,658,000

1,942,295
5,306,400
3,514,500
22,564,800
7,187,400
5,812,800

1,942,295

3,872,000
1,501,500
16,461,500
17,325,000
1,470,000
19,456,800
2,030,742
4,867,500
17,160,000

874,500
7,700,000
8,553,600
30,800,000
34,375,000

3,537,600
2,343,000
1,128,240
4,791,600
3,875,200
3,872,000
1,501,500
1,501,500
8,480,500
371,000
1,050,000
1,540,000
11,965,800
11,468,212
25,566,620,700
15,620,000
5,885,000
3,437,500

6,270,000

1,100,000
-

1,254,000
181,500
-

308,880
2,244,000

3,862,800
#REF!

41

1,870,000
2,265,000

1,768,800
1,171,500
21,436,560
2,395,800
1,937,600
(1,501,500)
3,872,000
2,376,000
16,461,500
(1,501,500)
(8,480,500)
16,954,000
420,000
6,160,000
(11,965,800)
(2,914,612)
(25,516,363,900)
(13,589,258)
(1,017,500)
48,097,500

OCO / TSR

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

(154,000)
(181,500)
6,270,000

TEMPORARY STROPPING FLETCHER SERBUK DAN


CAIRAN

290,400

290,400

#VALUE!

#VALUE!

SUMBER DANA
APBN
APBD
TOTAL

SALDO
AWAL
TAHUN
2015
###
###
###

MASUK
###
###

KELUAR
188,537,798
#VALUE!
#VALUE!

SALDO AWAL
TAHUN 2016
422,748,400
#REF!
#REF!

STOK 2015
APBD 2014

NO

APBD 2015

NAMA OBAT

ABT 2015

E-KATALOG
STOK

TOTAL

HARGA

9,453,150

NON-EKATALOG
total

STOK
-

HARGA
2,100

3,151.50

TOTAL

STOK

E-KATALOG
HARGA

6,618,150.00

NON-EKATALOG
TOTAL

STOK

HARGA

TOTAL

ACYCLOVIR 5 GR KRIM

ACYCLOVIR 200 MG TABLET

ACYCLOVIR 400 MG TABLET

ALLOPURINOL 100 MG TABLET

ALLOPURINOL 300 MG TABLET

AMBROXOL SYRUP 15 MG / 5 ML

AMBROXOL TABLET 30 MG

AMINOFILIN 200 MG TABLET

1,000

80.00

80,000

AMITRIPTILIN 25 MG TABLET

14,500

112.00

1,624,000

10

AMLODIPIN 5 MG TABLET

11,010

187.00

2,058,870

11

AMLODIPIN 10 MG TABLET

33,957,000

12

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

13

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

13,500

2,445.00

33,007,500

14

AMOXICILLIN 250 MG KAPLET

64,400

211.00

13,588,400

45,000

211

9,495,000

15

AMOXICILLIN 500 MG KAPLET

540,000

261.00

140,940,000

100,000

261

26,100,000

16

AMOXICILLIN + AS.KLAVULANAT

17

ANTALGIN 500 MG TABLET

18

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM


HIDROKSIDA 200 MG + ALUMUNIUM HIDROKSIDA 200
MG)

8,920,800

4,100

237.00

971,700

20,000

336.00

6,720,000

60,000

86.00

5,160,000

2,000

199.50

399,000

3,360,000

33,000,000

11,220,000

10,800,000
-

26,800

3,300.00

88,440,000.00

25,500

124.85

3,183,675.00

237,600

72.00

17,107,200

4,150

2,140.00

8,881,000

97,400

155.10

102,900

330

15,106,740.00

123,900

72

121

3,630,000

19

ANTASIDA SUSPENSI

20

ANTI BISA ULAR (ABU) SERUM

20

473,000.00

9,460,000.00

21

ANTI TETANUS SERUM 1500 UI

50

126,500.00

6,325,000.00

22

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500


IU/G + POLIMIKSIN B 10,000IU/G )

23

ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM


SALISILAT 3 %)

24

ANTI HEMOROID DOEN

25

ASAM ASCORBIT (VIT.C) 50 MG TABLET

26

ASAM ASCORBIT (VIT.C) 250 MG TABLET

27

2,250

3,300.00

7,425,000.00

50,606,500

ASAM MEFENAMAT 500 MG

28

ASAM TRANEKSAMAT 500 MG

29

ATROPIN SULFAT INJ

30

ATTAPULGIT / MOLAGIT TABLET

31

AQUABIDEST

32

AQUA PRO INJEKSI 25 ML

33

AZITHROMYCIN 500 MG

2,250,000

9,000,000

34

BEKARBON

35

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

36

BETAMETASONE KRIM 0,1 %

11,096,000

37

BETAHISTIN MESILAT 6 MG TABLET

6,000

924

5,544,000

38

BETAKAROTEN 500 IU SYRUP

1,000

28,600

28,600,000

532,700

500

7,300

95.00

30,000

4,500.00

1,520.00

16,500

127.05

2,096,325.00

2,000

4,500

39

BISACODYL 10 MG SUPP

40

BISOPROLOL 5 MG

41

BROMHEKSIN HCL 8 MG TABLET

42

BROMHEKSIN HCL 8 MG SYRUP

43

BROMHEKSIN HCL 8 MG / 4 ML SOL

44

CALAMIN LOTION

45

CAPTOPRIL 12,5 MG TABLET

46

CAPTOPRIL 25 MG TABLET

26,000

84.00

47

CEFIXIME SYRUP KERING 100 MG

810

48

CEFIXIME 100 MG

21,600

49

CEFIXIME 200 MG

50

CEFOTAXIME INJ 1G

51

CEFTRIAXON INJ

52

CETIRIZINE 5 MG SYRUP

5,599,300

53

CETIRIZINE DROP

54

CETIRIZIN 10 MG

217,200

905,000

55

CIMETIDIN TABLET

56

CIPROFLOXACIN 500 MG TABLET

57

CLINDAMYCIN 150 MG KAPSUL

58

CLINDAMYCIN 300 MG KAPSUL

59

CHLORPHENIRAMIN MALEAT (CTM) 4 MG

60

CHLORPROMAZINE 100 MG

61

DEKSTROMETORPHAN HBR SYRUP

62

DEKSTROMETORPHAN HBR TABLET 15 MG

63

DEKSTROSA LARUTAN INFUS 5 %

64

DEKSTROSA LARUTAN INFUS 10 %

65

DEKSTROSA LARUTAN INFUS 40 %

66

DEXAMETHASON 0,5 MG TABLET

67

DEXAMETHASON INJEKSI

474,000

68

DIAZEPAM TABLET

69

DIAZEPAM INJ 5 MG/ML

70

7,095,200

810

522,450

2,184,000

8,800.00

7,128,000

859.00

18,554,400

645.00

1,500

12,100.00

18,150,000.00
-

1,200

12,650.00

15,180,000.00

700
1,200

7,999.00
181.00

620,000

100

114.84

90.97

3,960.00

181

2,296,800.00

56,401,400.00

396,000.00

4,015

96,360,000

27,900,000

1,809,000

DIFENHIDRAMIN INJ

71

DIGOKSIN 0,25 MG TABLET

72

DOMPERIDON 5 MG SUSPENSI

1,800

3,333.00

5,999,400

73

DOMPERIDON 10 MG

28,100

167.00

4,692,700

74

DOXYCYCLINE 100 MG KAPSUL

75

EKSTRAK BELLADONNA TABLET 10 MG

76

EPINEFRIN (ADRENALIN) INJ 0,1%

1,215,000

77

ERYTHROMYCIN 200 MG SYRUP

78

ERYTHROMYCIN 250 MG

79

ERYTHROMYCIN 500 MG TABLET

80

ETAMBUTOL 500 MG

81

ETAKRIDIN 0,1 % / RIVANOL

82

ETANOL 70 % 1000 ML

83

FENITOIN 100 MG KAPSUL

319,200

84

FENOBARBITAL 30 MG TABLET

85

FENOL GLISEROL 10 %

86

FITOMENADION INJ

5,010

3,417.00

17,119,170

87

FITOMENADION 10 MG TABLET

15,000

634.00

9,510,000

88

FLUCONAZOL 150 MG

4,500

22,000.00

99,000,000

89

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

90

FUROSEMID 40 MG TABLET

450,000
40,200

150

2,400

62.00

20,000

5,000

24,000

45.00

8,100.00

133.00

300

1,580

91

GAMEKSAN

92

GARAM ORALIT II SERBUK

93

GENTAMYCIN SALEP KULIT

94

GENTIAN VIOLET 1 % - 10 ML

95

GLIBENCLAMIDE 5 MG TABLET

96

GLIMEPIRIDE 2 MG

3,313,600

97

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C


50 MG

98

GLISERIL GUAIAKOLT 100 MG TABLET

99

GLISERIN LARUTAN

100

GRISEOFULVIN 125 MG TABLET

2,190,000

101

HALOPERIDOL 0,5 MG TABLET

102

HALOPERIDOL 5 MG TABLET

1,094,400

103

HALOPERIDOL 5 MG INJEKSI

104

HEPARIN 200,000 IU GEL

105

HEPATOPROTEKTOR SYRUP

106

HEPATOPROTEKTOR TABLET

107

HIDROKORTISON KRIM 2,5 %

108

HYOSINE N BUTILBROMIDA TABLET

109

IBUPROFEN 125 MG SUPP

110

IBUPROFEN 200 MG SUSPENSI

111

IBUPROFEN 200 MG TABLET

112

IBUPROFEN 400 MG TABLET

113

ISONIAZID 100 MG

114

47,700

7,600

10,000

288.00

436.00

219.00

13,737,600

1,800

1,850.20

3,330,360.00

11,400

96

4,900

1,760

8,624,000

250

51,975.00

12,993,750.00

500

34,391.50

17,195,750.00

12,500

4,730.00

59,125,000.00

25,583,300

ISONIAZID 300 MG

115

IMUNOSTIMULAN SIRUP

1,000

28,600

28,600,000

116

IMUNOSTIMULAN TABLET

10,000

5,280

52,800,000

117

ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

118

ITRAKONAZOL 100 MG

119

KALCIUM LACTAT 500 MG TABLET

6,720,000

120

KALIUM DIKLOFENAK 50 MG

121

KANAMYCINE 2 GR

122

KAOLIN SUSP

123

KETOKONAZOL 200 MG TABLET

3,000,000

124

KETOKONAZOL KRIM 2 %

125

KETOPROFEN 100 MG

126

KETOROLAC INJ 10 MG

483,000

127

KLORAMFENIKOL 250 MG KAPSUL

128

KLORAMFENIKOL 1 %SALEP MATA

129

KLORAMFENIKOL SUSPENSI

130

5,215,000

570,000

171,700

96,000

149.00

70.00

15,000

17,000

10,000

300.00

355.30

1,342.00

18,975,000.00

6,040,100.00

7,112,600.00
-

32,000

310.42

210

2,300

9,933,440.00

5,600,000

KLORAMFENIKOL 0,5 % TETES MATA

8,900

5,995.00

53,355,500.00

131

KLORAMFINEKOL 3 %TETES TELINGA

1,600

1,815.00

2,904,000.00

132

KLARITROMISIN 500 MG

600

3,200.00

1,920,000

133

KODEIN FOSFAT 20 MG TABLET

5,000

1,100.00

5,500,000

134

KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN


SULFAT 5 MG KRIM/Mytaderm

135

KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25


MG + PARASETAMOL 400 MG/Hustab

136

KOMB. BUDENOSID FORMATEROL 80/4,5 MCG


INHALER 60 DOSIS

3,500

1,600.00

5,300

1,265.00

3,600

6,600.00

23,760,000.00
-

100

110,500

11,050,000

137

KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES
MATA/Nelidex

138

KOMB.DEKSTROMETORFAN HBR +
FENILPROPANOLAMIN + GG SYRUP/Dextral syr

139

KOMB.DEKSAMETASON, DEKSKLORFENIRAMIN
MALEAT/Zestam

140

KOMB.METHAMPYRON + DIAZEPAM/Danalgin

141

KOMB.DEXTROMETHORPHAN + THIOKOL +
PARASETAMOL + CTM/Febrinex syr

142

KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT/Benacol syr

5,000

13,200.00

66,000,000.00

143

KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


TABLET/Flutab/Tuzalos

20,000

704.00

14,080,000.00

144

KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


SYRUP/Protexinal

1,734

8,030.00

13,924,020.00

145

KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC


100 MG/Bioplacenton

50

13,200.00

660,000.00

146

KOMB.TEOFILIN + SALBUTAMOL TABLET/Teosal

1,300

209.00

271,700.00

147

KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG


SYRUP /Tremenza SYRUP

3,800

15,840.00

60,192,000.00

148

KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG


TABLET /Tremenza TABLET

62,000

1,100.00

68,200,000.00

149

KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG


+ VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG +
GLUTAMIC ACID 200 MG TABLET/Neurosanbe
-

60,000

1,056.00

63,360,000.00

150

KOTRIMOKSAZOL SUSPENSI

151

KOTRIMOKSAZOL ADULT 480 MG TABLET

4,140,000

152

KOTRIMOKSAZOL PEDIATRIK TABLET

153

LEVOFLOXACIN 500 MG TABLET

369,600

154

LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

155

LINCOMYCIN 500 MG KAPSUL

156

LISOL

157

LOPERAMID 2 MG TABLET

158

MELOXICAM 7,5 MG

19,500

682.00

13,299,000.00

159

MELOXICAM 15 MG

42,500

1,199.00

50,957,500.00

160

METFORMIN 500 MG

161

METFORMIN 850 MG

162

METHILERGOMETRIN MALEAT 0,125 MG TABLET

154.00

616,000

163

METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

2,750.00

825,000

2,750

1,100,000

164

METHYLPREDNISOLON 4 MG TABLET

205

3,854,000

165

METHYLPREDNISOLON 8 MG TABLET

14,400,000

166

METHYLPREDNISOLON 125 MG INJEKSI

167

METOCLOPRAMIDE HCL 10 MG

3,000

91

273,000

168

METOCLOPRAMIDE SYRUP 5 MG / 5 ML

1,000

2,600

2,600,000

169

METRONIDAZOL 250 MG TABLET

170

METRONIDAZOL 500 MG TABLET

171

MICONAZOLE SALEP

9,000,000

172

MINYAK KAYU PUTIH 15 ML

30,000
700

138.00
528.00

9,000

20,040

1,056.00

638.00

9,504,000.00

12,785,520.00

2,100

9,405

19,750,500

500

3,113

1,556,500

4,000
300
3,000,000

48,000

3,000

300.00

3,000.00

400
18,800

500

4,070

2,035,000

173

MOMETHASON KRIM 0,1 %

174

MULTIVITAMIN ANAK DROP

175

MULTIVITAMIN ANAK SYRUP

11,511

20,680.00

238,047,480.00

176

MULTIVITAMIN TABLET

40,000

1,287.00

51,480,000.00

177

NATRIUM BIKARBONAT 500 MG TABLET

178

NATRIUM DIKLOFENAK 25 MG TABLET

6,144,600

31,000

133.00

4,123,000

179

NATRIUM DIKLOFENAK 50 MG TABLET

1,408,000

25,000

176.00

4,400,000

180

NATRIUM DIKLOFENAK GEL

181

NATRIUM KLORIDA LARUTAN INFUS 0,9%

3,290,000

182

NATRIUM KLORIDA 100 ML

183

NIFEDIPINE 10 MG TABLET

184

NYSTATIN 500.000 IU TABLET

960,000

185

NYSTATIN VAGINAL TABLET 100.000 IU

720,000

186

NYSTATIN SUSPENSI 100.000 IU/Ml

187

OBH

188

OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM


+ AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

189

OFLOXACIN 200 MG

190

500
300

4,700.00

32,000,000

15,895.00

1,410,000

7,947,500.00
-

1,500

11,110.00

700

4,700

16,665,000.00

2,800

16,720

46,816,000

2,500

20,680

51,700,000

40,000

1,265

50,600,000

18,130

5,225.00

94,729,250.00

4,000

6,094

24,376,000

500

10,725.00

5,362,500.00

132

11,000

1,452,000

OFLOXACIN 400 MG

191

ONDENSETRON INJ

960,000

192

OXYTETRASIKLIN HCL 3 % SALEP KULIT

193

OXYTETRASIKLIN HCL 1 % SALEP MATA

194

OXYTOCIN INJ/PITOGIN/SINTOCYNON INJ

195

PANTOCAIN TM

196

PAPAVERIN 40 MG TABLET

7,000

126.50

885,500

197

PAPAVERIN INJEKSI 40 MG/ML

100

573.10

57,310

198

PARAFORMALDEHID TABLET 1 GR

199

PARASETAMOL 100 MG

200

PARASETAMOL SUPP 160 MG

201

PARASETAMOL DROPS

202

PARASETAMOL SYROP 120 MG / 5 ML

203

PARASETAMOL 500 MG

523,000

79.00

41,317,000

204

PERMETHRIN KRIM 5 %

1,000

11,475.00

11,475,000

205

PIRANTEL PAMOAT 125 MG

206

PIRAZINAMID 500 MG

207

PIRIDOKSIN (VIT B6 ) TABLET 10 MG

208

PIROXICAM

209

POLIKRESULEN SOL

1,739,300

210

POVIDON IODIDA 30 ML

211

POVIDON IODIDA 60 ML

212

POVIDON IODIDA 300 ML

213

POVIDON IODIDA 1 L

214

PREDNISON TABLET 5 MG

215

PROPANOLOL 40 MG

2,000

65

130,000

216

RANITIDIN TABLET

16,500,000

10,000

120

1,200,000

217

RANITIDIN INJ 25 MG/2ML

218

RETINOL 100,000 IU

219

RETINOL 200,000 IU

22,950,000

14,917,500

220

RIFAMPICIN 450 MG

221

RINGER LAKTAT LARUTAN INFUS

10,400,000

222

RISPERIDONE 1 MG TABLET

948

100

137,500

50,000

17,393.00

120.00

459.00

1,739,300

118,200

7,040.00

83.93

2,400

400

6,673,920.00

9,920,526.00
-

100

32,500
5,200

17,393

459
2,000

60,000

1,008.00

60,480,000

223

RISPERIDONE 2 MG TABLET

224

SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL

225

SALBUTAMOL INHALER 100MCG 200 DOSIS

226

SALBUTAMOL 2 MG TABLET

38,500

59.00

2,271,500

227

SALBUTAMOL 4 MG TABLET

28,000

89.00

2,492,000

228

SALEP 2 - 4

1,344,000

229

SALISIL BEDAK 2 %

5,125,000

230

SALISIL MENTOL BEDAK

231

SEFADROKSIL SYRUP

232

SEFADROKSIL 250 MG

233

SEFADROKSIL 500 MG

2,036,000

5,090,000

234

SETRALINE 50 MG TABLET

235

SIANOCOBALAMIN TABLET

236

SIANOCOBALAMIN / VIT. B 12 INJ

237

SILVER SULFADIAZINE 10 MG / 35 GR CREAM

238

SIMVASTATIN TABLET

12,081,900

239

STESOLID RECTAL SUPP

837,400

240

STREPTOMISIN SERBUK INJ 1500 MG/ML

241

SULFASETAMIDA NATRIUM TETES MATA

242

TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG

243

TETRASIKLIN 500 MG KAPSUL

244

TEOFILIN 300 MG TABLET

245

THIAMIN (VIT.B1) 100 MG / ML INJ

246

THIAMIN (VIT.B1) 50 MG TABLET

247

THIAMPHENIKOL 500 MG KAPSUL

248

TRAMADOL HCI 50 MG TABLET

249

TRAMADOL HCI 50 MG/ML INJ

250

TRIHEKSILPHENIDIL 2 MG TABLET

251

VITAMIN B KOMP. TABLET

800,000

107.00

85,600,000

252

ZINC / ZINCDIAR TABLET

14,200

474.00

6,730,800

10,001,400

ALAT KESEHATAN DAN REAGEN

ALAT AUTOCLIX/LANCET DEVICE

ALAT SUNTIK SEKALI PAKAI 1 ML

ALAT SUNTIK SEKALI PAKAI 3 ML

5,000

957.00

4,785,000

ALAT SUNTIK SEKALI PAKAI 5 ML

2,000

1,348.00

2,696,000

ALAT SUNTIK SEKALI PAKAI 10 ML

ALAT SUNTIK SEKALI PAKAI 20 ML

ALAT PEMERIKSAAN HB

ALCOHOL SWABS

BISTURI

10

BLOOD LANCET

100

4,100

4,000

1,250.00

509.00

35,424,600
30,900

391.00

33,000,000

56,300

43,000

17

1,034.00

69.96

550,000.00
550.00
902,000.00

50

509

16,748

9,350,000.00
443,850.00
13,530,000.00

6,375,000

3,008,280.00

15

10,000

2,000

58,214,200.00

807

672

63,750

21,100

474

236,610

38.50

200

319

9,109,485

63,800

3,000

396

1,188,000

11

CAIRAN PENCUCI ANTISEPTIK

12

CATGUT DENGAN JARUM BEDAH

13

CATGUT CHROMIC

14

DENGUE IgG AND IgM DROP TEST

1,375,000.00

11,000,000.00

15

DENGUE N5 1 ANTIGEN

1,196,250.00

9,570,000.00

16

DEX GLASS

17

EDTA VACUM TUBE 5 ML

18

FESCOPLAST

19

FOLEY CATETHER

20

GLUCOSA TEST TIP

1,200

10,010.00

21

GOLONGAN DARAH KIT

25

22

H2O2

10

23

HAND SCONE / SURGICAL GLOVE

24

HAND SCONE STERILE

25

HCG CASETTE / PP TEST

26

HEMASITO METER

27

ISI AUTOCLIX

28

INFUSION SET ANAK

500

29

INFUSION SET DEWASA

7,321,000

5000

30

IODIUM TEST

31

IV CATETHER

22,558,500

32

JARUM JAHIT

33

KACA MULUT

34

KAPAS PEMBALUT 250 GR

35

KAPSUL KOSONG NO.0

36

KAPSUL KOSONG NO.1

37

KASSA HIDROFIL 40 X 40

38

KASSA HIDROFIL GULUNG

13,000,000

39

KASSA STERIL

200

40

KASSA 4 M X 15 CM

1,000

41

LAMPU SPIRITUS

42

LARUTAN ASAM ALKOHOL

43

LARUTAN KOH 10 % 250 ML

44

LOMATUELL H 10 X 10 CM

45

METILEN BLUE 250 ML

46

MICROPIPET 3 UKURAN

47

MASKER

48

MASKER OXYGEN FOR ADULT

49

12,870,000

1,210,000

12,012,000.00

511,500.00

12,787,500.00

20,900.00

209,000.00

1,000

13,200.00

13,200,000.00

19,050

1,870.22

35,627,691.00

1,000

7,321.00

6,270,000

700

11,000

6,930

4,851,000
-

13,200

23,760,000

10,406

5,203,000

7,321

36,605,000
-

5,830

798,710
-

186,000

5,750

1,150,000

2,070

2,070,000

14,520,000

MASKER OXYGEN FOR CHILD

50

MATA BOR HIGH SPEED BUNDAR

45

24,970.00

1,123,650.00

51

MATA BOR HIGH SPEED FISURE

45

24,970.00

1,123,650.00

52

MATA BOR HIGH SPEED INVERTED CONE

45

24,970.00

1,123,650.00

53

MATA SCALLER

54

NASO GASTRIC TUBE

55

NEBULIZE MASK FOR INFANT

56

NEBULIZE MASK FOR ADULT

57

NEEDLE

58

OBJECT GLASS

59

OIL IMERSI

60

OSE

61

PENJEPIT TABUNG

62

PIPET BESAR

63

PIPET KECIL

64

PLESTER

1,176,000

65

POT DAHAK

66

POWDER ENZIMATIC ALKAZYME

67

PURIFIED PROTEIN DERIVATIVE 2 UT

68

SELANG O2 ANAK

100

6,600

660,000

69

SELANG O2 DEWASA

100

6,600

660,000

100

44,000

144

130,000.00

330.00

8,166.67

102,300.00

21,065

137

80

100

1,800

2,106,500

2,700

8,355.00

110

8,184,000.00
-

4,000

16

34.65

26,999.50

138,600.00
120

1,550

431,992.00
-

16

16

64,900.00

280,500.00

702,240.00

1,038,400.00

4,488,000.00

3,511,200.00

70

SGOT/SGPT TEST

71

SILK DENGAN JARUM BEDAH

72

STRIP ASAM URAT

73

STRIP HB

74

STRIP GULA DARAH

75

STRIP PROTEIN DAN GLUKOSA

76

STRIP KOLESTEROL

77

VENOJECT

18

242,000.00

4,356,000.00

78

YELLOW TIP

18

66,660.00

1,199,880.00

79

TABUNG REAKSI BESAR

80

TABUNG REAKSI KECIL

81

TERMOMETER DIGITAL

82

TORNIKUET

83

UMBILICAL CORD CLAMP

84

UNDER PAD 80 X 180 CM

85
86

756

3,055.56

2,310,003

94,996.00

759,968.00
-

30

34,320.00

1,029,600.00

1,000

3,212

3,212,000

18,000

3,795

68,310,000

7,600

13,904

105,670,400

18,000,000

URINE BAG

URINE TEST 3 PARAMETER

87

WIDAL TEST

88

WHITE TIP

89

MASKER N 95 TYPE 1870

90

POCH PACK D

91

POCH PACK L

92

CHECK CONTROL HEMATOANALYZER

93

CELL CLEAN HEMATOANALYZER

94

CALIBRATION SCS

95

CELL PACK HEMATONANALYZER

96

STROMALYSER WH

97

CHECK CONTROL HEMATOANALYZER XP 100

98

CELL CLEAN HEMATOANALYZER XP 100

99

CALIBRATION SCS XP 100

OBAT GIGI

ARSEN

ARTIKULATING PAPER

AIR RAKSA DENTAL USE

BEIN GIGI

CALCIDOR

CEVITRON

CHKM

CRESOPEN

DENTORIT

10

DYCAL

16

534,600.00

8,553,600.00

11

ETIL KLORIDA SPRAY

175

176,000.00

30,800,000.00

12

EUGENOL CAIRAN

13

IODOFORM PASTA

14

GLASS IONOMER ART

50

687,500.00

34,375,000.00

15

OCO / TSR
-

10

110,000.00

1,100,000.00

16

SILVER AMALGAM SERBUK 65 - 75 %

17

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

18,000

1,000.00

10

935,000.00

291,500.00

770,000.00

41.00

874,500.00

7,700,000.00
-

200

13,200

2,640,000

18

TEMPORARY STROPPING FLETCHER SERBUK DAN


CAIRAN

NERACA AWAL TAHUN 2016

960,273,093.84

292,416,569

1,540,728,758.00
2,501,001,851.84

NAMA OBAT
1

ACYCLOVIR 5 GR KRIM

2
3

ACYCLOVIR 200 MG TABLET

4
5

ALLOPURINOL 100 MG TABLET

6
7

AMBROXOL SYRUP 15 MG / 5 ML

8
9

AMINOFILIN 200 MG TABLET

10
11
12

AMLODIPIN 5 MG TABLET

13
14

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

15
16

AMOXICILLIN 500 MG KAPLET

17
18

ANTALGIN 500 MG TABLET

19
20
21
22

ANTASIDA SUSPENSI

23
24

ACYCLOVIR 400 MG TABLET

ALLOPURINOL 300 MG TABLET

AMBROXOL TABLET 30 MG

AMITRIPTILIN 25 MG TABLET

AMLODIPIN 10 MG TABLET
AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

AMOXICILLIN 250 MG KAPLET


AMOXICILLIN + AS.KLAVULANAT
ANTASIDA DOEN TABLET (KOMB. MAGNESIUM
HIDROKSIDA 200 MG + ALUMUNIUM HIDROKSIDA 200
MG)

ANTI BISA ULAR (ABU) SERUM


ANTI TETANUS SERUM 1500 UI
ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500
IU/G + POLIMIKSIN B 10,000IU/G )
ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM
SALISILAT 3 %)
ANTI HEMOROID DOEN

25
26

ASAM ASCORBIT (VIT.C) 50 MG TABLET

27
28

ASAM MEFENAMAT 500 MG

29
30

ATROPIN SULFAT INJ

31
32

AQUABIDEST

ASAM ASCORBIT (VIT.C) 250 MG TABLET

ASAM TRANEKSAMAT 500 MG

ATTAPULGIT / MOLAGIT TABLET

AQUA PRO INJEKSI 25 ML

220,292,300

638,139,205
858,431,505

33
34

AZITHROMYCIN 500 MG

35
36

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

37
38

BETAHISTIN MESILAT 6 MG TABLET

39
40

BISACODYL 10 MG SUPP

41
42

BROMHEKSIN HCL 8 MG TABLET

43
44
45

BROMHEKSIN HCL 8 MG / 4 ML SOL

46
47

CAPTOPRIL 25 MG TABLET

48
49

CEFIXIME 100 MG

50
51

CEFOTAXIME INJ 1G

52
53

CETIRIZINE 5 MG SYRUP

54
55

CETIRIZIN 10 MG

56
57

CIPROFLOXACIN 500 MG TABLET

58
59
60

CLINDAMYCIN 300 MG KAPSUL

61
62

DEKSTROMETORPHAN HBR SYRUP

63
64

DEKSTROSA LARUTAN INFUS 5 %

65
66

DEKSTROSA LARUTAN INFUS 40 %

67
68

DEXAMETHASON INJEKSI

69
70

DIAZEPAM INJ 5 MG/ML

71
72
73

DIGOKSIN 0,25 MG TABLET

74
75

DOXYCYCLINE 100 MG KAPSUL

76

EPINEFRIN (ADRENALIN) INJ 0,1%

BEKARBON

BETAMETASONE KRIM 0,1 %

BETAKAROTEN 500 IU SYRUP

BISOPROLOL 5 MG

BROMHEKSIN HCL 8 MG SYRUP

CALAMIN LOTION
CAPTOPRIL 12,5 MG TABLET

CEFIXIME SYRUP KERING 100 MG

CEFIXIME 200 MG

CEFTRIAXON INJ

CETIRIZINE DROP

CIMETIDIN TABLET

CLINDAMYCIN 150 MG KAPSUL

CHLORPHENIRAMIN MALEAT (CTM) 4 MG


CHLORPROMAZINE 100 MG

DEKSTROMETORPHAN HBR TABLET 15 MG

DEKSTROSA LARUTAN INFUS 10 %

DEXAMETHASON 0,5 MG TABLET

DIAZEPAM TABLET

DIFENHIDRAMIN INJ

DOMPERIDON 5 MG SUSPENSI
DOMPERIDON 10 MG

EKSTRAK BELLADONNA TABLET 10 MG

77
78

ERYTHROMYCIN 200 MG SYRUP

79
80

ERYTHROMYCIN 500 MG TABLET

81
82

ETAKRIDIN 0,1 % / RIVANOL

83
84

FENITOIN 100 MG KAPSUL

85
86

FENOL GLISEROL 10 %

87
88
89

FITOMENADION 10 MG TABLET

90
91

FUROSEMID 40 MG TABLET

92

GARAM ORALIT II SERBUK

93
94

GENTAMYCIN SALEP KULIT

95
96

GLIBENCLAMIDE 5 MG TABLET

97
98

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C


50 MG
GLISERIL GUAIAKOLT 100 MG TABLET

99
100
101

GLISERIN LARUTAN

102
103

HALOPERIDOL 5 MG TABLET

104
105

HEPARIN 200,000 IU GEL

106
107

HEPATOPROTEKTOR TABLET

108
109

HYOSINE N BUTILBROMIDA TABLET

110

IBUPROFEN 200 MG SUSPENSI

ERYTHROMYCIN 250 MG

ETAMBUTOL 500 MG

ETANOL 70 % 1000 ML

FENOBARBITAL 30 MG TABLET

FITOMENADION INJ

FLUCONAZOL 150 MG
FLUTICASONE PROPIONATE 0,5 MG / 2 ML

GAMEKSAN

GENTIAN VIOLET 1 % - 10 ML

GLIMEPIRIDE 2 MG

GRISEOFULVIN 125 MG TABLET


HALOPERIDOL 0,5 MG TABLET

HALOPERIDOL 5 MG INJEKSI

HEPATOPROTEKTOR SYRUP

HIDROKORTISON KRIM 2,5 %

IBUPROFEN 125 MG SUPP

111

IBUPROFEN 200 MG TABLET

112
113

IBUPROFEN 400 MG TABLET

114
115

ISONIAZID 300 MG

116
117

IMUNOSTIMULAN TABLET

118
119

ITRAKONAZOL 100 MG

ISONIAZID 100 MG

IMUNOSTIMULAN SIRUP

ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

KALCIUM LACTAT 500 MG TABLET

120
121

KALIUM DIKLOFENAK 50 MG

122
123

KAOLIN SUSP

124
125
126
127
128
129

KETOKONAZOL KRIM 2 %

130
131
132
133
134

KLORAMFENIKOL 0,5 % TETES MATA

135

KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25


MG + PARASETAMOL 400 MG/Hustab
KOMB. BUDENOSID FORMATEROL 80/4,5 MCG
INHALER 60 DOSIS

136

KANAMYCINE 2 GR

KETOKONAZOL 200 MG TABLET

KETOPROFEN 100 MG
KETOROLAC INJ 10 MG
KLORAMFENIKOL 250 MG KAPSUL
KLORAMFENIKOL 1 %SALEP MATA
KLORAMFENIKOL SUSPENSI
KLORAMFINEKOL 3 %TETES TELINGA
KLARITROMISIN 500 MG
KODEIN FOSFAT 20 MG TABLET
KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN
SULFAT 5 MG KRIM/Mytaderm

137

KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES
MATA/Nelidex

138

KOMB.DEKSTROMETORFAN HBR +
FENILPROPANOLAMIN + GG SYRUP/Dextral syr

139
140

KOMB.DEKSAMETASON, DEKSKLORFENIRAMIN
MALEAT/Zestam
KOMB.METHAMPYRON + DIAZEPAM/Danalgin

141
142

KOMB.DEXTROMETHORPHAN + THIOKOL +
PARASETAMOL + CTM/Febrinex syr
KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +
GUAIAKOLATSULFONAT/Benacol syr
KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM
TABLET/Flutab/Tuzalos

143
144

KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


SYRUP/Protexinal

145

KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC


100 MG/Bioplacenton
KOMB.TEOFILIN + SALBUTAMOL TABLET/Teosal

146
147
148
149
150
151
152

KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG


SYRUP /Tremenza SYRUP
KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG
TABLET /Tremenza TABLET
KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG
+ VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG +
KOTRIMOKSAZOL
SUSPENSI
GLUTAMIC
ACID 200
MG TABLET/Neurosanbe
KOTRIMOKSAZOL ADULT 480 MG TABLET
KOTRIMOKSAZOL PEDIATRIK TABLET

153
154

LEVOFLOXACIN 500 MG TABLET

155
156

LINCOMYCIN 500 MG KAPSUL

157
158

LOPERAMID 2 MG TABLET

159
160

MELOXICAM 15 MG

LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

LISOL

MELOXICAM 7,5 MG

METFORMIN 500 MG

161
162

METFORMIN 850 MG

163
164

METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

165
166

METHYLPREDNISOLON 8 MG TABLET

167
168

METOCLOPRAMIDE HCL 10 MG

169
170

METRONIDAZOL 250 MG TABLET

171
172
173

MICONAZOLE SALEP

174
175

MULTIVITAMIN ANAK DROP

176

MULTIVITAMIN TABLET

177
178

NATRIUM BIKARBONAT 500 MG TABLET

179
180

NATRIUM DIKLOFENAK 50 MG TABLET

181
182

NATRIUM KLORIDA LARUTAN INFUS 0,9%

183
184

NIFEDIPINE 10 MG TABLET

185
186

NYSTATIN VAGINAL TABLET 100.000 IU

187
188
189

OBH

190
191

OFLOXACIN 400 MG

192
193

OXYTETRASIKLIN HCL 3 % SALEP KULIT

194
195

OXYTOCIN INJ/PITOGIN/SINTOCYNON INJ

196
197

PAPAVERIN 40 MG TABLET

198
199

PARAFORMALDEHID TABLET 1 GR

200
201

PARASETAMOL SUPP 160 MG

202
203

PARASETAMOL SYROP 120 MG / 5 ML

METHILERGOMETRIN MALEAT 0,125 MG TABLET

METHYLPREDNISOLON 4 MG TABLET

METHYLPREDNISOLON 125 MG INJEKSI

METOCLOPRAMIDE SYRUP 5 MG / 5 ML

METRONIDAZOL 500 MG TABLET

MINYAK KAYU PUTIH 15 ML


MOMETHASON KRIM 0,1 %

MULTIVITAMIN ANAK SYRUP

NATRIUM DIKLOFENAK 25 MG TABLET

NATRIUM DIKLOFENAK GEL

NATRIUM KLORIDA 100 ML

NYSTATIN 500.000 IU TABLET

NYSTATIN SUSPENSI 100.000 IU/Ml

OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM


+ AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP
OFLOXACIN 200 MG

ONDENSETRON INJ

OXYTETRASIKLIN HCL 1 % SALEP MATA

PANTOCAIN TM

PAPAVERIN INJEKSI 40 MG/ML

PARASETAMOL 100 MG

PARASETAMOL DROPS

PARASETAMOL 500 MG

204
205

PERMETHRIN KRIM 5 %

206
207

PIRAZINAMID 500 MG

208
209

PIROXICAM

210
211
212
213

POVIDON IODIDA 30 ML

214
215
216

PREDNISON TABLET 5 MG

217
218

RANITIDIN INJ 25 MG/2ML

219

RETINOL 200,000 IU

220
221

RIFAMPICIN 450 MG

222
223
224
225

RISPERIDONE 1 MG TABLET

226
227

SALBUTAMOL 2 MG TABLET

228
229

SALEP 2 - 4

230
231
232

SALISIL MENTOL BEDAK

233
234

SEFADROKSIL 500 MG

235
236

SIANOCOBALAMIN TABLET

237
238

SILVER SULFADIAZINE 10 MG / 35 GR CREAM

239
240

STESOLID RECTAL SUPP

241
242

SULFASETAMIDA NATRIUM TETES MATA

243
244
245
246
247

PIRANTEL PAMOAT 125 MG

PIRIDOKSIN (VIT B6 ) TABLET 10 MG

POLIKRESULEN SOL

POVIDON IODIDA 60 ML
POVIDON IODIDA 300 ML
POVIDON IODIDA 1 L

PROPANOLOL 40 MG
RANITIDIN TABLET

RETINOL 100,000 IU

RINGER LAKTAT LARUTAN INFUS

RISPERIDONE 2 MG TABLET
SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL
SALBUTAMOL INHALER 100MCG 200 DOSIS

SALBUTAMOL 4 MG TABLET
SALISIL BEDAK 2 %

SEFADROKSIL SYRUP
SEFADROKSIL 250 MG

SETRALINE 50 MG TABLET

SIANOCOBALAMIN / VIT. B 12 INJ

SIMVASTATIN TABLET

STREPTOMISIN SERBUK INJ 1500 MG/ML

TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG
TETRASIKLIN 500 MG KAPSUL
TEOFILIN 300 MG TABLET
THIAMIN (VIT.B1) 100 MG / ML INJ
THIAMIN (VIT.B1) 50 MG TABLET
THIAMPHENIKOL 500 MG KAPSUL

248
249

TRAMADOL HCI 50 MG TABLET

250
251

TRIHEKSILPHENIDIL 2 MG TABLET

252

ZINC / ZINCDIAR TABLET

TRAMADOL HCI 50 MG/ML INJ

VITAMIN B KOMP. TABLET

ALAT KESEHATAN DAN REAGEN

1
2

ALAT AUTOCLIX/LANCET DEVICE

3
4
5

ALAT SUNTIK SEKALI PAKAI 3 ML

6
7

ALAT SUNTIK SEKALI PAKAI 20 ML

8
9

ALCOHOL SWABS

10
11

BLOOD LANCET

12
13

CATGUT DENGAN JARUM BEDAH

14
15

DENGUE IgG AND IgM DROP TEST

16
17

DEX GLASS

18
19
20

FESCOPLAST

21
22

GOLONGAN DARAH KIT

23
24

HAND SCONE / SURGICAL GLOVE

25
26

HCG CASETTE / PP TEST

27
28

ISI AUTOCLIX

29
30

INFUSION SET DEWASA

31
32
33

IV CATETHER

34
35

KAPAS PEMBALUT 250 GR

36

KAPSUL KOSONG NO.1

ALAT SUNTIK SEKALI PAKAI 1 ML

ALAT SUNTIK SEKALI PAKAI 5 ML


ALAT SUNTIK SEKALI PAKAI 10 ML

ALAT PEMERIKSAAN HB

BISTURI

CAIRAN PENCUCI ANTISEPTIK

CATGUT CHROMIC

DENGUE N5 1 ANTIGEN

EDTA VACUM TUBE 5 ML

FOLEY CATETHER
GLUCOSA TEST TIP

H2O2

HAND SCONE STERILE

HEMASITO METER

INFUSION SET ANAK

IODIUM TEST

JARUM JAHIT
KACA MULUT

KAPSUL KOSONG NO.0

37
38

KASSA HIDROFIL 40 X 40

39
40

KASSA STERIL

41
42

LAMPU SPIRITUS

43
44

LARUTAN KOH 10 % 250 ML

45
46

METILEN BLUE 250 ML

47
48
49

MASKER

50
51

MATA BOR HIGH SPEED BUNDAR

52
53

MATA BOR HIGH SPEED INVERTED CONE

54
55

NASO GASTRIC TUBE

56
57

NEBULIZE MASK FOR ADULT

58
59

OBJECT GLASS

60
61

OSE

62
63
64

PIPET BESAR

65
66

POT DAHAK

67
68

PURIFIED PROTEIN DERIVATIVE 2 UT

69
70

SELANG O2 DEWASA

71
72

SILK DENGAN JARUM BEDAH

73
74

STRIP HB

75
76
77

STRIP PROTEIN DAN GLUKOSA

78
79

YELLOW TIP

80

TABUNG REAKSI KECIL

KASSA HIDROFIL GULUNG

KASSA 4 M X 15 CM

LARUTAN ASAM ALKOHOL

LOMATUELL H 10 X 10 CM

MICROPIPET 3 UKURAN

MASKER OXYGEN FOR ADULT


MASKER OXYGEN FOR CHILD

MATA BOR HIGH SPEED FISURE

MATA SCALLER

NEBULIZE MASK FOR INFANT

NEEDLE

OIL IMERSI

PENJEPIT TABUNG

PIPET KECIL
PLESTER

POWDER ENZIMATIC ALKAZYME

SELANG O2 ANAK

SGOT/SGPT TEST

STRIP ASAM URAT

STRIP GULA DARAH

STRIP KOLESTEROL
VENOJECT

TABUNG REAKSI BESAR

81
82

TERMOMETER DIGITAL

83
84

UMBILICAL CORD CLAMP

85
86

URINE BAG

87
88

WIDAL TEST

89
90

MASKER N 95 TYPE 1870

91
92

POCH PACK L

93
94

CELL CLEAN HEMATOANALYZER

95
96
97
98
99

CELL PACK HEMATONANALYZER

TORNIKUET

UNDER PAD 80 X 180 CM

URINE TEST 3 PARAMETER

WHITE TIP

POCH PACK D

CHECK CONTROL HEMATOANALYZER


CALIBRATION SCS

STROMALYSER WH
CHECK CONTROL HEMATOANALYZER XP 100
CELL CLEAN HEMATOANALYZER XP 100
CALIBRATION SCS XP 100

OBAT GIGI

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

ARSEN

16
17
18

SILVER AMALGAM SERBUK 65 - 75 %

ARTIKULATING PAPER
AIR RAKSA DENTAL USE
BEIN GIGI
CALCIDOR
CEVITRON
CHKM
CRESOPEN
DENTORIT
DYCAL
ETIL KLORIDA SPRAY
EUGENOL CAIRAN
IODOFORM PASTA
GLASS IONOMER ART
OCO / TSR

SEMEN SENG FOSFAT SERBUK DAN CAIRAN


TEMPORARY STROPPING FLETCHER SERBUK DAN
CAIRAN

SUMBER DANA
APBN
APBD
TOTAL

DINAMIKA LOGISTIK OBAT


DI KOTA CILEGON
Propinsi

: BANTEN

Alamat

: Jl.K.P.Tendean Km.2 Cilegon

Jumlah Unit Pelayanan

: 9 Unit

Bulan

: Januari

Tahun

: 2015
PEMAKAIAN

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

6=4+5

10

11

12

13

14

15

16

17

18=(7s/d17)

ACYCLOVIR 5 GR KRIM

TUBE

5,076

5,076

ACYCLOVIR 200 MG TABLET

TABLET

21,700

21,700

ACYCLOVIR 400 MG TABLET

TABLET

12,100

ALLOPURINOL 100 MG TABLET

TABLET

8,500

ALLOPURINOL 300 MG TABLET

TABLET

8,610

8,610

AMBROXOL SYRUP 15 MG / 5 ML

BOTOL

10,000

10,000

AMBROXOL TABLET 30 MG

TABLET

38,200

38,200

AMINOFILIN 200 MG TABLET

TABLET

AMITRIPTILIN 25 MG TABLET

TABLET

28,700

28,700

10

AMLODIPIN 5 MG TABLET

TABLET

60,000

60,000

11

AMLODIPIN 10 MG TABLET

TABLET

12

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

VIAL

1,720

1,720

13

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

BOTOL

16,903

16,903

100

14

AMOXICILLIN 250 MG KAPLET

KAPLET

74,680

74,680

1,200

15

AMOXICILLIN 500 MG KAPLET

KAPLET

222,700

222,700

3,000

16

AMOXICILLIN + AS.KLAVULANAT

TABLET

3,600

3,600

17

ANTALGIN 500 MG TABLET

TABLET

171,400

171,400

1,500

18

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA


200 MG + ALUMUNIUM HIDROKSIDA 200 MG)

TABLET

162,100

162,100

1,500

19

ANTASIDA SUSPENSI

BOTOL

2,974

2,974

50

20

ANTI BISA ULAR (ABU) SERUM

VIAL

21

ANTI TETANUS SERUM 1500 UI

AMPUL

50

50

22

TUBE

6,590

6,590

23

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


POLIMIKSIN B 10,000IU/G )
ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM
SALISILAT 3 %)

POT

128

128

24

ANTI HEMOROID DOEN

SUPP

1,500

1,500

25

JUMLAH

50

50

100

50

100

375

100

300

300

300

200

500

1,700

12,100

100

300

400

200

300

100

300

1,700

8,500

1,500

300

400

300

500

1,000

4,000

1,500

200

1,500

2,100

1,500

500

1,000

8,300
-

30

2,520

1,020

1,500

3,000

1,200

1,020

2,010

12,300
-

10
200

350

4,000

10
400

300

360

960

1,080

6,000

5,000

4,200

###
1,080

1,200

5,880

6,000

32,400

3,500

5,000

13,000

2,000

3,000

8,000

20,000

50

50

200

400

4,200

510
3,000
2,500

3,000

1,650

120

50

630

5
50

20

10

50

10

1
100

50

20

24

20

6
75

25

100

450
44

30

90

NO

NAMA OBAT

PEMAKAIAN

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

6=4+5

10

11

12

13

14

15

16

17

5,000

2,000

2,000

1,000

2,200

5,000

5,000 ###

2,500

2,000

5,000

3,000

1,000

JUMLAH
18=(7s/d17)

25

ASAM ASCORBIT (VIT.C) 50 MG TABLET

TABLET

26

ASAM ASCORBIT (VIT.C) 250 MG TABLET

TABLET

200,200

200,200

27

ASAM MEFENAMAT 500 MG

TABLET

437,200

437,200

28

ASAM TRANEKSAMAT 500 MG

TABLET

12,600

12,600

29

ATROPIN SULFAT INJ

AMPUL

146

146

30

ATTAPULGIT / MOLAGIT TABLET

TABLET

102,650

102,650

31

AQUABIDEST

BOTOL

32

AQUA PRO INJEKSI 25 ML

BOTOL

33

AZITHROMYCIN 500 MG

KAPSUL

34

BEKARBON

TABLET

20,280

20,280

35

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

VIAL

180

180

36

BETAMETASONE KRIM 0,1 %

TUBE

1,977

1,977

37

BETAHISTIN MESILAT 6 MG TABLET

TABLET

120

120

38

BETAKAROTEN 500 IU SYRUP

BOTOL

39

BISACODYL 10 MG SUPP

SUPP

522

522

40

BISOPROLOL 5 MG

TABLET

1,600

1,600

41

BROMHEKSIN HCL 8 MG TABLET

TABLET

132,000

132,000

42

BROMHEKSIN HCL 4 MG SYRUP

BOTOL

43

BROMHEKSIN HCL 8 MG / 4 ML SOL

BOTOL

100

100

44

CALAMIN LOTION

BOTOL

430

430

45

CAPTOPRIL 12,5 MG TABLET

TABLET

685,800

685,800

1,500

1,000

1,500

2,700

2,000

1,800

500

1,000

12,000

46

CAPTOPRIL 25 MG TABLET

TABLET

242,300

242,300

1,000

500

1,000

2,900

2,000

4,500

1,000

2,000

14,900

47

CEFIXIME SYRUP KERING 100 MG

BOTOL

344

344

30

20

30

48

CEFIXIME 100 MG

KAPSUL

18,900

18,900

150

400

1,000

49

CEFIXIME 200 MG

50

CEFOTAXIME INJ 1G

VIAL

119

119

40

64

104

51

CEFTRIAXON INJ

VIAL

220

220

40

40

52

CETIRIZINE 5 MG SYRUP

BOTOL

53

CETIRIZINE DROP

BOTOL

54

CETIRIZIN 10 MG

TABLET

55

CIMETIDIN TABLET

TABLET

56

CIPROFLOXACIN 500 MG TABLET

TABLET

121,000

121,000

57

CLINDAMYCIN 150 MG KAPSUL

KAPSUL

10,000

10,000

58

CLINDAMYCIN 300 MG KAPSUL

KAPSUL

8,400

8,400

59

CHLORPHENIRAMIN MALEAT (CTM) 4 MG

TABLET

348,800

348,800

60

CHLORPROMAZINE 100 MG

TABLET

15,000

15,000

61

DEKSTROMETORPHAN HBR SYRUP

BOTOL

1,058
-

100

1,500 ###

27,200
6,000

5
900

750

600

5
750

1,200

600

250

300

1,058

22,600

5,350
-

30

100

130

200

400

480

200

360

480

2,120

48

120

50

96

586

100

72

100
120

120
-

6
300

300

600
-

200

80
300

2,050

39,200
-

39,200

2,000

300

1,000

400

1,000

300

500

1,000

6,500
-

300

700

500

400

500

2,400

500
2,000

200

300

200

300

3,000

7,000

5,000

7,000

5,000

500
7,000

100

500

1,600

2,000

10,000

48,000
-

NO

NAMA OBAT

PEMAKAIAN

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

6=4+5

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

62

DEKSTROMETORPHAN HBR TABLET 15 MG

TABLET

63

DEKSTROSA LARUTAN INFUS 5 %

BOTOL

308

308

64

DEKSTROSA LARUTAN INFUS 10 %

BOTOL

448

448

65

DEKSTROSA LARUTAN INFUS 40 %

BOTOL

66

DEXAMETHASON 0,5 MG TABLET

TABLET

67

DEXAMETHASON INJEKSI

68

133,400

133,400

3,000

VIAL

2,595

2,595

DIAZEPAM TABLET

TABLET

3,000

3,000

69

DIAZEPAM INJ 5 MG/ML

AMPUL

206

206

70

DIFENHIDRAMIN INJ

AMPUL

220

71

DIGOKSIN 0,25 MG TABLET

TABLET

51,500

72

DOMPERIDON 5 MG SUSPENSI

BOTOL

73

DOMPERIDON 10 MG

TABLET

74

DOXYCYCLINE 100 MG KAPSUL

KAPSUL

75

EKSTRAK BELLADONNA TABLET 10 MG

TABLET

76

EPINEFRIN (ADRENALIN) INJ 0,1%

AMPUL

107

107

77

ERYTHROMYCIN 200 MG SYRUP

BOTOL

1,325

1,325

78

ERYTHROMYCIN 250 MG

KAPSUL

17,500

17,500

79

ERYTHROMYCIN 500 MG TABLET

TABLET

44,700

44,700

80

ETAMBUTOL 500 MG

TABLET

44,000

44,000

81

ETAKRIDIN 0,1 % / RIVANOL

BOTOL

216

216

82

ETANOL 70 % 1000 ML

BOTOL

620

620

83

FENITOIN 100 MG KAPSUL

KAPSUL

8,400

8,400

84

FENOBARBITAL 30 MG TABLET

TABLET

7,000

7,000

85

FENOL GLISEROL 10 %

BOTOL

2,136

2,136

86

FITOMENADION INJ

AMPUL

87

FITOMENADION 10 MG TABLET

TABLET

8,000

8,000

88

FLUCONAZOL 150 MG

TABLET

200

200

89

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

AMPUL

220

220

90

FUROSEMID 40 MG TABLET

TABLET

20,200

20,200

91

GAMEKSAN

BOTOL

92

GARAM ORALIT II SERBUK

SACHET

6,800

6,800

93

GENTAMYCIN SALEP KULIT

TUBE

2,375

2,375

94

GENTIAN VIOLET 1 % - 10 ML

BOTOL

4,150

4,150

95

GLIBENCLAMIDE 5 MG TABLET

TABLET

872,300

872,300

96

GLIMEPIRIDE 2 MG

TABLET

1,640

1,640

80

97

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50 MG

TABLET

21,330

21,330

60

9,400

1,500

3,500

4,000

1,000

4,000

2,000

7,000

26,000
13

1,000

1,000

220

10

10

51,500

100

100

9,400

10
20

25

300

30

50

10

10

65

100

100

100

200

1,000

600
1,000

11
2

19

200

200
-

24

24

24 ###

96

200

600

500

1,300
-

200

200

50
1,500

300

25
500

60

100

125

50

50

2,500

2,000

25

###

3,000

400

500
60

350

###

150
3,000

13,200
640

300

600

1,020

NO

NAMA OBAT

PEMAKAIAN

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

6=4+5

10

11

12

13

14

15

16

17

2,000

6,000

3,000

4,000
300

98

GLISERIL GUAIAKOLT 100 MG TABLET

TABLET

99

GLISERIN LARUTAN

BOTOL

632,000
-

632,000

4,000

JUMLAH
18=(7s/d17)

2,000

21,000

500

900

100 GRISEOFULVIN 125 MG TABLET

TABLET

4,400

4,400

100

101 HALOPERIDOL 0,5 MG TABLET

TABLET

13,300

13,300

200

102 HALOPERIDOL 5 MG TABLET

TABLET

23,600

23,600

200

103 HALOPERIDOL 5 MG INJEKSI

AMPUL

456

456

104 HEPARIN 200,000 IU GEL

TUBE

105 HEPATOPROTEKTOR SYRUP

BOTOL

106 HEPATOPROTEKTOR TABLET

TABLET

7,080

7,080

TUBE

33,480

33,480

107 HIDROKORTISON KRIM 2,5 %


108 HYOSINE N BUTILBROMIDA TABLET

TABLET

109 IBUPROFEN 125 MG SUPP

SUPP

91

91

110 IBUPROFEN 200 MG SUSPENSI

BOTOL

1,000

1,000

111 IBUPROFEN 200 MG TABLET

TABLET

2,800

2,800

112 IBUPROFEN 400 MG TABLET

TABLET

43,700

43,700

113 ISONIAZID 100 MG

TABLET

5,000

5,000

114 ISONIAZID 300 MG

TABLET

8,000

8,000

115 IMUNOSTIMULAN SIRUP

BOTOL

924

924

116 IMUNOSTIMULAN TABLET

TABLET

117 ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

TABLET

118 ITRAKONAZOL 100 MG

KAPSUL

119 KALCIUM LACTAT 500 MG TABLET

TABLET

120 KALIUM DIKLOFENAK 50 MG

1,200
110,700

500 ###
500

100

500

1,200
1,000

2,300

480

600
50

1,080

48

72

96

72

72

50

96

556
-

2
10

30

50

20

4,000

1,600

100
1,000

1,500

10

4
100

220

200

12,600

200

1,000

400

2,400

500

300
-

1,000

1,000
10 ###

40

65
-

1,200

100

100

110,700

2,000

400

1,000

1,000

3,000

7,400

TABLET

121 KANAMYCINE 2 GR

VIAL

75

75

122 KAOLIN SUSPENSI

BOTOL

1,400

1,400

123 KETOKONAZOL 200 MG TABLET

TABLET

1,900

1,900

124 KETOKONAZOL KRIM 2 %

100
24

30

500
20

60

100
36

20

700

TUBE

5,751

5,751

125 KETOPROFEN 100 MG

TABLET

3,100

3,100

200

126 KETOROLAC INJ 10 MG

AMPUL

717

717

127 KLORAMFENIKOL 250 MG KAPSUL

KAPSUL

128 KLORAMFENIKOL 1 %SALEP MATA

TUBE

500
###

129 KLORAMFENIKOL SUSPENSI

BOTOL

438

438

130 KLORAMFENIKOL 0,5 % TETES MATA

BOTOL

1,545

1,545

50

131 KLORAMFINEKOL 3 %TETES TELINGA

BOTOL

3,126

3,126

24

132 KLARITROMISIN 500 MG

TABLET

300

300

133 KODEIN FOSFAT 20 MG TABLET

TABLET

2,500

2,500

30

334

200

900

51

93

5
75
24

144

5
25

48

24 ###

10
50

200
144
-

250

250

NO

NAMA OBAT

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

DINAS

PROGRAM

P2KP

GRG

CLG

6=4+5

10

11

134 KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5


MG KRIM

TUBE

4,389

4,389

135 KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25 MG +


PARASETAMOL 400 MG

TABLET

46,800

46,800

136 KOMB. BUDENOSID FORMATEROL 80/4,5 MCG INHALER 60


DOSIS
137 KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON
VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA

CBB
12
60

CWD

PM

13

14

30

PWK

JBG

15
60

16
60

JUMLAH

CTK
17
10

18=(7s/d17)

200

2,820

2,820

BOTOL 60
ML

5,784

5,784

139 KOMB.BETAMETASON, DEKSKLORFENIRAMIN MALEAT

TABLET

34,450

34,450

140 KOMB.METHAMPYRON + DIAZEPAM

TABLET

20,070

20,070

141 KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL


+ CTM

BOTOL

2,000

2,000

142 KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT

BOTOL

7,685

7,685

143 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


TABLET

TABLET

70,080

70,080

144 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


145 SYRUP
KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100

BOTOL

TUBE

156

156

420
-

BOTOL

138 KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +


GG + CTM SYRUP

PEMAKAIAN

SATUAN

10
1,500

10

50

50

120

100

500

10
120
700

1,000

50

120

100

400

200

4,000
-

50
200

10

100

50
50

360

480

10

100

100

50

2,400

250

860

1,080

4,320
-

22

MG
146 KOMB.TEOFILIN + SALBUTAMOL TABLET
147 KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG
/ TREMENZA2,5SYRUP
148 SYRUP
KOMB.TRIPOLIDIN
MG + PSEUDOEFEDRIN 60 MG

TABLET

BOTOL 60
ML
TABLET

2,499

2,499

18,050

18,050

TABLET

27,000

27,000

120

10

10

120

72

96

50

100

578

900

1,000

1,400

1,000

1,000

1,000

2,000

50

50

100

650

500

1,000

600

1,000

9,600

3,300

TABLET / LIBROFED TABLET


149 KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +
VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET
150 KOTRIMOKSAZOL SUSPENSI

BOTOL

8,015

8,015

150

100

50

150

151 KOTRIMOKSAZOL ADULT 480 MG TABLET

TABLET

25,200

25,200

1,500

1,000

500

500

152 KOTRIMOKSAZOL PEDIATRIK TABLET

TABLET

15,240

15,240

153 LEVOFLOXACIN 500 MG TABLET

TABLET

4,950

4,950

154 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

AMPUL

12,100

12,100

155 LINCOMYCIN 500 MG KAPSUL

TABLET

156 LISOL

BOTOL

877

877

500

200
500

50
100 ###

200

100
100

100

5,500

650
200

100

700
-

21

NO

NAMA OBAT

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

6=4+5

10

11

12

13

14

15

16

17

2,000

2,500

157 LOPERAMID 2 MG TABLET

TABLET

23,900

23,900

158 MELOXICAM 7,5 MG

TABLET

6,900

6,900

159 MELOXICAM 15 MG

TABLET

160 METFORMIN 500 MG

TABLET

161 METFORMIN 850 MG

TABLET

162 METHILERGOMETRIN MALEAT 0,125 MG TABLET

TABLET

1,900

1,900

163 METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

AMPUL

43

43

164 METHYLPREDNISOLON 4 MG TABLET

TABLET

165 METHYLPREDNISOLON 8 MG TABLET

TABLET

166 METHYLPREDNISOLON 125 MG INJEKSI


167 METOCLOPRAMIDE HCL 10 MG

PEMAKAIAN

SATUAN

VIAL
TABLET

201,400
-

JUMLAH
18=(7s/d17)
-

100

500

500

5,600

201,400

1,000

500

700

1,500

1,000

200

18,400

18,400

50

50

7,300

7,300

168 METOCLOPRAMIDE SYRUP 5 MG / 5 ML

BOTOL

253

253

169 METRONIDAZOL 250 MG TABLET

TABLET

13,500

13,500

170 METRONIDAZOL 500 MG TABLET

TABLET

24,700

24,700

4,900
-

100

100

200

43

43
-

300

###

500

1,000

1,000

###

4,100

100

200
15

100

200

600

10

120

145
-

200

200

300

300

171 MICONAZOLE SALEP

TUBE

172 MINYAK KAYU PUTIH 15 ML

BOTOL

173 MOMETHASON KRIM 0,1 %

TUBE

611

611

174 MULTIVITAMIN ANAK DROP

BOTOL

3,231

3,231

175 MULTIVITAMIN ANAK SYRUP

BOTOL

2,391

2,391

176 MULTIVITAMIN TABLET

TABLET

68,100

68,100

100

177 NATRIUM BIKARBONAT 500 MG TABLET

TABLET

55,000

55,000

178 NATRIUM DIKLOFENAK 25 MG TABLET

TABLET

56,450

56,450

300

150

300

1,600

179 NATRIUM DIKLOFENAK 50 MG TABLET

TABLET

8,000

8,000

300

100

600

600

100

300

1,400
-

10
120

10

10

60

25

50

100

144

192

192

500

1,000

1,000

200

1,400

1,000

50
200 ###

145
1,200

1,500

5,700

1,000

2,000

1,500

3,850
1,600

180 NATRIUM DIKLOFENAK GEL

TUBE

181 NATRIUM KLORIDA LARUTAN INFUS 0,9%

BOTOL

60

60

182 NATRIUM KLORIDA 100 ML

BOTOL

183 NIFEDIPINE 10 MG TABLET

TABLET

104,600

104,600

184 NYSTATIN 500.000 IU TABLET

TABLET

2,700

2,700

185 NYSTATIN VAGINAL TABLET 100.000 IU

TABLET

3,500

3,500

186 NYSTATIN SUSPENSI 100.000 IU/Ml

BOTOL

130

130

187 OBH

BOTOL

15,332

15,332

188 OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +


AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

BOTOL

189 OFLOXACIN 200 MG

TABLET

500

500

190 OFLOXACIN 400 MG

TABLET

5,050

5,050

191 ONDENSETRON INJ

AMPUL

500

500

10

20

200

1,000

10

47
-

100

4,000

700

200 ###

6,400

###

200

100
5
300

60

100

300

2
420

7
100

300

1,580

10

20

50

85

NO

NAMA OBAT

PEMAKAIAN

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

DINAS

PROGRAM

P2KP

GRG

CLG

6=4+5

10

11

192 OXYTETRASIKLIN HCL 3 % SALEP KULIT

TUBE

193 OXYTETRASIKLIN HCL 1 % SALEP MATA

TUBE

18,975
-

18,975

100

25

CBB

CWD

PM

12

13

14

100

75

PWK

JBG

CTK

15

16

17

75

JUMLAH
18=(7s/d17)

100

475
-

194 OXYTOCIN INJ/SYNTOCINON

AMPUL

3,620

3,620

195 PANTOCAIN 0,5 % TETES MATA

BOTOL

196 PAPAVERIN 40 MG TABLET

TABLET

21,400

21,400

197 PAPAVERIN INJEKSI 40 MG/ML

AMPUL

198 PARAFORMALDEHID TABLET 1 GR

TABLET

199 PARASETAMOL 100 MG

TABLET

SUPP

200 PARASETAMOL SUPPOS 160 MG/PROPIRETIC

1,400

BOTOL

9,412

9,412

BOTOL

50,831

50,831

203 PARASETAMOL 500 MG

TABLET

1,189,100

1,189,100

204 PERMETHRIN KRIM 5 %

TUBE

100

TABLET

17,300

17,300

206 PIRAZINAMID 500 MG

TABLET

47,900

47,900

207 PIRIDOKSIN (VIT B6 ) TABLET 10 MG

TABLET

270,000

270,000

208 PIROXICAM

TABLET

30,000

30,000

209 POLIKRESULEN SOL

BOTOL

234

234

210 POVIDON IODIDA 30 ML

BOTOL

1,119

1,119

2,000

200

300

56

10

112

10

20

100

308

200

150

250

350

500

300

100

600

2,450

10,800

4,000

9,000

10,800

7,200

5,000

15,000

62,300
-

100
4,000
1,500
5

356

356

BOTOL

155

155

214 PREDNISON TABLET 5 MG

TABLET

91,000

91,000

215 PROPANOLOL 40 MG

TABLET

1,700

1,700

216 RANITIDIN TABLET

TABLET

81,600

81,600

217 RANITIDIN INJ 25 MG/2ML

AMPUL

1,350

1,350

218 RETINOL 100,000 IU

BOTOL

1,645

1,645

162

219 RETINOL 200,000 IU

BOTOL

573

573

573

220 RIFAMPICIN 450 MG

TABLET

42,900

42,900

LABU

2,737

2,737

TABLET

83,100

83,100

223 RISPERIDONE 2 MG TABLET

TABLET

224 SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL

AMPUL

477

477

226 SALBUTAMOL 2 MG TABLET

TABLET

25,700

25,700

227 SALBUTAMOL 4 MG TABLET

TABLET

19,000

19,000

100
-

BOTOL

222 RISPERIDONE 1 MG TABLET

3,300
-

213 POVIDON IODIDA 1 L

200

212 POVIDON IODIDA 300 ML

225 SALBUTAMOL INHALER 100 MCG 200 DOSIS

1,000

205 PIRANTEL PAMOAT 125 MG

221 RINGER LAKTAT LARUTAN INFUS

30

1,400

202 PARASETAMOL SYROP 120 MG / 5 ML

211 POVIDON IODIDA 60 ML

20

201 PARASETAMOL DROPS

10

200

400

1,000

2,000

2,000

1,000

3,000

10,000

1,600

1,500

3,000

11,200

10

10

4
1

1,000

2,000

2,000

1,000

25
5

24

1,000

6,000

###
2,000

2
-

100

1,000

2,000

10

3,000

1,500

100

1,000 ###

12,600

115
162
573

1,000

1,000
3

20

100

200

400

300

2,000

1,400

328
500

4,000

8,600
-

20

40

200

100

100

200

100

60

100

200

1,000

300

1,000

400

200

300

2,500

100

500

2,300

NO

NAMA OBAT

228 SALEP 2 - 4

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

6=4+5

10

11

12

13

14

POT

616

616

229 SALISIL BEDAK 2 %

KOTAK

5,900

5,900

230 SALISIL MENTOL BEDAK

BOTOL

5,000

5,000

231 SEFADROKSIL SYRUP

BOTOL

1,581

1,581

232 SEFADROKSIL 250 MG

KAPSUL

7,800

7,800

233 SEFADROKSIL 500 MG

KAPSUL

9,200

9,200

234 SETRALINE 50 MG TABLET

TABLET

4,990

4,990

235 SIANOCOBALAMIN TABLET

TABLET

140,000

140,000

236 SIANOCOBALAMIN / VIT. B 12 INJ

AMPUL

237 SILVER SULFADIAZINE 10 MG / 35 GR CREAM


238 SIMVASTATIN TABLET

PEMAKAIAN

SATUAN

TUBE
TABLET

361

361
90,600

239 STESOLID RECTAL SUPP

TUBE

240

240

240 STREPTOMISIN SERBUK INJ 1500 MG/ML

VIAL

919

919

241 SULFASETAMIDA NATRIUM TETES MATA

BOTOL

6,728

6,728

242 TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG

TABLET

112,500

112,500

243 TETRASIKLIN 500 MG KAPSUL

KAPSUL

4,400

4,400

244 TEOFILIN 300 MG TABLET

TABLET

45,800

45,800

245 THIAMIN (VIT.B1) 100 MG / ML INJ

AMPUL

246 THIAMIN (VIT.B1) 50 MG TABLET

TABLET

169,000

169,000

247 THIAMPHENIKOL 500 MG KAPSUL

KAPSUL

40,200

40,200

248 TRAMADOL HCI 50 MG TABLET

TABLET

1,350

1,350

249 TRAMADOL HCI 50 MG/ML INJ

AMPUL

253

253

250 TRIHEKSILPHENIDIL 2 MG TABLET

TABLET

208,000

208,000

251 VITAMIN B KOMP. TABLET

TABLET

252 ZINC / ZINCDIAR TABLET

TABLET

56,800

100

20

50

200

200

24
30

JBG

CTK

15

16

17

JUMLAH
18=(7s/d17)
74

100

100

20

30

94

20

70

20

300

1,200

100

200

###

200

70

300

1,000

100

500

670
-

90,600

100 ###

24

PWK

5
600

400

7
1,000

1,000

800

300

3,000

5 ###

7,100
15
-

1,000

24

24

1,000

600

48
1,000

1,000

500

2,000
300

1,000

500

7,100
300
1,500

2,000

1,000

1,000

10,000

200

4,000

1,000

100

3,000

22,000

200

500
-

8
500

600

600

1,000

500

1,000

1,000

1,000

8
400

2,000 ###

7,100

56,800

1,000

500

1,000

6,000

ALAT KESEHATAN DAN REAGEN


1

ALAT AUTOCLIX/LANCET DEVICE

SET

32

32

ALAT SUNTIK SEKALI PAKAI 1 ML

BUAH

4,000

4,000

ALAT SUNTIK SEKALI PAKAI 3 ML

BUAH

21,438

21,438

100

ALAT SUNTIK SEKALI PAKAI 5 ML

BUAH

6,900

6,900

100

ALAT SUNTIK SEKALI PAKAI 10 ML

BUAH

900

900

ALAT SUNTIK SEKALI PAKAI 20 ML

BUAH

200

200

ALAT PEMERIKSAAN HB

ALCOHOL SWABS

BUAH
SACHET

11

11

103,800

103,800

100
200

200

500
400

600

200

238

200

100

1,538
200
-

50
4

50
1

5
1,000

500

200

1,700

NO

NAMA OBAT

PEMAKAIAN

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

6=4+5

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

BISTURI

BUAH

300

300

10

BLOOD LANCET

BUAH

9,900

9,900

11

CAIRAN PENCUCI ANTISEPTIK

GALON

12

CATGUT DENGAN JARUM BEDAH

SACHET

13

CATGUT CHROMIC

ROLL

14

DENGUE IgG AND IgM DROP TEST

SET

15

DENGUE N5 1 ANTIGEN

SET

16

DEX GLASS

BUAH

81

81

17

EDTA VACUM TUBE 5 ML

BUAH

97

97

18

FESCOPLAST

ROLL

19

FOLEY CATETHER

BUAH

315

315

20

GLUCOSA TEST TIP

TIP

8,250

8,250

21

GOLONGAN DARAH KIT

SET

18

18

22

H2O2

BOTOL

13

13

23

HAND SCONE / SURGICAL GLOVE

LEMBAR

87,600

87,600

24

HAND SCONE STERILE

PASANG

1,700

1,700

25

HCG CASETTE / PP TEST

SACHET

4,425

4,425

26

HEMASITO METER

BUAH

27

ISI AUTOCLIX

KOTAK

28

INFUSION SET ANAK

29

INFUSION SET DEWASA

30

6,392

100 ###

200
-

6,392

30

20

10

60

1
-

30 ###

55

55

30

###

230

60

60
1

500

200

1,000

800

1
2

1,200

400

300

50

50

100

100

1,000

5,400
100

300

505

1,020

1,530

13,620

13,620

SET

490

490

SET

383

383

IODIUM TEST

BOTOL

300

300

31

IV CATETHER

SACHET

3,302

3,302

32

JARUM JAHIT

BUAH

350

350

33

KACA MULUT

BUAH

56

56

34

KAPAS PEMBALUT 250 GR

BUNGKUS

268

268

35

KAPSUL KOSONG NO.0

BUAH

20,000

20,000

36

KAPSUL KOSONG NO.1

BUAH

30,000

30,000

37

KASSA HIDROFIL 40 X 40

LEMBAR

1,000

1,000

38

KASSA HIDROFIL GULUNG

ROLL

39

KASSA STERIL

KOTAK

1,416

1,416

40

KASSA 4 M X 15 CM

ROLL

2,870

2,870

41

LAMPU SPIRITUS

BUAH

42

LARUTAN ASAM ALKOHOL

BOTOL

43

LARUTAN KOH 10 % 250 ML

BOTOL

44

LOMATUELL H 10 X 10 CM

KOTAK

131

131

45

METILEN BLUE 250 ML

BOTOL

300

210
25

100

10

50

100

125
163

20

100

50

175

20

7 ###
2

7
###

10

22
7

7 ###

56
5

15

200

210

20

50

70

20

200

20

10

100

350

2
-

NO

NAMA OBAT

PEMAKAIAN

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

6=4+5

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

46

MICROPIPET 3 UKURAN

BUAH

47

MASKER

BUAH

14,300

14,300

48

MASKER OXYGEN FOR ADULT

BUAH

139

139

49

MASKER OXYGEN FOR CHILD

BUAH

142

142

50

MATA BOR HIGH SPEED BUNDAR

BUAH

1 ###

1 ###

51

MATA BOR HIGH SPEED FISURE

BUAH

1 ###

1 ###

52

MATA BOR HIGH SPEED INVERTED CONE

BUAH

1 ###

###

53

MATA SCALLER

BUAH

54

NASO GASTRIC TUBE

TUBE

30

30

55

NEBULIZE MASK FOR INFANT

BUAH

148

148

56

NEBULIZE MASK FOR ADULT

BUAH

148

148

57

NEEDLE

BUAH

65

65

58

OBJECT GLASS

BUAH

272

272

59

OIL IMERSI

BOTOL

60

OSE

BUAH

61

PENJEPIT TABUNG

BUAH

22

22

62

PIPET BESAR

BUAH

63

PIPET KECIL

BUAH

64

PLESTER

ROLL

491

491

65

POT DAHAK

BUAH

66

POWDER ENZIMATIC ALKAZYME

BUAH

67

PURIFIED PROTEIN DERIVATIVE 2 UT

VIAL

17

17

68

SELANG O2 ANAK

BUAH

92

92

69

SELANG O2 DEWASA

BUAH

73

73

70

SGOT/SGPT TEST

SET

71

SILK DENGAN JARUM BEDAH

72

STRIP ASAM URAT

BOX

73

STRIP HB

BOX

359

359

32

32

74

STRIP GULA DARAH

BOX

152

152

12

12

75

STRIP PROTEIN DAN GLUKOSA

BOX

76

STRIP KOLESTEROL

BOX

153

153

77

VENOJECT

KOTAK

78

YELLOW TIP

BUAH

79

TABUNG REAKSI BESAR

BUAH

37

37

80

TABUNG REAKSI KECIL

BUAH

63

63

81

TERMOMETER DIGITAL

82

TORNIKUET

SACHET

1,000

500

100

150

300

500

300

2,850

7
1

1
-

2
2
1

10

20

###

48
-

10

10

25

BUAH

103

103

NO

NAMA OBAT

PEMAKAIAN

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

6=4+5

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

83

UMBILICAL CORD CLAMP

BUAH

84

UNDER PAD 80 X 180 CM

BUAH

304

304

85

URINE BAG

BUAH

400

400

30

86

URINE TEST 3 PARAMETER

KOTAK

10

10

87

WIDAL TEST

KOTAK

88

WHITE TIP

BUAH

24

24

89

MASKER N 95 TYPE 1870

KOTAK

90

POCH PACK D

BUAH

91

POCH PACK L

BUAH

92

CHECK CONTROL HEMATOANALYZER

BUAH

12

12

93

CELL CLEAN HEMATOANALYZER

BUAH

94

CALIBRATION SCS

BUAH

95

CELL PACK HEMATONANALYZER

BUAH

96

STROMALYSER WH

BUAH

97

CHECK CONTROL HEMATOANALYZER XP 100

BUAH

24

24

98

CELL CLEAN HEMATOANALYZER XP 100

BUAH

99

CALIBRATION SCS XP 100

BUAH

BOTOL

1 ###

###

1 ###

###

55

85
1

###

12

3
3
###

24

OBAT GIGI
1

ARSEN

ARTIKULATING PAPER

KOTAK

AIR RAKSA DENTAL USE

BOTOL

73

73

BEIN GIGI

SET

CALCIDOR

POT

CEVITRON

BUAH

150

150

CHKM

POT

21

21

CRESOPEN

BOTOL

DENTORIT

BOTOL

10

DYCAL

BOTOL

11

ETIL KLORIDA SPRAY

BOTOL

134

134

12

EUGENOL CAIRAN

BOTOL

639

639

13

IODOFORM PASTA

POT

17

17

14

GLASS IONOMER ART

SET

24

24

15

OCO / TSR

BOTOL

16

SILVER AMALGAM SERBUK 65 - 75 %

BOTOL

17

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

SET

15

15

5
2

10
-

1
1

1
1

5
-

NO

NAMA OBAT

PEMAKAIAN

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

6=4+5

10

11

12

13

14

18

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

SET

PWK

JBG

CTK

15

16

17

Cilegon,

Januari 2015

Kepala Seksi Farmasi dan Peralatan Kesehatan

Dra.E.Yolanda P,Apt.MKM

Riris Sinaga,S.Si,Apt

Nip. 19660223 199203 2 002

Nip.19740620 200312 2 003

NO
1
2
3
4
5
6

NAMA OBAT

PEMAKAIAN
(1 BULAN)

SISA STOK

KETERSEDIAN
(DALAM BULAN)

4,701

400

12

375

ACYCLOVIR 200 MG TABLET

20,000

1,700

12

1,700

ACYCLOVIR 400 MG TABLET

10,400

1,800

1,700

209

25

25

4,500

4,000

4,000

ACYCLOVIR 5 GR KRIM

8
9
10

ALBOTYL

11

ALLOPURINOL 100 MG TABLET

12

ALLOPURINOL 300 MG TABLET

8,610

#DIV/0!

1,757

8,000

300

13

AMBROXOL SYRUP 15 MG / 5 ML

10,000

14

AMBROXOL TABLET 30 MG

29,900

15

AMINOFILIN 200 MG TABLET

16

AMITRIPTILIN 25 MG TABLET

28,700

400

72

17

AMLODIPIN 5 MG TABLET

47,700

10,000

18

AMLODIPIN 10 MG TABLET

#DIV/0!

8,300
12,300
-

18=(7s/d17)
1

Mengetahui'
Kepala Bidang Sumber Daya Kesehatan

JUMLAH

NO

PEMAKAIAN

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

6=4+5

10

11

12

13

14

15

16

17

1
19

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

1,710

20

86

10

20

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

15,253

1,600

10

1,650

21

AMOXICILLIN 250 MG KAPLET

68,800

9,300

5,880

22

AMOXICILLIN 500 MG KAPLET

190,300

43,200

32,400

23

AMOXICILLIN + AS.KLAVULANAT

2,970

600

630

24

ANTALGIN 500 MG TABLET

158,400

15,000

11

13,000

25

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA


200 MG + ALUMUNIUM HIDROKSIDA 200 MG)
142,100

22,200

20,000

400

400

26

ANTASIDA SUSPENSI

2,574

27

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


POLIMIKSIN B 10,000IU/G )

6,140

400

15

450

28

ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM


SALISILAT 3 %)

84

150

44

29

ANTI HEMOROID DOEN

1,410

200

90

30

ASAM ASCORBIT (VIT.C) 50 MG TABLET

31

ASAM ASCORBIT (VIT.C) 250 MG TABLET

173,000

27,000

27,200

32

ASAM MEFENAMAT 500 MG

414,600

20,000

21

22,600

33

ASAM TRANEKSAMAT 500 MG

12,600

600

21

34

ATROPIN SULFAT INJ

141

47

97,300

4,000

24

5,350

35

ATTAPULGIT / MOLAGIT TABLET

36

AZITHROMYCIN 500 MG

37

BEKARBON

38

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

39

BETAMETASONE KRIM 0,1 %

40

BETAHISTIN MESILAT 6 MG TABLET

41

BETAKAROTEN 500 IU SYRUP

42

BISACODYL 10 MG SUPP

43

BISOPROLOL 5 MG

44

BROMHEKSIN HCL 8 MG TABLET

45

BROMHEKSIN HCL 8 MG / 4 ML SOL

46

CALAMIN LOTION

47
48
49

CEFIXIME SYRUP KERING 100 MG

50

CEFIXIME 100 MG

51

CEFOTAXIME INJ 1G

#DIV/0!

18,160

#DIV/0!

2,000

180

20

1,391

500

586

990

120

#DIV/0!

2,120

516

74

1,600

200

131,400

1,400

94

600

100

33

428

80

CAPTOPRIL 12,5 MG TABLET

673,800

10,000

67

12,000

CAPTOPRIL 25 MG TABLET

227,400

14,000

16

14,900

264

70

80

16,850

2,100

2,050

15

50

104

JUMLAH
18=(7s/d17)

NO

PEMAKAIAN

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

6=4+5

10

11

12

13

14

15

16

17

180

15

12

40

CETIRIZINE 5 MG SYRUP

64

CETIRIZINE DROP

12

6,000

3,200

52

CEFTRIAXON INJ

53
54
55

CETIRIZIN 10 MG

56

CIMETIDIN TABLET

57

CIPROFLOXACIN 500 MG TABLET

58

CLINDAMYCIN 150 MG KAPSUL

9,500

59

CLINDAMYCIN 300 MG KAPSUL

6,800

60

CHLORPHENIRAMIN MALEAT (CTM) 4 MG

32,700
118,600

2,700
-

44

6,500
2,400

#DIV/0!

500

1,700

1,600

300,800

49,000

48,000

15,000

2,500

61

CHLORPROMAZINE 100 MG

62

DEKSTROMETORPHAN HBR SYRUP

200

63

DEKSTROMETORPHAN HBR TABLET 15 MG

7,000

64

DEKSTROSA LARUTAN INFUS 5 %

308

62

65

DEKSTROSA LARUTAN INFUS 10 %

448

149

66

DEKSTROSA LARUTAN INFUS 40 %

107,400

#DIV/0!

28,800

26,000

67

DEXAMETHASON 0,5 MG TABLET

68

DEXAMETHASON INJEKSI

2,582

20

129

13

69

DIAZEPAM TABLET

2,000

500

1,000

70

DIAZEPAM INJ 5 MG/ML

206

71

DIFENHIDRAMIN INJ

210

10

21

10

72

DIGOKSIN 0,25 MG TABLET

51,400

200

257

100

73

DOMPERIDON 5 MG SUSPENSI

200

74

DOMPERIDON 10 MG

2,400

75

DOXYCYCLINE 100 MG KAPSUL

#DIV/0!

76

EKSTRAK BELLADONNA TABLET 10 MG

77

EPINEFRIN (ADRENALIN) INJ 0,1%

78

ERYTHROMYCIN 200 MG SYRUP

79

ERYTHROMYCIN 250 MG

80

ERYTHROMYCIN 500 MG TABLET

81

ETAMBUTOL 500 MG

82

ETAKRIDIN 0,1 % / RIVANOL

83

ETANOL 70 % 1000 ML

84
85

9,400

#DIV/0!

#VALUE!

#VALUE!

57

26

50

1,260

56

23

65

17,400

200

87

100

44,100

1,100

40

600

43,000

400

108

1,000

197

11

18

19

614

16

38

FENITOIN 100 MG KAPSUL

8,200

200

41

200

FENOBARBITAL 30 MG TABLET

7,000

86

FENOL GLISEROL 10 %

2,040

110

19

87

FITOMENADION INJ

90

88

FITOMENADION 10 MG TABLET

1,100

6,700

#DIV/0!

96
1,300

JUMLAH
18=(7s/d17)

NO

PEMAKAIAN

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

DINAS

PROGRAM

P2KP

6=4+5

1
89

FLUCONAZOL 150 MG

90

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

91

FUROSEMID 40 MG TABLET

92

GAMEKSAN

200

20

10

220

10

22

20,000

400

50

200

#DIV/0!

350

93

GARAM ORALIT II SERBUK

6,800

94

GENTAMYCIN SALEP KULIT

2,025

300

95

GENTIAN VIOLET 1 % - 10 ML

4,000

200

20

150

96

GLIBENCLAMIDE 5 MG TABLET

859,100

12,000

72

13,200

97

GLIMEPIRIDE 2 MG

1,000

740

640

98

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50 MG


20,310

500

41

1,020

99

GLISERIL GUAIAKOLT 100 MG TABLET

611,000

28,750

21

21,000

100 GLISERIN LARUTAN

3,400

#DIV/0!

101 GRISEOFULVIN 125 MG TABLET

3,500

700

102 HALOPERIDOL 0,5 MG TABLET

12,100

103 HALOPERIDOL 5 MG TABLET

21,300

104 HALOPERIDOL 5 MG INJEKSI


105 HEPARIN 200,000 IU GEL

900

1,600

1,200

2,000

11

2,300

456

12

38

10

106 HEPATOPROTEKTOR TABLET

6,000

300

20

1,080

107 HIDROKORTISON KRIM 2,5 %

32,924

500

66

556

800

87

22

780

200

220

108 HYOSINE N BUTILBROMIDA TABLET


109 IBUPROFEN 125 MG SUPP
110 IBUPROFEN 200 MG SUSPENSI

111 IBUPROFEN 200 MG TABLET

2,500

900

300

112 IBUPROFEN 400 MG TABLET

31,100

11,800

12,600

113 ISONIAZID 100 MG

5,000

114 ISONIAZID 300 MG

7,000

400

#DIV/0!
18

1,000

65

115 IMUNOSTIMULAN SIRUP

859

45

19

116 IMUNOSTIMULAN TABLET

400

200

100

90

13,800

117 ISOSORBIT DINITRAT 5 MG SUB LING.TABLET


118 ITRAKONAZOL 100 MG
119 KALCIUM LACTAT 500 MG TABLET

1,100
103,300

25

7,400

120 KANAMYCINE 2 GR

75

121 KAOLIN SUSPENSI

1,400

122 KETOKONAZOL 200 MG TABLET

1,200

900

700

123 KETOKONAZOL KRIM 2 %

5,417

250

22

334

124 KETOPROFEN 100 MG

2,200

600

900

#DIV/0!

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

PEMAKAIAN

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

6=4+5

10

11

12

13

14

15

16

17

125 KETOROLAC INJ 10 MG

624

17

37

93
-

126 KLORAMFENIKOL 250 MG KAPSUL

2,500

127 KLORAMFENIKOL 1 %SALEP MATA

200

428

50

10

129 KLORAMFENIKOL 0,5 % TETES MATA

1,345

400

200

130 KLORAMFINEKOL 3 %TETES TELINGA

2,982

250

12

144

128 KLORAMFENIKOL SUSPENSI

131 KLARITROMISIN 500 MG

300

#DIV/0!

132 KODEIN FOSFAT 20 MG TABLET

2,250

500

250

133 KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5


MG KRIM

3,969

444

420

134 KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25 MG +


PARASETAMOL 400 MG

46,800

2,700

200

14

120

5,384

150

36

400

30,450

2,500

12

4,000

20,070

400

50

139 KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL


+ CTM

1,950

140 KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT

6,825
65,760

#DIV/0!

135 KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA

136 KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +


GG + CTM SYRUP
137 KOMB.BETAMETASON, DEKSKLORFENIRAMIN MALEAT
138 KOMB.METHAMPYRON + DIAZEPAM

141 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


TABLET
142 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM
SYRUP
143 KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100
MG
144 KOMB.TEOFILIN + SALBUTAMOL TABLET

#DIV/0!

50

530

13

860

5,000

13

4,320

370

134

16

22

400

145 KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG


SYRUP / TREMENZA SYRUP

1,921

400

578

146 KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG


TABLET / LIBROFED TABLET

14,750

6,000

3,300

JUMLAH
18=(7s/d17)

PEMAKAIAN

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

6=4+5

10

11

12

13

14

15

16

17

147 KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +


VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET

21,500

6,000

5,500

7,365

550

13

650

149 KOTRIMOKSAZOL ADULT 480 MG TABLET

15,600

6,600

9,600

150 KOTRIMOKSAZOL PEDIATRIK TABLET

15,040

100

150

200

4,300

300

14

650

11,400

300

38

700

1,600

18

48

21

23,900

300

80

1,300

5,000

148 KOTRIMOKSAZOL SUSPENSI

151 LEVOFLOXACIN 500 MG TABLET


152 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000
153 LINCOMYCIN 500 MG KAPSUL
154 LISOL
155 LOPERAMID 2 MG TABLET
156 MELOXICAM 7,5 MG
157 MELOXICAM 15 MG
158 METFORMIN 500 MG
159 METFORMIN 850 MG
160 METHILERGOMETRIN MALEAT 0,125 MG TABLET

856

196,500

3,400

5,000

39

1,700

#DIV/0!
500

5,600
4,900
-

200

43

161 METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML


162 METHYLPREDNISOLON 4 MG TABLET

20

#DIV/0!

14,300

3,300

4,100

45

23

6,700

400

17

600

108

46

145

167 METRONIDAZOL 250 MG TABLET

13,500

200

68

168 METRONIDAZOL 500 MG TABLET

23,300

1,300

18

163 METHYLPREDNISOLON 8 MG TABLET


164 METHYLPREDNISOLON 125 MG INJEKSI
165 METOCLOPRAMIDE HCL 10 MG
166 METOCLOPRAMIDE SYRUP 5 MG / 5 ML

169 MICONAZOLE SALEP

#DIV/0!

1,400
-

170 MOMETHASON KRIM 0,1 %

601

30

20

10

171 MULTIVITAMIN ANAK DROP

3,086

100

31

145

1,191

1,000

1,200

173 MULTIVITAMIN TABLET

62,400

6,200

10

5,700

174 NATRIUM BIKARBONAT 500 MG TABLET

53,000

1,000

53

2,000

175 NATRIUM DIKLOFENAK 25 MG TABLET

52,600

5,000

11

3,850

176 NATRIUM DIKLOFENAK 50 MG TABLET

172 MULTIVITAMIN ANAK SYRUP

6,400

2,000

1,600

177 NATRIUM KLORIDA LARUTAN INFUS 0,9%

13

30

47

178 NATRIUM KLORIDA 25 ML

179 NIFEDIPINE 10 MG TABLET


180 NYSTATIN 500.000 IU TABLET

#DIV/0!

98,200

2,600

38

2,700

200

14

6,400
-

JUMLAH
18=(7s/d17)

PEMAKAIAN

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

6=4+5

10

11

12

13

14

15

16

17

181 NYSTATIN VAGINAL TABLET 100.000 IU


182 NYSTATIN SUSPENSI 100.000 IU/Ml
183 OBH

3,300

200

17

200

123

20

13,752

2,200

1,580

184 OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +


AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP
-

#DIV/0!

185 OFLOXACIN 200 MG

500

#DIV/0!

186 OFLOXACIN 400 MG

5,050

100

51

187 ONDENSETRON INJ

415

20

21

85

18,500

400

46

475
-

188 OXYTETRASIKLIN HCL 3 % SALEP KULIT


189 OXYTETRASIKLIN HCL 1 % SALEP MATA

50

18,100

2,000

190 PANTOCAIN 0,5 % TETES MATA


191 PAPAVERIN 40 MG TABLET
192 PAPAVERIN INJEKSI 40 MG/ML
193 PARAFORMALDEHID TABLET 1 GR
194 PARASETAMOL 100 MG
195 PARASETAMOL DROPS
196 PARASETAMOL SYROP 120 MG / 5 ML
197 PARASETAMOL 500 MG
198 PERMETHRIN KRIM 5 %
199 PIRANTEL PAMOAT 125 MG
200 PIRAZINAMID 500 MG
201 PIRIDOKSIN (VIT B6 ) TABLET 10 MG

1,400
9,104

10

3,300

#DIV/0!

#DIV/0!

140

65

48,381

2,000

24

2,450

1,126,800

84,000

13

62,300

17,200

25

100

172

308

100

47,900

200

240

260,000

13,000

20

10,000

18,800

8,300

11,200

203 OXYTOCIN INJ

3,590

50

72

30

204 POVIDON IODIDA 60 ML

1,095

30

37

24

205 POVIDON IODIDA 300 ML

349

39

206 POVIDON IODIDA 1 L

153

77

85,000

5,000

17

6,000

202 PIROXICAM

207 PREDNISON TABLET 5 MG

1,700

200

69,000

11,000

12,600

210 RANITIDIN INJ 25 MG/2ML

1,235

100

12

115

211 RETINOL 100,000 IU

1,483

#DIV/0!

162

208 PROPANOLOL 40 MG
209 RANITIDIN TABLET

212 RETINOL 200,000 IU


213 RIFAMPICIN 450 MG
214 RINGER LAKTAT LARUTAN INFUS
215 RISPERIDONE 1 MG TABLET

41,900

400

2,409

150

74,500

#DIV/0!

573

105

1,000

16

328

#DIV/0!

8,600

JUMLAH
18=(7s/d17)

PEMAKAIAN

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

DINAS

6=4+5

216 RISPERIDONE 2 MG TABLET

4,600

PROGRAM

P2KP

9
-

217 SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL


417

52

60

218 SALBUTAMOL 2 MG TABLET

23,200

3,000

2,500

219 SALBUTAMOL 4 MG TABLET

16,700

2,200

2,300

542

90

74

221 SALISIL BEDAK 2 %

4,700

800

1,200

222 SALISIL MENTOL BEDAK

4,906

350

14

94

223 SEFADROKSIL SYRUP

1,511

56

27

70

224 SEFADROKSIL 250 MG

7,800

400

20

225 SEFADROKSIL 500 MG

8,200

1,400

1,000

226 SETRALINE 50 MG TABLET

4,320

200

22

670

227 SIANOCOBALAMIN TABLET

140,000

2,000

70

50

354

10

35

83,500

5,000

17

7,100
15

220 SALEP 2 - 4

228 SIANOCOBALAMIN / VIT. B 12 INJ


229 SILVER SULFADIAZINE 10 MG / 35 GR CREAM
230 SIMVASTATIN TABLET
231 STESOLID RECTAL SUPP

225

25

232 STREPTOMISIN SERBUK INJ 1500 MG/ML

919

14

66

233 SULFASETAMIDA NATRIUM TETES MATA

6,680

100

67

48

105,400

7,200

15

7,100

4,100

300

14

300

44,300

1,500

30

1,500

234 TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG
235 TETRASIKLIN 500 MG KAPSUL
236 TEOFILIN 300 MG TABLET
237 THIAMIN (VIT.B1) 100 MG / ML INJ
238 THIAMIN (VIT.B1) 50 MG TABLET
THIAMPHENIKOL 500 MG KAPSUL
TRAMADOL HCI 50 MG TABLET
TRAMADOL HCI 50 MG/ML INJ
1

TRIHEKSILPHENIDIL 2 MG TABLET

VITAMIN B KOMP. TABLET

ZINC / ZINCDIAR TABLET

4
5

30

147,000

19,000

22,000

39,700

1,000

40

500

1,350

200

245

31

200,900

4,500

45

7,100

77,000

7,000

50,800

6,000

ALAT KESEHATAN DAN REAGEN

ALAT AUTOCLIX/LANCET DEVICE

32

ALAT SUNTIK SEKALI PAKAI 1 ML

3,400

200

17

600

ALAT SUNTIK SEKALI PAKAI 3 ML

19,900

1,500

13

1,538

#DIV/0!

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

PEMAKAIAN

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

6=4+5

10

11

12

13

14

15

16

17

1
10

ALAT SUNTIK SEKALI PAKAI 5 ML

6,700

100

67

11

ALAT SUNTIK SEKALI PAKAI 10 ML

900

100

12

ALAT SUNTIK SEKALI PAKAI 20 ML

150

#DIV/0!

13

ALAT PEMERIKSAAN HB

#DIV/0!

51

1,700
9

6
102,100

2,000

200
50

14

ALCOHOL SWABS

15

ANTI BISA ULAR (ABU) SERUM

16

ANTI TETANUS SERUM 1500 UI

44

11

17

AQUABIDEST

18

AQUA PRO INJEKSI 25 ML

928

100

130

19

BISTURI

100

80

200

20

BLOOD LANCET

21

CAIRAN PENCUCI ANTISEPTIK

22

CATGUT DENGAN JARUM BEDAH

23

CATGUT CHROMIC

#DIV/0!

24

DENGUE IgG AND IgM DROP TEST

#DIV/0!

25

DENGUE N5 1 ANTIGEN

#DIV/0!

26

DEX GLASS

81

#DIV/0!

27

EDTA VACUM TUBE 5 ML

96

#DIV/0!

28

FESCOPLAST

#DIV/0!

29

FOLEY CATETHER

#DIV/0!

230

13

60
1

9,900
6,332
1

85

#DIV/0!

#DIV/0!

#DIV/0!

50

8,190

630

127

6
-

60

30

GLUCOSA TEST TIP

31

GOLONGAN DARAH KIT

17

32

H2O2

11

11

33

HAND SCONE / SURGICAL GLOVE

82,200

5,000

16

5,400

34

HAND SCONE STERILE

1,600

100

16

100

35

HCG CASETTE / PP TEST

3,920

300

13

505

#DIV/0!

36

HEMASITO METER

37

ISI AUTOCLIX

12,090

1,750

1,530

38

INFUSION SET ANAK

365

22

17

125

39

INFUSION SET DEWASA

220

66

163

40

IODIUM TEST

300

41

IV CATETHER

3,127

42

JARUM JAHIT

328

43

KACA MULUT

44

KAPAS PEMBALUT 250 GR

253

14

45

KAPSUL KOSONG NO.0

20,000

#DIV/0!

46

KAPSUL KOSONG NO.1

30,000

#DIV/0!

#DIV/0!

150
8

21

175

41

22

#DIV/0!

56

18

15

JUMLAH
18=(7s/d17)

NO

PEMAKAIAN

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

6=4+5

10

11

12

13

14

15

16

17

790

80

10

210

47

KASSA HIDROFIL 40 X 40

48

KASSA HIDROFIL GULUNG

49

KASSA STERIL

1,346

80

17

70

50

KASSA 4 M X 15 CM

2,520

200

13

350

51

LAMPU SPIRITUS

#DIV/0!

52

LARUTAN ASAM ALKOHOL

#DIV/0!

53

LARUTAN KOH 10 % 250 ML

#DIV/0!

54

LOMATUELL H 10 X 10 CM

55

METILEN BLUE 250 ML

56

MICROPIPET 3 UKURAN

57

MASKER

58

MASKER OXYGEN FOR ADULT

139

#DIV/0!

59

MASKER OXYGEN FOR CHILD

142

#DIV/0!

60

MATA BOR HIGH SPEED BUNDAR

#DIV/0!

61

MATA BOR HIGH SPEED FISURE

#DIV/0!

62

MATA BOR HIGH SPEED INVERTED CONE

#DIV/0!

63

MATA SCALLER

64

NASO GASTRIC TUBE

65
66

129
4
11,450

16

#DIV/0!

#DIV/0!

3,000

2,850

#DIV/0!

30

#DIV/0!

NEBULIZE MASK FOR INFANT

146

#DIV/0!

NEBULIZE MASK FOR ADULT

146

#DIV/0!

31

61

1
-

67

NEEDLE

68

OBJECT GLASS

69

OIL IMERSI

70

OSE

71

PENJEPIT TABUNG

72

PIPET BESAR

73

PIPET KECIL

74

PLESTER

75

POT DAHAK

76

POWDER ENZIMATIC ALKAZYME

77

PURIFIED PROTEIN DERIVATIVE 2 UT

16

78

SELANG O2 ANAK

85

79

SELANG O2 DEWASA

80

SGOT/SGPT TEST

81

SILK DENGAN JARUM BEDAH

50

82

STRIP HB

327

41

32

83

STRIP GULA DARAH

140

16

12

267
-

67

#DIV/0!

#DIV/0!

22

#DIV/0!

#DIV/0!

#DIV/0!

443

30

#DIV/0!

#DIV/0!

15

48

#DIV/0!

66

#DIV/0!

#DIV/0!

7
-

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

84

STRIP PROTEIN DAN GLUKOSA

85

STRIP KOLESTEROL

86

VENOJECT

#DIV/0!

87

YELLOW TIP

#DIV/0!

37

#DIV/0!

88

TABUNG REAKSI BESAR

89

TABUNG REAKSI KECIL

90

TORNIKUET

91
92

128

10

#DIV/0!
13

25

63

#DIV/0!

103

#DIV/0!

UMBILICAL CORD CLAMP

#DIV/0!

UNDER PAD 80 X 180 CM

304

#DIV/0!

93

URINE BAG

315

#DIV/0!

85

94

URINE TEST 3 PARAMETER

#DIV/0!

95

WIDAL TEST

#DIV/0!

96

WHITE TIP

24

#DIV/0!

97

MASKER N 95 TYPE 1870

#DIV/0!

98

POCH PACK D

#DIV/0!

POCH PACK L

#DIV/0!

100 CHECK CONTROL HEMATOANALYZER

#DIV/0!

12

101 CELL CLEAN HEMATOANALYZER

#DIV/0!

CALIBRATION SCS

#DIV/0!

CELL PACK HEMATONANALYZER

#DIV/0!

STROMALYSER WH

#DIV/0!

CHECK CONTROL HEMATOANALYZER XP 100

#DIV/0!

24

CELL CLEAN HEMATOANALYZER XP 100

#DIV/0!

CALIBRATION SCS XP 100

#DIV/0!

#DIV/0!

OBAT GIGI

#DIV/0!

ARSEN

#DIV/0!

ARTIKULATING PAPER

#DIV/0!

AIR RAKSA DENTAL USE

73

#DIV/0!

10

BEIN GIGI

#DIV/0!

11

CALCIDOR

#DIV/0!

12

CEVITRON

145

#DIV/0!

13

CHKM

19

#DIV/0!

14

CRESOPEN

#DIV/0!

15

DENTORIT

#DIV/0!

16

DYCAL

#DIV/0!

17

ETIL KLORIDA SPRAY

124

20

99

5
6

8
7

5
2

10

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO
1
18

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

EUGENOL CAIRAN

639

#DIV/0!

IODOFORM PASTA

16

GLASS IONOMER ART

19

OCO / TSR

#DIV/0!

SILVER AMALGAM SERBUK 65 - 75 %

#DIV/0!

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

14

#DIV/0!

#DIV/0!

#DIV/0!
3

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

Pemberian
STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
4,701

ACYCLOVIR 5 GR KRIM

2,152

25

53,800

50

107,600

20,000

ACYCLOVIR 200 MG TABLET

534

100

53,400

300

160,200

10,400

ACYCLOVIR 400 MG TABLET

648

100

64,800

300

194,400

4,500

ALLOPURINOL 100 MG TABLET

104

1,500

156,000

300

31,200

8,610

ALLOPURINOL 300 MG TABLET

210

3,300

10,000

AMBROXOL SYRUP 15 MG / 5 ML

29,900

AMBROXOL TABLET 30 MG

86

AMINOFILIN 200 MG TABLET

104

28,700

AMITRIPTILIN 25 MG TABLET

102

47,700

AMLODIPIN 5 MG TABLET

187

30

5,610

440

AMLODIPIN 10 MG TABLET

1,500

2,520

129,000

471,240

200

1,020

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

15,253

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

3,700

100

370,000

200

68,800

AMOXICILLIN 250 MG KAPLET

200

1,200

240,000

190,300

AMOXICILLIN 500 MG KAPLET

220

3,000

660,000

3,000

116

AMOXICILLIN + AS.KLAVULANAT
ANTALGIN 500 MG TABLET

142,100

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA


200 MG + ALUMUNIUM HIDROKSIDA 200 MG)

ANTASIDA SUSPENSI

4,000
1,500

50

121,500
-

471,719

44

ANTI TETANUS SERUM 1500 UI

50

1,410

174,000

1,866

ANTI BISA ULAR (ABU) SERUM

84

880,000

1,500

6,140

740,000

81

2,574

190,740

1,710

2,970

4,750

158,400

17,200

126,500

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


POLIMIKSIN B 10,000IU/G )
ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM
SALISILAT 3 %)

2,491

ANTI HEMOROID DOEN

3,025

1,800
-

93,300

124,550

20

60,500

10

30,250

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

CLG
Harga

Pemakaian

Pemakaian

Harga

19=6-18
ASAM ASCORBIT (VIT.C) 50 MG TABLET

32

173,000

ASAM ASCORBIT (VIT.C) 250 MG TABLET

159

414,600

ASAM MEFENAMAT 500 MG

12,600
141
97,300
928
18,160
180
1,391

795,000

2,000

318,000

1,500

150,000

1,500

150,000

100

100

ASAM TRANEKSAMAT 500 MG

1,100

ATROPIN SULFAT INJ

1,100

ATTAPULGIT / MOLAGIT TABLET


AQUABIDEST
AQUA PRO INJEKSI 25 ML
AZITHROMYCIN 500 MG
BEKARBON
BENZATIN BENZIL PENISILIN 2,4 JUTA IU
BETAMETASONE KRIM 0,1 %

10,000

5,000

330

900

15,400

2,900

30

11,000

102

200

12,185

1,524

100

87,000

297,000

20,400

750

247,500

152,400

924

25,300

BISACODYL 10 MG SUPP

6,199

BISOPROLOL 5 MG

2,300

BROMHEKSIN HCL 8 MG TABLET

281

BROMHEKSIN HCL 4 MG SYRUP

12,100

100

BROMHEKSIN HCL 8 MG / 4 ML SOL

66,000

428

CALAMIN LOTION

12,650

BETAHISTIN MESILAT 6 MG TABLET

BETAKAROTEN 500 IU SYRUP

516
1,600
131,400
-

25,300

37,194

673,800

CAPTOPRIL 12,5 MG TABLET

63

227,400

CAPTOPRIL 25 MG TABLET

88

10,588

958

200

264
16,850
15
180

CEFIXIME SYRUP KERING 100 MG


CEFIXIME 100 MG
CEFOTAXIME INJ 1G

5,000

CEFTRIAXON INJ

5,500

94,500

1,000

63,000

1,000

88,000

500

44,000

CETIRIZINE 5 MG SYRUP

10,440

CETIRIZINE DROP

28,050

181

CIMETIDIN TABLET

116

300

CETIRIZIN 10 MG

191,600

32,700

1,500

2,000

362,000
-

54,300
-

CIPROFLOXACIN 500 MG TABLET

245

9,500

CLINDAMYCIN 150 MG KAPSUL

361

6,800

CLINDAMYCIN 300 MG KAPSUL

527

200

105,400

300

158,100

3,000

72,000

7,000

168,000

118,600

300,800
15,000
-

CHLORPHENIRAMIN MALEAT (CTM) 4 MG


CHLORPROMAZINE 100 MG
DEKSTROMETORPHAN HBR SYRUP

700
-

171,500
-

24

122

1,379

2,000

48,000

73,500

300

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

CLG
Harga

Pemakaian

Pemakaian

Harga

19=6-18
99

308

DEKSTROSA LARUTAN INFUS 5 %

5,060

448

DEKSTROSA LARUTAN INFUS 10 %

5,727

DEKSTROSA LARUTAN INFUS 40 %

3,960

69

3,000

207,000

2,000

6,000

30

2,368

800

91

107,400

DEKSTROMETORPHAN HBR TABLET 15 MG

DEXAMETHASON 0,5 MG TABLET

2,582

DEXAMETHASON INJEKSI

2,000

DIAZEPAM TABLET

206

DIAZEPAM INJ 5 MG/ML

210

DIFENHIDRAMIN INJ

51,400

DIGOKSIN 0,25 MG TABLET

1,500

103,500

DOMPERIDON 5 MG SUSPENSI

3,624

DOMPERIDON 10 MG

404

DOXYCYCLINE 100 MG KAPSUL

220

10

81,000

25

180,500

9,400
-

EKSTRAK BELLADONNA TABLET 10 MG

57

EPINEFRIN (ADRENALIN) INJ 0,1%

8,100

ERYTHROMYCIN 200 MG SYRUP

7,220

20

1,260
17,400

ERYTHROMYCIN 250 MG

440

44,100

ERYTHROMYCIN 500 MG TABLET

921

300

43,000

ETAMBUTOL 500 MG

420

2,212

25,300

604

65

197
614

ETAKRIDIN 0,1 % / RIVANOL


ETANOL 70 % 1000 ML

1,000

420,000

144,400
276,300

8,200

FENITOIN 100 MG KAPSUL

7,000

FENOBARBITAL 30 MG TABLET

2,040

FENOL GLISEROL 10 %

1,008

FITOMENADION INJ

1,450

579

200

6,700

FITOMENADION 10 MG TABLET

115,800

200

FLUCONAZOL 150 MG

22,000

220

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

19,080

91

1,469

895

54

500

80

40,000

20,000
6,800

FUROSEMID 40 MG TABLET
GAMEKSAN
GARAM ORALIT II SERBUK

2,025

GENTAMYCIN SALEP KULIT

4,000

GENTIAN VIOLET 1 % - 10 ML

859,100
1,000
20,310

GLIBENCLAMIDE 5 MG TABLET
GLIMEPIRIDE 2 MG

292

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50 MG

60
5,500

330,000

1,500
-

81,000
-

50
-

73,450
-

300

16,200

60

30,000

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

CLG
Harga

Pemakaian

Pemakaian

Harga

19=6-18
611,000
-

GLISERIL GUAIAKOLT 100 MG TABLET


GLISERIN LARUTAN

23

4,730

2,000
-

46,000
-

6,000

138,000

3,500

GRISEOFULVIN 125 MG TABLET

200

12,100

HALOPERIDOL 0,5 MG TABLET

165

21,300

HALOPERIDOL 5 MG TABLET

246

456

HALOPERIDOL 5 MG INJEKSI

14,724

HEPARIN 200,000 IU GEL

36,000

HEPATOPROTEKTOR SYRUP

600

2,805,000

48

115,152

6,000

HEPATOPROTEKTOR TABLET

4,675

480

32,924

HIDROKORTISON KRIM 2,5 %

2,399

50
-

HYOSINE N BUTILBROMIDA TABLET

87

IBUPROFEN 125 MG SUPP

780

IBUPROFEN 200 MG SUSPENSI

300

55,550

4,499

2,500

IBUPROFEN 200 MG TABLET

93

31,100

IBUPROFEN 400 MG TABLET

146

44

5,000

ISONIAZID 100 MG

7,000

ISONIAZID 300 MG

2,244,000

1,000
-

146,000
-

55,550

1,500 1500X149
-

10

44,990

100

9,300

1,000

146,000

107

55,000

10

IMUNOSTIMULAN TABLET

4,950

97

1,444

ISOSORBIT DINITRAT 5 MG SUB LING.TABLET


ITRAKONAZOL 100 MG

IMUNOSTIMULAN SIRUP

1,100

859

1,000

107,000

119,950

94,000

10

KALCIUM LACTAT 500 MG TABLET

47

KALIUM DIKLOFENAK 50 MG

103,300

2,000

550,000

550,000

75

KANAMYCINE 2 GR

19,800

1,400

KAOLIN SUSPENSI

12,012

1,200

KETOKONAZOL 200 MG TABLET

300

5,417

KETOKONAZOL KRIM 2 %

4,164

2,200

KETOPROFEN 100 MG

1,350

200

270,000

KETOROLAC INJ 10 MG

2,539

15,234

624

24

KLORAMFENIKOL 250 MG KAPSUL

245

KLORAMFENIKOL 1 %SALEP MATA

1,562

428

99,936

KLORAMFENIKOL SUSPENSI

4,500

1,345

KLORAMFENIKOL 0,5 % TETES MATA

5,280

50

264,000

2,982

KLORAMFINEKOL 3 %TETES TELINGA

1,599

24

38,376

300
2,250

KLARITROMISIN 500 MG
KODEIN FOSFAT 20 MG TABLET

950

250

237,500

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

CLG
Harga

Pemakaian

Pemakaian

Harga

19=6-18
3,969
46,800

KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5


MG KRIM
KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25 MG +
PARASETAMOL 400 MG

8,289
-

312

60
-

5,384
30,450

KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA

KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +


GG + CTM SYRUP

KOMB.BETAMETASON, DEKSKLORFENIRAMIN MALEAT

KOMB.METHAMPYRON + DIAZEPAM

6,825
65,760
134
1,921
14,750

KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL +


CTM
KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +
GUAIAKOLATSULFONAT
KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM
TABLET
KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM SYRUP
KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100
MG
KOMB.TEOFILIN + SALBUTAMOL TABLET
KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG
SYRUP
/ TREMENZA
KOMB.TRIPOLIDIN
2,5SYRUP
MG + PSEUDOEFEDRIN 60 MG TABLET
/ LIBROFED TABLET

21,500

7,365

KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +


VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET

20,000

10,000

200

10

120

100,000
10

140,690

150

296,250

100

197,500

159

1,500

238,500

1,000

159,000

50

LEVOFLOXACIN 500 MG TABLET

1,154

500

LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

1,030

520

13,200

LISOL

990

LINCOMYCIN 500 MG KAPSUL

1,688,280

208,080
10

1,925

63,250
360

14,069
1,056

1,265,000

KOTRIMOKSAZOL PEDIATRIK TABLET

856

KOTRIMOKSAZOL ADULT 480 MG TABLET

1,584,000

578
7,920

1,500

71,500

15,040
11,400

10

1,975

KOTRIMOKSAZOL SUSPENSI

15,600
4,300

6,325

15,855

825
1,950

1,056
20,070

7,150

497,340
-

7,376

2,700

577,000

50

57,700

100

103,000

100

26,400

66,000

103,000

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

CLG
Harga

Pemakaian

Pemakaian

Harga

19=6-18
23,900
1,300
196,500
1,700

91

MELOXICAM 7,5 MG

234

100

MELOXICAM 15 MG

348

METFORMIN 500 MG

105

METFORMIN 850 MG

260

METHILERGOMETRIN MALEAT 0,125 MG TABLET

140

3,685

296

LOPERAMID 2 MG TABLET

METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

METHYLPREDNISOLON 4 MG TABLET

14,300
45
6,700
108
13,500
23,300
-

1,000

105,000

375

300

44,000

89

100

2,830

METRONIDAZOL 250 MG TABLET

123

METRONIDAZOL 500 MG TABLET

164

200

METHYLPREDNISOLON 8 MG TABLET
METHYLPREDNISOLON 125 MG INJEKSI
METOCLOPRAMIDE HCL 10 MG
METOCLOPRAMIDE SYRUP 5 MG / 5 ML

MICONAZOLE SALEP

8,900

112,500

23,400

601

MOMETHASON KRIM 0,1 %

17,800

3,086

MULTIVITAMIN ANAK DROP

13,750

1,191

MULTIVITAMIN ANAK SYRUP

20,000

40,000

120

50

1,000,000

500

264,000

MULTIVITAMIN TABLET

528

100

52,800

53,000

NATRIUM BIKARBONAT 500 MG TABLET

14

52,600

NATRIUM DIKLOFENAK 25 MG TABLET

134

300

40,200

6,400

NATRIUM DIKLOFENAK 50 MG TABLET

176

300

52,800

NATRIUM DIKLOFENAK GEL

13

NATRIUM KLORIDA LARUTAN INFUS 0,9%

NATRIUM KLORIDA 100 ML

4,900

62,400

2,400,000

32,800

1,000

14,000

9,800

NIFEDIPINE 10 MG TABLET

112

100

2,700

NYSTATIN 500.000 IU TABLET

640

3,300

NYSTATIN VAGINAL TABLET 100.000 IU

407

30,800

4,950

300

98,200

123
13,752
-

NYSTATIN SUSPENSI 100.000 IU/Ml


OBH
OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +
AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

7,000
-

OFLOXACIN 400 MG

873

ONDENSETRON INJ

2,400

OFLOXACIN 200 MG

413

5,050
415

500

11,200

1,485,000

60

297,000

12,000

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

CLG
Harga

Pemakaian

Pemakaian

Harga

19=6-18
18,500
3,590
9
18,100

OXYTETRASIKLIN HCL 3 % SALEP KULIT

1,450

100

OXYTETRASIKLIN HCL 1 % SALEP MATA

2,100

145,000
-

OXYTOCIN INJ

13,913

PANTOCAIN 0,5 % TETES MATA

16,100

PAPAVERIN 40 MG TABLET

119

PAPAVERIN INJEKSI 40 MG/ML

25

36,250

530

PARAFORMALDEHID TABLET 1 GR

60

PARASETAMOL 100 MG

32

PARASETAMOL SUPPOSITORIA

1,400

9,104
48,381
1,126,800
-

PARASETAMOL DROPS

5,227

PARASETAMOL SYROP 120 MG / 5 ML

1,319

PARASETAMOL 500 MG

84

200

16,800

300

PERMETHRIN KRIM 5 %

12,925

25,200

200

263,800

150

197,850

10,800

907,200

4,000

336,000

17,200

PIRANTEL PAMOAT 125 MG

290

47,900

PIRAZINAMID 500 MG

198

14

260,000
18,800
209
1,095

PIRIDOKSIN (VIT B6 ) TABLET 10 MG


PIROXICAM
ALBOTYL
POVIDON IODIDA 60 ML

65

28,600

3,500

1,500

97,500

200

143,000

143,000
-

13,000

349

POVIDON IODIDA 300 ML

14,500

153

POVIDON IODIDA 1 L

42,000

57

PROPANOLOL 40 MG

120

RANITIDIN TABLET

110

100

1,928

85,000
1,700
69,000
1,235
1,483
41,900
2,409
74,500
417

PREDNISON TABLET 5 MG

11,000

1,000
-

57,000
-

2,000

220,000

2,000
1,000

114,000
110,000

RETINOL 100,000 IU

14,300

162

2,316,600

RETINOL 200,000 IU

19,600

573

11,230,800

RIFAMPICIN 450 MG

660

RINGER LAKTAT LARUTAN INFUS

5,200

RISPERIDONE 1 MG TABLET

1,500

RISPERIDONE 2 MG TABLET

1,781

RANITIDIN INJ 25 MG/2ML

SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL

215,600

1,000

15,600

660,000

20

23,200

SALBUTAMOL 2 MG TABLET

83

16,700

SALBUTAMOL 4 MG TABLET

96

100

9,600

4,312,000
-

200

16,600

100

8,300

200

19,200

100

9,600

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
SALEP 2 - 4

4,950

4,700

SALISIL BEDAK 2 %

1,250

100

125,000

100

4,906

SALISIL MENTOL BEDAK

3,630

20

72,600

1,511

SEFADROKSIL SYRUP

5,248

7,800

SEFADROKSIL 250 MG

468

8,200

SEFADROKSIL 500 MG

4,320

SETRALINE 50 MG TABLET

140,000

SIANOCOBALAMIN TABLET

542

354
83,500

SIANOCOBALAMIN / VIT. B 12 INJ


SILVER SULFADIAZINE 10 MG / 35 GR CREAM

147,000
39,700
1,350
245
200,900
50,800

100

70

12

520

58,300

116,600

798,210

600

STREPTOMISIN SERBUK INJ 1500 MG/ML

2,090

SULFASETAMIDA NATRIUM TETES MATA

3,226

6,680

521
11,403

919

4,100

104,200

125,000

391

STESOLID RECTAL SUPP

44,300

200

23,540

SIMVASTATIN TABLET

225

105,400

52,100

TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG

968

1,000

186

1,050

THIAMIN (VIT.B1) 100 MG / ML INJ

700

THIAMIN (VIT.B1) 50 MG TABLET

38

431

TETRASIKLIN 500 MG KAPSUL


TEOFILIN 300 MG TABLET

THIAMPHENIKOL 500 MG KAPSUL

1,000

234,600

1,050,000

2,000

76,000

968,000

1,000

38,000

200

86,200

189

5,400

40

500

VITAMIN B KOMP. TABLET

107

ZINC / ZINCDIAR TABLET

474

6,000

TRAMADOL HCI 50 MG TABLET


TRAMADOL HCI 50 MG/ML INJ
TRIHEKSILPHENIDIL 2 MG TABLET

NEO KAOMINAL SUSPENSI


ALAT KESEHATAN DAN REAGEN

1,000

474,000

500

20,000
237,000

32

ALAT AUTOCLIX/LANCET DEVICE

110,000

3,400

ALAT SUNTIK SEKALI PAKAI 1 ML

2,662

19,900

ALAT SUNTIK SEKALI PAKAI 3 ML

2,420

100

200

6,700

ALAT SUNTIK SEKALI PAKAI 5 ML

7,750

100

900

ALAT SUNTIK SEKALI PAKAI 10 ML

3,300

150

ALAT SUNTIK SEKALI PAKAI 20 ML

8,360

50

525,000

275

6
102,100

ALAT PEMERIKSAAN HB
ALCOHOL SWABS

2,100,000
-

100*3120
775,000
418,000

484,000

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

CLG
Harga

Pemakaian

Pemakaian

Harga

19=6-18
100
9,900
6,332

BISTURI
BLOOD LANCET
CAIRAN PENCUCI ANTISEPTIK
CATGUT DENGAN JARUM BEDAH

8,230

100

396

823,000
-

823,000
-

902,000

78,100

100

CATGUT CHROMIC

5,415,500

DENGUE IgG AND IgM DROP TEST

1,650,000

DENGUE N5 1 ANTIGEN

2,420,000

81

DEX GLASS

39,050

96

EDTA VACUM TUBE 5 ML

302,500

FESCOPLAST

85

FOLEY CATETHER

11,000

30

30

330,000

GLUCOSA TEST TIP

8,323

60

499,380

935,000

18,755

418

500

10,890

5,500

27,500

8,190
17

GOLONGAN DARAH KIT

11

H2O2

82,200

HAND SCONE / SURGICAL GLOVE

1,600

HAND SCONE STERILE

3,920

HCG CASETTE / PP TEST

12,090

HEMASITO METER

330,000

209,000

302,500
-

83,600

200

ISI AUTOCLIX

1,632

300

365

INFUSION SET ANAK

9,900

220

INFUSION SET DEWASA

8,800

300

IODIUM TEST

20,900

3,127

IV CATETHER

22,000

328

JARUM JAHIT

71,000

KACA MULUT

96,800

KAPAS PEMBALUT 250 GR

7 7*20790

20,130

KAPSUL KOSONG NO.0

44

30,000

KAPSUL KOSONG NO.1

33

1,980

10

790

KASSA HIDROFIL 40 X 40

40,260

7*20790

20,000

253

489,600

19,800

136,694

1,346

KASSA STERIL

6,820

2,520

KASSA 4 M X 15 CM

5,104

20

KASSA HIDROFIL GULUNG

102,080

LAMPU SPIRITUS

LARUTAN ASAM ALKOHOL

LARUTAN KOH 10 % 250 ML

129
-

LOMATUELL H 10 X 10 CM
METILEN BLUE 250 ML

46,200

101,750

37,400

STOCK
AKHIR

NAMA OBAT

HARGA

DINAS

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

CLG
Harga

Pemakaian

Pemakaian

Harga

19=6-18
4
11,450

MICROPIPET 3 UKURAN
MASKER

2,090,000

1,436

1,000

1,436,000

500

718,000

100

143,600

139

MASKER OXYGEN FOR ADULT

22,000

142

MASKER OXYGEN FOR CHILD

22,000

MATA BOR HIGH SPEED BUNDAR

95,700

95,700

95,700

MATA BOR HIGH SPEED FISURE

95,700

95,700

95,700

MATA BOR HIGH SPEED INVERTED CONE

95,700

95,700

95,700

MATA SCALLER

236,500

NASO GASTRIC TUBE

21,450

146

NEBULIZE MASK FOR INFANT

40,700

146

NEBULIZE MASK FOR ADULT

30

61
267

NEEDLE
OBJECT GLASS

OIL IMERSI

OSE

40,700

34,991

13,500
5,400

110,000

5 (2*34991)+(3*34

PENJEPIT TABUNG

PIPET BESAR

PIPET KECIL

PLESTER

110,000

22

443

23,100

69,300

POWDER ENZIMATIC ALKAZYME

946,000

16

PURIFIED PROTEIN DERIVATIVE 2 UT

702,240

85

SELANG O2 ANAK

13,200

66

SELANG O2 DEWASA

13,200

1,082,950

62,150

POT DAHAK

SGOT/SGPT TEST

SILK DENGAN JARUM BEDAH

191,500

32

6,128,000

STRIP GULA DARAH

95,000

12

1,140,000

STRIP PROTEIN DAN GLUKOSA

77,000

STRIP KOLESTEROL

175,450

VENOJECT

220,000

YELLOW TIP

327

STRIP HB

140
128

877,250

95,700

37

TABUNG REAKSI BESAR

2,015

63

TABUNG REAKSI KECIL

2,015

103

TORNIKUET

22,000

STOCK
AKHIR

NAMA OBAT

HARGA

DINAS

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

CLG
Harga

Pemakaian

Pemakaian

Harga

19=6-18
-

UMBILICAL CORD CLAMP

132,000

304

UNDER PAD 80 X 180 CM

13,200

315

URINE BAG

4,950

30

148,500

247,500

247,500

URINE TEST 3 PARAMETER

1,396,000

133,100

WIDAL TEST

24

WHITE TIP

MASKER N 95 TYPE 1870

POCH PACK D

594,000

POCH PACK L

1,870,000

943,000

CHECK CONTROL HEMATOANALYZER

CELL CLEAN HEMATOANALYZER

1,132,500

CALIBRATION SCS

1,942,295

CELL PACK HEMATONANALYZER

1,768,800

STROMALYSER WH

1,171,500

CHECK CONTROL HEMATOANALYZER XP 100

94,020

CELL CLEAN HEMATOANALYZER XP 100

1,197,900

CALIBRATION SCS XP 100

1,937,600

OBAT GIGI

ARSEN

484,000

484,000

484,000

ARTIKULATING PAPER

214,500

214,500

214,500

73

AIR RAKSA DENTAL USE

BEIN GIGI

145
19

225,500

3,740,000

CALCIDOR

209,000

CEVITRON

115,500

70,000

CHKM

CRESOPEN

551,000

DENTORIT

154,000

DYCAL

333,300

124

ETIL KLORIDA SPRAY

145,200

639

EUGENOL CAIRAN

3,178

16

IODOFORM PASTA

302,500

19

GLASS IONOMER ART

715,000

OCO / TSR

330,000

SILVER AMALGAM SERBUK 65 - 75 %

1,265,000

14

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

418,000

726,000

715,000

STOCK
AKHIR

NAMA OBAT

HARGA

DINAS

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
7

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

36,300

703,110

22,915,400

8,638,200

22,398,838

26,381,944

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

50

107,600

100

215,200

50

107,600

300

160,200

300

160,200

200

106,800

400

259,200

200

129,600

300

194,400

100

64,800

400

41,600

31,200

500

52,000

Harga

100

215,200

807,000

500

267,000

907,800

300

194,400

1,101,600

1,000

104,000

416,000

300

1,500
-

280,500
-

1,500

129,000

2,100

3,000

180,600

561,000

1,500

1,200

129,000

224,400

500

1,020

43,000

190,740
-

47,500

300

1,110,000

6,105,000

1,200

240,000

1,176,000

6,000

1,320,000

7,128,000

400

1,480,000

300

1,110,000

360

72,000

960

192,000

1,080

216,000

6,000

1,320,000

5,000

1,100,000

4,200

924,000

4,200

924,000

510

1,530,000

120

360,000

2,500

3,000
3,000

202,500
-

50

632,500

124,550

100

10

249,100

20
30,250

1
50

60,500

3,500

93,300

406,000

93,300
-

126,500

124,550

75

186,825

5,000

93,300

25

62,275

200

1,890,000

580,000

1,508,000

648,000

1,620,000

373,200

746,400

4,245,471

759,000

100

249,100

1,120,950

8,000

50

243,000
50

43,200
-

216,000

3,000

24
36,000

20

1,080

162,000

2,000
243,000

4,245,471

9
50

348,000

2,300,100

1,295,000

10

375,870

713,800

350

2,010

86,000

47,500

1,000

30

90,750

79,200
272,250

CBB
Pemakaian
-

CWD
Harga

Pemakaian
-

PM
Harga

Pemakaian
-

PWK
Harga

Pemakaian
-

JBG
Harga

Pemakaian
-

CTK
Harga

Pemakaian
-

Harga
-

2,000

318,000

1,000

159,000

2,200

349,800

5,000

795,000

5,000

795,000

5,000

795,000

4,324,800

2,500

250,000

2,000

200,000

5,000

500,000

3,000

300,000

1,000

100,000

6,000

600,000

2,260,000

5,500

600

198,000

750

247,500

1,200

100

480

400
72

40,800
109,728

52X3190

396,000

600

198,000

250

82,500

5,500

300

99,000

1,765,500

#VALUE!

100

152,400

48

110,880

48,960
73,152

200
120

20,400
182,880

360
50

36,720
76,200

480
96

48,960
146,304

216,240
893,064

120

37,194

300

168,600

300

84,300

84,300

110,880

25,300

94,500

2,700

170,100

2,000

126,000

1,800

113,400

500

31,500

1,000

63,000

756,000

1,000

88,000

2,900

255,200

2,000

176,000

4,500

396,000

1,000

88,000

2,000

176,000

1,311,200

30

317,640

20

211,760

30

317,640

150

143,700

400

383,200

1,000

958,000

300

200,000

64

320,000

220,000

1,500

847,040

1,963,900

520,000

220,000
-

287,400

40

40

1,000
500
-

181,000
122,500
-

400
400
-

72,400
98,000
-

200

105,400

300

158,100

5,000

120,000

7,000

168,000

1,000

181,000

500
5,000

180,500
120,000

300

54,300

500

90,500

181,000

1,176,500

500

100

52,700

500

263,500

843,200

2,000

48,000

10,000

240,000

1,152,000

7,000

168,000

1,000

122,500
-

588,000

180,500

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

3,500

4,000

276,000

10,000

10,000

26,000

1,000

30,000

30,000

1,000

69,000

4,000

276,000

2,000

138,000

7,000

483,000

241,500

1,794,000

10

8,000

8,000

100

9,100

9,100

405,000

469,300

5
100
-

40,500

40,500

30

243,000

72,200

10

72,200
44,000

10

100

200

420,000

11

24,332

#VALUE!

50,600

151,800

120,800

120,800

92,100
-

11,060

3X2200

50,600

50,600

184,200

44,000
552,600

200

24

500

18,200
-

24

24,192

24

24,192

24

24,192

600

200

25
500
-

36,725
27,000
-

60

24,192

347,400

18,200

100

146,900

50

44,750

2,500

135,000

500

250,000

330,000

125

183,625

25

50

44,750

2,000

108,000

300
-

3,000
-

36,725
162,000
-

1,650,000

400
-

21,600
-

600
-

289,500

96,768
752,700
-

36,725

514,150

50

44,750

134,250

3,000

162,000

712,800

25

320,000

5,610,000

3,300,000

CBB
Pemakaian
3,000
-

CWD
Harga

Pemakaian

69,000
-

4,000

PM
Harga

Pemakaian

92,000
-

60,000

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

Harga

Pemakaian

500

500

82,500

500

123,000

100

20,000

300

200

33,000

200

49,200

500

123,000

4,000

100

92,000

CTK

24,600

2,000

Harga
46,000
-

483,000
-

100,000

180,000

500

82,500

198,000

1,000

246,000

565,800

5,049,000

72

172,728

96

230,304

72

172,728

172,728

50

119,950

230,304

1,333,844

111,100

55,550

222,200

50

224,950

20

400

134,970
58,400

2,400

40

100

400

18,800

1,000

2400X149

4,000

584,000

1,600

2,200,000
9,700
47,000

89,980
233,600

96

30

72

10

44,990

100

200

18,600

500

73,000

200

449,900
29,200

989,780
27,900
#VALUE!

107,000

3,575,000

9,700

275,000

1,000

47,000

3,000

141,000

347,800
-

500

150,000

100

30,000

210,000

60

249,840

36

20

83,280

144

676,800

#VALUE!

121,600

#VALUE!

100

30,000

30

124,920

20

15,234

500
30

75

24

38,376

83,280
300*608)+(300*13
76,170

129,489

200

236,127

22,500

25

132,000

50

264,000

1,056,000

24

38,376

24

38,376

230,256

396,000
-

51

22*4164+(14*4700

48

76,752

22,500

45,000

237,500

CBB
Pemakaian

CWD
Harga

Pemakaian

30

PM
Harga

Pemakaian

248,670

Harga

Pemakaian

60
-

PWK
Harga

Pemakaian

60
497,340

JBG
Harga

Pemakaian

10
497,340

CTK

200
82,890

Harga

1,657,800

3,481,380

10

50

10

50

73,760
50

368,800
120

357,500
100

858,000
500

105,600
-

100

50

140,690

50,000

120

1,688,280

900
-

1,000

1,000
990,000

1,012,968

1,000
950,400
1,000

296,250

500

79,500

500

79,500

500

200

10,000

100

115,400

100

103,000

200

100

103,000

66,000

79,500

206,000

50

703,450

100

792,750

1,581,250

5,439,500

624,240

2,496,960

220,000

1,406,900

8,131,882

1,980,000

50,000

1,478,400

990,000

150

1,350,624

2,000

98,750

1,400

50
-

96

4,224,000

1,080
-

1,056,000

990,000

211,200

250
316,250

72

1,387,200
-

2,860,000

50

2,400
-

632,500

715,000

100

885,120

200
1,056,000

632,500
-

5
-

10

100

277,440
-

1,000

316,250
480

368,800
100

739,200
-

632,500

700

73,760
-

792,750

858,000

528,000
-

50

120

3,484,800

500
495,000

5,445,000

50

98,750

50

98,750

100

197,500

1,283,750

1,000

159,000

600

95,400

1,000

159,000

1,049,400

100

103,000
39,600

10,000

750,100

721,000

277,200

79,200

CBB
Pemakaian
500
500
100

CWD
Harga

Pemakaian
-

117,000
52,500
14,000

2,000
700

PM
Harga

Pemakaian
-

468,000
73,500

2,500
1,500

PWK
Harga

Pemakaian
-

585,000
157,500

1,310,400

1,000

105,000

200

21,000

514,500

28,000

158,455

158,455

300

112,500

500

220,000

187,500

1,000

375,000
-

100

8,900

200

17,800

53,400

10

28,300

120

339,600

410,350

200

15

300

300
-

49,200
-

10

17,800

1,000

178,000

375,000

42,450
49,200
-

100
-

16,400
-

1,000
-

300
-

375,000
-

49,200

229,600
-

178,000

10

137,500

60

825,000

25

343,750

2,000,000

144

2,880,000

192

3,840,000

192

3,840,000

200

4,000,000

1,000

528,000

1,000

528,000

200

105,600

1,400

739,200

1,500

792,000

1,000

14,000

28,000

1,500

201,000

515,900

281,600

230,300

150

20,100

300

40,200

1,600

214,400

100

17,600

600

105,600

600

105,600

10
200

49,000
22,400

20
1,000

100

100

495,000

300

98,000
112,000
40,700
1,485,000

10

24,000

4,000

48,000

78,400

10
200

49,000
22,400

687,500

1,993,750

4,000,000

24,000,000

200

100

5
-

700

24,500

50
200

154,000
-

20

448,000

220,000

1,537,500

100

43

14,000

Harga

100

Pemakaian

200

117,000

Harga

32,800

Pemakaian

Harga

CTK

500

JBG

61,600

420

2,079,000

50

120,000

100

495,000

300

22,400
40,700
1,485,000

3,009,600

716,800
81,400
215,600
7,821,000

204,000

CBB
Pemakaian
100
10
-

CWD
Harga

Pemakaian

145,000
139,130
-

Harga

Pemakaian

108,750

75

PWK
Harga

Pemakaian

108,750

20

278,260

Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

100

417,390

200

56

292,712

250

329,750

9,000

756,000

100

29,000

400
5

26,000
17,500

10

52,270

350

461,650

10,800

907,200

395,700

100

131,900

7,200

604,800

5,000

420,000

29,000

4,000

56,000

1,000

65,000

143,000

10

286,000

14,000

10

35,000

2,000

2,000

130,000

220,000

1,600

104,000

2,000

2,000

28,000

114,000
-

3,000

330,000

100

192,800

42,000

84,000

1,000

57,000

342,000

1,500

165,000

26,000

400

600,000

300

450,000

2,000

3,000,000

1,400

2,100,000

8,300
-

100

101,500

84,000

1,040,000

715,000

17,500

728,000

200

195,000

520,000

8,624,000

3,000

3,000

14,500

100
-

97,500

140,000

1,500

42,000

104,000

1,000

14,000

20

5,233,200

40

3,231,550

791,400
1,260,000

600
15,000

100

19,280

300

42,000

10

659,500

1,609,916

500

522,700

110,000

20

104,540

10

52,270

1,000

112

585,424

58,000

392,700

29,000

2,000

238,000

688,750

23,800

145,000

1,000

119,000

JBG

100

11,900

75

PM

110,000

9,640

16,600

1,000

83,000

400

300

28,800

1,000

96,000

1,386,000

221,720

2,316,600

11,230,800

660,000

1,705,600

500
-

750,000
-

4,000
-

6,000,000

12,900,000

12,936,000

33,200

110,000

1,000

200

1,000

200

16,600

300

24,900

207,500

100

9,600

500

48,000

220,800

CBB
Pemakaian

CWD
Harga

Pemakaian

Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

Harga

Pemakaian

24

118,800

50

247,500

250,000

200

250,000

100

125,000

100

125,000

300

24

87,120

20

72,600

30

108,900

341,220

30

157,440

20

20

104,960

367,360

200

104,200

200

104,200

300

500

408,100

100

156,400

117,700

24

77,424

1,000

1,000

391,000

1,000

117,700

353,100

154,848

24

77,424

1,000
580,800

1,000
968,000

500

10,000

525,000
380,000

300

152,000

100

43,100

43,200

1,000

40,000

400

1,000

474,000

1,000

4,000

24,000

474,000

1,936,000

2,000
484,000

600

500
968,000

474,000

2,776,100

1,000

1,173,000

117,700

3,000

24,000

117,300

300

600

312,800

600

38,000

800

521,000
7,640,010

391,000

5,701,500

968,000

1,000

1,140,300

366,300
1,500,000

400

375,000

291,500

156,300

Harga

200

104,960

CTK

125,000

100

PM

1,000

38,000

55,800
-

6,872,800
55,800
1,575,000
-

3,000

114,000

836,000

86,200

215,500

200

43,200

16,000

2,000

500

80,000
237,000

2,000
1,000

80,000
474,000

284,000
2,844,000

500

1,331,000

1,597,200

200

484,000

238

100

266,200

200

484,000

400

100

775,000

968,000

575,960

200

484,000

#VALUE!

418,000

2,625,000

200

1
-

525,000
-

1,000

275,000

500

137,500

55,000

1,550,000

467,500

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

1,646,000

10

4,686,000

30

2,343,000

20

1,562,000

781,000

302,500

55

55

605,000

18,755

18,755

1,000

418,000

800

334,400

1,200

605,000
935,000
501,600

30

499,380

935,000

30

400

330,000

167,200

300

125,400

1,000

330,000

418,000

37,510
2,257,200

50

544,500

50

544,500

100

550,000

100

550,000

300

210

25

247,500

100

990,000

1,237,500

50

440,000

100

880,000

1,434,400

3,850,000

#VALUE!

10
20
7
2

88,000
440,000
2*20790)+(5*968
40,260

100

2,200,000

50

1,100,000

5
-

20

1,420,000

677,600

677,600

40,260

80,520

1*27500)+(21*710

342,720
26,400
110,000
677,600

677,600

1,020

2,530,000

1,650,000
1,664,640

1,089,000
2,777,500
2,496,960

677,600

#VALUE!

100,650

301,950

200

415,800

20

136,400

50

341,000

477,400

20

102,080

200

1,020,800

100

203,500

10

51,040

396,000

203,500
-

510,400

1,786,400

CBB
Pemakaian
150

CWD
Harga

Pemakaian
-

215,400

300

PM
Harga

Pemakaian
-

430,800

500

PWK
Harga

Pemakaian
-

718,000

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

300

Harga
430,800

95,700

95,700

95,700

95,700

95,700

95,700

95,700

95,700

95,700

95,700

95,700

95,700

95,700

95,700

4,092,600
-

95,700

765,600

95,700

765,600

95,700

669,900

236,500

236,500

81,400

81,400

81,400

81,400

110,000

440,000

110,000

110,000

#VALUE!

115,500

10

231,000

20

462,000

115,500

115,500

1,108,800

702,240

702,240

26,400

66,000

92,400

26,400

66,000

92,400

6,128,000

1,140,000

10

10

4,386,250

1,754,500

1,754,500

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

420,750

55

272,250

247,500

5,658,000

2,829,000

2,829,000

1,768,800

1,768,800

3,537,600

1,171,500

1,171,500

2,343,000

564,120

564,120

1,128,240

2,395,800

2,395,800

4,791,600

1,937,600

1,937,600

3,875,200

484,000

968,000

484,000

484,000

484,000

3,872,000

214,500

214,500

214,500

214,500

214,500

1,501,500

462,000

577,500

140,000

115,500

140,000

1,452,000

290,400

302,500

715,000

715,000

145,200

302,500

3,575,000

418,000

1,430,000

290,400

418,000

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

Harga

Pemakaian

54,172,045

PWK

52,223,865

Harga

Pemakaian

36,300

JBG

54,770,953

CTK
Harga

Pemakaian

Harga

30,851,774

24,394,673

53,851,111

36,300

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

DINAMIKA LOGISTIK OBAT


DI KOTA CILEGON
Propinsi

: BANTEN

Alamat

: Jl.K.P.Tendean Km.2 Cilegon

Jumlah Unit Pelayanan

: 9 Unit

Bulan

: Februari

Tahun

: 2015
PEMAKAIAN

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

6=4+5

10

11

12

13

14

15

16

17

ACYCLOVIR 5 GR KRIM

TUBE

4,701

4,701

50

ACYCLOVIR 200 MG TABLET

TABLET

20,000

20,000

200

ACYCLOVIR 400 MG TABLET

TABLET

10,400

10,400

ALLOPURINOL 100 MG TABLET

TABLET

4,500

4,500

ALLOPURINOL 300 MG TABLET

TABLET

8,610

8,610

AMBROXOL SYRUP 15 MG / 5 ML

BOTOL

10,000

10,000

AMBROXOL TABLET 30 MG

TABLET

29,900

29,900

AMINOFILIN 200 MG TABLET

TABLET

AMITRIPTILIN 25 MG TABLET

TABLET

28,700

28,700

10

AMLODIPIN 5 MG TABLET

TABLET

47,700

47,700

11

AMLODIPIN 10 MG TABLET

TABLET

12

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

VIAL

1,710

1,710

13

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

BOTOL

15,253

15,253

14

AMOXICILLIN 250 MG KAPLET

KAPLET

68,800

68,800

15

AMOXICILLIN 500 MG KAPLET

KAPLET

190,300

190,300

16

AMOXICILLIN + AS.KLAVULANAT

TABLET

2,970

2,970

17

ANTALGIN 500 MG TABLET

TABLET

158,400

158,400

18

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM


HIDROKSIDA 200 MG + ALUMUNIUM HIDROKSIDA 200
MG)

TABLET

142,100

142,100

19

ANTASIDA SUSPENSI

BOTOL

2,574

2,574

20

ANTI BISA ULAR (ABU) SERUM

VIAL

21

ANTI TETANUS SERUM 1500 UI

AMPUL

44

44

22

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500


IU/G + POLIMIKSIN B 10,000IU/G )

TUBE

6,140

6,140

23

ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM


SALISILAT 3 %)

POT

84

84

24

ANTI HEMOROID DOEN

SUPP

1,410

1,410

50

100
100

200

25

75

300

1,000

200

300

1,000

500

200

300
800

100

510

18=(7s/d17)

150

450
1,700

300

3,000
300

JUMLAH

400

2,600

1,000

4,500

720

1,830

300

50

300

450

300

500

400

500

2,800

1,000

500

1,000

1,400

2,500

1,500

1,000

2,500

12,200

100
30

1,740

510

960

1,500

100

1,200

2,100

8,040
-

30
100 ###
400

2,000

250
5,000

30

200

200

300

1,200

960

1,800

2,040

600

2,400

9,000

8,000

5,000

4,700

14,400

5,000

10,000

54,500

120
300

1,500
1,500 ###

50

150

400

120

1,700

240

1,000

3,000

2,000

4,500

2,000

3,000

17,300

1,000

3,000

5,800

3,500

2,500

10,000

28,800

100

100

100

50

50

250

700

10
25

50

5
125

25

20
20

30

20

100
50

30

70

29

25

350
70

50

220

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

6=4+5

PEMAKAIAN

JUMLAH

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

2,500

1,500

3,000

10,000

4,000

3,000

20,000

44,000

2,000

2,500

2,000

6,000

3,500

2,500

4,000

24,200

18=(7s/d17)

25

ASAM ASCORBIT (VIT.C) 50 MG TABLET

TABLET

26

ASAM ASCORBIT (VIT.C) 250 MG TABLET

TABLET

173,000

173,000

27

ASAM MEFENAMAT 500 MG

TABLET

414,600

414,600

28

ASAM TRANEKSAMAT 500 MG

TABLET

12,600

12,600

29

ATROPIN SULFAT INJ

AMPUL

141

141

30

ATTAPULGIT / MOLAGIT TABLET

TABLET

97,300

97,300

31

AQUABIDEST

BOTOL

32

AQUA PRO INJEKSI 25 ML

BOTOL

928

928

33

AZITHROMYCIN 500 MG

KAPSUL

34

BEKARBON

TABLET

18,160

18,160

35

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

VIAL

180

180

36

BETAMETASONE KRIM 0,1 %

TUBE

1,391

1,391

37

BETAHISTIN MESILAT 6 MG TABLET

TABLET

38

BETAKAROTEN 500 IU SYRUP

BOTOL

39

BISACODYL 10 MG SUPP

SUPP

516

516

40

BISOPROLOL 5 MG

TABLET

1,600

1,600

41

BROMHEKSIN HCL 8 MG TABLET

TABLET

131,400

131,400

42

BROMHEKSIN HCL 4 MG SYRUP

BOTOL

43

BROMHEKSIN HCL 8 MG / 4 ML SOL

BOTOL

100

100

44

CALAMIN LOTION

BOTOL

428

428

45

CAPTOPRIL 12,5 MG TABLET

TABLET

673,800

673,800

46

CAPTOPRIL 25 MG TABLET

TABLET

227,400

227,400

1,000

47

CEFIXIME SYRUP KERING 100 MG

BOTOL

264

264

48

48

CEFIXIME 100 MG

KAPSUL

16,850

16,850

49

CEFIXIME 200 MG

50

CEFOTAXIME INJ 1G

51

CEFTRIAXON INJ

52

CETIRIZINE 5 MG SYRUP

53

CETIRIZINE DROP

BOTOL

54

CETIRIZIN 10 MG

TABLET

55

CIMETIDIN TABLET

TABLET

56

CIPROFLOXACIN 500 MG TABLET

TABLET

118,600

118,600

57

CLINDAMYCIN 150 MG KAPSUL

KAPSUL

9,500

9,500

200

58

CLINDAMYCIN 300 MG KAPSUL

KAPSUL

6,800

6,800

150

59

CHLORPHENIRAMIN MALEAT (CTM) 4 MG

TABLET

300,800

300,800

60

CHLORPROMAZINE 100 MG

TABLET

15,000

15,000

61

DEKSTROMETORPHAN HBR SYRUP

BOTOL

300

400

1,000

100

100

200
-

600

450

300

750

1,200

1,050

500

600

5,450
-

24

200

226
-

400

1,000

480

96

125

96

400

360

1,200

3,840

25

72

513

24

75

200

100

300

600

600
-

###

7
-

400

100

700

3,000

3,000

3,000

2,000

3,000

15,100

500

1,500

3,000

4,000

3,500

3,000

16,500

100

1,800

10

500

100

500

10

10

500

78

VIAL

15

15

15

15

VIAL

180

180

40

40

BOTOL

32,700
-

32,700

300

300

500

500

400

1,000

3,000
-

300 ###

3,600

1,000

7,200

400

1,000

400

500
500
4,600
1,000

10,800

15,000

700

300

4,400

100

800

200

300

1,150

10,800

7,200

14,800

74,000

3,000

4,000
-

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

62

DEKSTROMETORPHAN HBR TABLET 15 MG

TABLET

63

DEKSTROSA LARUTAN INFUS 5 %

BOTOL

308

308

64

DEKSTROSA LARUTAN INFUS 10 %

BOTOL

448

448

65

DEKSTROSA LARUTAN INFUS 40 %

BOTOL

66

DEXAMETHASON 0,5 MG TABLET

TABLET

67

DEXAMETHASON INJEKSI

68

JUMLAH
18=(7s/d17)
-

10
3
-

107,400

107,400

VIAL

2,582

2,582

DIAZEPAM TABLET

TABLET

2,000

2,000

69

DIAZEPAM INJ 5 MG/ML

AMPUL

206

206

70

DIFENHIDRAMIN INJ

AMPUL

210

210

71

DIGOKSIN 0,25 MG TABLET

TABLET

51,400

51,400

72

DOMPERIDON 5 MG SUSPENSI

BOTOL

73

DOMPERIDON 10 MG

TABLET

74

DOXYCYCLINE 100 MG KAPSUL

KAPSUL

75

EKSTRAK BELLADONNA TABLET 10 MG

TABLET

76

EPINEFRIN (ADRENALIN) INJ 0,1%

AMPUL

57

57

77

ERYTHROMYCIN 200 MG SYRUP

BOTOL

1,260

1,260

78

ERYTHROMYCIN 250 MG

KAPSUL

17,400

17,400

79

ERYTHROMYCIN 500 MG TABLET

TABLET

44,100

44,100

80

ETAMBUTOL 500 MG

TABLET

43,000

43,000

81

ETAKRIDIN 0,1 % / RIVANOL

BOTOL

197

197

82

ETANOL 70 % 1000 ML

BOTOL

614

614

83

FENITOIN 100 MG KAPSUL

KAPSUL

8,200

8,200

84

FENOBARBITAL 30 MG TABLET

TABLET

7,000

7,000

85

FENOL GLISEROL 10 %

BOTOL

2,040

2,040

86

FITOMENADION INJ

AMPUL

87

FITOMENADION 10 MG TABLET

TABLET

6,700

6,700

88

FLUCONAZOL 150 MG

TABLET

200

200

89

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

AMPUL

220

220

90

FUROSEMID 40 MG TABLET

TABLET

20,000

20,000

91

GAMEKSAN

BOTOL

92

GARAM ORALIT II SERBUK

SACHET

6,800

6,800

93

GENTAMYCIN SALEP KULIT

TUBE

2,025

2,025

100

94

GENTIAN VIOLET 1 % - 10 ML

BOTOL

4,000

4,000

50

95

GLIBENCLAMIDE 5 MG TABLET

TABLET

859,100

859,100

96

GLIMEPIRIDE 2 MG

TABLET

1,000

1,000

97

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C


50 MG

TABLET

20,310

20,310

9,400

1,000

3,000

2,500

3,000

6,000

5,500

4,000

10,000

77

35,000
82

100

100

200

9,400

24

10

10

44

200

200

500

100

10
2 ###

10
5

21
-

48

24

###

96

200

100

200

100

200

800

200

200
-

200

200

200

600

100

50
200
100

60

50
1,000

125
3,000

50

25

50

50

50

50 ###

4,000

3,500

400

25

475

2,000

14,200

250

500

600
120

180

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

6=4+5

98

GLISERIL GUAIAKOLT 100 MG TABLET

TABLET

99

GLISERIN LARUTAN

BOTOL

611,000
3,500

3,500

101 HALOPERIDOL 0,5 MG TABLET

TABLET

12,100

12,100

102 HALOPERIDOL 5 MG TABLET

TABLET

21,300

21,300

103 HALOPERIDOL 5 MG INJEKSI

AMPUL

456

456

TUBE

106 HEPATOPROTEKTOR TABLET


107 HIDROKORTISON KRIM 2,5 %
108 HYOSINE N BUTILBROMIDA TABLET
109 IBUPROFEN 125 MG SUPP

P2KP

GRG

CLG

CBB

CWD

10

11

12

2,000

5,000

5,000

PWK

JBG

CTK

13

14

15

16

17

5,000

10,000

4,000

3,000

7,000

18=(7s/d17)
41,000
-

300
500
200

100

400

1,000

1,500

500

1,000

12

1,700
12
-

TABLET

6,000

6,000

TUBE

32,924

32,924

210

300

600

120

75

48

96

24

TABLET

SUPP

87

87

1
10

110 IBUPROFEN 200 MG SUSPENSI

BOTOL

780

780

111 IBUPROFEN 200 MG TABLET

TABLET

2,500

2,500

112 IBUPROFEN 400 MG TABLET

TABLET

31,100

31,100

113 ISONIAZID 100 MG

TABLET

5,000

5,000

114 ISONIAZID 300 MG

TABLET

7,000

7,000

115 IMUNOSTIMULAN SIRUP

BOTOL

859

859

116 IMUNOSTIMULAN TABLET

TABLET

117 ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

TABLET

118 ITRAKONAZOL 100 MG

KAPSUL

119 KALCIUM LACTAT 500 MG TABLET

TABLET

120 KALIUM DIKLOFENAK 50 MG

1,100
103,300

1,200
72

50

510

2,820

24

509
-

30

11
20

10

50

300 ###
2,500

600

1,500

5,200

2,000

120
600

200

12,000
-

20

10

40

24

10

104

1,100

100

100

103,300

1,000

TABLET

121 KANAMYCINE 2 GR

VIAL

75

75

122 KAOLIN SUSPENSI

BOTOL

1,400

1,400

20

123 KETOKONAZOL 200 MG TABLET

TABLET

1,200

1,200

100

124 KETOKONAZOL KRIM 2 %

JUMLAH

PM

TABLET

105 HEPATOPROTEKTOR SYRUP

DINAS

611,000

100 GRISEOFULVIN 125 MG TABLET

104 HEPARIN 200,000 IU GEL

PEMAKAIAN
PROGRAM

1,000

1,000

10,000

13,000
-

5,417
2,200

126 KETOROLAC INJ 10 MG

AMPUL

624

624

127 KLORAMFENIKOL 250 MG KAPSUL

KAPSUL

128 KLORAMFENIKOL 1 %SALEP MATA

TUBE

428

428

BOTOL

1,345

1,345

131 KLORAMFINEKOL 3 %TETES TELINGA

BOTOL

2,982

2,982

132 KLARITROMISIN 500 MG

TABLET

300

300

133 KODEIN FOSFAT 20 MG TABLET

TABLET

2,250

2,250

300
18

60

20

700

100

1,200

2,200

BOTOL

48

1,000

5,417

130 KLORAMFENIKOL 0,5 % TETES MATA

20

90

TUBE

129 KLORAMFENIKOL SUSPENSI

50

100

5
60

TABLET

125 KETOPROFEN 100 MG

24

10

72

48

125

100

75

150

96

48

422
1,100

12

30

5
25

200

50

50

55

100

475

168

582
-

500

500

NO

NAMA OBAT

134 KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN


SULFAT 5 MG KRIM

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

10

11

12

TUBE

3,969

3,969

TABLET

46,800

46,800

BOTOL

2,700

2,700

BOTOL 60
ML

5,384

5,384

120

139 KOMB.BETAMETASON, DEKSKLORFENIRAMIN MALEAT

TABLET

30,450

30,450

1,000

140 KOMB.METHAMPYRON + DIAZEPAM

TABLET

20,070

20,070

141 KOMB.DEXTROMETHORPHAN + THIOKOL +


PARASETAMOL + CTM

BOTOL

1,950

1,950

50

100

142 KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT

BOTOL

6,825

6,825

50

100

143 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


TABLET

TABLET

65,760

65,760

144 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


SYRUP

BOTOL

145 KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC


100 MG

TUBE

134

134

135 KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25


MG + PARASETAMOL 400 MG

36

50

CWD

PM

13

14
10

PWK

JBG

15
84

16
72

JUMLAH

CTK
17
40

18=(7s/d17)

250

542
-

136 KOMB. BUDENOSID FORMATEROL 80/4,5 MCG INHALER


60 DOSISI
137 KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON
VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA
138 KOMB.DEKSTROMETORFAN HBR +
FENILPROPANOLAMIN + GG + CTM SYRUP

146 KOMB.TEOFILIN + SALBUTAMOL TABLET

TABLET

20 ###
10

200

120

120

100

600

1,000

570

800

40

50

200

820

1,000

500

5,000

1,000

480

1,200

600

1,570
150

480

150

150

50

300

800

600

2,400

120

2,400

8,280
-

10

10

147 KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG


SYRUP / TREMENZA SYRUP

BOTOL 60
ML

1,921

1,921

148 KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG


TABLET / LIBROFED TABLET

TABLET

14,750

14,750

100

149 KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG


+ VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG +
GLUTAMIC ACID 200 MG TABLET

TABLET

21,500

21,500

200

150 KOTRIMOKSAZOL SUSPENSI

BOTOL

7,365

7,365

151 KOTRIMOKSAZOL ADULT 480 MG TABLET

TABLET

15,600

15,600

152 KOTRIMOKSAZOL PEDIATRIK TABLET

TABLET

15,040

15,040

153 LEVOFLOXACIN 500 MG TABLET

TABLET

4,300

4,300

154 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

AMPUL

11,400

11,400

155 LINCOMYCIN 500 MG KAPSUL

TABLET

156 LISOL

BOTOL

856

856

5
500

120

48

500

500

1,000

1,000

50

200

500

800

###

500

1,300

120

50

200

546

500

200

2,800

3,000

1,500

1,000

8,200

50

100

150

200

750

500

1,000

500

300

8,900

100

100

100
100

100

100
100

200

100

200

800
-

22

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

6=4+5

157 LOPERAMID 2 MG TABLET

TABLET

23,900

23,900

158 MELOXICAM 7,5 MG

TABLET

1,300

1,300

159 MELOXICAM 15 MG

TABLET

160 METFORMIN 500 MG

TABLET

161 METFORMIN 850 MG

TABLET

162 METHILERGOMETRIN MALEAT 0,125 MG TABLET

TABLET

163 METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

AMPUL

164 METHYLPREDNISOLON 4 MG TABLET

TABLET

165 METHYLPREDNISOLON 8 MG TABLET

TABLET

166 METHYLPREDNISOLON 125 MG INJEKSI

VIAL

196,500
1,700
14,300

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)
-

400

400

500

1,300

1,000

800

500

9,400

196,500

100

1,000

###

1,000

4,000

1,700

300

200

100

600

14,300

500

500

500

45

45

167 METOCLOPRAMIDE HCL 10 MG

TABLET

6,700

6,700

500

168 METOCLOPRAMIDE SYRUP 5 MG / 5 ML

BOTOL

108

108

60

169 METRONIDAZOL 250 MG TABLET

TABLET

13,500

13,500

170 METRONIDAZOL 500 MG TABLET

TABLET

23,300

23,300

1,500

200

100

200

1,000

4,200
800
60

1,000
100

300

400

1,000

1,000
400

200

1,000

3,400

171 MICONAZOLE SALEP

TUBE

172 MINYAK KAYU PUTIH 15 ML

BOTOL

173 MOMETHASON KRIM 0,1 %

TUBE

601

601

174 MULTIVITAMIN ANAK DROP

BOTOL

3,086

3,086

175 MULTIVITAMIN ANAK SYRUP

BOTOL

1,191

1,191

176 MULTIVITAMIN TABLET

TABLET

62,400

62,400

177 NATRIUM BIKARBONAT 500 MG TABLET

TABLET

53,000

53,000

178 NATRIUM DIKLOFENAK 25 MG TABLET

TABLET

52,600

179 NATRIUM DIKLOFENAK 50 MG TABLET

TABLET

6,400

180 NATRIUM DIKLOFENAK GEL

TUBE

181 NATRIUM KLORIDA LARUTAN INFUS 0,9%

BOTOL

13
-

20

50

50

100

200

2,000

2,000

52,600

500

200

200

6,400

500

200

600

13

10

240

30

100

220

144

288

20
67

300

1,191

500

1,700

1,500

1,000

8,900
-

500

1,500

2,400

700

2,500
-

182 NATRIUM KLORIDA 100 ML

BOTOL

183 NIFEDIPINE 10 MG TABLET

TABLET

98,200

98,200

184 NYSTATIN 500.000 IU TABLET

TABLET

2,700

2,700

185 NYSTATIN VAGINAL TABLET 100.000 IU

TABLET

3,300

3,300

186 NYSTATIN SUSPENSI 100.000 IU/Ml

BOTOL

123

123

187 OBH

BOTOL

13,752

13,752

188 OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM


+ AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

BOTOL

189 OFLOXACIN 200 MG

TABLET

500

500

13

100
100

1,000

3,100

###

1,000
100

200

5,400

100

100

###

400

20
1

200

180

200

300

300

20
540

300

600

2,621
-

100

100

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

6=4+5

190 OFLOXACIN 400 MG

TABLET

5,050

5,050

191 ONDENSETRON INJ

AMPUL

415

415

18,500

18,500

192 OXYTETRASIKLIN HCL 3 % SALEP KULIT

TUBE

193 OXYTETRASIKLIN HCL 1 % SALEP MATA

TUBE

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

25

###

50

40

100

50

100

AMPUL

3,590

3,590

BOTOL

196 PAPAVERIN 40 MG TABLET

TABLET

18,100

18,100

1,000

AMPUL
TABLET

199 PARASETAMOL 100 MG

TABLET

SUPP

200 PARASETAMOL SUPPOS 160MG/PROPIRETIC

1,400

100

145

50

400
-

195 PANTOCAIN 0,5 % TETES MATA

198 PARAFORMALDEHID TABLET 1 GR

18=(7s/d17)

100

194 OXYTOCIN INJSINTOCYNON

197 PAPAVERIN INJEKSI 40 MG/ML

100

JUMLAH

10

60

50

60

10

50

240

300

200

2,000

3,500

1,400

201 PARASETAMOL DROPS

BOTOL

9,104

9,104

10

56

50

150

64

100

430

202 PARASETAMOL SYROP 120 MG / 5 ML

BOTOL

48,381

48,381

200

150

200

400

600

300

250

700

2,800

203 PARASETAMOL 500 MG

TABLET

1,126,800

1,126,800

8,000

7,200

10,800

7,200

18,000

7,200

8,000

25,200

92,000

204 PERMETHRIN KRIM 5 %

TUBE

205 PIRANTEL PAMOAT 125 MG

TABLET

17,200

17,200

206 PIRAZINAMID 500 MG

TABLET

47,900

47,900

207 PIRIDOKSIN (VIT B6 ) TABLET 10 MG

TABLET

260,000

260,000

208 PIROXICAM

TABLET

18,800

18,800

209 POLIKRESULEN SOL

BOTOL

209

209

210 POVIDON IODIDA 30 ML

BOTOL

1,095

1,095

211 POVIDON IODIDA 60 ML


BOTOL

349

349

213 POVIDON IODIDA 1 L

BOTOL

153

153

214 PREDNISON TABLET 5 MG

TABLET

85,000

85,000

215 PROPANOLOL 40 MG

TABLET

1,700

1,700

216 RANITIDIN TABLET

TABLET

69,000

69,000

217 RANITIDIN INJ 25 MG/2ML

AMPUL

1,235

1,235

218 RETINOL 100,000 IU

BOTOL

1,483

1,483

219 RETINOL 200,000 IU

BOTOL

220 RIFAMPICIN 450 MG

TABLET

100

200

300
-

2,000
200
1

3,000
###

3,000

2,000

3,000

1,000

5,000

19,000

1,000

1,000

3,000

1,500

1,000

3,000

10,900

10

32

10

41

10

15

41,900

12

1
1,000 ###

1,000

1,500
200 ###

5,000

3,000

2,000

100
1,000

100

800

2,000

1,500

5,000

10

10

100

150

1,500

2,000

LABU

2,409

2,409

74,500

74,500

223 RISPERIDONE 2 MG TABLET

TABLET

224 SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL

AMPUL

417

417

1,700
1,000

15,200

275
-

41,900

TABLET

13,000

222 RISPERIDONE 1 MG TABLET

225 SALBUTAMOL INHALER 100 MCG 200 DOSIS

212 POVIDON IODIDA 300 ML

221 RINGER LAKTAT LARUTAN INFUS

400

200

10

20

140

200

2,000

1,000

1,500

4,000

1,000

376
500

10,200

20

70

50

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

226 SALBUTAMOL 2 MG TABLET

TABLET

23,200

23,200

100

227 SALBUTAMOL 4 MG TABLET

TABLET

16,700

16,700

100

542

542

228 SALEP 2 - 4

POT

229 SALISIL BEDAK 2 %

KOTAK

4,700

4,700

230 SALISIL MENTOL BEDAK

BOTOL

4,906

4,906

231 SEFADROKSIL SYRUP

BOTOL

1,511

1,511

232 SEFADROKSIL 250 MG

KAPSUL

7,800

7,800

233 SEFADROKSIL 500 MG

KAPSUL

8,200

8,200

234 SETRALINE 50 MG TABLET

TABLET

4,320

4,320

235 SIANOCOBALAMIN TABLET

TABLET

140,000

140,000

236 SIANOCOBALAMIN / VIT. B 12 INJ

AMPUL

TUBE

354

354

83,500

83,500

237 SILVER SULFADIAZINE 10 MG / 35 GR CREAM


238 SIMVASTATIN TABLET

TABLET

239 STESOLID RECTAL SUPP

TUBE

225

225

240 STREPTOMISIN SERBUK INJ 1500 MG/ML

VIAL

919

919

200 ###

100

KAPSUL

4,100

4,100

100

TABLET

44,300

44,300

39,700

39,700

1,350

1,350

249 TRAMADOL HCI 50 MG/ML INJ

AMPUL

245

245

250 TRIHEKSILPHENIDIL 2 MG TABLET

TABLET

200,900

200,900

251 VITAMIN B KOMP. TABLET

TABLET

252 ZINC / ZINCDIAR TABLET

TABLET

ALAT KESEHATAN DAN REAGEN

50,800

2,800

200

50

20

10

15

200

100

200

1,000

50

111

24
70

500
100

700

500

100

1,100
2,000

300

600

2,000

1,500

400

3,000

15

24
1,000

500

1,500

24
3,000

1,500

1,500

3,000

100

13,500
200
-

2,000

4,000

2,000

50

4,000

5,000

5,000

2,000

6,000

30,000

200

200

200

100

500

1,200

50

500

200

800
-

200

500

1,000

300

500

700

500

1,000

400

1,000

2,000

5,400

1,200

1,000

2,000

8,900

50,800

8,300
-

244 TEOFILIN 300 MG TABLET

TABLET

100

243 TETRASIKLIN 500 MG KAPSUL

KAPSUL

3,400

500

1,500

248 TRAMADOL HCI 50 MG TABLET

###

500

6,680

247 THIAMPHENIKOL 500 MG KAPSUL

400

105,400

147,000

1,000

18=(7s/d17)

300

2,000

6,680

700

600

105,400

147,000

100

200
200

BOTOL

AMPUL

500

30

TABLET

TABLET

700

###

242 TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG

246 THIAMIN (VIT.B1) 50 MG TABLET

500

24

241 SULFASETAMIDA NATRIUM TETES MATA

245 THIAMIN (VIT.B1) 100 MG / ML INJ

300

JUMLAH

2,000

ALAT AUTOCLIX/LANCET DEVICE

SET

32

32

ALAT SUNTIK SEKALI PAKAI 1 ML

BUAH

3,400

3,400

ALAT SUNTIK SEKALI PAKAI 3 ML

BUAH

19,900

19,900

ALAT SUNTIK SEKALI PAKAI 5 ML

BUAH

6,700

6,700

ALAT SUNTIK SEKALI PAKAI 10 ML

BUAH

900

900

ALAT SUNTIK SEKALI PAKAI 20 ML

BUAH

150

150

100

200

100

300

400
100

200

200

1,500
100

NO

NAMA OBAT

ALAT PEMERIKSAAN HB

ALCOHOL SWABS

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

6=4+5

BUAH
SACHET

102,100

102,100

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)
-

200

300

400

400

400

500

2,200

BISTURI

BUAH

100

100

10

BLOOD LANCET

BUAH

9,900

9,900

11

CAIRAN PENCUCI ANTISEPTIK

GALON

12

CATGUT DENGAN JARUM BEDAH

SACHET

13

CATGUT CHROMIC

ROLL

14

DENGUE IgG AND IgM DROP TEST

SET

15

DENGUE N5 1 ANTIGEN

SET

16

DEX GLASS

BUAH

81

81

17

EDTA VACUM TUBE 5 ML

BUAH

96

96

18

FESCOPLAST

ROLL

19

FOLEY CATETHER

BUAH

85

85

20

GLUCOSA TEST TIP

TIP

8,190

8,190

21

GOLONGAN DARAH KIT

SET

17

17

22

H2O2

11

11

23

HAND SCONE / SURGICAL GLOVE

LEMBAR

82,200

82,200

24

HAND SCONE STERILE

PASANG

1,600

1,600

25

HCG CASETTE / PP TEST

SACHET

3,920

3,920

26

HEMASITO METER

BUAH

27

ISI AUTOCLIX

KOTAK

12,090

12,090

28

INFUSION SET ANAK

SET

365

365

29

INFUSION SET DEWASA

SET

220

220

30

IODIUM TEST

BOTOL

300

300

31

IV CATETHER

SACHET

3,127

32

JARUM JAHIT

BUAH

33

KACA MULUT

BUAH

34

KAPAS PEMBALUT 250 GR

BUNGKUS

35

KAPSUL KOSONG NO.0

36

KAPSUL KOSONG NO.1

37

KASSA HIDROFIL 40 X 40

LEMBAR

38

KASSA HIDROFIL GULUNG

39

KASSA STERIL

40
41

BOTOL

6,332

6,332

30

50

35
1
1
400

200 ###

600

2,000

600

50

50

100

50

50

175

1
2,000

25

50

5
4

600

6,600

120

300

510
30

30

10

30

3,127

30

50

60

328

328

10

253

253

BUAH

20,000

20,000

BUAH

30,000

30,000

790

790

90

35

33

ROLL

10

210
2

600

1,740

10

78

10

87
-

10 ###

160
10

20
-

16
-

100

100

200

50

100

KOTAK

1,346

1,346

50

KASSA 4 M X 15 CM

ROLL

2,520

2,520

LAMPU SPIRITUS

BUAH

42

LARUTAN ASAM ALKOHOL

BOTOL

43

LARUTAN KOH 10 % 250 ML

BOTOL

50 ###

100

50

100

100

450

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

10

11

12

CWD

PM

13

14
1

JBG

CTK

15

16

17

JUMLAH
18=(7s/d17)

44

LOMATUELL H 10 X 10 CM

KOTAK

129

129

45

METILEN BLUE 250 ML

BOTOL

46

MICROPIPET 3 UKURAN

BUAH

47

MASKER

BUAH

11,450

11,450

48

MASKER OXYGEN FOR ADULT

BUAH

139

139

49

MASKER OXYGEN FOR CHILD

BUAH

142

142

50

MATA BOR HIGH SPEED BUNDAR

BUAH

51

MATA BOR HIGH SPEED FISURE

BUAH

52

MATA BOR HIGH SPEED INVERTED CONE

BUAH

53

MATA SCALLER

BUAH

54

NASO GASTRIC TUBE

TUBE

30

30

55

NEBULIZE MASK FOR INFANT

BUAH

146

146

56

NEBULIZE MASK FOR ADULT

BUAH

146

146

57

NEEDLE

BUAH

61

61

58

OBJECT GLASS

BUAH

267

267

59

OIL IMERSI

BOTOL

60

OSE

BUAH

61

PENJEPIT TABUNG

BUAH

22

22

62

PIPET BESAR

BUAH

63

PIPET KECIL

BUAH

64

PLESTER

ROLL

443

443

65

POT DAHAK

BUAH

66

POWDER ENZIMATIC ALKAZYME

BUAH

67

PURIFIED PROTEIN DERIVATIVE 2 UT

VIAL

16

16

68

SELANG O2 ANAK

BUAH

85

85

69

SELANG O2 DEWASA

BUAH

66

66

70

SGOT/SGPT TEST

71

SILK DENGAN JARUM BEDAH

72

SET

PWK

6
-

750

400

100

600

300

500

400

100

3,150
-

1
1

20

10

1
4

6
6

50
-

SACHET

STRIP ASAM URAT

BOX

73

STRIP HB

BOX

327

327

74

STRIP GULA DARAH

BOX

140

140

75

STRIP PROTEIN DAN GLUKOSA

BOX

76

STRIP KOLESTEROL

BOX

128

128

77

VENOJECT

KOTAK

78

YELLOW TIP

BUAH

79

TABUNG REAKSI BESAR

BUAH

37

37

80

TABUNG REAKSI KECIL

BUAH

63

63

2
6

8
-

1
1

6
1

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

81

TERMOMETER DIGITAL

82

TORNIKUET

BUAH

103

103

83

UMBILICAL CORD CLAMP

BUAH

84

UNDER PAD 80 X 180 CM

BUAH

304

304

85

URINE BAG

BUAH

315

315

35

86

URINE TEST 3 PARAMETER

KOTAK

87

WIDAL TEST

KOTAK

88

WHITE TIP

BUAH

24

24

89

MASKER N 95 TYPE 1870

KOTAK

90

POCH PACK D

BUAH

91

POCH PACK L

BUAH

92

CHECK CONTROL HEMATOANALYZER

BUAH

93

CELL CLEAN HEMATOANALYZER

BUAH

94

CALIBRATION SCS

BUAH

95

CELL PACK HEMATONANALYZER

BUAH

96

STROMALYSER WH

BUAH

97

CHECK CONTROL HEMATOANALYZER XP 100

BUAH

98

CELL CLEAN HEMATOANALYZER XP 100

BUAH

99

CALIBRATION SCS XP 100

BUAH

10

45
1

OBAT GIGI
1

ARSEN

BOTOL

ARTIKULATING PAPER

KOTAK

AIR RAKSA DENTAL USE

BOTOL

73

73

BEIN GIGI

SET

CALCIDOR

POT

CEVITRON

BUAH

145

145

CHKM

POT

19

19

CRESOPEN

BOTOL

2
2

DENTORIT

BOTOL

10

DYCAL

BOTOL

11

ETIL KLORIDA SPRAY

BOTOL

124

124

12

EUGENOL CAIRAN

BOTOL

639

639

###

13

IODOFORM PASTA

POT

16

16

14

GLASS IONOMER ART

SET

19

19

15

OCO / TSR

BOTOL

16

SILVER AMALGAM SERBUK 65 - 75 %

BOTOL

75

75

6
75

14

75

75 ###

###

450
-

NO
1

NAMA OBAT
2

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

10

11

12

13

14

15

17

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

SET

14

14

18

TEMPORARY STROPPING FLETCHER SERBUK DAN


CAIRAN

SET

Cilegon,

JBG

CTK

16

17

Februari 2015

Kepala Seksi Farmasi dan Peralatan Kesehatan

Dra.E.Yolanda P,Apt.MKM

Riris Sinaga,S.Si,Apt

Nip. 19660223 199203 2 002

Nip.19740620 200312 2 003

18=(7s/d17)
2

###

Mengetahui'
Kepala Bidang Sumber Daya Kesehatan

JUMLAH

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

NO

NAMA OBAT

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

6=4+5

10

11

12

13

14

15

16

17

SATUAN

MENURUT
KARTU
SEDIAAN

MENURUT
STOCK
OPNAME

SELISIH
LEBIH
KURANG

1 ACYCLOVIR 5 GR KR TUBE

4,251

4,251

2 ACYCLOVIR 200 MG TABLET

18,300

18,300

3 ACYCLOVIR 400 MG TABLET

7,800

7,800

BOTOL

177

177

5 ALLOPURINOL 300 M TABLET

6,780

6,780

4 ALBOTYL

6 AMBROXOL SYRUP 15BOTOL

7,200

7,200

7 AMBROXOL TABLET 3 TABLET

17,700

17,700

8 AMITRIPTILIN 25 MG TABLET

28,600

28,600

9 AMLODIPIN 5 MG TAB TABLET

39,660

39,660

1,680

1,680

10 AMPICILLIN SERBUK IVIAL


11 AMOXICILLIN SIRUP KBOTOL

13,553

13,553

12 AMOXICILLIN 250 M KAPLET

59,800

59,800

13 AMOXICILLIN 500 M KAPLET

135,800

135,800

14 AMOXICILLIN + AS.K TABLET

2,730

2,730

15 ANTALGIN 500 MG TA TABLET

141,100

141,100

16 ANTASIDA DOEN TAB TABLET

113,300

113,300

17 ANTASIDA SUSPENSI BOTOL

1,874

1,874

18 ANTI BAKTERI DOEN STUBE

5,790

5,790

14

14

1,190

1,190

21 ASAM ASCORBIT (VIT TABLET

129,000

129,000

22 ASAM MEFENAMAT 5 TABLET

390,400

390,400

23 ASAM TRANEKSAMATTABLET

12,400

12,400

24 ATROPIN SULFAT INJ AMPUL

141

141

25 ATTAPULGIT / MOLAGTABLET

91,850

91,850

26 BEKARBON

14,320

14,320

27 BENZATIN BENZIL PENI


VIAL

180

180

28 BETAMETASONE KRIMTUBE

878

878

29 BISACODYL 10 MG S SUPP

516

516

TABLET

1,300

1,300

31 BROMHEKSIN HCL 8 TABLET

130,800

130,800

32 BROMHEKSIN HCL 8 MBOTOL

94

94

19 ANTI FUNGI DOEN (K POT


20 ANTI HEMOROID DOESUPP

30 BISOPROLOL 5 MG

TABLET

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

5
33 CALAMIN LOTION

PERSEDIAA
N
6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

BOTOL

428

428

34 CAPTOPRIL 12,5 MG TABLET

658,700

658,700

35 CAPTOPRIL 25 MG TA TABLET

210,900

210,900

36 CEFIXIME SYRUP KE BOTOL

186

186

15,050

15,050

140

140

37 CEFIXIME 100 MG

KAPSUL

38 CEFTRIAXON INJ

VIAL

39 CETIRIZIN 10 MG

TABLET

29,700

29,700

40 CIPROFLOXACIN 500 TABLET

114,200

114,200

41 CLINDAMYCIN 150 M KAPSUL

8,700

8,700

42 CLINDAMYCIN 300 M KAPSUL

5,650

5,650

43 CHLORPHENIRAMIN MTABLET

226,800

226,800

44 CHLORPROMAZINE 1 TABLET

11,000

11,000

45 DEKSTROSA LARUTANBOTOL

298

298

46 DEKSTROSA LARUTANBOTOL

445

445

47 DEXAMETHASON 0,5 TABLET

72,400

72,400

48 DEXAMETHASON INJ VIAL

2,500

2,500

49 DIAZEPAM TABLET

TABLET

2,000

2,000

50 DIAZEPAM INJ 5 MG/ AMPUL

206

206

51 DIFENHIDRAMIN INJ AMPUL

210

210

52 DIGOKSIN 0,25 MG T TABLET

51,200

51,200

53 DOXYCYCLINE 100 M KAPSUL

9,400

9,400

54 EPINEFRIN (ADRENALIAMPUL

52

52

55 ERYTHROMYCIN 200 BOTOL

1,216

1,216

56 ERYTHROMYCIN 250 KAPSUL

17,400

17,400

57 ERYTHROMYCIN 500 TABLET

43,600

43,600

58 ETAMBUTOL 500 MG TABLET

43,000

43,000

59 ETAKRIDIN 0,1 % / R BOTOL

187

187

60 ETANOL 70 % 1000 M BOTOL

593

593

61 FENITOIN 100 MG KA KAPSUL

8,200

8,200

62 FENOBARBITAL 30 M TABLET

7,000

7,000

63 FENOL GLISEROL 10 BOTOL

1,944

1,944

64 FITOMENADION 10 M TABLET

5,900

5,900

65 FLUTICASONE PROPIO
AMPUL

220

220

66 FUROSEMID 40 MG T TABLET

19,400

19,400

67 GARAM ORALIT II SE SACHET

6,800

6,800

68 GENTAMYCIN SALEP TUBE

1,550

1,550

69 GENTIAN VIOLET 1 % BOTOL

3,750

3,750

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

6=4+5

70 GLIBENCLAMIDE 5 M TABLET
71 GLIMEPIRIDE 2 MG

PEMAKAIAN
DINAS
7
844,900

PROGRAM

P2KP

844,900

TABLET

400

400

72 GLIKOSAMIN 500 MG TABLET

20,130

20,130

73 GLISERIL GUAIAKOLT TABLET

570,000

570,000

74 GRISEOFULVIN 125 M TABLET

3,100

3,100

75 HALOPERIDOL 0,5 MGTABLET

10,600

10,600

76 HALOPERIDOL 5 MG TABLET

19,600

19,600

77 HALOPERIDOL 5 MG I AMPUL

444

444

78 HEPATOPROTEKTOR TABLET

3,180

3,180

32,415

32,415

79 HIDROKORTISON KRIM
TUBE
80 IBUPROFEN 125 MG SUPP

76

76

81 IBUPROFEN 200 MG BOTOL

660

660

82 IBUPROFEN 200 MG TABLET

1,900

1,900

83 IBUPROFEN 400 MG TABLET

19,100

19,100

84 ISONIAZID 100 MG

TABLET

5,000

5,000

85 ISONIAZID 300 MG

TABLET

7,000

7,000

86 IMUNOSTIMULAN SIR BOTOL

755

755

87 ISOSORBIT DINITRAT TABLET

1,000

1,000

88 KALCIUM LACTAT 500 TABLET

90,300

90,300

70

70

1,310

1,310

91 KETOKONAZOL KRIM TUBE

4,995

4,995

92 KETOPROFEN 100 M TABLET

1,100

1,100

AMPUL

594

594

94 KLORAMFENIKOL SU BOTOL

373

373

95 KLORAMFENIKOL 0,5 BOTOL

870

870

96 KLORAMFINEKOL 3 %BOTOL

2,400

2,400

97 KLARITROMISIN 500 TABLET

300

300

98 KODEIN FOSFAT 20 M TABLET

1,750

1,750

99 KOMB.BETAMETASONTUBE

3,427

3,427

100 KOMB.BROMHEKSIN 8TABLET

46,800

46,800

101 KOMB.POLIMIKSIN SUBOTOL

2,660

2,660

89 KANAMYCINE 2 GR

VIAL

90 KAOLIN SUSPENSI

BOTOL

93 KETOROLAC INJ 10

102 KOMB.DEKSTROMETOR
BOTOL 60 ML

4,564

4,564

103 KOMB.BETAMETASONTABLET

25,450

25,450

104 KOMB.METHAMPYRONTABLET

18,500

18,500

105 KOMB.DEXTROMETHOR
BOTOL

1,800

1,800

106 KOMB.DIFENHIDRAMIBOTOL

6,025

6,025

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

6=4+5

107 KOMB.FENILPROPANOTABLET
108 KOMB.NEOMYCIN SULTUBE

PEMAKAIAN
DINAS

PROGRAM

P2KP

51,120

51,120

124

124

1,375

1,375

110 KOMB.TRIPOLIDIN 2, TABLET

11,950

11,950

109 KOMB.TRIPOLIDIN 1, BOTOL 60 ML


111 KOMB.VIT B1 100 MG TABLET

13,300

13,300

112 KOTRIMOKSAZOL SU BOTOL

6,615

6,615

113 KOTRIMOKSAZOL ADUTABLET

13,700

13,700

114 KOTRIMOKSAZOL PEDTABLET

14,940

14,940

115 LEVOFLOXACIN 500 TABLET

4,200

4,200

116 LIDOCAIN INJ 2 % HCLAMPUL

10,600

10,600

117 LISOL

BOTOL

834

834

118 LOPERAMID 2 MG TA TABLET

23,900

23,900

119 METFORMIN 500 MG TABLET

187,100

187,100

120 METHILERGOMETRIN TABLET

1,100

1,100

121 METHYLPREDNISOLOTABLET

10,100

10,100

122 METHYLPREDNISOLON
VIAL

45

45

123 METOCLOPRAMIDE HTABLET

5,900

5,900

124 METOCLOPRAMIDE SYBOTOL

48

48

125 METRONIDAZOL 250 TABLET

12,500

12,500

126 METRONIDAZOL 500 TABLET

19,900

19,900

601

601

127 MOMETHASON KRIM 0TUBE


128 MULTIVITAMIN ANAK BOTOL

2,866

2,866

129 MULTIVITAMIN TABLE TABLET

53,500

53,500

130 NATRIUM BIKARBONATABLET

53,000

53,000

131 NATRIUM DIKLOFENA TABLET

50,200

50,200

132 NATRIUM DIKLOFENA TABLET

3,900

3,900

133 NIFEDIPINE 10 MG T TABLET

92,800

92,800

134 NYSTATIN 500.000 IU TABLET

2,600

2,600

135 NYSTATIN VAGINAL TATABLET

2,900

2,900

136 NYSTATIN SUSPENSI 1BOTOL

103

103

BOTOL

11,131

11,131

138 OFLOXACIN 200 MG TABLET

400

400

139 OFLOXACIN 400 MG TABLET

4,950

4,950

140 ONDENSETRON INJ AMPUL

270

270

18,125

18,125

142 PANTOCAIN 0,5 % TE BOTOL

143 PAPAVERIN 40 MG TA TABLET

14,600

14,600

137 OBH

141 OXYTETRASIKLIN HCLTUBE

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

6=4+5

144 PARAFORMALDEHID TTABLET

PEMAKAIAN
DINAS

PROGRAM

P2KP

1,400

1,400

145 PARASETAMOL DROPBOTOL

8,674

8,674

146 PARASETAMOL SYROPBOTOL

45,581

45,581

147 PARASETAMOL 500 M TABLET

1,034,800

1,034,800

148 PIRANTEL PAMOAT 1 TABLET

16,900

16,900

149 PIRAZINAMID 500 MG TABLET

47,900

47,900

150 PIRIDOKSIN (VIT B6 ) TABLET

241,000

241,000

151 PIROXICAM

TABLET

7,900

7,900

152 OXYTOCIN INJ

AMPUL

3,350

3,350

153 POVIDON IODIDA 60 BOTOL

1,054

1,054

154 POVIDON IODIDA 300 BOTOL

337

337

155 POVIDON IODIDA 1 L BOTOL

52

52

156 PREDNISON TABLET TABLET

72,000

72,000

157 PROPANOLOL 40 MG TABLET

1,500

1,500

53,800

53,800

158 RANITIDIN TABLET

TABLET

159 RANITIDIN INJ 25 MG AMPUL

960

960

160 RETINOL 100,000 IU BOTOL

1,483

1,483

161 RIFAMPICIN 450 MG TABLET

41,900

41,900

2,033

2,033

163 RISPERIDONE 1 MG TABLET

64,300

64,300

164 SALBUTAMOL 2,5 MG AMPUL

347

347

165 SALBUTAMOL 2 MG T TABLET

19,800

19,800

166 SALBUTAMOL 4 MG TABLET

13,900

13,900

518

518

162 RINGER LAKTAT LAR LABU

167 SALEP 2 - 4

POT

168 SALISIL BEDAK 2 %

KOTAK

3,700

3,700

169 SALISIL MENTOL BED BOTOL

4,836

4,836

170 SEFADROKSIL SYRU BOTOL

1,400

1,400

171 SEFADROKSIL 250 M KAPSUL

7,100

7,100

172 SEFADROKSIL 500 M KAPSUL

7,100

7,100

173 SETRALINE 50 MG TA TABLET

4,320

4,320

174 SIANOCOBALAMIN TATABLET

138,000

138,000

354

354

175 SILVER SULFADIAZIN TUBE


176 SIMVASTATIN TABLET TABLET

75,200

75,200

177 STESOLID RECTAL S TUBE

210

210

178 STREPTOMISIN SERBU


VIAL

919

919

179 SULFASETAMIDA NAT BOTOL

6,656

6,656

180 TABLET TAMBAH DARATABLET

91,900

91,900

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

6=4+5

181 TETRASIKLIN 500 MG KAPSUL

PEMAKAIAN
DINAS

PROGRAM

P2KP

3,900

3,900

182 TEOFILIN 300 MG TA TABLET

44,300

44,300

183 THIAMIN (VIT.B1) 50 TABLET

117,000

117,000

184 THIAMPHENIKOL 500 KAPSUL

38,500

38,500

185 TRAMADOL HCI 50 M TABLET

550

550

186 TRAMADOL HCI 50 MGAMPUL

245

245

187 TRIHEKSILPHENIDIL TABLET

195,500

195,500

188 ZINC / ZINCDIAR TAB TABLET

41,900

41,900

ALAT KESEHATAN DAN REAGEN


1 ALAT AUTOCLIX/LAN SET

32

32

2 ALAT SUNTIK SEKALI BUAH

3,400

3,400

3 ALAT SUNTIK SEKALI BUAH

18,400

18,400

4 ALAT SUNTIK SEKALI BUAH

6,600

6,600

5 ALAT SUNTIK SEKALI BUAH

900

900

6 ALAT SUNTIK SEKALI BUAH

150

150

7 ALAT PEMERIKSAAN BUAH

99,900

99,900

9 ANTI TETANUS SERUMAMPUL

17

17

10 AQUA PRO INJEKSI 2 BOTOL

702

702

11 BISTURI

BUAH

100

100

12 BLOOD LANCET

BUAH

9,900

9,900

8 ALCOHOL SWABS

SACHET

13 CATGUT DENGAN JA SACHET

6,242

6,242

14 CATGUT CHROMIC

ROLL

15 DEX GLASS

BUAH

81

81

16 EDTA VACUM TUBE 5 BUAH

96

96

17 FOLEY CATETHER

50

50

8,190

8,190

12

12

21 HAND SCONE / SURG LEMBAR

75,600

75,600

22 HAND SCONE STERILPASANG

1,500

1,500

23 HCG CASETTE / PP T SACHET

3,745

3,745

BUAH

18 GLUCOSA TEST TIP TIP


19 GOLONGAN DARAH KSET
20 H2O2

24 ISI AUTOCLIX

BOTOL

10,350

10,350

25 INFUSION SET ANAK SET

KOTAK

287

287

26 INFUSION SET DEWA SET

133

133

27 IODIUM TEST

BOTOL

300

300

28 IV CATETHER

SACHET

2,967

2,967

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

5
29 JARUM JAHIT

PERSEDIAA
N
6=4+5
BUAH

30 KAPAS PEMBALUT 25 BUNGKUS

PEMAKAIAN
DINAS

PROGRAM

P2KP

308

308

237

237

31 KAPSUL KOSONG NO BUAH

20,000

20,000

32 KAPSUL KOSONG NO BUAH

30,000

30,000

33 KASSA HIDROFIL 40 XLEMBAR

590

590

1,246

1,246

2,070

2,070

123

123

BUAH

8,300

8,300

39 MASKER OXYGEN FOBUAH

139

139

40 MASKER OXYGEN FOBUAH

138

138

BUAH

42 NASO GASTRIC TUBETUBE

30

30

43 NEBULIZE MASK FOR BUAH

139

139

44 NEBULIZE MASK FOR BUAH

34 KASSA STERIL

KOTAK

35 KASSA 4 M X 15 CM ROLL
36 LOMATUELL H 10 X 1 KOTAK
37 MICROPIPET 3 UKUR BUAH
38 MASKER

41 MATA SCALLER

140

140

45 NEEDLE

BUAH

60

60

46 OBJECT GLASS

BUAH

261

261

47 OSE

BUAH

48 PENJEPIT TABUNG

BUAH

22

22

49 PLESTER

ROLL

393

393

50 POWDER ENZIMATIC BUAH

51 PURIFIED PROTEIN D VIAL

15

15

52 SELANG O2 ANAK

BUAH

85

85

53 SELANG O2 DEWASA BUAH

66

66

54 SGOT/SGPT TEST

SET

55 STRIP HB

BOX

320

320

56 STRIP GULA DARAH BOX

132

132

57 STRIP KOLESTEROL BOX

104

104

BUAH

59 TABUNG REAKSI BES BUAH

37

37

60 TABUNG REAKSI KEC BUAH

63

63

58 YELLOW TIP

61 TORNIKUET

BUAH

103

103

62 UNDER PAD 80 X 180 BUAH

304

304

63 URINE BAG

270

270

24

24

BUAH

64 URINE TEST 3 PARA KOTAK


65 WHITE TIP

BUAH

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAA
N

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

OBAT GIGI
1 AIR RAKSA DENTAL BOTOL
2 CEVITRON

BUAH

3 CHKM

POT

73

73

143

143

17

17

4 ETIL KLORIDA SPRAY BOTOL

110

110

5 EUGENOL CAIRAN

BOTOL

189

189

6 IODOFORM PASTA

POT

16

16

7 GLASS IONOMER AR SET

14

14

8 SEMEN SENG FOSFATSET

12

12

9 TEMPORARY STROPPSET

JUMLAH
18=(7s/d17)

Pemberian
STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

Pemakaian

PROGRAM
Pemakaian

Harga

P2KP
Pemakaian

Harga

GRG
Pemakaian

Harga

CLG
Pemakaian

Harga

Harga

19=6-18
4,251

375

2,152

25

50

107,600

18,300

1,700

ACYCLOVIR 200 MG TABLET

534

200

106,800

7,800

1,700

ACYCLOVIR 400 MG TABLET

648

100

64,800

4,000

ALLOPURINOL 100 MG TABLET

104

100

200

20,800

ALLOPURINOL 300 MG TABLET

210

3,300

AMBROXOL TABLET 30 MG

86

800

6,780

7,200
17,700

ACYCLOVIR 5 GR KRIM

AMBROXOL SYRUP 15 MG / 5 ML

8,300

10,400

68,800

53,800

300

63,000

300

990,000

50

165,000

1,000

86,000

500

43,000

AMINOFILIN 200 MG TABLET

104

28,600

AMITRIPTILIN 25 MG TABLET

102

39,660

AMLODIPIN 5 MG TABLET

187

30

AMLODIPIN 10 MG TABLET

440

1,680

10

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

4,750

13,553

1,650

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

3,700

100

59,800

5,880

AMOXICILLIN 250 MG KAPLET

200

135,800

32,400

AMOXICILLIN 500 MG KAPLET

220

400

3,000

630

2,730
141,100

12,300

13,000

113,300

AMOXICILLIN + AS.KLAVULANAT
ANTALGIN 500 MG TABLET

116

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA


200 MG + ALUMUNIUM HIDROKSIDA 200 MG)
1

20,000
400

1,874

34,800

81
ANTASIDA SUSPENSI

300

88,000

5,610

50
-

15

ANTI TETANUS SERUM 1500 UI

126,500

2,491

44

ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM


SALISILAT 3 %)

1,800

90

ANTI HEMOROID DOEN

3,025

93,300

1,500

370,000
1,100,000
174,000

121,500
-

10

1,265,000

50
124,550
-

325,380

5,000

62,275

100

1,500

25
-

121,500

471,719

1,190

ANTI BISA ULAR (ABU) SERUM

14

450

1,866

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


POLIMIKSIN B 10,000IU/G )

440,000

1,500

5,790

2,000

370,000

1,740

20

60,500

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

Pemakaian

PROGRAM
Pemakaian

Harga

P2KP
Pemakaian

Harga

GRG
Pemakaian

Harga

CLG
Pemakaian

Harga

Harga

19=6-18
-

129,000
390,400

ASAM ASCORBIT (VIT.C) 50 MG TABLET

32

27,200

ASAM ASCORBIT (VIT.C) 250 MG TABLET

159

22,600

ASAM MEFENAMAT 500 MG

12,400

141
91,850

5,350

702

130

100

300

ASAM TRANEKSAMAT 500 MG

1,100

ATROPIN SULFAT INJ

1,100

330

600

15,400

2,900

24

11,000

102

12,185

1,524

24

ATTAPULGIT / MOLAGIT TABLET


AQUABIDEST
AQUA PRO INJEKSI 25 ML
AZITHROMYCIN 500 MG

2,120

586

BETAMETASONE KRIM 0,1 %

120

BETAHISTIN MESILAT 6 MG TABLET

14,320

180
878

BEKARBON
BENZATIN BENZIL PENISILIN 2,4 JUTA IU

BETAKAROTEN 500 IU SYRUP


6

516
-

30,000

400

40,000

69,600

1,000
-

100,000
198,000
5,800

2,500

397,500

2,000

200,000

450

148,500

36,576

75

114,300

924

25,300

6,199

2,300

600

BROMHEKSIN HCL 8 MG TABLET

281

BROMHEKSIN HCL 4 MG SYRUP

93

BROMHEKSIN HCL 8 MG / 4 ML SOL

66,000

66,000

CALAMIN LOTION

12,650

400

1,300
130,800

BISOPROLOL 5 MG

428

658,700

12,000

CAPTOPRIL 12,5 MG TABLET

63

700

44,100

210,900

14,900

CAPTOPRIL 25 MG TABLET

88

1,000

88,000

500

44,000

10,588

48

508,224

958

100

95,800

500

186

80

15,050

2,050

CEFIXIME SYRUP KERING 100 MG


CEFIXIME 100 MG

104

140

40

CEFTRIAXON INJ

CETIRIZINE 5 MG SYRUP

CETIRIZINE DROP

29,700
-

1
1

6,500
-

25,200

479,000

5,000

5,500

10,440

28,050

181

300

300

CIMETIDIN TABLET

116

300

CEFOTAXIME INJ 1G

CETIRIZIN 10 MG

54,300

114,200

2,400

CIPROFLOXACIN 500 MG TABLET

245

300

73,500

8,700

500

CLINDAMYCIN 150 MG KAPSUL

361

200

72,200

5,650

1,600

CLINDAMYCIN 300 MG KAPSUL

527

150

79,050

21

7,200

151,200

122

1,379

226,800

11,000

48,000

CHLORPHENIRAMIN MALEAT (CTM) 4 MG

CHLORPROMAZINE 100 MG

DEKSTROMETORPHAN HBR SYRUP

3,600

75,600

73,500

54,300

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

Pemakaian

PROGRAM
Pemakaian

Harga

P2KP
Pemakaian

Harga

GRG
Pemakaian

Harga

CLG
Pemakaian

Harga

Harga

19=6-18
-

DEKSTROMETORPHAN HBR TABLET 15 MG

99

298

DEKSTROSA LARUTAN INFUS 5 %

5,060

445

DEKSTROSA LARUTAN INFUS 10 %

5,727

DEKSTROSA LARUTAN INFUS 40 %

3,960

72,400

2,000

26,000
13

2,500
1

1,000

DEXAMETHASON 0,5 MG TABLET


DEXAMETHASON INJEKSI
DIAZEPAM TABLET

206

DIAZEPAM INJ 5 MG/ML

210

10

DIFENHIDRAMIN INJ

51,200

100

DIGOKSIN 0,25 MG TABLET

69

2,000

30

2,368

800

91

1,000

69,000

3,000

207,000

DOMPERIDON 5 MG SUSPENSI

3,624

DOMPERIDON 10 MG

404

DOXYCYCLINE 100 MG KAPSUL

220

EKSTRAK BELLADONNA TABLET 10 MG

52

50

EPINEFRIN (ADRENALIN) INJ 0,1%

8,100

ERYTHROMYCIN 200 MG SYRUP

9,400

1,216

65

7,220

24

17,400

100

ERYTHROMYCIN 250 MG

440

43,600

600

ERYTHROMYCIN 500 MG TABLET

921

100

ETAMBUTOL 500 MG

420

2,200

25,300

604

65

92,100

43,000

1,000

187

19

593

8,200

200

7,000

FENOBARBITAL 30 MG TABLET

1,944

96

FENOL GLISEROL 10 %

1,008

FITOMENADION INJ

1,450

579

200

5,900

1,300

ETAKRIDIN 0,1 % / RIVANOL


ETANOL 70 % 1000 ML
FENITOIN 100 MG KAPSUL

FITOMENADION 10 MG TABLET

50,600

115,800

100

173,280

50,600

57,900

FLUCONAZOL 150 MG

22,000

220

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

19,080

19,400

200

91

1,469

100

146,900

895

50

44,750

54

100

6,800

1,550

FUROSEMID 40 MG TABLET

GAMEKSAN

GARAM ORALIT II SERBUK

350

GENTAMYCIN SALEP KULIT


GENTIAN VIOLET 1 % - 10 ML

3,750

150

844,900

13,200

400

640

20,130

GLIBENCLAMIDE 5 MG TABLET
GLIMEPIRIDE 2 MG

292

500

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50 MG


1,020

60
5,500

330,000

5,400
-

200

10,800

100

50,000

50

73,450

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

Pemakaian

PROGRAM
Pemakaian

Harga

P2KP
Pemakaian

Harga

GRG
Pemakaian

Harga

CLG
Pemakaian

Harga

Harga

19=6-18
570,000

21,000

23

4,730

GRISEOFULVIN 125 MG TABLET

200

1,200

HALOPERIDOL 0,5 MG TABLET

165

2,300

HALOPERIDOL 5 MG TABLET

246

HALOPERIDOL 5 MG INJEKSI

14,724

HEPARIN 200,000 IU GEL

36,000

HEPATOPROTEKTOR SYRUP

3,100

900

10,600

19,600

444

32,415
-

GLISERIN LARUTAN

1,080

3,180
1

556

HEPATOPROTEKTOR TABLET

4,675

HIDROKORTISON KRIM 2,5 %

2,399

HYOSINE N BUTILBROMIDA TABLET


4

76

GLISERIL GUAIAKOLT 100 MG TABLET

IBUPROFEN 125 MG SUPP

2,000

46,000

115,000

300

1,402,500

600

2,805,000

120

287,880

75

179,925

210

981,750

5,000

300

55,550

55,550

44,990

220

IBUPROFEN 200 MG SUSPENSI

4,499

10

1,900

300

IBUPROFEN 200 MG TABLET

93

19,100

12,600

IBUPROFEN 400 MG TABLET

146

5,000

ISONIAZID 100 MG

44

7,000

ISONIAZID 300 MG

107

660

1,000

IMUNOSTIMULAN SIRUP

55,000

20

IMUNOSTIMULAN TABLET

4,950

100

97

1,444

KALCIUM LACTAT 500 MG TABLET

47

KALIUM DIKLOFENAK 50 MG

70

KANAMYCINE 2 GR

19,800

1,310

KAOLIN SUSPENSI

12,012

300

4,700

24

608

2,539

700

KETOKONAZOL 200 MG TABLET

334

KETOKONAZOL KRIM 2 %

900

KETOPROFEN 100 MG

93

KETOROLAC INJ 10 MG

KLORAMFENIKOL 250 MG KAPSUL

245

KLORAMFENIKOL 1 %SALEP MATA

1,562

373

10

KLORAMFENIKOL SUSPENSI

3,800

870

200

KLORAMFENIKOL 0,5 % TETES MATA

5,280

25

2,400

144

KLORAMFINEKOL 3 %TETES TELINGA

1,599

72

7,400

ITRAKONAZOL 100 MG

90,300

ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

1,100,000

365,000

65

755
-

1,000

2,500

4,995
1,100

594

300
1,750

250

KODEIN FOSFAT 20 MG TABLET

950

500

115,128

475,000

112,800

132,000
-

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

Pemakaian

PROGRAM
Pemakaian

Harga

P2KP
Pemakaian

Harga

GRG
Pemakaian

Harga

CLG
Pemakaian

Harga

Harga

19=6-18
3,427
420

KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5


MG KRIM

46,800
-

8,289

36
-

298,404

312

2,660
120

KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA

400

KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +


GG SYRUP

4,564
25,450
1

4,000
KOMB.METHAMPYRON + DIAZEPAM

50

KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL +


CTM

1,800
6,025
860
57,480
1

4,320

KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT
KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM
TABLET

124
-

22

KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100


MG

KOMB.TEOFILIN + SALBUTAMOL TABLET

578
11,950
1

3,300

13,300
1

5,500

6,615

650

KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG


SYRUP / TREMENZA SYRUP
KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG TABLET
/ LIBROFED TABLET
KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +
VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET
KOTRIMOKSAZOL SUSPENSI

607,750

100

500

70,335
-

528,000
-

495,000

5
-

500

198,000

990

200

316,250

693,600

105,600

1,056

42,201

14,067

792,750

50
-

50

1,200

10,000

277,440

71,500

1,056,000

1,000

480

10

858,000

578

120

1,925

6,325

7,920

1
1,375

570

15,855

KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM SYRUP


-

1,100

7,150
1,056

KOMB.DEKSAMETASON, DEKSKLORFENIRAMIN MALEAT


1

18,500

7,376

1,975

159

50

6,700

9,600

14,940

200

KOTRIMOKSAZOL PEDIATRIK TABLET

4,200

650

LEVOFLOXACIN 500 MG TABLET

1,154

10,600

700

LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

1,030

520

834

21

KOTRIMOKSAZOL ADULT 480 MG TABLET

LINCOMYCIN 500 MG KAPSUL


LISOL

13,200

66,000

1,300

206,700

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

Pemakaian

PROGRAM
Pemakaian

Harga

P2KP
Pemakaian

Harga

GRG
Pemakaian

Harga

CLG
Pemakaian

Harga

Harga

19=6-18
23,900

187,100

91

MELOXICAM 7,5 MG

234

MELOXICAM 15 MG

348

METFORMIN 500 MG

105

100

260

LOPERAMID 2 MG TABLET

5,600
4,900

METFORMIN 850 MG

1,100

METHILERGOMETRIN MALEAT 0,125 MG TABLET


1

200

1
1

4,100
5

45
5,900

48

500

44,000

89

2,830

METRONIDAZOL 250 MG TABLET

123

METRONIDAZOL 500 MG TABLET

164

10

2,866

145

105,000
-

MICONAZOLE SALEP

601

METHYLPREDNISOLON 125 MG INJEKSI

375

METOCLOPRAMIDE SYRUP 5 MG / 5 ML

1,000
-

296

145

METHYLPREDNISOLON 8 MG TABLET
METOCLOPRAMIDE HCL 10 MG

1,400

19,900

METHYLPREDNISOLON 4 MG TABLET

600
-

12,500

3,685

140
METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

43
10,100

10,500

100

187,500

16,400
-

MOMETHASON KRIM 0,1 %

17,800

MULTIVITAMIN ANAK DROP

13,750

1,200

MULTIVITAMIN ANAK SYRUP

20,000

40,000

240

528

4,800,000

20

275,000

50

1,000,000

200

105,600

53,500

5,700

MULTIVITAMIN TABLET

53,000

2,000

NATRIUM BIKARBONAT 500 MG TABLET

14

50,200

3,850

NATRIUM DIKLOFENAK 25 MG TABLET

134

500

67,000

3,900

1,600

NATRIUM DIKLOFENAK 50 MG TABLET

176

500

88,000

NATRIUM DIKLOFENAK GEL

47

NATRIUM KLORIDA LARUTAN INFUS 0,9%

NATRIUM KLORIDA 100 ML

92,800

6,400

2,600

2,900

200

103

11,131

1,580

112

NYSTATIN 500.000 IU TABLET

640

NYSTATIN VAGINAL TABLET 100.000 IU

407

NYSTATIN SUSPENSI 100.000 IU/Ml


OBH

4,950

4,950

200

413

7,000
OFLOXACIN 200 MG

100

30,800

OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +


AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP
-

14,700

NIFEDIPINE 10 MG TABLET

400

4,900

990,000

40,700

180
-

891,000

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

Pemakaian

PROGRAM
Pemakaian

Harga

P2KP
Pemakaian

Harga

GRG
Pemakaian

Harga

CLG
Pemakaian

Harga

Harga

19=6-18
-

OFLOXACIN 400 MG

873

270

85

ONDENSETRON INJ

2,400

18,100

475

OXYTETRASIKLIN HCL 3 % SALEP KULIT

1,450

25

36,250

25

OXYTETRASIKLIN HCL 1 % SALEP MATA

2,100

30

OXYTOCIN INJ

13,913

16,100

PAPAVERIN 40 MG TABLET

119

PAPAVERIN INJEKSI 40 MG/ML

530

PARAFORMALDEHID TABLET 1 GR

60

PARASETAMOL 100 MG

32

PARASETAMOL SUPPOSITORIA

4,950

3,350

6
14,600

1,400

3,300

8,674

308

45,581

2,450

1,034,800

62,300

10

52,270

PARASETAMOL SYROP 120 MG / 5 ML

1,319

200

263,800

150

197,850

PARASETAMOL 500 MG

84

400

8,000

672,000

7,200

604,800

PERMETHRIN KRIM 5 %

12,925

PIRANTEL PAMOAT 125 MG

290

100

PIRAZINAMID 500 MG

198

14

200

114,400

7,000

16,900

100

47,900

241,000

10,000

PIRIDOKSIN (VIT B6 ) TABLET 10 MG

7,900

11,200

PIROXICAM

25

5,227

177

ALBOTYL

65

28,600

28,600

33,600

13,000

2,000

29,000
28,000
-

3,000

13,000

57,200

1,054

POVIDON IODIDA 60 ML

337

POVIDON IODIDA 300 ML

14,500

152

POVIDON IODIDA 1 L

42,000

72,000

6,000

57

120

1,500

180,000

22,000

200

12,600

PROPANOLOL 40 MG

57,000
-

57,000
-

200

800

88,000

10

19,280

RETINOL 100,000 IU

14,300

573

RETINOL 200,000 IU

19,600

41,900

1,000

RIFAMPICIN 450 MG

660

2,033

328

RINGER LAKTAT LARUTAN INFUS

5,200

RISPERIDONE 1 MG TABLET

1,500

200

RISPERIDONE 2 MG TABLET

1,781

115

RANITIDIN INJ 25 MG/2ML

1,483

162

64,300
-

1
1

8,600
-

347

SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL


1

60
-

215,600
-

1,000

300,000
-

110,000

1,000

29,000

110

RANITIDIN TABLET

960

22,000

1,000

1,928

53,800

PREDNISON TABLET 5 MG

X218*18

200

3,500

24

36,250

PARASETAMOL DROPS

10
2,000

3,000,000

52,000

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

Pemakaian

PROGRAM
Pemakaian

Harga

P2KP
Pemakaian

Harga

GRG
Pemakaian

Harga

CLG
Pemakaian

Harga

Harga

19=6-18
19,800

2,500

SALBUTAMOL 2 MG TABLET

83

100

8,300

200

13,900

2,300

SALBUTAMOL 4 MG TABLET

96

100

9,600

518

74

SALEP 2 - 4

4,950

3,700

1,200

SALISIL BEDAK 2 %

1,250

100

100

4,836

125,000

4,897

200

16,600
125,000

94

SALISIL MENTOL BEDAK

3,630

1,400

70

SEFADROKSIL SYRUP

5,248

7,100

SEFADROKSIL 250 MG

468

SEFADROKSIL 500 MG

521

200

SETRALINE 50 MG TABLET

11,403

SIANOCOBALAMIN TABLET

12

1,000

7,100
4,320

670

138,000

SIANOCOBALAMIN / VIT. B 12 INJ

354

75,200

7,100

SILVER SULFADIAZINE 10 MG / 35 GR CREAM


SIMVASTATIN TABLET

104,200

520

58,300

391

500

195,500

210

15

STESOLID RECTAL SUPP

23,540

919

STREPTOMISIN SERBUK INJ 1500 MG/ML

2,090

48

SULFASETAMIDA NATRIUM TETES MATA

3,226

6,656
91,900
1

7,100

3,900

300

44,300

1,500
-

117,000

550

22,000
8

245
195,500
-

1
1

7,100
6,000

41,900
-

186

100

1,050

700

1,500
-

38

THIAMPHENIKOL 500 MG KAPSUL

431

TRAMADOL HCI 50 MG TABLET

189

50

5,400

40

VITAMIN B KOMP. TABLET

107

ZINC / ZINCDIAR TABLET

474

6,000

THIAMIN (VIT.B1) 50 MG TABLET

TRAMADOL HCI 50 MG/ML INJ


TRIHEKSILPHENIDIL 2 MG TABLET

NEO KAOMINAL SUSPENSI


119

32

968

TETRASIKLIN 500 MG KAPSUL


THIAMIN (VIT.B1) 100 MG / ML INJ

500

38,500

TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG

ALAT KESEHATAN DAN REAGEN


-

ALAT AUTOCLIX/LANCET DEVICE

110,000

1,000
1,452,000

2,000

18,600

968,000
-

76,000

4,000

152,000

200

500

9,450

3,400

600

ALAT SUNTIK SEKALI PAKAI 1 ML

2,662

18,400

1,538

ALAT SUNTIK SEKALI PAKAI 3 ML

3,120

100

6,600

8,000
237,000

312,000

500
700

200

20,000
331,800

624,000

200

ALAT SUNTIK SEKALI PAKAI 5 ML

7,750

900

ALAT SUNTIK SEKALI PAKAI 10 ML

3,300

150

50

8,360

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

Pemakaian

PROGRAM
Pemakaian

Harga

P2KP
Pemakaian

Harga

GRG
Pemakaian

Harga

CLG
Pemakaian

Harga

Harga

19=6-18
6

99,900

1,700

100

200

9,900
-

ALAT PEMERIKSAAN HB
ALCOHOL SWABS
BISTURI

525,000

275

200

8,230

396

902,000

78,100

5,415,500

55,000

60

CATGUT DENGAN JARUM BEDAH

CATGUT CHROMIC

1,650,000

2,420,000

81

39,050

302,500

6,242

DEX GLASS
1

96

EDTA VACUM TUBE 5 ML

50

230

FOLEY CATETHER

11,000

8,190

60

GLUCOSA TEST TIP

8,323

12

GOLONGAN DARAH KIT

935,000

935,000

H2O2

18,755

200

83,600

FESCOPLAST

75,600

5,400

1,500

100

HAND SCONE STERILE

3,745

505

HCG CASETTE / PP TEST

HAND SCONE / SURGICAL GLOVE

18,755

418

400

167,200

200

10,890

5,500

25

HEMASITO METER

83,600

137,500
-

10,350

1,530

ISI AUTOCLIX

1,632

120

287

125

INFUSION SET ANAK

9,900

133

163

INFUSION SET DEWASA

8,800

195,840

300

489,600

IODIUM TEST

20,900

2,967

175

IV CATETHER

22,000

308

22

JARUM JAHIT

71,000

56

KACA MULUT

96,800

237

15

KAPAS PEMBALUT 250 GR

20,130

KAPSUL KOSONG NO.0

44

300

20,000

KAPSUL KOSONG NO.1

590

210

KASSA HIDROFIL 40 X 40

KASSA HIDROFIL GULUNG

1,246

70

2,070

350

30,000

40,260

33

1,980

136,694

KASSA STERIL

6,820

KASSA 4 M X 15 CM

5,104

50

LAMPU SPIRITUS

LARUTAN ASAM ALKOHOL

LARUTAN KOH 10 % 250 ML

46,200

255,200

50

255,200

STOCK
AKHIR

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Pemakaian

Harga

P2KP
Pemakaian

Harga

GRG
Pemakaian

Harga

CLG
Pemakaian

Harga

Harga

19=6-18
2

123

LOMATUELL H 10 X 10 CM

METILEN BLUE 250 ML

MICROPIPET 3 UKURAN

8,300

2,850

MASKER

101,750

37,400

2,090,000

1,436

750

1,077,000

400

574,400

100

143,600

139

22,000

138

22,000

MATA BOR HIGH SPEED BUNDAR

95,700

MATA BOR HIGH SPEED FISURE

95,700

MATA BOR HIGH SPEED INVERTED CONE

95,700

236,500

NASO GASTRIC TUBE

21,450

139

NEBULIZE MASK FOR INFANT

40,700

140

NEBULIZE MASK FOR ADULT

40,700

60

NEEDLE

110,000

261

OBJECT GLASS

34,100

30

MATA SCALLER

OIL IMERSI

OSE

22

PENJEPIT TABUNG

393

48

PLESTER

POT DAHAK

POWDER ENZIMATIC ALKAZYME

81,400

13,500

5,400

PIPET BESAR

PIPET KECIL

23,100

946,000

702,240

23,100

69,300

15

PURIFIED PROTEIN DERIVATIVE 2 UT

85

SELANG O2 ANAK

13,200

66

SELANG O2 DEWASA

13,200

1,082,950

62,150

320

32

STRIP HB

191,500

132

12

STRIP GULA DARAH

95,000

STRIP PROTEIN DAN GLUKOSA

77,000

122

25

STRIP KOLESTEROL

175,450

175,450

VENOJECT

220,000

YELLOW TIP

95,700

37

TABUNG REAKSI BESAR

2,015

63

TABUNG REAKSI KECIL

2,015

SILK DENGAN JARUM BEDAH

574,500

526,350

STOCK
AKHIR

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Pemakaian

Harga

P2KP
Pemakaian

Harga

GRG
Pemakaian

Harga

CLG
Pemakaian

Harga

Harga

19=6-18
103

22,000

132,000

304

13,200

270

85

24

TORNIKUET

URINE BAG
URINE TEST 3 PARAMETER
WIDAL TEST

4,950

247,500

1,396,000

133,100

594,000

1,870,000

12

943,000

1,132,500

1,942,295

1,768,800

1,171,500

24

94,020

1,197,900

1,937,600

OBAT GIGI

ARSEN

484,000

ARTIKULATING PAPER

214,500

AIR RAKSA DENTAL USE

225,500

3,740,000

CALCIDOR

209,000

115,500

70,000

73

143

CEVITRON

17

CHKM

CRESOPEN

551,000

DENTORIT

154,000

DYCAL

333,300

110

10

ETIL KLORIDA SPRAY

145,200

189

290,400

EUGENOL CAIRAN

3,178

75

16

IODOFORM PASTA

302,500

14

GLASS IONOMER ART

715,000

330,000

1,265,000

OCO / TSR

SILVER AMALGAM SERBUK 65 - 75 %

238,350

STOCK
AKHIR

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Pemakaian

Harga

P2KP
Pemakaian

Harga

GRG
Pemakaian

Harga

CLG
Pemakaian

Harga

Harga

19=6-18
12

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

418,000

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN


1

36,300

1,920,901

1,119,440

4,150,810

21,123,290

23,974,059

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Pemakaian

Harga

PWK
Pemakaian

Harga

JBG
Pemakaian

Harga

CTK
Pemakaian

Harga

100

215,200

25

53,800

75

161,400

150

300

160,200

1,000

534,000

200

106,800

300

194,400

1,000

648,000

500

324,000

300

3,000

312,000

50

200

107,600

PM
Pemakaian

Harga

20,800
-

300

63,000

300

990,000

450

1,485,000

1,000

86,000

1,400

120,400

107,100

300

990,000

2,500

215,000

500

1,650,000

400

1,320,000

1,500

129,000

1,000

86,000

100
1,200

250

95,370
925,000

960
200

179,520
-

1,500
-

280,500
-

151,200

720

510

510

194,400

30

142,500

740,000

200

740,000

300

Harga
322,800
259,200

1,684,800

1,000

104,000

468,000

500

9,240,000

2,500

215,000

1,049,200

10,200

224,400

150

555,000

384,300

1,650,000

1,110,000

907,800

400

1,022,200

2,100
400

392,700
1,480,000

10,200
1,503,480
142,500
6,290,000

1,200

240,000

960

192,000

1,800

360,000

2,040

408,000

600

120,000

2,400

480,000

1,800,000

8,000

1,760,000

5,000

1,100,000

4,700

1,034,000

14,400

3,168,000

5,000

1,100,000

10,000

2,200,000

11,990,000

120

360,000

120

360,000

3,000

348,000

2,000

232,000

1,000

116,000

1,000

3,000
81,000

100
5

186,600
632,500

243,000
100

186,600

90,750

186,600
632,500

90,750

93,300

810,000

2,332,800

466,500

1,306,200

1,138,500

3,668,500

62,275

871,850

50

720,000
2,006,800

25

211,750

250

249,100

90,000
70

3,000

348,000

10,000

100

50

202,500
50

30

93,300

60,500

2,500
283,500

50

62,275

36,000
20

4,500

522,000

3,500

25

20

469,800
100

311,375

30

2,000

232,000

5,800

125

151,250

126,000

665,500

CBB
Pemakaian
-

CWD
Pemakaian

Harga
-

PM
Pemakaian

Harga
-

PWK
Pemakaian

Harga
-

JBG
Pemakaian

Harga
-

CTK
Pemakaian

Harga
-

Harga
-

1,500

238,500

3,000

477,000

10,000

1,590,000

4,000

636,000

3,000

477,000

20,000

3,180,000

6,996,000

2,500

250,000

2,000

200,000

6,000

600,000

3,500

350,000

2,500

250,000

4,000

400,000

2,420,000

100

110,000

100

110,000

300

99,000

750

247,500

1,200

200

400
96

40,800
146,304

1,000
125

102,000
190,500

480
96

396,000
580,000
48,960
146,304

1,050

346,500

500

165,000

600

198,000

400

40,800

360

25

36,720
38,100

1,200
72

122,400
109,728

220,000
1,798,500
655,400
391,680
781,812

200

100

230,000

690,000

600

168,600

168,600

3,000

189,000

1,500

132,000

100

95,800

3,000

189,000

3,000

264,000

10

105,880

500

479,000

500

66,000
-

3,000

189,000

4,000

352,000
479,000

460,000

330,000

2,000

126,000

3,500

308,000

10

105,880

10

105,880
-

462,000
-

3,000

189,000

951,300

3,000

264,000

1,452,000

100

95,800

825,864
1,724,400
-

15

75,000

75,000

40

220,000

220,000

500

1,000

245,000

400

90,500
98,000

500

263,500

10,800

226,800

4,600

96,600

1,000

122,000

500
-

90,500
-

400
-

1,000

245,000

400

500

180,500

15,000

315,000

72,400
98,000
-

1,000
-

181,000
-

700

171,500

300

100

36,100

200

105,400

300

158,100

10,800

226,800

7,200

151,200

14,800
3,000
-

73,500

(800*21)+(14000*24)
366,000
-

543,000
1,078,000
288,800
606,050
#VALUE!
488,000
-

CBB
Pemakaian
-

CWD
Pemakaian

Harga
-

25,300

17,181

2,500

172,500

10,000

PM
Pemakaian

Harga
-

PWK
Pemakaian

Harga

Harga

CTK
Pemakaian

Harga

Harga

50,600

17,181

25,300

6,000

414,000

77

154,000

3,000

JBG
Pemakaian

207,000

5,500

379,500

4,000

276,000

10,000

690,000

2,415,000
164,000

100

100

40,500

317,680

40,500

9,100

10

200

10

22,000

22,000

75,900

531,300

75,900

101,200

50,600

184,200
-

10
200

72,200

18,200

72,200

9,100

184,200

126,500

48

24

24

200

200

200

50
1,000
-

73,450
54,000
-

125
-

48,384

18,200

183,625
-

3,000

162,000

500

250,000

50

73,450

50

44,750

4,000

216,000

24,192
115,800

18,200

200

57,900

200

4,400,000

4,400,000

18,200

50

44,750

50

44,750

3,500

189,000

400

21,600
-

50

96,768
463,200

25

115,800

73,450

200

36,725

100

24,192

460,500

54,600
-

36,725

697,775

50

44,750

223,750

2,000

108,000

766,800

25

300,000

120
-

660,000

990,000

CBB
Pemakaian
5,000

CWD
Pemakaian

Harga
115,000

5,000

300

500

82,500

12

48
2

PM
Pemakaian

Harga
115,000
-

115,152
111,100

96
5

92,000

3,000

69,000

7,000

161,000

100

200

60,000

176,688
-

230,304
277,750

1,200

5,610,000

24

57,576

72

20,000

80,000

1,000

165,000

247,500

500

123,000

172,728

50

1,000

246,000

119,950

24

57,576

1,221,091

134,970

20

30
5,200

759,200

2,000

89,980
292,000

10

44,990

50

224,950

300

27,900

300

27,900

200

29,200

10

550,000

40

2,200,000

24

1,320,000

10

550,000

100

1,000

20

240,240

10

100

30,000

50

235,000

47,000

120,120
-

1,000

47,000

60

720,720

1,081,080

1,000

300,000

360,000

940,000

1,983,400

20

94,000

48

300

182,400

19,000

125

660,000

100

528,000

75

396,000

50

150

239,850

96

153,504

48

76,752

48

76,752

99,000

20

94,000

200

425,600

100

60,800

668,800

12

30,468

76,170

264,000
-

50

2,508,000

168

268,632

930,618

#VALUE!

528,000

(28*4500)+(22*3800)

100

99,000

282,000

60

700
-

611,000

30,000

100

9,700

45,702

470,000

5,720,000

18

10,000

55,800
1,752,000

47,000

539,880

611,050

225,600

1,000

9,700

13,183,500

176,688

2,384,250

418,200

510

166,650

943,000

219,000

49,200

Harga

1,500

4,000

Harga

87,600

230,000

Harga

CTK
Pemakaian

600

Harga

JBG
Pemakaian

10,000

PWK
Pemakaian

475,000

CBB
Pemakaian

CWD
Pemakaian

Harga

50

PM
Pemakaian

Harga

10
414,450

PWK
Pemakaian

Harga

84
82,890

JBG
Pemakaian

Harga

72
696,276

CTK
Pemakaian

Harga

40
596,808

Harga

250
331,560

2,072,250

4,492,638

200

120
1,430,000

100

100

100
632,500
346,800

120
-

500

500

2,378,250

1,897,500

5,060,000

1,387,200

4,785,840

100,000
-

200
2,813,400

7,680,582

211,200

2,956,800

200
528,000

1,500

1,000
990,000

8,118,000

98,750

200

395,000

50

98,750

100

197,500

150

296,250

200

395,000

1,481,250

500

79,500

800

127,200

500

79,500

500

79,500

300

47,700

779,100

100
100

100

103,000

2,970,000

50
-

990,000

500

3,000

1,707,750

703,350

50

1,000

1,688,040

528,000

990,000

5,280,000

120

500

1,000

675,216

528,000

48
1,688,040

528,000
-

69,360

100,000

528,000

2,400

10
-

316,250

5,863,000

300

120
1,387,200

1,430,000

50

948,750

346,800

2,400

295,040

500
1,056,000

948,750

150

600
277,440

1,000

150

1,100,000

147,520
200

357,500

844,800

50

800

480

1,000

20
147,520

1,056,000

600

1,000
-

20
-

858,000

633,600

1,585,500

120

600
-

858,000

105,600
-

1,000

159,000

100

5,000

115,400

103,000

100

66,000

103,000

200
4

206,000
52,800

1,485,000

5,000

115,400

100
6

103,000
79,200

200
2

206,000
26,400

824,000
290,400

CBB
Pemakaian

CWD
Pemakaian

Harga

PM
Pemakaian

Harga

PWK
Pemakaian

Harga

400

1,000
-

105,000
-

1,000
-

187,500

4,000
-

42,000

187,500

1,000
-

28,000
-

500

44,500

100

60

169,800

1,000

123,000

1,000

164,000

400

65,600
-

50

687,500

100

2,000,000

2,000

1,056,000

400

30
2,000
-

412,500
1,056,000
-

100
200

40,700
990,000

1,000

200
-

17,800
32,800
-

1,000

375,000

1,575,000

71,200

169,800

123,000

1,000
-

164,000
-

557,600
-

300

6,000,000

23,820,000

897,600

1,500

792,000

1,000

528,000

4,699,200

88,000

3,025,000

1,500

201,000

321,600

700

123,200

440,000

200

22,400

100

64,000

64,000

100

40,700

162,800

3,100

347,200

20

616,000

300

1,485,000

65,600

200

75,000

1,700

84,000

264,000

8,900

500

1,485,000

200

100

300

987,000

562,500

52,500

304,200

1,340,000

112,000

67

500

500

117,000

5,760,000

105,600

11,200

84,000

20

600

288

35,200

100

93,600

500

2,880,000

200

Harga

144

800

Harga

1,375,000

26,800

CTK
Pemakaian

275,000

200

49,000

105,000

26,800

200

10

1,500

49,200

93,600

400

14,000

300

Harga

100

500

420,000

200

300

500

105,000

JBG
Pemakaian

1,000
100
540

40,700
2,673,000

112,000

300
-

1,485,000

600

2,970,000

604,800

616,000
12,973,950

100

63,700

41,300

41,300

CBB
Pemakaian

CWD
Pemakaian

Harga

PM
Pemakaian

Harga

Harga

Harga

CTK
Pemakaian

Harga

Harga

100

87,300

87,300

40

96,000

100

240,000

12,000

348,000

50

72,500

100

145,000

100

50

72,500

580,000

72,500
-

834,780

50

48,300

1,000

119,000

300

100

292,712

200
10,800

50

261,350

263,800

400

527,600

600

907,200

7,200

604,800

18,000

200

3,000

58,000
X218*18

1,000

65,000

1,000

65,000

143,000

143,000

14,000

2
1,000
-

29,000
57,000
-

4
-

150

5,000

285,000

100

12,000

35,700

784,050

10
200

23,800

334,528

791,400

300

395,700

250

329,750

1,512,000

7,200

604,800

8,000

672,000

50
2,000

695,650
238,000

2,247,610

700

923,300

3,693,200

25,200

2,116,800

7,728,000

28,000

3,000

3,000

195,000

1,500

10

35,000

15
2

42,000

3,000

171,000

97,500
52,500

2,000

220,000

1,500

165,000

5,000

550,000

10

19,280

100

192,800

150

289,200

70,000

#VALUE!

1,000

65,000

3,000

195,000

708,500

10

286,000

143,000

915,200

10

35,000

143,500

100

12,000

2,000

220,000

2,000
-

114,000
-

174,000
42,000
741,000
204,000

1,000

110,000

1,672,000

9,640

530,200

1,500

165,000

87,000

5,000

29,000

14,000

1,000

29,000

AO218*18

48,300
416,500

522,700

2,000

3,339,120

64

58,000

139,130

60

60

834,780

56

695,650

145,000

10

139,130

JBG
Pemakaian

50

PWK
Pemakaian

1,955,200

15,300,000

20

104,000

1,000

1,500,000

140

728,000

1,500

2,250,000

200

1,040,000

31,200

4,000

6,000,000

1,000

1,500,000

50

10,780,000
-

500
-

20
-

750,000

4,312,000

15,092,000
-

CBB
Pemakaian

CWD
Pemakaian

Harga

PM
Pemakaian

Harga

PWK
Pemakaian

Harga

JBG
Pemakaian

Harga

300

24,900

500

41,500

700

58,100

500

41,500

600

100

9,600

700

67,200

1,000

96,000

400

38,400

100

125,000

200

250,000

200

50

181,500

20

72,600

30

157,440

10

52,480

15

78,720

200

93,600

500

234,000

200

104,200

100

500

260,500

52,100

250,000
-

Harga
49,800
-

Harga

300

24,900

270,497

500

48,000

268,800

24

118,800

100

125,000

200

250,000

50

327,600

100

573,100

52,100

262,400

300

117,300

600

117,700

500

24

234,600

2,000

24,000

77,424

1,500
484,000

2,000

782,000

1,500

586,500

117,700

3,000
1,452,000

1,500
2,904,000

400

156,400

117,700

1,500
1,452,000

3,000

1,173,000

254,100
582,528

24,000
3,245,300
353,100
77,424

3,000
1,452,000

100

18,600

2,904,000

13,068,000

37,200
-

4,000

152,000

5,000

190,000

5,000

190,000

2,000

76,000

6,000

228,000

1,140,000

200

86,200

200

86,200

200

86,200

100

43,100

500

215,500

517,200

50

9,450

500

94,500

200

37,800

151,200

2,000

1,000
500

76,000

118,800
1,250,000

31,488

CTK
Pemakaian

40,000
237,000

300
1,000

12,000
474,000

400

2,000

948,000

1,200

16,000
568,800

1,000
1,000

40,000
474,000

2,000
2,000

80,000
948,000

216,000
4,218,600

4,680,000
775,000

100

312,000

300

936,000

400

1,248,000
775,000

200

624,000

200

624,000

100

CBB
Pemakaian

CWD
Pemakaian

Harga

PM
Pemakaian

Harga

Harga

Harga

Harga

300

50

2,343,000

110,000

3,905,000

400

10

110,000

781,000

400

Harga

400

CTK
Pemakaian

82,500

JBG
Pemakaian

30

PWK
Pemakaian

110,000

500

137,500

605,000

7,029,000

35

75,020

2,758,800

18,755

2,000

836,000

600

50

275,000

385,000
935,000
250,800

1,870,000

37,510

2,000

836,000

600

250,800

600

50

544,500

50

544,500

1,089,000

50

275,000

50

275,000

962,500

510

832,320

210

33

326,700

30

297,000

10

88,000

30

264,000

660,000

50

10

710,000

3
100

60,390

1,100,000

30
-

20,130

60

100

198,000

342,720
17,600

979,200

49,500

10

99,000

772,200

44,000

10

88,000

765,600

10

100,650

198,000

50

341,000

50

50

255,200

100

341,000

600

1,320,000

510,400

100

250,800

264,000

4,675,000

30

935,000

385,000

2,839,680

10

220,000

3,520,000

10

710,000

1,420,000

100

510,400

220,000

100,650

510,400

322,080
396,000
682,000
2,296,800

CBB
Pemakaian

CWD
Pemakaian

Harga

Harga

Harga

Harga

CTK
Pemakaian

Harga

Harga

600

861,600

300

430,800

500

203,500

JBG
Pemakaian

101,750

PWK
Pemakaian

203,500

PM
Pemakaian

718,000

574,400

100

143,600

610,500
4,523,400

203,500

203,500

68,200

136,400

244,200
110,000
204,600

383,000

175,450

6
-

702,240

570,000
220,000

115,500

40,700

115,500

1
-

284,900

10

231,000

110,000

88,000

20

462,000

88,000

138,600

400

101,750

1,155,000
702,240

383,000

1,340,500

190,000

760,000

1,052,700

220,000

175,450

CBB
Pemakaian

CWD
Pemakaian

Harga

PM
Pemakaian

Harga

PWK
Pemakaian

Harga

JBG
Pemakaian

Harga

CTK
Pemakaian

Harga

Harga
-

35

173,250

10

222,750

247,500

247,500

49,500

231,000

140,000

871,200

75

75

238,350

75

231,000

580,800

75

238,350

290,400

715,000

238,350

75

140,000

238,350
1,430,000

238,350
1,430,000

2,032,800
1,430,100
3,575,000

CBB
Pemakaian
-

CWD
Pemakaian

Harga
-

PM
Pemakaian

Harga
-

34,231,456

PWK
Pemakaian

Harga
-

41,315,730

JBG
Harga
836,000

2
-

82,439,973

Pemakaian
-

CTK
Pemakaian

Harga
-

72,600

49,745,589

Harga
-

836,000

2
-

32,615,110

72,600

67,442,058

145,200

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

DINAMIKA LOGISTIK OBAT


DI KOTA CILEGON
Propinsi

: BANTEN

Alamat

: Jl.K.P.Tendean Km.2 Cilegon

Jumlah Unit Pelayanan

: 9 Unit

Bulan

: Maret

Tahun

2015

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAAN

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

ACYCLOVIR 5 GR KRIM

TUBE

4,251

4,251

50

50

100

75

ACYCLOVIR 200 MG TABLET

TABLET

18,300

18,300

300

300

200

200

ACYCLOVIR 400 MG TABLET

TABLET

7,800

7,800

100

500

200

ALLOPURINOL 100 MG TABLET

TABLET

ALLOPURINOL 300 MG TABLET

TABLET

6,780

6,780

AMBROXOL SYRUP 15 MG / 5 ML

BOTOL

7,200

7,200

AMBROXOL TABLET 30 MG

TABLET

17,700

17,700

AMINOFILIN 200 MG TABLET

TABLET

AMITRIPTILIN 25 MG TABLET

TABLET

28,600

28,600

10

AMLODIPIN 5 MG TABLET

TABLET

39,660

39,660

11

AMLODIPIN 10 MG TABLET

TABLET

12

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

VIAL

1,680

1,680

13

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

BOTOL

13,553

13,553

14

AMOXICILLIN 250 MG KAPLET

KAPLET

59,800

59,800

1,440

15

AMOXICILLIN 500 MG KAPLET

KAPLET

135,800

135,800

5,000

16

AMOXICILLIN + AS.KLAVULANAT

TABLET

2,730

2,730

17

ANTALGIN 500 MG TABLET

TABLET

141,100

141,100

18

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM


HIDROKSIDA 200 MG + ALUMUNIUM HIDROKSIDA 200
MG)

TABLET

113,300

113,300

19

ANTASIDA SUSPENSI

BOTOL

1,874

1,874

20

ANTI BISA ULAR (ABU) SERUM

VIAL

21

ANTI TETANUS SERUM 1500 UI

AMPUL

15

15

22

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500


IU/G + POLIMIKSIN B 10,000IU/G )

TUBE

5,790

5,790

25

23

ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM


SALISILAT 3 %)

POT

14

14

25

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

300

3,951

100

1,100

17,200

100

900

6,900

90
10
1,000

1,020

510

500

200

1,500

1,000

1,800

210

210

1,020

5,160

1,620

150

450

200

300

400

300

2,510

4,690

500

1,500

3,000

1,700

1,800

4,000

16,000

1,700

60

1,020

600

960

1,050

900

1,000

27,600

3,000

7,590

32,070

50
250

400

2,040
7,000

8,000

4,000

1,000

50

1,630
11,203

1,200

9,240

50,560

6,000

53,200

82,600

400

100

600

1,680

1,800

1,080

5,300

9,500

8,400

240

2,490

1,000

400

3,000

1,000

5,000

1,000

5,000

16,400

124,700

2,500

2,000

1,500

2,000

3,500

3,600

10,000

26,300

87,000

25

50

100

150

425

1,449

100

14

2,350

200

240
200

1,000

200 ###

300

10
50

125

50

15
75

325
14

5,465
-

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAAN

6=4+5

SUPP

1,190

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

10

24

ANTI HEMOROID DOEN

25

ASAM ASCORBIT (VIT.C) 50 MG TABLET

TABLET

26

ASAM ASCORBIT (VIT.C) 250 MG TABLET

TABLET

129,000

129,000

27

ASAM MEFENAMAT 500 MG

TABLET

390,400

390,400

28

ASAM TRANEKSAMAT 500 MG

TABLET

12,400

12,400

29

ATROPIN SULFAT INJ

AMPUL

141

141

30

ATTAPULGIT / MOLAGIT TABLET

TABLET

91,850

91,850

31

AQUABIDEST

BOTOL

32

AQUA PRO INJEKSI 25 ML

BOTOL

702

702

33

AZITHROMYCIN 500 MG

KAPSUL

34

BEKARBON

TABLET

35

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

36

BETAMETASONE KRIM 0,1 %

37

BETAHISTIN MESILAT 6 MG TABLET

38

BETAKAROTEN 500 IU SYRUP

39

BISACODYL 10 MG SUPP

516

516

40

BISOPROLOL 5 MG

TABLET

1,300

1,300

41

BROMHEKSIN HCL 8 MG TABLET

TABLET

130,800

130,800

42

BROMHEKSIN HCL 4 MG SYRUP

BOTOL

43

BROMHEKSIN HCL 8 MG / 4 ML SOL

BOTOL

93

93

44

CALAMIN LOTION

BOTOL

428

428

45

CAPTOPRIL 12,5 MG TABLET

TABLET

658,700

658,700

46

CAPTOPRIL 25 MG TABLET

TABLET

210,900

210,900

47

CEFIXIME SYRUP KERING 100 MG

BOTOL

186

186

14

48

CEFIXIME 100 MG

KAPSUL

15,050

15,050

1,000

49

CEFIXIME 200 MG

50

CEFOTAXIME INJ 1G

VIAL

51

CEFTRIAXON INJ

VIAL

140

140

52

CETIRIZINE 5 MG SYRUP

BOTOL

53

CETIRIZINE DROP

BOTOL

54

CETIRIZIN 10 MG

TABLET

55

CIMETIDIN TABLET

TABLET

56

CIPROFLOXACIN 500 MG TABLET

TABLET

114,200

114,200

57

CLINDAMYCIN 150 MG KAPSUL

KAPSUL

8,700

8,700

58

CLINDAMYCIN 300 MG KAPSUL

KAPSUL

5,650

5,650

59

CHLORPHENIRAMIN MALEAT (CTM) 4 MG

TABLET

226,800

60

CHLORPROMAZINE 100 MG

TABLET

11,000

1,190

CBB

11
20

12
40

30

CWD

PM

13

14
30

PWK
15
20

JBG

CTK

16

17

70

60

14,320

VIAL

180

180

TUBE

878

878

TABLET

BOTOL

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

270
-

1,000

1,000

500

1,000

2,500

1,000

2,000

1,500

2,000

4,000
2,000

4,000
3,000

4,000

450

750

20

900

100

16,500

373,900
136

2,100

89,750

120

582

320

72

150

96

3,120
-

180

96

736

142

150

1,000

12,400

1,200

72

400

116,000

200

920

13,000
-

14,320

SUPP

CLG

100

300
1,200
1

1,200

1
28

11,200

516

300

1,000

2,400

128,400

91

28

400

1,000

300

1,500

2,000

2,500

2,000

500

2,000

11,800

646,900

1,300

700

2,000

2,000

3,000

4,000

500

2,000

15,500

195,400

20

10

50

15

10

50

176

10

300

300

400

1,000

100

400

500

4,000

11,050

29,700
-

40

100

29,700

40

600

300

400

700

500

1,500

400

300

100

300

200

300

226,800

10,800

7,200

14,400

11,000

1,000

500

1,000

3,900

500

500

400

4,600

109,600

800

7,900

300

1,000

2,600

3,050

7,200

18,000

61,200

165,600

2,000

9,000

300
100

500
300

100
400

3,600

400

1,000

25,800
-

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAAN

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

61

DEKSTROMETORPHAN HBR SYRUP

BOTOL

62

DEKSTROMETORPHAN HBR TABLET 15 MG

TABLET

63

DEKSTROSA LARUTAN INFUS 5 %

BOTOL

298

298

10

288

64

DEKSTROSA LARUTAN INFUS 10 %

BOTOL

445

445

440

65

DEKSTROSA LARUTAN INFUS 40 %

BOTOL

66

DEXAMETHASON 0,5 MG TABLET

TABLET

72,400

72,400

2,000

67

DEXAMETHASON INJEKSI

VIAL

2,500

2,500

68

DIAZEPAM TABLET

TABLET

2,000

2,000

69

DIAZEPAM INJ 5 MG/ML

AMPUL

206

206

70

DIFENHIDRAMIN INJ

AMPUL

210

210

210

71

DIGOKSIN 0,25 MG TABLET

TABLET

51,200

51,200

51,200

72

DOMPERIDON 5 MG SUSPENSI

BOTOL

73

DOMPERIDON 10 MG

TABLET

74

DOXYCYCLINE 100 MG KAPSUL

KAPSUL

75

EKSTRAK BELLADONNA TABLET 10 MG

TABLET

76

EPINEFRIN (ADRENALIN) INJ 0,1%

AMPUL

52

52

77

ERYTHROMYCIN 200 MG SYRUP

BOTOL

1,216

1,216

78

ERYTHROMYCIN 250 MG

KAPSUL

17,400

17,400

79

ERYTHROMYCIN 500 MG TABLET

TABLET

43,600

43,600

80

ETAMBUTOL 500 MG

TABLET

43,000

43,000

81

ETAKRIDIN 0,1 % / RIVANOL

BOTOL

187

187

82

ETANOL 70 % 1000 ML

BOTOL

593

593

83

FENITOIN 100 MG KAPSUL

KAPSUL

8,200

8,200

84

FENOBARBITAL 30 MG TABLET

TABLET

7,000

7,000

85

FENOL GLISEROL 10 %

BOTOL

1,944

1,944

86

FITOMENADION INJ

AMPUL

87

FITOMENADION 10 MG TABLET

TABLET

88

FLUCONAZOL 150 MG

TABLET

89

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

AMPUL

220

220

220

90

FUROSEMID 40 MG TABLET

TABLET

19,400

19,400

91

GAMEKSAN

BOTOL

92

GARAM ORALIT II SERBUK

SACHET

6,800

6,800

93

GENTAMYCIN SALEP KULIT

TUBE

1,550

1,550

50

94

GENTIAN VIOLET 1 % - 10 ML

BOTOL

3,750

3,750

50

95

GLIBENCLAMIDE 5 MG TABLET

TABLET

844,900

844,900

96

GLIMEPIRIDE 2 MG

TABLET

400

400

9,400
-

5,900

3,000

5,000

3,000

7,200

4,500

3,000 ###

5
1,000
10

9,400

100

41,700

2,492

1,000

1,000

10

196

10

10
100

100

200

48

42
1,186

200

300

17,100

300

600

43,000

1,000

42,000

24

163

10

24

11

700

500

200

200

8,200

7,000

96

1,848

1,600

200

500 ###
50

125
50

50

3,000

1,000

50
1,000

3,500

582

100

30

24
100

9,300

10

5,900

10

1,000
11

30,700

100

4,300

19,200
-

6,800

25 ###

275

1,275

###

200

3,550

2,000

11,500

833,400

300

350

50

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAAN

6=4+5

97

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C


50 MG

TABLET

20,130

20,130

98

GLISERIL GUAIAKOLT 100 MG TABLET

TABLET

570,000

570,000

99

GLISERIN LARUTAN

BOTOL

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

10

11

12

CWD

PM

PWK

JBG

CTK

13

14

15

16

17

90
6,000

7,000

3,000

6,000

10,000

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

90

20,040

32,000

538,000

100 GRISEOFULVIN 125 MG TABLET

TABLET

3,100

3,100

101 HALOPERIDOL 0,5 MG TABLET

TABLET

10,600

10,600

102 HALOPERIDOL 5 MG TABLET

TABLET

19,600

19,600

103 HALOPERIDOL 5 MG INJEKSI

AMPUL

444

444

444

TUBE

104 HEPARIN 200,000 IU GEL


105 HEPATOPROTEKTOR SYRUP

BOTOL

106 HEPATOPROTEKTOR TABLET

TABLET

3,180

3,180

107 HIDROKORTISON KRIM 2,5 %

TUBE

32,415

32,415

108 HYOSINE N BUTILBROMIDA TABLET

300

400

200

500

1,000

1,000

9,600

1,000

1,400

18,200

300

600
50

25

TABLET

109 IBUPROFEN 125 MG SUPP

SUPP

76

76

110 IBUPROFEN 200 MG SUSPENSI

BOTOL

660

660

1,260
48

48

96

100

20

1,020

3,180

72

439

50

2,600

31,976

71

75

585

111 IBUPROFEN 200 MG TABLET

TABLET

1,900

1,900

112 IBUPROFEN 400 MG TABLET

TABLET

19,100

19,100

113 ISONIAZID 100 MG

TABLET

5,000

5,000

5,000

114 ISONIAZID 300 MG

TABLET

7,000

7,000

7,000

115 IMUNOSTIMULAN SIRUP

BOTOL

755

755

116 IMUNOSTIMULAN TABLET

TABLET

117 ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

TABLET

118 ITRAKONAZOL 100 MG

KAPSUL

119 KALCIUM LACTAT 500 MG TABLET

TABLET

120 KALIUM DIKLOFENAK 50 MG

TABLET

VIAL

70

70

70

1,310

1,310

121 KANAMYCINE 2 GR
122 KAOLIN SUSPENSI

BOTOL

123 KETOKONAZOL 200 MG TABLET

TABLET

124 KETOKONAZOL KRIM 2 %

1,000
90,300

1,000

2,500

1,000

1,500

2,500

2,000

400

500

900

1,000

700

1,000

12,200

6,900

20

20

1,000

90,300

2,000

1,000

1,000

1,000

6,000

2,000

3,000

100

16,000

100
-

TUBE

4,995

4,995

60

125 KETOPROFEN 100 MG

TABLET

1,100

1,100

126 KETOROLAC INJ 10 MG

AMPUL

594

594

127 KLORAMFENIKOL 250 MG KAPSUL

KAPSUL

128 KLORAMFENIKOL 1 %SALEP MATA

TUBE

129 KLORAMFENIKOL SUSPENSI

BOTOL

373

373

130 KLORAMFENIKOL 0,5 % TETES MATA

BOTOL

870

870

100

131 KLORAMFINEKOL 3 %TETES TELINGA

BOTOL

2,400

2,400

100

12

30

30

60

120

735
1,000
74,300

1,210
-

313

4,682

100

1,000

54

540

50

323

100
54

50
50

150
96

48

100

100

50

100

650

220

96

96

24

120

580

1,820

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAAN

6=4+5

132 KLARITROMISIN 500 MG

TABLET

300

300

133 KODEIN FOSFAT 20 MG TABLET

TABLET

1,750

1,750

TUBE

3,427

3,427

TABLET

46,800

46,800

134 KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN


SULFAT 5 MG KRIM
135 KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25
MG + PARASETAMOL 400 MG

136 KOMB. BUDENOSID FORMATEROL 80/4,5 MCG INHALER


60 DOSISI
137 KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON
VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

STOCK
AKHIR

18=(7s/d17)

19=6-18

500

250

60

36

20

10

24

300

750

1,000

384

3,043

46,800

84

2,576

200

520

4,044

1,200

3,900

21,550

500

18,000

300

400

1,400

84

150

BOTOL

2,660

2,660

24

BOTOL 60
ML

4,564

4,564

120

20

120

60

139 KOMB.DEKSAMETASON, DEKSKLORFENIRAMIN


140 MALEAT
KOMB.METHAMPYRON + DIAZEPAM

TABLET

25,450

25,450

500

100

600

600

TABLET

18,500

18,500

141 KOMB.DEXTROMETHORPHAN + THIOKOL +


PARASETAMOL + CTM

BOTOL

1,800

1,800

142 KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT

BOTOL

6,025

6,025

143 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


TABLET

TABLET

57,480

57,480

144 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


145 SYRUP
KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC

BOTOL

TUBE

124

124

138 KOMB.DEKSTROMETORFAN HBR +


FENILPROPANOLAMIN + GG + CTM SYRUP

JUMLAH

100

40

100

100

900

20

200

100
10
360

100
600

10

600

600

200

200

300

810

5,215

6,360

360

120

9,000

48,480

10

23

101

100 MG
146 KOMB.TEOFILIN + SALBUTAMOL TABLET

TABLET

147 KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG


SYRUP / TREMENZA SYRUP

BOTOL 60
ML

1,375

1,375

10

10

120

15

148 KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG


TABLET / LIBROFED TABLET

TABLET

11,950

11,950

100

50

500

100

149 KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG


+ VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG +
GLUTAMIC ACID 200 MG TABLET

TABLET

13,300

13,300

300

500

150 KOTRIMOKSAZOL SUSPENSI

BOTOL

6,615

6,615

151 KOTRIMOKSAZOL ADULT 480 MG TABLET

TABLET

6,700

6,700

50

100

144

144

100

72

615

760

300

700

1,000

900

700

600

4,950

7,000

1,000

1,200

3,000

3,000

1,500

1,000

11,500

1,800

50

100

200

100

600

6,015

6,700

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAAN

6=4+5

152 KOTRIMOKSAZOL PEDIATRIK TABLET

TABLET

14,940

14,940

153 LEVOFLOXACIN 500 MG TABLET

TABLET

4,200

4,200

154 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

AMPUL

10,600

10,600

155 LINCOMYCIN 500 MG KAPSUL

TABLET

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

200
200
150

100

200

STOCK
AKHIR

18=(7s/d17)

19=6-18

200

100
30

JUMLAH

100

3,900

580

10,020

156 LISOL

BOTOL

834

834

157 LOPERAMID 2 MG TABLET

TABLET

23,900

23,900

158 MELOXICAM 7,5 MG

TABLET

159 MELOXICAM 15 MG

TABLET

160 METFORMIN 500 MG

TABLET

161 METFORMIN 850 MG

TABLET

162 METHILERGOMETRIN MALEAT 0,125 MG TABLET

TABLET

163 METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

AMPUL

164 METHYLPREDNISOLON 4 MG TABLET

TABLET

165 METHYLPREDNISOLON 8 MG TABLET

TABLET

166 METHYLPREDNISOLON 125 MG INJEKSI

VIAL

187,100
1,100
-

187,100

5
200

100

1,000

500

1,500

1,000

700

10,100

45

45

824
23,700

4,800

10,100

10

600

500

300

1,000

###

200

1,100

14,740

300

3,400
-

182,300
1,100
6,700
45

167 METOCLOPRAMIDE HCL 10 MG

TABLET

5,900

5,900

200

200

168 METOCLOPRAMIDE SYRUP 5 MG / 5 ML

BOTOL

48

48

15

15

33

169 METRONIDAZOL 250 MG TABLET

TABLET

12,500

12,500

200

200

12,300

170 METRONIDAZOL 500 MG TABLET

TABLET

19,900

19,900

200

2,000

17,900

100

400

400

400

500

5,700

171 MICONAZOLE SALEP

TUBE

172 MINYAK KAYU PUTIH 15 ML

BOTOL

173 MOMETHASON KRIM 0,1 %

TUBE

601

601

174 MULTIVITAMIN ANAK DROP

BOTOL

2,866

2,866

175 MULTIVITAMIN ANAK SYRUP

BOTOL

176 MULTIVITAMIN TABLET

TABLET

53,500

53,500

177 NATRIUM BIKARBONAT 500 MG TABLET

TABLET

53,000

53,000

178 NATRIUM DIKLOFENAK 25 MG TABLET

TABLET

50,200

50,200

179 NATRIUM DIKLOFENAK 50 MG TABLET

TABLET

3,900

3,900

10
10

100

1,200

2,000

100 ###

180 NATRIUM DIKLOFENAK GEL

TUBE

181 NATRIUM KLORIDA LARUTAN INFUS 0,9%

BOTOL

182 NATRIUM KLORIDA 100 ML

BOTOL

183 NIFEDIPINE 10 MG TABLET

TABLET

92,800

92,800

184 NYSTATIN 500.000 IU TABLET

TABLET

2,600

2,600

185 NYSTATIN VAGINAL TABLET 100.000 IU

TABLET

2,900

2,900

186 NYSTATIN SUSPENSI 100.000 IU/Ml

BOTOL

103

103

10

591

310

2,556

700

2,000

500

1,300

3,500

1,000

12,200
-

100

500

600

200

400

1,000

500

200

600

300

600
-

500
-

1,000
###

500

400
100

10

200

53,000

2,800

47,400

3,700

200

100

41,300

1,200

91,600

2,600

100

2,800

10

93

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAAN

6=4+5

187 OBH

BOTOL

188 OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM


+ AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

BOTOL

189 OFLOXACIN 200 MG

TABLET

190 OFLOXACIN 400 MG

TABLET

191 ONDENSETRON INJ

AMPUL

192 OXYTETRASIKLIN HCL 3 % SALEP KULIT

TUBE

193 OXYTETRASIKLIN HCL 1 % SALEP MATA

TUBE

11,131
-

10

11

12

13

14

180 ###

360

420

47

JBG

CTK

15

16

17

500

250

360

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

2,297

400

270

270

18,100

18,100

14,600

1,400
8,674

20
50

25

###

10

30

20

250
17,950

40
-

200

100

1,000

500

300

200

500

2,800
-

1,400

8,674

20

BOTOL

45,581

45,581

10

10

203 PARASETAMOL 500 MG

TABLET

1,034,800

1,034,800

200

100

204 PERMETHRIN KRIM 5 %

TUBE

400

56
150

10,800 ###

30

56

300

600

300

8,500

7,200

56

168

386

6
11,800
1,400
8,288

400

500

3,020

42,561

9,000

25,200

82,600

952,200

205 PIRANTEL PAMOAT 125 MG

TABLET

16,900

16,900

206 PIRAZINAMID 500 MG

TABLET

47,900

47,900

207 PIRIDOKSIN (VIT B6 ) TABLET 10 MG

TABLET

241,000

241,000

208 PIROXICAM

TABLET

7,900

7,900

209 POLIKRESULEN SOL

BOTOL

177

177

210 POVIDON IODIDA 30 ML

BOTOL

1,054

1,054

212 POVIDON IODIDA 300 ML

BOTOL

337

337

213 POVIDON IODIDA 1 L

BOTOL

152

152

214 PREDNISON TABLET 5 MG

TABLET

72,000

72,000

215 PROPANOLOL 40 MG

TABLET

216 RANITIDIN TABLET

TABLET

53,800

53,800

217 RANITIDIN INJ 25 MG/2ML

AMPUL

960

960

218 RETINOL 100,000 IU

BOTOL

1,483

1,483

3,000
2,200

###
500

6,000
4,000

20

7,900

16,900
47,900
235,000
-

25

152

10

17

1,037

11

326

1,000

2,000

1,000

219 RETINOL 200,000 IU

BOTOL

220 RIFAMPICIN 450 MG

TABLET

41,900

41,900

LABU

2,033

2,033

221 RINGER LAKTAT LARUTAN INFUS

3,310

350

400

10,800

800

150
-

202 PARASETAMOL SYROP 120 MG / 5 ML

50

14,600

211

8,834

4,950

TABLET

SUPP

PWK

196 PAPAVERIN 40 MG TABLET

BOTOL

PM

201 PARASETAMOL DROPS

CWD

400

3,350

200 PARASETAMOL SUPPOS 160 MG/PROPIRETIC

CBB

4,950

TABLET

CLG

400

3,350

199 PARASETAMOL 100 MG

GRG

4,950

BOTOL
AMPUL

P2KP

AMPUL

TABLET

PROGRAM

195 PANTOCAIN 0,5 % TETES MATA

198 PARAFORMALDEHID TABLET 1 GR

DINAS

11,131

194 OXYTOCIN INJ/SYNTOCINON

197 PAPAVERIN INJEKSI 40 MG/ML

PEMAKAIAN

4,000
-

2,500

800

2,000

2,000

3,000

150

50

1,500

1,800

1,000

14,600

140

10

39,200

200

760

1,482

20

152
68,000

41,900

170

1,863

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAAN

6=4+5

222 RISPERIDONE 1 MG TABLET

TABLET

223 RISPERIDONE 2 MG TABLET

TABLET

224 SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL

AMPUL

347

347

226 SALBUTAMOL 2 MG TABLET

TABLET

19,800

19,800

227 SALBUTAMOL 4 MG TABLET

TABLET

13,900

13,900

518

518

225 SALBUTAMOL INHALER 100 MCG 200 DOSIS

228 SALEP 2 - 4

64,300

POT

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

1,000

2,000

64,300

200

4,000

1,000

20

20

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

8,200

56,100

40

307

300

500

400

600

100

300

500

24

2,100

17,700

###

200

1,700

12,200

24 ###

72

446

400

3,300

229 SALISIL BEDAK 2 %

KOTAK

3,700

3,700

230 SALISIL MENTOL BEDAK

BOTOL

4,836

4,836

231 SEFADROKSIL SYRUP

BOTOL

1,400

1,400

30

232 SEFADROKSIL 250 MG

KAPSUL

7,100

7,100

100

200

233 SEFADROKSIL 500 MG

KAPSUL

7,100

7,100

234 SETRALINE 50 MG TABLET

TABLET

4,320

4,320

4,320

235 SIANOCOBALAMIN TABLET

TABLET

138,000

138,000

138,000

236 SIANOCOBALAMIN / VIT. B 12 INJ

AMPUL

TUBE

354

354

237 SILVER SULFADIAZINE 10 MG / 35 GR CREAM


238 SIMVASTATIN TABLET

75,200

75,200

239 STESOLID RECTAL SUPP

TABLET
TUBE

210

210

240 STREPTOMISIN SERBUK INJ 1500 MG/ML

VIAL

919

919

241 SULFASETAMIDA NATRIUM TETES MATA

BOTOL

6,656

6,656

242 TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG

TABLET

91,900

91,900

243 TETRASIKLIN 500 MG KAPSUL

KAPSUL

3,900

3,900

244 TEOFILIN 300 MG TABLET

TABLET

44,300

44,300

245 THIAMIN (VIT.B1) 100 MG / ML INJ

AMPUL

TABLET

117,000

117,000

247 THIAMPHENIKOL 500 MG KAPSUL

KAPSUL

38,500

38,500

248 TRAMADOL HCI 50 MG TABLET

TABLET

550

550

249 TRAMADOL HCI 50 MG/ML INJ

AMPUL

245

245

250 TRIHEKSILPHENIDIL 2 MG TABLET

TABLET

195,500

195,500

251 VITAMIN B KOMP. TABLET

TABLET

252 ZINC / ZINCDIAR TABLET

TABLET

ALAT KESEHATAN DAN REAGEN


1

ALAT AUTOCLIX/LANCET DEVICE

SET

100

20

100

200

500

200
50

30
200

10
400

70

4,766

30

105

1,295

200

500

6,600

300

1,700

5,400

4
100

500

200

500

300

1,000

1,000

500

1,000

5
24
1,500 ###

1,500

1,500

1,500 ###

100
300

246 THIAMIN (VIT.B1) 50 MG TABLET

41,900

100

400

3,000

2,000

2,000

300

300

5,100

70,100

205

919

24

6,632

9,000

82,900

100

3,800

300

44,000

16,000

101,000

500

1,100

37,400

100

450

100

200

1,500

600

500

3,000

5,800

300

5,300

500 ###

500

2,000

1,000

500

8,000

41,900

350

1,000

245
189,700
36,600

32

32

32

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAAN

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

ALAT SUNTIK SEKALI PAKAI 1 ML

BUAH

3,400

3,400

100

ALAT SUNTIK SEKALI PAKAI 3 ML

BUAH

18,400

18,400

100

ALAT SUNTIK SEKALI PAKAI 5 ML

BUAH

6,600

6,600

100

ALAT SUNTIK SEKALI PAKAI 10 ML

BUAH

900

900

ALAT SUNTIK SEKALI PAKAI 20 ML

BUAH

150

150

ALAT PEMERIKSAAN HB

BUAH

ALCOHOL SWABS

99,900

99,900

SACHET

BISTURI

BUAH

100

100

10

BLOOD LANCET

BUAH

9,900

9,900

200

200

200

10

STOCK
AKHIR

18=(7s/d17)

19=6-18

200

3,200

700

17,700

100

6,500

900

10

140

400

1,000

600

200

600

6
97,100

100

9,900

11

CAIRAN PENCUCI ANTISEPTIK

GALON

CATGUT DENGAN JARUM BEDAH

SACHET

13

CATGUT CHROMIC

ROLL

14

DENGUE IgG AND IgM DROP TEST

SET

15

DENGUE N5 1 ANTIGEN

SET

16

DEX GLASS

BUAH

81

81

81

17

EDTA VACUM TUBE 5 ML

BUAH

96

96

96

18

FESCOPLAST

ROLL

19

FOLEY CATETHER

BUAH

50

50

50

20

GLUCOSA TEST TIP

TIP

8,190

8,190

21

GOLONGAN DARAH KIT

SET

12

12

22

H2O2

23

HAND SCONE / SURGICAL GLOVE

LEMBAR

75,600

75,600

24

HAND SCONE STERILE

PASANG

1,500

1,500

25

HCG CASETTE / PP TEST

SACHET

3,745

3,745

26

HEMASITO METER

BUAH

27

ISI AUTOCLIX

KOTAK

28

INFUSION SET ANAK

29

INFUSION SET DEWASA

30

IODIUM TEST

BOTOL

300

300

31

IV CATETHER

SACHET

2,967

2,967

32

JARUM JAHIT

BUAH

308

308

33

KACA MULUT

BUAH

34

KAPAS PEMBALUT 250 GR

BUNGKUS

237

237

35

KAPSUL KOSONG NO.0

BUAH

20,000

20,000

36

KAPSUL KOSONG NO.1

BUAH

30,000

30,000

37

KASSA HIDROFIL 40 X 40

LEMBAR

590

590

38

KASSA HIDROFIL GULUNG

ROLL

6,242

2,800

12

BOTOL

100

JUMLAH

6,242

30

10

45

120
1
300

800

600

1,000

600

700

250

250

250 ###

1,000

50
250 ###

250

250

10,350

10,350

SET

287

287

SET

133

133

120

8,070

11

500

210

600

30

300

70,100

50

1,450

2,000

1,745

1,410

41

5
2

100

8,940

287

33

100

30

5,500

300

6,197

300

75

2,892

303

12

225

20,000

30,000

100

490

NO

NAMA OBAT

39

KASSA STERIL

40

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAAN

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

STOCK
AKHIR

18=(7s/d17)

19=6-18

KOTAK

1,246

1,246

KASSA 4 M X 15 CM

ROLL

2,070

2,070

41

LAMPU SPIRITUS

BUAH

42

LARUTAN ASAM ALKOHOL

BOTOL

43

LARUTAN KOH 10 % 250 ML

BOTOL

44

LOMATUELL H 10 X 10 CM

KOTAK

123

123

45

METILEN BLUE 250 ML

BOTOL

46

MICROPIPET 3 UKURAN

BUAH

47

MASKER

BUAH

8,300

8,300

48

MASKER OXYGEN FOR ADULT

BUAH

139

139

139

49

MASKER OXYGEN FOR CHILD

BUAH

138

138

138

50

MATA BOR HIGH SPEED BUNDAR

BUAH

51

MATA BOR HIGH SPEED FISURE

BUAH

52

MATA BOR HIGH SPEED INVERTED CONE

BUAH

53

MATA SCALLER

BUAH

54

NASO GASTRIC TUBE

TUBE

30

30

30

55

NEBULIZE MASK FOR INFANT

BUAH

139

139

139

56

NEBULIZE MASK FOR ADULT

BUAH

140

140

140

57

NEEDLE

BUAH

60

60

58

OBJECT GLASS

BUAH

261

261

261

59

OIL IMERSI

BOTOL

60

OSE

BUAH

61

PENJEPIT TABUNG

BUAH

22

22

22

62

PIPET BESAR

BUAH

63

PIPET KECIL

BUAH

64

PLESTER

ROLL

393

393

31

362

65

POT DAHAK

BUAH

66

POWDER ENZIMATIC ALKAZYME

BUAH

67

PURIFIED PROTEIN DERIVATIVE 2 UT

VIAL

15

15

68

SELANG O2 ANAK

BUAH

85

69

SELANG O2 DEWASA

BUAH

66

70

SGOT/SGPT TEST

71

SILK DENGAN JARUM BEDAH

72

STRIP ASAM URAT

73

SET

100

JUMLAH

50

50

50

100

1,146

150

1,920

700

200

250

500

600

###

300

500

300

15

400

3,750

120
4
4,550

58

14

85

85

66

66

SACHET

STRIP HB

BOX

320

320

74

STRIP GULA DARAH

BOX

132

132

75

STRIP PROTEIN DAN GLUKOSA

BOX

10

316

14

118

NO

NAMA OBAT

76

STRIP KOLESTEROL

77

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAAN

6=4+5

BOX

122

122

VENOJECT

KOTAK

78

YELLOW TIP

BUAH

79

TABUNG REAKSI BESAR

80

TABUNG REAKSI KECIL

81

TERMOMETER DIGITAL

82

TORNIKUET

BUAH

83

UMBILICAL CORD CLAMP

BUAH

84

UNDER PAD 80 X 180 CM

85
86

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

10

11

CBB

CWD

PM

12

13

14

PWK

JBG

15

16

50

CTK
17
10

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

63

59

BUAH

37

37

37

BUAH

63

63

63

103

103

103

BUAH

304

304

304

URINE BAG

BUAH

270

270

20

250

URINE TEST 3 PARAMETER

KOTAK

87

WIDAL TEST

KOTAK

88

WHITE TIP

BUAH

24

24

24

89

MASKER N 95 TYPE 1870

KOTAK

90

POCH PACK D

BUAH

91

POCH PACK L

BUAH

92

CHECK CONTROL HEMATOANALYZER

BUAH

93

CELL CLEAN HEMATOANALYZER

BUAH

94

CALIBRATION SCS

BUAH

95

CELL PACK HEMATONANALYZER

BUAH

96

STROMALYSER WH

BUAH

97

CHECK CONTROL HEMATOANALYZER XP 100

BUAH

98

CELL CLEAN HEMATOANALYZER XP 100

BUAH

99

CALIBRATION SCS XP 100

BUAH

20

OBAT GIGI
1

ARSEN

BOTOL

ARTIKULATING PAPER

KOTAK

AIR RAKSA DENTAL USE

BOTOL

73

73

73

BEIN GIGI

SET

CALCIDOR

POT

CEVITRON

BUAH

143

143

CHKM

POT

17

17

17

CRESOPEN

BOTOL

DENTORIT

BOTOL

10

DYCAL

BOTOL

11

ETIL KLORIDA SPRAY

BOTOL

110

110

139

102

NO

NAMA OBAT

SATUAN

STOCK AWAL

PENERIMAAN

PERSEDIAAN

6=4+5

12

EUGENOL CAIRAN

BOTOL

189

189

13

IODOFORM PASTA

POT

16

16

14

GLASS IONOMER ART

SET

14

14

15

OCO / TSR

BOTOL

16

SILVER AMALGAM SERBUK 65 - 75 %

BOTOL

17

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

SET

18

TEMPORARY STROPPING FLETCHER SERBUK DAN


CAIRAN

SET

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

STOCK
AKHIR

18=(7s/d17)

19=6-18

2
1

187
16

12

12

12

Cilegon,

Maret 2015

Mengetahui'
Kepala Bidang Sumber Daya Kesehatan

JUMLAH

Kepala Seksi Farmasi dan Peralatan Kesehatan

Dra.E.Yolanda P,Apt.MKM

Riris Sinaga,S.Si,Apt

Nip. 19660223 199203 2 002

Nip.19740620 200312 2 003

Pemberian

NAMA OBAT

1 ACYCLOVIR 5 GR KRIM

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

Pemakaian

2,152

25

1 ACYCLOVIR 200 MG TABLET

534

1 ACYCLOVIR 400 MG TABLET

648

1 ALLOPURINOL 100 MG TABLET

104

1 ALLOPURINOL 300 MG TABLET

210

90

3,300

10

33,000

1 AMBROXOL TABLET 30 MG

86

1 AMINOFILIN 200 MG TABLET

104

1 AMITRIPTILIN 25 MG TABLET

102

1 AMLODIPIN 5 MG TABLET

187

60

440

AMBROXOL SYRUP 15 MG / 5 ML

1,000

18,900
86,000

11,220

53,800

CBB

50

107,600

50

300

160,200

300

100

64,800

500

214,200

510

107,100

500

1,650,000

200

660,000

150

1,500

129,000

1,000

86,000

500

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

3,700

200

AMOXICILLIN 250 MG KAPLET

200

1,440

288,000

AMOXICILLIN 500 MG KAPLET

220

5,000

1,100,000

3,000

116

AMOXICILLIN + AS.KLAVULANAT
1 ANTALGIN 500 MG TABLET
ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA
200 MG + ALUMUNIUM HIDROKSIDA 200 MG)
1

200

16,200

81

740,000

1,000
-

1,020

200
7,000
1,000

81,000

25

ANTI BISA ULAR (ABU) SERUM

471,719

ANTI TETANUS SERUM 1500 UI

126,500

ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM


1 SALISILAT 3 %)

2,491
1,800

116,000

46,650
632,500

250
2,040
8,000
400

50
50

62,275
-

25,200

600

2,000

25

14
-

1,540,000

202,500

740,000

2,500

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


POLIMIKSIN B 10,000IU/G )

190,740

1,866

ANTASIDA SUSPENSI

1,020

4,750

AMLODIPIN 10 MG TABLET

NAMA OBAT

1 ANTI HEMOROID DOEN


1 ASAM ASCORBIT (VIT.C) 50 MG TABLET
ASAM ASCORBIT (VIT.C) 250 MG TABLET
1 ASAM MEFENAMAT 500 MG

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

20

159

100

ASAM TRANEKSAMAT 500 MG

ATROPIN SULFAT INJ

1,100

367

15,400

2,900

20

11,000

102

12,185

1,524

924

25,300

6,199
2,300

AQUA PRO INJEKSI 25 ML


AZITHROMYCIN 500 MG
1 BEKARBON
BENZATIN BENZIL PENISILIN 2,4 JUTA IU
1 BETAMETASONE KRIM 0,1 %
BETAHISTIN MESILAT 6 MG TABLET
BETAKAROTEN 500 IU SYRUP
BISOPROLOL 5 MG
1 BROMHEKSIN HCL 8 MG TABLET
BROMHEKSIN HCL 4 MG SYRUP
BROMHEKSIN HCL 8 MG / 4 ML SOL
1 CALAMIN LOTION
1 CAPTOPRIL 12,5 MG TABLET
1 CAPTOPRIL 25 MG TABLET
CEFIXIME SYRUP KERING 100 MG
CEFIXIME 100 MG

Pemakaian

32

AQUABIDEST

Harga

3,025

1,100

1 ATTAPULGIT / MOLAGIT TABLET

GRG

1,000

100,000

121,000
-

30
-

1,000

159,000

500

79,500

1,000

1,000

100,000

2,000

200,000

1,500

450

200

400

72

281

1,000

63,000

300

1,300

114,400

63

58,000

20,400
109,728

1
-

66,000
-

150

V41*AE41-200X33

228,600

5
-

72

18,900

1,500
2,000

88

700

61,600

10,588

14

148,232

20

211,760

10

958

1,000

958,000

300

287,400

300

10,440

28,050

1 CETIRIZIN 10 MG
1 CIMETIDIN TABLET

181

116

CIPROFLOXACIN 500 MG TABLET

600

245

CLINDAMYCIN 150 MG KAPSUL

361

CLINDAMYCIN 300 MG KAPSUL

527

21

122

CEFOTAXIME INJ 1G
CEFTRIAXON INJ

5,500

CETIRIZINE 5 MG SYRUP
CETIRIZINE DROP

1 CHLORPROMAZINE 100 MG

40

5,000

1 CHLORPHENIRAMIN MALEAT (CTM) 4 MG

Pemakaian

12,650

60,500

Harga

66,000

Pemakaian

Harga

CBB

66,000

CLG

300

300

100

108,600

73,500

54,300
-

400
-

500

122,500

1,500

300

108,300

100

300

158,100

200

10,800

226,800

7,200

1,000

122,000

52,700

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

CBB
Harga

Pemakaian

1,379

99

DEKSTROSA LARUTAN INFUS 5 %

5,060

DEKSTROSA LARUTAN INFUS 10 %

5,727

DEKSTROSA LARUTAN INFUS 40 %

3,960

69

2,000

30

2,368

DEKSTROMETORPHAN HBR SYRUP


1 DEKSTROMETORPHAN HBR TABLET 15 MG

1 DEXAMETHASON 0,5 MG TABLET


DEXAMETHASON INJEKSI
1 DIAZEPAM TABLET

25,300

2,000

138,000

6,000

3,000

207,000

5,000

10

800

91

3,624

167

220

EPINEFRIN (ADRENALIN) INJ 0,1%

8,100

ERYTHROMYCIN 200 MG SYRUP

7,220

10

ERYTHROMYCIN 250 MG

440

ERYTHROMYCIN 500 MG TABLET

921

100

420

2,200

25,300

604

65

1 FENOL GLISEROL 10 %

1,008

FITOMENADION INJ

1,450

DIAZEPAM INJ 5 MG/ML


DIFENHIDRAMIN INJ
1 DIGOKSIN 0,25 MG TABLET
DOMPERIDON 5 MG SUSPENSI
1 DOMPERIDON 10 MG
DOXYCYCLINE 100 MG KAPSUL
EKSTRAK BELLADONNA TABLET 10 MG

1 ETAMBUTOL 500 MG

579

1 FLUCONAZOL 150 MG

22,000

1 FLUTICASONE PROPIONATE 0,5 MG / 2 ML

1 ETAKRIDIN 0,1 % / RIVANOL


1 ETANOL 70 % 1000 ML
1 FENITOIN 100 MG KAPSUL
1 FENOBARBITAL 30 MG TABLET

1 FITOMENADION 10 MG TABLET

1 FUROSEMID 40 MG TABLET

GENTAMYCIN SALEP KULIT


1 GENTIAN VIOLET 1 % - 10 ML
1 GLIBENCLAMIDE 5 MG TABLET
1 GLIMEPIRIDE 2 MG

184,200

100
-

11

48

100

19,080

91

292

1,469

50

73,450

895

50

44,750

50

54

500

500

27,000

3,000

500

50

25,000

GAMEKSAN
1 GARAM ORALIT II SERBUK

200

5
-

1,000

420,000

92,100

72,200

48,384

27,000
-

24
-

24,192
57,900

100

NAMA OBAT

DINAS

HARGA

Harga

Pemakaian

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50 MG

1 GLISERIN LARUTAN

Pemakaian

P2KP

Harga

Pemakaian

5,500
1 GLISERIL GUAIAKOLT 100 MG TABLET

PROGRAM

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

CBB
Harga

Pemakaian

23

4,730

90
-

6,000

138,000

7,000

1 GRISEOFULVIN 125 MG TABLET

200

1 HALOPERIDOL 0,5 MG TABLET

165

1 HALOPERIDOL 5 MG TABLET

246

400

1 HALOPERIDOL 5 MG INJEKSI

14,724

1 HEPARIN 200,000 IU GEL

36,000

600

2,805,000

25

59,975

HEPATOPROTEKTOR SYRUP

HEPATOPROTEKTOR TABLET

4,675

300

1 HIDROKORTISON KRIM 2,5 %

2,399

50

1 HYOSINE N BUTILBROMIDA TABLET


IBUPROFEN 125 MG SUPP
IBUPROFEN 200 MG SUSPENSI

1,402,500

119,950

48

300

55,550

55,550

4,499

22,495

1 IBUPROFEN 200 MG TABLET

93

1 IBUPROFEN 400 MG TABLET

146

1 ISONIAZID 100 MG

44

1 ISONIAZID 300 MG

107

IMUNOSTIMULAN SIRUP

55,000

1 IMUNOSTIMULAN TABLET

4,950

97

1,444

47

1 ISOSORBIT DINITRAT 5 MG SUB LING.TABLET


1 ITRAKONAZOL 100 MG
1 KALCIUM LACTAT 500 MG TABLET
KALIUM DIKLOFENAK 50 MG

12,012
300

4,700

KAOLIN SUSPENSI
KETOKONAZOL KRIM 2 %
1 KETOPROFEN 100 MG
KETOROLAC INJ 10 MG
KLORAMFENIKOL 250 MG KAPSUL

19,800

1 KETOKONAZOL 200 MG TABLET

KANAMYCINE 2 GR

1,000

2,000

146,000

94,000

4,700

2,500

1,000

365,000

47,000

60

1,000

1,000
-

282,000

12

56,400

30

608

2,539

245

KLORAMFENIKOL 1 %SALEP MATA

1,562

KLORAMFENIKOL SUSPENSI

3,800

KLORAMFENIKOL 0,5 % TETES MATA

5,280

100

528,000

50

KLORAMFINEKOL 3 %TETES TELINGA

1,599

100

159,900

264,000
-

150
96

NAMA OBAT

HARGA

KODEIN FOSFAT 20 MG TABLET


1

DINAS
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

CBB
Harga

Pemakaian

500

250

950
KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5
MG KRIM

PROGRAM

8,289

475,000
-

60

237,500
36

497,340

20
298,404

312

KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA

7,376

KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +


GG SYRUP

7,150

1 KOMB.DEKSAMETASON, DEKSKLORFENIRAMIN MALEAT

1,056

KOMB.METHAMPYRON + DIAZEPAM
1

KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT
KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM
1 TABLET
KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM SYRUP
KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100
1 MG
1 KOMB.TEOFILIN + SALBUTAMOL TABLET
KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG
SYRUP / TREMENZA SYRUP
KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG TABLET
1 / LIBROFED TABLET

KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +


VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET
KOTRIMOKSAZOL SUSPENSI
KOTRIMOKSAZOL ADULT 480 MG TABLET

10,000
1,925

10
100

990

297,000

50

159

300
105,600

98,750
-

100

495,000

211,035

528,000
500

15

500

1,975

100,000

1,688,280

52,800
300

10

120

50

600
-

140,690

100
63,250

10

208,080

105,600

1,056

140,690

14,069

100

10

360

105,600
-

100
-

528,000

143,000

110,000

500

20

100

858,000

110,000

120

100

177,024

578

6,325

7,920

24
-

15,855

1,100
KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL +
CTM

1,000
-

100
-

197,500
-

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

50

LEVOFLOXACIN 500 MG TABLET

1,154

200

LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

1,030

520

KOTRIMOKSAZOL PEDIATRIK TABLET

GRG
Harga

Pemakaian
-

CLG
Harga

Pemakaian

CBB
Harga

Pemakaian

30

230,800

30,900

150

13,200

91

200

1 MELOXICAM 7,5 MG

234

1 MELOXICAM 15 MG

348

1 METFORMIN 500 MG

105

100

500

METFORMIN 850 MG

260

LINCOMYCIN 500 MG KAPSUL


1 LISOL
1 LOPERAMID 2 MG TABLET

METHILERGOMETRIN MALEAT 0,125 MG TABLET


1

140
METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

3,685

10,500
-

66,000

300

600

44,000

89

2,830

METRONIDAZOL 250 MG TABLET

123

METRONIDAZOL 500 MG TABLET

164

MICONAZOLE SALEP

296

METOCLOPRAMIDE SYRUP 5 MG / 5 ML

1 METHYLPREDNISOLON 8 MG TABLET
1 METOCLOPRAMIDE HCL 10 MG

105,000

1 METHYLPREDNISOLON 4 MG TABLET
METHYLPREDNISOLON 125 MG INJEKSI

1,000

18,200

100

180,000

16,400
-

400
-

17,800

MULTIVITAMIN ANAK DROP

13,750

10

MULTIVITAMIN ANAK SYRUP

20,000

528

700

1 NATRIUM BIKARBONAT 500 MG TABLET

14

1 NATRIUM DIKLOFENAK 25 MG TABLET

134

100

1 NATRIUM DIKLOFENAK 50 MG TABLET

176

NATRIUM DIKLOFENAK GEL


NATRIUM KLORIDA LARUTAN INFUS 0,9%

4,900

NATRIUM KLORIDA 100 ML

13,400
-

500
-

65,600
-

MOMETHASON KRIM 0,1 %

1 MULTIVITAMIN TABLET

369,600
67,000
-

1,200
-

400
-

137,500
633,600
-

100
2,000
-

600

80,400

200

500

88,000

200

1 NIFEDIPINE 10 MG TABLET

112

100

1 NYSTATIN 500.000 IU TABLET

640

1 NYSTATIN VAGINAL TABLET 100.000 IU

407

30,800

NYSTATIN SUSPENSI 100.000 IU/Ml

11,200

NAMA OBAT

OBH

DINAS

HARGA

Harga

Pemakaian

4,950

OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +


AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

PROGRAM

Pemakaian
-

Harga

Pemakaian
-

7,000

P2KP

GRG
Harga

Pemakaian
-

180

CLG
Harga

Pemakaian

891,000

180

CBB
Harga

Pemakaian

891,000

360
-

OFLOXACIN 200 MG

413

OFLOXACIN 400 MG

873

ONDENSETRON INJ

2,400

OXYTETRASIKLIN HCL 3 % SALEP KULIT

1,450

50

2,100

72,500

50

OXYTOCIN INJ

13,913

10

PANTOCAIN 5% TETES MATA

16,100

119

200

100

530

60

32

20

104,540

56

OXYTETRASIKLIN HCL 1 % SALEP MATA

1 PAPAVERIN 40 MG TABLET
PAPAVERIN INJEKSI 40 MG/ML
1 PARAFORMALDEHID TABLET 1 GR
PARASETAMOL 100 MG
PARASETAMOL SUPPOSITORIA

PARASETAMOL DROPS

5,227

PARASETAMOL SYROP 120 MG / 5 ML

23,800

1,319

10

13,190

10

13,190

400

527,600

150

197,850

300

1 PARASETAMOL 500 MG

84

200

16,800

100

8,400

10,800

907,200

10,800

907,200

8,500

1 PERMETHRIN KRIM 5 %

12,925

1 PIRANTEL PAMOAT 125 MG

290

1 PIRAZINAMID 500 MG

198

1 PIRIDOKSIN (VIT B6 ) TABLET 10 MG

18

1 PIROXICAM

65

800

28,600

1 POVIDON IODIDA 60 ML

3,500

1 POVIDON IODIDA 300 ML

14,500

1 POVIDON IODIDA 1 L

42,000

ALBOTYL

1 PREDNISON TABLET 5 MG

7,000

52,000

14,500

57

1 PROPANOLOL 40 MG

120

1 RANITIDIN TABLET

110

1,928

RETINOL 100,000 IU

14,300

RETINOL 200,000 IU

19,600

RIFAMPICIN 450 MG

660

5,200

20

RANITIDIN INJ 25 MG/2ML

RINGER LAKTAT LARUTAN INFUS

2,500

275,000

1,000
800

57,000
88,000
14,300

2,000
-

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

1 RISPERIDONE 1 MG TABLET

1,500

200

1 RISPERIDONE 2 MG TABLET

1,781

SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL


1

215,600
-

1 SALBUTAMOL 2 MG TABLET
1 SALBUTAMOL 4 MG TABLET

Harga

Pemakaian

300,000
-

20
-

59

CLG
Pemakaian

6,000,000
-

4,312,000

500

96

300

100

1 SALEP 2 - 4

4,950

24

1 SALISIL BEDAK 2 %

1,250

1 SALISIL MENTOL BEDAK

3,630

SEFADROKSIL SYRUP

5,248

26,240

30

SEFADROKSIL 250 MG

468

100

46,800

200

SEFADROKSIL 500 MG

521

100

1 SETRALINE 50 MG TABLET

11,403

1 SIANOCOBALAMIN TABLET

12

520

58,300

391

100

SIANOCOBALAMIN / VIT. B 12 INJ


1 SILVER SULFADIAZINE 10 MG / 35 GR CREAM
1 SIMVASTATIN TABLET

28,800

Harga

4,000

CBB

52,100

500

39,100

200

500

104,200

195,500

78,200

500

117,700

23,540

2,090

SULFASETAMIDA NATRIUM TETES MATA

3,226

TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


1 MG+ASAM FOLAT 0,25 MG
TETRASIKLIN 500 MG KAPSUL
THIAMIN (VIT.B1) 100 MG / ML INJ
1 THIAMIN (VIT.B1) 50 MG TABLET
THIAMPHENIKOL 500 MG KAPSUL
1 TRAMADOL HCI 50 MG TABLET
TRAMADOL HCI 50 MG/ML INJ
1 TRIHEKSILPHENIDIL 2 MG TABLET

968

1,500
-

186

1,050

300

700

315,000

200

STREPTOMISIN SERBUK INJ 1500 MG/ML

STESOLID RECTAL SUPP

1,500
1,452,000

1,500

1,452,000

38

3,000

114,000

431

300

129,300

189

5,400

40

200
-

1,000

38,000

8,000

60,000

107

ZINC / ZINCDIAR TABLET

474

500

6,000

NEO KAOMINAL SUSPENSI


ALAT KESEHATAN DAN REAGEN
ALAT AUTOCLIX/LANCET DEVICE

110,000

237,000

500

1 VITAMIN B KOMP. TABLET

119

1,500

2,000

237,000

500

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

CBB
Harga

Pemakaian

ALAT SUNTIK SEKALI PAKAI 1 ML

2,662

100

266,200

ALAT SUNTIK SEKALI PAKAI 3 ML

3,120

100

312,000

200

ALAT SUNTIK SEKALI PAKAI 5 ML

7,750

100

775,000

ALAT SUNTIK SEKALI PAKAI 10 ML

3,300

ALAT SUNTIK SEKALI PAKAI 20 ML

8,360

10

525,000

275

8,230

396

902,000

78,100

5,415,500

1,650,000

2,420,000

39,050

ALAT PEMERIKSAAN HB
ALCOHOL SWABS
BISTURI
BLOOD LANCET
CAIRAN ANTISEPTIK
CATGUT DENGAN JARUM BEDAH
CATGUT CHROMIC

DEX GLASS
EDTA VACUM TUBE 5 ML

302,500

FESCOPLAST

83,600

624,000

390,500

100
200

30

FOLEY CATETHER

11,000

GLUCOSA TEST TIP

8,323

935,000

18,755

418

500

209,000

300

800

10,890

5,500

250

GOLONGAN DARAH KIT


H2O2
HAND SCONE / SURGICAL GLOVE
HAND SCONE STERILE
HCG CASETTE / PP TEST

125,400

1,375,000

250

334,400
1,375,000

250

ISI AUTOCLIX

1,632

300

INFUSION SET ANAK

9,900

INFUSION SET DEWASA

8,800

30

IODIUM TEST

20,900

IV CATETHER

22,000

30

JARUM JAHIT

71,000

KACA MULUT

96,800

KAPAS PEMBALUT 250 GR

20,130

44

HEMASITO METER

KAPSUL KOSONG NO.0


KAPSUL KOSONG NO.1
KASSA HIDROFIL 40 X 40
KASSA HIDROFIL GULUNG

26,400

489,600

40,260

33

1,980

100

136,694

NAMA OBAT

HARGA

DINAS

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

CBB
Harga

Pemakaian

KASSA STERIL

6,820

KASSA 4 M X 15 CM

5,104

50

LAMPU SPIRITUS

LARUTAN ASAM ALKOHOL

46,200

101,750

37,400

2,090,000

1,436

700

22,000

22,000

MATA BOR HIGH SPEED BUNDAR

95,700

MATA BOR HIGH SPEED FISURE

95,700

MATA BOR HIGH SPEED INVERTED CONE

95,700

236,500

NASO GASTRIC TUBE

21,450

NEBULIZE MASK FOR INFANT

40,700

NEBULIZE MASK FOR ADULT

40,700

110,000

34,991

LARUTAN KOH 10 % 250 ML


LOMATUELL H 10 X 10 CM
METILEN BLUE 250 ML
MICROPIPET 3 UKURAN
MASKER

MATA SCALLER

NEEDLE
OBJECT GLASS

1,005,200

200

287,200

250

V306*5882

359,000

500

13,500

5,400

PIPET BESAR

PIPET KECIL

OIL IMERSI
OSE
PENJEPIT TABUNG

PLESTER

23,100

115,500

POWDER ENZIMATIC ALKAZYME

946,000

PURIFIED PROTEIN DERIVATIVE 2 UT

702,240

SELANG O2 ANAK

13,200

SELANG O2 DEWASA

13,200

1,082,950

62,150

POT DAHAK

SILK DENGAN JARUM BEDAH

191,500

STRIP GULA DARAH

95,000

STRIP PROTEIN DAN GLUKOSA

77,000

STRIP HB

NAMA OBAT

HARGA

DINAS

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

CBB
Harga

Pemakaian

STRIP KOLESTEROL

175,450

VENOJECT

220,000

YELLOW TIP

95,700

TABUNG REAKSI BESAR

2,015

TABUNG REAKSI KECIL

2,015

TORNIKUET

URINE BAG
URINE TEST 3 PARAMETER
WIDAL TEST

526,350

22,000

132,000

13,200

4,950

247,500

1,396,000

133,100

594,000

1,870,000

943,000

1,132,500

1,942,295

1,768,800

1,171,500

94,020

1,197,900

1,937,600

ARSEN

484,000

ARTIKULATING PAPER

214,500

AIR RAKSA DENTAL USE

225,500

3,740,000

CALCIDOR

209,000

CEVITRON

115,500

70,000

CRESOPEN

551,000

DENTORIT

154,000

DYCAL

333,300

ETIL KLORIDA SPRAY

145,200

OBAT GIGI

CHKM

231,000

290,400

NAMA OBAT

HARGA

DINAS

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

CBB
Harga

Pemakaian

EUGENOL CAIRAN

3,178

6,356

IODOFORM PASTA

302,500

GLASS IONOMER ART

715,000

OCO / TSR

330,000

1,265,000

418,000

SILVER AMALGAM SERBUK 65 - 75 %


SEMEN SENG FOSFAT SERBUK DAN CAIRAN
TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

36,300

611,536

7,911,632

715,000

23,592,376

29,812,726

CBB

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

107,600

100

215,200

75

161,400

160,200

200

106,800

200

106,800

100

53,400

587,400

324,000

200

129,600

100

64,800

583,200

300

63,000

1,800

378,000

210

44,100

210

44,100

1,020

214,200

1,083,600

495,000

450

1,485,000

200

660,000

300

990,000

400

1,320,000

300

990,000

8,283,000

43,000

1,500

129,000

3,000

258,000

1,700

146,200

1,800

154,800

4,000

344,000

1,376,000

112,200
-

960

925,000

400

408,000

1,760,000
46,400

179,520

4,000
3,000

1,480,000
880,000
348,000

1,500
162,000
93,300
-

561,000

1,419,330

50

740,000

400

1,480,000

100

370,000

600

2,220,000

1,680

336,000

1,800

360,000

1,080

216,000

1,200

240,000

1,848,000

5,300

1,166,000

9,500

2,090,000

8,400

1,848,000

6,000

1,320,000

11,704,000

240

720,000

5,000

580,000

1,000

116,000

3,500
162,000
-

100
-

311,375

1,000

237,500
8,695,000

720,000

116,000

5,000

580,000

1,902,400

291,600

10,000

810,000

2,130,300

150

279,900

793,050

10

186,600

1,265,000

1,897,500

124,550

3,600

50

283,500

3,000

200

102,000

124,550

168,300

102,000

237,500

125

900

1,000

2,000

186,600

196,350

121,500
100

1,050

645,600

75

186,825

809,575

25,200

CBB

CWD
Harga

Pemakaian

90,750
-

PM
Harga

Pemakaian

90,750

30

159,000

2,500

397,500

150,000

2,000

200,000

5,500
-

750

100

40,800
109,728

1,000
150

20

PWK
Harga

Pemakaian

60,500

2,000

200,000

70
4,000

900

320

96

228,600

636,000

102,000

211,750

Pemakaian

290,000

Harga

V41*330

JBG

CTK
Harga

Pemakaian

Harga

60

4,000

636,000

3,000

300,000

4,000

181,500

400,000

816,750
2,067,000
1,650,000

5,500

#VALUE!

AM41*330

32,640
146,304

100

152,400

1,200
96

122,400
146,304

348,000
318,240
1,121,664

300

690,000

674,400

28

354,200

1,200

337,200

690,000
-

1,200

337,200

132,000

354,200

94,500

2,000

126,000

2,500

157,500

2,000

126,000

500

31,500

2,000

126,000

743,400

176,000

2,000

176,000

3,000

264,000

4,000

352,000

500

44,000

2,000

176,000

1,364,000

105,880

74,116

50

529,400

15

158,820

10

105,880

50

529,400

1,863,488

287,400

400

383,200

1,000

958,000

100

95,800

400

383,200

500

479,000

3,832,000

40

400

72,400
-

700
-

126,700
-

367,500

400

36,100

105,400

300

158,100

151,200

14,400

302,400

98,000
-

220,000

500

122,500

500

300

108,300

3,600
-

75,600
-

400

72,400
122,500
210,800

500
-

90,500
-

1,000
-

181,000
-

705,900
-

500

122,500

400

100

36,100

300

158,100

1,000

527,000

1,370,200

18,000

378,000

1,285,200

7,200

151,200

1,000

122,000

98,000

220,000

1,127,000
288,800

244,000

CBB

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Harga

Pemakaian

25,300

50,600

28,635

28,635

345,000
10,000

3,000

207,000

23,680

7,200
1,000

496,800
30,000

4,500

310,500

3,000

207,000

3,000

207,000

2,118,300

16,000

30,000

23,680

100

81,000

10

40,500
-

40,500

22,000
-

10

72,200

216,600

200

88,000

132,000

300

276,300

552,600

420,000

52,800

44,000

24,200

10

22,000
50,600

6,600

75,900

24

200

57,900

101,200

72,200

22,000

24,192
-

96,768
-

200

25

25

36,725

403,975

50

44,750

179,000

2,000

108,000

621,000

300

150,000

175,000

125

183,625

50

44,750

50

44,750

162,000

1,000

54,000

1,000
-

73,450
54,000
-

3,500
-

18,200

189,000
-

36,725

115,800

278,300

500

289,500

50,600

700

405,300

926,400
18,200

CBB

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

495,000
161,000
-

Harga

Pemakaian

3,000

PWK

69,000
-

Harga

Pemakaian

Harga

Pemakaian

Harga

6,000

CTK

138,000

10,000

230,000

495,000

200

40,000

100,000

736,000
-

300

1,000

165,000

165,000

1,000

246,000

344,400

98,400

60,000

JBG

115,152

48

115,152

146,000

1,500

166,650

219,000

1,260

5,890,500

96

2,500

365,000

2,000

230,304
55,550

292,000

100

239,900

1,020

4,768,500

14,866,500

72

172,728

1,053,161

277,750

20

89,980

50

224,950

337,425

400

37,200

500

46,500

83,700

700

102,200

1,000

146,000

1,781,200

20

47,000

1,000

1,100,000

47,000

282,000

141,000

6,000

94,000

3,000

141,000

1,100,000

752,000

100

120

60,800

137,106

2,000

60

141,000

100

60,800

54

50

190,000

792,000

100

528,000

100

528,000

50

264,000

100

528,000

3,432,000

153,504

48

96

153,504

96

153,504

24

38,376

120

191,880

927,420

76,752

137,106

564,000

1,201,200

30

282,000

1,201,200

1,471,100

190,000

CBB

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

Harga

Pemakaian

165,780

24

82,890

84

198,936

696,276

120
-

60
858,000

600

633,600

100
-

346,800

346,800
-

3
-

990,000

1,188,000
-

50

150

20

712,500

1,243,350

3,182,976

147,520

619,584

1,430,000

3,718,000

1,267,200

4,118,400

550,000

300

4,756,500

6,342,000

1,265,000

300

1,897,500

5,123,250

208,080

120

69,360

5,202,000

230,000
-

1,406,900

72

1,012,968

8,652,435

739,200

600

633,600

5,227,200

1,485,000

1,000

990,000

11,385,000

395,000

100

197,500

1,185,000

700
1,500
2,970,000

100

100

3,000

98,750

100,000
-

950,400

2,970,000

900

3,000

2,025,936

1,056,000

10

144

1,000

2,025,936

739,200
1,200

3,676,080
-

360

144

700

1,265,000

316,800

200

6,360

30,000

346,800

200
-

Harga

600

1,200

220,000

600

950,400

200

Pemakaian

200
-

900

632,500

633,600

Harga

295,040

429,000
600

110,000

1,585,500

40
-

CTK

Pemakaian

10

Harga

JBG

PWK

197,500
-

200
-

CBB

CWD
Harga

Pemakaian
-

100

154,500
-

100
-

PM
Harga

Pemakaian
-

V164*574
103,000
-

Harga

Pemakaian

JBG
Harga

Pemakaian

200

10,000

200

206,000

CTK
Harga

Pemakaian

Harga

10,000

#VALUE!
597,400

132,000
18,200

100

103,000

700

52,500
-

1,500
-

66,000

PWK

157,500
-

500

(400*300)+(100*3

300

90,000

1,000

300,000

200

17,800

15

42,450

500

65,600
-

400
-

65,600
-

1,375,000
1,056,000
26,800
35,200

10
2,000
-

178,000
1,056,000
-

400

53,600

600

105,600

82,000
-

17,800

42,450

24,600

200

32,800

328,000

100

686,400

1,000

134,000

300

52,800

600

1,300

105,600

#VALUE!

264,000

300,000

24,600

1,000

200

500

504,000

73,500

105,000

1,000

3,500

1,375,000
1,848,000

100
1,000

1,375,000
528,000

500

88,000

1,000

176,000

178,000
4,262,500
6,441,600
375,200
651,200

500

400

100

40,700

10

308,000

56,000

308,000

40,700
-

44,800

200

22,400

134,400
-

CBB

CWD
Harga

Pemakaian

1,782,000

420

PM
Harga

Pemakaian

2,079,000

47

PWK
Harga

Pemakaian

232,650

500

JBG
Harga

Pemakaian

2,475,000

250

CTK
Harga

Pemakaian

1,237,500

360

Harga
1,782,000

20

48,000

25

36,250

25

30

72,500
139,130
11,900

1,000

119,000

500

59,500

300

11,370,150

35,700

200

23,800

500

36,250
417,390
59,500

48,000
217,500
556,520
333,200

56

292,712

292,712

30

156,810

56

292,712

395,700

600

791,400

300

395,700

714,000

7,200

604,800

400

527,600

500

659,500

3,983,380

9,000

756,000

25,200

2,116,800

6,938,400

400

143,000

17,500

10

72,500

220,000

2,000
-

2,000

220,000

150

289,200

104,000

140

728,000

3,000

54,000

2,200

143,000

500

32,500

20

572,000

35,000

96,400

1,500

59,500

50

715,000

3,000

513,500

165,000

260,000

4,000

1,800

198,000

108,000

54,000

330,000

43,500

3,000

114,000

2,017,622

907,200

878,136

461,650

168

350

29,000

10,800

26,000

1,000
1,000

57,000
110,000

159,500
228,000
1,606,000

385,600

14,300

10

52,000

884,000

CBB

CWD
Harga

Pemakaian
-

1,000
-

PM
Harga

Pemakaian

1,500,000
-

20
-

PWK
Harga

Pemakaian

Harga

Pemakaian

4,312,000

JBG

1,000
-

400

23,600

600

35,400

400

9,600

300

28,800

500

48,000

24

100

100

125,000

20

72,600

157,440

30

93,600

260,500

200

400

104,200

157,440

10

Harga

Pemakaian

1,500,000

2,000

Harga
3,000,000

12,300,000
-

29,500
118,800

CTK

52,480
208,400

23,600

8,624,000
-

200

11,800

123,900

500

48,000

163,200

118,800

24

118,800

356,400

125,000

200

250,000

500,000

50

181,500

254,100

30

157,440

551,040

200

93,600

234,000

300

156,300

885,700

195,500

300

117,300

233,200

1,000

391,000

1,000

391,000

500

195,500

1,000

391,000

24

77,424

1,452,000

100

76,000

18,600

1,500
-

117,700
77,424

1,500
1,452,000

1,452,000

1,500

1,452,000

8,712,000

18,600

315,000

300

100

600

500

237,000

233,200
1,994,100

18,900
24,000

8,000

304,000

608,000

500

215,500

474,100

129,300

20,000
-

76,000

300

120,000
142,200

232,000
-

500

237,000

3,000

18,900

1,000

474,000

2,000

2,000

948,000

2,512,200

CBB

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

Harga

Pemakaian

Harga

266,200

624,000

200

400

2,343,000

110,000

1,000

275,000

600

CTK

532,400

2,184,000

775,000

624,000

165,000

55,000

600

165,000

770,000

10

120

998,760

935,000

600

250,800

50

544,500

250

1,375,000

1,375,000

1,000
250

998,760

418,000
1,375,000

1
600
250

781,000

200

83,600

935,000
250,800
1,375,000

250

292,600
1,375,000

250

1,375,000

210

660,000

979,200

300

489,600

2,299,000
544,500
11,000,000
2,301,120
290,400
-

41

902,000

1,650,000

355,000

355,000

198,000
-

100,650

88,000

600

418,000

342,720

1,000

264,000

700

3,514,500

100,650

241,560
198,000
-

CBB

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

100

682,000

50

255,200

50

101,750

Harga

Harga

Pemakaian
-

682,000

#VALUE!

255,200

718,000

600

101,750

CTK

861,600

300

430,800

500

718,000

300

430,800

400

101,750

574,400

305,250
5,385,000

110,000

110,000

220,000

138,600

15

346,500

115,500

716,100

766,000

1,330,000

702,240

766,000

380,000

10

950,000
-

702,240

CBB

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

Harga

Pemakaian

CTK
Harga

Pemakaian

1,754,500

Harga

50

10

8,772,500

JBG

11,053,350

20

99,000

99,000

290,400

231,000

580,800

462,000

1,161,600

CBB

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

1,430,000
-

1,430,000

6,356
3,575,000

31,217,306

37,002,364

41,188,879

41,204,744

36,005,643

49,977,878

36,005,643

49,977,878

DINAMIKA LOGISTIK OBAT


DI KOTA CILEGON
Propinsi

: BANTEN

Alamat

: Jl.K.P.Tendean Km.2 Cilegon

Jumlah Unit Pelayanan

: 9 Unit

Bulan

: April

Tahun

: 2015

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

18=(7s/d17)

ACYCLOVIR 5 GR KRIM

TUBE

3,951

3,951

50

75

50

125

50

200

575

ACYCLOVIR 200 MG TABLET

TABLET

17,200

17,200

100

300

100

300

100

1,000

1,900

ACYCLOVIR 400 MG TABLET

TABLET

6,900

6,900

100

500

250

500

1,000

2,350

ALLOPURINOL 100 MG TABLET

TABLET

ALLOPURINOL 300 MG TABLET

TABLET

1,620

1,620

AMBROXOL SYRUP 15 MG / 5 ML

BOTOL

4,690

4,690

AMBROXOL TABLET 30 MG

TABLET

1,700

1,700

100

AMINOFILIN 200 MG TABLET

TABLET

AMITRIPTILIN 25 MG TABLET

TABLET

27,600

27,600

10

AMLODIPIN 5 MG TABLET

TABLET

32,070

32,070

11

AMLODIPIN 10 MG TABLET

TABLET

12

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

VIAL

1,630

1,630

13

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

BOTOL

11,203

11,203

350

14

AMOXICILLIN 250 MG KAPLET

KAPLET

50,560

50,560

300

1,100

15

AMOXICILLIN 500 MG KAPLET

KAPLET

82,600

82,600

200

1,000

16

AMOXICILLIN + AS.KLAVULANAT

TABLET

2,490

2,490

17

ANTALGIN 500 MG TABLET

TABLET

124,700

124,700

18

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA


200 MG + ALUMUNIUM HIDROKSIDA 200 MG)

TABLET

87,000

87,000

19

ANTASIDA SUSPENSI

BOTOL

1,449

1,449

20

ANTI BISA ULAR (ABU) SERUM

VIAL

21

ANTI TETANUS SERUM 1500 UI

AMPUL

22

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


POLIMIKSIN B 10,000IU/G )
ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM
SALISILAT 3 %)

23

TUBE
POT

5,465
-

25

JUMLAH

480
200

50

300

300

500

100

1,000

400

400

100

400

1,380

400

400

500

2,555
1,700

60

1,020

510

540

3,000

1,200

900

3,000

200 ###

350
6,000

300

500

400

100

2,040

960

1,260

2,400

1,560

240

9,860

10,000

3,000

7,300

8,400

8,400

10,000

54,300

1,000

2,000

1,800

3,000

8,500

30

240
700

200

200

1,000

2,500

3,000

1,000

3,000

3,000

3,000

6,000

22,700

50

20

50

100

100

100

50

200

670
-

2,600

270

5,465

10,230

25

75

50

150

25

325
-

24

ANTI HEMOROID DOEN

SUPP

920

25

ASAM ASCORBIT (VIT.C) 50 MG TABLET

TABLET

26

ASAM ASCORBIT (VIT.C) 250 MG TABLET

TABLET

116,000

116,000

27

ASAM MEFENAMAT 500 MG

TABLET

373,900

373,900

28

ASAM TRANEKSAMAT 500 MG

TABLET

12,400

12,400

29

ATROPIN SULFAT INJ

AMPUL

136

136

30

ATTAPULGIT / MOLAGIT TABLET

TABLET

89,750

89,750

31

AQUABIDEST

BOTOL

32

AQUA PRO INJEKSI 25 ML

BOTOL

582

582

33

AZITHROMYCIN 500 MG

KAPSUL

34

BEKARBON

TABLET

35

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

36

BETAMETASONE KRIM 0,1 %

37

BETAHISTIN MESILAT 6 MG TABLET

38

BETAKAROTEN 500 IU SYRUP

39

BISACODYL 10 MG SUPP

40

BISOPROLOL 5 MG

TABLET

1,000

1,000

41

BROMHEKSIN HCL 8 MG TABLET

TABLET

128,400

128,400

42

BROMHEKSIN HCL 4 MG SYRUP

BOTOL

43

BROMHEKSIN HCL 8 MG / 4 ML SOL

BOTOL

91

91

44

CALAMIN LOTION

BOTOL

400

400

45

CAPTOPRIL 12,5 MG TABLET

TABLET

646,900

646,900

46

CAPTOPRIL 25 MG TABLET

TABLET

195,400

195,400

47

CEFIXIME SYRUP KERING 100 MG

BOTOL

10

10

48

CEFIXIME 100 MG

KAPSUL

11,050

11,050

49

CEFIXIME 200 MG

50

CEFOTAXIME INJ 1G

VIAL

51

CEFTRIAXON INJ

VIAL

100

100

52

CETIRIZINE 5 MG SYRUP

BOTOL

53

CETIRIZINE DROP

BOTOL

54

CETIRIZIN 10 MG

TABLET

55

CIMETIDIN TABLET

TABLET

56

CIPROFLOXACIN 500 MG TABLET

TABLET

109,600

109,600

57

CLINDAMYCIN 150 MG KAPSUL

KAPSUL

7,900

7,900

58

CLINDAMYCIN 300 MG KAPSUL

KAPSUL

3,050

3,050

59

CHLORPHENIRAMIN MALEAT (CTM) 4 MG

TABLET

165,600

165,600

60

CHLORPROMAZINE 100 MG

TABLET

9,000

9,000

61

DEKSTROMETORPHAN HBR SYRUP

BOTOL

62

DEKSTROMETORPHAN HBR TABLET 15 MG

TABLET

920

20

20

100

2,000

30

40

30

60

90

1,000

2,000

7,500

5,000

3,500

2,000

4,500

4,000

30

320

5,300

7,000

29,900

2,000

6,000

25,800

800

1,000

2,000

200
300

300 ###

400

600

600

1,500

300

20

20

150

3,450
-

20

20

40

11,200

11,200

VIAL

180

180

TUBE

142

142

TABLET

BOTOL

SUPP

516

516

200

1,000

840

2,040
-

75

67

142
-

24

24

100

300

1,200

400

1,200

2,400
60

100

700

1,000

1,000

1,500

3,000

2,000

500

1,000

1,500

4,000

4,000

600

400

1,500

200

60
###

10,500
1,000

10
50

1,000

200

12,800
10

500

4,450

25,800
-

42

40

82
-

25,800

100

500

300

1,000

700

800

300

400

700

300

3,700

100

3,650

50

300 ###

500

1,000

200
3,000

200

300

100

200

3,600

7,200

7,200

400
7,200

7,200

3,000

300

1,300

12,000

50,400

2,000

2,000

63

DEKSTROSA LARUTAN INFUS 5 %

BOTOL

288

288

64

DEKSTROSA LARUTAN INFUS 10 %

BOTOL

440

440

65

DEKSTROSA LARUTAN INFUS 40 %

BOTOL

66

DEXAMETHASON 0,5 MG TABLET

TABLET

41,700

41,700

67

DEXAMETHASON INJEKSI

VIAL

2,492

2,492

68

DIAZEPAM TABLET

TABLET

1,000

1,000

69

DIAZEPAM INJ 5 MG/ML

AMPUL

196

196

70

DIFENHIDRAMIN INJ

AMPUL

210

210

71

DIGOKSIN 0,25 MG TABLET

TABLET

51,200

51,200

72

DOMPERIDON 5 MG SUSPENSI

BOTOL

73

DOMPERIDON 10 MG

TABLET

74

DOXYCYCLINE 100 MG KAPSUL

KAPSUL

75

EKSTRAK BELLADONNA TABLET 10 MG

TABLET

76

EPINEFRIN (ADRENALIN) INJ 0,1%

AMPUL

42

42

77

ERYTHROMYCIN 200 MG SYRUP

BOTOL

1,186

1,186

78

ERYTHROMYCIN 250 MG

KAPSUL

17,100

17,100

79

ERYTHROMYCIN 500 MG TABLET

TABLET

43,000

43,000

100

80

ETAMBUTOL 500 MG

TABLET

42,000

42,000

200

81

ETAKRIDIN 0,1 % / RIVANOL

BOTOL

163

163

82

ETANOL 70 % 1000 ML

BOTOL

582

582

83

FENITOIN 100 MG KAPSUL

KAPSUL

8,200

8,200

84

FENOBARBITAL 30 MG TABLET

TABLET

7,000

7,000

85

FENOL GLISEROL 10 %

BOTOL

1,848

1,848

86

FITOMENADION INJ

AMPUL

87

FITOMENADION 10 MG TABLET

TABLET

88

FLUCONAZOL 150 MG

TABLET

89

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

AMPUL

220

220

90

FUROSEMID 40 MG TABLET

TABLET

19,200

19,200

91

GAMEKSAN

BOTOL

92

GARAM ORALIT II SERBUK

SACHET

6,800

6,800

93

GENTAMYCIN SALEP KULIT

TUBE

1,275

1,275

94

GENTIAN VIOLET 1 % - 10 ML

BOTOL

3,550

3,550

95

GLIBENCLAMIDE 5 MG TABLET

TABLET

833,400

833,400

96

GLIMEPIRIDE 2 MG

TABLET

50

50

97

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50


MG

TABLET

20,040

20,040

98

GLISERIL GUAIAKOLT 100 MG TABLET

TABLET

538,000

538,000

99

GLISERIN LARUTAN

BOTOL

100 GRISEOFULVIN 125 MG TABLET

TABLET

9,300

4,300

2,600

2
10

10
-

1,000

4,000

3,500

2,000

2,200

6,000

10

2,000

10,000

10

20

1,000

1,000

60

60

30

30
-

9,300

10

10

15

35

300

1,000

600

200

5
7

###

25

100

100
-

24

48

48

100

200

300

24 ###

168

4,300

600
-

100

200

100

200

600

50

100
50

300

125

30

50
2,000

50

50
1,000

4,000

25

380

4,000

11,800

###
500

200

50

50
-

2,000

10,000

5,000

7,000

8,000

3,000

200

100

2,600

30,700

8,000

43,000
300

101 HALOPERIDOL 0,5 MG TABLET

TABLET

9,600

9,600

102 HALOPERIDOL 5 MG TABLET

TABLET

18,200

18,200

103 HALOPERIDOL 5 MG INJEKSI

AMPUL

444

444

104 HEPARIN 200,000 IU GEL

TUBE

105 HEPATOPROTEKTOR SYRUP

BOTOL

106 HEPATOPROTEKTOR TABLET

TABLET

107 HIDROKORTISON KRIM 2,5 %

TUBE

108 HYOSINE N BUTILBROMIDA TABLET

SUPP

71

71

110 IBUPROFEN 200 MG SUSPENSI

BOTOL

585

585

111 IBUPROFEN 200 MG TABLET

TABLET

1,000

1,000

112 IBUPROFEN 400 MG TABLET

TABLET

6,900

6,900

113 ISONIAZID 100 MG

TABLET

5,000

5,000

114 ISONIAZID 300 MG

TABLET

7,000

7,000

115 IMUNOSTIMULAN SIRUP

BOTOL

735

735

116 IMUNOSTIMULAN TABLET

TABLET

117 ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

TABLET

118 ITRAKONAZOL 100 MG

KAPSUL

119 KALCIUM LACTAT 500 MG TABLET

TABLET

120 KALIUM DIKLOFENAK 50 MG

TABLET
VIAL
BOTOL

123 KETOKONAZOL 200 MG TABLET

TABLET

124 KETOKONAZOL KRIM 2 %

200

31,976

TABLET

122 KAOLIN SUSPENSI

500
500 ###

1,500
1,200

31,976

109 IBUPROFEN 125 MG SUPP

121 KANAMYCINE 2 GR

1,000

1,000
74,300

48

48

48

120

24

792
-

10

20

1,500

500

20

8
10
200

1,000

1,200

2,200

60
500

700

500

6,900
-

1,000

1,000
60

15

75
-

1,000

100

100

74,300

2,000

1,000

1,000

10,000

7,000

21,000

70

70

1,210

1,210

20

20

TUBE

4,682

4,682

125 KETOPROFEN 100 MG

TABLET

1,000

1,000

12

30

20

48

66

24

100

60

150

320

126 KETOROLAC INJ 10 MG

AMPUL

540

540

127 KLORAMFENIKOL 250 MG KAPSUL

KAPSUL

128 KLORAMFENIKOL 1 %SALEP MATA

TUBE

129 KLORAMFENIKOL SUSPENSI

BOTOL

323

323

130 KLORAMFENIKOL 0,5 % TETES MATA

BOTOL

220

220

220

131 KLORAMFINEKOL 3 %TETES TELINGA

BOTOL

1,820

1,820

40

132 KLARITROMISIN 500 MG

TABLET

300

133 KODEIN FOSFAT 20 MG TABLET

TABLET

1,000

1,000

134 KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5


MG KRIM

TUBE

3,043

3,043

135 KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25 MG +


PARASETAMOL 400 MG

TABLET

46,800

46,800

190

10

10

25
220

250

198

246

198

222

198

174

294

500

1,820
500

48

50

96

96

30

250

575

136 KOMB. BUDENOSID FORMATEROL 80/4,5 MCG INHALER, 60


DOSIS
137 KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON
VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA

BOTOL

2,576

2,576

100

50

50

BOTOL 60
ML

4,044

4,044

60

35

100

120

139 KOMB.BETAMETASON, DEKSKLORFENIRAMIN MALEAT

TABLET

21,550

21,550

1,000

100

600

140 KOMB.METHAMPYRON + DIAZEPAM

TABLET

18,000

18,000

141 KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL


+ CTM

BOTOL

1,400

1,400

142 KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT

BOTOL

5,215

5,215

100

150

143 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


TABLET

TABLET

48,480

48,480

240

600

144 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


145 SYRUP
KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100

BOTOL

TUBE

101

101

138 KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +


GG + CTM SYRUP

50

50

50

###

350

180

495
1,000

1,000

100

3,700
1,000

1,150

100

300

500

150

200

300

900

600

960

3,600

2,400

8,760

100

360

MG
146 KOMB.TEOFILIN + SALBUTAMOL TABLET

TABLET

147 KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG


SYRUP / TREMENZA SYRUP

BOTOL 60
ML

760

760

148 KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG


TABLET / LIBROFED TABLET

TABLET

7,000

7,000

149 KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +


VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET

TABLET

1,800

1,800

150 KOTRIMOKSAZOL SUSPENSI

BOTOL

6,015

6,015

151 KOTRIMOKSAZOL ADULT 480 MG TABLET

TABLET

152 KOTRIMOKSAZOL PEDIATRIK TABLET

TABLET

153 LEVOFLOXACIN 500 MG TABLET

TABLET

3,900

3,900

154 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

AMPUL

10,020

10,020

155 LINCOMYCIN 500 MG KAPSUL

TABLET

156 LISOL

BOTOL

824

824

157 LOPERAMID 2 MG TABLET

TABLET

23,700

23,700

158 MELOXICAM 7,5 MG

TABLET

159 MELOXICAM 15 MG

TABLET

14,740

50

240

10

10

800

300

300

600

112

144

100

144

760

1,200

1,000

600

1,000

5,850

1,400

1,800

200

200

100

150

200 ###

650

14,740

1,000
100

100

120

150

50

100

120

1,000
200
100

640

20

2
200

2
100

300

160 METFORMIN 500 MG

TABLET

161 METFORMIN 850 MG

TABLET

162 METHILERGOMETRIN MALEAT 0,125 MG TABLET

TABLET

163 METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

AMPUL

164 METHYLPREDNISOLON 4 MG TABLET

TABLET

165 METHYLPREDNISOLON 8 MG TABLET

TABLET

166 METHYLPREDNISOLON 125 MG INJEKSI


167 METOCLOPRAMIDE HCL 10 MG

VIAL
TABLET

182,300
1,100
6,700

182,300

500

1,000

200

600

BOTOL

33

33

10

12,300

12,300

100

170 METRONIDAZOL 500 MG TABLET

TABLET

17,900

17,900

TUBE

591

591

174 MULTIVITAMIN ANAK DROP

BOTOL

2,556

2,556

500

100

100

23

600
33
100

300

600

10

200

1,700

30

50

50

20

36

40

200

100

556

1,500

300

3,000

2,000

500

1,500

3,500

1,000

13,300

300

1,000

500

700

700

1,500

700

1,000

6,400

BOTOL

41,300

41,300

177 NATRIUM BIKARBONAT 500 MG TABLET

TABLET

53,000

53,000

178 NATRIUM DIKLOFENAK 25 MG TABLET

TABLET

47,400

47,400

179 NATRIUM DIKLOFENAK 50 MG TABLET

200

200
-

10

TABLET

200

180 NATRIUM DIKLOFENAK GEL

TUBE

181 NATRIUM KLORIDA LARUTAN INFUS 0,9%

BOTOL

182 NATRIUM KLORIDA 100 ML

BOTOL

183 NIFEDIPINE 10 MG TABLET

TABLET

91,600

184 NYSTATIN 500.000 IU TABLET

TABLET

185 NYSTATIN VAGINAL TABLET 100.000 IU

TABLET

186 NYSTATIN SUSPENSI 100.000 IU/Ml

200
-

91,600

100

500

2,600

2,600

100

2,800

2,800

BOTOL

93

93

30

187 OBH

BOTOL

8,834

8,834

120

188 OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +


AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

BOTOL

189 OFLOXACIN 200 MG

TABLET

190 OFLOXACIN 400 MG

TABLET

191 ONDENSETRON INJ

AMPUL

250

250

17,950

17,950

TUBE

300

3,900

10

TABLET

193 OXYTETRASIKLIN HCL 1 % SALEP MATA

100

1,000

100

176 MULTIVITAMIN TABLET

TUBE

200

175 MULTIVITAMIN ANAK SYRUP

192 OXYTETRASIKLIN HCL 3 % SALEP KULIT

1,200

173 MOMETHASON KRIM 0,1 %

700

100

TABLET

200

169 METRONIDAZOL 250 MG TABLET

100

168 METOCLOPRAMIDE SYRUP 5 MG / 5 ML

BOTOL

7,000
-

100

6,700
45

172 MINYAK KAYU PUTIH 15 ML

###

5,700

1,000

45

TUBE

2,000

1,100

5,700

171 MICONAZOLE SALEP

1,500

###

1,000

500

1,000

100

200

100

100
38

180

100

3,100

360

5
660

10 ###
250

93
600

2,270

400

400

4,950

4,950

194 OXYTOCIN INJ/SYNTOCINON

AMPUL

3,310

195 PANTOCAIN 0,5 % TETES MATA

BOTOL

20
100

25

70

75

90
100

100

400

3,310

50
2

###

100

196 PAPAVERIN 40 MG TABLET

TABLET

11,800

197 PAPAVERIN INJEKSI 40 MG/ML

AMPUL

198 PARAFORMALDEHID TABLET 1 GR

TABLET

199 PARASETAMOL 100 MG

TABLET

SUPP

200 PARASETAMOL SUPPOS 160 MG/ PROPIRETIC

1,400

11,800

100

8,288

8,288

42,561

42,561

100

203 PARASETAMOL 500 MG

TABLET

952,200

952,200

400

204 PERMETHRIN KRIM 5 %

TUBE
TABLET

206 PIRAZINAMID 500 MG

TABLET

47,900

47,900

207 PIRIDOKSIN (VIT B6 ) TABLET 10 MG

TABLET

235,000

235,000

208 PIROXICAM

TABLET

209 POLIKRESULEN SOLL

BOTOL

152

152

210 POVIDON IODIDA 30 ML

BOTOL

1,037

1,037

211 POVIDON IODIDA 60 ML

BOTOL

212 POVIDON IODIDA 300 ML

BOTOL

326

326

213 POVIDON IODIDA 1 L

BOTOL

152

152

214 PREDNISON TABLET 5 MG

TABLET

68,000

68,000

215 PROPANOLOL 40 MG

TABLET

216 RANITIDIN TABLET

TABLET

217 RANITIDIN INJ 25 MG/2ML

AMPUL

760

760

218 RETINOL 100,000 IU

BOTOL

1,482

1,482

219 RETINOL 200,000 IU

BOTOL

220 RIFAMPICIN 450 MG

TABLET

221 RINGER LAKTAT LARUTAN INFUS

41,900

30
20

56

30

140

20

100

376

200

150

300

300

600

400

700

2,770

3,600

10,000

12,000

7,200

10,800

10,800

21,000

85,800

100

100

2,000

11,000

10

25

10

37

10

16,900
300
3,000

2,000

300

1,000

3,000

10
6

15

5
1,000 ###

1,000

39,200

500

1,500

1,000

2,000

2,000

87

100

3,200

1,600

14,800
197

41,900

300

300

1,863

1,863

60

140

56,100

56,100

2,500

200

1,000

223 RISPERIDONE 2 MG TABLET

TABLET

224 SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL

AMPUL

307

307

226 SALBUTAMOL 2 MG TABLET

TABLET

17,700

17,700

200

200

300

227 SALBUTAMOL 4 MG TABLET

TABLET

12,200

12,200

100

300

300

446

446

24

24

24

100

200

20

12

POT

1,000

LABU

228 SALEP 2 - 4

2,000
10

TABLET

3,000

222 RISPERIDONE 1 MG TABLET

225 SALBUTAMOL INHALER 100 MCG 200 DOSIS

10,000

205 PIRANTEL PAMOAT 125 MG

1,500
-

BOTOL

39,200

500

BOTOL

400

202 PARASETAMOL SYROP 120 MG / 5 ML

16,900

300

1,400

201 PARASETAMOL DROPS

200

160

10 ###
3,000

388
1,000

7,700
-

20

24

300

229 SALISIL BEDAK 2 %

KOTAK

3,300

3,300

230 SALISIL MENTOL BEDAK

BOTOL

4,766

4,766

100 ###

231 SEFADROKSIL SYRUP

BOTOL

1,295

1,295

232 SEFADROKSIL 250 MG

KAPSUL

6,600

6,600

200

233 SEFADROKSIL 500 MG

KAPSUL

5,400

5,400

1,000

20

30

100

10
200

300

800

1,000

2,800

700

1,000

2,500
72

100

200

800
32

15

75

200

400

300

200

2,000

234 SETRALINE 50 MG TABLET

TABLET

4,320

4,320

235 SIANOCOBALAMIN TABLET

TABLET

138,000

138,000

236 SIANOCOBALAMIN / VIT. B 12 INJ

AMPUL

TUBE

350

350

70,100

70,100

237 SILVER SULFADIAZINE 10 MG / 35 GR CREAM


238 SIMVASTATIN TABLET

TABLET

239 STESOLID RECTAL SUPP

TUBE

205

205

240 STREPTOMISIN SERBUK INJ 1500 MG/ML

VIAL

919

919

241 SULFASETAMIDA NATRIUM TETES MATA

BOTOL

6,632

6,632

242 TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG

TABLET

82,900

82,900

243 TETRASIKLIN 500 MG KAPSUL

KAPSUL

3,800

3,800

244 TEOFILIN 300 MG TABLET

TABLET

44,000

44,000

245 THIAMIN (VIT.B1) 100 MG / ML INJ

AMPUL

246 THIAMIN (VIT.B1) 50 MG TABLET

TABLET

101,000

101,000

247 THIAMPHENIKOL 500 MG KAPSUL

KAPSUL

37,400

37,400

248 TRAMADOL HCI 50 MG TABLET

TABLET

450

450

249 TRAMADOL HCI 50 MG/ML INJ

AMPUL

245

245

250 TRIHEKSILPHENIDIL 2 MG TABLET

TABLET

189,700

189,700

251 VITAMIN B KOMP. TABLET

TABLET

252 ZINC / ZINCDIAR TABLET

TABLET

36,600

90

90
2,000

2,000
-

5
300

500

500

24

20

1,500

500

2,000

5,300
44
-

48
100

1,500

24

48

100

96

316

1,500

400

100

1,000

4,600
-

2,000

5,000

100

200

2,000

4,000

1,000

14,000
300

50

50
10
1,500

700

700

300

###

300

20

400

1,200

2,000

6,100

1,000

500

1,000

4,000

36,600

500

ALAT KESEHATAN DAN REAGEN


1

ALAT AUTOCLIX/LANCET DEVICE

SET

32

32

ALAT SUNTIK SEKALI PAKAI 1 ML

BUAH

3,200

3,200

ALAT SUNTIK SEKALI PAKAI 3 ML

BUAH

17,700

17,700

ALAT SUNTIK SEKALI PAKAI 5 ML

BUAH

6,500

6,500

100

100

ALAT SUNTIK SEKALI PAKAI 10 ML

BUAH

900

900

100

100

ALAT SUNTIK SEKALI PAKAI 20 ML

BUAH

140

140

ALAT PEMERIKSAAN HB

ALCOHOL SWABS

BUAH
SACHET

97,100

97,100

BISTURI

BUAH

100

100

10

BLOOD LANCET

BUAH

9,900

9,900

11

CAIRAN PENCUCI ANTISEPTIK

GALON

12

CATGUT DENGAN JARUM BEDAH

SACHET

6,197

6,197

13

CATGUT CHROMIC

ROLL

14

DENGUE IgG AND IgM DROP TEST

SET

15

DENGUE N5 1 ANTIGEN

16

DEX GLASS

SET

BUAH

81

100
100

300

100

900

400

200

100
100 ###

2,200

200

300

500

600

600

###

2,800

100

100

81

100

20

16
1

10

146
1

17

EDTA VACUM TUBE 5 ML

BUAH

96

96

18

FESCOPLAST

ROLL

19

FOLEY CATETHER

BUAH

50

50

20

GLUCOSA TEST TIP

TIP

8,070

8,070

21

GOLONGAN DARAH KIT

SET

11

11

22

H2O2

BOTOL

23

HAND SCONE / SURGICAL GLOVE

LEMBAR

70,100

70,100

24

HAND SCONE STERILE

PASANG

1,450

1,450

25

HCG CASETTE / PP TEST

SACHET

1,745

1,745

26

HEMASITO METER

BUAH

27

ISI AUTOCLIX

KOTAK

28

INFUSION SET ANAK

29

INFUSION SET DEWASA

30

90

90
-

800

400

500

2,000

400

1,700

700

1,000

50

7,500
50
-

8,940

8,940

300

300

SET

287

287

10

10

SET

100

100

30

20

IODIUM TEST

BOTOL

300

300

31

IV CATETHER

SACHET

2,892

2,892

50

32

JARUM JAHIT

BUAH

303

303

10

33

KACA MULUT

34

KAPAS PEMBALUT 250 GR

35

KAPSUL KOSONG NO.0

36

KAPSUL KOSONG NO.1

37

KASSA HIDROFIL 40 X 40

38

210

810
20

50

100
-

30

20

104
10

BUAH

BUNGKUS

225

225

BUAH

20,000

20,000

BUAH

30,000

30,000

LEMBAR

490

490

KASSA HIDROFIL GULUNG

ROLL

39

KASSA STERIL

KOTAK

1,146

1,146

40

KASSA 4 M X 15 CM

ROLL

1,920

1,920

41

LAMPU SPIRITUS

BUAH

42

LARUTAN ASAM ALKOHOL

BOTOL

43

LARUTAN KOH 10 % 250 ML

BOTOL

44

LOMATUELL H 10 X 10 CM

KOTAK

120

120

45

METILEN BLUE 250 ML

BOTOL

46

MICROPIPET 3 UKURAN

BUAH

47

MASKER

BUAH

4,550

4,550

48

MASKER OXYGEN FOR ADULT

BUAH

139

139

49

MASKER OXYGEN FOR CHILD

BUAH

138

138

50

MATA BOR HIGH SPEED BUNDAR

BUAH

51

MATA BOR HIGH SPEED FISURE

BUAH

52

MATA BOR HIGH SPEED INVERTED CONE

BUAH

53

MATA SCALLER

BUAH

54

NASO GASTRIC TUBE

TUBE

30

30

10

27

50
150

20

77
200

50

50

470

3
-

250

1,000

200

300

150

200

800

500

300

3,700
2
2

55

NEBULIZE MASK FOR INFANT

BUAH

139

139

56

NEBULIZE MASK FOR ADULT

BUAH

140

140

57

NEEDLE

BUAH

58

58

58

OBJECT GLASS

BUAH

261

261

59

OIL IMERSI

BOTOL

60

OSE

BUAH

61

PENJEPIT TABUNG

BUAH

22

22

62

PIPET BESAR

BUAH

63

PIPET KECIL

BUAH

64

PLESTER

ROLL

362

362

65

POT DAHAK

BUAH

66

POWDER ENZIMATIC ALKAZYME

BUAH

67

PURIFIED PROTEIN DERIVATIVE 2 UT

VIAL

14

14

68

SELANG O2 ANAK

BUAH

85

85

69

SELANG O2 DEWASA

BUAH

66

66

70

SGOT/SGPT TEST

SET

71

SILK DENGAN JARUM BEDAH

72

STRIP ASAM URAT

73

STRIP HB

BOX

316

316

74

STRIP GULA DARAH

BOX

118

118

75

STRIP PROTEIN DAN GLUKOSA

BOX

76

STRIP KOLESTEROL

BOX

59

59

77

VENOJECT

KOTAK

78

YELLOW TIP

BUAH

79

TABUNG REAKSI BESAR

BUAH

37

37

80

TABUNG REAKSI KECIL

BUAH

63

63

81

TERMOMETER DIGITAL

82

TORNIKUET

BUAH

103

103

83

UMBILICAL CORD CLAMP

BUAH

84

UNDER PAD 80 X 180 CM

BUAH

304

304

85

URINE BAG

BUAH

250

250

86

URINE TEST 3 PARAMETER

KOTAK

87

WIDAL TEST

KOTAK

88

WHITE TIP

BUAH

24

24

89

MASKER N 95 TYPE 1870

KOTAK

90

POCH PACK D

BUAH

91

POCH PACK L

BUAH

92

CHECK CONTROL HEMATOANALYZER

BUAH

93

CELL CLEAN HEMATOANALYZER

BUAH

SACHET

2
-

17

10

12

20

15

81

8
8

6
4

4
-

15

20

41

100

100

94

CALIBRATION SCS

BUAH

95

CELL PACK HEMATONANALYZER

BUAH

96

STROMALYSER WH

BUAH

97

CHECK CONTROL HEMATOANALYZER XP 100

BUAH

98

CELL CLEAN HEMATOANALYZER XP 100

BUAH

99

CALIBRATION SCS XP 100

BUAH

OBAT GIGI

ARSEN

BOTOL

ARTIKULATING PAPER

KOTAK

AIR RAKSA DENTAL USE

BOTOL

73

73

BEIN GIGI

SET

CALCIDOR

POT

CEVITRON

BUAH

139

139

CHKM

POT

17

17

CRESOPEN

BOTOL

DENTORIT

BOTOL

10

DYCAL

BOTOL

11

ETIL KLORIDA SPRAY

BOTOL

102

102

12

EUGENOL CAIRAN

BOTOL

187

187

13

IODOFORM PASTA

POT

16

16

14

GLASS IONOMER ART

15

OCO / TSR

BOTOL

16

SILVER AMALGAM SERBUK 65 - 75 %

BOTOL

17

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

SET

18

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

SET

SET

10

12

12

April 2014

Mengetahui'
Kepala Bidang Sumber Daya Kesehatan

Kepala Seksi Farmasi dan Peralatan Kesehatan

2
3
4
5

Dra.E.Yolanda P,Apt.MKM

Riris Sinaga,S.Si,Apt

Nip. 19660223 199203 2 002

Nip.19740620 200312 2 003

32
-

Cilegon,
1

10

8
5,200

ACYCLOVIR 5 GR KRIM

10

ACYCLOVIR 200 MG TABLET

32,950

11

ACYCLOVIR 400 MG TABLET

11,750

12

ALBOTYL

13

ALLOPURINOL 100 MG TABLET

42,300

14

ALLOPURINOL 300 MG TABLET

9,300

15

AMBROXOL SYRUP 15 MG / 5 ML

16

AMBROXOL TABLET 30 MG

17

AMINOFILIN 200 MG TABLET

37,700

18

AMITRIPTILIN 25 MG TABLET

30,200

19

AMLODIPIN 5 MG TABLET

24,000

20

AMLODIPIN 10 MG TABLET

21

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

1,870

22

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

29,803

23

AMOXICILLIN 250 MG KAPLET

143,720

24

AMOXICILLIN 500 MG KAPLET

585,300

25

AMOXICILLIN + AS.KLAVULANAT

26

ANTALGIN 500 MG TABLET

27

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA


200 MG + ALUMUNIUM HIDROKSIDA 200 MG)

28

ANTASIDA SUSPENSI

5,914

29

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


POLIMIKSIN B 10,000IU/G )

9,662

30

ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM


SALISILAT 3 %)

31

ANTI HEMOROID DOEN

32

ASAM ASCORBIT (VIT.C) 50 MG TABLET

33

ASAM ASCORBIT (VIT.C) 250 MG TABLET

34

ASAM MEFENAMAT 500 MG

35

ASAM TRANEKSAMAT 500 MG

36

ATROPIN SULFAT INJ

37

ATTAPULGIT / MOLAGIT TABLET

38

AZITHROMYCIN 500 MG

39

BEKARBON

40

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

41

BETAMETASONE KRIM 0,1 %

6,324

42

BETAHISTIN MESILAT 6 MG TABLET

8,640

135

10,187
-

600
292,600

183,600

891
3,590
164,000
589,400
146
38,950
33,260
190

43

BETAKAROTEN 500 IU SYRUP

44

BISOPROLOL 5 MG

4,000

45

BROMHEKSIN HCL 8 MG TABLET

1,400

46

BROMHEKSIN HCL 8 MG / 4 ML SOL

47

CALAMIN LOTION

48

CAPTOPRIL 12,5 MG TABLET

754,200

49

CAPTOPRIL 25 MG TABLET

350,600

50

CEFIXIME SYRUP KERING 100 MG

51

CEFIXIME 100 MG

52

CEFOTAXIME INJ 1G

515

53

CEFTRIAXON INJ

360

54

CETIRIZINE 5 MG SYRUP

594

55

CETIRIZINE DROP

56

CETIRIZIN 10 MG

57

CIMETIDIN TABLET

15,500

58

CIPROFLOXACIN 500 MG TABLET

59,750

59

CLINDAMYCIN 150 MG KAPSUL

60

CLINDAMYCIN 300 MG KAPSUL

61

CHLORPHENIRAMIN MALEAT (CTM) 4 MG

62

CHLORPROMAZINE 100 MG

63

DEKSTROMETORPHAN HBR SYRUP

64

DEKSTROMETORPHAN HBR TABLET 15 MG

65

DEKSTROSA LARUTAN INFUS 5 %

343

66

DEKSTROSA LARUTAN INFUS 10 %

475

67

DEKSTROSA LARUTAN INFUS 40 %

68

DEXAMETHASON 0,5 MG TABLET

69

DEXAMETHASON INJEKSI

2,700

70

DIAZEPAM TABLET

7,000

71

DIAZEPAM INJ 5 MG/ML

72

DIFENHIDRAMIN INJ

73

DIGOKSIN 0,25 MG TABLET

74

DOMPERIDON 5 MG SUSPENSI

75

DOMPERIDON 10 MG

6,650

76

DOXYCYCLINE 100 MG KAPSUL

9,700

77

EKSTRAK BELLADONNA TABLET 10 MG

78

EPINEFRIN (ADRENALIN) INJ 0,1%

79

ERYTHROMYCIN 200 MG SYRUP

80

ERYTHROMYCIN 250 MG

18,800

81

ERYTHROMYCIN 500 MG TABLET

54,600

125
501

897
33,850

77
9,830

21,300
442,000
39,000
8,023
74,600

330,500

206
30
2,900
130

1,731

48,000

82

ETAMBUTOL 500 MG

83

ETAKRIDIN 0,1 % / RIVANOL

84

ETANOL 70 % 1000 ML

85

FENITOIN 100 MG KAPSUL

9,000

86

FENOBARBITAL 30 MG TABLET

7,000

87

FENOL GLISEROL 10 %

88

FITOMENADION INJ

89

FITOMENADION 10 MG TABLET

90

FLUCONAZOL 150 MG

91

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

92

FUROSEMID 40 MG TABLET

93

GAMEKSAN

95
353

3,121
15,975
6,300
200
250
22,800
-

94

GARAM ORALIT II SERBUK

19,500

95

GENTAMYCIN SALEP KULIT

5,000

96

GENTIAN VIOLET 1 % - 10 ML

97

GLIBENCLAMIDE 5 MG TABLET

98

GLIMEPIRIDE 2 MG

99

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50


MG

100 GLISERIL GUAIAKOLT 100 MG TABLET


101 GLISERIN LARUTAN

5,500
846,600
2,190
853,000
79

102 GRISEOFULVIN 125 MG TABLET

8,200

103 HALOPERIDOL 0,5 MG TABLET

28,100

104 HALOPERIDOL 5 MG TABLET

33,500

105 HALOPERIDOL 5 MG INJEKSI

492

106 HEPARIN 200,000 IU GEL

73

107 HIDROKORTISON KRIM 2,5 %

37,022

108 HYOSINE N BUTILBROMIDA TABLET

32,000

109 IBUPROFEN 125 MG SUPP


110 IBUPROFEN 200 MG SUSPENSI

86
-

111 IBUPROFEN 200 MG TABLET

9,300

112 IBUPROFEN 400 MG TABLET

2,700

113 ISONIAZID 100 MG

5,000

114 ISONIAZID 300 MG

11,713

115 IMUNOSTIMULAN SIRUP

679

116 IMUNOSTIMULAN TABLET

4,320

117 ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

2,000

118 ITRAKONAZOL 100 MG


119 KALCIUM LACTAT 500 MG TABLET

500
76,900

120 KANAMYCINE 2 GR

85

121 KETOKONAZOL 200 MG TABLET

5,550

122 KETOKONAZOL KRIM 2 %

1,773

123 KETOPROFEN 100 MG

7,500

124 KETOROLAC INJ 10 MG

894

125 KLORAMFENIKOL 250 MG KAPSUL

13,580

126 KLORAMFENIKOL 1 %SALEP MATA

1,348

127 KLORAMFENIKOL SUSPENSI

742

128 KLORAMFENIKOL 0,5 % TETES MATA

5,875

129 KLORAMFINEKOL 3 %TETES TELINGA

5,159

130 KODEIN FOSFAT 20 MG TABLET

6,250

131 KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5


MG KRIM

7,996

132 KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA
4,491
133 KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +
GG SYRUP

134 KOMB.DEKSAMETASON, DEKSKLORFENIRAMIN MALEAT


135 KOMB.METHAMPYRON + DIAZEPAM
136 KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL
+ CTM
137 KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +
GUAIAKOLATSULFONAT

5,410
7,888

138 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


TABLET

64,320

139 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


SYRUP

3,183

140 KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100


MG
141 KOMB.TEOFILIN + SALBUTAMOL TABLET
142 KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG
SYRUP / TREMENZA SYRUP
143 KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG
TABLET / LIBROFED TABLET
144 KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +
VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET

278
787
27,300

30,900

145 KOTRIMOKSAZOL SUSPENSI

11,850

146 KOTRIMOKSAZOL ADULT 480 MG TABLET

31,700

147 KOTRIMOKSAZOL PEDIATRIK TABLET

15,740

148 LEVOFLOXACIN 500 MG TABLET

2,815

149 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

15,163

150 LINCOMYCIN 500 MG KAPSUL

12,000

151 LISOL

323

152 LOPERAMID 2 MG TABLET

25,100

153 MELOXICAM 7,5 MG

19,950

154 MELOXICAM 15 MG

26,450

155 METFORMIN 500 MG

248,400

156 METFORMIN 850 MG

20,000

157 METHILERGOMETRIN MALEAT 0,125 MG TABLET

5,900

158 METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML


210
159 METHYLPREDNISOLON 4 MG TABLET

2,500

160 METHYLPREDNISOLON 8 MG TABLET

39,600
1

161 METHYLPREDNISOLON 125 MG INJEKSI


162 METOCLOPRAMIDE HCL 10 MG

5,300
7

163 METOCLOPRAMIDE SYRUP 5 MG / 5 ML


164 METRONIDAZOL 250 MG TABLET

14,800

165 METRONIDAZOL 500 MG TABLET

5,000

166 MICONAZOLE SALEP

167 MOMETHASON KRIM 0,1 %

956

168 MULTIVITAMIN ANAK DROP

2,070

169 MULTIVITAMIN ANAK SYRUP

2,867

170 MULTIVITAMIN TABLET

39,100

171 NATRIUM BIKARBONAT 500 MG TABLET

78,000

172 NATRIUM DIKLOFENAK 25 MG TABLET

4,150

173 NATRIUM DIKLOFENAK 50 MG TABLET

(400)

174 NATRIUM KLORIDA LARUTAN INFUS 0,9%


175 NATRIUM KLORIDA 25 ML
176 NIFEDIPINE 10 MG TABLET

(7)
25,200

177 NYSTATIN 500.000 IU TABLET

1,000

178 NYSTATIN VAGINAL TABLET 100.000 IU

1,200

179 NYSTATIN SUSPENSI 100.000 IU/Ml


180 OBH

216
10,173

181 OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +


AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP
41
182 OFLOXACIN 200 MG

500

183 OFLOXACIN 400 MG

5,100

184 ONDENSETRON INJ


185 OXYTETRASIKLIN HCL 3 % SALEP KULIT
186 OXYTETRASIKLIN HCL 1 % SALEP MATA
187 PAPAVERIN 40 MG TABLET
188 PAPAVERIN INJEKSI 40 MG/ML
189 PARAFORMALDEHID TABLET 1 GR
190 PARASETAMOL 100 MG
191 PARASETAMOL DROPS
192 PARASETAMOL SYROP 120 MG / 5 ML
193 PARASETAMOL 500 MG
194 PERMETHRIN KRIM 5 %

21,875
2,525
36,300
(20)
1,400
10,631
66,043
1,836,600
92

195 PIRANTEL PAMOAT 125 MG

17,500

196 PIRAZINAMID 500 MG

50,000

197 PIRIDOKSIN (VIT B6 ) TABLET 10 MG


198 PIROXICAM
199 OXYTOCIN INJ

364,000
94,800
-

200 POVIDON IODIDA 60 ML

333

201 POVIDON IODIDA 300 ML

327

202 POVIDON IODIDA 1 L


203 PREDNISON TABLET 5 MG
204 PROPANOLOL 40 MG
205 RANITIDIN TABLET

63
127,000
6,000
171,200

206 RANITIDIN INJ 25 MG/2ML

1,294

207 RETINOL 100,000 IU

1,350

208 RETINOL 200,000 IU

1,215

209 RIFAMPICIN 450 MG

46,500

210 RINGER LAKTAT LARUTAN INFUS

4,113

211 RISPERIDONE 1 MG TABLET

3,300

212 RISPERIDONE 2 MG TABLET

14,310

213 SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL


254
214 SALBUTAMOL 2 MG TABLET

31,800

215 SALBUTAMOL 4 MG TABLET

36,400

216 SALEP 2 - 4

1,226

217 SALISIL BEDAK 2 %

1,228

218 SALISIL MENTOL BEDAK

3,509

219 SEFADROKSIL SYRUP

1,975

220 SEFADROKSIL 250 MG

11,900

221 SEFADROKSIL 500 MG

18,600

222 SETRALINE 50 MG TABLET

1,200

223 SIANOCOBALAMIN TABLET

148,000

224 SIANOCOBALAMIN / VIT. B 12 INJ


225 SILVER SULFADIAZINE 10 MG / 35 GR CREAM
226 SIMVASTATIN TABLET
227 STESOLID RECTAL SUPP

500
310
26,300
286

228 STREPTOMISIN SERBUK INJ 1500 MG/ML

990

229 SULFASETAMIDA NATRIUM TETES MATA

7,687

230 TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG
231 TETRASIKLIN 500 MG KAPSUL
232 THIAMIN (VIT.B1) 100 MG / ML INJ
THIAMIN (VIT.B1) 50 MG TABLET
THIAMPHENIKOL 500 MG KAPSUL

90,800
5,800
60
47,000
4,800

TRAMADOL HCI 50 MG TABLET

TRAMADOL HCI 50 MG/ML INJ

TRIHEKSILPHENIDIL 2 MG TABLET

246,700

VITAMIN B KOMP. TABLET

663,000

ZINC / ZINCDIAR TABLET

102,590

NEO KAOMINAL SUSPENSI

278

578

7
8

ALAT KESEHATAN DAN REAGEN

ALAT AUTOCLIX/LANCET DEVICE

33

10

ALAT SUNTIK SEKALI PAKAI 1 ML

5,000

11

ALAT SUNTIK SEKALI PAKAI 3 ML

13,048

12

ALAT SUNTIK SEKALI PAKAI 5 ML

7,400

13

ALAT SUNTIK SEKALI PAKAI 10 ML

1,000

14

ALAT PEMERIKSAAN HB

15

ALCOHOL SWABS

16

ANTI BISA ULAR (ABU) SERUM

20

17

ANTI TETANUS SERUM 1500 UI

18

AQUABIDEST

19

AQUA PRO INJEKSI 25 ML

815

20

BISTURI

700

11
40,300

6,821

21

CATGUT DENGAN JARUM BEDAH

22

CATGUT CHROMIC

23

DEX GLASS

83

24

EDTA VACUM TUBE 5 ML

25

FESCOPLAST

26

FOLEY CATETHER

350

27

GLUCOSA TEST TIP

28

GOLONGAN DARAH KIT

29

H2O2

30

HAND SCONE / SURGICAL GLOVE

31

HAND SCONE STERILE

1,600

32

HCG CASETTE / PP TEST

5,985

33

HEMASITO METER

34

ISI AUTOCLIX

35

INFUSION SET ANAK

451

36

INFUSION SET DEWASA

458

37

IODIUM TEST

100

38

IV CATETHER

3,631

39

JARUM JAHIT

162

40

KACA MULUT

41

KAPAS PEMBALUT 250 GR

42

KAPSUL KOSONG NO.0

43

KAPSUL KOSONG NO.1

2
18
57,400

10,740

76
304
1,150

44

KASSA HIDROFIL 40 X 40

45

KASSA HIDROFIL GULUNG

46

KASSA STERIL

1,086

47

KASSA 4 M X 15 CM

2,685

48

LAMPU SPIRITUS

49

LARUTAN ASAM ALKOHOL

50

LARUTAN KOH 10 % 250 ML

51

LOMATUELL H 10 X 10 CM

43

52

METILEN BLUE 250 ML

53

MICROPIPET 3 UKURAN

54

MASKER

55

MATA BOR HIGH SPEED BUNDAR

56

MATA BOR HIGH SPEED FISURE

57

MATA BOR HIGH SPEED INVERTED CONE

58

MATA SCALLER

59

NASO GASTRIC TUBE

45

9,450

2
45

60

NEBULIZE MASK FOR INFANT

61

NEBULIZE MASK FOR ADULT

62

NEEDLE

63

OBJECT GLASS

64

OIL IMERSI

65

OSE

66

PENJEPIT TABUNG

22

67

PIPET BESAR

68

PIPET KECIL

69

PLESTER

70

POT DAHAK

71

POWDER ENZIMATIC ALKAZYME

56
178
2

231
7
28

72

PURIFIED PROTEIN DERIVATIVE 2 UT

73

SELANG O2 ANAK

127

74

SELANG O2 DEWASA

109

75

SILK DENGAN JARUM BEDAH

76

STRIP HB

77

STRIP GULA DARAH

78

STRIP PROTEIN DAN GLUKOSA

79

STRIP KOLESTEROL

45
9

VENOJECT

YELLOW TIP
1

TABUNG REAKSI BESAR

37

TABUNG REAKSI KECIL

63

TORNIKUET

URINE BAG

436

URINE TEST 3 PARAMETER

WIDAL TEST

7
8

OBAT GIGI

ARSEN

10

ARTIKULATING PAPER

11

AIR RAKSA DENTAL USE

12

CALCIDOR

13

CEVITRON

167

14

CHKM

15

CRESOPEN

16

DENTORIT

17

DYCAL

8
9
75

ME
OB
AT
JIW
A
AP
RIL
201 ETIL KLORIDA SPRAY
5 EUGENOL CAIRAN

4
675
11

IODOFORM PASTA

20

NO GLASS IONOMER ART

OCO / TSR

SILVER AMALGAM SERBUK 65 - 75 %

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN


8

5
6
NAMA OBAT

SEDIAAN STOK AKHIR

CLOBAZAM

TABLET

CLOZAPINE

TABLET

142400
67250

CHLORPROMAZINE

TABLET

146000

FORANSI

TABLET

81090

STELOSI

TABLET

132600

SETRALINE

TABLET

4320

Pemberian
STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
3,376

1 ACYCLOVIR 5 GR KRIM

2,152

50

107,600

15,300

1 ACYCLOVIR 200 MG TABLET

534

100

53,400

4,550

1 ACYCLOVIR 400 MG TABLET

648

100

64,800

1 ALLOPURINOL 100 MG TABLET

104

240

1 ALLOPURINOL 300 MG TABLET

210

3,300

16,500

200

2,135

AMBROXOL SYRUP 15 MG / 5 ML

660,000

50

165,000
43,000

1 AMBROXOL TABLET 30 MG

86

100

8,600

500

1 AMINOFILIN 200 MG TABLET

104

27,600

1 AMITRIPTILIN 25 MG TABLET

102

21,840

1 AMLODIPIN 5 MG TABLET

187

60

11,220

440

AMLODIPIN 10 MG TABLET

1,630

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

4,750

8,603

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

1,020

3,700

350

1,295,000

200

740,000

200

40,700

AMOXICILLIN 250 MG KAPLET

200

300

60,000

1,100

220,000

28,300

AMOXICILLIN 500 MG KAPLET

220

200

44,000

1,000

220,000

3,000

30

90,000

116

2,220
116,200

AMOXICILLIN + AS.KLAVULANAT
1 ANTALGIN 500 MG TABLET

64,300

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA


200 MG + ALUMUNIUM HIDROKSIDA 200 MG)
1

779

81
ANTASIDA SUSPENSI

200

16,200

1,000
-

81,000

1,866

50

93,300

ANTI BISA ULAR (ABU) SERUM

471,719

ANTI TETANUS SERUM 1500 UI

126,500

2,491

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


POLIMIKSIN B 10,000IU/G )
ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM
1 SALISILAT 3 %)

1,800

740,000
1,320,000
81,200

202,500
20

37,320

25

700

190,740

2,500

5,140

6,000

62,275

600
86,100
348,100
11,800
116
86,300
542
9,160
180
-

1 ANTI HEMOROID DOEN

20

60,500

32

159

100

15,900

100

800

ASAM TRANEKSAMAT 500 MG

1,100

ATROPIN SULFAT INJ

1,100

367

300

300

15,400

2,900

11,000

116

200

12,185

1,524

75

924

25,300

6,199

2,300

281

1 ASAM ASCORBIT (VIT.C) 50 MG TABLET


ASAM ASCORBIT (VIT.C) 250 MG TABLET
1 ASAM MEFENAMAT 500 MG

1 ATTAPULGIT / MOLAGIT TABLET


AQUABIDEST
AQUA PRO INJEKSI 25 ML
AZITHROMYCIN 500 MG
1 BEKARBON
BENZATIN BENZIL PENISILIN 2,4 JUTA IU
1 BETAMETASONE KRIM 0,1 %

BETAHISTIN MESILAT 6 MG TABLET

BETAKAROTEN 500 IU SYRUP

492
600
126,000

BISOPROLOL 5 MG
1 BROMHEKSIN HCL 8 MG TABLET
BROMHEKSIN HCL 4 MG SYRUP

91
340

BROMHEKSIN HCL 8 MG / 4 ML SOL


1 CALAMIN LOTION

636,400

1 CAPTOPRIL 12,5 MG TABLET

182,600

1 CAPTOPRIL 25 MG TABLET

6,600

CEFIXIME SYRUP KERING 100 MG


CEFIXIME 100 MG

3,025

110,100

1,200

80,000

337,200

20

60,500
-

2,000

318,000

1,000

100,000

110,100

V45*102

30
2,000

300

12,650

63

88

700

100

8,800

958

50

47,900

1,000

958,000

200

200,000
110,100

114,300

66,000

10,588

90,750

61,600
191,600

1,000

63,000

500

44,000

10

105,880

CEFOTAXIME INJ 1G

5,000

18

CEFTRIAXON INJ

5,500

CETIRIZINE 5 MG SYRUP

10,440

CETIRIZINE DROP

28,050

181

100

18,100

500

300

22,100
105,950
7,700
1,750
115,200
7,000
-

1 CETIRIZIN 10 MG
1 CIMETIDIN TABLET

90,500

116

CIPROFLOXACIN 500 MG TABLET

245

50

12,250

300

CLINDAMYCIN 150 MG KAPSUL

361

CLINDAMYCIN 300 MG KAPSUL

527

21

122

1,379

99

1 CHLORPHENIRAMIN MALEAT (CTM) 4 MG


1 CHLORPROMAZINE 100 MG
DEKSTROMETORPHAN HBR SYRUP
1 DEKSTROMETORPHAN HBR TABLET 15 MG

3,000

54,300

73,500

63,000

300

73,500

200

72,200

300

158,100

3,600

75,600

286
430
11,000
2,472
136
180
51,200
9,300

DEKSTROSA LARUTAN INFUS 5 %

5,060

DEKSTROSA LARUTAN INFUS 10 %

5,727

DEKSTROSA LARUTAN INFUS 40 %

3,960

69

2,000

30

2,368

960

91

3,624

404

220

1 DEXAMETHASON 0,5 MG TABLET


DEXAMETHASON INJEKSI
1 DIAZEPAM TABLET
DIAZEPAM INJ 5 MG/ML
DIFENHIDRAMIN INJ
1 DIGOKSIN 0,25 MG TABLET
DOMPERIDON 5 MG SUSPENSI
1 DOMPERIDON 10 MG
DOXYCYCLINE 100 MG KAPSUL

1,000

69,000

4,000

EKSTRAK BELLADONNA TABLET 10 MG

42

EPINEFRIN (ADRENALIN) INJ 0,1%

8,100

ERYTHROMYCIN 200 MG SYRUP

7,220

10

1,151

10,120
276,000

72,200

17,100

ERYTHROMYCIN 250 MG

440

42,000

ERYTHROMYCIN 500 MG TABLET

921

420

41,800

1 ETAMBUTOL 500 MG

158

1 ETAKRIDIN 0,1 % / RIVANOL

557

1 ETANOL 70 % 1000 ML

2,200

25,300

604

65

8,100

1 FENITOIN 100 MG KAPSUL

7,000

1 FENOBARBITAL 30 MG TABLET

1,680

1 FENOL GLISEROL 10 %

1,008

FITOMENADION INJ

1,450

3,700
220
18,600
6,800
895
3,350
821,600
20,040

1 FITOMENADION 10 MG TABLET

2,300

177,100

75,900

579

1 FLUCONAZOL 150 MG

22,000

1 FLUTICASONE PROPIONATE 0,5 MG / 2 ML

19,080

91

100

1 FUROSEMID 40 MG TABLET
GAMEKSAN
1 GARAM ORALIT II SERBUK
GENTAMYCIN SALEP KULIT
1 GENTIAN VIOLET 1 % - 10 ML
1 GLIBENCLAMIDE 5 MG TABLET
1 GLIMEPIRIDE 2 MG

292

50

895

54

300

500

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50 MG


1 GLISERIL GUAIAKOLT 100 MG TABLET
1 GLISERIN LARUTAN
1 GRISEOFULVIN 125 MG TABLET

9,100

1,469

5,500
495,000

177,100

73,450
16,200
-

4,730

200

2,000

(1000*23)+(1000

28

10,000

280,000

1 HALOPERIDOL 0,5 MG TABLET

165

17,000

1 HALOPERIDOL 5 MG TABLET

246

444

1 HALOPERIDOL 5 MG INJEKSI

14,724

1 HEPARIN 200,000 IU GEL

36,000

8,100

HEPATOPROTEKTOR SYRUP

HEPATOPROTEKTOR TABLET

4,675

1 HIDROKORTISON KRIM 2,5 %

2,399

31,184

1 HYOSINE N BUTILBROMIDA TABLET

63

IBUPROFEN 125 MG SUPP

525

IBUPROFEN 200 MG SUSPENSI

300

55,550

4,499

10

44,990

300

1 IBUPROFEN 200 MG TABLET

93

1 IBUPROFEN 400 MG TABLET

146

44

5,000

1 ISONIAZID 100 MG

6,000

1 ISONIAZID 300 MG

1,500

219,000

107

660

IMUNOSTIMULAN SIRUP

55,000

1 IMUNOSTIMULAN TABLET

4,950

97

100

1,444

47

900
53,300

1 ISOSORBIT DINITRAT 5 MG SUB LING.TABLET


1 ITRAKONAZOL 100 MG
1 KALCIUM LACTAT 500 MG TABLET
KALIUM DIKLOFENAK 50 MG

2,000

9,700
94,000

70

KANAMYCINE 2 GR

19,800

1,190

KAOLIN SUSPENSI

12,012

300

4,700

12

608

2,539

1 KETOKONAZOL 200 MG TABLET

4,362
1,000

KETOKONAZOL KRIM 2 %
1 KETOPROFEN 100 MG

350

KETOROLAC INJ 10 MG

KLORAMFENIKOL 250 MG KAPSUL

245

KLORAMFENIKOL 1 %SALEP MATA

1,562

298

KLORAMFENIKOL SUSPENSI

3,800

KLORAMFENIKOL 0,5 % TETES MATA

5,280

220

1,161,600

KLORAMFINEKOL 3 %TETES TELINGA

1,599

40

63,960

250

500

KODEIN FOSFAT 20 MG TABLET


1

2,468

500

312

8,289

46,800

198

950
KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5
MG KRIM

399,750

475,000
-

19,000
316,602

48

56,400

397,872
-

2,226

KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA

3,549

KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +


GG SYRUP

17,850
16,850

KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT
KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM
1 TABLET

KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM SYRUP


KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100
1 MG
1 KOMB.TEOFILIN + SALBUTAMOL TABLET

10,450
-

1
5,365
13,740

KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +


VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET
KOTRIMOKSAZOL SUSPENSI
KOTRIMOKSAZOL ADULT 480 MG TABLET
KOTRIMOKSAZOL PEDIATRIK TABLET

3,700

LEVOFLOXACIN 500 MG TABLET

9,380

LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

804
23,400

LINCOMYCIN 500 MG KAPSUL


1 LISOL
1 LOPERAMID 2 MG TABLET

1,925

140,690
300

844,800
-

10

3,376,560

52,800

800

240

50
-

990

158,400

1,045,000

1,056

240

100

10,000

KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG


SYRUP / TREMENZA SYRUP

KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG TABLET


1 / LIBROFED TABLET

660

250,250
-

1,056,000

55,000

429,000

368,800
35

1,000

50

15,855

14,069
1,150

50
737,600

60

7,920

100
-

1,100
KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL +
CTM

4,315

KOMB.METHAMPYRON + DIAZEPAM

900

93

7,150

1,056

39,720

7,376

KOMB.DEKSAMETASON, DEKSKLORFENIRAMIN MALEAT


1

316,800
-

1,975

100

159

50

574

1,030

100

100

520

13,200

91

1 MELOXICAM 7,5 MG

234

1 MELOXICAM 15 MG

348

103,000

66,000
-

200

18,200

197,500

103,000

175,300
900
2,800
45
5,100
-

1 METFORMIN 500 MG

105

500

METFORMIN 850 MG

260

140

1 METHILERGOMETRIN MALEAT 0,125 MG TABLET


METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

3,685

1 METHYLPREDNISOLON 8 MG TABLET

375

44,000

89

2,830

METHYLPREDNISOLON 125 MG INJEKSI


1 METOCLOPRAMIDE HCL 10 MG
METOCLOPRAMIDE SYRUP 5 MG / 5 ML

500

MICONAZOLE SALEP

MOMETHASON KRIM 0,1 %

17,800

2,000

MULTIVITAMIN ANAK DROP

13,750

100

MULTIVITAMIN ANAK SYRUP

20,000

528

28,000

1 MULTIVITAMIN TABLET

53,000

1 NATRIUM BIKARBONAT 500 MG TABLET

14

41,000

1 NATRIUM DIKLOFENAK 25 MG TABLET

133

300

1 NATRIUM DIKLOFENAK 50 MG TABLET

176

NATRIUM DIKLOFENAK GEL


-

NATRIUM KLORIDA LARUTAN INFUS 0,9%

NATRIUM KLORIDA 25 ML

4,900

1,500

1,375,000
792,000
39,900
-

10
300
-

137,500
158,400
-

1,000

133,000

200

35,200

2,400

1 NYSTATIN 500.000 IU TABLET

640

2,700

1 NYSTATIN VAGINAL TABLET 100.000 IU

407

30,800

30

924,000

4,000

120

480,000

180

OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +


AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

112

OBH

1 NIFEDIPINE 10 MG TABLET

NYSTATIN SUSPENSI 100.000 IU/Ml

82,000

541

164

6,564

123

METRONIDAZOL 500 MG TABLET

88,500

300

METRONIDAZOL 250 MG TABLET

1 METHYLPREDNISOLON 4 MG TABLET

16,200

12,200
-

52,500

7,000

720,000

400

OFLOXACIN 200 MG

413

4,950

OFLOXACIN 400 MG

873

160

ONDENSETRON INJ

2,400

OXYTETRASIKLIN HCL 3 % SALEP KULIT

1,450

100

25

OXYTETRASIKLIN HCL 1 % SALEP MATA

2,100

13,913

16,100

17,550
3,210
-

OXYTOCIN INJ

145,000

36,250

10,300

1 PAPAVERIN 40 MG TABLET

1,400

PAPAVERIN INJEKSI 40 MG/ML


1 PARAFORMALDEHID TABLET 1 GR

PARASETAMOL 100 MG

530

60

32

119

PARASETAMOL SUPPOS 160 MG/ PROPIRETIC

5,227

PARASETAMOL SYROP 120 MG / 5 ML

1,319

100

131,900

20

1 PARASETAMOL 500 MG

84

400

33,600

1 PERMETHRIN KRIM 5 %

12,925

PARASETAMOL DROPS

7,912
39,791
866,400

26,380

30

156,810

200

263,800

150

197,850

3,600

302,400

10,000

840,000

16,800

1 PIRANTEL PAMOAT 125 MG

290

47,600

1 PIRAZINAMID 500 MG

198

1 PIRIDOKSIN (VIT B6 ) TABLET 10 MG

18

1 PIROXICAM

65

127

ALBOTYL

28,600

10

3,500

224,000

1,000

1 POVIDON IODIDA 60 ML

316

1 POVIDON IODIDA 300 ML

14,500

147

1 POVIDON IODIDA 1 L

42,000

65,000
24,400

1 PREDNISON TABLET 5 MG

286,000

36,000

57

1 RANITIDIN TABLET

110

500

55,000

1,000
1,500

57,000
165,000

1,000
1,000

57,000
110,000

1,928

RETINOL 100,000 IU

14,300

RETINOL 200,000 IU

19,600

RANITIDIN INJ 25 MG/2ML

2,000

72,500

120

563

660

5,200

10,400

1 RISPERIDONE 1 MG TABLET

1,500

2,500

3,750,000

1 RISPERIDONE 2 MG TABLET

1,781

41,600

RIFAMPICIN 450 MG

1,475
-

54,000

1 PROPANOLOL 40 MG

1,482

48,400

3,000

RINGER LAKTAT LARUTAN INFUS

283

SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL


1

253,260
-

14,900

1 SALBUTAMOL 2 MG TABLET

59

300

200

9,700

1 SALBUTAMOL 4 MG TABLET

96

100

9,600

1 SALEP 2 - 4

4,950

24

118,800

2,500

1 SALISIL BEDAK 2 %

1,250

100

100

125,000

4,734

1 SALISIL MENTOL BEDAK

3,630

1,220

SEFADROKSIL SYRUP

5,248

20

6,200

SEFADROKSIL 250 MG

468

3,400

SEFADROKSIL 500 MG

521

374

17,700

125,000

11,800

104,960

4,230

1 SETRALINE 50 MG TABLET

11,403

90

136,000

1 SIANOCOBALAMIN TABLET

12

345
64,800

SIANOCOBALAMIN / VIT. B 12 INJ


1 SILVER SULFADIAZINE 10 MG / 35 GR CREAM
1 SIMVASTATIN TABLET

520

58,300

391

300

291,500

1,026,270

117,300

161

STESOLID RECTAL SUPP

23,540

919

STREPTOMISIN SERBUK INJ 1500 MG/ML

2,090

6,316

SULFASETAMIDA NATRIUM TETES MATA

3,226

48

78,300

TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


1 MG+ASAM FOLAT 0,25 MG

3,800

TETRASIKLIN 500 MG KAPSUL

44,000
87,000

THIAMIN (VIT.B1) 100 MG / ML INJ


1 THIAMIN (VIT.B1) 50 MG TABLET

V253*1023

1,500
-

1,452,000

186

1,050

700

2,000

76,000

5,000

190,000

100

43,100

200

86,200

189

50

9,450

5,400

40

1 VITAMIN B KOMP. TABLET

107

ZINC / ZINCDIAR TABLET

474

500

6,000

300

225

TRAMADOL HCI 50 MG/ML INJ


1 TRIHEKSILPHENIDIL 2 MG TABLET

32,600
-

154,848

1 TRAMADOL HCI 50 MG TABLET

968

100

38

THIAMPHENIKOL 500 MG KAPSUL

400

431

37,100

183,600

NEO KAOMINAL SUSPENSI


119
ALAT KESEHATAN DAN REAGEN

32

ALAT AUTOCLIX/LANCET DEVICE

110,000

237,000

1,500
700

60,000
331,800

3,100

ALAT SUNTIK SEKALI PAKAI 1 ML

2,662

15,500

ALAT SUNTIK SEKALI PAKAI 3 ML

3,120

100

6,400

ALAT SUNTIK SEKALI PAKAI 5 ML

7,750

ALAT SUNTIK SEKALI PAKAI 10 ML

3,300

8,360

525,000

275

200

300

8,230

396

902,000

78,100

100

800
140
6
94,300
-

ALAT PEMERIKSAAN HB
ALCOHOL SWABS
BISTURI

9,900
6,051

CATGUT DENGAN JARUM BEDAH

312,000

55,000

7,810,000

936,000

82,500

5,415,500

1,650,000

2,420,000

39,050

81

CATGUT CHROMIC

DEX GLASS

96

EDTA VACUM TUBE 5 ML

302,500

FESCOPLAST

50

FOLEY CATETHER

11,000

GLUCOSA TEST TIP

8,323

935,000

18,755

880

800

400

305,800

500

10,890

50

544,500

5,500

7,980
11

GOLONGAN DARAH KIT

H2O2

62,600

HAND SCONE / SURGICAL GLOVE

1,400

HAND SCONE STERILE

1,745

HCG CASETTE / PP TEST

8,130
267
-

HEMASITO METER

704,000

440,000

ISI AUTOCLIX

1,632

300

INFUSION SET ANAK

9,900

INFUSION SET DEWASA

8,800

489,600

300

IODIUM TEST

20,900

2,788

IV CATETHER

22,000

293

JARUM JAHIT

71,000

KACA MULUT

96,800

215

KAPAS PEMBALUT 250 GR

20,000

KAPSUL KOSONG NO.0

30,000

KAPSUL KOSONG NO.1

490
-

KASSA HIDROFIL 40 X 40
KASSA HIDROFIL GULUNG

20,130

44

60,390

33

1,980

136,694

1,069

KASSA STERIL

6,820

27

184,140

1,450

KASSA 4 M X 15 CM

5,882

150

882,300

LAMPU SPIRITUS

LARUTAN ASAM ALKOHOL

LARUTAN KOH 10 % 250 ML

46,200

101,750

37,400

2,090,000

117
4

LOMATUELL H 10 X 10 CM
METILEN BLUE 250 ML
MICROPIPET 3 UKURAN

1,436

250

137

22,000

136

22,000

850

MASKER

359,000

1,000

1,436,000

200

287,200

300

430,800

MATA BOR HIGH SPEED BUNDAR

95,700

MATA BOR HIGH SPEED FISURE

95,700

MATA BOR HIGH SPEED INVERTED CONE

MATA SCALLER

28

NASO GASTRIC TUBE

95,700

236,500

21,450

137
140
57
261

NEBULIZE MASK FOR INFANT

40,700

NEBULIZE MASK FOR ADULT

40,700

110,000

34,991

13,500

5,400

NEEDLE
OBJECT GLASS

OIL IMERSI

OSE

110,000

22

PENJEPIT TABUNG

PIPET BESAR

PIPET KECIL

17

281

PLESTER

23,100

392,700

92,400

POT DAHAK

POWDER ENZIMATIC ALKAZYME

946,000

14

PURIFIED PROTEIN DERIVATIVE 2 UT

702,240

77

SELANG O2 ANAK

13,200

79,200

58

SELANG O2 DEWASA

13,200

79,200

1,082,950

62,150

1
-

SILK DENGAN JARUM BEDAH

310

STRIP HB

191,500

114

STRIP GULA DARAH

95,000

STRIP PROTEIN DAN GLUKOSA

77,000

18

STRIP KOLESTEROL

175,450

15

VENOJECT

220,000

YELLOW TIP

95,700

2,631,750

1,149,000
526,350

37

TABUNG REAKSI BESAR

2,015

63

TABUNG REAKSI KECIL

2,015

103

TORNIKUET

204
250

URINE BAG

URINE TEST 3 PARAMETER

WIDAL TEST

24

22,000

132,000

13,200

4,950

247,500

1,396,000

133,100

594,000

1,870,000

943,000

1,132,500

1,942,295

1,768,800

1,171,500

94,020

1,197,900

1,937,600

OBAT GIGI

ARSEN

484,000

ARTIKULATING PAPER

214,500

73

AIR RAKSA DENTAL USE

225,500

3,740,000

CALCIDOR

209,000

137

CEVITRON

115,500

70,000

17

CHKM

CRESOPEN

551,000

DENTORIT

154,000

DYCAL

333,300

70

ETIL KLORIDA SPRAY

145,200

185

EUGENOL CAIRAN

3,178

16

IODOFORM PASTA

302,500

GLASS IONOMER ART

715,000

OCO / TSR

330,000

1,265,000

418,000

SILVER AMALGAM SERBUK 65 - 75 %

12

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

36,300

1,434,780

15,196,890

435,600

3,649,580

18,806,658

22,348,619

CBB
Pemakaian

CWD
Harga

Pemakaian

75

161,400

50

300

160,200

500

324,000

PM
Harga

Pemakaian

107,600

25

100

53,400

250

162,000

PWK
Harga

Pemakaian

53,800

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

125

269,000

50

107,600

200

430,400

1,237,400

300

160,200

100

53,400

1,000

534,000

1,014,600

500

324,000

1,000

648,000

1,522,800

400

84,000

100

21,000

400

84,000

289,800

400

1,320,000

400

1,320,000

500

1,650,000

8,431,500

480

100,800

300

990,000

300

990,000

400

100

8,600

1,000

86,000

1,320,000

146,200

510

95,370

540

100,980

3,000

561,000

1,200

224,400

900

168,300

3,000

561,000

1,913,010

350

1,295,000

300

1,110,000

500

1,850,000

400

1,480,000

100

370,000

200

740,000

2,040

408,000

960

192,000

1,260

252,000

2,400

480,000

1,560

312,000

240

48,000

1,972,000

10,000

2,200,000

3,000

660,000

7,300

1,606,000

8,400

1,848,000

8,400

1,848,000

10,000

2,200,000

11,946,000

240

720,000

3,000

1,000
1,000

243,000
50

93,300

75

116,000

186,825

81,000
100

232,000

3,000

186,600

243,000
100

186,600

50

124,550

1,800
3,000

243,000
100

208,800

186,600

243,000
50

93,300

150

373,650

810,000

348,000

986,000

200

486,000

1,838,700

373,200

1,250,220

25

3,000
6,000

3,000

2,000

9,620,000

62,275

809,575

40
-

121,000
-

30
-

90,750
-

60
-

181,500
-

90
-

272,250
-

30
-

90,750
-

968,000
-

1,000

159,000

2,000

318,000

7,500

1,192,500

5,000

795,000

5,300

842,700

7,000

1,113,000

4,754,100

3,500

350,000

2,000

200,000

4,500

450,000

4,000

400,000

2,000

200,000

6,000

600,000

2,580,000

200

220,000

440,000

600
20
1,000

220,200
58,000
116,000

400

20

58,000

1,500

550,500

20

22,000

22,000

300

150

55,050

1,266,150

110,100

660,000

116,000

#VALUE!

840

216,408
-

AM45*V45-680X10

67

148,776

300

920,000

674,400

102,108

24

148,776

100

230,000

1,200

337,200

690,000
-

60

759,000

759,000

1,000

63,000

1,500

94,500

3,000

189,000

2,000

126,000

2,000

126,000

661,500

1,000

88,000

1,500

132,000

4,000

352,000

4,000

352,000

1,000

88,000

1,126,400

600

574,800

42
1,000
300
-

400

383,200

231,000
181,000
73,500
-

1,500

40

400
-

1,437,000

700

126,700
98,000
-

100

52,700

200

105,400

7,200

151,200

7,200

151,200

800
700

200

191,600

500

479,000

105,880

4,263,100
-

451,000

300

220,000

144,800
171,500

7,200

151,200

500
-

122,500
-

400

210,800

7,200

151,200

1,000

245,000

3,000

63,000

100
-

54,300
24,500
-

669,700
894,250
72,200

300

158,100

685,100

12,000

252,000

1,058,400

2,000

244,000

244,000

3,500

241,500

10

20,000

2,000

138,000

10
2,200

57,270
151,800

60

6,000
1,000

414,000
30,000

2,000

138,000

10

20,000

10,120

57,270

10,000

690,000

2,118,300

40,000
30,000

142,080

#VALUE!

15

252,700

921,000

84,000

30

10

(20*800)+(10*960

142,080

72,200

100

92,100

600

200

84,000

11,000

101,200

50,600

60,400

108,300

552,600

300

100

48

24
-

24,192
-

48,384
-

24,192

24

24,192

60,400
169,344

200

347,400

100

54,600

30

18,200
-

100

146,900

50

44,750

125

183,625

50

44,750

2,000

108,000

50

25,000

5,000

140,000

1,000
-

9,100

54,000
-

300

200
-

18,200
44,070

50

44,750

216,000

500

196,000

50

4,000

7,000

173,700

24

11,000
632,500

200

115,800

48

50,600

100

57,900

48,384

276,300

200

27,000
-

8,000

73,450

224,000
40,000

100

558,220

50

44,750

179,000

4,000

216,000

637,200

25,000

3,000

36,725

25

84,000
20,000

8,000

224,000

#VALUE!

60,000

200

1,000

165,000

48

115,152

48

20
500
1,000

89,980
73,000
107,000

115,152
111,100

48
20

146,000

115,152
89,980

1,000

277,750

1,200

175,200

120
1

500

123,000

287,880
55,550

500

82,500

247,500

500

123,000

295,200

24

444,400

269,940

57,576

690,912

10

44,990

200

18,600

500

46,500

65,100

73,000

1,007,400

2,200

15

321,200

500

107,000

4,125,000

60

9,700

20
30
66

1,000

47,000

240,240
141,000
167,574

1,000

825,000

3,300,000

49,200

47,000

10,000

470,000

7,000

329,000

987,000
-

240,240

150

20
24

94,000
60,936

48
100

225,600
253,900

705,000

482,410

60

282,000

1,504,000

10

95,000

1,161,600

246

393,354

198

316,602

222

354,978

198

38,000
316,602

10
174

38,000
278,226

294

50

414,450
-

96

41,445
-

96

795,744
-

30

795,744
-

2,910,180
-

475,000

250
248,670

470,106

2,072,250

4,766,175

50

368,800

100

120
715,000

100
-

858,000

100

100
1,585,500

1,567,500
600

600
-

30,000
-

140,690

316,800

2,025,936

1,267,200

198,000

198,000

150

150

86,100

50

28,700

100

103,000

123,600

123,600
26,400

120

100

9,100

26,400

200

#VALUE!
#VALUE!

80,000

2,025,936

10,692,440

1,056,000

6,177,600

1,386,000

1,782,000

395,000

1,283,750

1,000
1,400
-

120

296,250

633,600

7,927,500

144

4,756,500

1,584,000
-

1,406,900

1,056,000

600

200

1,265,000

100

1,000

1,100,000

2,400

3,907,200

(210*6325)+(90*1045

237,600
-

300
-

1,575,728

633,600

144

1,200

200
-

360

112

600

3,539,250

300

2,376,000

50,000
-

3,600

1,000
-

2,090,000

633,600
5

300

1,567,500

1,056,000

1,585,500

2,581,600

200

960

10

(480*578)+(120*6

100

150
-

396,000

368,800
-

1,000
1,056,000

50
-

1,000

150

1,287,000

110,000

368,800

633,600

50
368,800

180

600
105,600

50
-

395,000

50,000

114,800

100

1,000

200

50,000

79,200

103,000
66,000

659,200
264,000

27,300

1,000

105,000

1,500

157,500

2,000

210,000

1,000

100

200

75,000

600

225,000

700

262,500

1,200

100

10

28,300

100

12,300

100

16,400

300

600

10

178,000

50

687,500

20

3,000
500
-

1,584,000
66,500
-

2,000
700
-

275,000
1,056,000
93,100
-

36
500
700
-

450,000

495,000
264,000

93,100
-

200
-

26,700

100

23

65,090

98,400
-

200
-

10

40

550,000

200

792,000
-

1,500

14,000

1200*134)+(300*1
-

1,000

3,500
700
-

105,000

28,000

75,000
-

1,000

375,000
-

53,400

93,390

12,300

278,800

32,800
-

2,750,000
1,848,000
93,100
-

30

534,000

890,000

100

1,375,000

7,645,000

1,000
1,000
-

528,000
133,000
-

500

100

64,000

100

100

400,000

360

56,000
40,700
1,440,000

1,000
38
-

112,000

500

56,000

100

64,000

1,170,400
-

5
660

154,000
AM198*4950

250

10

308,000
(174*4950)+(76*

1,000
-

7,022,400
#VALUE!
35,200
-

11,200

1,462,500

8,900

100

735,000

178,000

1,500

300

100

8,900

8,900

49,200

14,000

100

105,000

112,000
-

347,200
128,000
40,700

10

308,000

2,864,400

600

2,400,000

#VALUE!

216,000

20

48,000

70

75

108,750

168,000

50

32,200

695,650
-

100

145,000

580,000

50

100

145,000

695,650
-

1,391,300
32,200

100

11,900

200

23,800

300

35,700

400

47,600

500

59,500

178,500

56

292,712

30

156,810

140

731,780

20

104,540

100

522,700

1,965,352

300

395,700

300

395,700

600

791,400

400

527,600

700

923,300

3,653,630

12,000

1,008,000

7,200

604,800

10,800

907,200

10,800

907,200

21,000

1,764,000

7,207,200

10,000

840,000

100

300

59,400

1,000

18,000

143,000

3,000

54,000

2,000

10

15

29,000
36,000
286,000

59,400
198,000
715,000
-

10

29,000

29,000

43,500

145,000

84,000

126,000

210,000

2,000

220,000

2,000

220,000

87

167,736

100

192,800

300

198,000

60

312,000

140

728,000

200

300,000

1,000

1,500,000

506,520

3,200

176,000

57,000
-

2,000

220,000
19,280

10

160

832,000

31,200

2
-

1,600

20
506,520

11,800

300

17,700

300

28,800

300

28,800

100

24

118,800

100

125,000

20

72,600

30

157,440

10

200

352,000

1,000

9,600

1,000

110,000

171,000
1,628,000

379,816

198,000

10

52,000

10

52,000

2,017,600

3,000

4,500,000

1,000

1,500,000

11,550,000

4,801,580

5,814,620

47,200

1,000

59,000

165,200

700

67,200

1,000

96,000

240,000

24

118,800

100

800

200

250,000

12

43,560

116,160

15

78,720

393,600

200

93,600

187,200

300

156,300

200

1,042,000

200

93,600

1,000

521,000

200

52,480
104,200

300

156,300

125,000

104,200

200

250,000

356,400
1,000,000

500

195,500

500

195,500

24

564,960

20

470,800

24

77,424

1,500

V253*1023

48

154,848

400
-

2,000

1,500

1,026,270

24,000

291,500

24,000

586,500

500

195,500

2,000

782,000

2,072,300

1,035,760

100

322,600

100
387,200

AM253*1023

96

309,696

1,019,416

968,000

#VALUE!

1,000
-

532,000

129,300

10

54,000

10

54,000

108,000

300

12,000

400

2,000

80,000

244,000

2,000

700
300

76,000

28,000
142,200

4,000

1,000

152,000

16,000
474,000

1,000

1,200
500

38,000

48,000
237,000

1,000

474,000

9,450

1,896,000

100

266,200

200

624,000

100

775,000

775,000

100

330,000

330,000

600

500

600

165,000

600

165,000

165,000

6,864,000

770,000

823,000

20

16

1,249,600

10

5,415,500

5,415,500

100

823,000

137,500

100

312,000

266,200

100

312,000

900

400

1,248,000

312,000

2,808,000

100

1,562,000

781,000

11,402,600

90

2,000

1,760,000

400

352,000

1,700

1,496,000

749,070

6,553,800

700

749,070

616,000

1,000

880,000

544,500

300

1,321,920

10

99,000

10

99,000

30

264,000

20

176,000

50

50
10
-

1,100,000
710,000
-

30
-

440,000

210

198,000

880,000

2,288,000

710,000

100,650

342,720

660,000

5
40,260

489,600

88,000

20

201,300

341,000

525,140

117,640

200

2,764,540

305,250

50

20

101,750

440,000

203,500

287,200

1,176,400

294,100

294,100

215,400

200

5,313,200

44,000

44,000

44,000

44,000

500

718,000

50

150

800

1,148,800

50

300

430,800

42,900

42,900

81,400

110,000

15

10

81,400

231,000

12

277,200

20

462,000

69,300

346,500

1,871,100

26,400

105,600

26,400

105,600

20

175,450

3,509,000

1,149,000

380,000

7,193,450

380,000

350,900

100

1,320,000

1,320,000

231,000

290,400

6,356

1,430,000

231,000

10

290,400

715,000

10

1,452,000

715,000

726,000

1,452,000

1,430,000

4,646,400
6,356
4,290,000

35,925,111

29,055,578

45,128,064

51,263,146

26,570,208

48,655,856

DINAMIKA LOGISTIK OBAT


DI KOTA CILEGON
Propinsi

: BANTEN

Alamat

: Jl.K.P.Tendean Km.2 Cilegon

Jumlah Unit Pelayanan

: 9 Unit

Bulan

: Mei

Tahun

: 2015

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

TUBE

3,376

3,376

ACYCLOVIR 200 MG TABLET

TABLET

15,300

15,300

ACYCLOVIR 400 MG TABLET

TABLET

4,550

4,550

ALLOPURINOL 100 MG TABLET

TABLET

ALLOPURINOL 300 MG TABLET

TABLET

240

240

AMBROXOL SYRUP 15 MG / 5 ML

BOTOL

2,135

2,135

AMBROXOL TABLET 30 MG

TABLET

AMINOFILIN 200 MG TABLET

TABLET

AMITRIPTILIN 25 MG TABLET

TABLET

27,600

27,600

10

AMLODIPIN 5 MG TABLET

TABLET

21,840

21,840

11

AMLODIPIN 10 MG TABLET

TABLET

12

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

VIAL

1,630

1,630

13

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

BOTOL

8,603

8,603

200

14

AMOXICILLIN 250 MG KAPLET

KAPLET

40,700

40,700

1,200

15

AMOXICILLIN 500 MG KAPLET

KAPLET

28,300

28,300

5,000

16

AMOXICILLIN + AS.KLAVULANAT

TABLET

2,220

2,220

17

ANTALGIN 500 MG TABLET

TABLET

116,200

116,200

18

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA


200 MG + ALUMUNIUM HIDROKSIDA 200 MG)

TABLET

64,300

64,300

19

ANTASIDA SUSPENSI

BOTOL

779

779

20

ANTI BISA ULAR (ABU) SERUM

VIAL

21

ANTI TETANUS SERUM 1500 UI

AMPUL

22

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


POLIMIKSIN B 10,000IU/G )
ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM
SALISILAT 3 %)

23

TUBE
POT

5,140
-

100 ###

50

75

125

200

500

500

500

350

550

400

50

100

19=6-18

ACYCLOVIR 5 GR KRIM

200

25

18=(7s/d17)

100

200

STOCK
AKHIR

25 ###

JUMLAH

100

240

2,100

2,450

400

150

200

240
300

300

300

200

100
600

1,500

450

2,550

1,500

1,850

6,000

250
5,000

20

70

200

200

3,000

9,600

12,240

90
2,100

6,503

1,200

7,000

1,000

3,600

14,000

26,700

3,000

4,200

5,100

28,300

1,000

1,500

2,000

2,000

1,500

4,000

160

4,000

100

2,220

1,800

4,000

9,600

106,600

3,000

10,000

28,100

36,200

25

100

435

344

25

1,540

500

500

50

100

2,000

50

400

300

50 ###

27,000

100

285

600
-

250

500

2,901
13,600

5,140

475
1,700

50

100

325
-

4,815
-

NO

NAMA OBAT

24

ANTI HEMOROID DOEN

25

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

10

11

SUPP

600

600

ASAM ASCORBIT (VIT.C) 50 MG TABLET

TABLET

26

ASAM ASCORBIT (VIT.C) 250 MG TABLET

TABLET

86,100

86,100

27

ASAM MEFENAMAT 500 MG

TABLET

348,100

348,100

28

ASAM TRANEKSAMAT 500 MG

TABLET

11,800

11,800

29

ATROPIN SULFAT INJ

AMPUL

116

116

30

ATTAPULGIT / MOLAGIT TABLET

TABLET

86,300

86,300

31

AQUABIDEST

BOTOL

32

AQUA PRO INJEKSI 25 ML

BOTOL

542

542

33

AZITHROMYCIN 500 MG

KAPSUL

34

BEKARBON

TABLET

35

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

36

BETAMETASONE KRIM 0,1 %

37

BETAHISTIN MESILAT 6 MG TABLET

38

BETAKAROTEN 500 IU SYRUP

39

BISACODYL 10 MG SUPP

40

BISOPROLOL 5 MG

41

BROMHEKSIN HCL 8 MG TABLET

TABLET

42

BROMHEKSIN HCL 4 MG SYRUP

BOTOL

43

BROMHEKSIN HCL 8 MG / 4 ML SOL

BOTOL

91

91

44

CALAMIN LOTION

BOTOL

340

340

45

CAPTOPRIL 12,5 MG TABLET

TABLET

636,400

636,400

1,500

46

CAPTOPRIL 25 MG TABLET

TABLET

182,600

182,600

1,500

47

CEFIXIME SYRUP KERING 100 MG

BOTOL

48

CEFIXIME 100 MG

KAPSUL

49

CEFIXIME 200 MG

50

CEFOTAXIME INJ 1G

VIAL

51

CEFTRIAXON INJ

VIAL

18

18

52

CETIRIZINE 5 MG SYRUP

BOTOL

53

CETIRIZINE DROP

BOTOL

54

CETIRIZIN 10 MG

TABLET

55

CIMETIDIN TABLET

TABLET

56

CIPROFLOXACIN 500 MG TABLET

TABLET

105,950

105,950

57

CLINDAMYCIN 150 MG KAPSUL

KAPSUL

7,700

7,700

58

CLINDAMYCIN 300 MG KAPSUL

KAPSUL

1,750

1,750

59

CHLORPHENIRAMIN MALEAT (CTM) 4 MG

TABLET

115,200

115,200

CBB
12
30

50

CWD

PM

13

14
10

PWK
15
80

JBG

CTK

16

17

90

50

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

310
-

1,500

2,000

2,500 ###

3,000

600

3,000

2,000

200

5,500

3,000

150

450

600

1,200

8,000

17,100

69,000

3,500

4,000

26,000

322,100

500

11,300

300
600

800

900

300 ###

20

96

5,450

80,850

750

900

VIAL

180

180

180

TUBE

TABLET

BOTOL

SUPP

492

492

30

462

TABLET

600

600

126,000

126,000

30
100
300

900

1,200

2
2,000
###

2,000

2,500

2,000

5,000

3,000

100

500

2,400

123,600

84

82

258

600

12,200

624,200

1,000

11,000

171,600

6,600

300

200

600

500

1,000

6,010

80
600

3,150

9,160

6,600

750

537

9,160

750

2,000

20
150

290

200

500

3,300

3,300

22,100
-

18

18

22,100

1,000

200

500

300

200

100

1,000

3,300

500

300

500

500

300

2,900

103,050

400

100

6,750

400
100

800

300

600

200

400

100

4,000

3,600

2,000

3,600

3,600

6,000

50

950

150

1,750

10,800

33,700

18,800
-

81,500

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

7,000

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

61

DEKSTROMETORPHAN HBR SYRUP

BOTOL

62

DEKSTROMETORPHAN HBR TABLET 15 MG

TABLET

63

DEKSTROSA LARUTAN INFUS 5 %

BOTOL

286

286

64

DEKSTROSA LARUTAN INFUS 10 %

BOTOL

430

430

65

DEKSTROSA LARUTAN INFUS 40 %

BOTOL

66

DEXAMETHASON 0,5 MG TABLET

TABLET

11,000

11,000

1,500

67

DEXAMETHASON INJEKSI

VIAL

2,472

2,472

68

DIAZEPAM TABLET

TABLET

69

DIAZEPAM INJ 5 MG/ML

AMPUL

136

136

136

70

DIFENHIDRAMIN INJ

AMPUL

180

180

71

DIGOKSIN 0,25 MG TABLET

TABLET

51,200

51,200

72

DOMPERIDON 5 MG SUSPENSI

BOTOL

73

DOMPERIDON 10 MG

TABLET

74

DOXYCYCLINE 100 MG KAPSUL

KAPSUL

75

EKSTRAK BELLADONNA TABLET 10 MG

TABLET

76

EPINEFRIN (ADRENALIN) INJ 0,1%

AMPUL

42

42

77

ERYTHROMYCIN 200 MG SYRUP

BOTOL

1,151

1,151

78

ERYTHROMYCIN 250 MG

KAPSUL

17,100

17,100

79

ERYTHROMYCIN 500 MG TABLET

TABLET

42,000

42,000

80

ETAMBUTOL 500 MG

TABLET

41,800

41,800

81

ETAKRIDIN 0,1 % / RIVANOL

BOTOL

158

158

82

ETANOL 70 % 1000 ML

BOTOL

557

557

83

FENITOIN 100 MG KAPSUL

KAPSUL

8,100

8,100

84

FENOBARBITAL 30 MG TABLET

TABLET

7,000

7,000

85

FENOL GLISEROL 10 %

BOTOL

1,680

1,680

86

FITOMENADION INJ

AMPUL

87

FITOMENADION 10 MG TABLET

TABLET

88

FLUCONAZOL 150 MG

TABLET

89

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

AMPUL

220

220

220

90

FUROSEMID 40 MG TABLET

TABLET

18,600

18,600

91

GAMEKSAN

BOTOL

92

GARAM ORALIT II SERBUK

SACHET

93

GENTAMYCIN SALEP KULIT

TUBE

895

895

94

GENTIAN VIOLET 1 % - 10 ML

BOTOL

3,350

3,350

95

GLIBENCLAMIDE 5 MG TABLET

TABLET

821,600

821,600

6,800

1,000

19=6-18

TABLET

1,000

18=(7s/d17)

CHLORPROMAZINE 100 MG

3,700

1,000

STOCK
AKHIR

60

9,300

7,000

JUMLAH

3,000

5
5
2,000

3,000

1,800

700

700

800

425

300

300

5
50

11,000

100

9,300

30

20

300

10

200

37

110

1,041

17,100

700

41,300

1,000

40,800

15

143

552

200

200

7,900

7,000

240

1,440

200

100

48

24

100

300

100

24

96

900

400

600

6,800

400
100
50 ###
1,500

100

9,000

25

10
1

100

180
51,100

3,700

2,469

200

24

200

1,000

24

279

100

7
-

500

4,000

100

75

25
1,000

3,100

400

50 ###

2,800

18,000
6,400

500

395

24

50

199

3,151

400

500

6,500

815,100

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

GLIMEPIRIDE 2 MG

TABLET

97

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50


MG

TABLET

20,040

20,040

98

GLISERIL GUAIAKOLT 100 MG TABLET

TABLET

495,000

495,000

99

GLISERIN LARUTAN

BOTOL

6=4+5

96

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

600
3,000

4,000

1,000

6,000

3,000

4,000

19,440

21,000

474,000

101 HALOPERIDOL 0,5 MG TABLET

TABLET

8,100

8,100

102 HALOPERIDOL 5 MG TABLET

TABLET

17,000

17,000

103 HALOPERIDOL 5 MG INJEKSI

AMPUL

444

444

444

104 HEPARIN 200,000 IU GEL

TUBE

105 HEPATOPROTEKTOR SYRUP

BOTOL

106 HEPATOPROTEKTOR TABLET

TABLET

107 HIDROKORTISON KRIM 2,5 %

TUBE

300
200

100

200

300

TABLET

31,184

2,300

600

100 GRISEOFULVIN 125 MG TABLET

108 HYOSINE N BUTILBROMIDA TABLET

2,300

PEMAKAIAN

500 ###

1,000

7,100

500

1,000

16,000

31,184

24

100

72

72

48

24

72

2,000

72

120

604

30,580

TABLET

SUPP

63

63

110 IBUPROFEN 200 MG SUSPENSI

BOTOL

525

525

111 IBUPROFEN 200 MG TABLET

TABLET

300

300

112 IBUPROFEN 400 MG TABLET

TABLET

113 ISONIAZID 100 MG

TABLET

5,000

5,000

5,000

114 ISONIAZID 300 MG

TABLET

6,000

6,000

6,000

115 IMUNOSTIMULAN SIRUP

BOTOL

660

660

116 IMUNOSTIMULAN TABLET

TABLET

117 ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

TABLET

900

900

118 ITRAKONAZOL 100 MG

KAPSUL

119 KALCIUM LACTAT 500 MG TABLET

TABLET

120 KALIUM DIKLOFENAK 50 MG

TABLET

109 IBUPROFEN 125 MG SUPP

121 KANAMYCINE 2 GR

VIAL

122 KAOLIN SUSPENSI

BOTOL

123 KETOKONAZOL 200 MG TABLET

TABLET

124 KETOKONAZOL KRIM 2 %

53,300
-

50

50

61

10

110

415

300

300

48

100
100

200

1,500

1,000

148

300

500

400

500

6,000

11,300

70

70
1,190

48

72

120

120

374

36

24

TABLET

1,000

1,000

126 KETOROLAC INJ 10 MG

AMPUL

350

350

114

236

127 KLORAMFENIKOL 250 MG KAPSUL

KAPSUL

128 KLORAMFENIKOL 1 %SALEP MATA

TUBE

BOTOL

298

298

75

223

12

12

10

24

70
1,070

4,362

900

72

4,362

129 KLORAMFENIKOL SUSPENSI

50

42,000

TUBE

125 KETOPROFEN 100 MG

24 ###

512

100

1,000 ###

53,300

1,190
-

100

1,000

90

10

50

3,988
-

NO

NAMA OBAT

130 KLORAMFENIKOL 0,5 % TETES MATA

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

BOTOL

131 KLORAMFINEKOL 3 %TETES TELINGA

BOTOL

132 KLARITROMISIN 500 MG

TABLET

133 KODEIN FOSFAT 20 MG TABLET

TABLET

500

500

500

134 KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5


MG KRIM

TUBE

2,468

2,468

135 KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25 MG +


PARASETAMOL 400 MG

TABLET

46,800

46,800

136 KOMB. BUDENOSID FORMATEROL 80/4,5 MCG INHALER 60


DOSIS
137 KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON
VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA

60

20

70

120

40

180

640

1,828

46,800

BOTOL

2,226

2,226

100

BOTOL 60
ML

3,549

3,549

120

25

139 KOMB.BETAMETASON, DEKSKLORFENIRAMIN MALEAT

TABLET

17,850

17,850

1,000

100

140 KOMB.METHAMPYRON + DIAZEPAM

TABLET

16,850

16,850

141 KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL


+ CTM

BOTOL

900

900

142 KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT

BOTOL

4,315

4,315

100

50

143 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


TABLET

TABLET

39,720

39,720

720

240

144 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


145 SYRUP
KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100

BOTOL

TUBE

93

93

TABLET

BOTOL 60
ML
TABLET

138 KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +


GG + CTM SYRUP

150

###

100 ###

40
150

50

60
600

50

70

200

200

1,000

30

100

490

1,736

96

150

601

2,948

1,000

500

4,400

13,450

550

16,300

150

250

650

300

600

3,715

11,160

28,560

100

100
50

100

840

960

6,000

1,200 ###

14

79

10

MG
146 KOMB.TEOFILIN + SALBUTAMOL TABLET
147 KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG
SYRUP / TREMENZA SYRUP
148 KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG
TABLET / LIBROFED TABLET

1,150

1,150

300

700

1,000

150

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5
-

6=4+5

149 KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +


VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET

TABLET

150 KOTRIMOKSAZOL SUSPENSI

BOTOL

151 KOTRIMOKSAZOL ADULT 480 MG TABLET

TABLET

152 KOTRIMOKSAZOL PEDIATRIK TABLET

TABLET

13,740

13,740

153 LEVOFLOXACIN 500 MG TABLET

TABLET

3,700

3,700

154 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

AMPUL

9,380

9,380

155 LINCOMYCIN 500 MG KAPSUL

TABLET

5,365
-

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

5,365

200

100

100

100

500

200
30

50

60

200

100

100

3,600

120

460

8,920

156 LISOL

BOTOL

804

804

157 LOPERAMID 2 MG TABLET

TABLET

23,400

23,400

158 MELOXICAM 7,5 MG

TABLET

159 MELOXICAM 15 MG

TABLET

160 METFORMIN 500 MG

TABLET

161 METFORMIN 850 MG

TABLET

162 METHILERGOMETRIN MALEAT 0,125 MG TABLET

TABLET

900

900

163 METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

AMPUL

164 METHYLPREDNISOLON 4 MG TABLET

TABLET

165 METHYLPREDNISOLON 8 MG TABLET

TABLET

166 METHYLPREDNISOLON 125 MG INJEKSI


167 METOCLOPRAMIDE HCL 10 MG

VIAL
TABLET

175,300

2,800

1,500

###

400

200

1,000

1,000
500

500

100

2,800

45

45
5,100

168 METOCLOPRAMIDE SYRUP 5 MG / 5 ML

BOTOL

169 METRONIDAZOL 250 MG TABLET

TABLET

12,200

12,200

170 METRONIDAZOL 500 MG TABLET

TABLET

16,200

16,200

100

175,300

5,100
-

600

200

500

800

700
500

14

790
23,100

4,400

100

200

600

300

1,200
-

100

600

500

170,900
-

1,200
-

45
3,900
12,200
15,000

171 MICONAZOLE SALEP

TUBE

172 MINYAK KAYU PUTIH 15 ML

BOTOL

173 MOMETHASON KRIM 0,1 %

TUBE

541

541

174 MULTIVITAMIN ANAK DROP

BOTOL

2,000

2,000

175 MULTIVITAMIN ANAK SYRUP

BOTOL

176 MULTIVITAMIN TABLET

TABLET

28,000

28,000

177 NATRIUM BIKARBONAT 500 MG TABLET

TABLET

53,000

53,000

178 NATRIUM DIKLOFENAK 25 MG TABLET

TABLET

41,000

41,000

179 NATRIUM DIKLOFENAK 50 MG TABLET

TABLET

180 NATRIUM DIKLOFENAK GEL

TUBE

181 NATRIUM KLORIDA LARUTAN INFUS 0,9%

BOTOL

2,800
200

300

200

13,540

4,865

200

20
8

144

100

20

10
120

###

30

511

512

1,488

200

500

1,000

1,000

1,000

1,000

1,500

1,000

500

500

500

1,000

2,000

500

6,700

2,000

8,500

1,000

21,300
53,000
32,500

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

STOCK
AKHIR

18=(7s/d17)

19=6-18

BOTOL

183 NIFEDIPINE 10 MG TABLET

TABLET

88,500

88,500

100

500

184 NYSTATIN 500.000 IU TABLET

TABLET

2,400

2,400

100

200

185 NYSTATIN VAGINAL TABLET 100.000 IU

TABLET

2,700

2,700

186 NYSTATIN SUSPENSI 100.000 IU/Ml

BOTOL

187 OBH

BOTOL

188 OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +


AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

BOTOL

189 OFLOXACIN 200 MG

TABLET

400

400

100

100

300

190 OFLOXACIN 400 MG

TABLET

4,950

4,950

100

100

4,850

191 ONDENSETRON INJ

AMPUL

193 OXYTETRASIKLIN HCL 1 % SALEP MATA


194 OXYTOCIN INJ

TUBE
TUBE
AMPUL

195 PANTOCAIN 0,5 % TETES MATA

BOTOL

196 PAPAVERIN 40 MG TABLET

TABLET

197 PAPAVERIN INJEKSI 40 MG/ML

AMPUL

198 PARAFORMALDEHID TABLET 1 GR

TABLET

199 PARASETAMOL 100 MG

TABLET

200 PARASETAMOL SUPP 160 MG/ PROPIRETIC

SUPP

201 PARASETAMOL DROPS

BOTOL

6,564
-

JUMLAH

182 NATRIUM KLORIDA 100 ML

192 OXYTETRASIKLIN HCL 3 % SALEP KULIT

PEMAKAIAN

160

1,400
7,912

400

10

10

60
125

25

20

80
700

500

400
100

100

200

10,000 ###

56 ###

100

300

400

400

10,000

7,200

10,800

14,400

###
8,000

20,000

206 PIRAZINAMID 500 MG

TABLET

47,600

47,600

207 PIRIDOKSIN (VIT B6 ) TABLET 10 MG

TABLET

224,000

224,000

208 PIROXICAM

TABLET

209 POLIKRESULEN SOLUTION

BOTOL

127

127

210 POVIDON IODIDA 30 ML

BOTOL

1,000

1,000

211 POVIDON IODIDA 60 ML

BOTOL

212 POVIDON IODIDA 300 ML

BOTOL

316

316

1
5

147

147

65,000

65,000

215 PROPANOLOL 40 MG

TABLET

5,000

3,000
5

2
1,000 ###

2,000

1,000

7,520
37,591

12,000

16,800
47,600
212,000

18

109

18

982

1,400

775,800

2,000

8,600

2,200

2,000

3,090

90,600
-

16,800

BOTOL

1,700

392

TABLET

TABLET

80
17,350

180

80

100

4,310

200

205 PIRANTEL PAMOAT 125 MG

214 PREDNISON TABLET 5 MG

2,254

213 POVIDON IODIDA 1 L

2,500

500

7,912
39,791

2,000

200

120

866,400

400

20

39,791

300

1,400

866,400
-

500

BOTOL

16,800

274

50

10,300

TABLET
TUBE

360

203 PARASETAMOL 500 MG

87,800

3,210

202 PARASETAMOL SYROP 120 MG / 5 ML


204 PERMETHRIN KRIM 5 %

120

700

300

17,550

10,300

100
###

160
-

100

100

6,564

17,550
3,210

308

140

5,000

60,000

NO

NAMA OBAT

SATUAN

PENERIMAA PERSEDIAA
N
N

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

17

10

11

12

13

14

15

16

24,400

24,400

1,500

1,000

2,000

2,000

6,000

2,000

1,800

217 RANITIDIN INJ 25 MG/2ML

AMPUL

563

563

10

25

150

218 RETINOL 100,000 IU

BOTOL

1,482

1,482

219 RETINOL 200,000 IU

BOTOL

220 RIFAMPICIN 450 MG

TABLET

41,600

41,600

LABU

1,475

1,475

222 RISPERIDONE 1 MG TABLET

TABLET

48,400

48,400

500

2,000

1,000

223 RISPERIDONE 2 MG TABLET

TABLET

224 SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL

AMPUL

283

283

10

20

30

226 SALBUTAMOL 2 MG TABLET

TABLET

14,900

14,900

200 ###

500

500

700

227 SALBUTAMOL 4 MG TABLET

TABLET

9,700

9,700

200 ###

100

500

800

374

374

24

50

48

24

200

200

100

228 SALEP 2 - 4

DINAS

TABLET

225 SALBUTAMOL INHALER 100 MCG 200 DOSIS

PEMAKAIAN

216 RANITIDIN TABLET

221 RINGER LAKTAT LARUTAN INFUS

STOCK
AWAL

6=4+5

18=(7s/d17)

19=6-18

190
-

20

240
1,400
20 ###

8,100
373
1,482
41,600

267

1,208

4,900

43,500

105

178

2,600

12,300

2,500

7,200

POT
KOTAK

2,500

2,500

230 SALISIL MENTOL BEDAK

BOTOL

4,734

4,734

231 SEFADROKSIL SYRUP

BOTOL

1,220

1,220

232 SEFADROKSIL 250 MG

KAPSUL

6,200

6,200

233 SEFADROKSIL 500 MG

KAPSUL

3,400

3,400

234 SETRALINE 50 MG TABLET

TABLET

4,230

4,230

235 SIANOCOBALAMIN TABLET

TABLET

136,000

136,000

236 SIANOCOBALAMIN / VIT. B 12 INJ

AMPUL

TUBE

345

345

238 SIMVASTATIN TABLET

STOCK
AKHIR

16,300

229 SALISIL BEDAK 2 %

237 SILVER SULFADIAZINE 10 MG / 35 GR CREAM

JUMLAH

64,800

64,800

239 STESOLID RECTAL SUPP

TABLET
TUBE

161

161

240 STREPTOMISIN SERBUK INJ 1500 MG/ML

VIAL

919

919

200

100

500
700
300

24
10

30

100

50

300

300

100

500

20
200
100

700

500

200

146

228

1,100

1,400

24

4,710

60

1,160

650

5,550

2,400

1,000

1,000

2,000

5
1,000

100

3,000

1,000

100

10

2,000

4,000

11,300

53,500

15

146

919

BOTOL

6,316

6,316

78,300

78,300

243 TETRASIKLIN 500 MG KAPSUL

KAPSUL

3,800

3,800

3,800

244 TEOFILIN 300 MG TABLET

TABLET

44,000

44,000

44,000

AMPUL

246 THIAMIN (VIT.B1) 50 MG TABLET

TABLET

87,000

87,000

247 THIAMPHENIKOL 500 MG KAPSUL

KAPSUL

37,100

37,100

248 TRAMADOL HCI 50 MG TABLET

TABLET

400

400

249 TRAMADOL HCI 50 MG/ML INJ

AMPUL

225

225

1,200

1,000

48

335

TABLET

1,000

24

10

242 TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG

700

48

600

133,000

241 SULFASETAMIDA NATRIUM TETES MATA

245 THIAMIN (VIT.B1) 100 MG / ML INJ

24

2,500

4,230

###

144

6,172

4,900

73,400

2,000 ###

4,000
100

150

500

4,000
200

2,000

3,000

17,000

70,000

1,000

1,800

35,300

50

200

200

220

NO

NAMA OBAT

SATUAN
3

250 TRIHEKSILPHENIDIL 2 MG TABLET

TABLET

251 VITAMIN B KOMP. TABLET

TABLET

252 ZINC / ZINCDIAR TABLET

TABLET

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

183,600
32,600

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

183,600

300

1,000

300

300

400

400

1,000

STOCK
AKHIR

18=(7s/d17)

19=6-18

3,700

32,600

1,000

300

1,000

1,500

1,000

ALAT KESEHATAN DAN REAGEN

27,800

32

ALAT AUTOCLIX/LANCET DEVICE

SET

ALAT SUNTIK SEKALI PAKAI 1 ML

BUAH

3,100

3,100

ALAT SUNTIK SEKALI PAKAI 3 ML

BUAH

15,500

15,500

ALAT SUNTIK SEKALI PAKAI 5 ML

BUAH

6,400

6,400

6,400

ALAT SUNTIK SEKALI PAKAI 10 ML

BUAH

800

800

800

ALAT SUNTIK SEKALI PAKAI 20 ML

BUAH

140

140

140

ALAT PEMERIKSAAN HB

BUAH

ALCOHOL SWABS

94,300

94,300

BISTURI

10

BLOOD LANCET

BUAH

11

CAIRAN PENCUCI ANTISEPTIK

GALON

12

CATGUT DENGAN JARUM BEDAH

SACHET

13

CATGUT CHROMIC

ROLL

14

DENGUE IgG AND IgM DROP TEST

SET

15

DENGUE N5 1 ANTIGEN

SET

16

DEX GLASS

BUAH

81

81

81

17

EDTA VACUM TUBE 5 ML

BUAH

96

96

96

18

FESCOPLAST

ROLL

19

FOLEY CATETHER

BUAH

50

50

50

20

GLUCOSA TEST TIP

TIP

7,980

7,980

21

GOLONGAN DARAH KIT

SET

11

11

22

H2O2

BOTOL

23

HAND SCONE / SURGICAL GLOVE

LEMBAR

62,600

62,600

24

HAND SCONE STERILE

PASANG

1,400

1,400

25

HCG CASETTE / PP TEST

SACHET

1,745

1,745

26

HEMASITO METER

BUAH

27

ISI AUTOCLIX

KOTAK

28

INFUSION SET ANAK

29

INFUSION SET DEWASA

30

IODIUM TEST

BUAH

SET

9,900
6,051

32

4,800

179,900

SACHET

32

JUMLAH

100 ###

200

100

600

600

600

100

700

100

200

1,800

400

9,900

6,051

15

50

65

260

500
25

700

1,000

1,000

100

100

260

700

300

1,000

8,130

267

267

SET

BOTOL

300

300

5,200

9,900
5,986

7,720
11
7
57,400

300

500

900

300

425

1,320

300

510

10
24

6
92,300

100

8,130

2,000

3,100
13,700

30

36

15

210

600

74
24

36

30

42

1,620

6,510

99

168

222

78

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

10

11

12
10

CWD

PM

PWK

JBG

CTK

13

14

15

16

17

40

150

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

31

IV CATETHER

SACHET

2,788

2,788

32

JARUM JAHIT

BUAH

293

293

33

KACA MULUT

BUAH

34

KAPAS PEMBALUT 250 GR

BUNGKUS

215

215

35

KAPSUL KOSONG NO.0

36

KAPSUL KOSONG NO.1

BUAH

20,000

20,000

20,000

BUAH

30,000

30,000

30,000

37

KASSA HIDROFIL 40 X 40

38

KASSA HIDROFIL GULUNG

LEMBAR

490

490

ROLL

39

KASSA STERIL

KOTAK

1,069

1,069

40

KASSA 4 M X 15 CM

ROLL

1,450

1,450

41

LAMPU SPIRITUS

BUAH

42

LARUTAN ASAM ALKOHOL

BOTOL

43

LARUTAN KOH 10 % 250 ML

BOTOL

44

LOMATUELL H 10 X 10 CM

KOTAK

117

117

45

METILEN BLUE 250 ML

BOTOL

46

MICROPIPET 3 UKURAN

BUAH

47

MASKER

BUAH

850

850

48

MASKER OXYGEN FOR ADULT

BUAH

137

137

131

49

MASKER OXYGEN FOR CHILD

BUAH

136

136

130

50

MATA BOR HIGH SPEED BUNDAR

BUAH

51

MATA BOR HIGH SPEED FISURE

BUAH

52

MATA BOR HIGH SPEED INVERTED CONE

BUAH

53

MATA SCALLER

BUAH

54

NASO GASTRIC TUBE

TUBE

28

28

28

55

NEBULIZE MASK FOR INFANT

BUAH

137

137

137

56

NEBULIZE MASK FOR ADULT

BUAH

140

140

140

57

NEEDLE

BUAH

57

57

57

58

OBJECT GLASS

BUAH

261

261

19

242

59

OIL IMERSI

BOTOL

60

OSE

BUAH

61

PENJEPIT TABUNG

BUAH

22

22

22

62

PIPET BESAR

BUAH

63

PIPET KECIL

BUAH

64

PLESTER

ROLL

281

281

56

225

65

POT DAHAK

BUAH

66

POWDER ENZIMATIC ALKAZYME

BUAH

2
1

50

200

2,588

291

19

196

50
30

50

100

10

90

979

50

150

1,300

50

800

10

10

10

850

30

440

111
4
-

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

10

11

12

13

14

15

CTK

16

17

STOCK
AKHIR

18=(7s/d17)

19=6-18

PURIFIED PROTEIN DERIVATIVE 2 UT

VIAL

14

14

68

SELANG O2 ANAK

BUAH

77

77

10

69

SELANG O2 DEWASA

BUAH

58

58

10

70

SGOT/SGPT TEST

SET

71

SILK DENGAN JARUM BEDAH

72

STRIP ASAM URAT

73

STRIP HB

BOX

310

310

74

STRIP GULA DARAH

BOX

114

114

75

STRIP PROTEIN DAN GLUKOSA

BOX

76

STRIP KOLESTEROL

BOX

18

18

77

VENOJECT

KOTAK

78

YELLOW TIP

BUAH

79

TABUNG REAKSI BESAR

BUAH

37

37

37

80

TABUNG REAKSI KECIL

BUAH

63

63

63

81

TERMOMETER DIGITAL

BUAH

82

TORNIKUET

BUAH

103

103

103

83

UMBILICAL CORD CLAMP

BUAH

84

UNDER PAD 80 X 180 CM

BUAH

204

204

100

104

85

URINE BAG

BUAH

250

250

250

86

URINE TEST 3 PARAMETER

KOTAK

87

WIDAL TEST

KOTAK

88

WHITE TIP

BUAH

24

24

24

89

MASKER N 95 TYPE 1870

KOTAK

90

POCH PACK D

BUAH

91

POCH PACK L

BUAH

92

CHECK CONTROL HEMATOANALYZER

BUAH

93

CELL CLEAN HEMATOANALYZER

BUAH

94

CALIBRATION SCS

BUAH

95

CELL PACK HEMATONANALYZER

BUAH

96

STROMALYSER WH

BUAH

97

CHECK CONTROL HEMATOANALYZER XP 100

BUAH

98

CELL CLEAN HEMATOANALYZER XP 100

BUAH

99

CALIBRATION SCS XP 100

BUAH

OBAT GIGI

JUMLAH

67

SACHET

JBG

11

13

64

13

45

100

100

210

110

13

100
1

18

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

ARSEN

BOTOL

ARTIKULATING PAPER

KOTAK

AIR RAKSA DENTAL USE

BOTOL

73

73

73

BEIN GIGI

SET

CALCIDOR

POT

CEVITRON

BUAH

137

137

137

CHKM

POT

17

17

17

CRESOPEN

BOTOL

DENTORIT

BOTOL

10

DYCAL

BOTOL

11

ETIL KLORIDA SPRAY

BOTOL

70

70

12

EUGENOL CAIRAN

BOTOL

185

13

IODOFORM PASTA

POT

16

14

GLASS IONOMER ART

SET

15

OCO / TSR

BOTOL

16

SILVER AMALGAM SERBUK 65 - 75 %

BOTOL

17

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

SET

18

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

SET

19

51

185

185

16

16

12

12

12

10

Cilegon, 30 Mei 2015


Mengetahui'
Kepala Bidang Sumber Daya Kesehatan

Kepala Seksi Farmasi dan Peralatan Kesehatan

Dra.E.Yolanda P,Apt.MKM

Riris Sinaga,S.Si,Apt

Nip. 19660223 199203 2 002

Nip.19740620 200312 2 003

Pemberian

NAMA OBAT

1 ACYCLOVIR 5 GR KRIM

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

CBB
Harga

Pemakaian

2,152

25

53,800

25

53,800

25

1 ACYCLOVIR 200 MG TABLET

534

100

53,400

200

106,800

200

1 ACYCLOVIR 400 MG TABLET

648

100

64,800

100

64,800

500

1 ALLOPURINOL 100 MG TABLET

104

1 ALLOPURINOL 300 MG TABLET

210

240

3,300

400

1 AMBROXOL TABLET 30 MG

113

1 AMINOFILIN 200 MG TABLET

104

1 AMITRIPTILIN 25 MG TABLET

102

100

1 AMLODIPIN 5 MG TABLET

240

600

440

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

4,750

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

3,700

200

AMOXICILLIN 250 MG KAPLET

200

1,200

240,000

AMOXICILLIN 500 MG KAPLET

285

5,000

1,425,000

3,000

116

300

AMBROXOL SYRUP 15 MG / 5 ML

AMLODIPIN 10 MG TABLET

AMOXICILLIN + AS.KLAVULANAT
1 ANTALGIN 500 MG TABLET
ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA
200 MG + ALUMUNIUM HIDROKSIDA 200 MG)
1

100
-

81

8,100

1,320,000

740,000

34,800

1,500
-

50

ANTI BISA ULAR (ABU) SERUM

471,719

ANTI TETANUS SERUM 1500 UI

126,311

2,491

50

1,713

192,500

124,550

6,000
2,000

121,500

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


POLIMIKSIN B 10,000IU/G )
ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM
1 SALISILAT 3 %)

250

495,000

144,000

925,000
1,710,000
232,000

2,000

3,850

ANTASIDA SUSPENSI

150

1,500
250
5,000
500
2,000

162,000
50

192,500

25

62,275

200

50
100
-

NAMA OBAT

1 ANTI HEMOROID DOEN


1 ASAM ASCORBIT (VIT.C) 50 MG TABLET
ASAM ASCORBIT (VIT.C) 250 MG TABLET
1 ASAM MEFENAMAT 500 MG

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

30

159

1,500

238,500

2,000

318,000

3,000

100

2,500

250,000

2,500

250,000

3,000

ASAM TRANEKSAMAT 500 MG

ATROPIN SULFAT INJ

1,100

367

150

55,050

450

15,400

2,900

11,000

116

750

12,185

1,524

924

25,300

6,199

2,300

281

66,000

264,000

12,650
63

AZITHROMYCIN 500 MG
BENZATIN BENZIL PENISILIN 2,4 JUTA IU
1 BETAMETASONE KRIM 0,1 %
BETAHISTIN MESILAT 6 MG TABLET
BETAKAROTEN 500 IU SYRUP
BISOPROLOL 5 MG
1 BROMHEKSIN HCL 8 MG TABLET

BROMHEKSIN HCL 8 MG / 4 ML SOL


1 CALAMIN LOTION
1 CAPTOPRIL 12,5 MG TABLET
1 CAPTOPRIL 25 MG TABLET
CEFIXIME SYRUP KERING 100 MG
CEFIXIME 100 MG

300

25,300

1,500

94,500

600

1,500

132,000

958

300

28,050

1 CETIRIZIN 10 MG

188

1 CIMETIDIN TABLET

116
245

CETIRIZINE DROP

10,440

CETIRIZINE 5 MG SYRUP

87,000

14,500

1,200
-

5,500

220,200

200

600

CEFTRIAXON INJ

165,150

50

88

CEFOTAXIME INJ 1G

287,400

200

37,800

191,600

500

1,000

2,000
1,500
600
-

188,000
122,500

300

37,600
73,500

500

300

158,100

600

316,200

200

21

100

4,000

84,000

3,600

75,600

2,000

400

2,100

200

527

CLINDAMYCIN 150 MG KAPSUL


1 CHLORPHENIRAMIN MALEAT (CTM) 4 MG

55,050

CLINDAMYCIN 300 MG KAPSUL

150

90,750

10,588

5,000

CIPROFLOXACIN 500 MG TABLET

Pemakaian

1 BEKARBON

Harga

AQUA PRO INJEKSI 25 ML

Pemakaian

32

AQUABIDEST

Harga

CBB

3,025

1,045

1 ATTAPULGIT / MOLAGIT TABLET

CLG

NAMA OBAT

1 CHLORPROMAZINE 100 MG

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

CBB
Harga

Pemakaian

122

1,379

99

DEKSTROSA LARUTAN INFUS 5 %

5,060

DEKSTROSA LARUTAN INFUS 10 %

5,727

DEKSTROSA LARUTAN INFUS 40 %

3,960

69

2,000

30

2,368

960

91

3,624

404

220

DEKSTROMETORPHAN HBR SYRUP


1 DEKSTROMETORPHAN HBR TABLET 15 MG

1 DEXAMETHASON 0,5 MG TABLET


DEXAMETHASON INJEKSI
1 DIAZEPAM TABLET
DIAZEPAM INJ 5 MG/ML
DIFENHIDRAMIN INJ
1 DIGOKSIN 0,25 MG TABLET
DOMPERIDON 5 MG SUSPENSI
1 DOMPERIDON 10 MG
DOXYCYCLINE 100 MG KAPSUL

1,500

103,500

6,000

1,033

ERYTHROMYCIN 200 MG SYRUP

7,220

50

ERYTHROMYCIN 250 MG

440

ERYTHROMYCIN 500 MG TABLET

921

300

420

2,200

25,300

604

65

1 FENOL GLISEROL 10 %

1,008

FITOMENADION INJ

1,450

579

1 FLUCONAZOL 150 MG
1 FLUTICASONE PROPIONATE 0,5 MG / 2 ML

1 FENOBARBITAL 30 MG TABLET

1 FITOMENADION 10 MG TABLET

1 FUROSEMID 40 MG TABLET

GENTAMYCIN SALEP KULIT


1 GENTIAN VIOLET 1 % - 10 ML
1 GLIBENCLAMIDE 5 MG TABLET

361,000

216,600

24

100

22,000

19,080

91

1,000

420,000

30
-

276,300

50,600

24,192
57,900

24
200

292

1,469

25

36,725

100

146,900

100

895

50

44,750

50

44,750

25

54

1,500

81,000

GAMEKSAN
1 GARAM ORALIT II SERBUK

2,000
-

EPINEFRIN (ADRENALIN) INJ 0,1%

1 FENITOIN 100 MG KAPSUL

1 ETANOL 70 % 1000 ML

34,500

1 ETAKRIDIN 0,1 % / RIVANOL

10,120

1 ETAMBUTOL 500 MG

500

122,000

EKSTRAK BELLADONNA TABLET 10 MG

1,000

NAMA OBAT

1 GLIMEPIRIDE 2 MG

DINAS

HARGA

Harga

Pemakaian

500

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50 MG

Pemakaian
-

P2KP

Harga

Pemakaian
-

2,200
1 GLISERIL GUAIAKOLT 100 MG TABLET

PROGRAM

GRG
Harga

Pemakaian
-

CLG
Harga

Pemakaian
-

600
-

1,320,000

1 GRISEOFULVIN 125 MG TABLET

200

1 HALOPERIDOL 0,5 MG TABLET

165

1 HALOPERIDOL 5 MG TABLET

246

1 HALOPERIDOL 5 MG INJEKSI

14,724

1 HEPARIN 200,000 IU GEL

36,000

28

HEPATOPROTEKTOR SYRUP

HEPATOPROTEKTOR TABLET

2,399

24

300

55,550

4,499

1 IBUPROFEN 200 MG TABLET

93

1 IBUPROFEN 400 MG TABLET

146

1 ISONIAZID 100 MG

44

1 ISONIAZID 300 MG

107

3,000

200

50

IMUNOSTIMULAN SIRUP

60,500

48

1 IMUNOSTIMULAN TABLET

4,950

97

1,444

47

1 KALCIUM LACTAT 500 MG TABLET

KANAMYCINE 2 GR
1 KETOKONAZOL 200 MG TABLET
KETOKONAZOL KRIM 2 %
1 KETOPROFEN 100 MG

410

4,700
608

19,800
12,012

239,900

72

172,728
55,550

72
-

1,000

224,950

2,904,000

47,000

49,200

1 ITRAKONAZOL 100 MG

4,000
-

100

1 ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

84,000
-

IBUPROFEN 200 MG SUSPENSI

IBUPROFEN 125 MG SUPP

1 HYOSINE N BUTILBROMIDA TABLET

57,576

Pemakaian

1 HIDROKORTISON KRIM 2,5 %

Harga

4,730

1 GLISERIN LARUTAN

CBB

1,000

47,000

24

112,800

300
-

24

112,800

50

2,539

12

245

KLORAMFENIKOL 1 %SALEP MATA

1,600

KLORAMFENIKOL SUSPENSI

3,800

KETOROLAC INJ 10 MG
KLORAMFENIKOL 250 MG KAPSUL

19,000

NAMA OBAT

HARGA

DINAS

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

CBB
Harga

Pemakaian

KLORAMFENIKOL 0,5 % TETES MATA

5,280

KLORAMFINEKOL 3 %TETES TELINGA

1,599

KODEIN FOSFAT 20 MG TABLET


1

KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA
KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +
GG SYRUP
1 KOMB.DEKSAMETASON, DEKSKLORFENIRAMIN MALEAT

1,925

13,090

158,400

300
-

522,500

50

240

100
-

475,200

110,000

1,045,000

50

50

720

18,200

1,056

154,000
100

110,000

150

100

100

182,000

10,000

739,200
1,000

100
-

25

100

120

737,600

660

100
-

10,450

6,160

KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG


SYRUP / TREMENZA SYRUP
KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG TABLET
1 / LIBROFED TABLET

KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT

1 KOMB.TEOFILIN + SALBUTAMOL TABLET

150
497,340
-

7,920

60
-

KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100


1 MG

1,100

KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM SYRUP

KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL +


CTM

KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


1 TABLET

KOMB.METHAMPYRON + DIAZEPAM
1

7,376

182

8,289

950
KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5
MG KRIM

316,800

NAMA OBAT

KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +


VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET
KOTRIMOKSAZOL SUSPENSI
KOTRIMOKSAZOL ADULT 480 MG TABLET
KOTRIMOKSAZOL PEDIATRIK TABLET
LEVOFLOXACIN 500 MG TABLET
LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

Harga

Pemakaian

990

P2KP

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

CBB
Harga

Pemakaian

395,000

1,975

200

159

50

574

1,030

30

520

100

197,500

100

13,200

91

100

1 MELOXICAM 7,5 MG

234

1 MELOXICAM 15 MG

348

1 METFORMIN 500 MG

105

400

METFORMIN 850 MG

260

121

LINCOMYCIN 500 MG KAPSUL


1 LISOL
1 LOPERAMID 2 MG TABLET

1 METHILERGOMETRIN MALEAT 0,125 MG TABLET


METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

3,685

1,500

157,500

26,400

1 METHYLPREDNISOLON 4 MG TABLET

296

1 METHYLPREDNISOLON 8 MG TABLET

300

600

44,000

91

200

METHYLPREDNISOLON 125 MG INJEKSI


1 METOCLOPRAMIDE HCL 10 MG

180,000

200

60,000

500

2,830

METRONIDAZOL 250 MG TABLET

123

METRONIDAZOL 500 MG TABLET

164

100

METOCLOPRAMIDE SYRUP 5 MG / 5 ML

MICONAZOLE SALEP

MOMETHASON KRIM 0,1 %

17,800

MULTIVITAMIN ANAK DROP

13,750

110,000

144

MULTIVITAMIN ANAK SYRUP

10,670

528

200

105,600

500

1 NATRIUM BIKARBONAT 500 MG TABLET

14

1 NATRIUM DIKLOFENAK 25 MG TABLET

133

1 NATRIUM DIKLOFENAK 50 MG TABLET

216

1 MULTIVITAMIN TABLET

NATRIUM KLORIDA LARUTAN INFUS 0,9%

4,900

1,000
-

1,980,000
264,000
133,000
-

16,400

100

1,000
500
-

528,000
66,500
-

1,000
500
-

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

CBB
Harga

Pemakaian

1 NIFEDIPINE 10 MG TABLET

112

100

11,200

1 NYSTATIN 500.000 IU TABLET

640

100

64,000

1 NYSTATIN VAGINAL TABLET 100.000 IU

470

30,800

4,000

300

NATRIUM KLORIDA 25 ML

NYSTATIN SUSPENSI 100.000 IU/Ml


OBH
OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +
AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

1,200,000

120

480,000

7,000

OFLOXACIN 200 MG

413

OFLOXACIN 400 MG

873

ONDENSETRON INJ

6,050

10

OXYTETRASIKLIN HCL 3 % SALEP KULIT

1,450

50

OXYTETRASIKLIN HCL 1 % SALEP MATA

2,100

13,913

20

16,100

119

500

530

60

PARASETAMOL 100 MG

32

PARASETAMOL DROPS

5,227

100

522,700

PARASETAMOL SYROP 120 MG / 5 ML

1,319

400

527,600

200

263,800

100

1 PARASETAMOL 500 MG

84

100

8,400

10,000

840,000

10,000

840,000

10,000

1 PERMETHRIN KRIM 5 %

12,925

1 PIRANTEL PAMOAT 125 MG

290

1 PIRAZINAMID 500 MG

198

18

32,780

2,163

OXYTOCIN INJ
1 PAPAVERIN 40 MG TABLET
PAPAVERIN INJEKSI 40 MG/ML
1 PARAFORMALDEHID TABLET 1 GR

1 PIRIDOKSIN (VIT B6 ) TABLET 10 MG


1 PIROXICAM
ALBOTYL

100

8,400

1 POVIDON IODIDA 60 ML

2,400

1 POVIDON IODIDA 300 ML

14,500

14,500

1 POVIDON IODIDA 1 L

42,000

210,000

57

120

1 PREDNISON TABLET 5 MG
1 PROPANOLOL 40 MG

72,500

1,000
-

6,489
14,500
57,000
-

2,000

1,000
-

36,000

57,000
-

NAMA OBAT

1 RANITIDIN TABLET

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

CBB
Harga

Pemakaian

110

1,500

165,000

1,000

110,000

1,928

10

19,280

9,640

RETINOL 100,000 IU

14,300

RETINOL 200,000 IU

19,600

RIFAMPICIN 450 MG

660

5,200

15,600

20,800

1 RISPERIDONE 1 MG TABLET

1,400

500

700,000

2,000

2,800,000

1 RISPERIDONE 2 MG TABLET

1,781

RANITIDIN INJ 25 MG/2ML

RINGER LAKTAT LARUTAN INFUS

SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL


1

253,260
-

1 SALBUTAMOL 2 MG TABLET
1 SALBUTAMOL 4 MG TABLET

10
-

2,532,600
-

20
-

1,266,300
-

200

11,800

200

11,800

500

19,200

200

19,200

100

96

200

1 SALISIL BEDAK 2 %

1,430

200

1 SALISIL MENTOL BEDAK

3,630

SEFADROKSIL SYRUP

5,248

SEFADROKSIL 250 MG

468

100

SEFADROKSIL 500 MG

521

300

1 SETRALINE 50 MG TABLET

11,403

1 SIANOCOBALAMIN TABLET

12

520

42,350

391

1 SIMVASTATIN TABLET

59
4,950

1 SILVER SULFADIAZINE 10 MG / 35 GR CREAM

1 SALEP 2 - 4

SIANOCOBALAMIN / VIT. B 12 INJ

2,000

100

10

52,480

30

46,800

50

23,400

300

156,300

100

52,100

500

286,000

1,000

391,000

100

39,100

1,000
5
1,000

23,540

STREPTOMISIN SERBUK INJ 1500 MG/ML

2,090

SULFASETAMIDA NATRIUM TETES MATA

3,226

24

STESOLID RECTAL SUPP

TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


1 MG+ASAM FOLAT 0,25 MG
TETRASIKLIN 500 MG KAPSUL
THIAMIN (VIT.B1) 100 MG / ML INJ
1 THIAMIN (VIT.B1) 50 MG TABLET
THIAMPHENIKOL 500 MG KAPSUL
1 TRAMADOL HCI 50 MG TABLET
TRAMADOL HCI 50 MG/ML INJ

1,023

700
-

1,000
716,100

1,023,000

186

1,050

700

35

431

323

150

48,450

5,400

2,000

70,000

100

43,100

500

50

2,000

70,000

NAMA OBAT

1 TRIHEKSILPHENIDIL 2 MG TABLET

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

Pemakaian

40

300

1 VITAMIN B KOMP. TABLET

107

ZINC / ZINCDIAR TABLET

474

6,000

NEO KAOMINAL SUSPENSI


119
ALAT KESEHATAN DAN REAGEN

1,000

12,000

CBB

474,000

1,000
300

40,000
142,200

300
1,000

ALAT AUTOCLIX/LANCET DEVICE

110,000

ALAT SUNTIK SEKALI PAKAI 1 ML

2,662

ALAT SUNTIK SEKALI PAKAI 3 ML

3,120

100

ALAT SUNTIK SEKALI PAKAI 5 ML

7,750

ALAT SUNTIK SEKALI PAKAI 10 ML

3,300

8,360

525,000

127

100

1,920

396

902,000

78,100

15

5,415,500

1,650,000

2,420,000

39,050

302,500

ALAT PEMERIKSAAN HB
ALCOHOL SWABS
BISTURI

CATGUT DENGAN JARUM BEDAH


CATGUT CHROMIC

DEX GLASS
EDTA VACUM TUBE 5 ML
FESCOPLAST

12,700

312,000

100

312,000

200

FOLEY CATETHER

11,000

GLUCOSA TEST TIP

8,316

935,000

18,755

880

500

GOLONGAN DARAH KIT


H2O2
HAND SCONE / SURGICAL GLOVE
HAND SCONE STERILE
HCG CASETTE / PP TEST

10,890

5,500

25

137,500

100

HEMASITO METER

ISI AUTOCLIX

1,632

300

INFUSION SET ANAK

8,800

9,790

20,900

24

INFUSION SET DEWASA


IODIUM TEST

501,600

30

440,000
550,000
489,600
627,000

700
100
10
36

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

CBB
Harga

Pemakaian

IV CATETHER

22,000

JARUM JAHIT

6,820

KACA MULUT

96,800

19,800

KAPSUL KOSONG NO.0

44

KAPSUL KOSONG NO.1

33

1,980

50

136,694

KASSA STERIL

6,600

KASSA 4 M X 15 CM

5,882

100

LAMPU SPIRITUS

LARUTAN ASAM ALKOHOL

KAPAS PEMBALUT 250 GR

KASSA HIDROFIL 40 X 40
KASSA HIDROFIL GULUNG

19,800

46,200

101,750

37,400

1,078,000

1,436

50

22,000

22,000

MATA BOR HIGH SPEED BUNDAR

95,700

MATA BOR HIGH SPEED FISURE

95,700

MATA BOR HIGH SPEED INVERTED CONE

95,700

236,500

NASO GASTRIC TUBE

21,450

NEBULIZE MASK FOR INFANT

40,700

NEBULIZE MASK FOR ADULT

40,700

LARUTAN KOH 10 % 250 ML


LOMATUELL H 10 X 10 CM
METILEN BLUE 250 ML
MICROPIPET 3 UKURAN
MASKER

MATA SCALLER

NEEDLE
OBJECT GLASS

59,400

101,750

13,640
39,600

588,200

203,500

10
4

110,000

34,991

71,800

13,500

5,400

PIPET BESAR

PIPET KECIL

OIL IMERSI
OSE
PENJEPIT TABUNG

PLESTER

23,100

POT DAHAK
POWDER ENZIMATIC ALKAZYME

943,500

69,300

10

NAMA OBAT

HARGA

DINAS

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

CBB
Harga

Pemakaian

702,240

SELANG O2 ANAK

13,200

SELANG O2 DEWASA

13,200

1,082,950

PURIFIED PROTEIN DERIVATIVE 2 UT

SILK DENGAN JARUM BEDAH

62,150

191,500

STRIP GULA DARAH

95,000

STRIP PROTEIN DAN GLUKOSA

77,000

STRIP KOLESTEROL

175,450

VENOJECT

440,000

YELLOW TIP

STRIP HB

95,700

TABUNG REAKSI BESAR

2,015

TABUNG REAKSI KECIL

2,015

TORNIKUET

URINE BAG
URINE TEST 3 PARAMETER
WIDAL TEST

OBAT GIGI

13,200

4,950
247,500

1,396,000
133,100

22,000
132,000

NAMA OBAT

HARGA

DINAS

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

CBB
Harga

Pemakaian

ARSEN

484,000

ARTIKULATING PAPER

192,500

AIR RAKSA DENTAL USE

225,500

3,740,000

CALCIDOR

209,000

CEVITRON

115,500

70,000

CRESOPEN

551,000

DENTORIT

154,000

DYCAL

333,300

ETIL KLORIDA SPRAY

145,200

EUGENOL CAIRAN

3,178

IODOFORM PASTA

302,500

GLASS IONOMER ART

715,000

OCO / TSR

330,000

1,265,000

418,000

CHKM

SILVER AMALGAM SERBUK 65 - 75 %


SEMEN SENG FOSFAT SERBUK DAN CAIRAN
TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

36,300

791,025

388,226

420,000

290,400

1,430,000

28,531,519

21,890,865

CBB

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

53,800

50

107,600

75

161,400

125

269,000

50

106,800

200

106,800

500

267,000

500

267,000

324,000

350

226,800

550

356,400

400

259,200

100

107,600

100

Harga
315,000
64,800

1,122,000
907,800
1,360,800

50,400

50,400

660,000

300

200

990,000

300

990,000

300

990,000

660,000

6,105,000

10,200

500

51,000

61,200

360,000

450

3,000

720,000

2,304,000

400

1,480,000

100

370,000

500

1,850,000

7,770,000

1,000

200,000

3,600

720,000

2,800,000

5,100

1,453,500

8,065,500

925,000
1,425,000
58,000

108,000
-

20

70

200

740,000

200

740,000

1,200

240,000

7,000

1,400,000

3,000

855,000

4,200

1,197,000

1,000

116,000

4,000
121,500
-

160

4,000
324,000

332,500

162,000

249,100

612,000

95,000

1,500

192,500

2,550

616,000

360,000

1,800

208,800

3,000
324,000
25

50

96,250

124,550

427,500

4,000

243,000

464,000

1,113,600

810,000

2,276,100

385,000

1,674,750

10,000

1,500

100
-

100

249,100

809,575

CBB

CWD
Harga

Pemakaian

151,250
-

10
-

PM
Harga

Pemakaian

30,250
-

477,000

600

95,400

300,000

2,000

200,000

209,000
440,400

80

PWK
Harga

Pemakaian

242,000

90

JBG
Harga

Pemakaian

272,250

5,500

550,000

300

313,500

20

22,000

600

220,200

800

293,600

3,000
900

300,000
330,300

CTK
Harga

Pemakaian

50

Harga
151,250
-

937,750
-

2,000

318,000

8,000

1,272,000

2,718,900

3,500

350,000

4,000

400,000

2,600,000

300

110,100

300

110,100

522,500
22,000
2,000,150

14,500

750

750

185,970

100

230,000

84,300

230,000
-

30
900

87,000

185,970
252,900

132,000

80

1,012,000

126,000

2,000

126,000

2,500

157,500

132,000

2,000

176,000

5,000

440,000

574,800

500

479,000

18

800

300
-

1,000

958,000

122,500

99,000

150,400
73,500
-

3,000

189,000

66,000
-

200

968,000

191,600

500

400

122,500
-

105,400

400

210,800

100

52,700

42,000

3,600

75,600

3,600

75,600

100
500

500

479,000

3,161,400
-

1,037,300

37,600

768,600

200

462,000

674,400
-

88,000

337,200

365,400

37,800

1,200

104,400

600

900

1,000

87,000

99,000

18,800
122,500

1,000
300

188,000
73,500

710,500

100

50

150

79,050

922,250

10,800

226,800

707,700

6,000

126,000

620,400

CBB

CWD
Harga

Pemakaian
-

PM
Harga

Pemakaian

Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

366,000

25,300

35,420

28,635

28,635

138,000

3,000

207,000

1,800

124,200

700

48,300

1,000

700

122,000

Harga

1,000

122,000

PWK

48,300

800

55,200

759,000

6,000

9,100
-

100

300

66,000

5,165

794,200

9,100

66,000

5,165

20

144,400

10

200

644,700

420,000

10

22,000

33,000

50,600

126,500

120,800

120,800

200

184,200
-

200

48

24,192
115,800

11,000

25,300

48,384
-

24,192
-

24,192

96

96,768

241,920

521,100

100

54,600

146,900
22,375
-

100
1,000

9,100
146,900
54,000

100
75
3,100

9,100

300

400

173,700

24

100

57,900

24

200

115,800

184,200

72,200

36,400

400

116,800

50

73,450

50

73,450

734,500

24

21,480

50

44,750

178,105

400

21,600

500

27,000

351,000

110,175
167,400

116,800

CBB

CWD
Harga

Pemakaian
-

PM
Harga

Pemakaian
-

112,000

Harga

Pemakaian
-

1,000

PWK

28,000

JBG
Harga

Pemakaian
-

6,000

168,000

300

100

200

172,728

48

115,152

24

60,000
49,200

57,576

72

Harga

Pemakaian
-

24,600

CTK

3,000
-

172,728

84,000
-

4,000

1,320,000

112,000
-

60,000

500

82,500

500

500

123,000

246,000

72

82,500

588,000

172,728

120

165,000

287,880

1,448,996

55,550

111,100

50

10

44,990

494,890

300

27,900

100

#VALUE!

100

100

14,100

1,500

27,900

9,700
70,500

200
1,000

48

30,468

36
12

10

12*55000)+(88*6
19,400
47,000

235,000

224,950

169,200
30,468

23,500

576,576
-

72

72

900

547,200

90

228,510

338,400

9,700
282,000

24

112,800

120

100

60,800

38,800
531,100
-

112,800

6,000

24

38,000

500

Harga

864,864
564,000

1,441,440
1,757,800

608,000

289,446

10

38,000

50

190,000

285,000

CBB

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

20
1,243,350

70
165,780

120
580,230

40
994,680

180
331,560

1,492,020

5,304,960

40

70

50

30

100

737,600

295,040
60

924,000
-

369,600
600

109,200

200
55,000

2
-

20,000

2
20,000

700

792,000
-

605,000

3,135,000

6,270,000

792,000

7,365,600

140,000

1,056,000

100,000

800,800

1,200

10

739,200

3,702,160

91,000

300

1,200

924,000

150
-

3,960,000
-

500

3,614,240

6,000
633,600

182,000

1,045,000

554,400
-

110,000

960

591,360
1,000

737,600
150

840

182,000

100

100

221,280
96

1,000

522,500

36,400

200

220,000

368,800
-

516,320
-

CBB

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

197,500

PWK
Harga

Pemakaian

200

39,600

50
-

51,500
-

61,800

Pemakaian

100

206,000
-

987,500

10,000

197,500

100

57,400

57,400

120

123,600

473,800

39,600

200

18,200

42,000

1,000

105,000

500

150,000
18,200

800

(100*140)+(400*

240,000

100

700

AM173*140

39,600

Harga

10,000

200

Harga

9,100

39,600

60

Pemakaian

CTK

Harga

30,900

JBG

210,000
-

105,000

500

52,500
-

#VALUE!

840,000

500

600

500

20

356,000

10

20

275,000

120

528,000
66,500
-

1,000
500
-

528,000
66,500
-

1,000
1,000
-

528,000
133,000
-

200

18,200

98,400
-

1,650,000

100

9,100

178,000

200

120

500

1,500
2,000
-

792,000
266,000
-

1,000
-

133,000
-

18,200

82,000

2,000
-

196,800
-

534,000

1,650,000
264,000
266,000
-

7,040,000
3,537,600
1,130,500
-

109,200

462,000

1,375,000

27,300

45,500

1,000

184,800

CBB

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

Harga

Pemakaian

500

56,000

100

200

128,000

100

64,000

256,000

100

47,000

100

47,000

94,000

360

1,440,000

274

1,096,000

500

2,000,000

300

Harga

CTK

11,200

1,200,000

10

60,500

60

363,000

78,400

400

1,600,000

9,016,000

100

41,300

100

87,300

41,300

87,300

484,000

125

25

1,669,560

500

278,260
-

20

278,260

80

1,113,040

36,250

700

83,300

180

940,860

131,900

300

395,700

400

527,600

400

527,600

840,000

7,200

604,800

10,800

907,200

14,400

1,209,600

56
8,000

290,000

59,500

181,250

60,500

59,500

292,712
672,000

202,300

56

292,712

2,048,984

400

527,600

2,901,800

20,000

1,680,000

7,610,400

163,900

196,680

4,326

17,304

10,815
-

2,000
-

36,000
-

65,560
-

29,000

84,000

2,000

114,000

90,000

5,000

1,000
-

29,000
57,000
-

163,900

54,000

216,000

590,040

38,934

116,000

294,000

285,000

29,000

3,000

CBB

CWD
Harga

Pemakaian

220,000

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

2,000

220,000

6,000

660,000

25

48,200

150

289,200

104,000
-

1,000
-

9,600
143,000

1,793,000

366,320

240

1,388,400

1,400,000
-

1,248,000

30

7,597,800

20
-

41,300

48,000

800

76,800

118,800

50

247,500

48

237,600

24

118,800

286,000

100

143,000

300

286,000

200

24

87,120

157,440

20

140,400

260,500

100

52,100

700

364,700

211,750

211,750

391,000

100

39,100

2,500

977,500

117,700

10

235,400

77,424

500
-

260,500
-

700

104,960
104,200

200

67,200
429,000

722,700
1,573,000
314,880

304,200
1,250,400

36,000

423,500

2,000

782,000

600

234,600

4,000

1,564,000

240,000

93,600

48

153,400

87,120

1,200

26,592,300

154,848

2,000

24,000

200

6,860,000

24

5,065,200

500

1,960,000

20

700

200

29,500

500

29,500

1,400

5,065,200

12,000

198,000

Harga

1,800

Pemakaian

2,000

220,000

Harga

500

Pemakaian

5,065,200

29,500

Harga

CTK

20
-

JBG

1,000
1,227,600

24

77,424

1,023,000

48

4,418,300
353,100
-

154,848

464,544

1,023,000

5,012,700

1,000
-

4,000

140,000

215,500

200

86,200

16,150

27,000

4,000

140,000

2,000

70,000

3,000

105,000

595,000

1,000

431,000

775,800

64,600

27,000

CBB

CWD
Harga

Pemakaian

12,000
474,000
-

300

PM
Harga

Pemakaian

12,000

400
1,500

PWK
Harga

Pemakaian

16,000
711,000

400

JBG
Harga

Pemakaian

16,000

1,000

CTK
Harga

Pemakaian

40,000

Harga

1,000

474,000

148,000
2,275,200

5,616,000

624,000

600

1,872,000

600

1,872,000

100

312,000

100

312,000

600

200

76,200

700

50

88,900

25,400

400

50,800

254,000

5,076,500

260

2,162,160

1,171,500

616,000
V290*8800

1,089,000

300

3,267,000

#VALUE!

300

1,650,000

2,337,500

2,643,840

#VALUE!

510

15

132,000

74

24

832,320
(63*9900)+(11*8
501,600

210
36

342,720
752,400

600
30

979,200
627,000

1,000

42

880,000

100

300

264,000

880,000

700

616,000

1,000

880,000

752,400

2,162,160

1,000

88,000

3,905,000

877,800

4,576,000

4,639,800

CBB

CWD
Harga

Pemakaian

220,000

PM
Harga

Pemakaian

Harga

Pemakaian

Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

4,400,000

13,640

376,200

99,000

79,200

99,000

150

39,600

3,300,000

JBG

40

880,000

PWK

30

800

101,750

198,000

1,148,800

50

118,800

19,800

10

66,000

594,000

50

294,100

882,300

610,500

1,220,600

330,000

203,500

132,000

132,000

132,000

132,000

10

664,829

1,293,600

231,000

10

349,910

231,000

30

174,955

693,000

69,300

139,964

CBB

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

Harga

Pemakaian

Harga

Pemakaian

Harga

Pemakaian

Harga

10

132,000

39,600

171,600

10

132,000

39,600

171,600

1,404,480

2,106,720

100

19,150,000

19,150,000

380,000

380,000

3,158,100

13

877,250

702,240

CTK

JBG

PWK

2,280,850

100

247,500

1,320,000

247,500

1,320,000

CBB

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

290,400

10

2,145,000

715,000
-

1,452,000

726,000

2,758,800
-

24,157,702

29,315,651

80,052,413

28,484,760

18,310,810

43,082,922

DINAMIKA LOGISTIK OBAT


DI KOTA CILEGON
Propinsi

: BANTEN

Alamat

: Jl.Pangeran Jayakarta No. 46 Cilegon

Jumlah Unit Pelayanan

: 9 Unit

Bulan

: Juni

Tahun

: 2015

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

150
500

400

450

TUBE

2,901

2,100

5,001

ACYCLOVIR 200 MG TABLET

TABLET

13,600

4,100

17,700

ACYCLOVIR 400 MG TABLET

TABLET

2,450

20,000

22,450

ALLOPURINOL 100 MG TABLET

TABLET

60,000

60,000

ALLOPURINOL 300 MG TABLET

TABLET

2,000

2,000

2,000

AMBROXOL SYRUP 15 MG / 5 ML

BOTOL

285

26,800

27,085

285

26,800

AMBROXOL TABLET 30 MG

TABLET

25,500

25,500

25,500

AMINOFILIN 200 MG TABLET

TABLET

1,000

1,000

1,000

AMITRIPTILIN 25 MG TABLET

TABLET

27,000

14,500

41,500

200

41,300

10

AMLODIPIN 5 MG TABLET

TABLET

12,240

11,010

23,250

7,980

15,270

11

AMLODIPIN 10 MG TABLET

TABLET

12

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

VIAL

1,540

13

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

BOTOL

6,503

14

AMOXICILLIN 250 MG KAPLET

KAPLET

26,700

15

AMOXICILLIN 500 MG KAPLET

KAPLET

16

AMOXICILLIN + AS.KLAVULANAT

TABLET

2,220

17

ANTALGIN 500 MG TABLET

TABLET

18

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA


200 MG + ALUMUNIUM HIDROKSIDA 200 MG)

19

ANTASIDA SUSPENSI

20
21
22

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


POLIMIKSIN B 10,000IU/G )

80

150

150

700

1,020

600

600

###

500

100

50

100
120

125

19=6-18

ACYCLOVIR 5 GR KRIM

25
500

18=(7s/d17)

150

50
200

STOCK
AKHIR

25

JUMLAH

100
900

720

1,020

3,000

20,003

4,626
16,000

2,450

20,000

1,540
13,500

375
1,700

20
3

50

100

200

2,600

200

100

200

1,420

100

300

1,353

18,650

3,600

2,600

3,500

26,700

91,100
540,000

106,600

97,400

204,000

100

1,000

TABLET

36,200

237,600

273,800

100

2,500

BOTOL

344

4,150

4,494

ANTI BISA ULAR (ABU) SERUM

VIAL

20

20

20

ANTI TETANUS SERUM 1500 UI

AMPUL

50

50

50

4,815

2,220

4,815

3,700

120
400

64,400

TUBE

3,500

540,000

7,000

60,000

210

50

75

64,400
540,000

210

2,010

500

1,000

3,000

2,500

3,000

11,100

192,900

1,500

2,000

2,000

3,000

5,000

6,000

22,100

251,700

100

100

19

25

100

344

4,150

25

50

75

100

50 ###

475

4,340

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

POT

SUPP

290

TABLET

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

STOCK
AKHIR

18=(7s/d17)

19=6-18

23

ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM


SALISILAT 3 %)

24

ANTI HEMOROID DOEN

25

ASAM ASCORBIT (VIT.C) 50 MG TABLET

26

ASAM ASCORBIT (VIT.C) 250 MG TABLET

TABLET

69,000

69,000

27

ASAM MEFENAMAT 500 MG

TABLET

322,100

322,100

28

ASAM TRANEKSAMAT 500 MG

TABLET

11,300

11,300

29

ATROPIN SULFAT INJ

AMPUL

96

96

30

ATTAPULGIT / MOLAGIT TABLET

TABLET

80,850

80,850

31

AQUABIDEST

BOTOL

32

AQUA PRO INJEKSI 25 ML

BOTOL

537

537

537

33

AZITHROMYCIN 500 MG

KAPSUL

34

BEKARBON

TABLET

35

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

VIAL

180

36

BETAMETASONE KRIM 0,1 %

TUBE

37

BETAHISTIN MESILAT 6 MG TABLET

TABLET

38

BETAKAROTEN 500 IU SYRUP

BOTOL

39

BISACODYL 10 MG SUPP

SUPP

462

462

40

BISOPROLOL 5 MG

TABLET

500

41

BROMHEKSIN HCL 8 MG TABLET

TABLET

123,600

42

BROMHEKSIN HCL SYRUP

BOTOL

43

BROMHEKSIN HCL 8 MG / 4 ML SOL

BOTOL

84

44

CALAMIN LOTION

BOTOL

258

45

CAPTOPRIL 12,5 MG TABLET

TABLET

624,200

46

CAPTOPRIL 25 MG TABLET

TABLET

171,600

47

CEFIXIME SYRUP KERING 100 MG

BOTOL

48

CEFIXIME 100 MG

KAPSUL

49

CEFIXIME 200 MG

50

CEFOTAXIME INJ 1G

51

CEFTRIAXON INJ

52

CETIRIZINE 5 MG SYRUP

53

CETIRIZINE DROP

BOTOL

54

CETIRIZIN 10 MG

TABLET

55

CIMETIDIN TABLET

TABLET

56

CIPROFLOXACIN 500 MG TABLET

TABLET

103,050

103,050

57

CLINDAMYCIN 150 MG KAPSUL

KAPSUL

6,750

6,750

6,010

3,300

JUMLAH

2,250

2,540

532,700

532,700

10

50 ###

30

50

30

40

30

290
-

1,000

1,000

2,000

400

1,000

2,500

3,000

5,500
500

4,000

1,000

8,000

19,900

49,100

2,000

6,000

21,000

301,100

200

11,100

300

2,250
532,700

3,000

200
600

300

600

1,800

500

500

16,500

22,510
180

180

7,300

7,300

7,300

810

96
79,050

10

1,510

3,000

15,000

3,000

3,000

1,200

600

3,000

1,200

1,500

84
1,200

###

1,310
123,600

1,500

750

1,458

1
2

50

624,200

1,000

1,000

2,000

26,000

197,600

800

1,000

1,000

810

810

21,600

24,900

1,500

700

400

500

456
1,310
108,600
1,500

83

52

1,406

2,000

500

2,000

10,000

614,200

2,000

800

1,000

6,600

191,000

150

500
21,000

100

1,400

3,250

810
21,650

VIAL

VIAL

BOTOL

700

700

700

1,200

20,000

18,800
-

20,000

500

700

1,000

400

1,500

300

200

100

100

200

3,500

2,100

5,800

97,250

800

5,950

20,000

1,000

200

300

400

100

1,000

16,500
20,000

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

58

CLINDAMYCIN 300 MG KAPSUL

KAPSUL

59

CHLORPHENIRAMIN MALEAT (CTM) 4 MG

TABLET

81,500

60

CHLORPROMAZINE 100 MG

TABLET

4,000

61

DEKSTROMETORPHAN HBR SYRUP

BOTOL

62

DEKSTROMETORPHAN HBR TABLET 15 MG

TABLET

63

DEKSTROSA LARUTAN INFUS 5 %

BOTOL

279

279

64

DEKSTROSA LARUTAN INFUS 10 %

BOTOL

425

65

DEKSTROSA LARUTAN INFUS 40 %

BOTOL

100

66

DEXAMETHASON 0,5 MG TABLET

TABLET

67

DEXAMETHASON INJEKSI

68

DIAZEPAM TABLET

TABLET

69

DIAZEPAM INJ 5 MG/ML

AMPUL

70

DIFENHIDRAMIN INJ

AMPUL

71

DIGOKSIN 0,25 MG TABLET

TABLET

72

DOMPERIDON 5 MG SUSPENSI

BOTOL

73

DOMPERIDON 10 MG

TABLET

74

DOXYCYCLINE 100 MG KAPSUL

KAPSUL

75

EKSTRAK BELLADONNA TABLET 10 MG

TABLET

76

EPINEFRIN (ADRENALIN) INJ 0,1%

AMPUL

37

77

ERYTHROMYCIN 200 MG SYRUP

BOTOL

78

ERYTHROMYCIN 250 MG

79

ERYTHROMYCIN 500 MG TABLET

80

VIAL

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

620,000

STOCK
AKHIR

18=(7s/d17)

19=6-18

701,500

1,000

7,200

7,500

7,200

3,600

4,000

JUMLAH

6,000

10,800

1,000

658,200

1,000

3,000

274

425

425

100

100

450,000

450,000

450,000

117

2,352

40,200

40,200

40,200

136

136

136

180

180

51,100

51,100

2,469

43,300

2,469

1,800

1,800

28,100

28,100

9,000

10

100

100

9,000

200

187

10

10

1,041

1,041

20

10

KAPSUL

17,100

17,100

TABLET

41,300

41,300

ETAMBUTOL 500 MG

TABLET

40,800

40,800

81

ETAKRIDIN 0,1 % / RIVANOL

BOTOL

143

143

82

ETANOL 70 % 1000 ML

BOTOL

552

552

83

FENITOIN 100 MG KAPSUL

KAPSUL

7,900

84

FENOBARBITAL 30 MG TABLET

TABLET

7,000

7,000

85

FENOL GLISEROL 10 %

BOTOL

1,440

1,440

86

FITOMENADION INJ

AMPUL

87

FITOMENADION 10 MG TABLET

TABLET

88

FLUCONAZOL 150 MG

TABLET

89

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

AMPUL

220

220

90

FUROSEMID 40 MG TABLET

TABLET

18,000

18,000

91

GAMEKSAN

BOTOL

92

GARAM ORALIT II SERBUK

SACHET

93

GENTAMYCIN SALEP KULIT

TUBE

2,800
-

150

2,400

100

5,010

15,000

17,800

4,500

4,500

28

100

5
3

51,000

1,800

28,100

200

8,800

20

167

68

973

17,100

400

40,900

40,800

5
3

10,300

5,010

200

10

100
24

48

24

24 ###

100

200

100

500

533

100

10,200

7,000

144

1,296

1,000
-

100

200

###

500

6,400

47,700

54,100

200

500

395

1,800

2,195

25

50

500

300

138

19

100

180

100

5,010
16,800
4,500
220
17,500
-

100

500

200

1,000

3,300

50,800

50

50

50

100

325

1,870

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

94

GENTIAN VIOLET 1 % - 10 ML

BOTOL

3,151

3,151

95

GLIBENCLAMIDE 5 MG TABLET

TABLET

815,100

815,100

96

GLIMEPIRIDE 2 MG

TABLET

97

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50


MG

TABLET

19,440

19,440

98

GLISERIL GUAIAKOLT 100 MG TABLET

TABLET

474,000

474,000

99

GLISERIN LARUTAN

BOTOL

7,600

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

10

11

1,000

CBB

CWD

PM

PWK

12

13

14

15

50

50

600

2,000

JBG

CTK

16

17

50
2,900

5,000

1,000

8,000

1,000

1,000

3,000

19=6-18
2,901

4,000

16,500

798,600

4,000

7,600

150

19,290

18,000

456,000

TABLET

2,000

101 HALOPERIDOL 0,5 MG TABLET

TABLET

7,100

7,100

102 HALOPERIDOL 5 MG TABLET

TABLET

16,000

16,000

103 HALOPERIDOL 5 MG INJEKSI

AMPUL

444

444

444

104 HEPARIN 200,000 IU GEL

TUBE

250

250

250

105 HEPATOPROTEKTOR SYRUP

BOTOL

500

500

500

106 HEPATOPROTEKTOR TABLET

TABLET

12,510

12,510

12,510

107 HIDROKORTISON KRIM 2,5 %

TUBE

700

29,880

15,000

30,580

12,000

TABLET

SUPP

61

61

110 IBUPROFEN 200 MG SUSPENSI

BOTOL

415

415

111 IBUPROFEN 200 MG TABLET

TABLET

TABLET

113 ISONIAZID 100 MG

TABLET

114 ISONIAZID 300 MG

TABLET

115 IMUNOSTIMULAN SIRUP

15,000

300

1,000

30,580

109 IBUPROFEN 125 MG SUPP

112 IBUPROFEN 400 MG TABLET

200

100 GRISEOFULVIN 125 MG TABLET

108 HYOSINE N BUTILBROMIDA TABLET

10,000

18=(7s/d17)
250

90
1,000

STOCK
AKHIR

100

7,600
60

JUMLAH

96

72

300

100

72

48

48

72

1,000

1,400

5,700

500

1,000

2,800

13,200

72

120

2
5

15

50

55

80

335

171,700

171,700

5,000

5,000

5,000

6,000

6,000

6,000

BOTOL

512

512

116 IMUNOSTIMULAN TABLET

TABLET

117 ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

TABLET

500

500

500

118 ITRAKONAZOL 100 MG

KAPSUL

119 KALCIUM LACTAT 500 MG TABLET

TABLET

120 KALIUM DIKLOFENAK 50 MG

TABLET

121 KANAMYCINE 2 GR

VIAL

122 KAOLIN SUSPENSI

BOTOL

123 KETOKONAZOL 200 MG TABLET

TABLET

124 KETOKONAZOL KRIM 2 %

TUBE

171,700

11,500

400

15,000
10

500

42,000

42,000

20

1000

200

10

500

20

1000

100

1800

120

600

1500

6,000

320

12,600

17,000

70

70

1,070

1,070

17,000

50

10,000

3,988

125 KETOPROFEN 100 MG

TABLET

126 KETOROLAC INJ 10 MG

AMPUL

236

127 KLORAMFENIKOL 250 MG KAPSUL

KAPSUL

10,000
3,988

5,300

50

24

50

24

36

72

5,300
236

32,000

30

32,000

24

120

192

29,400
17,000
70

30

1,040

10,000

400

3,588

5,300

6
-

230
32,000

NO

NAMA OBAT

128 KLORAMFENIKOL 1 %SALEP MATA

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

TUBE

129 KLORAMFENIKOL SUSPENSI

BOTOL

223

130 KLORAMFENIKOL 0,5 % TETES MATA

BOTOL

131 KLORAMFINEKOL 3 %TETES TELINGA


132 KLARITROMISIN 500 MG
133 KODEIN FOSFAT 20 MG TABLET

TABLET

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

3,500

3,500

8,900

8,900

8,900

BOTOL

1,600

1,600

1,600

TABLET

600

600

600

500

5,000

5,500

3,600

5,428

134 KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5


MG KRIM

TUBE

1,828

135 KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25 MG +


PARASETAMOL 400 MG

TABLET

46,800

136 KOMB. BUDENOSID FORMATEROL 80/4,5 MCG INHALER 60


DOSIS
137 KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON
VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA

6=4+5

PEMAKAIAN

223

500

80

100

50

20

130

100

40

200

46,800

3,500
218

500

5,000

720

4,708

46,800

BOTOL

1,736

1,736

BOTOL 60
ML

2,948

2,948

139 KOMB.BETAMETASON, DEKSKLORFENIRAMIN MALEAT

TABLET

13,450

140 KOMB.METHAMPYRON + DIAZEPAM

TABLET

16,300

16,300

141 KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL


+ CTM

BOTOL

650

650

142 KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT

BOTOL

3,715

5,000

8,715

143 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


TABLET

TABLET

28,560

20,000

48,560

144 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


SYRUP

BOTOL

1,734

1,734

145 KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100


MG

TUBE

79

50

129

TABLET

1,300

1,300

1,300

BOTOL 60
ML

3,800

3,800

3,800

138 KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +


GG + CTM SYRUP

146 KOMB.TEOFILIN + SALBUTAMOL TABLET


147 KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG
SYRUP / TREMENZA SYRUP

9,000

22,450

1
500

180

100

100

15

150

120

100

50

500

100

100

200

100

200

980

756

100

200

586

2,362

1,000

1,000

300

3,450

19,000

100

200

1,000

1,400

14,900

25

360

200

600

144

840

360

840

200

569

8,146

1,440

4,440

44,120

10

650

21

1,734
108

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

148 KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG


TABLET / LIBROFED TABLET

TABLET

150

62,000

62,150

62,150

149 KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +


VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET

TABLET

60,000

60,000

60,000

30,000

30,000

150 KOTRIMOKSAZOL SUSPENSI

BOTOL

151 KOTRIMOKSAZOL ADULT 480 MG TABLET

TABLET

4,865

152 KOTRIMOKSAZOL PEDIATRIK TABLET

TABLET

13,540

153 LEVOFLOXACIN 500 MG TABLET

TABLET

3,600

154 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

AMPUL

8,920

155 LINCOMYCIN 500 MG KAPSUL

TABLET

4,865

100

4,300

50

20,040

20,040

8,920

BOTOL

790

790

TABLET

23,100

23,100

158 MELOXICAM 7,5 MG

TABLET

19,500

159 MELOXICAM 15 MG

TABLET

42,500

160 METFORMIN 500 MG

TABLET

161 METFORMIN 850 MG

TABLET

162 METHILERGOMETRIN MALEAT 0,125 MG TABLET

TABLET

300

163 METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

AMPUL

164 METHYLPREDNISOLON 4 MG TABLET

TABLET

165 METHYLPREDNISOLON 8 MG TABLET

TABLET

VIAL
TABLET

170,900

12,200

170 METRONIDAZOL 500 MG TABLET

TABLET

15,000

10,800
-

48,000

100

100

100

300

100

200

600

200

100

1,200

12,200

15,000

1,488

1,488

1,000 ###

48,000

BOTOL

TABLET

1,000

174 MULTIVITAMIN ANAK DROP

179 NATRIUM DIKLOFENAK 50 MG TABLET

2,600

300

511

32,500

3,000

300

511

53,000

200

4,300

TUBE

TABLET

1,000 ###

4,000

173 MOMETHASON KRIM 0,1 %

TABLET

178 NATRIUM DIKLOFENAK 25 MG TABLET

20,040

42,500

177 NATRIUM BIKARBONAT 500 MG TABLET

8,200

19,500

BOTOL

720

172 MINYAK KAYU PUTIH 15 ML

21,300

120

BOTOL

4,150

42,500

TUBE

TABLET

13,240

150

19,500

171 MICONAZOLE SALEP

176 MULTIVITAMIN TABLET

120

300
100

300

170,900

175 MULTIVITAMIN ANAK SYRUP

190

30,000

779

45

BOTOL

120

4,415

22,800

3,900

TABLET

60

200

450

11

45

169 METRONIDAZOL 250 MG TABLET

110

100 ###

300

3,900

168 METOCLOPRAMIDE SYRUP 5 MG / 5 ML

50

13,540

157 LOPERAMID 2 MG TABLET

167 METOCLOPRAMIDE HCL 10 MG

100

700

156 LISOL

166 METHYLPREDNISOLON 125 MG INJEKSI

100

3,000

300

400

300

1,000

500

3,000

11,511

11,511

40,000

61,300

10

100

20

500

1,000

2,000

63,500

200

1,000

800

1,000

25,000

25,000

500

1,200

2,600

45
2,700
12,200
12,500
3,000
-

90

340

1,148

3,000

1,000

8,200

53,100

1,000

52,000

1,000

2,000

10,500

53,000

1,000
200

48,000

501

120
600

300

10
-

100

4,000

10

53,000
31,000

2,500

160,100

11,511

25,000

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

180 NATRIUM DIKLOFENAK GEL

TUBE

500

500

181 NATRIUM KLORIDA LARUTAN INFUS 0,9%

BOTOL

300

300

300

182 NATRIUM KLORIDA 100 ML

BOTOL

1,500

1,500

1,500

183 NIFEDIPINE 10 MG TABLET

TABLET

87,800

87,800

184 NYSTATIN 500.000 IU TABLET

TABLET

2,000

2,000

185 NYSTATIN VAGINAL TABLET 100.000 IU

TABLET

2,500

2,500

186 NYSTATIN SUSPENSI 100.000 IU/Ml

BOTOL

187 OBH

BOTOL

188 OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +


AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

BOTOL

189 OFLOXACIN 200 MG

TABLET

190 OFLOXACIN 400 MG

TABLET

191 ONDENSETRON INJ

AMPUL

192 OXYTETRASIKLIN HCL 3 % SALEP KULIT


193 OXYTETRASIKLIN HCL 1 % SALEP MATA
194 OXYTOCIN INJ/SINTOCYNON

TUBE
TUBE
AMPUL

4,310

100

100

500

100

100

100

100

###

1,200

86,600

200

1,800

300

2,200

500

300

300

300

4,850

4,850

4,850

80

80

17,350

17,350

197 PAPAVERIN INJEKSI 40 MG/ML

AMPUL

198 PARAFORMALDEHID TABLET 1 GR

TABLET

199 PARASETAMOL 100 MG

TABLET

SUPP

150

96

274

400

300

20
25

50 ###

100

50

100

10
200

1,000

###

1,400

1,400
948

1,400
-

948

948

BOTOL

7,520

7,520

BOTOL

37,591

37,591

50

203 PARASETAMOL 500 MG

TABLET

775,800

1,298,800

100

1,000

5,900

202 PARASETAMOL SYROP 120 MG / 5 ML

16,800

3,080

201 PARASETAMOL DROPS

523,000

60
16,975

2,700

500

20

500

21,028

375
10

8,600

1,412

3,090

8,600

144

3,090

BOTOL

48

500

TABLET

TUBE

200

22,440

196 PAPAVERIN 40 MG TABLET

204 PERMETHRIN KRIM 5 %

200

18,130

195 PANTOCAIN 0,5 % TETES MATA

200 PARASETAMOL SUPP 160 MG/PROPIRETIC

100

500

1,000

25

50

56

112

423

7,097

300

150

150

200

180
100

100

200

500

1,750

35,841

5,000

12,000

10,000

7,200

10,800

10,800

10,800

15,000

82,700

1,216,100

1,000

1,000

16,800

16,800

205 PIRANTEL PAMOAT 125 MG

TABLET

206 PIRAZINAMID 500 MG

TABLET

47,600

47,600

207 PIRIDOKSIN (VIT B6 ) TABLET 10 MG

TABLET

212,000

212,000

208 PIROXICAM

TABLET

209 POLIKRESULEN CAIRAN

BOTOL

109

210 POVIDON IODIDA 30 ML

BOTOL

982

982

211 POVIDON IODIDA 60 ML

BOTOL

212 POVIDON IODIDA 300 ML

BOTOL

308

308

213 POVIDON IODIDA 1 L

BOTOL

140

140

118,200

118,200

100

209

1,000

3,000

1,000

5,000

10,000
-

2
4

2
1

118,200

204

11

971

47,600
202,000

302

136

NO

NAMA OBAT

SATUAN
3

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

214 PREDNISON TABLET 5 MG

TABLET

215 PROPANOLOL 40 MG

TABLET

216 RANITIDIN TABLET

TABLET

8,100

217 RANITIDIN INJ 25 MG/2ML

AMPUL

373

218 RETINOL 100,000 IU

BOTOL

1,482

219 RETINOL 200,000 IU

BOTOL

220 RIFAMPICIN 450 MG

TABLET

221 RINGER LAKTAT LARUTAN INFUS

60,000

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

1,000

2,000

1,000

60,000

6=4+5

PEMAKAIAN

2,000

137,500

145,600

1,000

600

1,500

373
1,000

41,600

1,000

4,000

25

100

1,000

140

233

1,000

1,208

1,208

20

40

43,500

600

1,500

200

1,000

223 RISPERIDONE 2 MG TABLET

TABLET

224 SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL

AMPUL

178

226 SALBUTAMOL 2 MG TABLET

TABLET

12,300

227 SALBUTAMOL 4 MG TABLET

TABLET

7,200

120
1,000

1,000

3,000

60,000
54

38,500

50,800

1,000

28,000

35,200

400

4,100

5,500

20

1,482
1,000
40,600

185

1,023

8,300

35,200

178

137,500

43,500

60,000

74

104

POT

228

228

229 SALISIL BEDAK 2 %

KOTAK

1,400

230 SALISIL MENTOL BEDAK

BOTOL

4,710

4,710

231 SEFADROKSIL SYRUP

BOTOL

1,160

1,160

232 SEFADROKSIL 250 MG

KAPSUL

5,550

5,550

233 SEFADROKSIL 500 MG

KAPSUL

1,000

234 SETRALINE 50 MG TABLET

TABLET

4,230

4,230

235 SIANOCOBALAMIN TABLET

TABLET

133,000

133,000

236 SIANOCOBALAMIN / VIT. B 12 INJ

AMPUL

TUBE

335

335

238 SIMVASTATIN TABLET

10

51,000

8,100
-

LABU

237 SILVER SULFADIAZINE 10 MG / 35 GR CREAM

19=6-18

9,000

1,000

TABLET

228 SALEP 2 - 4

18=(7s/d17)

1,482
41,600

60,000

STOCK
AKHIR

222 RISPERIDONE 1 MG TABLET

225 SALBUTAMOL INHALER 100 MCG, 200 DOSIS

3,000

JUMLAH

TABLET

53,500

4,000

30,900

200
72

84,400

TUBE

146

146

240 STREPTOMISIN SERBUK INJ 1500 MG/ML

VIAL

919

919

24

300

500

900

800

100

100

600

600

100

300

24

100 ###

12
200

48

100

200

4,200

46,600

1,000

3,300

31,900

200

1,100

4,400

48

4,662

24 ###
100

228

48
50 ###

30

100

5,000

239 STESOLID RECTAL SUPP

300

200 ###

###
100

20

20

100
300

100

50

600
400

220

940

900

4,650

900

4,100

2,000

3
200

200

300

1,000

300

500

20

919

243 TETRASIKLIN 500 MG KAPSUL

KAPSUL

3,800

3,800

3,800

244 TEOFILIN 300 MG TABLET

TABLET

44,000

44,000

44,000

AMPUL

246 THIAMIN (VIT.B1) 50 MG TABLET

TABLET

70,000

100

24

121

6,172

1,500

24

76,700

25

73,400

1,500

500

7,700

BOTOL

200

24

2,500

321

TABLET

129,700

3,000

700

14

242 TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG

56,300

30

2,000

4,230
131,000

241 SULFASETAMIDA NATRIUM TETES MATA

245 THIAMIN (VIT.B1) 100 MG / ML INJ

6,172

2,000

1,500

43,000

113,000

102

6,070

8,300

121,400

1,000

5,000

4,000

3,000

3,000

16,000

97,000

NO

NAMA OBAT

SATUAN
3

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

6=4+5

247 THIAMPHENIKOL 500 MG KAPSUL

KAPSUL

35,300

35,300

248 TRAMADOL HCI 50 MG TABLET

TABLET

200

200

249 TRAMADOL HCI 50 MG/ML INJ

AMPUL

220

220

250 TRIHEKSILPHENIDIL 2 MG TABLET

TABLET

179,900

179,900

251 VITAMIN B KOMP. TABLET

TABLET

252 ZINC / ZINCDIAR TABLET

TABLET

27,800

800,000

800,000

14,200

42,000

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

200

1,000

200

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

1,200

220

500

2,000

600

100

400

2,000

3,000

8,600

500

1,000

400

300

300

700

1,000

4,200

ALAT KESEHATAN DAN REAGEN

34,100

200

171,300
800,000
37,800

ALAT AUTOCLIX/LANCET DEVICE

SET

32

32

ALAT SUNTIK SEKALI PAKAI 1 ML

BUAH

3,100

3,100

ALAT SUNTIK SEKALI PAKAI 3 ML

BUAH

13,700

5,000

18,700

ALAT SUNTIK SEKALI PAKAI 5 ML

BUAH

6,400

2,000

8,400

8,400

ALAT SUNTIK SEKALI PAKAI 10 ML

BUAH

800

800

800

ALAT SUNTIK SEKALI PAKAI 20 ML

BUAH

140

140

140

ALAT PEMERIKSAAN HB

ALCOHOL SWABS

BUAH
SACHET

17

92,300
-

100

BISTURI

BUAH

BLOOD LANCET

BUAH

807

11

CAIRAN PENCUCI ANTISEPTIK

GALON

12

CATGUT DENGAN JARUM BEDAH

SACHET

13

CATGUT CHROMIC

ROLL

14

DENGUE IgG AND IgM DROP TEST

SET

15

DENGUE N5 1 ANTIGEN

SET

16

DEX GLASS

BUAH

17

EDTA VACUM TUBE 5 ML

BUAH

18

FESCOPLAST

ROLL

19

FOLEY CATETHER

BUAH

50

50

20

GLUCOSA TEST TIP

TIP

7,720

1,200

8,920

21

GOLONGAN DARAH KIT

SET

11

25

36

22

H2O2

BOTOL

10

17

23

HAND SCONE / SURGICAL GLOVE

LEMBAR

57,400

57,400

24

HAND SCONE STERILE

PASANG

900

900

25

HCG CASETTE / PP TEST

SACHET

1,320

26

HEMASITO METER

BUAH

27

ISI AUTOCLIX

KOTAK

9,900
5,986

200

500

800

100

200

1
100

200

100

1,000

300

600

807
9,900

15

300

23
92,300

10

100

2,200

16,500

22

2,300

90,000

100

15
5,986

3,000

100

120

15

20

32

100

155

807
9,800
15
5,831

81

81

81

96

96

96

1,000

2,320

19,050

25,560

6,510

20

20

30

210

210

8,710

34

16

5,100

52,300

1
1

300

400 ###

1,000
100

200

250

800

1,700

300

200

100
200

200

200 ###

200

700

1,250

1,070

300

930

150

420

1,800

23,760

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

168

STOCK
AKHIR

18=(7s/d17)

19=6-18

28

INFUSION SET ANAK

SET

168

29

INFUSION SET DEWASA

SET

30

IODIUM TEST

BOTOL

78

31

IV CATETHER

SACHET

2,588

32

JARUM JAHIT

BUAH

33

KACA MULUT

34

KAPAS PEMBALUT 250 GR

35

KAPSUL KOSONG NO.0

BUAH

20,000

24,000

24,000

36

KAPSUL KOSONG NO.1

BUAH

30,000

30,000

30,000

37

KASSA HIDROFIL 40 X 40

LEMBAR

440

440

440

38

KASSA HIDROFIL GULUNG

ROLL

39

KASSA STERIL

KOTAK

979

979

40

KASSA 4 M X 15 CM

ROLL

1,300

1,300

41

LAMPU SPIRITUS

BUAH

42

LARUTAN ASAM ALKOHOL

BOTOL

43

LARUTAN KOH 10 % 250 ML

BOTOL

44

LOMATUELL H 10 X 10 CM

KOTAK

111

45

METILEN BLUE 250 ML

BOTOL

46

MICROPIPET 3 UKURAN

BUAH

47

MASKER

BUAH

48

MASKER OXYGEN FOR ADULT

BUAH

131

49

MASKER OXYGEN FOR CHILD

BUAH

130

50

MATA BOR HIGH SPEED BUNDAR

BUAH

45

45

51

MATA BOR HIGH SPEED FISURE

BUAH

45

52

MATA BOR HIGH SPEED INVERTED CONE

BUAH

45

53

MATA SCALLER

BUAH

54

NASO GASTRIC TUBE

55
56

1,000

1,000

2,700

5,288

BUAH

196

10
-

78

291

BUNGKUS

10

JUMLAH

291
80

100

16

44,000

420

10

80
2

78

551

4,737

21

270

100

80
187

100

42

937

320

980

16

16

111
16

80

20

196
4,000

30

158
1,000

20

20
50

50

20

100 ###

110

16

16

44,000

44,000

131

10

10

121

130

10

10

120

45

45

45

45

45

TUBE

28

28

10

18

NEBULIZE MASK FOR INFANT

BUAH

137

137

10

10

127

NEBULIZE MASK FOR ADULT

BUAH

140

140

10

10

130

57

NEEDLE

BUAH

57

57

58

OBJECT GLASS

BUAH

242

18

260

59

OIL IMERSI

BOTOL

16

60

OSE

BUAH

61

PENJEPIT TABUNG

BUAH

62

PIPET BESAR

BUAH

10

55

20

240

16

16

22

22

22

10

1
10

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

63

PIPET KECIL

BUAH

64

PLESTER

ROLL

225

65

POT DAHAK

BUAH

66

POWDER ENZIMATIC ALKAZYME

BUAH

67

PURIFIED PROTEIN DERIVATIVE 2 UT

VIAL

11

68

SELANG O2 ANAK

BUAH

64

64

69

SELANG O2 DEWASA

BUAH

45

45

70

SGOT/SGPT TEST

SET

71

SILK DENGAN JARUM BEDAH

756

756

72

STRIP ASAM URAT

73

201

32

78

144

756

47

322

369

16

10

10

10

13

58

40

SACHET

STRIP HB

BOX

210

210

74

STRIP GULA DARAH

BOX

110

110

75

STRIP PROTEIN DAN GLUKOSA

BOX

76

STRIP KOLESTEROL

BOX

77

VENOJECT

KOTAK

78

YELLOW TIP

BUAH

79

TABUNG REAKSI BESAR

BUAH

37

80

TABUNG REAKSI KECIL

BUAH

63

81

TERMOMETER DIGITAL

BUAH

82

TORNIKUET

BUAH

103

83

UMBILICAL CORD CLAMP

BUAH

18,000

18,000

84

UNDER PAD 80 X 180 CM

BUAH

104

104

104

85

URINE BAG

BUAH

250

250

21

229

86

URINE TEST 3 PARAMETER

KOTAK

87

WIDAL TEST

KOTAK

88

WHITE TIP

BUAH

24

24

24

89

MASKER N 95 TYPE 1870

KOTAK

90

POCH PACK D

BUAH

91

POCH PACK L

BUAH

92

CHECK CONTROL HEMATOANALYZER

BUAH

93

CELL CLEAN HEMATOANALYZER

BUAH

94

CALIBRATION SCS

BUAH

95

CELL PACK HEMATONANALYZER

BUAH

96

STROMALYSER WH

BUAH

97

CHECK CONTROL HEMATOANALYZER XP 100

BUAH

98

CELL CLEAN HEMATOANALYZER XP 100

BUAH

5
4

4
4

20

18

18

18

18

19

19

37

37

63

63

30

30

103
18,000

20

30
102

NO

NAMA OBAT

1
99

2
CALIBRATION SCS XP 100

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

BUAH

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

OBAT GIGI
1

ARSEN

BOTOL

ARTIKULATING PAPER

KOTAK

AIR RAKSA DENTAL USE

BOTOL

73

73

73

BEIN GIGI

SET

CALCIDOR

POT

CEVITRON

BUAH

137

137

CHKM

POT

17

17

CRESOPEN

BOTOL

DENTORIT

BOTOL

10

DYCAL

BOTOL

16

16

11

ETIL KLORIDA SPRAY

BOTOL

51

175

226

12

EUGENOL CAIRAN

BOTOL

185

185

13

IODOFORM PASTA

POT

16

16

14

GLASS IONOMER ART

SET

50

15

OCO / TSR

BOTOL

10

16

SILVER AMALGAM SERBUK 65 - 75 %

BOTOL

17

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

18

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

10

136

16

10

10

16

10

216

185

2
1

14

50

50

10

10

SET

12

12

12

SET

Cilegon, 30 Juni 2015


kepala Bidang Sumber Daya Kesehatan

Kepala Seksi Farmasi dan Peralatan Kesehatan

Dra.E.Yolanda P,Apt.MKM

Riris Sinaga, S.Si., Apt.

Nip. 19660223 199203 2 002

NIP. 19740620 200312 2 003

Pemberian

NAMA OBAT

1 ACYCLOVIR 5 GR KRIM

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

3,150

25

1 ACYCLOVIR 200 MG TABLET

534

1 ACYCLOVIR 400 MG TABLET

CLG
Harga

Pemakaian

78,750
-

Harga

Pemakaian

50

157,500

25

200

106,800

500

400

259,200

450

648

150

1 ALLOPURINOL 100 MG TABLET

86

1 ALLOPURINOL 300 MG TABLET

199.50

3,300

16,500

80

150
-

AMBROXOL SYRUP 15 MG / 5 ML
1 AMBROXOL TABLET 30 MG

97,200

CBB

264,000

124.85

1 AMINOFILIN 200 MG TABLET

80

1 AMITRIPTILIN 25 MG TABLET

102

100

1 AMLODIPIN 5 MG TABLET

240

120

440

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

4,750

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

3,700

11,100

50

185,000

AMOXICILLIN 250 MG KAPLET

200

200

40,000

AMOXICILLIN 500 MG KAPLET

261

3,000

116

100

AMLODIPIN 10 MG TABLET

AMOXICILLIN + AS.KLAVULANAT
1 ANTALGIN 500 MG TABLET
ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA
200 MG + ALUMUNIUM HIDROKSIDA 200 MG)
1

81

ANTASIDA SUSPENSI
ANTI BISA ULAR (ABU) SERUM
ANTI TETANUS SERUM 1500 UI
ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +
POLIMIKSIN B 10,000IU/G )

100
-

3,850

473,000

126,500

600

144,000

100

370,000

200

2,600

520,000

210

630,000

1,000

116,000

740,000

2,500

200
7,000
-

1,500
202,500

100

50
-

600

244,800
-

1,020
-

8,100
-

2,491

11,600

28,800

75
124,550

25
186,825

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

Harga

Pemakaian

Harga

Pemakaian

Harga

Pemakaian

Harga

Pemakaian

3,025

10

30,250

50

95

159

100

ASAM TRANEKSAMAT 500 MG

1,100

200

ATROPIN SULFAT INJ

1,100

367

600

15,400

AQUA PRO INJEKSI 25 ML

2,900

AZITHROMYCIN 500 MG

4,500

116

10

1,160

12,185

1,520

924

25,300

BISACODIL SUPP

6,199

BISOPROLOL 5 MG

2,300

1 BROMHEKSIN HCL 8 MG TABLET

281

ASAM ASCORBIT (VIT.C) 250 MG TABLET

1 ATTAPULGIT / MOLAGIT TABLET

CBB

1 ANTI HEMOROID DOEN

CLG

1,713

1 ASAM MEFENAMAT 500 MG

GRG

ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM


1 SALISILAT 3 %)
1 ASAM ASCORBIT (VIT.C) 50 MG TABLET

P2KP

1,000

100,000

151,250
-

1,000

159,000

1,000

100,000

50
-

151,250
-

30
-

2,000

318,000

400

2,500

250,000

3,000

220,200

BROMHEKSIN HCL 4 MG SYRUP

12,100

1 BROMHEKSIN HCL 8 MG / 4 ML SOL

66,000

1 CALAMIN LOTION

12,650

25,300

63

88

8,800

958
4,015

CEFOTAXIME INJ 1G

AQUABIDEST

1 BEKARBON
BENZATIN BENZIL PENISILIN 2,4 JUTA IU
1 BETAMETASONE KRIM 0,1 %
BETAHISTIN MESILAT 6 MG TABLET
BETAKAROTEN 500 IU SYRUP

3,000

843,000

150

143,700

5,000

CEFTRIAXON INJ

5,500

CETIRIZINE 5 MG SYRUP

7,999

28,050
188

1 CAPTOPRIL 12,5 MG TABLET


CAPTOPRIL 25 MG TABLET
CEFIXIME SYRUP KERING 100 MG
CEFIXIME 100 MG

1 CETIRIZINE DROP
1 CETIRIZIN 10 MG
CIMETIDIN TABLET
CIPROFLOXACIN 500 MG TABLET
CLINDAMYCIN 150 MG KAPSUL

3,000

843,000

1,200

337,200

1,000

63,000

1,000

800

70,400

1,000

700

670,600

400

66,000
-

383,200

500

500

700

114.84

245

94,000

1,000
-

245,000
-

400
200

98,000
-

1,500
100

NAMA OBAT

1 CLINDAMYCIN 300 MG KAPSUL

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

Pemakaian

527

21.00

122

1,379

99

DEKSTROSA LARUTAN INFUS 5 %

5,060

DEKSTROSA LARUTAN INFUS 10 %

5,727

1 DEKSTROSA LARUTAN INFUS 40 %

3,960

62

2,000

45

2,344

960

91

3,333

DOMPERIDON 10 MG

167

DOXYCYCLINE 100 MG KAPSUL

220

200

1 CHLORPHENIRAMIN MALEAT (CTM) 4 MG


CHLORPROMAZINE 100 MG
1 DEKSTROMETORPHAN HBR SYRUP
DEKSTROMETORPHAN HBR TABLET 15 MG

DEXAMETHASON 0,5 MG TABLET


1 DEXAMETHASON INJEKSI
DIAZEPAM TABLET
DIAZEPAM INJ 5 MG/ML
1 DIFENHIDRAMIN INJ
DIGOKSIN 0,25 MG TABLET
1 DOMPERIDON 5 MG SUSPENSI

1,000

CBB

21,000

4,000

7,200

151,200

7,500

EPINEFRIN (ADRENALIN) INJ 0,1%

8,100

ERYTHROMYCIN 200 MG SYRUP

7,220

440

1 ERYTHROMYCIN 500 MG TABLET

921

200

1 ETAMBUTOL 500 MG

420

2,200

11,000

25,300

126,500

133

65

1,008

24

3,417

579

100

1 FLUCONAZOL 150 MG

22,000

1 FLUTICASONE PROPIONATE 0,5 MG / 2 ML

19,080

91

100

292

200

1,469

25

EKSTRAK BELLADONNA TABLET 10 MG

ERYTHROMYCIN 250 MG

1 ETAKRIDIN 0,1 % / RIVANOL


1 ETANOL 70 % 1000 ML
1 FENITOIN 100 MG KAPSUL
1 FENOBARBITAL 30 MG TABLET
FENOL GLISEROL 10 %
1 FITOMENADION INJ
1 FITOMENADION 10 MG TABLET

FUROSEMID 40 MG TABLET
1 GAMEKSAN
GARAM ORALIT II SERBUK
1 GENTAMYCIN SALEP KULIT

75,900

184,200

9,100
-

24,192
57,900

100

58,400

500

146,000

500

36,725

50

73,450

NAMA OBAT

1 GENTIAN VIOLET 1 % - 10 ML
1 GLIBENCLAMIDE 5 MG TABLET
GLIMEPIRIDE 2 MG

DINAS

HARGA

Harga

Pemakaian

Harga

Pemakaian

GRG
Harga

Pemakaian

54

436

60
5,500

1 GLISERIL GUAIAKOLT 100 MG TABLET

Pemakaian

P2KP

895

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50 MG


1

PROGRAM

330,000

1,000
-

CLG
Harga

Pemakaian
-

54,000
-

CBB
Harga

Pemakaian

50

44,750

600

32,400

28

4,730

1 GRISEOFULVIN 125 MG TABLET

200

200

1 HALOPERIDOL 0,5 MG TABLET

165

1 HALOPERIDOL 5 MG TABLET

246

1 HALOPERIDOL 5 MG INJEKSI

14,724

51,975

1 HEPAPROTEKTOR SYRUP

34,391.50

1 HEPAPROTEKTOR TABLET

4,730

HIDROKORTISON KRIM 2,5 %

2,399

96

72

HYOSINE N BUTILBROMIDA TABLET

1,265

55,550

4,499

1 IBUPROFEN 200 MG TABLET

93

1 IBUPROFEN 400 MG TABLET

149

ISONIAZID 100 MG

44

1 ISONIAZID 300 MG

107

1 IMUNOSTIMULAN SIRUP

60,500

50

1 IMUNOSTIMULAN TABLET

5,280

98

1,400

47

200

9,400

355.30

KANAMYCINE 2 GR

19,800

1 KAOLIN SUSPENSI

12,012

300

KETOKONAZOL KRIM 2 %

4,700

50

KETOPROFEN 100 MG

1,342

KETOROLAC INJ 10 MG

2,539

310

1 GLISERIN LARUTAN

HEPARIN 200,000 IU GEL

1 IBUPROFEN 125 MG SUPP


1 IBUPROFEN 200 MG SUSPENSI

1 ISOSORBIT DINITRAT 5 MG SUB LING.TABLET


ITRAKONAZOL 100 MG
KALCIUM LACTAT 500 MG TABLET
1 KALIUM DIKLOFENAK 50 MG

KETOKONAZOL 200 MG TABLET

KLORAMFENIKOL 250 MG KAPSUL

230,304

1,000

28,000

90

172,728

3,025,000

8,000

1,000

100

20

1,000

224,000
40,000
246,000

239,900
55,550

1,210,000

47,000

235,000

24

1,000
-

72
3

10

500
-

112,800

50

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

CBB
Harga

Pemakaian

KLORAMFENIKOL 1 %SALEP MATA

1,600

KLORAMFENIKOL SUSPENSI

3,800

5,995

1,815

3,200

1 KLORAMFENIKOL 0,5 % TETES MATA


KLORAMFINEKOL 3 %TETES TELINGA
KLARITOMISISN
KODEIN FOSFAT 20 MG TABLET

950

KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5


MG KRIM

8,289

KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25 MG +


1 PARASETAMOL 400 MG

312

KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +


GG SYRUP

1
6,160
-

KOMB.METHAMPYRON + DIAZEPAM

KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL +


CTM
KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +
GUAIAKOLATSULFONAT

KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


1 TABLET

15,855
10,450

660

KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM SYRUP

8,030
KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100
1 MG
1 KOMB.TEOFILIN + SALBUTAMOL TABLET
KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG
SYRUP / TREMENZA SYRUP

10,000
209

10
-

600
-

261,250

200

237,600

25

110,000

360
-

15,840

100

50
18,200

150
92,400

100

15

91,000

100
1,327,680

180
-

500

50
828,900

1,100

100
663,120

6,160

80

182
1

7,376

KOMB.BETAMETASON, DEKSKLORFENIRAMIN MALEAT

475,000

KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


1 VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA

500
-

110,500

P2KP

100,000

NAMA OBAT

KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG TABLET


/ LIBROFED TABLET
KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +
VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

1,100

Harga

Pemakaian

1,056

P2KP
Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

CBB

1,975

100

138

50

574

1,030

110

60

638

13,200

91

MELOXICAM 7,5 MG

682

1 MELOXICAM 15 MG

1,199

KOTRIMOKSAZOL SUSPENSI
KOTRIMOKSAZOL ADULT 480 MG TABLET
KOTRIMOKSAZOL PEDIATRIK TABLET
1 LEVOFLOXACIN 500 MG TABLET
1 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000
1 LINCOMYCIN 500 MG KAPSUL
1 LISOL
1 LOPERAMID 2 MG TABLET

113,300

METFORMIN 500 MG

105

1 METFORMIN 850 MG

260

1 METHILERGOMETRIN MALEAT 0,125 MG TABLET

154

100

METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

2,750

1,000

105,000

1,000

197,500

61,800
26,400

105,000
15,400

100

120
3

200
-

1 METHYLPREDNISOLON 4 MG TABLET

205

METHYLPREDNISOLON 8 MG TABLET

300

59,000

91

100

200

2,830

123

METHYLPREDNISOLON 125 MG INJEKSI


METOCLOPRAMIDE HCL 10 MG
METOCLOPRAMIDE SYRUP 5 MG / 5 ML
METRONIDAZOL 250 MG TABLET

9,100

164

300

3,000

4,070

1 MOMETHASON KRIM 0,1 %

17,800

1 MULTIVITAMIN ANAK DROP

13,750

10

1 MULTIVITAMIN ANAK SYRUP

20,680

528

100

METRONIDAZOL 500 MG TABLET


MICONAZOLE SALEP

1 MULTIVITAMIN TABLET
NATRIUM BIKARBONAT 500 MG TABLET

14

NATRIUM DIKLOFENAK 25 MG TABLET

133

200

26,600

200

1 NATRIUM DIKLOFENAK 50 MG TABLET

176

52,800
26,600
-

500
1,000
-

264,000
133,000
-

1,000
800
-

49,200

137,500
528,000
106,400
-

400

100
2,000
1,000
-

NAMA OBAT

1 NATRIUM DIKLOFENAK GEL

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

CBB
Harga

Pemakaian

15,895

4,700

11,110

NIFEDIPINE 10 MG TABLET

112

100

NYSTATIN 500.000 IU TABLET

640

NYSTATIN VAGINAL TABLET 100.000 IU

407

100

30,800

4,000

48

1 NATRIUM KLORIDA LARUTAN INFUS 0,9%


NATRIUM KLORIDA100 ML

NYSTATIN SUSPENSI 100.000 IU/Ml


OBH
OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +
AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

10,725

11,200
40,700
192,000

200

22,400

144

576,000

150
-

OFLOXACIN 200 MG

413

OFLOXACIN 400 MG

873

1 ONDENSETRON INJ

6,050

1,450

25

50

OXYTETRASIKLIN HCL 3 % SALEP KULIT


1 OXYTETRASIKLIN HCL 1 % SALEP MATA

36,250

72,500

50

2,100

13,913

10

16,100

PAPAVERIN 40 MG TABLET

119

500

PAPAVERIN INJEKSI 40 MG/ML

530

1 OXYTOCIN INJ
PANTOCAIN 0,5 % TETES MATA

72,500
139,130
59,500

200

1 PARAFORMALDEHID TABLET 1 GR

60

1 PARASETAMOL 100 MG

32

7,040

1 PARASETAMOL DROPS

5,227

25

1 PARASETAMOL SYROP 120 MG / 5 ML

PARASETAMOL SUUP 160 MG/PROPIRETIC

50

1,319

50

65,950

1 PARASETAMOL 500 MG

84

100

8,400

1 PERMETHRIN KRIM 5 %

11,475

290

198

18

1 PIROXICAM

83.93

ALBOTYL

28,600

POVIDON IODIDA 30 ML

2,163

1 POVIDON IODIDA 60 ML

3,500

POVIDON IODIDA 300 ML

14,500

POVIDON IODIDA 1 L

42,000

PIRANTEL PAMOAT 125 MG


1 PIRAZINAMID 500 MG
1 PIRIDOKSIN (VIT B6 ) TABLET 10 MG

1,000

130,675

84,000

300

395,700

150

197,850

150

5,000

420,000

12,000

1,008,000

10,000

1,000

18,000

126,000

3,000

54,000

8,652
29,000
-

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

57

PROPANOLOL 40 MG

120

RANITIDIN TABLET

110

1,928

PREDNISON TABLET 5 MG

1 RANITIDIN INJ 25 MG/2ML

1,000
1,000

CLG
Harga

Pemakaian

57,000
110,000

2,000
600

CBB
Harga

Pemakaian

114,000
66,000

1,000
1,500

1 RETINOL 100,000 IU

14,300

1 RETINOL 200,000 IU

459

1 RIFAMPICIN 450 MG

660

1 RINGER LAKTAT LARUTAN INFUS

5,200

15,600

10,400

20

1 RISPERIDONE 1 MG TABLET

1,500

600

900,000

1,500

2,250,000

200

1 RISPERIDONE 2 MG TABLET

1,008

SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL


1

215,600

SALBUTAMOL 2 MG TABLET

1,000

59,000

200

96

400

38,400

1 SALISIL BEDAK 2 %

1,250

1 SALISIL MENTOL BEDAK

3,630

SEFADROKSIL SYRUP

5,248

1 SEFADROKSIL 250 MG

468

521

12,100

SIANOCOBALAMIN TABLET
SIANOCOBALAMIN / VIT. B 12 INJ
1 SILVER SULFADIAZINE 10 MG / 35 GR CREAM
SIMVASTATIN TABLET

11,800

300

17,700

300

200

19,200

200

19,200

100

72

356,400

24

118,800

24

100

125,000

100

125,000

50

262,400

50

100

46,800

100

12

SETRALINE 50 MG TABLET

11,642,400

59

1 SEFADROKSIL 500 MG

253,260

SALEP 2 - 4

660,000

54

4,950

SALBUTAMOL 4 MG TABLET

1,000

520

391

200

291,500

58,300

262,400
52,100
-

174,900

300

117,300

78,200

300
-

200

30
100

78,200

1,000

23,540

STREPTOMISIN SERBUK INJ 1500 MG/ML

2,090

1 SULFASETAMIDA NATRIUM TETES MATA

3,226

STESOLID RECTAL SUPP

TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG
1 TETRASIKLIN 500 MG KAPSUL
TEOFILIN 300 MG TABLET
1 THIAMIN (VIT.B1) 100 MG / ML INJ
1 THIAMIN (VIT.B1) 50 MG TABLET

1,023

200
-

1,500
204,600

30
1,500

1,534,500

186

1,050

700

69.96

1,000

69,960

5,000

349,800

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

THIAMPHENIKOL 500 MG KAPSUL

431

TRAMADOL HCI 50 MG TABLET

189

200

5,400

40

VITAMIN B KOMP. TABLET

107

ZINC / ZINCDIAR TABLET

474

6,000

GRG
Harga

Pemakaian

Harga

Pemakaian

CBB
Harga

Pemakaian

500

500

ALAT AUTOCLIX/LANCET DEVICE

110,000

ALAT SUNTIK SEKALI PAKAI 1 ML

2,662

100

ALAT SUNTIK SEKALI PAKAI 3 ML

3,120

100

300

ALAT SUNTIK SEKALI PAKAI 5 ML

7,750

ALAT SUNTIK SEKALI PAKAI 10 ML

3,300

8,360

525,000

ALCOHOL SWABS

275

100

BISTURI

550

396

100

902,000

78,100

120

15

5,415,500

1,375,000

1,196,250

39,050

302,500

118 TRAMADOL HCI 50 MG/ML INJ


TRIHEKSILPHENIDIL 2 MG TABLET

NEO KAOMINAL SUSPENSI


ALAT KESEHATAN DAN REAGEN

ALAT PEMERIKSAAN HB

CATGUT DENGAN JARUM BEDAH


CATGUT CHROMIC

DEX GLASS
EDTA VACUM TUBE 5 ML

312,000

39,600
9,372,000

CLG

37,800

20,000
237,000

27,500

2,000
1,000

200

80,000
474,000

936,000

55,000

600
400

200

1
-

FOLEY CATETHER

15,400

GLUCOSA TEST TIP

8,323

935,000

20,900

880

300

400

8,800

13,200

200

HEMASITO METER

ISI AUTOCLIX

FESCOPLAST

GOLONGAN DARAH KIT


H2O2
HAND SCONE / SURGICAL GLOVE
HAND SCONE STERILE
HCG CASETTE / PP TEST

1,632

264,000

352,000
2,640,000

935,000
-

400

352,000

100

880,000

250

3,300,000

300

489,600

1,000
200
-

NAMA OBAT

INFUSION SET ANAK

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

CBB
Harga

Pemakaian

8,800

7,321

IODIUM TEST

20,900

IV CATETHER

22,000

JARUM JAHIT

71,000

20

KACA MULUT

102,300

20,130

KAPSUL KOSONG NO.0

34.65

KAPSUL KOSONG NO.1

34.65

KASSA HIDROFIL 40 X 40

1,980

130,000

KASSA STERIL

6,820

13,640

KASSA 4 M X 15 CM

5,882

50

LAMPU SPIRITUS

LARUTAN ASAM ALKOHOL

26,999.50

101,750

64,900

2,090,000

330

22,000

22,000

MATA BOR HIGH SPEED BUNDAR

24,970

MATA BOR HIGH SPEED FISURE

24,970

MATA BOR HIGH SPEED INVERTED CONE

24,970

236,500

NASO GASTRIC TUBE

21,450

NEBULIZE MASK FOR INFANT

40,700

NEBULIZE MASK FOR ADULT

40,700

110,000

34,991

10

280,500

INFUSION SET DEWASA

KAPAS PEMBALUT 250 GR

KASSA HIDROFIL GULUNG

LARUTAN KOH 10 % 250 ML


LOMATUELL H 10 X 10 CM
METILEN BLUE 250 ML
MICROPIPET 3 UKURAN
MASKER

MATA SCALLER

NEEDLE
OBJECT GLASS
OIL IMERSI
OSE
PENJEPIT TABUNG
PIPET BESAR

20

136,400

30

110,000

919,000
60,390

294,100

50

13,500

5,400

NAMA OBAT

HARGA

PIPET KECIL
PLESTER

23,100.00

POT DAHAK

DINAS

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian
-

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

Pemakaian

115,500

CBB

46,200

138,600

10

POWDER ENZIMATIC ALKAZYME

946,000

PURIFIED PROTEIN DERIVATIVE 2 UT

702,240

13,200

SELANG O2 ANAK

13,200

1,082,950

3,055.56

3,212

191,500

STRIP GULA DARAH

95,000

STRIP PROTEIN DAN GLUKOSA

94,996

STRIP KOLESTEROL

13,904

VENOJECT

242,000

YELLOW TIP

66,660

TABUNG REAKSI BESAR

2,015

TABUNG REAKSI KECIL

2,015

34,320

22,000

1,000

13,200

4,950

4,950

247,500

1,396,000

133,100

SELANG O2 DEWASA
SILK DENGAN JARUM BEDAH
STRIP HB

TORNIKUET

URINE BAG
URINE TEST 3 PARAMETER
WIDAL TEST

380,000

NAMA OBAT

HARGA

DINAS

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

CBB
Harga

Pemakaian

ARSEN

484,000

ARTIKULATING PAPER

291,500

AIR RAKSA DENTAL USE

225,500

3,740,000

CALCIDOR

209,000

115,500

CEVITRON

70,000

CRESOPEN

770,000

DENTORIT

154,000

DYCAL
ETIL KLORIDA SPRAY

534,600

145,200

EUGENOL CAIRAN

3,178

IODOFORM PASTA

302,500

GLASS IONOMER ART

687,500

OCO / TSR

110,000

1,265,000

OBAT GIGI

CHKM

SILVER AMALGAM SERBUK 65 - 75 %


SEMEN SENG FOSFAT SERBUK DAN CAIRAN

418,000

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

36,300

290,400

618,760

12,102,204

145,200

14,899,700

145,200

15,504,383

27,877,044

CBB

CWD
Harga

Pemakaian

78,750

267,000

291,600

150

PM
Harga

Pemakaian
-

97,200

700

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

150

472,500

125

393,750

1,338,750

500

267,000

500

267,000

1,014,600

500

324,000

100

64,800

1,846,800

453,600

940,500
-

495,000

50

165,000

10,200

100

10,200

20,400

144,000

900

720

172,800

740,000
1,400,000

20
3,500

216,000
95,000
700,000

100
3,700

475,000
740,000

1,020

244,800

3,000

720,000

2,059,200

570,000

400

1,480,000

100

370,000

300

1,110,000

5,746,100

3,600

720,000

2,600

520,000

3,500

700,000

5,340,000

1,260,000

500

58,000

2,000
121,500
385,000

116,000

2,000
162,000

100

3,000

162,000
-

75
124,550

290,000

5,000

73,150

348,000

1,403,600

486,000

1,992,600

385,000

1,324,400

6,000

96,250

100

50
249,100

3,000

405,000
25

100
186,825

2,500

243,000
19

385,000

348,000

3,000

50
62,275

1,000

50
124,550

124,550

1,370,050

CBB

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

90,750
-

Harga

Pemakaian

50

PWK

151,250

Harga

Pemakaian

30

JBG

90,750

Pemakaian

121,000

500

220,000

300

750

750

400,000

100,000

110,100

87,000

3,000

477,000

2,000

200,000

300

110,100

8,000

1,272,000

3,482,100

6,000

600,000

2,350,000

600

220,200

87,000

37,194

880,800

175,160

37,194

600

132,000

50

632,500

657,800

2,000

126,000

500

31,500

2,000

126,000

693,000

2,000

176,000

800

70,400

1,000

88,000

651,200

63,000

2,000

126,000

88,000

1,000

88,000

479,000

3,000

1,500

843,000

94,500

1,200
-

337,200

100

95,800

3,000

1,400

220,000

168,600

1,000

1,028,500

300,000

4,000

90,750

5,500

30

50,000

874,500

Harga

63,600

Harga

40

CTK

843,000

1,341,200

4,552,200

3,496,700
-

131,600
367,500
-

1,000
300
-

188,000
73,500
-

100

18,800

200

200

400

37,600
49,000
-

300
100

73,500
-

1,000
2,100
-

188,000
514,500
-

658,000
1,519,000
-

CBB

CWD
Harga

Pemakaian
-

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

Harga

Pemakaian

157,500

151,200

3,600

75,600

CTK
Harga

Pemakaian
-

6,000

126,000

1,000

122,000

10,800

Harga
226,800

1,060,500

122,000

25,300

234,000

10,000

25,300

7,200

JBG

100

9,100

44,000

44,000

10

20,000

100

200,000

9,100

10

81,000

10

81,000

162,000

20

144,400

10

72,200

10

100

48

24

200

75,900
-

57,900
-

92,100

48,384

100

25,300

368,400

22,000

13,300

24,192
115,800

200

50

V103*288

490,960

13,300

202,160

50,600

146,000

92,100

28

100

100

300

72,200

29,200

500

73,450

50

18,200
-

24
100

24,192
57,900

24
500

126,500

24,192
289,500

607,200

169,344
636,900

200

146,000

200

73,450

50

18,200
-

45,500
-

58,400

1,000

292,000

#VALUE!

73,450

100

146,900

550,875

CBB

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

50

44,750

2,000

108,000

495,000
28,000

2,900
-

PWK
Harga

Pemakaian
-

156,600
-

Harga

Pemakaian

50

44,750

5,000

270,000

1,000
-

CTK
Harga

Pemakaian
-

54,000
-

300

400

66,000

500

123,000

60,000

100

89,500

268,500

4,000

216,000

923,400

3,000

Harga

825,000

1,000

28,000

JBG

84,000

4,000

112,000

728,000

140,000

300

172,728
166,650

48
-

10

605,000

115,152
-

115,152
111,100

72
-

172,728
-

172,728
-

231,000

1,000

246,000

934,800

120
-

287,880

1,919,200

388,850

120

1,210,000

100

6,050,000

15

67,485

165,000

22,495

72

1,000

20

44,990

48

73,800

50

224,950

7,260,000

359,920

20,570,000

23,500

1,000

47,000

1,800

30

235,000

24

112,800

36

84,600
360,360
169,200

600

28,200

1,500

70,500

6,000

282,000

639,200

360,360

72

338,400
15,234
-

24

112,800

120

564,000

1,992,800

15,234

CBB

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian
-

JBG
Harga

Pemakaian

19,000

CTK
Harga

Pemakaian

19,000

20

414,450

130

165,780
-

100

1,077,570

Harga

40

828,900

200

331,560

1,657,800

100

924,000

100

739,200

9,100
-

2,090,000

554,400
-

237,600

60,000
-

2,090,000

6,207,300

950,400

2,930,400

310,000

50,000

1,650,000

5
-

1,100,000
-

554,400

646,100

1,440

54,600

200
-

840

3,702,160

1,504,800

1,232,000

1,000
220,000

182,000

8,556,160

300

200

144

360

616,000

110,000
-

840
396,000

100

1,475,200
200

1,000
182,000

200
737,600

100

1,000

100
1,475,200

91,000

200
737,600

500

737,600
120

6,796,980
-

737,600

475,000

CBB

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

100

123,600
39,600

Pemakaian

50

98,750
-

200

50

28,700

190

195,700

120

39,600

Harga

Pemakaian

Harga

15,000

86,100
803,400

123,600
39,600

100

57,400

120

123,600

100

197,500

100

10,000

197,500

1,086,250

171,600

300

27,300

21,000

3,000

100

315,000
15,400

2,600
100

27,300

CTK

Pemakaian

5,000

Harga

JBG

Harga

197,500

PWK

273,000
15,400

1,000

105,000

1,000

105,000

1,000

105,000

1,239,000

61,600

600

109,200

18,200

65,600

54,600

18,200

9,100

300

500

10

178,000

178,000

20

275,000

120

90

1,056,000
133,000
-

600

500
-

66,500
-

1,200
-

1,650,000
316,800
159,600
-

1,000

164,000

100

1,375,000

49,200

200

1,000

14,000

2,600

345,800

3,000
1,000
-

1,584,000
133,000
-

1,000
2,000
-

82,000

1,237,500
528,000
266,000
-

459,200
-

4,812,500
4,857,600
14,000
1,502,900
-

CBB

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

200

22,400

100

156,800

100

64,000

128,000

600,000

96

384,000

500

56,000

100

100

64,000

100

40,700

100

400

274

11,200

1,096,000

1,200,000

122,100
6,224,000

20

121,000

100

278,260

1,000

119,000

300

121,000

1,600,000

40,700

23,800

11,200

145,000

50

72,500

100

1,000

145,000

119,000

616,250

380,800

180

940,860

56

292,712

261,350

112

585,424

2,341,696

197,850

200

263,800

100

131,900

100

131,900

200

263,800

500

659,500

2,506,100

840,000

7,200

604,800

10,800

907,200

10,800

907,200

10,800

907,200

15,000

1,260,000

7,954,800

234,000

1,000

18,000

42,000

5,000
-

90,000
57,200

29,000
-

85,800

143,000

10,815

28,119

116,000

168,000

2
-

29,000
-

CBB

CWD
Harga

Pemakaian

57,000
165,000
-

PM
Harga

Pemakaian
-

957,000

192,800

10

40

208,000

300,000

1,000

1,500,000

20
-

120

17,700

500

9,600

269,920

660,000

1,000
-

1,500,000
-

1,000
-

1,500,000
-

627,000

624,000

171,000

9,640

3,000

19,280
-

4,312,000
-

3,000
-

4,500,000

972,400
14,700,000

15,954,400

47,200

200

900

53,100

800

100

9,600

600

57,600

600

57,600

100

9,600

1,000

96,000

336,000

48

237,600

24

118,800

24

118,800

1,247,400

300

375,000

100

125,000

200

250,000

1,500,000

12

200

250,000

100

48

174,240

157,440

46,800

100

46,800

156,300

100

52,100

400

20

125,000
104,960
208,400
-

349,800

300

117,300

500

195,500

117,700

20

470,800

1,534,500

20

104,960

50

600

280,800

421,200

521,000

24,000

100

24

77,424

3,000
102,300

24,000

265,500

2,000

11,800

29,500
59,400

96,780

100

104,000

391,000

48,200

Harga

25
-

Pemakaian
-

114,000

Harga

440,000

Pemakaian
-

4,000
-

Harga

CTK

110,000

JBG

2,000

1,000

Pemakaian

118,800

Harga

PWK

262,400

174,240
1,416,960

991,100

2,000

782,000

700

273,700

2,500

977,500

3,128,000

329,052

24

77,424

500
3,069,000

24

77,424

511,500

588,500

1,500
-

1,534,500

10,025,400

1,469,160

4,000

279,840

3,000

209,880

3,000

209,880

CBB

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

Harga

Pemakaian

Harga

200

400

24,000
189,600

100
-

4,000
-

16,000
-

80,000
-

120,000
-

37,800
424,000
-

300

200

266,200

624,000

500

1,560,000

800

2,496,000

100

312,000

1,000

474,000

517,200

700

331,800

3,000

431,000

142,200

2,000

1,000

300

142,200

86,200

CTK

624,000

2,464,800

266,200
7,800,000

525,000

300

525,000
-

100

39,600

12,105,500

1,171,500

27,500

275,000

82,500

600

165,000

687,500

20

308,000

308,000

210

1,747,830

1,747,830

2,805,000

20

880,000
2,640,000

1,562,000

1,000

935,000
-

20,900

300

264,000

800

704,000

100

880,000

200

2,640,000

200

150

930

1,517,760

1,700

1,496,000

244,800

2,640,000

200
200

420

176,000
2,640,000
685,440

20,900
4,840,000
2,640,000
19,800,000
3,427,200

CBB

CWD
Harga

Pemakaian
-

10

660,000

80

PM
Harga

Pemakaian

Harga

Pemakaian

Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

88,000

1,760,000

420

9,240,000

132,000

10

71,000

1,909,000

220,000

12,122,000

241,560

20

136,400

20

117,640

100

40,260

294,100

JBG

88,000

PWK

60,390

20,130

588,200

100

588,200

286,440
2,176,340

101,750

101,750

10

220,000

220,000

10

220,000

220,000

10

214,500

10

407,000

407,000

10

407,000

407,000

110,000

220,000

10

349,910
-

214,500

110,000

349,910

699,820

CBB

CWD
Harga

Pemakaian
-

231,000

10

PM
Harga

Pemakaian
-

231,000

10

PWK
Harga

Pemakaian
-

231,000

JBG
Harga

Pemakaian
-

92,400

CTK
Harga

Pemakaian

Harga

1,224,300
-

2,106,720

1,404,480

702,240

66,000

13,200

79,200

66,000

66,000

1,723,500

3,040,000

957,500

766,000

380,000

20

22,000

20

103,950

22,000

380,000

99,000

1,900,000

CBB

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

580,800
-

Harga

2
-

290,400
-

115,500

115,500

70,000

70,000

1,597,200

302,500

31,698,623

30,545,286

44,810,671

20,288,353

302,500

605,000

21,291,246

50,464,200

DINAMIKA LOGISTIK OBAT


DI KOTA CILEGON
Propinsi

: BANTEN

Alamat

: Jl.K.P.Tendean Km.2 Cilegon

Unit

: 9 Unit

Bulan

: Juli

Tahun

: 2015

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

ACYCLOVIR 5 GR KRIM

TUBE

4,626

4,626

ACYCLOVIR 200 MG TABLET

TABLET

16,000

16,000

ACYCLOVIR 400 MG TABLET

TABLET

20,000

20,000

ALLOPURINOL 100 MG TABLET

TABLET

60,000

60,000

ALLOPURINOL 300 MG TABLET

TABLET

2,000

2,000

AMBROXOL SYRUP 15 MG / 5 ML

BOTOL

26,800

26,800

AMBROXOL TABLET 30 MG

TABLET

25,500

25,500

AMINOFILIN 200 MG TABLET

TABLET

1,000

1,000

AMITRIPTILIN 25 MG TABLET

TABLET

41,300

41,300

10

AMLODIPIN 5 MG TABLET

TABLET

15,270

15,270

11

AMLODIPIN 10 MG TABLET

TABLET

12

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

VIAL

1,420

1,420

13

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

BOTOL

18,650

18,650

100

14

AMOXICILLIN 250 MG KAPLET

KAPLET

64,400

64,400

800

15

AMOXICILLIN 500 MG KAPLET

KAPLET

540,000

540,000

800

16

AMOXICILLIN + AS.KLAVULANAT

TABLET

2,010

2,010

17

ANTALGIN 500 MG TABLET

TABLET

192,900

192,900

800

18

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA


200 MG + ALUMUNIUM HIDROKSIDA 200 MG)

TABLET

251,700

251,700

800

19

ANTASIDA SUSPENSI

BOTOL

4,150

4,150

100

20

ANTI BISA ULAR (ABU) SERUM

VIAL

20

20

21

ANTI TETANUS SERUM 1500 UI

AMPUL

22

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


POLIMIKSIN B 10,000IU/G )

TUBE

25

75

50

100

200

25
1,000

900

200

400

1,000

JUMLAH
18=(7s/d17)

50

150

475

100

400

2,600
-

400

200

150

200

100

100

50

300

2,000

1,000

1,000

1,000

1,000

1,000

1,000 ###

4,200
-

2,000

500

500

1,400

1,000

10,500

500

500

3,000

13,530

2,010

600

2,010

900

5,010

50
50

200

200

50

2,000

6,000

7,000

1,000

1,500
1,500 ###

1,500

50

450

4,000

8,000

5,000

9,600

25

75

1,100

6,000

19,900

4,000

10,000

45,400

210

210

2,500

2,000

11,800

2,000

5,000

4,000

5,000

6,000

27,300

50

100

100

150

550

50
4,340

1,450

3,000

50

350

2,000

4,340

50

50

2
125

50

8
75

350

NO

NAMA OBAT

SATUAN

STOCK
AWAL

POT

PENERIMAA PERSEDIAA
N
N
5

6=4+5

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

23

ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM


SALISILAT 3 %)

24

ANTI HEMOROID DOEN

25

ASAM ASCORBIT (VIT.C) 50 MG TABLET

TABLET

26

ASAM ASCORBIT (VIT.C) 250 MG TABLET

TABLET

49,100

49,100

27

ASAM MEFENAMAT 500 MG

TABLET

301,100

301,100

28

ASAM TRANEKSAMAT 500 MG

TABLET

11,100

11,100

29

ATROPIN SULFAT INJ

AMPUL

96

96

30

30

ATTAPULGIT / MOLAGIT TABLET

TABLET

79,050

79,050

1,200

31

AQUABIDEST

BOTOL

32

AQUA PRO INJEKSI 25 ML

BOTOL

537

537

33

AZITHROMYCIN 500 MG

KAPSUL

500

500

34

BEKARBON

TABLET

21,000

21,000

35

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

VIAL

180

180

36

BETAMETASONE KRIM 0,1 %

TUBE

7,300

7,300

37

BETAHISTIN MESILAT 6 MG TABLET

TABLET

38

BETAKAROTEN 500 IU SYRUP

BOTOL

39

BISACODYL 10 MG SUPP

SUPP

456

456

40

BISOPROLOL 5 MG

TABLET

1,310

1,310

41

BROMHEKSIN HCL 8 MG TABLET

TABLET

108,600

108,600

42

BROMHEKSIN HCL SYRUP

BOTOL

1,500

1,500

43

BROMHEKSIN HCL 8 MG / 4 ML SOL

BOTOL

83

83

44

CALAMIN LOTION

BOTOL

1,406

1,406

45

CAPTOPRIL 12,5 MG TABLET

TABLET

614,200

614,200

46

CAPTOPRIL 25 MG TABLET

TABLET

191,000

191,000

47

CEFIXIME SYRUP KERING 100 MG

BOTOL

810

810

48

CEFIXIME 100 MG

KAPSUL

21,650

21,650

49

CEFIXIME 200 MG

50

CEFOTAXIME INJ 1G

VIAL

51

CEFTRIAXON INJ

VIAL

52

CETIRIZINE 5 MG SYRUP

BOTOL

700

700

53

CETIRIZINE DROP

BOTOL

54

CETIRIZIN 10 MG

TABLET

16,500

16,500

55

CIMETIDIN TABLET

TABLET

20,000

20,000

800

56

CIPROFLOXACIN 500 MG TABLET

TABLET

97,250

97,250

400

57

CLINDAMYCIN 150 MG KAPSUL

KAPSUL

5,950

5,950

SUPP

PEMAKAIAN

2,250

2,250

532,700

532,700

30

50

50

40

60

30

20

280
-

800
100

200

1,500
1,000

1,000

###
2,000

2,000

2,000

5,000

2,000

3,000

4,000

17,800

6,000

3,500

5,000

2,000

24,800

200

200
30

900

450

600

600

600

600

450

5,400
-

60

100

20

20

200

760

760
-

100 ###

150

75

50

100

575
-

12

18

12

42
-

300

2,700

1,200

600

1,200

6,000
-

10
300

1,000
700

300

50

2,000

2,000

2,000

2,000

1,700

60

2,000

500

9,500

5,000

600

10,600
-

210

210

1,000

700

300

700

800

500

500

500

400

1,000

400

500
200

100

500
200

1,500

500 ###
600

200

4,900
3,800

300

1,400

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

PEMAKAIAN

JUMLAH

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

7,200

7,200

3,600

10,800

58

CLINDAMYCIN 300 MG KAPSUL

KAPSUL

59

CHLORPHENIRAMIN MALEAT (CTM) 4 MG

TABLET

658,200

658,200

60

CHLORPROMAZINE 100 MG

TABLET

3,000

3,000

61

DEKSTROMETORPHAN HBR SYRUP

BOTOL

62

DEKSTROMETORPHAN HBR TABLET 15 MG

TABLET

63

DEKSTROSA LARUTAN INFUS 5 %

BOTOL

274

274

64

DEKSTROSA LARUTAN INFUS 10 %

BOTOL

425

425

65

DEKSTROSA LARUTAN INFUS 40 %

BOTOL

100

100

66

DEXAMETHASON 0,5 MG TABLET

TABLET

450,000

450,000

67

DEXAMETHASON INJEKSI

VIAL

2,352

2,352

68

DIAZEPAM TABLET

TABLET

40,200

40,200

69

DIAZEPAM INJ 5 MG/ML

AMPUL

136

136

70

DIFENHIDRAMIN INJ

AMPUL

180

180

71

DIGOKSIN 0,25 MG TABLET

TABLET

51,000

51,000

72

DOMPERIDON 5 MG SUSPENSI

BOTOL

1,800

1,800

100

73

DOMPERIDON 10 MG

TABLET

28,100

28,100

100

74

DOXYCYCLINE 100 MG KAPSUL

KAPSUL

8,800

8,800

75

EKSTRAK BELLADONNA TABLET 10 MG

TABLET

76

EPINEFRIN (ADRENALIN) INJ 0,1%

AMPUL

167

167

77

ERYTHROMYCIN 200 MG SYRUP

BOTOL

973

973

78

ERYTHROMYCIN 250 MG

KAPSUL

17,100

17,100

79

ERYTHROMYCIN 500 MG TABLET

TABLET

40,900

40,900

80

ETAMBUTOL 500 MG

TABLET

40,800

40,800

81

ETAKRIDIN 0,1 % / RIVANOL

BOTOL

138

138

82

ETANOL 70 % 1000 ML

BOTOL

533

533

83

FENITOIN 100 MG KAPSUL

KAPSUL

10,200

10,200

84

FENOBARBITAL 30 MG TABLET

TABLET

7,000

7,000

85

FENOL GLISEROL 10 %

BOTOL

1,296

1,296

86

FITOMENADION INJ

AMPUL

5,010

5,010

87

FITOMENADION 10 MG TABLET

TABLET

16,800

16,800

88

FLUCONAZOL 150 MG

TABLET

4,500

4,500

89

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

AMPUL

220

220

90

FUROSEMID 40 MG TABLET

TABLET

17,500

17,500

91

GAMEKSAN

BOTOL

92

GARAM ORALIT II SERBUK

SACHET

50,800

50,800

93

GENTAMYCIN SALEP KULIT

TUBE

1,870

1,870

6=4+5

18=(7s/d17)

800

1,000

10,000

5,000

2,000

1,000

45,600
3,000

800

20

2,000

5,000

3,500

20

10

1,000

5,000

29
29
15

5,000

3,000

6,000

31,300
-

200

200

10

50

50

10

50

100

1,000

370
1,100
-

60

60

24

20

15

24

85

100

200

1,000

2,400

800

300

5
5

5
3

14

21

2,900

###

5,800

24 ###

120

90 ###

300

24

48
30

30

60
200

300

500
-

200

100

200

100

600

400

3,400

100

475

800
75

300

200

300

500

700

50

75

100

50

25

200

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

10

94

GENTIAN VIOLET 1 % - 10 ML

BOTOL

2,901

2,901

50

95

GLIBENCLAMIDE 5 MG TABLET

TABLET

798,600

798,600

1,500

96

GLIMEPIRIDE 2 MG

TABLET

7,600

7,600

97

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50


MG

TABLET

19,290

19,290

90

600

98

GLISERIL GUAIAKOLT 100 MG TABLET

TABLET

456,000

456,000

4,000

2,000

99

GLISERIN LARUTAN

BOTOL

CLG

CBB

11

12

CWD

PM

13

14

40
300

400

100

PWK
15
60

JBG

CTK

16

17

3,000

200

2,000

2,000

1,700

1,000

1,000

200

1,000

18=(7s/d17)

50

2,010
7,000

JUMLAH

7,000

300

8,200

600

2,900

1,020

3,720

4,000 ###

32,000

100 GRISEOFULVIN 125 MG TABLET

TABLET

11,500

11,500

101 HALOPERIDOL 0,5 MG TABLET

TABLET

5,700

5,700

102 HALOPERIDOL 5 MG TABLET

TABLET

13,200

13,200

103 HALOPERIDOL 5 MG INJEKSI

AMPUL

444

444

TUBE

250

250

104 HEPARIN 200,000 IU GEL


105 HEPAPROTEKTOR SYRUP

BOTOL

500

500

106 HEPATOPROTEKTOR TABLET

TABLET

12,510

12,510

107 HIDROKORTISON KRIM 2,5 %

TUBE

29,880

29,880

TABLET

108 HYOSINE N BUTILBROMIDA TABLET

500

200

100

200

1,300

15

1,020

3,060

24

96

900

510

510

120

25

100

100

96

200

100

15,000

15,000

109 IBUPROFEN 125 MG SUPP

SUPP

55

55

110 IBUPROFEN 200 MG SUSPENSI

BOTOL

335

335

300

96

120

24

144

825

1,000

100

1,000

2,400
4

50

55

111 IBUPROFEN 200 MG TABLET

TABLET

112 IBUPROFEN 400 MG TABLET

TABLET

171,700

171,700

113 ISONIAZID 100 MG

TABLET

5,000

5,000

114 ISONIAZID 300 MG

TABLET

6,000

6,000

115 IMUNOSTIMULAN SIRUP

BOTOL

192

192

116 IMUNOSTIMULAN TABLET

TABLET

117 ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

TABLET

500

500

118 ITRAKONAZOL 100 MG

KAPSUL

119 KALCIUM LACTAT 500 MG TABLET

TABLET

29,400

120 KALIUM DIKLOFENAK 50 MG

TABLET

17,000

96,000

125,400
17,000

70

70

121 KANAMYCINE 2 GR

VIAL

122 KAOLIN SUSPENSI

BOTOL

1,040

1,040

123 KETOKONAZOL 200 MG TABLET

TABLET

10,000

10,000

124 KETOKONAZOL KRIM 2 %

TUBE

3,588

3,588

125 KETOPROFEN 100 MG

TABLET

5,300

5,300

126 KETOROLAC INJ 10 MG

AMPUL

230

230

127 KLORAMFENIKOL 250 MG KAPSUL

KAPSUL

32,000

32,000

1,500

3,000

1,000

2,000

9,000

4,000

600

1,000

22,100
-

40

20

30

100

192

2000

500

400

2000

500

1500

1600

4,000

12,500
-

48
50
20

24

100

50

72

48
150

24

500

100

600

100

200

390
600
-

200

1,000

1,900

NO

NAMA OBAT

128 KLORAMFENIKOL 1 %SALEP MATA

SATUAN

STOCK
AWAL

TUBE

PENERIMAA PERSEDIAA
N
N
5

3,500

6=4+5
3,500

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

10

CLG

CBB

11

96

75

12
24

CWD

PM

13

14

PWK
15

50

50

24

16
25

17
24

18=(7s/d17)
25

393

BOTOL

218

218

130 KLORAMFENIKOL 0,5 % TETES MATA

BOTOL

8,900

8,900

100

100

50

75

25

100

100

50

100

700

131 KLORAMFINEKOL 3 %TETES TELINGA

BOTOL

1,600

1,600

96

96

48

72

48

96

48

48

100

652

132 KLARITROMISIN 500 MG

TABLET

600

600

133 KODEIN FOSFAT 20 MG TABLET

TABLET

5,000

5,000

134 KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5


MG KRIM

TUBE

4,708

4,708

135 KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25 MG +


PARASETAMOL 400 MG/hustab/tuzalos

TABLET

46,800

46,800

137 KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA

JUMLAH

CTK

129 KLORAMFENIKOL SUSPENSI

136 KOMB. BUDENOSID FORMATEROL 80/4,5 MCG,60 DOSIS

15

JBG

1,000

1,000

48

100

150

20

100

40

250

828

BOTOL 60
ML

2,362

2,362

180

200

60

139 KOMB.BETAMETASON, DEKSKLORFENIRAMIN


MALEAT/zestam

TABLET

19,000

19,000

1,500

1,000

900

140 KOMB.METHAMPYRON + DIAZEPAM/danalgin

TABLET

14,900

14,900

141 KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL


+ CTM/febrinex

BOTOL

650

650

142 KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT/benacol

BOTOL

8,146

8,146

143 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


TABLET/flutab

TABLET

44,120

44,120

144 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


SYRUP/protexinal

BOTOL

1,734

1,734

145 KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100


MG

TUBE

108

108

TABLET

1,300

1,300

BOTOL 60
ML

3,800

3,800

147 KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG


SYRUP / TREMENZA SYRUP

120

756

146 KOMB.TEOFILIN + SALBUTAMOL TABLET/teosal

35

756

138 KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +


GG + CTM SYRUP/dextral

15

BOTOL

120

40

160
300

1,000

1,000 ###
200

150
20

960

150

600
10

100

840

960

4,320

1,080

500

700

100

250

200

470

1,440

10,200
110

###

100
5

6,400

100

50

100

1,440

96

120

24

100

10
100

200

120

615

NO

NAMA OBAT

SATUAN
3

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

6=4+5

148 KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG


TABLET / tremenza TABLET

TABLET

62,150

62,150

149 KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +


VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET

TABLET

60,000

60,000

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

150

500

BOTOL

4,415

4,415

100

151 KOTRIMOKSAZOL ADULT 480 MG TABLET

TABLET

30,000

30,000

800

152 KOTRIMOKSAZOL PEDIATRIK TABLET

TABLET

13,240

13,240

153 LEVOFLOXACIN 500 MG TABLET

TABLET

4,150

4,150

AMPUL

8,200

8,200

155 LINCOMYCIN 500 MG KAPSUL

TABLET

20,040

20,040

300

2,000

150 KOTRIMOKSAZOL SUSPENSI

154 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

1,500

1,500

800

2,000

700

1,000 ###

2,500

500

1,500

300

1,500

1,000

100

50

600

800

1,000

70
200

90

130

210

500

300

500

779

779
22,800

158 MELOXICAM 7,5 MG

TABLET

19,500

19,500

159 MELOXICAM 15 MG

TABLET

42,500

42,500

1,500

500

1,000

1,500

3,000

500

160 METFORMIN 500 MG

TABLET

160,100

160,100

500

600

1,000

3,000

1,500

800

161 METFORMIN 850 MG

TABLET

162 METHILERGOMETRIN MALEAT 0,125 MG TABLET

TABLET

4,000

4,000

100

163 METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

AMPUL

300

300

10

164 METHYLPREDNISOLON 4 MG TABLET

TABLET

165 METHYLPREDNISOLON 8 MG TABLET

TABLET

800

60
200

22,800

VIAL

10

500

BOTOL

200

45

45

680
1,000

2,700

2,700

3,200
22

200

1,200
1,000

1,000

2,000
8,000

1,000

2,000

10,400
-

400

200

700

10

100

120

1,000

5,700

200

1,000

500

200

600

500

1,000

500

200

167 METOCLOPRAMIDE HCL 10 MG

TABLET

168 METOCLOPRAMIDE SYRUP 5 MG / 5 ML

BOTOL

169 METRONIDAZOL 250 MG TABLET

TABLET

12,200

12,200

200

170 METRONIDAZOL 500 MG TABLET

300

120

48,000

350
7,700

48,000

9,300

600

TABLET

166 METHYLPREDNISOLON 125 MG INJEKSI

1,000 ###

100

157 LOPERAMID 2 MG TABLET

8,150

500

156 LISOL

18=(7s/d17)

200

50 ###
1,000

JUMLAH

200

800

300

1,300

TABLET

12,500

12,500

171 MICONAZOLE SALEP

TUBE

3,000

3,000

172 MINYAK KAYU PUTIH 15 ML

BOTOL

173 MOMETHASON KRIM 0,1 %

TUBE

501

501

20

174 MULTIVITAMIN ANAK DROP

BOTOL

1,148

1,148

90

175 MULTIVITAMIN ANAK SYRUP

BOTOL

11,511

11,511

176 MULTIVITAMIN TABLET

TABLET

53,100

53,100

177 NATRIUM BIKARBONAT 500 MG TABLET

TABLET

52,000

52,000

178 NATRIUM DIKLOFENAK 25 MG TABLET

TABLET

53,000

53,000

200
100

24 ###

400
24

700
24

24

500
48

2,000
168
-

200
600

24
10

144

10

100

50

100

96

100

216

1,000

3,000

500

500

1,500

800

1,500

1,000

1,600

3,000

200

800

50

94

120

474

120

882

2,000

8,700

1,000

1,000

2,000

11,300

NO

NAMA OBAT

179 NATRIUM DIKLOFENAK 50 MG TABLET

SATUAN
3
TABLET

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

6=4+5

25,000

25,000

180 NATRIUM DIKLOFENAK GEL

TUBE

500

500

181 NATRIUM KLORIDA LARUTAN INFUS 0,9%

BOTOL

300

300

182 NATRIUM KLORIDA 100 ML

BOTOL

1,500

1,500

183 NIFEDIPINE 10 MG TABLET

TABLET

86,600

86,600

184 NYSTATIN 500.000 IU TABLET

TABLET

1,800

1,800

185 NYSTATIN VAGINAL TABLET 100.000 IU

TABLET

2,200

2,200

186 NYSTATIN SUSPENSI 100.000 IU/Ml

BOTOL

187 OBH

BOTOL

21,028

21,028

188 OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +


AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

BOTOL

500

500

189 OFLOXACIN 200 MG

TABLET

300

300

190 OFLOXACIN 400 MG

TABLET

4,850

4,850

191 ONDENSETRON INJ

AMPUL

60

60

16,975

16,975

192 OXYTETRASIKLIN HCL 3 % SALEP KULIT

TUBE

193 OXYTETRASIKLIN HCL 1 % SALEP MATA

TUBE

194 OXYTOCIN INJ/SYNTOCINON INJ

AMPUL

195 PANTOCAIN 0,5 % TETES MATA

BOTOL

196 PAPAVERIN 40 MG TABLET

TABLET

197 PAPAVERIN INJEKSI 40 MG/ML

AMPUL

198 PARAFORMALDEHID TABLET 1 GR

TABLET

199 PARASETAMOL 100 MG

TABLET

3,080
5,900
1,400
-

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

500

100

1,000

800

JUMLAH
18=(7s/d17)

500

2,000

4,900

10

10

114

500

200

20

60
20

800

700

20
2,200

100

100
100

100

100

100

144

250

288

480

400

100

100

100

50

75

10

50

25

50

60
100

50

25

10

30

200

300

20

100

50

210

500

2,600

400

1,000

200

1,400

200 PARASETAMOL SUPP 160 MG/PROPIRETIC

SUPP

948

948

201 PARASETAMOL DROPS

BOTOL

7,097

7,097

475
-

3,080
5,900

1,762

25

56

15

200

20

112

428

202 PARASETAMOL SYROP 120 MG / 5 ML

BOTOL

35,841

35,841

100

100

150

200

150

300

350

200

600

2,150

203 PARASETAMOL 500 MG

TABLET

1,216,100

1,216,100

800

15,000

7,200

10,800

8,000

10,800

10,800

12,000

15,000

90,400

204 PERMETHRIN KRIM 5 %

TUBE

1,000

1,000

20

12

10

50

10

50

100

252

205 PIRANTEL PAMOAT 125 MG

TABLET

16,800

16,800

206 PIRAZINAMID 500 MG

TABLET

47,600

47,600

207 PIRIDOKSIN (VIT B6 ) TABLET 10 MG

TABLET

202,000

202,000

2,000

208 PIROXICAM

TABLET

118,200

118,200

1,560

600

600

600

2,040

209 POLIKRESULEN CAIRAN

BOTOL

204

204

210 POVIDON IODIDA 30 ML

BOTOL

971

971

211 POVIDON IODIDA 60 ML

BOTOL

1,000

1,000
2,040

1,080 ###
10

10

3,000

7,000
9,600

29
21
-

NO

NAMA OBAT

212 POVIDON IODIDA 300 ML

SATUAN

STOCK
AWAL

BOTOL

PENERIMAA PERSEDIAA
N
N
5

302

6=4+5
302

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

10

11

CBB
12
2

BOTOL

136

136

214 PREDNISON TABLET 5 MG

TABLET

51,000

51,000

215 PROPANOLOL 40 MG

TABLET

216 RANITIDIN TABLET

TABLET

137,500

137,500

217 RANITIDIN INJ 25 MG/2ML

AMPUL

233

233

218 RETINOL 100,000 IU

BOTOL

1,482

1,482

219 RETINOL 200,000 IU

BOTOL

1,000

1,000

220 RIFAMPICIN 450 MG

TABLET

40,600

40,600

LABU

1,023

1,023

222 RISPERIDONE 1 MG TABLET

TABLET

35,200

35,200

200

223 RISPERIDONE 2 MG TABLET

TABLET

60,000

60,000

100

224 SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL

AMPUL

104

104

226 SALBUTAMOL 2 MG TABLET

TABLET

46,600

46,600

227 SALBUTAMOL 4 MG TABLET

TABLET

31,900

31,900

221 RINGER LAKTAT LARUTAN INFUS

225 SALBUTAMOL INHALER 100 MCG, 200 DOSIS

228 SALEP 2 - 4

13

14

15

JBG

CTK

16

17

JUMLAH
18=(7s/d17)

105

2
4,000

1,000 ###

4,000

10,000

1,000

17,200

800

2,000

67

2,000

1,000

2,500

2,000

100

133

2,000

3,700

200

233

15

18

15

18

13

15

20

19

200

88

78

120

100

117

78

111

122

814

40

180

10

10

254

1,500

1,700

500

500

1,000

2,100

12

POT

800

200 ###

4,400

4,400

230 SALISIL MENTOL BEDAK

BOTOL

4,662

4,662

100

###

800

1,000

200

500

4,000

800

700

100

1,000

2,800

300

300

50

231 SEFADROKSIL SYRUP

BOTOL

940

940

232 SEFADROKSIL 250 MG

KAPSUL

4,650

4,650

500

233 SEFADROKSIL 500 MG

KAPSUL

4,100

4,100

500

234 SETRALINE 50 MG TABLET

TABLET

4,230

4,230

235 SIANOCOBALAMIN TABLET

TABLET

131,000

131,000

236 SIANOCOBALAMIN / VIT. B 12 INJ

AMPUL

TUBE

321

321

76,700

76,700

TABLET

200

100

KOTAK

238 SIMVASTATIN TABLET

PWK

229 SALISIL BEDAK 2 %

237 SILVER SULFADIAZINE 10 MG / 35 GR CREAM

PM

213 POVIDON IODIDA 1 L

CWD

239 STESOLID RECTAL SUPP

TUBE

121

121

240 STREPTOMISIN SERBUK INJ 1500 MG/ML

VIAL

919

919

241 SULFASETAMIDA NATRIUM TETES MATA

BOTOL

6,070

6,070

242 TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG

TABLET

121,400

121,400

243 TETRASIKLIN 500 MG KAPSUL

KAPSUL

3,800

3,800

244 TEOFILIN 300 MG TABLET

TABLET

44,000

44,000

96

50

50

200

48

24

24

170

462

10
300

1,000

10
200
300

600

700
300

500

2,150

1,000

4,000
-

3,000

3,000
-

2
700

6
400

200

200

500

1,800

1,200

50

72

48

24

2,000

1,300

200

3,000

8,000
56
-

400

200

1,000

500

200

200

144
1,500

7,300
200
-

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5
-

6=4+5

245 THIAMIN (VIT.B1) 100 MG / ML INJ

AMPUL

246 THIAMIN (VIT.B1) 50 MG TABLET

TABLET

97,000

97,000

247 THIAMPHENIKOL 500 MG KAPSUL

KAPSUL

34,100

34,100

248 TRAMADOL HCI 50 MG TABLET

TABLET

PEMAKAIAN

JUMLAH

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

3,000

2,000

2,000

1,000

6,000

5,000

4,000

5,000

28,000

500

800

18=(7s/d17)
-

300

249 TRAMADOL HCI 50 MG/ML INJ

AMPUL

220

220

250 TRIHEKSILPHENIDIL 2 MG TABLET

TABLET

171,300

171,300

2,000

400

500

600

30
700

2,000

30

251 VITAMIN B KOMP. TABLET

TABLET

800,000

800,000

10,000

1,000

2,000

1,000

5,000

3,000

252 ZINC / ZINCDIAR TABLET

TABLET

37,800

37,800

1,000

200

700

700

6,200
5,000

27,000
2,600
-

ALAT KESEHATAN DAN REAGEN

ALAT AUTOCLIX/LANCET DEVICE

SET

32

32

ALAT SUNTIK SEKALI PAKAI 1 ML

BUAH

3,000

3,000

3
4

ALAT SUNTIK SEKALI PAKAI 3 ML

BUAH

16,500

16,500

ALAT SUNTIK SEKALI PAKAI 5 ML

BUAH

8,400

8,400

ALAT SUNTIK SEKALI PAKAI 10 ML

BUAH

800

800

ALAT SUNTIK SEKALI PAKAI 20 ML

BUAH

140

140

ALAT PEMERIKSAAN HB

BUAH

22

22

ALCOHOL SWABS

90,000

90,000

BISTURI

BUAH

807

807

10

BLOOD LANCET

BUAH

9,800

9,800

11

CAIRAN PENCUCI ANTISEPTIK

GALON

15

15

12

CATGUT DENGAN JARUM BEDAH

SACHET

5,831

5,831

13

CATGUT CHROMIC

ROLL

14

DENGUE IgG AND IgM DROP TEST

SET

15

DENGUE N5 1 ANTIGEN

SET

16

DEX GLASS

BUAH

81

81

17

EDTA VACUM TUBE 5 ML

BUAH

96

96

18

FESCOPLAST

ROLL

19

FOLEY CATETHER

BUAH

30

30

20

GLUCOSA TEST TIP

TIP

8,710

8,710

21

GOLONGAN DARAH KIT

SET

34

34

22

H2O2

BOTOL

16

16

23

HAND SCONE / SURGICAL GLOVE

LEMBAR

52,300

52,300

24

HAND SCONE STERILE

PASANG

700

700

25

HCG CASETTE / PP TEST

SACHET

1,070

1,070

SACHET

400

100

200

100

100

200

300

100

1,100
-

10

10
1,000

100

###

400

600

100

2,000
300

200

200
-

12

20

10

100

144

10

30

15
150

180
1

3
100

500 ###

1,500

1,000

2,000

100

20

3
800

500

1,000

7,900
120

210

210

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5
-

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

26

HEMASITO METER

BUAH

27

ISI AUTOCLIX

KOTAK

28

INFUSION SET ANAK

SET

158

158

29

INFUSION SET DEWASA

SET

1,000

1,000

30

IODIUM TEST

BOTOL

78

78

31

IV CATETHER

SACHET

4,737

4,737

32

JARUM JAHIT

BUAH

270

270

33

KACA MULUT

34

KAPAS PEMBALUT 250 GR

35

KAPSUL KOSONG NO.0

36

KAPSUL KOSONG NO.1

37

KASSA HIDROFIL 40 X 40

38

23,760

JUMLAH
18=(7s/d17)

23,760

30

510

450

10
7

10

150

100

20

71

60

168

210

600

1,800

16

281
-

25

344

20

20

BUAH

80

80

BUNGKUS

187

187

BUAH

24,000

24,000

24,000

BUAH

30,000

30,000

30,000

LEMBAR

440

440

KASSA HIDROFIL GULUNG

ROLL

100

100

39

KASSA STERIL

KOTAK

937

937

40

KASSA 4 M X 15 CM

ROLL

980

980

41

LAMPU SPIRITUS

BUAH

42

LARUTAN ASAM ALKOHOL

BOTOL

43

LARUTAN KOH 10 % 250 ML

BOTOL

16

16

44

LOMATUELL H 10 X 10 CM

KOTAK

110

110

45

METILEN BLUE 250 ML

BOTOL

16

16

46

MICROPIPET 3 UKURAN

BUAH

47

MASKER

BUAH

44,000

44,000

48

MASKER OXYGEN FOR ADULT

BUAH

121

121

49

MASKER OXYGEN FOR CHILD

BUAH

120

120

50

MATA BOR HIGH SPEED BUNDAR

BUAH

45

45

51

MATA BOR HIGH SPEED FISURE

BUAH

45

45

52

MATA BOR HIGH SPEED INVERTED CONE

BUAH

45

45

53

MATA SCALLER

BUAH

54

NASO GASTRIC TUBE

TUBE

18

18

55

NEBULIZE MASK FOR INFANT

BUAH

127

127

56

NEBULIZE MASK FOR ADULT

BUAH

130

130

57

NEEDLE

BUAH

55

55

58

OBJECT GLASS

BUAH

240

240

59

OIL IMERSI

BOTOL

16

16

60

OSE

BUAH

16
24,000
30,000

100

100

100

140

440
-

21

12

10
100

30

50

50

400

123
100

650

1
-

350

200

500

500

1,000

450

1,000

500

4,500

5
-

2
1

46

2
10

56

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

61

PENJEPIT TABUNG

BUAH

22

22

62

PIPET BESAR

BUAH

63

PIPET KECIL

BUAH

64

PLESTER

ROLL

322

322

65

POT DAHAK

BUAH

66

POWDER ENZIMATIC ALKAZYME

BUAH

67

PURIFIED PROTEIN DERIVATIVE 2 UT

VIAL

13

13

68

SELANG O2 ANAK

BUAH

58

58

10

10

69

SELANG O2 DEWASA

BUAH

40

40

10

10

70

SGOT/SGPT TEST

71

SILK DENGAN JARUM BEDAH

48

108

72

STRIP ASAM URAT

73

SET

20

36
-

###

SACHET

756

756

STRIP HB

BOX

201

201

74

STRIP GULA DARAH

BOX

78

78

75

STRIP PROTEIN DAN GLUKOSA

BOX

76

STRIP KOLESTEROL

BOX

77

VENOJECT

KOTAK

18

18

78

YELLOW TIP

BUAH

19

19

79

TABUNG REAKSI BESAR

BUAH

37

37

80

TABUNG REAKSI KECIL

BUAH

63

63

81

TERMOMETER DIGITAL

BUAH

30

30

82

TORNIKUET

BUAH

102

102

83

UMBILICAL CORD CLAMP

BUAH

18,000

18,000

84

UNDER PAD 80 X 180 CM

BUAH

104

104

85

URINE BAG

BUAH

229

229

86

URINE TEST 3 PARAMETER

KOTAK

87

WIDAL TEST

KOTAK

88

WHITE TIP

BUAH

24

24

89

MASKER N 95 TYPE 1870

KOTAK

90

POCH PACK D

BUAH

91

POCH PACK L

BUAH

92

CHECK CONTROL HEMATOANALYZER

BUAH

93

CELL CLEAN HEMATOANALYZER

BUAH

94

CALIBRATION SCS

BUAH

95

CELL PACK HEMATONANALYZER

BUAH

96

STROMALYSER WH

BUAH

60

20

30

50

100

150
-

10

20

30

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

97

CHECK CONTROL HEMATOANALYZER XP 100

BUAH

98

CELL CLEAN HEMATOANALYZER XP 100

BUAH

99

CALIBRATION SCS XP 100

BUAH

1
2

OBAT GIGI

ARSEN

BOTOL

ARTIKULATING PAPER

KOTAK

AIR RAKSA DENTAL USE

BOTOL

73

73

BEIN GIGI

SET

CALCIDOR

POT

CEVITRON

BUAH

136

136

CHKM

POT

16

16

10

CRESOPEN

BOTOL

10

10

11

DENTORIT

BOTOL

12

DYCAL

BOTOL

16

16

13

ETIL KLORIDA SPRAY

BOTOL

216

216

14

EUGENOL CAIRAN

BOTOL

185

185

15

IODOFORM PASTA

POT

14

14

16

GLASS IONOMER ART

SET

50

50

17

OCO / TSR

BOTOL

10

10

18

SILVER AMALGAM SERBUK 65 - 75 %

BOTOL

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

SET

12

12

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

SET

2 ###

Cilegon, 30 Juli 2015


kepala Bidang Sumber Daya Kesehatan

Kepala Seksi Farmasi dan Peralatan Kesehatan

Dra.E.Yolanda P,Apt.MKM

Riris Sinaga, S.Si., Apt.

Nip. 19660223 199203 2 002

NIP. 19740620 200312 2 003

Pemberian
STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
4,151

1 ACYCLOVIR 5 GR KRIM

3,150

25

78,750

75

13,400

1 ACYCLOVIR 200 MG TABLET

534

20,000

1 ACYCLOVIR 400 MG TABLET

648

400

55,800

ALLOPURINOL 100 MG TABLET

86

2,000

1 ALLOPURINOL 300 MG TABLET

199.50

3,300

150

495,000

200

660,000

2,000

249,700

1,000

124,850

25,400

1 AMBROXOL SYRUP 15 MG / 5 ML

200
-

17,200
-

15,000

AMBROXOL TABLET 30 MG

124.85

1,000

1 AMINOFILIN 200 MG TABLET

80

40,800

AMITRIPTILIN 25 MG TABLET

102

1 AMLODIPIN 5 MG TABLET

240

1 AMLODIPIN 10 MG TABLET

440

1,740
-

2,000

249,700

34,400

236,250

1,370

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

4,750

17,200

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

3,700

100

370,000

50

44,500

AMOXICILLIN 250 MG KAPLET

211

800

168,800

494,600

AMOXICILLIN 500 MG KAPLET

261

800

208,800

AMOXICILLIN + AS.KLAVULANAT

300

181,100

ANTALGIN 500 MG TABLET

116

800

224,400

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA


200 MG + ALUMUNIUM HIDROKSIDA 200 MG)

1,800

1
3,600

800
-

81

64,800

522,000

1,500
-

200
6,000
1,500

121,500

3,850

50

15

ANTI BISA ULAR (ABU) SERUM

473,000

42

ANTI TETANUS SERUM 1500 UI

126,500

2,491

1,566,000
174,000

121,500

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


POLIMIKSIN B 10,000IU/G )

740,000

1,500

100

385,000

3,990

ANTASIDA SUSPENSI

92,800

2,000

185,000

192,500
253,000

25
-

62,275

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
1,970

ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM


1 SALISILAT 3 %)

1,713

1 ANTI HEMOROID DOEN

3,300

ASAM ASCORBIT (VIT.C) 50 MG TABLET

95

31,300

1 ASAM ASCORBIT (VIT.C) 250 MG TABLET

159

800

127,200

200

20,000

10,900
66
73,650
537
300
20,240
180
6,725

ASAM MEFENAMAT 500 MG


ASAM TRANEKSAMAT 500 MG
1 ATROPIN SULFAT INJ
ATTAPULGIT / MOLAGIT TABLET
AQUABIDEST
AQUA PRO INJEKSI 25 ML
1 AZITHROMYCIN 500 MG
BEKARBON
1 BENZATIN BENZIL PENISILIN 2,4 JUTA IU
BETAMETASONE KRIM 0,1 %

BETAHISTIN MESILAT 6 MG TABLET

BETAKAROTEN 500 IU SYRUP

414
1,310
102,600
1,500
83
1,346

BISACODYL 10 MG SUPP
1 BISOPROLOL 5 MG
BROMHEKSIN HCL 8 MG TABLET

100

100

10,000

1,100

1,100

30

367

1,200

15,400

1,000

100,000

532,700
276,300

30

1,500

238,500

1,000

100,000

2,000

33,000

440,400

900

330,300

450

165,150

2,900

4,500

60

270,000

100

116

12,185

1,520

100

924

25,300

6,199

12

2,300

281

450,000

152,000

100
-

152,000
74,388

1 BROMHEKSIN HCL SYRUP

12,100

1 BROMHEKSIN HCL 8 MG / 4 ML SOL

66,000

1 CALAMIN LOTION

12,650

CAPTOPRIL 12,5 MG TABLET

63

300

18,900

1,000

63,000

180,400

CAPTOPRIL 25 MG TABLET

88

700

61,600

300

8,800

21,440

200,000

604,700
810

99,000

CEFIXIME SYRUP KERING 100 MG


CEFIXIME 100 MG

859

210

4,015

26,400
(160*859)+(50*958

CEFOTAXIME INJ 1G

5,000

CEFTRIAXON INJ

5,500

7,999

28,050

700
-

1 CETIRIZINE 5 MG SYRUP
1 CETIRIZINE DROP

11,600

CETIRIZIN 10 MG

18,500

CIMETIDIN TABLET

93,450

CIPROFLOXACIN 500 MG TABLET

4,550

1 CLINDAMYCIN 150 MG KAPSUL

188

114.84

800

91,872

245

400

98,000

500

1,000

188,000

700

131,600

300

56,400
122,500
-

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
612,600
-

1 CLINDAMYCIN 300 MG KAPSUL


CHLORPHENIRAMIN MALEAT (CTM) 4 MG
1 CHLORPROMAZINE 100 MG
DEKSTROMETORPHAN HBR SYRUP
DEKSTROMETORPHAN HBR TABLET 15 MG

527

21.00

800

122

1,379

99

(400*90.97)+(400*21

1,000

21,000

10,000

210,000

2,000

244,000

245

DEKSTROSA LARUTAN INFUS 5 %

5,060

20,240

396

1 DEKSTROSA LARUTAN INFUS 10 %

5,727

22,908

85

DEKSTROSA LARUTAN INFUS 40 %

3,960

62

800

2,000

418,700
2,352
40,000

1 DEXAMETHASON 0,5 MG TABLET


DEXAMETHASON INJEKSI

310,000

200

960

91

3,333

100

333,300

10

DOMPERIDON 10 MG

167

100

16,700

DOXYCYCLINE 100 MG KAPSUL

220

60

1 DIGOKSIN 0,25 MG TABLET


DOMPERIDON 5 MG SUSPENSI

EKSTRAK BELLADONNA TABLET 10 MG

486,000

9,000

5,000

DIFENHIDRAMIN INJ

8,800

124,000

180

27,000

2,000

45

1 DIAZEPAM INJ 5 MG/ML

1,430

49,600

2,344

DIAZEPAM TABLET

136
51,000

33,330

107

EPINEFRIN (ADRENALIN) INJ 0,1%

8,100

888

ERYTHROMYCIN 200 MG SYRUP

7,220

14,440

24

300

17,100

1 ERYTHROMYCIN 250 MG

440

38,500

1 ERYTHROMYCIN 500 MG TABLET

921

800

40,800

1 ETAMBUTOL 500 MG

420

2,200

8,800

25,300

101,200

133

124

1 ETAKRIDIN 0,1 % / RIVANOL

512

1 ETANOL 70 % 1000 ML

4,400
7,000

1 FENITOIN 100 MG KAPSUL


FENOBARBITAL 30 MG TABLET

736,800
-

276,300

173,280

126,500

65

1,176

1 FENOL GLISEROL 10 %

1,008

24

4,710

1 FITOMENADION INJ

3,417

1 FITOMENADION 10 MG TABLET

637

22,000

19,080

91

200

288

800

300

86,400

1,850

75

50

92,510

16,300
4,500
220
16,900
-

1 FLUCONAZOL 150 MG
FLUTICASONE PROPIONATE 0,5 MG / 2 ML
1 FUROSEMID 40 MG TABLET
GAMEKSAN

47,400

1 GARAM ORALIT II SERBUK

1,395

1 GENTAMYCIN SALEP KULIT

18,200
230,400
-

138,765

24,192

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
2,701

1 GENTIAN VIOLET 1 % - 10 ML

790,400

GLIBENCLAMIDE 5 MG TABLET

4,700

GLIMEPIRIDE 2 MG

15,570

50

44,750

54

1,500

81,000

300

16,200

436

100

43,600

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50 MG


1

424,000

895

5,500

1 GLISERIL GUAIAKOLT 100 MG TABLET


1 GLISERIN LARUTAN

90
-

495,000

3,300,000

28

2,000

56,000

4,730

4,000

112,000

600

7,000

11,500

1 GRISEOFULVIN 125 MG TABLET

200

5,700

1 HALOPERIDOL 0,5 MG TABLET

165

11,900

1 HALOPERIDOL 5 MG TABLET

246

500

444

HALOPERIDOL 5 MG INJEKSI

14,724

51,975

235
500
9,450
29,055
12,600
51
280
149,600

35679 HEPARIN 200,000 IU GEL


1 HEPAPROTEKTOR SYRUP

900

4,257,000

510

2,412,300

HIDROKORTISON KRIM 2,5 %

2,399

25

59,975

24

57,576

1,265

55,550

4,499

1 IBUPROFEN 200 MG TABLET

93

IBUPROFEN 400 MG TABLET

1 IBUPROFEN 125 MG SUPP


1 IBUPROFEN 200 MG SUSPENSI

6,000

1 ISONIAZID 300 MG

500
112,900

259,875

4,730

1 ISONIAZID 100 MG

123,000

34,391.50

1 HYOSINE N BUTILBROMIDA TABLET

1 IMUNOSTIMULAN SIRUP
IMUNOSTIMULAN TABLET
ISOSORBIT DINITRAT 5 MG SUB LING.TABLET
ITRAKONAZOL 100 MG
1 KALCIUM LACTAT 500 MG TABLET

149

44

100

239,900

200

253,000

96

230,304

196,000

HEPATOPROTEKTOR TABLET

5,000
-

1,500

223,500

3,000

447,000

107

60,500

121,000

5,280

98

1,400

47

355.30

2,000

94,000

500

23,500

70

1 KANAMYCINE 2 GR

19,800

992

KAOLIN SUSPENSI

12,012

300

20

17,000

9,850

KALIUM DIKLOFENAK 50 MG

KETOKONAZOL 200 MG TABLET

3,198

KETOKONAZOL KRIM 2 %

4,700

KETOPROFEN 100 MG

1,342

KETOROLAC INJ 10 MG

2,539

310

200

230
30,100

KLORAMFENIKOL 250 MG KAPSUL

94,000

4,700

24

112,800

62,084

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
3,107
183

KLORAMFENIKOL 1 %SALEP MATA


1 KLORAMFENIKOL SUSPENSI

1,600

96

153,600

75

120,000

24

38,400

3,800

15

57,000

KLORAMFENIKOL 0,5 % TETES MATA

5,995

100

599,500

100

599,500

50

299,750

948

KLORAMFINEKOL 3 %TETES TELINGA

1,815

96

174,240

96

174,240

48

87,120

600

KLARITROMISIN 500 MG

3,200

1,100

8,200

4,000

KODEIN FOSFAT 20 MG TABLET

3,880

KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5


1 MG KRIM

46,800

KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25 MG +


PARASETAMOL 400 MG/hustab/tuzalos

8,289

922
12,600

7,376

KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +


GG SYRUP

6,160

KOMB.DEKSAMETASON, DEKSKLORFENIRAMIN MALEAT


1

14,200

182
KOMB.METHAMPYRON + DIAZEPAM

1,100
400

KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL +


1 CTM

7,676

33,920

1,100

KOMB.TEOFILIN + SALBUTAMOL TABLET

3,185

KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG


SYRUP / TREMENZA SYRUP

10,000
209

15,840

80,300
-

792,000

10

50
-

209,000

633,600
-

20

960

273,000

8,030

KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100


1 MG

1,500

1,108,800

660

KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM SYRUP


1

180

10,450
KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM
TABLET

1,624

98

15,855

KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT
1

828,900
-

100

1,100,000

1,000
-

397,872

110,500
KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON
VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA

596

48

312

5
-

79,200

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
54,000

KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG TABLET


/ LIBROFED TABLET

50,700

KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +


VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET

4,065

KOTRIMOKSAZOL SUSPENSI

22,300
13,240

KOTRIMOKSAZOL ADULT 480 MG TABLET


1 KOTRIMOKSAZOL PEDIATRIK TABLET

3,550

1 LEVOFLOXACIN 500 MG TABLET

7,520

1 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

16,840
757

1 LINCOMYCIN 500 MG KAPSUL


1 LISOL

21,600

LOPERAMID 2 MG TABLET

150
1,100

165,000

1,056

500
-

50

98,750

50

98,750

138

800

110,400

1,000

138,000

1,500

207,000

50

574

500

1,030

70

72,100

638

13,200

10

91

800

638

72,800

1 METFORMIN 850 MG

260

45
1,400
-

200

127,600

500

39,600

18,200

132,000

42,300

100

105

1,199

287,000

1 METFORMIN 500 MG

2,750

200

149,700

METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

154

197,500

2,112,000

100

MELOXICAM 15 MG

180

330,000
-

34,500

METHILERGOMETRIN MALEAT 0,125 MG TABLET

2,000

1 MELOXICAM 7,5 MG

3,300

300
1,650,000

1,975

17,500

1,500
550,000

57,400
319,000

1,500

500

1,798,500

500

599,500

52,500

600

63,000

205

METHYLPREDNISOLON 8 MG TABLET

300

200

60,000

59,000

METHYLPREDNISOLON 125 MG INJEKSI


METOCLOPRAMIDE HCL 10 MG
METOCLOPRAMIDE SYRUP 5 MG / 5 ML

1,000

300,000

500

METHYLPREDNISOLON 4 MG TABLET

150,000

200

60,000

91

2,830

12,000

METRONIDAZOL 250 MG TABLET

123

200

24,600

10,500

METRONIDAZOL 500 MG TABLET

164

300

49,200

100

16,400

3,000

24

72,000

24

72,000

2,832

1 MICONAZOLE SALEP

4,070

407

1 MOMETHASON KRIM 0,1 %

17,800

20

674

1 MULTIVITAMIN ANAK DROP

13,750

90

1 MULTIVITAMIN ANAK SYRUP

20,680

528

200

14

133

600

10,629
44,400

MULTIVITAMIN TABLET

51,000

NATRIUM BIKARBONAT 500 MG TABLET

41,700

1 NATRIUM DIKLOFENAK 25 MG TABLET

356,000
(12*16335)+(137
105,600
79,800

10

137,500

50

1,034,000

1,000

528,000

800

106,400

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
20,100
500
186

1 NATRIUM DIKLOFENAK 50 MG TABLET


1 NATRIUM DIKLOFENAK GEL
NATRIUM KLORIDA LARUTAN INFUS 0,9%

176

15,895

4,700

18,800

500

1,480

NATRIUM KLORIDA 100 ML

11,110

84,400

NIFEDIPINE 10 MG TABLET

112

800

NYSTATIN 500.000 IU TABLET

640

NYSTATIN VAGINAL TABLET 100.000 IU

407

30,800

4,000

100

100

1,700
2,100
19,266
400

NYSTATIN SUSPENSI 100.000 IU/Ml


OBH
OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +
AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

10,725

89,600

400,000

23,500

400,000

144

88,000

576,000

300

OFLOXACIN 200 MG

413

4,850

1 OFLOXACIN 400 MG

873

ONDENSETRON INJ

6,050

1,450

100

50

2,100

200

16,500
2,870
3,300
1,400
948
6,669
33,691

1 OXYTETRASIKLIN HCL 3 % SALEP KULIT

1 OXYTOCIN INJ/SYNTOCINON INJ

13,913

PANTOCAIN 0,5 % TETES MATA

OXYTETRASIKLIN HCL 1 % SALEP MATA

145,000

10

139,130

16,100

PAPAVERIN 40 MG TABLET

119

400

1 PAPAVERIN INJEKSI 40 MG/ML

530

1 PARAFORMALDEHID TABLET 1 GR

60

1 PARASETAMOL 100 MG

32

7,040

5,227

25

130,675

1,319

100

131,900

100

131,900

150

197,850

67,200

15,000

1,260,000

7,200

604,800

20

229,500

12

137,700

1 PARASETAMOL SUPP 160 MG/PROPIRETIC


PARASETAMOL DROPS
1 PARASETAMOL SYROP 120 MG / 5 ML

47,600

1,125,700

1 PARASETAMOL 500 MG

84

800

748

PERMETHRIN KRIM 5 %

11,475

72,500

23,800

16,800

1 PIRANTEL PAMOAT 125 MG

290

47,600

1 PIRAZINAMID 500 MG

198

18

2,000

36,000

83.93

1,560

130,931

600

50,358

85,800

195,000

1 PIRIDOKSIN (VIT B6 ) TABLET 10 MG

108,600

1 PIROXICAM

28,600

57,200

950

POVIDON IODIDA 30 ML

2,163

6,489

POVIDON IODIDA 60 ML

3,500

175

1 ALBOTYL

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
197

POVIDON IODIDA 300 ML

14,000

134

POVIDON IODIDA 1 L

42,000

57

120

120

800

1,928

41,000

PREDNISON TABLET 5 MG

120,300

PROPANOLOL 40 MG
1 RANITIDIN TABLET

4,000

56,000
228,000
96,000

1,282

1 RETINOL 100,000 IU

14,300

67

186

1 RETINOL 200,000 IU

459

40,600

1 RIFAMPICIN 450 MG

660

1 RINGER LAKTAT LARUTAN INFUS

5,200

12

33,500

1 RISPERIDONE 1 MG TABLET

1,500

57,900

1 RISPERIDONE 2 MG TABLET

1,008

769

1 RANITIDIN INJ 25 MG/2ML

104

SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL

253,260

42,600

SALBUTAMOL 2 MG TABLET

4,100

2,000

59

800

96

1,000
2,000

62,400

63,750

240,000

958,100

47,200

1,000
-

57,000
120,000
-

18

88

40,392

78

35,802

10,400

200

11,800

200

100

9,600

1 SALISIL BEDAK 2 %

1,250

3,630

50

SALISIL MENTOL BEDAK

240,000

1,000

28,000

15

4,200

57,000

257,400

4,950

SALBUTAMOL 4 MG TABLET

214,500

1 SALEP 2 - 4

29,100
-

181,500

96

930

1 SEFADROKSIL SYRUP

5,248

2,500

1 SEFADROKSIL 250 MG

468

500

234,000

50

100

SEFADROKSIL 500 MG

254,500

300

348,480
23,400

509

500

4,230

SETRALINE 50 MG TABLET

12,100

128,000

SIANOCOBALAMIN TABLET

12

520

58,300

116,600

391

700

273,700

400

1 SIANOCOBALAMIN / VIT. B 12 INJ

315

SILVER SULFADIAZINE 10 MG / 35 GR CREAM

68,700

SIMVASTATIN TABLET

233,200

153,900

11,800

156,400

23,540

919

1 STREPTOMISIN SERBUK INJ 1500 MG/ML

2,090

5,926

SULFASETAMIDA NATRIUM TETES MATA

3,226

65

114,100

STESOLID RECTAL SUPP

TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


1 MG+ASAM FOLAT 0,25 MG

3,600
44,000

TETRASIKLIN 500 MG KAPSUL


1

1,023

400
-

409,200

200
-

1,000
204,600

1,023,000

186

1,050

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
69,000
33,300
190

THIAMIN (VIT.B1) 100 MG / ML INJ


THIAMIN (VIT.B1) 50 MG TABLET
THIAMPHENIKOL 500 MG KAPSUL
35791 TRAMADOL HCI 50 MG TABLET
TRAMADOL HCI 50 MG/ML INJ

165,100

TRIHEKSILPHENIDIL 2 MG TABLET

773,000

VITAMIN B KOMP. TABLET

35,200

ZINC / ZINCDIAR TABLET

NEO KAOMINAL SUSPENSI

700

69.96

431

323

5,400

209,880

2,000

139,920

300

129,300

3,000

40

2,000

80,000

107

10,000

1,070,000

474

6,000

ALAT KESEHATAN DAN REAGEN

32

ALAT AUTOCLIX/LANCET DEVICE

110,000

2,800

ALAT SUNTIK SEKALI PAKAI 1 ML

2,662

15,400

ALAT SUNTIK SEKALI PAKAI 3 ML

3,120

400

100

8,400

ALAT SUNTIK SEKALI PAKAI 5 ML

7,750

ALAT SUNTIK SEKALI PAKAI 10 ML

3,300

10

790

1,248,000

312,000
33,000

200

624,000

8,360

550,000

ALCOHOL SWABS

275

BISTURI

550

100

396

902,000

78,100

12

5,415,500

1,375,000

1,196,250

81

DEX GLASS

39,050

96

EDTA VACUM TUBE 5 ML

302,500

FESCOPLAST

15

FOLEY CATETHER

15,400

GLUCOSA TEST TIP

8,323

30

249,690

935,000

20,900

880

100

500

8,800

13,200

140
22
88,000
507

ALAT PEMERIKSAAN HB

9,600
15
5,687
-

8,530

CATGUT DENGAN JARUM BEDAH


CATGUT CHROMIC

33

GOLONGAN DARAH KIT

13

H2O2

44,400

HAND SCONE / SURGICAL GLOVE

580

HAND SCONE STERILE

860

HCG CASETTE / PP TEST

937,200

88,000

55,000

440,000

500

440,000

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
21,960

HEMASITO METER
ISI AUTOCLIX

1,632.00

30

48,960

142

INFUSION SET ANAK

8,800

35,200

719

INFUSION SET DEWASA

7,321

29,284

20

36,605

78

IODIUM TEST

20,900

4,393

IV CATETHER

22,000

25

250

JARUM JAHIT

20,900

80

KACA MULUT

102,300

20,130

171

KAPAS PEMBALUT 250 GR

51,247

550,000

80,520

440,000

KAPSUL KOSONG NO.0

34.65

24,000

831,600

KAPSUL KOSONG NO.1

34.65

30,000

1,039,500

KASSA HIDROFIL 40 X 40

1,980

130,000

21

143,220

10

100

KASSA HIDROFIL GULUNG

814

KASSA STERIL

6,820

330

KASSA 4 M X 15 CM

5,882

12

81,840

68,200

LAMPU SPIRITUS

LARUTAN ASAM ALKOHOL

16

LARUTAN KOH 10 % 250 ML

26,999.50

101,750

64,900

2,090,000

330

350

121

22,000

120

22,000

45

MATA BOR HIGH SPEED BUNDAR

24,970

45

MATA BOR HIGH SPEED FISURE

24,970

45

MATA BOR HIGH SPEED INVERTED CONE

24,970

236,500

NASO GASTRIC TUBE

21,450

NEBULIZE MASK FOR INFANT

40,700

NEBULIZE MASK FOR ADULT

40,700

110,000

28,000

46

280,500

13,500

109

LOMATUELL H 10 X 10 CM

16

METILEN BLUE 250 ML

MICROPIPET 3 UKURAN

39,500

1
13
127
128
53
184
16
2

MASKER

MATA SCALLER

NEEDLE
OBJECT GLASS
OIL IMERSI
OSE

1,300,200

115,500

81,400

200

66,000

STOCK
AKHIR

NAMA OBAT

HARGA

DINAS

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
22

PENJEPIT TABUNG

PIPET BESAR

PIPET KECIL

20

286

PLESTER

5,400

8,166.67

163,333

16,333

POT DAHAK

POWDER ENZIMATIC ALKAZYME

946,000

PURIFIED PROTEIN DERIVATIVE 2 UT

702,240

48

SELANG O2 ANAK

13,200

30

SELANG O2 DEWASA

13,200

1,082,950

3,055.56

3,212

191,500

STRIP GULA DARAH

95,000

STRIP PROTEIN DAN GLUKOSA

94,996

STRIP KOLESTEROL

13,904

18

VENOJECT

242,000

19

YELLOW TIP

66,660

37

TABUNG REAKSI BESAR

2,015

63

TABUNG REAKSI KECIL

2,015

34,320

22,000

1
648
201
48
8

SILK DENGAN JARUM BEDAH


STRIP HB

30
102

TORNIKUET

1,000

17,850

7
9

URINE BAG
URINE TEST 3 PARAMETER
WIDAL TEST

13,200

247,500

1,396,000

133,100

104
199

24

STOCK
AKHIR

NAMA OBAT

HARGA

DINAS

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
-

ARSEN

484,000

ARTIKULATING PAPER

291,500

AIR RAKSA DENTAL USE

225,500

3,740,000

OBAT GIGI

73
-

CALCIDOR

209,000

136

CEVITRON

115,500

70,000

16

CHKM

10

CRESOPEN

770,000

DENTORIT

154,000

DYCAL

534,600

207

ETIL KLORIDA SPRAY

145,200

185

EUGENOL CAIRAN

3,178

14

IODOFORM PASTA

302,500

50

GLASS IONOMER ART

687,500

10

OCO / TSR

110,000

SILVER AMALGAM SERBUK 65 - 75 %

1,265,000

12

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

418,000

16

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

36,300

1,158,786

13,893,913

435,600

6,748,300

27,512,985

22,804,041

CBB
Pemakaian

CWD
Harga

Pemakaian

50

157,500

100

200

106,800

PM
Harga

Pemakaian

315,000

200

Pemakaian

25

78,750

1,000

534,000

900

400

34,400

1,000

Pemakaian
-

480,600
86,000

Pemakaian

Harga

50

157,500

150

472,500

1,496,250

100

53,400

400

213,600

1,388,400

1,000

86,000

86,000

1,000

50

165,000

300

990,000

500

1,650,000

4,620,000

1,000

124,850

1,000

124,850

1,000

124,850

1,000

124,850

500

1,000

124,850

1,310,925

62,425

361,200

330,000

Harga

100

Harga

CTK

330,000

Harga

JBG

100

17,200

PWK

500

51,000

51,000

3,000

720,000

3,247,200

2,010

482,400

200
7,000

740,000
1,827,000

600

144,000

50
1,000

185,000
261,000

1,500

2,000
121,500

192,500

946,000

253,000

186,825

5,010

1,202,400

50

50

185,000

450

1,665,000

4,000

844,000

8,000

1,688,000

1,100

232,100

6,000

1,266,000

4,198,900

5,000

1,305,000

9,600

2,505,600

4,000

1,044,000

10,000

2,610,000

11,849,400

210

63,000

63,000

2,000

232,000

1,368,800

486,000

2,211,300

2,000

232,000

3,000

348,000

4,000
405,000

237,500

350

2,500

324,000

385,000

100

946,000

253,000

385,000

125
-

290,000

5,000

100

216,000

237,500

900

162,000
50

482,400

5,000

75

2,010

473,000

253,000

50
311,375

#VALUE!

6,000
405,000

AQ24*2277

150

577,500

2,117,500

2,365,000

1,012,000

75
124,550

186,825

871,850

CBB
Pemakaian

CWD
Harga

Pemakaian

165,000
-

1,500

238,500

2,000

200,000

200

220,000

600

Harga

Pemakaian

50

PM

220,200

165,000

2,000

200,000

Pemakaian

Harga

Pemakaian

40

JBG

132,000
-

5,000

795,000

6,000

600,000

Harga

Pemakaian

60

CTK

198,000
-

2,000

318,000

3,500

350,000

30
-

Harga

99,000
-

3,000

477,000

5,000

500,000

20
-

66,000
-

4,000
2,000

200,000

2,480,000

450

220,200

600

220,200

600

220,200

20

20

165,150

760

150

50

18

111,582

12

300

260,358

74,388
84,300

2,700

758,700

1,200

337,200

600

168,600

337,200

1,686,000
-

50

632,500

759,000

2,000

126,000

500

31,500

598,500

5,000

440,000

600

52,800

932,800

#VALUE!

2,000

126,000

176,000

2,000

176,000

1,700

107,100

1,200

126,000

874,000

2,000
-

152,000

88,160

2,000

100

126,500

76,000

10

114,000

33,000
1,981,800

75

220,000

720,000

228,000

88,160

2,830,200

600

924,000

636,000

Harga

50

PWK

500

700
500
200

131,600
122,500
-

800
400
-

150,400
98,000
-

500

94,000

400

500

57,420

200

22,968

1,000

245,000

500

122,500

500

600

200

100

75,200

300

94,000
122,500
-

921,200
172,260
931,000
-

CBB
Pemakaian
5,000

CWD
Harga

Pemakaian
-

105,000

PM
Harga

Pemakaian

Pemakaian

7,200

151,200

1,000

122,000

28,635

5
1,000

217,000

Harga

3,500

PWK

JBG
Harga
-

7,200

Pemakaian

AM70*90.97

3,600

CTK
Harga

Pemakaian
-

75,600

Harga
-

10,800

226,800

#VALUE!

366,000

146,740

166,083

20

101,200

20

114,540

19,800

10

39,600

62,000

5,000

310,000

5,000

25,300

310,000

3,000

186,000

6,000

372,000

59,400
1,940,600

9,000

50

166,650

10

1,000

167,000

183,700
-

50

166,650

33,330

50

166,650

100

333,300

1,233,210

486,000

20

15

100

200

11,000

11,000

30,800

126,500

50,600

531,300

2,900

385,700

50,600

30

102,510

144,400
92,100
-

30

75,900

921,000

48,384

24

24,192

24

24,192

120,960

60

205,020

90

307,530

90

307,530

1,025,100

127,400

300

200

100

9,100
86,400

191,100

200

500
50

18,200
-

2,900

385,700

2,210,400

48

V104*1469

1,000

102,510

100

613,700

57,600

(65*1469)+(10*18

173,280

75

184,200

24

300

200

108,300

771,400
-

318,500

100

144,000

700

201,600

200

92,510

25

46,255

57,600
-

400
100

9,100
115,200
AQ104*1469

54,600
979,200
#VALUE!

CBB
Pemakaian

CWD
Harga

Pemakaian

40

35,800

400

21,600

PM
Harga

Pemakaian

Pemakaian

Harga

Pemakaian

Harga

Pemakaian

60

53,700

50

108,000

1,700

91,800

300

16,200

442,800

1,000

436,000

1,000

436,000

200

87,200

600

261,600

1,264,400

5,610,000

20,460,000

112,000

896,000

2,010
-

179,000

1,020
-

200

200

1,000

49,200
155,925

100
2

2,412,300

120

567,600

100

239,900

96

230,304

96

100

126,500

4
5
1,000
40

103,950

510

24,600

7,000

196,000

3,000

28,000

11,055,000

Harga

2,000

44,750

CTK

108,000

84,000

Harga

JBG

2,000

PWK

230,304

1,020

120

287,880

1,000

1,265,000

57,576

100

126,500

222,200

22,495

50

149,000
2,420,000

2,000
20

298,000
1,210,000

9,000
30

1,341,000

4,000

596,000

600

224,950
89,400

319,800
-

259,875

779,625

4,824,600

14,473,800

144

345,456

1,979,175

1,000

1,265,000

3,036,000

222,200

247,445

1,000

100

1,815,000

49,200

24

4,000

112,000

300

73,800

4,000

149,000
6,050,000

3,292,900
11,616,000

400

18,800

2,000

94,000

500

23,500

1,500

70,500

1,600

75,200

4,000

48

100

30,000

72

338,400

15,000

50

235,000

500

600

671,000
186,252

24

112,800

100

134,200

100

31,042

587,500
-

50

188,000
576,576
940,000

576,576
45,000
1,833,000

200
-

805,200

1,000

310,420

589,798

CBB
Pemakaian
50
-

CWD
Harga

Pemakaian

80,000

50

Harga

Pemakaian

80,000

24

PWK
Harga

Pemakaian

38,400

25

JBG
Harga

Pemakaian

40,000

24

CTK
Harga

Pemakaian

38,400

25

Harga

40,000

628,800

19,000

15

57,000

75

449,625

25

149,875

100

599,500

100

599,500

50

299,750

100

599,500

4,196,500

72

130,680

48

87,120

96

174,240

48

87,120

48

87,120

100

181,500

1,183,380

PM

150

20
1,243,350

100
165,780

120
828,900

40
994,680

133,000

1,100,000

250
331,560

2,072,250

6,863,292

120

40

200

1,232,000
1,000
182,000

150

150

600
100

960

803,000

100

5
-

96
1,584,000

120
1,520,640

24
1,900,800

3,963,750

2,090,000

4,911,500

950,400

6,732,000

883,300

5
-

100
380,160

1,585,500

770,000

550,000

1,440
712,800

50,000
-

1,080

1,164,800

200
-

2,851,200

4,320

182,000

100
-

1,045,000

633,600

20,900

554,400

100

4,558,400

500
220,000

1,848,000
1,000

182,000

1,180,160

300

200

840
396,000

182,000

1,000

1,000

295,040

163,800

1,567,500

2,378,250

369,600
900

100

60
-

885,120

100

50,000

100,000

20,900

41,800

1,900,800

9,741,600

120
1,584,000

CBB
Pemakaian

CWD
Harga

Pemakaian

200

Harga

Pemakaian

800
220,000

2,500
2,640,000
82,800

800

Harga

Pemakaian

1,500

110,400

JBG
Harga

Pemakaian

700
2,200,000

528,000
-

PWK

2,000
880,000

500

600

PM

1,584,000
-

1,000

Pemakaian

1,500

138,000

Harga

1,000
1,100,000

316,800
-

Harga

1,000
770,000

300

CTK

1,100,000

8,965,000

1,056,000

9,820,800

1,000
1,584,000

100

197,500

50

98,750

691,250

1,000

138,000

1,000

138,000

1,062,600

344,400

700,400

60

61,800

90

92,700

130

133,900

210

216,300

120

200

127,600

500

319,000

300

191,400

500

319,000

26,400

39,600

52,800

109,200

1,276,000

9,592,000

200

18,200
-

1,000

638,000

1,000

1,199,000

1,500

1,798,500

3,000

3,597,000

500

599,500

1,000

105,000

3,000

315,000

1,500

157,500

800

84,000

100

15,400

10

27,500
-

600

180,000
-

400

500

61,600

150,000

200

1,000

30,800

10
-

300,000
-

1,000

500
-

105,000

27,500

150,000
-

2,000

200

290,400

1,092,000

107,800

100
-

210,000

2,041,600

60,000

275,000
1,000

300,000

330,000
1,710,000

118,300

800

24,600

700

500

65,600

24

72,000

24

144

72,000

V185*16335

24

72,000

114,800
-

328,000
504,000
-

24

427,200

50

890,000

1,375,000

120

1,650,000

#VALUE!

120

2,481,600

18,239,760

1,985,280

100

2,068,000

216

4,466,880

3,000

1,584,000

500

264,000

500

264,000

1,500

792,000

199,500

82,000

100

96

1,500

137,500

2,068,000
-

144,000

100
-

48

10

300

27,300

638,000

400

72,800

638,000

1,000

200

18,200

1,000

123,600

1,000

133,000

1,600

212,800

3,000

399,000

200

4,136,000

1,673,200

2,000

1,056,000

4,593,600

1,000

14,000

14,000

2,000

266,000

1,502,900

800

106,400

CBB
Pemakaian
100

CWD
Harga

Pemakaian

17,600

20

1,000
-

700

250

Harga

Pemakaian

176,000

94,000

100

PM

64,000

800

140,800

10

20

222,200

78,400
40,700

Harga

Pemakaian
-

500

288

1,152,000

480

56,000

Harga

Pemakaian

88,000

2,000

23,500

10

200

22,400

862,400

47,000

535,800

222,200

246,400

64,000

40,700

400

352,000

1,920,000

Harga

500

CTK

47,000

JBG

282,000

1,072,500

Pemakaian

60

100

100

Harga

1,000,000

PWK

1,600,000

7,048,000

1,072,500
-

10

60,500

50

302,500

363,000

25

36,250

50

72,500

100

75
30
300

108,750
417,390
35,700

20

278,260

145,000

50

72,500

100

500

1,000

119,000

200

23,800

25

1,391,300

50

36,250
695,650
59,500

688,750
2,921,730
309,400

112

56

292,712

200
10,800

15

78,405

263,800

150

907,200

8,000
10

200

1,045,400

197,850

300

672,000

10,800

114,750

50

104,540

395,700

350

461,650

200

263,800

907,200

10,800

907,200

12,000

1,008,000

573,750

10

114,750

50

573,750

100

1,000

18,000

600

50,358

600

50,358

2,040

171,217

57,200

143,000

57,200

3
-

5
-

2,040
-

171,217
-

10
-

2,237,156

600

791,400

2,835,850

15,000

1,260,000

7,593,600

1,147,500

2,891,700

3,000

1,080

90,644

10

286,000

585,424

18,000

1,000

20

54,000

126,000

1,080

90,644

805,728

143,000

829,400
6,489

CBB
Pemakaian
1

CWD
Harga

Pemakaian

14,000

PM
Harga

Pemakaian

2,500

300,000

2,000

240,000

100

192,800

133

256,424

15

214,500

18

257,400

120

55,080

100

45,900

40

208,000

200

300,000

100

100,800

500

180

936,000
504,000

100

100

9,600

181,500

48

Pemakaian
-

84,000
240,000
-

13

185,900

117

53,703

5,900

174,240

JBG
Harga

Pemakaian

28,000
-

3,700
-

444,000
-

15

214,500

78

35,802

10

500

52,000
504,000

200
20

50,949

2,550,000

2,116,800

800

47,200

1,000

59,000

200

11,800

500

29,500

236,000

800

76,800

700

67,200

100

9,600

1,000

96,000

268,800

24

87,120
-

24

87,120

170

700

1,000

509,000

300

600

305,400

300

500

195,500
1,177,000

50

72

200

373,626

511,500

55,998

1,008,000

500

122

2,250,000

93,600

117,700

19

2,860,000

1,000

449,224

271,700

1,500

200

2,064,000

1,320,800

78,200

120,000

84,000
570,000

1,000

228,000

1,495,000

4,000

52,000

200

Harga

10

111

93,600

78,200

24,000
286,000

52,480

Pemakaian
-

10

200

Harga

200

152,700

CTK

11,800

50

Harga

200
-

2,000

PWK

232,272

2,000
204,600

3,000
-

152,700
36,000
-

1,800

703,800

23,540

48

154,848

1,300
2,046,000

300

617,100
327,600

375,000
-

375,000
1,677,060
52,480

500

234,000

1,006,200

1,000

509,000

2,037,200

36,000

1,200

469,200

3,000

1,173,000

349,800
3,128,000

464,544

24

77,424

200
1,329,900

1,500
204,600

200

1,318,240

37,200
-

1,534,500

7,467,900

37,200

CBB
Pemakaian
2,000

CWD
Harga

Pemakaian
-

139,920

1,000

PM
Harga

Pemakaian
-

69,960

6,000

PWK
Harga

Pemakaian
-

419,760

5,000

JBG
Harga

Pemakaian
-

349,800

4,000

CTK
Harga

Pemakaian
-

279,840

Harga
-

5,000

349,800

1,958,880

215,500

344,800

500

162,000

30

162,000

400

16,000

500

20,000

600

24,000

700

28,000

2,000

80,000

1,000

107,000

2,000

214,000

1,000

107,000

5,000

535,000

3,000

321,000

200

94,800

331,800

700

331,800

1,000

(500*474)+(475*5

700

5,000

535,000

248,000
2,889,000

#VALUE!

100

266,200

100

266,200

532,400

300

936,000

100

312,000

3,432,000

33,000
-

600

100
20

55,000
1,562,000

100
10

55,000
781,000

1,000
200
100

275,000
79,200
7,810,000

400

110,000

165,000

550,000

165,000

79,200

11,246,400

156,200

231,000

1,498,140

935,000

77,000

1,500

1,320,000

10

154,000

1,248,450
-

62,700

1,000

880,000

2,000

1,760,000

880,000

20

176,000

100

150

1
800

935,000
704,000

500

210

440,000
2,772,000

1,000

880,000

62,700
6,952,000

1,056,000

2,772,000

CBB
Pemakaian

CWD
Harga

Pemakaian

510

10

88,000

10

73,210

150

71

1,562,000

1,098,150
-

450
100
168

PWK
Harga

Pemakaian
-

734,400
732,100
3,696,000

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

210

342,720

600

17,600

140,800

36,605

2,057,201

979,200

2,937,600

7,568,000
418,000

831,600

1,039,500

100

140

838,860

100,650

198,000
-

30

204,600

50

341,000

50

294,100

400

2,352,800

100

20,130

198,000

80,520

40,260

277,200

322,080

871,200

3,823,300

101,750

1
500

101,750
165,000

500

165,000

1,000

330,000

100

450

588,200

100

588,200

832,320

418,000

20

198,000

Pemakaian

1,320,000

Harga

60

100

PM

148,500

1,000

330,000

500

165,000

1,485,000

107,250

81,400

10

110,000

107,250

110,000

341,000

220,000
1,641,200

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

40,833

49,000

24,500

1,404,480

10

132,000

132,000

10

132,000

132,000

48

330,000

60

183,334

146,667

50

50,000

100

20

264,000

132,000

190,000

190,000

100,000

2,808,960

2,850,000

150,000

#VALUE!

570,000

20

1,404,480

10

294,000

1,900,000

396,000

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

290,400

47,537,034

29,763,924

78,744,159

290,400

44,793,562

290,400

1,306,800

36,571,780

73,820,760

DINAMIKA LOGISTIK OBAT


DI KOTA CILEGON
Propinsi

: BANTEN

Alamat

: Jl.K.P.Tendean Km.2 Cilegon

Jumlah Unit Pelayanan

: 9 Unit

Bulan

: Agustus

Tahun

: 2015

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

ACYCLOVIR 5 GR KRIM

TUBE

4,151

4,151

ACYCLOVIR 200 MG TABLET

TABLET

13,400

13,400

ACYCLOVIR 400 MG TABLET

TABLET

20,000

20,000

ALLOPURINOL 100 MG TABLET

TABLET

55,800

55,800

ALLOPURINOL 300 MG TABLET

TABLET

2,000

2,000

AMBROXOL SYRUP 15 MG / 5 ML

BOTOL

25,400

25,400

AMBROXOL TABLET 30 MG

TABLET

15,000

15,000

AMINOFILIN 200 MG TABLET

TABLET

1,000

1,000

AMITRIPTILIN 25 MG TABLET

TABLET

40,800

40,800

10

AMLODIPIN 5 MG TABLET

TABLET

1,740

1,740

11

AMLODIPIN 10 MG TABLET

TABLET

12

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

VIAL

1,370

1,370

13

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

BOTOL

17,200

17,200

14

AMOXICILLIN 250 MG KAPLET

KAPLET

44,500

44,500

15

AMOXICILLIN 500 MG KAPLET

KAPLET

494,600

494,600

16

AMOXICILLIN + AS.KLAVULANAT

TABLET

1,800

1,800

17

ANTALGIN 500 MG TABLET

TABLET

181,100

181,100

18

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA


200 MG + ALUMUNIUM HIDROKSIDA 200 MG)

TABLET

224,400

224,400

200

19

ANTASIDA SUSPENSI

BOTOL

3,600

3,600

20

ANTI BISA ULAR (ABU) SERUM

VIAL

15

15

21

ANTI TETANUS SERUM 1500 UI

AMPUL

42

42

22

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


POLIMIKSIN B 10,000IU/G )
ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM
SALISILAT 3 %)

3,990

3,990

23

TUBE
POT

25

50

400

500

300

500

75

JUMLAH
18=(7s/d17)

75

301
100

1,000
-

200

200

1,000

700

300

2,000

5,200

100

200

1,800

200
300
500

200

150

200

400

50

400

1,000

1,000

1,000

1,300

1,200

500 ###

7,000
-

420

270

510

30

510

1,740
-

120
200

50

250
500

2,000 ###

7,000

120

50

100

450

1,100

8,000

42,000

7,000

1,100

9,000

6,000

1,200

3,500

2,000 ###

4,000

3,500

5,000

6,000

24,600

100

50

100

505

2,000

6,000

500
1,500

3,000

50

100

8,600

300
300
400

500
1,000

100

300
10,000

2
50

125

9
50

225
-

NO

NAMA OBAT

SATUAN

STOCK
AWAL

SUPP

PENERIMAA PERSEDIAA
N
N
5

6=4+5
1,970

532,700

532,700

DINAS

PROGRAM

P2KP

GRG

10

20

CLG

CBB

CWD

PM

12

13

14

11
30

###

JBG

15

16

JUMLAH

CTK
17

25

ASAM ASCORBIT (VIT.C) 50 MG TABLET

TABLET

26

ASAM ASCORBIT (VIT.C) 250 MG TABLET

TABLET

31,300

31,300

27

ASAM MEFENAMAT 500 MG

TABLET

276,300

276,300

28

ASAM TRANEKSAMAT 500 MG

TABLET

10,900

10,900

29

ATROPIN SULFAT INJ

AMPUL

66

66

30

ATTAPULGIT / MOLAGIT TABLET

TABLET

73,650

73,650

31

AQUABIDEST

BOTOL

32

AQUA PRO INJEKSI 25 ML

BOTOL

537

537

33

AZITHROMYCIN 500 MG

KAPSUL

300

300

34

BEKARBON

TABLET

20,240

20,240

35

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

VIAL

180

180

36

BETAMETASONE KRIM 0,1 %

TUBE

6,725

6,725

37

BETAHISTIN MESILAT 6 MG TABLET

TABLET

38

BETAKAROTEN 500 IU SYRUP

BOTOL

39

BISACODYL 10 MG SUPP

414

414

40

BISOPROLOL 5 MG

TABLET

1,310

1,310

41

BROMHEKSIN HCL 8 MG TABLET

TABLET

102,600

102,600

42

BROMHEKSIN HCL SYRUP

BOTOL

1,500

1,500

43

BROMHEKSIN HCL 8 MG / 4 ML SOL

BOTOL

83

83

44

CALAMIN LOTION

BOTOL

1,346

1,346

45

CAPTOPRIL 12,5 MG TABLET

TABLET

604,700

604,700

46

CAPTOPRIL 25 MG TABLET

TABLET

180,400

180,400

47

CEFIXIME SYRUP KERING 100 MG

BOTOL

810

810

48

CEFIXIME 100 MG

KAPSUL

21,440

21,440

49

CEFIXIME 200 MG

50

CEFOTAXIME INJ 1G

VIAL

51

CEFTRIAXON INJ

VIAL

52

CETIRIZINE 5 MG SYRUP

BOTOL

700

700

53

CETIRIZINE DROP

BOTOL

54

CETIRIZIN 10 MG

TABLET

11,600

11,600

100

55

CIMETIDIN TABLET

TABLET

18,500

18,500

100

300

200

56

CIPROFLOXACIN 500 MG TABLET

TABLET

93,450

93,450

100

1,000

300

57

CLINDAMYCIN 150 MG KAPSUL

KAPSUL

4,550

4,550

58

CLINDAMYCIN 300 MG KAPSUL

KAPSUL

59

CHLORPHENIRAMIN MALEAT (CTM) 4 MG

TABLET

300
1,600

2,000

50

18=(7s/d17)

ANTI HEMOROID DOEN

1,000

10

PWK

24

SUPP

1,970

PEMAKAIAN

500

50

500

2,000

190

1,500

1,000
2,000

###

2,000

100

5,000

2,800

2,500

2,500

7,000

14,600

4,000

2,500

4,000

24,500

100

250
-

900

300

600

1,050

600

900

4,350
-

100

120

220

20

10

160

40

70

750

930

100

575

100

100

100

6
100
300

100

600

900

125

50

24

18

12

60

100

190

100

590

3,000

###

7,800
-

7
-

800

500

500

20

30

10

210

210

510

300
150

1,000

2,000

2,000

2,500

700
4,000

500

1,000

9,800

10
1,020

6,000
70

210

1,200

3,510

612,600

100

10

50

50

700

1,000

1,000

500

700

300

200

100

3,600

4,000

10

100

325

100

1,500

7,400

500

300 ###

400

600

1,200
500

3,400

500

400

612,600

1,200
-

1,000

1,500

10,800

7,200

###

35,300

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

60

CHLORPROMAZINE 100 MG

TABLET

61

DEKSTROMETORPHAN HBR SYRUP

BOTOL

62

DEKSTROMETORPHAN HBR TABLET 15 MG

TABLET

63

DEKSTROSA LARUTAN INFUS 5 %

BOTOL

245

245

64

DEKSTROSA LARUTAN INFUS 10 %

BOTOL

396

396

65

DEKSTROSA LARUTAN INFUS 40 %

BOTOL

85

85

66

DEXAMETHASON 0,5 MG TABLET

TABLET

418,700

418,700

500

67

DEXAMETHASON INJEKSI

VIAL

2,352

2,352

68

DIAZEPAM TABLET

TABLET

40,000

40,000

69

DIAZEPAM INJ 5 MG/ML

AMPUL

136

136

70

DIFENHIDRAMIN INJ

AMPUL

180

180

71

DIGOKSIN 0,25 MG TABLET

TABLET

51,000

51,000

72

DOMPERIDON 5 MG SUSPENSI

BOTOL

1,430

1,430

50

73

DOMPERIDON 10 MG

TABLET

27,000

27,000

500

1,000

74

DOXYCYCLINE 100 MG KAPSUL

KAPSUL

8,800

8,800

200

100

75

EKSTRAK BELLADONNA TABLET 10 MG

TABLET

76

EPINEFRIN (ADRENALIN) INJ 0,1%

AMPUL

107

107

77

ERYTHROMYCIN 200 MG SYRUP

BOTOL

888

888

78

ERYTHROMYCIN 250 MG

KAPSUL

17,100

17,100

79

ERYTHROMYCIN 500 MG TABLET

TABLET

38,500

38,500

80

ETAMBUTOL 500 MG

TABLET

40,800

40,800

81

ETAKRIDIN 0,1 % / RIVANOL

BOTOL

124

124

82

ETANOL 70 % 1000 ML

BOTOL

512

512

83

FENITOIN 100 MG KAPSUL

KAPSUL

4,400

4,400

84

FENOBARBITAL 30 MG TABLET

TABLET

7,000

7,000

85

FENOL GLISEROL 10 %

BOTOL

1,176

1,176

86

FITOMENADION INJ

AMPUL

4,710

4,710

87

FITOMENADION 10 MG TABLET

TABLET

16,300

16,300

88

FLUCONAZOL 150 MG

TABLET

4,500

4,500

89

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

AMPUL

220

220

90

FUROSEMID 40 MG TABLET

TABLET

16,900

16,900

91

GAMEKSAN

BOTOL

92

GARAM ORALIT II SERBUK

SACHET

47,400

47,400

93

GENTAMYCIN SALEP KULIT

TUBE

1,395

1,395

50

94

GENTIAN VIOLET 1 % - 10 ML

BOTOL

2,701

2,701

50

95

GLIBENCLAMIDE 5 MG TABLET

TABLET

790,400

790,400

1,000

1,000

2,000

50

5,500

4,500

3,000

7,000

100

24,500
153
-

16

16
100

1,000

200

100

100
10

60
1,500

100

100

1,800

300

100

500

100

1,000

100

100

100

100

900

100

100

200

1,900

2,000

2,000
3
3

5
800

18

1,000

1,200

3,000
-

48

48
30

100

300

30

200

30

24
90

168
180

400

1,000
-

100

400

200

200

900

300

500

600

600

100

50

50

100

50

25
24

100

224

300

2,000

5,000

1,000

3,000

800

1,500

13,600

200 ###

50

500

2,900

150

575

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

96

GLIMEPIRIDE 2 MG

TABLET

4,700

4,700

97

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50


MG

TABLET

15,570

15,570

98

GLISERIL GUAIAKOLT 100 MG TABLET

TABLET

424,000

424,000

99

GLISERIN LARUTAN

BOTOL

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

300

1,000

JUMLAH
18=(7s/d17)

400

1,700

90

90
2,000

2,000

3,000

2,000

5,000

14,000
-

100 GRISEOFULVIN 125 MG TABLET

TABLET

101 HALOPERIDOL 0,5 MG TABLET

TABLET

5,700

5,700

102 HALOPERIDOL 5 MG TABLET

TABLET

11,900

11,900

103 HALOPERIDOL 5 MG INJEKSI

AMPUL

444

444

104 HEPARIN 200,000 IU GEL

TUBE

235

235

105 HEPAPROTEKTOR SYRUP

BOTOL

500

500

106 HEPATOPROTEKTOR TABLET

TABLET

9,450

9,450

107 HIDROKORTISON KRIM 2,5 %

TUBE

29,055

29,055

TABLET

12,600

12,600

SUPP

51

51

110 IBUPROFEN 200 MG SUSPENSI

BOTOL

280

280

111 IBUPROFEN 200 MG TABLET

TABLET

112 IBUPROFEN 400 MG TABLET

TABLET

149,600

149,600

113 ISONIAZID 100 MG

TABLET

5,000

5,000

114 ISONIAZID 300 MG

TABLET

6,000

6,000

108 HYOSINE N BUTILBROMIDA TABLET


109 IBUPROFEN 125 MG SUPP

11,500

PEMAKAIAN

11,500

115 IMUNOSTIMULAN SIRUP

BOTOL

116 IMUNOSTIMULAN TABLET

TABLET

117 ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

TABLET

500

500

118 ITRAKONAZOL 100 MG

KAPSUL

119 KALCIUM LACTAT 500 MG TABLET

TABLET

112,900

112,900

120 KALIUM DIKLOFENAK 50 MG

TABLET

17,000

17,000

VIAL

70

70

122 KAOLIN SUSPENSI

BOTOL

992

992

123 KETOKONAZOL 200 MG TABLET

TABLET

9,850

9,850

TUBE

3,198

3,198

TABLET

4,700

4,700

125 KETOPROFEN 100 MG


126 KETOROLAC INJ 10 MG

AMPUL

230

230

127 KLORAMFENIKOL 250 MG KAPSUL

KAPSUL

30,100

30,100

128 KLORAMFENIKOL 1 %SALEP MATA

TUBE

3,107

3,107

BOTOL

183

183

129 KLORAMFENIKOL SUSPENSI

200

400
1,000

400

300

300

1,000

500

2,000

12

3,500
12

8
-

210
96

510

50 ###

72

210
48

300
120

1,230

192

72

600
1 ###

623
600

8
50

50

1,000

6,000

2,000

1,500

1,000

500

100

###

100

300

121 KANAMYCINE 2 GR

124 KETOKONAZOL KRIM 2 %

200

300

500
100

1500

200

1000

200

1500

7,000

100

12,300
600
-

30
150
16

100
24

50

200
12

100

72

72

102

300

850

###

284
-

10
50

48

50
5

120
50

48

130
50

72

500

500

50

418

10

15

NO

NAMA OBAT

130 KLORAMFENIKOL 0,5 % TETES MATA

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

10

11

CBB
12

CWD

PM

PWK

JBG

13

14

15

16

JUMLAH

CTK
17

18=(7s/d17)

BOTOL

8,200

8,200

50

75

50

100

100

50

100

525

131 KLORAMFINEKOL 3 %TETES TELINGA

BOTOL

948

948

24

48

48

72

48

24

48

312

132 KLARITROMISIN 500 MG

TABLET

600

600

133 KODEIN FOSFAT 20 MG TABLET

TABLET

4,000

4,000

100

134 KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5


MG KRIM/mytaderm

TUBE

3,880

3,880

15

135 KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25 MG +


PARASETAMOL 400 MG/hustab/tuzalos

TABLET

46,800

46,800

136 KOMB. BUDENOSID FORMATEROL 80/4,5 MCG, 60 DOSIS


137 KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON
VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA
138 KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +
GG + CTM SYRUP/dextral

BOTOL

596

596

BOTOL 60
ML

922

922

TABLET

12,600

12,600

TABLET

14,200

14,200

141 KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL


+ CTM/febrinex

BOTOL

400

400

142 KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT/benacol

BOTOL

7,676

7,676

143 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


TABLET/flutab

TABLET

33,920

33,920

144 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


SYRUP/protexinal

BOTOL

1,624

1,624

145 KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100


MG

TUBE

98

98

TABLET

1,100

1,100

BOTOL 60
ML
TABLET

3,185

3,185

54,000

54,000

149 KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +


VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET

TABLET

50,700

150 KOTRIMOKSAZOL SUSPENSI

BOTOL

4,065

147 KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG


/ TREMENZA
148 SYRUP
KOMB.TRIPOLIDIN
2,5SYRUP
MG + PSEUDOEFEDRIN 60 MG

400

500
60

80

100

20

160

120

20

300

900

889
900

139 KOMB.BETAMETASON, DEKSKLORFENIRAMIN


MALEAT/zestam
140 KOMB.METHAMPYRON + DIAZEPAM/danalgin

146 KOMB.TEOFILIN + SALBUTAMOL TABLET/teosal

20 ###

50 ###

20
200

50

500

120

120

60

300

1,200

1,000

1,800

500

50
120

20

50

1,440

1,200

100
840

140

120

440

500

5,550

###

96

1,560

1,000
100

100

50

300

666

1,800

600

7,560

50
5

50

12
100

100

200

72

500

200

500

1,500

50,700

300

200

500

1,500

4,065

50

100

120

150

144

694

800

500

1,500

5,600

2,000

1,500

7,000

TABLET / tremenza TABLET


1,000

###

50

###

200

NO

NAMA OBAT

SATUAN
3

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

151 KOTRIMOKSAZOL ADULT 480 MG TABLET

TABLET

22,300

22,300

152 KOTRIMOKSAZOL PEDIATRIK TABLET

TABLET

13,240

13,240

153 LEVOFLOXACIN 500 MG TABLET

TABLET

3,550

3,550

154 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

AMPUL

7,520

7,520

155 LINCOMYCIN 500 MG KAPSUL

TABLET

16,840

16,840

156 LISOL

BOTOL

757

757

157 LOPERAMID 2 MG TABLET

TABLET

21,600

21,600

158 MELOXICAM 7,5 MG

TABLET

17,500

17,500

200

159 MELOXICAM 15 MG

TABLET

34,500

34,500

100

160 METFORMIN 500 MG

TABLET

149,700

149,700

161 METFORMIN 850 MG

TABLET

162 METHILERGOMETRIN MALEAT 0,125 MG TABLET

TABLET

3,300

3,300

163 METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

AMPUL

180

180

164 METHYLPREDNISOLON 4 MG TABLET

TABLET

165 METHYLPREDNISOLON 8 MG TABLET

TABLET

166 METHYLPREDNISOLON 125 MG INJEKSI


167 METOCLOPRAMIDE HCL 10 MG

VIAL
TABLET

42,300

800

800

18=(7s/d17)

500

1,000
500
100

100

800

60

90

60

200
500

210
500
5

870
6

14

300

800
700

500

500

###

1,000

500

1,000

1,600

3,000

1,200

600

500

4,200
1,000

1,000 ###

8,700
-

10

10

1,000

800

58

86

1,000

100

1,500

200

100

900

100

1,900

45
1,400

200 ###
5

168 METOCLOPRAMIDE SYRUP 5 MG / 5 ML

BOTOL

169 METRONIDAZOL 250 MG TABLET

TABLET

12,000

12,000

1,000

170 METRONIDAZOL 500 MG TABLET

500

1,500

100

500

TABLET

10,500

10,500

TUBE

2,832

2,832

172 MINYAK KAYU PUTIH 15 ML

BOTOL

173 MOMETHASON KRIM 0,1 %

TUBE

407

407

174 MULTIVITAMIN ANAK DROP

BOTOL

674

674

175 MULTIVITAMIN ANAK SYRUP

BOTOL

10,629

10,629

48

176 MULTIVITAMIN TABLET

TABLET

44,400

44,400

1,200

177 NATRIUM BIKARBONAT 500 MG TABLET

TABLET

51,000

51,000

178 NATRIUM DIKLOFENAK 25 MG TABLET

TABLET

41,700

41,700

179 NATRIUM DIKLOFENAK 50 MG TABLET

TABLET

20,100

20,100

500

500

TUBE

181 NATRIUM KLORIDA LARUTAN INFUS 0,9%

BOTOL

186

186

182 NATRIUM KLORIDA 100 ML

BOTOL

1,480

1,480

183 NIFEDIPINE 10 MG TABLET

TABLET

84,400

84,400

184 NYSTATIN 500.000 IU TABLET

TABLET

1,700

1,700

185 NYSTATIN VAGINAL TABLET 100.000 IU

TABLET

2,100

2,100

6,300
28
-

171 MICONAZOLE SALEP

180 NATRIUM DIKLOFENAK GEL

2,000

42,300

45

2,600
1,000

100

1,400
-

500

JUMLAH

500

100

300

500

800

100

400

3,200
-

15
12
48
800 ###
700
700

48
50

72

1,000

1,000

2,000

1,000

400

500

10

10
100
2,000
500

300

240
1,000
2,000

250

20

47

60

130

168

500 ###
2,000

9,000

1,200

1,000

500

976
6,800

200

4,300
1,700
-

3
800

10
1,000

40
1,600

54

40

40

300

3,700

100
100

100
100

###

200
300

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

186 NYSTATIN SUSPENSI 100.000 IU/Ml

BOTOL

187 OBH

BOTOL

19,266

19,266

188 OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +


AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

BOTOL

400

400

189 OFLOXACIN 200 MG

TABLET

300

300

100

100

190 OFLOXACIN 400 MG

TABLET

4,850

4,850

200

300

191 ONDENSETRON INJ

AMPUL

192 OXYTETRASIKLIN HCL 3 % SALEP KULIT


193 OXYTETRASIKLIN HCL 1 % SALEP MATA
194 PITOGIN/OXYTOCIN INJ/SYNTOCYNON INJ

TUBE
TUBE
AMPUL

195 PANTOCAIN 0,5 % TETES MATA

BOTOL

196 PAPAVERIN 40 MG TABLET

TABLET

197 PAPAVERIN INJEKSI 40 MG/ML

AMPUL

198 PARAFORMALDEHID TABLET 1 GR

TABLET

199 PARASETAMOL 100 MG

PEMAKAIAN

16,500
2,870

80

60

24

200

480

150

50

300

200

168

1,282

50

102

100

300

200

1,100

16,500

50

25

75

50

10

20

50

100

180

3,300
1,400

200
-

2,870

3,300

100

200

1,000

SUPP

948

948

201 PARASETAMOL DROPS

BOTOL

6,669

6,669

56

202 PARASETAMOL SYROP 120 MG / 5 ML

BOTOL

33,691

33,691

80

203 PARASETAMOL 500 MG

TABLET

1,125,700

1,125,700

400

2,900

748

748

16,800

16,800

205 PIRANTEL PAMOAT 125 MG

TABLET

206 PIRAZINAMID 500 MG

TABLET

47,600

47,600

207 PIRIDOKSIN (VIT B6 ) TABLET 10 MG

TABLET

195,000

195,000

208 PIROXICAM

TABLET

108,600

108,600

209 POLIKRESULEN CAIRAN

BOTOL

175

175

210 POVIDON IODIDA 30 ML

BOTOL

950

950

211 POVIDON IODIDA 60 ML

BOTOL

212 POVIDON IODIDA 300 ML

BOTOL

197

197

1,300
-

1,400

TABLET

TUBE

18=(7s/d17)

200 PARASETAMOL SUPP 160 MG/ PROPIRETIC

204 PERMETHRIN KRIM 5 %

JUMLAH

48
300

150

350

350

5,000

6,000

8,000

10,800

10,800

15,000 ###

73,900

500

2,000

1,000

1,800

1,000 ###

7,300

2,000

3,000

200

10

20

56
200

100

197
1,733
-

1,000
240

600

600

2,040

2,400
20

1,080

2,040

9,000

10 ###

32

10

30
-

1,000

2,000

500

1,000

213 POVIDON IODIDA 1 L

BOTOL

134

134

214 PREDNISON TABLET 5 MG

TABLET

41,000

41,000

1,000

215 PROPANOLOL 40 MG

TABLET

216 RANITIDIN TABLET

TABLET

217 RANITIDIN INJ 25 MG/2ML

AMPUL

218 RETINOL 100,000 IU

BOTOL

1,282

1,282

219 RETINOL 200,000 IU

BOTOL

186

186

120,300
-

1
3,000

7,000

120,300
-

200

1,500

1,000

5,500

2,500

500

1,000

13,700
-

NO

NAMA OBAT

220 RIFAMPICIN 450 MG


221 RINGER LAKTAT LARUTAN INFUS

SATUAN
3
TABLET
LABU

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

40,600

40,600

769

769

20

200

300

TABLET

33,500

33,500

223 RISPERIDONE 2 MG TABLET

TABLET

57,900

57,900

224 SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL

AMPUL

104

104

226 SALBUTAMOL 2 MG TABLET

TABLET

42,600

42,600

100

227 SALBUTAMOL 4 MG TABLET

TABLET

29,100

29,100

200

228 SALEP 2 - 4

18=(7s/d17)

1,000

222 RISPERIDONE 1 MG TABLET

225 SALBUTAMOL INHALER 100 MCG, 200 DOSIS

JUMLAH

1,000
40

100

163
2,000

2,500
-

10

300

200

500

200 ###

100

26

POT

1,000
1,000

400
800

100

2,500
800

229 SALISIL BEDAK 2 %

KOTAK

4,100

4,100

230 SALISIL MENTOL BEDAK

BOTOL

4,200

4,200

3,400
-

100

100
25

100

48

300
100

173

100

500

750

231 SEFADROKSIL SYRUP

BOTOL

930

930

232 SEFADROKSIL 250 MG

KAPSUL

2,500

2,500

233 SEFADROKSIL 500 MG

KAPSUL

100

100

234 SETRALINE 50 MG TABLET

TABLET

4,230

4,230

90

90

90

90

90

450

235 SIANOCOBALAMIN TABLET

TABLET

128,000

128,000

2,000

2,000

2,000

2,000

2,000

10,000

236 SIANOCOBALAMIN / VIT. B 12 INJ

AMPUL

TUBE

315

315

10

41

68,700

68,700

500

600

200

500

1,200

2,800

1,000

1,500

8,300

237 SILVER SULFADIAZINE 10 MG / 35 GR CREAM


238 SIMVASTATIN TABLET

TABLET

239 STESOLID RECTAL SUPP

TUBE

65

65

240 STREPTOMISIN SERBUK INJ 1500 MG/ML

VIAL

919

919

241 SULFASETAMIDA NATRIUM TETES MATA

BOTOL

5,926

5,926

242 TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG

TABLET

114,100

114,100

243 TETRASIKLIN 500 MG KAPSUL

KAPSUL

3,600

3,600

244 TEOFILIN 300 MG TABLET

TABLET

44,000

44,000

245 THIAMIN (VIT.B1) 100 MG / ML INJ

AMPUL

246 THIAMIN (VIT.B1) 50 MG TABLET

TABLET

69,000

69,000

247 THIAMPHENIKOL 500 MG KAPSUL

KAPSUL

33,300

33,300

248 TRAMADOL HCI 50 MG TABLET

TABLET

100

50

50

59
-

48
100

1,000

500

300

1,000

100

24

72

144

3,000

10,500

2,000

1,500

1,000

500

1,900

500

2,900
-

1,000 ###

2,000

500

1,000

200

4,000

4,000

2,000

100

800

249 TRAMADOL HCI 50 MG/ML INJ

AMPUL

190

190

250 TRIHEKSILPHENIDIL 2 MG TABLET

TABLET

165,100

165,100

251 VITAMIN B KOMP. TABLET

TABLET

773,000

773,000

252 ZINC / ZINCDIAR TABLET

TABLET

35,200

35,200

15,000
-

50
200
1,000
300

200 ###

###

50

600

1,000

500

1,000

1,000

1,500

1,500

4,000

2,000

1,000

700

600

700

500

3,000

6,500
11,000

1,000

5,200

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

ALAT KESEHATAN DAN REAGEN


1

ALAT AUTOCLIX/LANCET DEVICE

SET

ALAT SUNTIK SEKALI PAKAI 1 ML

BUAH

2,800

2,800

ALAT SUNTIK SEKALI PAKAI 3 ML

BUAH

15,400

15,400

ALAT SUNTIK SEKALI PAKAI 5 ML

BUAH

8,400

8,400

ALAT SUNTIK SEKALI PAKAI 10 ML

BUAH

790

790

ALAT SUNTIK SEKALI PAKAI 20 ML

BUAH

140

140

ALAT PEMERIKSAAN HB

ALCOHOL SWABS

BUAH
SACHET

32

32

22

22

88,000

88,000

300
969

100

300

500

200

100

400

100

300
###

1,800

200

1,169
100

100

30

30
100

600

1,000

400

200

2,800

BISTURI

BUAH

507

507

10

BLOOD LANCET

BUAH

9,600

9,600

11

CAIRAN PENCUCI ANTISEPTIK

GALON

15

15

12

CATGUT DENGAN JARUM BEDAH

SACHET

5,687

5,687

13

CATGUT CHROMIC

ROLL

14

DENGUE IgG AND IgM DROP TEST

SET

15

DENGUE N5 1 ANTIGEN

SET

16

DEX GLASS

BUAH

81

81

17

EDTA VACUM TUBE 5 ML

BUAH

96

96

18

FESCOPLAST

ROLL

19

FOLEY CATETHER

BUAH

15

15

20

GLUCOSA TEST TIP

TIP

8,530

8,530

21

GOLONGAN DARAH KIT

SET

33

33

22

H2O2

BOTOL

13

13

23

HAND SCONE / SURGICAL GLOVE

LEMBAR

44,400

44,400

1,800

24

HAND SCONE STERILE

PASANG

580

580

30

25

HCG CASETTE / PP TEST

SACHET

860

860

26

HEMASITO METER

BUAH

27

ISI AUTOCLIX

KOTAK

28

INFUSION SET ANAK

29

INFUSION SET DEWASA

30

21,960

21,960

SET

142

142

SET

719

719

IODIUM TEST

BOTOL

78

78

31

IV CATETHER

SACHET

4,393

4,393

32

JARUM JAHIT

BUAH

250

250

1 ###

30

10

159

7
-

5
-

1 ###

3
400

500

1,000

300

2,000

3
800

50

800

7,600

100

30

210

300

300

180
90

380
-

60
1

210

300 ###

1,470

10
20

150

11
50

225
-

30

30

10

20

60

120
32

NO

NAMA OBAT

33

KACA MULUT

34

KAPAS PEMBALUT 250 GR

35
36

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

BUAH

80

80

BUNGKUS

171

171

KAPSUL KOSONG NO.0

BUAH

KAPSUL KOSONG NO.1

BUAH

37

KASSA HIDROFIL 40 X 40

LEMBAR

38

KASSA HIDROFIL GULUNG

ROLL

100

100

39

KASSA STERIL

KOTAK

814

814

40

KASSA 4 M X 15 CM

ROLL

330

330

41

LAMPU SPIRITUS

BUAH

42

LARUTAN ASAM ALKOHOL

BOTOL

43

LARUTAN KOH 10 % 250 ML

BOTOL

16

16

44

LOMATUELL H 10 X 10 CM

KOTAK

109

109

45

METILEN BLUE 250 ML

BOTOL

16

16

46

MICROPIPET 3 UKURAN

BUAH

47

MASKER

BUAH

39,500

39,500

48

MASKER OXYGEN FOR ADULT

BUAH

121

121

49

MASKER OXYGEN FOR CHILD

BUAH

120

120

50

MATA BOR HIGH SPEED BUNDAR

BUAH

45

45

51

MATA BOR HIGH SPEED FISURE

BUAH

45

45

52

MATA BOR HIGH SPEED INVERTED CONE

BUAH

45

45

53

MATA SCALLER

BUAH

54

NASO GASTRIC TUBE

TUBE

13

13

55

NEBULIZE MASK FOR INFANT

BUAH

127

127

56

NEBULIZE MASK FOR ADULT

BUAH

128

128

57

NEEDLE

BUAH

53

53

58

OBJECT GLASS

BUAH

184

184

59

OIL IMERSI

BOTOL

16

16

60

OSE

BUAH

61

PENJEPIT TABUNG

BUAH

22

22

62

PIPET BESAR

BUAH

63

PIPET KECIL

BUAH

64

PLESTER

ROLL

286

286

65

POT DAHAK

BUAH

66

POWDER ENZIMATIC ALKAZYME

BUAH

67

PURIFIED PROTEIN DERIVATIVE 2 UT

VIAL

68

SELANG O2 ANAK

BUAH

48

48

20

34

2 ###
5

49

60

100

50

10

70

16

218

100 ###

330

###

4
-

1,000

400

100

700

1,000

500

450

600

500

5,250

10

13

10

12

5
2
2

20

10

50

10

12

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

BUAH

30

30

SET

648

648

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

10

CLG

CBB

CWD

PM

11

12

13

14

JBG

CTK

15

16

17

10

JUMLAH
18=(7s/d17)

69

SELANG O2 DEWASA

70

SGOT/SGPT TEST

71

SILK DENGAN JARUM BEDAH

72

STRIP ASAM URAT

73

STRIP HB

BOX

201

201

74

STRIP GULA DARAH

BOX

48

48

75

STRIP PROTEIN DAN GLUKOSA

BOX

76

STRIP KOLESTEROL

BOX

77

VENOJECT

KOTAK

18

18

78

YELLOW TIP

BUAH

19

19

79

TABUNG REAKSI BESAR

BUAH

37

37

80

TABUNG REAKSI KECIL

BUAH

63

63

81

TERMOMETER DIGITAL

BUAH

30

30

82

TORNIKUET

BUAH

102

102

83

UMBILICAL CORD CLAMP

BUAH

17,850

17,850

84

UNDER PAD 80 X 180 CM

BUAH

104

104

85

URINE BAG

BUAH

199

199

86

URINE TEST 3 PARAMETER

KOTAK

87

WIDAL TEST

KOTAK

88

WHITE TIP

BUAH

24

24

89

MASKER N 95 TYPE 1870

KOTAK

90

POCH PACK D

BUAH

91

POCH PACK L

BUAH

92

CHECK CONTROL HEMATOANALYZER

BUAH

93

CELL CLEAN HEMATOANALYZER

BUAH

94

CALIBRATION SCS

BUAH

95

CELL PACK HEMATONANALYZER

BUAH

96

STROMALYSER WH

BUAH

97

CHECK CONTROL HEMATOANALYZER XP 100

BUAH

98

CELL CLEAN HEMATOANALYZER XP 100

BUAH

99

CALIBRATION SCS XP 100

BUAH

SACHET

PWK

12
-

10

20

15

45

1
2

###

13

15

10

10

OBAT GIGI
1

ARSEN

BOTOL

ARTIKULATING PAPER

KOTAK

NO

NAMA OBAT

AIR RAKSA DENTAL USE

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

BOTOL

73

73

BEIN GIGI

SET

CALCIDOR

POT

CEVITRON

BUAH

136

136

CHKM

POT

16

16

CRESOPEN

BOTOL

10

10

DENTORIT

BOTOL

10

DYCAL

BOTOL

16

16

11

ETIL KLORIDA SPRAY

BOTOL

207

207

12

EUGENOL CAIRAN

BOTOL

185

185

13

IODOFORM PASTA

POT

14

14

14

GLASS IONOMER ART

SET

50

50

15

OCO / TSR

BOTOL

10

10

16

SILVER AMALGAM SERBUK 65 - 75 %

BOTOL

17

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

SET

12

12

18

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

SET

10 ###

10

10

10

10

10

70
1
1
-

3
1

2
5

5
2

19
-

Cilegon, 31 Agustus 2015


kepala Bidang Sumber Daya Kesehatan

Kepala Seksi Farmasi dan Peralatan Kesehatan

Dra.E.Yolanda P,Apt.MKM

Riris Sinaga, S.Si., Apt.

Nip. 19660223 199203 2 002

NIP. 19740620 200312 2 003

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

Nama Obat

ED

Jumlah

Keluar

No
1
2
3
4
5

Ambroxol Syrup

Okt-15

10

Amixicillin 500 mg

Jul-14

600

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN

STOCK
AWAL

Amoxicillin Syrup

PENERIMAA PERSEDIAA
N
N
5

Nov-14

10

Antacida tab

Jul-14

200

Antalgin 500 mg

Mei-16

400

10

Anti Bakteri Salep

Ags-17

10

11

Asam Ascorbat 250 mg

Sep-14

2,000

12

Asam Mefenamat

Jul-14

400

13

Captopril 25 mg

Ags-17

200

14

Co Amoxiclav

Jun-14

60

15

Cotrimoxazol 480 mg

Mei-17

400

16

CTM

17

Dexametason

18

Etanol

19

Jul-14

600

Ags-17

400

Garam Oralit

Ags-17

200

20

Hidrokortison Salep

Jun-14

21

Kassa

22

Kotrimoxazol 120 mg

Mar-14

400

23

Metronodazol 500 mg

Apr-14

200

24

Natrium Diklofenak

Jul-14

100

25

Oxytetrasiklin 3 %

Jun-14

10

26

Piridoxin

Sep-14

2,000

27

Povidon Iodida 60 ml

Nov-14

28

Prednison

Jun-14

600

29

Salbutamol 2 mg

Jun-14

200

30

Salisil bedak

Mei-16

10

31

Simvastatin

Ags-17

100

Tablet Tambah Darah

Apr-14

12,000

Thiamin tab

Mar-14

2,000

Vitamin A 200.000 IU

Jan-14

150

Vitamin B Komplek

Sep-14

2,000

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

Pemberian
STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
3,850

1 ACYCLOVIR 5 GR KRIM

3,150

3,150

25

78,750

213,600

12,400

1 ACYCLOVIR 200 MG TABLET

534

400

20,000

1 ACYCLOVIR 400 MG TABLET

648

50,600

1 ALLOPURINOL 100 MG TABLET

86

200

1,800

1 ALLOPURINOL 300 MG TABLET

210

3,300

300

23,600

AMBROXOL SYRUP 15 MG / 5 ML

25,800
990,000

150

495,000

1,000

124,850

125

500

AMINOFILIN 200 MG TABLET

80

40,800

1 AMITRIPTILIN 25 MG TABLET

102

1 AMLODIPIN 5 MG TABLET

240

420

440

AMLODIPIN 10 MG TABLET

62,425

300

1,000

8,000

1 AMBROXOL TABLET 30 MG

17,200

1,250

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

4,750

16,100

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

2,277

200

35,900

AMOXICILLIN 250 MG KAPLET

211

452,600

AMOXICILLIN 500 MG KAPLET

261

3,000

116

300

72

200

14,400

400

3,850

19,250

100

473,000

126,311

2,491

1,500
171,100
199,800

3,095

AMOXICILLIN + AS.KLAVULANAT
1 ANTALGIN 500 MG TABLET
ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA
200 MG + ALUMUNIUM HIDROKSIDA 200 MG)
ANTASIDA SUSPENSI

15

ANTI BISA ULAR (ABU) SERUM

33

ANTI TETANUS SERUM 1500 UI

3,765
-

1 ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


POLIMIKSIN B 10,000IU/G )
ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM
1 SALISILAT 3 %)

1,713

5,832

455,400
522,000
34,800
-

50
2,000
-

113,850
522,000
-

500

58,000

1,000

72,000

2,000

100,800

385,000

252,622
-

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
3,025

20

60,500

95

ASAM ASCORBIT (VIT.C) 250 MG TABLET

159

251,800

ASAM MEFENAMAT 500 MG

100

10,650

1 ASAM TRANEKSAMAT 500 MG

1,045

50

52,250

1,100

367

900

1,780
529,900
16,700

66
69,300
317
230
19,310
180
6,025

ANTI HEMOROID DOEN


1 ASAM ASCORBIT (VIT.C) 50 MG TABLET

ATROPIN SULFAT INJ


ATTAPULGIT / MOLAGIT TABLET

100

AZITHROMYCIN 500 MG

4,500

1 BEKARBON

76
1,346

95,000
200,000

30

500

50,000

90,750
-

1,600

254,400

500

50,000
104,500

2,000

200,000

100

300

20

330,300
290,000
-

110,100

116

160

1,520

100

924

25,300

6,199

2,300

100

281

300

1 BROMHEKSIN HCL SYRUP

12,100

1 BROMHEKSIN HCL 8 MG / 4 ML SOL

66,000

264,000

12,650

500

BETAMETASONE KRIM 0,1 %

1 BISACODYL 10 MG SUPP
BISOPROLOL 5 MG
1 BROMHEKSIN HCL 8 MG TABLET

CALAMIN LOTION

18,560

90,000

12,185

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

BETAKAROTEN 500 IU SYRUP

1,500

2,900

BETAHISTIN MESILAT 6 MG TABLET

720

2,000

15,400

94,800

AQUA PRO INJEKSI 25 ML

AQUABIDEST

354

1,000

84,300

168,600

230,000
66,000
-

598,700

CAPTOPRIL 12,5 MG TABLET

63

800

170,600

CAPTOPRIL 25 MG TABLET

88

300

8,800

20

176,000

859

150

210

180,390

4,015

5,000

5,500

10,440

100

740
17,930
375
4,200
17,300
90,050
3,350
577,300

CEFIXIME SYRUP KERING 100 MG


CEFIXIME 100 MG
CEFOTAXIME INJ 1G
1 CEFTRIAXON INJ
1 CETIRIZINE 5 MG SYRUP

50,400

600

37,194

152,000

128,850

28,050

CETIRIZIN 10 MG

188

100

18,800

500

CIMETIDIN TABLET

116

100

11,600

300

34,800

245

100

24,500

1,000

245,000

527

91

CETIRIZINE DROP

1 CIPROFLOXACIN 500 MG TABLET


1 CLINDAMYCIN 150 MG KAPSUL
CLINDAMYCIN 300 MG KAPSUL
1 CHLORPHENIRAMIN MALEAT (CTM) 4 MG

1,000

90,970

94,000

26,400

1,044,000
-

10
-

300

56,400

300

200

23,200

300

73,500

500

200

1,500

136,455

3,600

31,500
-

104,400
56,400
122,500
327,492

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

CLG
Harga

Pemakaian

Pemakaian

Harga

19=6-18
-

CHLORPROMAZINE 100 MG

DEKSTROMETORPHAN HBR SYRUP

DEKSTROMETORPHAN HBR TABLET 15 MG

245

1 DEKSTROSA LARUTAN INFUS 5 %

122

1,379

99

5,060

396

DEKSTROSA LARUTAN INFUS 10 %

5,727

85

1 DEKSTROSA LARUTAN INFUS 40 %

3,960

69

500

34,500

2,000

6,000

45

2,368

16

960

91

3,333

DOMPERIDON 10 MG

167

DOXYCYCLINE 100 MG KAPSUL

220

8,100

7,220

394,200
2,199
40,000
120
180
50,900
1,370
25,500
7,000
107
888

DEXAMETHASON 0,5 MG TABLET


DEXAMETHASON INJEKSI
1 DIAZEPAM TABLET
DIAZEPAM INJ 5 MG/ML
1 DIFENHIDRAMIN INJ
DIGOKSIN 0,25 MG TABLET
DOMPERIDON 5 MG SUSPENSI

EKSTRAK BELLADONNA TABLET 10 MG


EPINEFRIN (ADRENALIN) INJ 0,1%
1 ERYTHROMYCIN 200 MG SYRUP

200

100

44,000

300

100

92,100

1,000

220,000

440

36,600

1 ERYTHROMYCIN 500 MG TABLET

921

38,800

1 ETAMBUTOL 500 MG

420

1 ETAKRIDIN 0,1 % / RIVANOL


1 ETANOL 70 % 1000 ML

1,400

FENITOIN 100 MG KAPSUL

50,600

604

65

48

4,530

44,500
770
2,477
776,800

1 GENTAMYCIN SALEP KULIT


GENTIAN VIOLET 1 % - 10 ML
GLIBENCLAMIDE 5 MG TABLET

75,900

48,384
V98*579

126,500

634

100

63,400

300

22,000

19,080

91

1 GAMEKSAN
1 GARAM ORALIT II SERBUK

6,600

FUROSEMID 40 MG TABLET

3,417

16,000

1 FITOMENADION INJ

1 FLUTICASONE PROPIONATE 0,5 MG / 2 ML

22,000

1,008

220

276,300

100

1 FENOL GLISEROL 10 %

FLUCONAZOL 150 MG

44,000

1,008

1 FITOMENADION 10 MG TABLET

37,888

2,200

1 FENOBARBITAL 30 MG TABLET

4,500

2,000

840,000

25,300

7,000

15,300

69,000

1 ERYTHROMYCIN 250 MG

494

1,000
-

16,200

121

200

126,800

288

200

57,600

200

57,600

1,850

50

92,510

100

185,020

895

50

44,750

54

300

16,200

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
3,000

1 GLIMEPIRIDE 2 MG

15,480
1
410,000
-

436

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50 MG

1 GLISERIN LARUTAN

495,000

5,500

1 GLISERIL GUAIAKOLT 100 MG TABLET

90

300

130,800

28

4,730

2,000

11,100

1 GRISEOFULVIN 125 MG TABLET

200

200

4,700

1 HALOPERIDOL 0,5 MG TABLET

165

8,400

HALOPERIDOL 5 MG TABLET

246

400

HALOPERIDOL 5 MG INJEKSI

14,724

432
227

1 HEPARIN 200,000 IU GEL

56,000
40,000
98,400

51,975

155,925

34,391.50

8,220

HEPATOPROTEKTOR TABLET

4,730

210

993,300

28,432

1 HIDROKORTISON KRIM 2,5 %

2,399

96

50

50

119,950

12,000

1 HYOSINE N BUTILBROMIDA TABLET

1,265

55,550

4,499

IBUPROFEN 200 MG TABLET

93

1 IBUPROFEN 400 MG TABLET

146

500

43
230
143,600

HEPAPROTEKTOR SYRUP

1 IBUPROFEN 125 MG SUPP


1 IBUPROFEN 200 MG SUSPENSI

230,304

119,950
55,550

1
2,000

55,550
292,000

5,000

1 ISONIAZID 100 MG

44

6,000

1 ISONIAZID 300 MG

107

IMUNOSTIMULAN SIRUP

55,000

IMUNOSTIMULAN TABLET

4,950

97

100

1,444

70

500

35,000

355.30

100

200
100,600
16,400

ISOSORBIT DINITRAT 5 MG SUB LING.TABLET


1 ITRAKONAZOL 100 MG
KALCIUM LACTAT 500 MG TABLET
1 KALIUM DIKLOFENAK 50 MG

70

KANAMYCINE 2 GR

19,800

890

KAOLIN SUSPENSI

12,012

410

150

9,700

61,500

9,000

KETOKONAZOL 200 MG TABLET

2,914

KETOKONAZOL KRIM 2 %

4,700

16

75,200

24

4,700

KETOPROFEN 100 MG

1,342

KETOROLAC INJ 10 MG

2,539

310

1,600

50

3,800

100
29,600

KLORAMFENIKOL 250 MG KAPSUL

2,689

1 KLORAMFENIKOL 1 %SALEP MATA

168

KLORAMFENIKOL SUSPENSI

80,000
-

35,530

48
-

112,800

76,800
-

STOCK
AKHIR

NAMA OBAT

HARGA

DINAS

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
7,675

KLORAMFENIKOL 0,5 % TETES MATA

5,995

50

299,750

636

KLORAMFINEKOL 3 %TETES TELINGA

1,815

24

43,560

600

KLARITROMISIN 500 MG

3,500

1 KODEIN FOSFAT 20 MG TABLET

2,991

KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5


1 MG KRIM

45,900

KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25 MG +


PARASETAMOL 400 MG/hustab/tuzalos

456

482

KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA
KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +
1 GG SYRUP

7,050

KOMB.DEKSAMETASON, DEKSKLORFENIRAMIN MALEAT

13,200

KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL +


1 CTM
KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +
GUAIAKOLATSULFONAT

26,360

KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


1 TABLET

1,574

2,491
48,400

KOMB.TEOFILIN + SALBUTAMOL TABLET


KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG
SYRUP
/ TREMENZA
KOMB.TRIPOLIDIN
2,5SYRUP
MG + PSEUDOEFEDRIN 60 MG TABLET
/ LIBROFED TABLET

43,700

3,865

KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +


VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET
KOTRIMOKSAZOL SUSPENSI

110,000

60

396,000
-

528,000
-

20

20

200

36,400

50

120
79,200

660
-

950,400
-

5
50,000

10,000
-

47,520

100
-

1,100
-

110,000

1,056

200

3,168,000

70,000
5

550,000

220,000
200

316,800
50

79,200

200

300
-

500

209,000
-

20

522,500

50
-

123,200
-

1,440

91,000

147,520
20

500

10,450

147,520
-

15,885

9,100

80

6,160

1,975

440,000

15,840

400

7,376

209

312

182

99,000

6,600

8,030
KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100
MG

15

KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM SYRUP


1

1,000

100

1,100

7,010

86

1,100

KOMB.METHAMPYRON + DIAZEPAM
1

300

98,750

211,200
-

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
19,700

1 KOTRIMOKSAZOL ADULT 480 MG TABLET

12,240

1 KOTRIMOKSAZOL PEDIATRIK TABLET

2,750

1 LEVOFLOXACIN 500 MG TABLET

7,310

1 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

15,970
743
20,800

1 LINCOMYCIN 500 MG KAPSUL


LISOL
1 LOPERAMID 2 MG TABLET

138

50

574

500

1,030

287,000

1,000

100
-

100

63,800

200

13,200

91

500

300

45,500

127,600

30,300

1 MELOXICAM 15 MG

1,199

100

119,900

500

141,000

1 METFORMIN 500 MG

105

METFORMIN 850 MG

260

154

599,500

1,000

105,000

2,750

METHYLPREDNISOLON 4 MG TABLET

296

METHYLPREDNISOLON 8 MG TABLET

300

200

44,000

91

METHYLPREDNISOLON 125 MG INJEKSI


METOCLOPRAMIDE HCL 10 MG

599,500

METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

17

27,300

127,600

500

94

500

57,400

200

36,000

638

638

1 METHILERGOMETRIN MALEAT 0,125 MG TABLET

MELOXICAM 7,5 MG

3,300

15,500

50,000

5,500
60,000

200

60,000

220,000

2,830

10,100

METRONIDAZOL 250 MG TABLET

123

1,000

123,000

7,600

1 METRONIDAZOL 500 MG TABLET

164

500

82,000

500

2,832

1 MICONAZOLE SALEP

3,000

4,070

12

METOCLOPRAMIDE SYRUP 5 MG / 5 ML

82,000

360

1 MOMETHASON KRIM 0,1 %

17,800

35,600

544

1 MULTIVITAMIN ANAK DROP

16,335

20,680

48

992,640

48

992,640

1,265

1,200

1,518,000

800

1,012,000

9,653
37,600

MULTIVITAMIN ANAK SYRUP


MULTIVITAMIN TABLET

16,400

196,020
-

800

1,012,000

2,000

28,000

400

53,200
52,800

42,000

1 NATRIUM BIKARBONAT 500 MG TABLET

14

37,400

1 NATRIUM DIKLOFENAK 25 MG TABLET

133

700

18,400

1 NATRIUM DIKLOFENAK 50 MG TABLET

176

700

300

15,895

4,700

500

NATRIUM DIKLOFENAK GEL

123,200

4,700

1,440

NATRIUM KLORIDA 100 ML

11,110

80,700

NIFEDIPINE 10 MG TABLET

112

800

1,500

NYSTATIN 500.000 IU TABLET

640

1,800

NYSTATIN VAGINAL TABLET 100.000 IU

407

100

132

NATRIUM KLORIDA LARUTAN INFUS 0,9%

89,600

100

93,100

40,700

14,100

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
17,984
298

NYSTATIN SUSPENSI 100.000 IU/Ml


OBH

30,800

4,000

80

OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +


AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

3,750
16,300
2,690
2,000
1,400
948
6,472

1 OFLOXACIN 200 MG

21,450

10,725
-

320,000

60

240,000

24
-

413

100

41,300

OFLOXACIN 400 MG

873

200

174,600

1 ONDENSETRON INJ

6,050

OXYTETRASIKLIN HCL 3 % SALEP KULIT

1,450

OXYTETRASIKLIN HCL 1 % SALEP MATA

2,100

OXYTOCIN INJ

13,913

10

PANTOCAIN 0,5 % TETES MATA

16,100

1 PAPAVERIN 40 MG TABLET

119

100

1 PAPAVERIN INJEKSI 40 MG/ML

530

60

1 PARAFORMALDEHID TABLET 1 GR
1 PARASETAMOL 100 MG

11,900

32

7,040

1 PARASETAMOL DROPS

5,227

10,454

56

292,712

1 PARASETAMOL SYROP 120 MG / 5 ML

263,800

PARASETAMOL SUPP 160 MG/ PROPIRETIC

1,319

3,957

80

105,520

200

1,051,800

PARASETAMOL 500 MG

84

400

33,600

2,900

243,600

748

1 PERMETHRIN KRIM 5 %

11,475

1 PIRANTEL PAMOAT 125 MG

290

500

1 PIRAZINAMID 500 MG

198

18

83.93

240

28,600

31,958

9,500
47,600
192,000
99,600
143

1 PIRIDOKSIN (VIT B6 ) TABLET 10 MG


1 PIROXICAM
1 ALBOTYL

920

POVIDON IODIDA 30 ML

2163

POVIDON IODIDA 60 ML

2,400

193

POVIDON IODIDA 300 ML

14,000

133

POVIDON IODIDA 1 L

42,000

57

34,000
106,600
-

96,000

PREDNISON TABLET 5 MG

0
-

171,600

14,000

42,000

1,000

57,000

1,000

5,000

28,000
57,000

1
2,000

26,135
420,000
145,000
20,143
0
14,000
114,000

1 PROPANOLOL 40 MG

120

1 RANITIDIN TABLET

120

200

24,000

500

1,928

1 RANITIDIN INJ 25 MG/2ML

139,130

60,000

1,000

120,000

1,282

1 RETINOL 100,000 IU

14,300

186

1 RETINOL 200,000 IU

19,600

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
660

1 RINGER LAKTAT LARUTAN INFUS

5,200

31,000

1 RISPERIDONE 1 MG TABLET

1,500

200

57,900

RISPERIDONE 2 MG TABLET

1,008

39,600
606

78

1 RIFAMPICIN 450 MG

SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL

15,600

300,000

253,260

759,780

63,750

40,100

SALBUTAMOL 2 MG TABLET

59

100

5,900

300

17,700

25,700

1 SALBUTAMOL 4 MG TABLET

89

200

17,800

200

17,800

200

4,950

1,250

100

1 SALISIL MENTOL BEDAK

3,630

930

1 SEFADROKSIL SYRUP

5,248

1,750

SEFADROKSIL 250 MG

468

100

100

SEFADROKSIL 500 MG

509

3,800
4,027

1 SALEP 2 - 4
SALISIL BEDAK 2 %

46,800

50
-

17,800
125,000
23,400
-

3,780

SETRALINE 50 MG TABLET

12,100

90

1,089,000

118,000

1 SIANOCOBALAMIN TABLET

12

2,000

24,000

520

58,300

291,500

174,900

391

500

195,500

600

234,600

94,160

274
60,400

SIANOCOBALAMIN / VIT. B 12 INJ


SILVER SULFADIAZINE 10 MG / 35 GR CREAM
SIMVASTATIN TABLET

23,540

919

STREPTOMISIN SERBUK INJ 1500 MG/ML

2,090

5,782

1 SULFASETAMIDA NATRIUM TETES MATA

3,226

48

103,600
700

1 STESOLID RECTAL SUPP

TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG
1 TETRASIKLIN 500 MG KAPSUL

54,000

1,000

1,023

102,300

186

1,023,000

154,848

500
-

511,500

306,900

1,050

700

THIAMIN (VIT.B1) 50 MG TABLET

35

1,000

35,000

1,000

35,000

111 THIAMPHENIKOL 500 MG KAPSUL

431

500

TRAMADOL HCI 50 MG TABLET

323

140

TRAMADOL HCI 50 MG/ML INJ

5,400

40

200

200

32,500

158,600

TRIHEKSILPHENIDIL 2 MG TABLET

762,000

VITAMIN B KOMP. TABLET

107

30,000

ZINC / ZINCDIAR TABLET

475

300

142,500

1,000
-

215,500

300

THIAMIN (VIT.B1) 100 MG / ML INJ

44,000
-

100

107,000
-

8,000
95,000

200

95,000

STOCK
AKHIR

NAMA OBAT

HARGA

DINAS

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
NEO KAOMINAL SUSPENSI

6,000

ALAT KESEHATAN DAN REAGEN

300

936,000

100

200

1,550,000

ALAT AUTOCLIX/LANCET DEVICE

110,000

2,500

ALAT SUNTIK SEKALI PAKAI 1 ML

2,662

13,600

ALAT SUNTIK SEKALI PAKAI 3 ML

3,120

7,231

ALAT SUNTIK SEKALI PAKAI 5 ML

7,750

969

ALAT SUNTIK SEKALI PAKAI 10 ML

3,300

110

8,360

30

22

525,000

ALCOHOL SWABS

275

BISTURI

550

9,600

396

32

690

85,200
507

ALAT PEMERIKSAAN HB

7,509,750
-

312,000

100

902,000

78,100

250,800

902,000

27,500

902,000

902,000

5,415,500

1,650,000

2,420,000

39,050

302,500

5,528
-

CATGUT DENGAN JARUM BEDAH


CATGUT CHROMIC

81

DEX GLASS

89

EDTA VACUM TUBE 5 ML

907,500

FESCOPLAST

10

FOLEY CATETHER

15,400

GLUCOSA TEST TIP

8,323

935,000

18,755

880

1,800

1,584,000

400

8,800

30

264,000

13,200

30

300

8,530
24

GOLONGAN DARAH KIT

10

H2O2

36,800

HAND SCONE / SURGICAL GLOVE

400

HAND SCONE STERILE

480

HCG CASETTE / PP TEST

20,490

HEMASITO METER

ISI AUTOCLIX

1,632

60

97,920

131

INFUSION SET ANAK

8,800

494

INFUSION SET DEWASA

7,321

78

IODIUM TEST

20,900

4,273

IV CATETHER

22,000

218

JARUM JAHIT

20,900

AC287*511500

1
352,000

500

935,000
440,000
396,000
489,600

8,800

41,800

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
80
137

KACA MULUT

96,800

20,130

20

KAPSUL KOSONG NO.0

44

KAPSUL KOSONG NO.1

33

KASSA HIDROFIL 40 X 40

1,980

84

KASSA HIDROFIL GULUNG

130,000

260,000

KASSA STERIL

6,820

34,100

13,640

KASSA 4 M X 15 CM

5,882

50

294,100

LAMPU SPIRITUS

LARUTAN ASAM ALKOHOL

16

LARUTAN KOH 10 % 250 ML

46,200

101,750

105

LOMATUELL H 10 X 10 CM

49

402,600

351,078

60,390

101,750

596

KAPAS PEMBALUT 250 GR

40,260

260,000

37,400

1,078,000

330

400

132,000

100

108

22,000

22,000

108

22,000

45

MATA BOR HIGH SPEED BUNDAR

95,700

45

MATA BOR HIGH SPEED FISURE

95,700

45

MATA BOR HIGH SPEED INVERTED CONE

95,700

236,500

16

METILEN BLUE 250 ML

MICROPIPET 3 UKURAN

34,250

MASKER

1,000

330,000

33,000

MATA SCALLER

NASO GASTRIC TUBE

55,000

125

NEBULIZE MASK FOR INFANT

40,700

126

NEBULIZE MASK FOR ADULT

52
175
16
2

NEEDLE
OBJECT GLASS

40,700

110,000

34,991

OIL IMERSI
OSE

13,500
5,400

174,955

22

PENJEPIT TABUNG

PIPET BESAR

PIPET KECIL

236

PLESTER

8,167

16,333

40,833

24,500

POT DAHAK

POWDER ENZIMATIC ALKAZYME

943,500

PURIFIED PROTEIN DERIVATIVE 2 UT

702,240

13,200

36

SELANG O2 ANAK

26,400

STOCK
AKHIR

NAMA OBAT

HARGA

DINAS

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
18

SELANG O2 DEWASA

1
603

SILK DENGAN JARUM BEDAH

13,200

1,082,950

3,056

10

200

STRIP HB

191,500

26,400

30,556

191,500

STRIP GULA DARAH

95,000

190,000

95,000

STRIP PROTEIN DAN GLUKOSA

77,000

77,000

STRIP KOLESTEROL

159,500

18

VENOJECT

440,000

19

YELLOW TIP

95,700

37

TABUNG REAKSI BESAR

2,015

63

TABUNG REAKSI KECIL

2,015

15

TERMOMETER DIGITAL

34,320

35

102,960

462,000

17,850

1,000

104

13,200

102

189

TORNIKUET

URINE BAG

URINE TEST 3 PARAMETER

WIDAL TEST

24

4,950

247,500

1,396,000

133,100

OBAT GIGI

ARSEN

484,000

ARTIKULATING PAPER

291,500

STOCK
AKHIR

NAMA OBAT

HARGA

DINAS

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
73

AIR RAKSA DENTAL USE

225,500

3,740,000

CALCIDOR

209,000

66

CEVITRON

115,500

10

15

CHKM

70,000

1,155,000

10

1,155,000

CRESOPEN

770,000

DENTORIT

154,000

11

DYCAL

534,600

188

ETIL KLORIDA SPRAY

145,200

185

EUGENOL CAIRAN

3,178

14

IODOFORM PASTA

302,500

45

GLASS IONOMER ART

687,500

10

OCO / TSR

110,000

SILVER AMALGAM SERBUK 65 - 75 %

1,265,000

12

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

418,000

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

36,300

3,486,756

19,892,337

5,946,725

145,200

21,238,079

18,485,588

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

Harga

Pemakaian

50

157,500

75

500

267,000

100

500

43,000
-

200

17,200

1,000

236,250

JBG

86,000

700

236,250

60,200

300

Pemakaian
-

53,400
25,800

711,900

534,000

2,000

172,000

42,000

400

1,320,000

50

165,000

400

1,320,000

100

330,000

200

660,000

5,940,000

1,000

124,850

1,000

124,850

1,300

162,305

1,200

149,820

500

62,425

500

62,425

873,950

447,200

200

Harga

660,000

Harga

200

75

CTK

42,000

510
-

570,000

270

64,800

250

569,250
-

7,000

1,827,000

510
-

500

105,500

2,000

522,000

500

1,500

V29*81

122,400

3,000

58,000
V29*81

30

7,200

120

570,000

50

113,850

100

227,700

450
-

6,000

1,566,000

7,000

1,477,000

1,100

232,100

9,000

2,349,000

6,000

1,566,000

2,088,000

300

900,000
139,200

3,500

406,000

2,000

232,000

2,000

232,000

4,000

288,000

3,500

252,000

5,000

360,000

6,000

486,000

385,000

50

192,500

100

1,024,650

1,200

8,000

122,400

417,600

2,504,700
1,814,600
10,962,000
900,000
1,160,000

#VALUE!
50
-

192,500
-

100
-

252,622

50

124,550

100

385,000

378,933
-

126,311

125

311,375

126,311
-

50

385,000

1,944,250

1,136,799

124,550

560,475

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

Harga

Pemakaian

Harga

Pemakaian

Harga

Pemakaian

10

28,500

1,500

142,500

1,000

159,000

2,500

397,500

2,500

397,500

7,000

1,113,000

2,321,400

2,000

200,000

4,000

400,000

2,500

250,000

4,000

400,000

2,450,000

600

200,000

220,200

5,000

500,000

100

104,500

1,050

120

100

152,000

100

152,000

385,350
-

600

50

Harga

90,750

CTK

30

50

151,250

JBG

300

2,000

30,250

PWK

900

220,200

151,250
-

330,300

574,750
266,000

261,250
1,596,450

638,000

10

125

348,000

190,000

50

45,000

40

180,000

315,000

750

87,000

105,560

76,000

100

152,000

874,000

371,940

100

230,000

100

230,000

3,000

843,000

462,000

900

500
-

31,500
-

252,900

24

148,776

63,000

2,000

126,000

2,000

176,000

2,500

220,000

264,000

10

88,000

210

180,390

510

438,090

5
700
-

52,200
131,600
-

50
1,000
-

522,000
188,000
-

1,020

876,180

190

AM51*V51-58050

100

230,000

4,000
210

352,000
180,390

700

44,100

500

88,000

10

88,000

10

522,000
-

75,200

843,000

1,000

50

3,000

1,000

188,000

400

600

69,600

100

104,400
18,800
-

1,030,800

378,000
862,400
616,000
3,015,090

100
1,500

1,044,000
282,000

3,393,000
1,109,200

139,200

500

833,000

500

400

4,000

363,880

10,800

982,476

7,200

654,984

122,500

1,200

31,500

#VALUE!
2,191,800

300

73,500

12

74,388

100

700

171,500

1,000

30
-

132,000

18

111,582

7,200

654,984

3,211,241

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

1,000

69,000

50

100,000

2,000

138,000

5,500

379,500
200,000

100

100

9,100

4,500

37,888

9,100

10

199,980

250,500

396,000

1,000

167,000

200

44,000

100

22,000

100

100

100

44,000

100

44,000

100

100

92,100

100

92,100

200

5
1,000

44,000

396,000

184,200

126,500

1,749,900

840,000

6,600

75,900

455,400

1,200

724,800

#VALUE!

24

48

102,510

V94*133

30

22,000

102,510

100

30

22,000

483,200

306,000

800

33,330

92,100

1,690,500

921,000

483,000

83,500

1,000

7,000

166,650

207,000

50

220,000

3,000

500

500

310,500

48,384

30

102,510

90

253,600

307,530

24,192

120,960

615,060

400

#VALUE!

100

81,900

500

144,000

835,200

150

277,530

1,063,865

9,100
-

400
-

36,400
-

200
-

18,200
-

200
-

18,200

300

86,400

500

144,000

600

172,800

600

172,800

50

92,510

50

92,510

100

185,020

50

92,510

25

46,255

24

21,480

100

89,500

200,480

800

43,200

1,500

81,000

734,400

2,000

108,000

50

44,750

5,000

270,000

1,000

54,000

3,000

162,000

CBB
Pemakaian
-

CWD
Harga

Pemakaian
-

1,000

PM
Harga

Pemakaian

436,000

Harga

Pemakaian
-

2,000

PWK

56,000

Harga

Pemakaian
-

3,000

JBG

84,000

400

CTK
Harga

Pemakaian

174,400

2,000

56,000

200

300

73,800

300

12

176,688

210

300

1,419,000
460,608

510

2,412,300

72

172,728

2
1,500

111,100
219,000

48
1
1,000

115,152
55,550
146,000

993,300

73,800

5,000

495,000

140,000

392,000

80,000

165,000

165,000

500

123,000

2,000

492,000

861,000

5,817,900

120

287,880

192

600

759,000

55,550

500

55,550
73,000

72

55,550

741,200

1,000

40,000

Harga

259,875

172,728

176,688
415,800

1,679,300

759,000

444,400

50
1,000

224,950
146,000

224,950
876,000

100

29,100

100

9,700

300

21,000

1,500

105,000

200

71,060

200

71,060

70,000

100

35,530

30

200

82,000

100

50

235,000

12

72

338,400

10
50
5

25,390
-

56,400

120

80,000

50

19,000

80,000
-

48
-

304,680
76,800
-

50
-

80,000
-

105,000

41,000

1,500

100

360,360

1,000

9,700

(4600*46)+(2400*70)

#VALUE!

213,180

72

864,864

300

123,000

348,500

72

338,400

1,156,200

330,070

500

155,210

155,210

50

80,000

668,800

10

38,000

57,000

72
-

7,000

41,000

115,200
-

1,225,224

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

75

449,625

50

299,750

100

599,500

100

599,500

50

299,750

100

599,500

3,147,375

48

87,120

48

87,120

72

130,680

48

87,120

24

43,560

48

87,120

566,280

100

20
V145*8289

132,000

160
V145*8289

20
792,000

120

550,000

300
AO145*8289

1,980,000

900
-

#VALUE!

280,800

50

50

280,800
-

120

739,200
300

792,000
50

554,400

401,500

20,900
-

72

1,140,480

98,750

1,500
550,000

500
1,056,000

50

120

1,650,000

528,000

1,900,800

150

880,000

50

2,376,000

98,750

144

550,000

1,588,500

3,135,000

6,959,700

396,000

4,989,600

401,500

120,000

20,900

2,280,960

10,992,960

1,650,000

6,160,000

1,584,000

7,392,000

98,750

395,000

1,500
2,112,000

1,588,500

1,500

2,000
-

1,100,000

500

1,584,000

550,000

800

1,500

1,188,000

1,010,100

600

2,710,400

91,000

300
522,500

1,800

500

1,000

1,029,600
-

739,200

100

50
1,003,200

1,032,640

500

500

1,045,000

327,600

96

1,560

368,800
120

1,800

100

840

182,000

368,800
-

369,600
1,000

550,000

522,500
1,200

218,400

500

60

739,200
1,200

50

100

54,600

120

50

CBB
Pemakaian
500
-

CWD
Harga

Pemakaian

69,000
-

Harga

Pemakaian

500

50,000

401,800

216,300

510,400

184,800

92,700
-

61,800

500

319,000
66,000

700

26,400

60

500

599,500

1,000

1,199,000

1,600

1,918,400

500

52,500

3,000

315,000

1,200

126,000

10
-

27,500
-

Harga

90

Pemakaian

800

10
-

1,000

300,000

800

264,000

100

9,100

27,500
240,000

110,400

Harga

800

61,800

Pemakaian

60

110,400

Harga

CTK

13,200

Pemakaian

JBG

57,400

Harga

PWK

100

PM

1,000

1,500

450,000

264,000

500

45,500

200

1,000

446,600
105,000

6
600
1,000

16,500
300,000
18,200

58
-

79,200
382,800
105,000

500
1,000

69,000

319,000
105,000

358,800

72,800
1,276,000
5,035,800
913,500

236,500

159,500
-

100

30,000

220,000

100

9,100

450,000

1,890,000

264,000

1,232,000

81,900

100

12,300

135,300

300

100

16,400

400

10

49,200

15

267,000

48

784,080

10

163,350

50

1,034,000

72

1,488,960

1,000

1,265,000

1,000

1,265,000

1,000

14,000

500

66,500

500

66,500

500

100
-

82,000

2,068,000
-

800

131,200

178,000
-

980,100

2,123,550

3,474,240

20,183,680

1,265,000

500

632,500

500

28,000

2,000

28,000

1,000
2,000

28,000

1,200

159,600

88,000

200

500

40

188,000

40

444,400

300

33,600

1,000

112,000

100

64,000

1,600

179,200

100

836,600

60

168

10

356,000

524,800

5,170,000

4,963,200

2,000

20

65,600

250

240

47,000

1,500

1,000

(400*1287)+(100*528)
133,000

#VALUE!
126,000
571,900

253,800

444,400

414,400

100

64,000

128,000

100

40,700

122,100

40,700

35,200

299,200

CBB
Pemakaian

CWD
Harga

Pemakaian

200

50

300
50
20
200

Harga

Pemakaian
-

(146*5225)+(54*4

536,250

100

PM

41,300
(250*654)+(50*87
278,260
23,800

Pemakaian
-

480

300

36,250

75

JBG
Harga

Pemakaian
-

1,920,000

25

Harga

72,500

PWK

150

261,900
108,750

200

Harga

Pemakaian
-

600,000

CTK

174,600

168

Harga
-

672,000

#VALUE!

536,250

1,093,950

50
-

100

41,300

123,900

200

174,600

#VALUE!

50

2,504,340

50

695,650

100

1,391,300

1,000

72,500

290,000

119,000

154,700

20

104,540

56

48

250,896

300
6,000
-

10

52,270

395,700

150

197,850

350

461,650

350

461,650

200

263,800

504,000

8,000

672,000

10,800

907,200

10,800

907,200

15,000

1,260,000

2,000

600
-

580,000

50,358
0

1,000
-

290,000
-

1,000

18,000

600

50,358

2,040

171,217

85,800

85,800

1,800

522,000

2,400
20

201,432
43260

1,000
2,000

290,000
36,000

292,712

1,029,719

100

131,900

2,285,827

15,000

1,260,000

6,207,600

1,000

290,000

2,117,000

54,000

1,080

90,644

2,040

171,217

755,370

10

286,000

10

286,000

915,200

10

21630

64,890

56,000

42,000

399,000

1,500

180,000

1,000

120,000

3,000
5,500

171,000
660,000

2,500

300,000

500

60,000

1,000

120,000

1,644,000

CBB
Pemakaian
1,000

CWD
Harga

Pemakaian

(600*660)+(400*5

PM
Harga

Pemakaian
-

104,000

40

300

450,000

10
759,780
-

11,800

200
100

V238*96

Harga

100

500
-

29,500
-

Pemakaian
-

2,000
-

Harga
3,000,000

#VALUE!
847,600
3,750,000

4,052,160

400

23,600

100

8,900

800

59,000
V238*96

800

71,200

100

125,000

100

48

174,240

100

90,750

Harga

25

1,000

Pemakaian

1,000

Harga

CTK

JBG

520,000

2,532,600
-

Pemakaian
-

20

208,000

PWK

100

125,000

46,800
-

71,200

147,500
#VALUE!

375,000

627,990

351,000

500
-

363,000
234,000
-

90

1,089,000

90

1,089,000

90

1,089,000

90

1,089,000

5,445,000

2,000

24,000

2,000

24,000

2,000

24,000

2,000

24,000

120,000

291,500

291,500

291,500

291,500

174,900

10

583,000

2,390,300

200

78,200

500

195,500

1,200

469,200

2,800

1,094,800

1,000

391,000

1,500

586,500

3,245,300

117,700

1,177,000

50

24

1,000

100
1,023,000

200
-

2,000
102,300

1,500

1,000
1,534,500

1,023,000

93,000

353,400

93,000

500

86,200
-

1,000

35,000

4,000

140,000
43,100

100

4,000

464,544

3,069,000

10,741,500

539,400

140,000

2,000

70,000

525,000

344,800

270,000

50

270,000

8,000

600

24,000

1,000

40,000

500

20,000

1,000

40,000

1,000

107,000

1,500

160,500

1,500

160,500

4,000

428,000

2,000

214,000

1,000

475,000

700

332,500

600

285,000

700

332,500

500

237,500

500

232,272

200

70,000

1,900

72
3,000

2,046,000

2,000

77,424

1,388,860

3,000
1,000

120,000
475,000

260,000
1,177,000
2,470,000

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

798,600

100

300

936,000

500

1,560,000

200

532,400

100

266,200

400

1,248,000

100

312,000

100

600

165,000

1,000

902,000

902,000

30

2,343,000

10

781,000

330,000

275,000

902,000

5,616,000

9,059,750

330,000

250,800

200

8,118,000

400

110,000

1,804,000

390,500

902,000

55,000

632,500
-

3,514,500

2,117,500

77,000

302,500

#VALUE!

1,000

77,000

907,500

312,000

880,000

935,000
-

300

264,000
440,000

5
3

56,265

2,000

1,760,000

50

210

300

20
-

146,420
-

10

88,000

150

1,098,150

4,675,000

50
-

30

660,000

30

660,000

60

10

209,000

20

418,000

2,772,000
489,600
366,050
1,320,000
-

1
800

935,000
704,000

56,265

800

704,000

6,688,000

880,000

1,584,000

100

90

210

342,720

300

489,600

300

1,188,000
489,600

4,356,000
2,399,040

2,640,000

668,800

36,605

96,800
1,647,225

CBB
Pemakaian
2

CWD
Harga

Pemakaian
-

Harga

Pemakaian
-

PWK
Harga

Pemakaian
-

JBG
Harga

Pemakaian
-

CTK
Harga

Pemakaian

Harga

684,420

40,260

260,000

PM

40,260

100,650

390,000

650,000

260,000

2,080,000

682,000

13,640

1,503,658

100

588,200

100

60

409,200

100

10

58,820

70

407,000
-

101,750

101,750

411,740

101,750

588,200

700

231,000

44,000

44,000

165,000

450

10

220,000

286,000

10

220,000

264,000

275,000

81,400

81,400

110,000

81,400

81,400

275,000

148,500

600

198,000

500

165,000

500

1,000

330,000

1,941,060

1,732,500

408,334

57,167

20

163,333

110,000

24,500

10

81,667

139,964

314,919

10

158,400

132,000

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

10

137,500
191,500

20

61,111

15

45,833

380,000

77,000

132,000

JBG

154,000

570,000

158,400

1,235,000

308,000

514,800

102,960

102,960

102,960

102,960

49,500

10

49,500

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

8,085,000

10

1,155,000

10

1,155,000

10

1,155,000

10

1,155,000

70,000

70,000

770,000

770,000

2,673,000

3
3

435,600

1,603,800

2,062,500

1,069,200

726,000

1,375,000

10

1,155,000

290,400

1,161,600

2,758,800
311,761,529

3,437,500

39,768,677

34,170,037

57,638,110

48,978,788

37,927,152

53,555,098

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

DINAMIKA LOGISTIK OBAT


DI KOTA CILEGON
Propinsi

: BANTEN

Alamat

: Jl.K.P.Tendean Km.2 Cilegon

Jumlah Unit Pelayanan

: 9 Unit

Bulan

: September

Tahun

: 2015

NO

NAMA OBAT

ACYCLOVIR 5 GR KRIM

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

10

CLG

CBB

11

12

CWD

PM

13

14

TUBE

3,850

3,850

25

50

50

25

ACYCLOVIR 200 MG TABLET

TABLET

12,400

12,400

200

150

500

200

ACYCLOVIR 400 MG TABLET

TABLET

20,000

20,000

200

100

1,000

300

ALLOPURINOL 100 MG TABLET

TABLET

50,600

50,600

300

300

ALLOPURINOL 300 MG TABLET

TABLET

1,800

1,800

AMBROXOL SYRUP 15 MG / 5 ML

BOTOL

23,600

23,600

AMBROXOL TABLET 30 MG

TABLET

8,000

8,000

100

AMINOFILIN 200 MG TABLET

TABLET

1,000

1,000

40,800

40,800

AMITRIPTILIN 25 MG TABLET

TABLET

10

AMLODIPIN 5 MG TABLET

TABLET

11

AMLODIPIN 10 MG TABLET

TABLET

12

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

13
14

100

500 ###
300

1,500

100

100

1,000

CTK

15

16

17

25

JUMLAH
18=(7s/d17)

125

300

1,000

2,050

200

400

1,000

3,200

500

700

600

2,000

5,500

150

350

200

400

1,605

1,000

1,000

400

1,000

2,000

8,000

300

500

1,250

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

BOTOL

16,100

16,100

AMOXICILLIN 250 MG KAPLET

KAPLET

35,900

35,900

15

AMOXICILLIN 500 MG KAPLET

KAPLET

452,600

452,600

16

AMOXICILLIN + AS.KLAVULANAT

TABLET

1,500

1,500

17

ANTALGIN 500 MG TABLET

TABLET

171,100

171,100

18

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA


200 MG + ALUMUNIUM HIDROKSIDA 200 MG)

TABLET

199,800

199,800

19

ANTASIDA SUSPENSI

BOTOL

3,095

3,095

50

20

ANTI BISA ULAR (ABU) SERUM

VIAL

15

15

21

ANTI TETANUS SERUM 1500 UI

AMPUL

33

33

22

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


POLIMIKSIN B 10,000IU/G )

TUBE

3,765

3,765

25

23

ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM


SALISILAT 3 %)

POT

120

24

ANTI HEMOROID DOEN

SUPP

100
200

150

3,000

6,000

300

1,000

250
7,000

250

120
100

550

1,700

2,000

3,000

7,000

9,600

6,000

14,000

55,800

500

2,500

1,500

4,000

10,800

1,500

4,000

3,500

2,000

10,000

24,500

200

150

100

250

800

1,000

1,000

5,000

5,000

1,000

300

1,500 ###

500

###

2
2

2
100

2
125

50

8
100

1,780

500
-

1,250

1,780

JBG

300

VIAL

PWK

400

20

50

20

60

40

30

220

NO

NAMA OBAT

SATUAN
3

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

529,900

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

529,900

1,500

JUMLAH
18=(7s/d17)

25

ASAM ASCORBIT (VIT.C) 50 MG TABLET

TABLET

26

ASAM ASCORBIT (VIT.C) 250 MG TABLET

TABLET

16,700

16,700

27

ASAM MEFENAMAT 500 MG

TABLET

251,800

251,800

28

ASAM TRANEKSAMAT 500 MG

TABLET

10,650

10,650

29

ATROPIN SULFAT INJ

AMPUL

66

66

30

ATTAPULGIT / MOLAGIT TABLET

TABLET

69,300

69,300

31

AQUABIDEST

BOTOL

32

AQUA PRO INJEKSI 25 ML

BOTOL

317

317

33

AZITHROMYCIN 500 MG

KAPSUL

230

230

34

BEKARBON

TABLET

19,310

19,310

35

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

VIAL

180

180

36

BETAMETASONE KRIM 0,1 %

TUBE

6,150

6,150

37

BETAHISTIN MESILAT 6 MG TABLET

TABLET

38

BETAKAROTEN 500 IU SYRUP

BOTOL

39

BISACODYL 10 MG SUPP

SUPP

354

354

40

BISOPROLOL 5 MG

TABLET

720

720

41

BROMHEKSIN HCL 8 MG TABLET

TABLET

94,800

94,800

42

BROMHEKSIN HCL SYRUP

BOTOL

1,500

1,500

43

BROMHEKSIN HCL 8 MG / 4 ML SOL

BOTOL

76

76

44

CALAMIN LOTION

BOTOL

1,346

1,346

45

CAPTOPRIL 12,5 MG TABLET

TABLET

598,700

598,700

46

CAPTOPRIL 25 MG TABLET

TABLET

170,600

170,600

47

CEFIXIME SYRUP KERING 100 MG

BOTOL

740

740

48

CEFIXIME 100 MG

KAPSUL

17,930

17,930

49

CEFIXIOME 200 MG

50

CEFOTAXIME INJ 1G

VIAL

51

CEFTRIAXON INJ

VIAL

52

CETIRIZINE 5 MG SYRUP

BOTOL

375

375

53

CETIRIZINE DROP

BOTOL

54

CETIRIZIN 10 MG

TABLET

4,200

4,200

55

CIMETIDIN TABLET

TABLET

17,300

17,300

56

CIPROFLOXACIN 500 MG TABLET

TABLET

90,050

90,050

57

CLINDAMYCIN 150 MG KAPSUL

KAPSUL

3,350

3,350

58

CLINDAMYCIN 300 MG KAPSUL

KAPSUL

59

CHLORPHENIRAMIN MALEAT (CTM) 4 MG

TABLET

60

CHLORPROMAZINE 100 MG

TABLET

61

DEKSTROMETORPHAN HBR SYRUP

BOTOL

62

DEKSTROMETORPHAN HBR TABLET 15 MG

TABLET

63

DEKSTROSA LARUTAN INFUS 5 %

BOTOL

245

245

1,500
100

1,000

2,000

2,500

2,000

200

3,500

1,000

2,500
5,500

3,000

2,000

2,200

3,700

4,800

11,000

6,000

26,600

200

200
-

750

150

750

600

300

750

3,300
-

20

40

40

20

750

120
###

1,500
-

50

100

50

50

125

100

475
-

12

12
-

600

600

3,900

5,100
-

5
1,000 ###

500

1,500
60

50

20

210 ###

3,000

3,000

1,700

1,500

3,000

14,700

1,000

3,000

3,500

1,500

3,000

13,500

10

100

260

120

1,020

2,940

10

10

210

150

1,020

577,300

10

50

10

70
-

500

300

1,000

1,000

600

100

200
300
100

300

200

400

500

3,500

200

400

300

1,200

2,700

600

200

1,000

577,300

2,400
-

1,000

3,600

7,200

2,000

14,400

28,200

10

10

20

NO

NAMA OBAT

SATUAN

STOCK
AWAL

BOTOL

PENERIMAA PERSEDIAA
N
N
5

396

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

10

11

12

13

14

CTK

15

16

17

JUMLAH
18=(7s/d17)

DEKSTROSA LARUTAN INFUS 10 %

65

DEKSTROSA LARUTAN INFUS 40 %

BOTOL

85

85

66

DEXAMETHASON 0,5 MG TABLET

TABLET

394,200

394,200

2,000

67

DEXAMETHASON INJEKSI

VIAL

2,199

2,199

100

68

DIAZEPAM TABLET

TABLET

40,000

40,000

69

DIAZEPAM INJ 5 MG/ML

AMPUL

120

120

70

DIFENHIDRAMIN INJ

AMPUL

180

180

71

DIGOKSIN 0,25 MG TABLET

TABLET

50,900

50,900

72

DOMPERIDON 5 MG SUSPENSI

BOTOL

1,370

1,370

73

DOMPERIDON 10 MG

TABLET

25,500

25,500

74

DOXYCYCLINE 100 MG KAPSUL

KAPSUL

7,000

7,000

75

EKSTRAK BELLADONNA TABLET 10 MG

TABLET

76

EPINEFRIN (ADRENALIN) INJ 0,1%

AMPUL

107

107

77

ERYTHROMYCIN 200 MG SYRUP

BOTOL

888

888

78

ERYTHROMYCIN 250 MG

KAPSUL

16,200

16,200

79

ERYTHROMYCIN 500 MG TABLET

TABLET

36,600

36,600

80

ETAMBUTOL 500 MG

TABLET

38,800

38,800

81

ETAKRIDIN 0,1 % / RIVANOL

BOTOL

121

121

82

ETANOL 70 % 1000 ML

BOTOL

494

494

83

FENITOIN 100 MG KAPSUL

KAPSUL

1,400

1,400

84

FENOBARBITAL 30 MG TABLET

TABLET

7,000

7,000

85

FENOL GLISEROL 10 %

BOTOL

1,008

1,008

24

24

86

FITOMENADION INJ

AMPUL

4,530

4,530

30

90

60

180

87

FITOMENADION 10 MG TABLET

TABLET

15,300

15,300

100

500

1,100

88

FLUCONAZOL 150 MG

TABLET

4,500

4,500

89

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

AMPUL

220

220

90

FUROSEMID 40 MG TABLET

TABLET

16,000

16,000

91

GAMEKSAN

BOTOL

92

GARAM ORALIT II SERBUK

SACHET

93

GENTAMYCIN SALEP KULIT

TUBE

94

GENTIAN VIOLET 1 % - 10 ML

BOTOL

95

GLIBENCLAMIDE 5 MG TABLET

TABLET

776,800

776,800

96

GLIMEPIRIDE 2 MG

TABLET

3,000

3,000

97

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50


MG

TABLET

15,480

15,480

98

GLISERIL GUAIAKOLT 100 MG TABLET

TABLET

410,000

410,000

99

GLISERIN LARUTAN

BOTOL

10

JBG

64

44,500

396

PWK

2,000

10

20

1,000

5,000

100

100

20
30
4,500

3,500

7,000

26,000

1,000

1,000

###

400

30
500

10

30

100

200

50

800
-

2
5
200

500

24
100

12

15

44

100

100

200

1,000
-

21
-

100

200

200

48

200

200

500

820

820

50

2,477

2,477
200

1,000

40

50

50

26

400

500

700

700

100

30

50

50
1,000

1,000

200

1,500

50 ###

3,000

500

TABLET

11,100

11,100

101 HALOPERIDOL 0,5 MG TABLET

TABLET

4,700

4,700

4,100
420

50 ###

226
3,000

10,100

600

750

3,000

20,000

30

120
5,000

3,000

2,000

1,000

6,000

400

200

100 GRISEOFULVIN 125 MG TABLET

125
-

44,500

1,000

10

100

600
500

2,000

2,600

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

102 HALOPERIDOL 5 MG TABLET

TABLET

8,400

8,400

103 HALOPERIDOL 5 MG INJEKSI

AMPUL

432

432

104 HEPARIN 200,000 IU GEL

TUBE

227

227

105 HEPAPROTEKTOR SYRUP

BOTOL

500

500

106 HEPATOPROTEKTOR TABLET

TABLET

8,220

8,220

107 HIDROKORTISON KRIM 2,5 %

TUBE

28,432

28,432

TABLET

12,000

12,000

108 HYOSINE N BUTILBROMIDA TABLET


109 IBUPROFEN 125 MG SUPP

SUPP

43

43

110 IBUPROFEN 200 MG SUSPENSI

BOTOL

230

230

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

500

400

JUMLAH
18=(7s/d17)

500 ###

1,900
-

3
210

210

48

48

124

96

100

148
100

464
200

2
10

100

10

25

50

195

1,500

1,500

1,000

8,000

111 IBUPROFEN 200 MG TABLET

TABLET

112 IBUPROFEN 400 MG TABLET

TABLET

143,600

143,600

113 ISONIAZID 100 MG

TABLET

5,000

5,000

114 ISONIAZID 300 MG

TABLET

6,000

6,000

115 IMUNOSTIMULAN SIRUP

BOTOL

116 IMUNOSTIMULAN TABLET

TABLET

117 ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

TABLET

200

200

118 ITRAKONAZOL 100 MG

KAPSUL

119 KALCIUM LACTAT 500 MG TABLET

TABLET

100,600

100,600

120 KALIUM DIKLOFENAK 50 MG

TABLET

16,400

16,400

VIAL

70

70

122 KAOLIN SUSPENSI

BOTOL

890

890

123 KETOKONAZOL 200 MG TABLET

TABLET

9,000

9,000

TUBE

2,914

2,914

125 KETOPROFEN 100 MG

TABLET

4,700

4,700

126 KETOROLAC INJ 10 MG

AMPUL

100

100

127 KLORAMFENIKOL 250 MG KAPSUL

KAPSUL

29,600

29,600

128 KLORAMFENIKOL 1 %SALEP MATA

1,000

200

200

121 KANAMYCINE 2 GR

124 KETOKONAZOL KRIM 2 %

1,500 ###

600

1000

500

1000

2000

9,000

14,100
-

12

60

100

50

24

20

100
24

300
10

36

48

48

800

1,050

192

332

500

800

54

100
-

TUBE

2,689

2,689

129 KLORAMFENIKOL SUSPENSI

BOTOL

168

168

24

130 KLORAMFENIKOL 0,5 % TETES MATA

BOTOL

7,675

7,675

131 KLORAMFINEKOL 3 %TETES TELINGA

BOTOL

636

636

132 KLARITROMISIN 500 MG

TABLET

600

600

133 KODEIN FOSFAT 20 MG TABLET

TABLET

3,500

3,500

134 KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5


MG KRIM/mytaderm

TUBE

2,991

2,991

135 KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25 MG +


PARASETAMOL 400 MG/hustab/tuzalos

TABLET

45,900

45,900

100

24

24

25

100
72

80

72

100

20

24

48

221

24

50

74

75

150

450

72

100

144

20

264

584
-

NO

NAMA OBAT

SATUAN

STOCK
AWAL

136 KOMB. BUDENOSIDE FORMATEROL 80/4,5 MCG INHALER,


60 DOSIS
137 KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON
VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA
138 KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +
GG + CTM SYRUP/dextral

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

BOTOL

456

456

BOTOL 60
ML

482

482

139 KOMB.BETAMETASON, DEKSKLORFENIRAMIN


MALEAT/zestam

TABLET

7,050

7,050

140 KOMB.METHAMPYRON + DIAZEPAM/danalgin

TABLET

13,200

13,200

141 KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL


+ CTM/febrinex

BOTOL

300

300

142 KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT/benacol

BOTOL

7,010

7,010

143 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


TABLET/flutab

TABLET

26,360

26,360

144 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


145 SYRUP/protexinal
KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100

BOTOL

1,574

1,574

TUBE

86

86

100

20
20

20
52

100

60

1,500
200

50 ###

1,000

100

1,500

100
50

120

48

50

240

360

100
5

50
240

148

50

2,400

340
350

482

500

4,500

1,000

1,400

200

250

100

446

###

5,760

10
10

110
3

10

34

MG
146 KOMB.TEOFILIN + SALBUTAMOL TABLET/teosal

TABLET

1,000

1,000

147 KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG


SYRUP / TREMENZA SYRUP

BOTOL 60
ML

2,491

2,491

96

10

100
72

72

144

150

192

736

148 KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG


TABLET / tremenza TABLET

TABLET

48,400

48,400

500

100

500

300

800

1,000

2,000

5,200

149 KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +


VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET

TABLET

43,700

43,700

400

100

200

2,500

1,500

1,000

6,700

50

50

200

1,000

300

2,800

1,000

150 KOTRIMOKSAZOL SUSPENSI

BOTOL

3,865

3,865

151 KOTRIMOKSAZOL ADULT 480 MG TABLET

TABLET

19,700

19,700

152 KOTRIMOKSAZOL PEDIATRIK TABLET

TABLET

12,240

12,240

153 LEVOFLOXACIN 500 MG TABLET

TABLET

2,750

2,750

154 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

AMPUL

7,310

7,310

60

120

155 LINCOMYCIN 500 MG KAPSUL

TABLET

15,970

15,970

300

20

156 LISOL

BOTOL

743

743

157 LOPERAMID 2 MG TABLET

TABLET

20,800

20,800

158 MELOXICAM 7,5 MG

TABLET

15,500

15,500

159 MELOXICAM 15 MG

TABLET

30,300

30,300

100

600

300

160 METFORMIN 500 MG

TABLET

141,000

141,000

200

1,500

200

161 METFORMIN 850 MG

TABLET

100

100
500

700

300

200

50

50

90

100

200
600
4

920
6

16
500

700

1,000 ###

1,000

500
2,700

1,000
500

570

2,000
1,000

2,000

1,500

7,900
-

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

162 METHILERGOMETRIN MALEAT 0,125 MG TABLET

TABLET

3,300

3,300

163 METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

AMPUL

94

94

164 METHYLPREDNISOLON 4 MG TABLET

TABLET

165 METHYLPREDNISOLON 8 MG TABLET

TABLET

36,000

36,000

VIAL

17

17

167 METOCLOPRAMIDE HCL 10 MG

TABLET

500

500

168 METOCLOPRAMIDE SYRUP 5 MG / 5 ML

BOTOL

169 METRONIDAZOL 250 MG TABLET

TABLET

10,100

10,100

170 METRONIDAZOL 500 MG TABLET

166 METHYLPREDNISOLON 125 MG INJEKSI

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

100
10

JUMLAH
18=(7s/d17)

200

300

25

35
-

100

1,000

300

200

600

800

700

100

2,000

5,800
11
-

100

TABLET

7,300

7,300

171 MICONAZOLE SALEP

TUBE

2,832

2,832

172 MINYAK KAYU PUTIH 15 ML

BOTOL

173 MOMETHASON KRIM 0,1 %

TUBE

360

360

174 MULTIVITAMIN ANAK DROP

BOTOL

544

544

34

10

250

175 MULTIVITAMIN ANAK SYRUP

BOTOL

9,653

9,653

60

200

50

74

72

250

240

176 MULTIVITAMIN TABLET

TABLET

37,600

37,600

2,000

700

300

1,000

400

500

1,500

177 NATRIUM BIKARBONAT 500 MG TABLET

TABLET

42,000

42,000

178 NATRIUM DIKLOFENAK 25 MG TABLET

TABLET

37,400

37,400

100

300

600

500

1,200

2,500

179 NATRIUM DIKLOFENAK 50 MG TABLET

TABLET

18,400

18,400

500

500

24

300

100

24

24

100
500

900
72
-

10
50 ###

10
250

150

544

300

1,496

500 ###

7,400
-

500

1,300

1,500

200

8,000
700

180 NATRIUM DIKLOFENAK GEL

TUBE

181 NATRIUM KLORIDA LARUTAN INFUS 0,9%

BOTOL

132

132

182 NATRIUM KLORIDA 100 ML

BOTOL

1,440

1,440

183 NIFEDIPINE 10 MG TABLET

TABLET

80,700

80,700

184 NYSTATIN 500.000 IU TABLET

TABLET

1,500

1,500

185 NYSTATIN VAGINAL TABLET 100.000 IU

TABLET

1,800

1,800

186 NYSTATIN SUSPENSI 100.000 IU/Ml

BOTOL

187 OBH

BOTOL

17,984

17,984

188 OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +


AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

BOTOL

298

298

189 OFLOXACIN 200 MG

TABLET

190 OFLOXACIN 400 MG

TABLET

191 ONDENSETRON INJ

AMPUL

192 OXYTETRASIKLIN HCL 3 % SALEP KULIT


193 OXYTETRASIKLIN HCL 1 % SALEP MATA
194 OXYTOCIN INJ/SYNTOCYNON INJ

TUBE
TUBE
AMPUL

195 PANTOCAIN 0,5 % TETES MATA

BOTOL

196 PAPAVERIN 40 MG TABLET

TABLET

3,750
16,300
2,690
2,000

20

40

63

20
1,500

3,000

20
2,000

###

8,500
-

100

100

200

10

200

24

200

3,750

150

250

200

200

100

230

16,300

100

25

2,690

30

20

10

100

160

2,000

834

500

500

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

AMPUL

198 PARAFORMALDEHID TABLET 1 GR

TABLET

199 PARASETAMOL 100 MG

TABLET

SUPP

948

948

200 PARASETAMOL SUPP 160 MG/ PROPIRETIC

6=4+5

197 PAPAVERIN INJEKSI 40 MG/ML

1,400

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)
-

1,400

BOTOL

6,472

6,472

202 PARASETAMOL SYROP 120 MG / 5 ML

BOTOL

31,958

31,958

203 PARASETAMOL 500 MG

TABLET

1,051,800

1,051,800

12
2

20
33,400

12

24

50

10

72

10

300

100

100

400

450

20

3,200

7,200

4,000

8,000

12,800

10,800

168

330

200

600

2,172

15,000

20,000

114,400

25

37

748

748

205 PIRANTEL PAMOAT 125 MG

TABLET

9,500

9,500

206 PIRAZINAMID 500 MG

TABLET

47,600

47,600

207 PIRIDOKSIN (VIT B6 ) TABLET 10 MG

TABLET

192,000

192,000

2,000

3,000

208 PIROXICAM

TABLET

99,600

99,600

480

360

209 POLIKRESULEN CAIRAN

BOTOL

143

143

210 POVIDON IODIDA 30 ML

BOTOL

920

920

211 POVIDON IODIDA 60 ML

BOTOL

212 POVIDON IODIDA 300 ML

BOTOL

193

193

213 POVIDON IODIDA 1 L

BOTOL

133

133

214 PREDNISON TABLET 5 MG

TABLET

34,000

34,000

215 PROPANOLOL 40 MG

TABLET

216 RANITIDIN TABLET

TABLET

217 RANITIDIN INJ 25 MG/2ML

AMPUL

218 RETINOL 100,000 IU

BOTOL

1,282

1,282

219 RETINOL 200,000 IU

BOTOL

186

186

220 RIFAMPICIN 450 MG

TABLET

39,600

39,600

606

606

221 RINGER LAKTAT LARUTAN INFUS

TUBE

PROGRAM

201 PARASETAMOL DROPS

204 PERMETHRIN KRIM 5 %

PEMAKAIAN
DINAS

LABU

106,600
-

12

2
10

2,000 ###

600

600

1,560

1,080

5
10

14,000
3,600

8,280

15

24

10

32
-

2
-

2,000 ###

1,000

###

6,000

106,600

2,000

1,000

3,000

1,000

5,000

1,200

600

13,800
-

2,000

2,000
10

TABLET

31,000

31,000

223 RISPERIDONE 2 MG TABLET

TABLET

57,900

57,900

224 SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL

AMPUL

78

78

226 SALBUTAMOL 2 MG TABLET

TABLET

40,100

40,100

1,000

300

227 SALBUTAMOL 4 MG TABLET

TABLET

25,700

25,700

500

100

228 SALEP 2 - 4

3,000

222 RISPERIDONE 1 MG TABLET

225 SALBUTAMOL INHALER 100 MCG, 200 DOSIS

2,000

150

40

40

1,400

200
100

10

100

1,400

3,150

1,000

1,100
-

POT

100

100

500

400

500

2,900

100

1,000

1,700

300

700

229 SALISIL BEDAK 2 %

KOTAK

3,800

3,800

100 ###

100

100

230 SALISIL MENTOL BEDAK

BOTOL

4,027

4,027

231 SEFADROKSIL SYRUP

BOTOL

930

930

50

232 SEFADROKSIL 250 MG

KAPSUL

1,750

1,750

200

233 SEFADROKSIL 500 MG

KAPSUL

100

100

234 SETRALINE 50 MG TABLET

TABLET

3,780

3,780

48
30

10
100

100 ###
30

248
120

500

800

NO

NAMA OBAT

SATUAN
3

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

TABLET

236 SIANOCOBALAMIN / VIT. B 12 INJ

AMPUL

TUBE

274

274

60,400

60,400

237 SILVER SULFADIAZINE 10 MG / 35 GR CREAM


238 SIMVASTATIN TABLET

TABLET

118,000

6=4+5

235 SIANOCOBALAMIN TABLET

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

118,000

239 STESOLID RECTAL SUPP

TUBE

240 STREPTOMISIN SERBUK INJ 1500 MG/ML

VIAL

919

919

241 SULFASETAMIDA NATRIUM TETES MATA

BOTOL

5,782

5,782

242 TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG

TABLET

103,600

103,600

243 TETRASIKLIN 500 MG KAPSUL

KAPSUL

700

700

244 TEOFILIN 300 MG TABLET

TABLET

44,000

44,000

245 THIAMIN (VIT.B1) 100 MG / ML INJ

AMPUL

PEMAKAIAN
DINAS

JUMLAH
18=(7s/d17)
-

2
500 ###

500

2
1,000

1,200

1,000

3,000

7,700
-

24
200

600

2,000

24 ###

500

1,000

72
1,500

200

5,800
200
-

246 THIAMIN (VIT.B1) 50 MG TABLET

TABLET

54,000

54,000

247 THIAMPHENIKOL 500 MG KAPSUL

KAPSUL

32,500

32,500

2,000

3,000

1,000

2,000

100

200

100

1,000

4,000 ###

17,000

248 TRAMADOL HCI 50 MG TABLET

TABLET

249 TRAMADOL HCI 50 MG/ML INJ

AMPUL

140

140

250 TRIHEKSILPHENIDIL 2 MG TABLET

TABLET

158,600

158,600

300

1,000

500

500

500

251 VITAMIN B KOMP. TABLET

TABLET

762,000

762,000

700

3,000

1,500

1,000

2,000

5,000

2,000

4,000

19,200

252 ZINC / ZINCDIAR TABLET

TABLET

30,000

30,000

500

300

1,000

500

1,000

500

1,000

4,800

32

32

500

900
-

10

10
1,000 ###

4,800

ALAT KESEHATAN DAN REAGEN


1

ALAT AUTOCLIX/LANCET DEVICE

SET

ALAT SUNTIK SEKALI PAKAI 1 ML

BUAH

2,500

2,500

ALAT SUNTIK SEKALI PAKAI 3 ML

BUAH

13,600

13,600

ALAT SUNTIK SEKALI PAKAI 5 ML

BUAH

7,231

7,231

ALAT SUNTIK SEKALI PAKAI 10 ML

BUAH

690

690

ALAT SUNTIK SEKALI PAKAI 20 ML

BUAH

110

110

ALAT PEMERIKSAAN HB

BUAH

22

22

ALCOHOL SWABS

85,200

85,200

BISTURI

BUAH

507

507

10

BLOOD LANCET

BUAH

9,600

9,600

11

CAIRAN PENCUCI ANTISEPTIK

GALON

12

CATGUT DENGAN JARUM BEDAH

SACHET

5,528

5,528

13

CATGUT CHROMIC

ROLL

14

DENGUE IgG AND IgM DROP TEST

SET

1 ###

1 ###

15

DENGUE N5 1 ANTIGEN

SET

1 ###

1 ###

16

DEX GLASS

BUAH

81

81

17

EDTA VACUM TUBE 5 ML

BUAH

89

89

SACHET

300
200

100

500

800

300

300

100

400

100

2,300
-

100

100

200

600

1,500

100

400

100

400

3,300
-

10

10
7
7
-

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5
-

6=4+5

18

FESCOPLAST

ROLL

19

FOLEY CATETHER

BUAH

10

10

20

GLUCOSA TEST TIP

TIP

8,530

8,530

21

GOLONGAN DARAH KIT

SET

24

24

22

H2O2

BOTOL

10

10

23

HAND SCONE / SURGICAL GLOVE

LEMBAR

36,800

36,800

24

HAND SCONE STERILE

PASANG

400

400

25

HCG CASETTE / PP TEST

SACHET

480

480

26

HEMASITO METER

BUAH

27

ISI AUTOCLIX

KOTAK

28

INFUSION SET ANAK

29

INFUSION SET DEWASA

30

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

20,490

20,490

SET

131

131

SET

494

494

IODIUM TEST

BOTOL

78

78

31

IV CATETHER

SACHET

4,273

4,273

32

JARUM JAHIT

BUAH

218

218

33

KACA MULUT

34

KAPAS PEMBALUT 250 GR

35
36

5
30

10

150

180

1,000

6,800

3
200

600

500

1,000

2,000

3
700

800
100

30 ###

100

210

270
-

300

510

300

210

300

1,620

10
2

10

50

10
100

162
78

20

49

150

10

234
-

BUAH

80

80

BUNGKUS

137

137

KAPSUL KOSONG NO.0

BUAH

KAPSUL KOSONG NO.1

BUAH

37

KASSA HIDROFIL 40 X 40

LEMBAR

38

KASSA HIDROFIL GULUNG

ROLL

84

84

39

KASSA STERIL

KOTAK

596

596

40

KASSA 4 M X 15 CM

ROLL

41

LAMPU SPIRITUS

BUAH

42

LARUTAN ASAM ALKOHOL

BOTOL

43

LARUTAN KOH 10 % 250 ML

BOTOL

16

16

44

LOMATUELL H 10 X 10 CM

KOTAK

105

105

45

METILEN BLUE 250 ML

BOTOL

16

16

46

MICROPIPET 3 UKURAN

BUAH

47

MASKER

BUAH

34,250

34,250

48

MASKER OXYGEN FOR ADULT

BUAH

108

108

49

MASKER OXYGEN FOR CHILD

BUAH

108

108

50

MATA BOR HIGH SPEED BUNDAR

BUAH

45

45

51

MATA BOR HIGH SPEED FISURE

BUAH

45

45

52

MATA BOR HIGH SPEED INVERTED CONE

BUAH

45

45

53

MATA SCALLER

BUAH

54

NASO GASTRIC TUBE

TUBE

55

NEBULIZE MASK FOR INFANT

BUAH

125

125

2 ###

15

2 ###

30

100

17
2

135

2,000

400

200

700

1,000

700

400

600

500

6,500

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

126

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

56

NEBULIZE MASK FOR ADULT

BUAH

126

57

NEEDLE

BUAH

52

52

58

OBJECT GLASS

BUAH

175

175

59

OIL IMERSI

BOTOL

16

16

60

OSE

BUAH

61

PENJEPIT TABUNG

BUAH

22

22

62

PIPET BESAR

BUAH

63

PIPET KECIL

BUAH

64

PLESTER

ROLL

236

236

65

POT DAHAK

BUAH

66

POWDER ENZIMATIC ALKAZYME

BUAH

67

PURIFIED PROTEIN DERIVATIVE 2 UT

VIAL

68

SELANG O2 ANAK

BUAH

36

36

69

SELANG O2 DEWASA

BUAH

18

18

70

SGOT/SGPT TEST

SET

71

SILK DENGAN JARUM BEDAH

SACHET

603

603

72

STRIP ASAM URAT

73

STRIP HB

BOX

200

200

74

STRIP GULA DARAH

BOX

35

35

75

STRIP PROTEIN DAN GLUKOSA

BOX

76

STRIP KOLESTEROL

BOX

77

VENOJECT

KOTAK

18

18

78

YELLOW TIP

BUAH

19

19

79

TABUNG REAKSI BESAR

BUAH

37

37

80

TABUNG REAKSI KECIL

BUAH

63

63

81

TERMOMETER DIGITAL

BUAH

15

15

82

TORNIKUET

BUAH

102

102

83

UMBILICAL CORD CLAMP

BUAH

17,850

17,850

84

UNDER PAD 80 X 180 CM

BUAH

104

104

85

URINE BAG

BUAH

189

189

10

86

URINE TEST 3 PARAMETER

KOTAK

87

WIDAL TEST

KOTAK

88

WHITE TIP

BUAH

24

24

89

MASKER N 95 TYPE 1870

KOTAK

90

POCH PACK D

BUAH

91

POCH PACK L

BUAH

92

CHECK CONTROL HEMATOANALYZER

BUAH

93

CELL CLEAN HEMATOANALYZER

BUAH

94

CALIBRATION SCS

BUAH

10

10

23

20

24

10

69

10

10

10

15

15

25

10

200

200

20

29

###

10

20
1

1 ###

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

95

CELL PACK HEMATONANALYZER

BUAH

96

STROMALYSER WH

BUAH

97

CHECK CONTROL HEMATOANALYZER XP 100

BUAH

98

CELL CLEAN HEMATOANALYZER XP 100

BUAH

99

CALIBRATION SCS XP 100

BUAH

OBAT GIGI
1

ARSEN

BOTOL

ARTIKULATING PAPER

KOTAK

AIR RAKSA DENTAL USE

BOTOL

73

73

BEIN GIGI

SET

CALCIDOR

POT

CEVITRON

BUAH

66

66

CHKM

POT

15

15

CRESOPEN

BOTOL

DENTORIT

BOTOL

10

DYCAL

BOTOL

11

11

11

ETIL KLORIDA SPRAY

BOTOL

188

188

12

EUGENOL CAIRAN

BOTOL

185

185

13

IODOFORM PASTA

POT

14

14

14

GLASS IONOMER ART

SET

45

45

15

OCO / TSR

BOTOL

10

10

16

SILVER AMALGAM SERBUK 65 - 75 %

BOTOL

17

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

SET

12

12

18

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

SET

Cilegon, 30 September 2015


kepala Bidang Sumber Daya Kesehatan

11

Kepala Seksi Farmasi dan Peralatan Kesehatan

Dra.E.Yolanda P,Apt.MKM

Riris Sinaga, S.Si., Apt.

Nip. 19660223 199203 2 002

NIP. 19740620 200312 2 003

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6
7
8

Ambroxol Syrup

Okt-15

10

Amixicillin 500 mg

Jul-14

600

10

Amoxicillin Syrup

Nov-14

10

11

Antacida tab

Jul-14

200

12

Antalgin 500 mg

Mei-16

400

13

Anti Bakteri Salep

Ags-17

10

14

Asam Ascorbat 250 mg

Sep-14

2,000

15

Asam Mefenamat

Jul-14

400

16

Captopril 25 mg

Ags-17

200

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

17

Co Amoxiclav

Jun-14

60

18

Cotrimoxazol 480 mg

Mei-17

400

19

CTM

Jul-14

600

20

Dexametason

Ags-17

400

21

Etanol

22

Garam Oralit

Ags-17

200

23

Hidrokortison Salep

Jun-14

24

Kassa

25

Kotrimoxazol 120 mg

Mar-14

400

26

Metronodazol 500 mg

Apr-14

200

27

Natrium Diklofenak

Jul-14

100

28

Oxytetrasiklin 3 %

Jun-14

10

29

Piridoxin

Sep-14

2,000

30

Povidon Iodida 60 ml

Nov-14

31

Prednison

Jun-14

600

Salbutamol 2 mg

Jun-14

200

Salisil bedak

Mei-16

10

Simvastatin

Ags-17

100

Tablet Tambah Darah

Apr-14

12,000

Thiamin tab

Mar-14

2,000

Vitamin A 200.000 IU

Jan-14

150

Vitamin B Komplek

Sep-14

2,000

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

Pemberian
STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
3,150

25

78,750

50

157,500

10,350

1 ACYCLOVIR 200 MG TABLET

534

200

106,800

150

80,100

16,800

1 ACYCLOVIR 400 MG TABLET

648

200

129,600

100

64,800

45,100

1 ALLOPURINOL 100 MG TABLET

86

100

500

43,000

500

43,000

1,500

1 ALLOPURINOL 300 MG TABLET

210

3,300

16,500

300

3,550

1 ACYCLOVIR 5 GR KRIM

21,995

AMBROXOL SYRUP 15 MG / 5 ML

125

100

12,485

1,000

AMINOFILIN 200 MG TABLET

80

40,300

1 AMITRIPTILIN 25 MG TABLET

102

1 AMLODIPIN 5 MG TABLET

240

187

1 AMBROXOL TABLET 30 MG

AMLODIPIN 10 MG TABLET

8,600

14,400

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

2,277

100

28,900

AMOXICILLIN 250 MG KAPLET

211

396,800

AMOXICILLIN 500 MG KAPLET

175,300

261

200

52,200

5,056

116

300

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA


200 MG + ALUMUNIUM HIDROKSIDA 200 MG)

2,295

ANTASIDA SUSPENSI

12

ANTI BISA ULAR (ABU) SERUM

25

ANTI TETANUS SERUM 1500 UI

3,365
1
1,560

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


POLIMIKSIN B 10,000IU/G )

ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM


1 SALISILAT 3 %)
ANTI HEMOROID DOEN

72

124,850

1 ANTALGIN 500 MG TABLET

1,000

4,750

160,300

330,000

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

AMOXICILLIN + AS.KLAVULANAT

100

1,130

1,500

990,000

1,500

187,275

3,000

227,700
783,000
34,800

1,500
-

150
6,000
1,000

341,550
1,566,000
116,000

1,500
108,000

108,000

3,850

50

192,500

473,000

473,000

126,311

2,491
3,025

1,713
20

60,500

62,275
-

252,622

25

50

151,250

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
526,200
5,700

1 ASAM ASCORBIT (VIT.C) 50 MG TABLET


ASAM ASCORBIT (VIT.C) 250 MG TABLET

225,200

ASAM MEFENAMAT 500 MG

10,450

1 ASAM TRANEKSAMAT 500 MG

66
66,000
-

ATROPIN SULFAT INJ


ATTAPULGIT / MOLAGIT TABLET
AQUABIDEST

159

95

1,500

238,500

2,000

200,000

100

100

10,000

1,045

1,100

367

750

15,400

1,000

100,000

275,250

2,500

150

250,000
55,050

317

AQUA PRO INJEKSI 25 ML

2,900

110

AZITHROMYCIN 500 MG

4,500

20

90,000

40

116

750

12,185

1,520

50

924

25,300

6,199

645

281

600

1 BROMHEKSIN HCL SYRUP

12,100

1 BROMHEKSIN HCL 8 MG / 4 ML SOL

66,000

12,650

63

1,000

63,000

1,500

132,000

50

440,000

20

176,000

180,390

210

180,390

17,810
180
5,675
342
720
89,700
1,500
76
1,341

1 BEKARBON
BENZATIN BENZIL PENISILIN 2,4 JUTA IU
BETAMETASONE KRIM 0,1 %
BETAHISTIN MESILAT 6 MG TABLET
BETAKAROTEN 500 IU SYRUP
1 BISACODYL 10 MG SUPP
BISOPROLOL 5 MG
1 BROMHEKSIN HCL 8 MG TABLET

CALAMIN LOTION

584,000

CAPTOPRIL 12,5 MG TABLET

157,100

CAPTOPRIL 25 MG TABLET

480
14,990
305

CEFIXIME SYRUP KERING 100 MG


CEFIXIME 100 MG
CEFOTAXIME INJ 1G
1 CEFTRIAXON INJ
1 CETIRIZINE 5 MG SYRUP

180,000

87,000
76,000

168,600

100

1,000

152,000

63,000

88

8,800

60

859

210

4,015

5,000

5,500

10,440

10

28,050

300

528,000

104,400
-

CETIRIZINE DROP

700

CETIRIZIN 10 MG

188

500

CIMETIDIN TABLET

116

200

245

300

100

500

91

122

1,379

99

5,060

16,900
87,350
950
549,100

1 CIPROFLOXACIN 500 MG TABLET


1 CLINDAMYCIN 150 MG KAPSUL
CLINDAMYCIN 300 MG KAPSUL
1 CHLORPHENIRAMIN MALEAT (CTM) 4 MG

CHLORPROMAZINE 100 MG

DEKSTROMETORPHAN HBR SYRUP

DEKSTROMETORPHAN HBR TABLET 15 MG

225

1 DEKSTROSA LARUTAN INFUS 5 %

527

94,000

1,000

23,200

90,970

3,600

56,400
73,500
327,492

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
376

DEKSTROSA LARUTAN INFUS 10 %

5,727

55

1 DEKSTROSA LARUTAN INFUS 40 %

3,960

368,200

DEXAMETHASON 0,5 MG TABLET

1,799
39,000

DEXAMETHASON INJEKSI
1 DIAZEPAM TABLET

120
180

DIAZEPAM INJ 5 MG/ML


1 DIFENHIDRAMIN INJ

50,900

7,000
-

69

2,000

138,000

2,000

100

200,000

45

2,368

960

DOMPERIDON 10 MG

167

DOXYCYCLINE 100 MG KAPSUL

220

8,100

EPINEFRIN (ADRENALIN) INJ 0,1%


1 ERYTHROMYCIN 200 MG SYRUP

7,220

440

35,600

1 ERYTHROMYCIN 500 MG TABLET

921

200

184,200

500

38,800

1 ETAMBUTOL 500 MG

420

2,200

25,300

133

65

1 FENOL GLISEROL 10 %

1,008

1 FITOMENADION INJ

3,417

115

1 ETAKRIDIN 0,1 % / RIVANOL

473

1 ETANOL 70 % 1000 ML

7,000
960
4,350
14,200

FENITOIN 100 MG KAPSUL


1 FENOBARBITAL 30 MG TABLET

1 FITOMENADION 10 MG TABLET

4,500
220

FLUCONAZOL 150 MG
1 FLUTICASONE PROPIONATE 0,5 MG / 2 ML

15,800
40,400
400

FUROSEMID 40 MG TABLET

1 GENTAMYCIN SALEP KULIT

2,251

GENTIAN VIOLET 1 % - 10 ML

766,700
3,000

GLIBENCLAMIDE 5 MG TABLET
1 GLIMEPIRIDE 2 MG

14,730
1
390,000
-

1 GLISERIL GUAIAKOLT 100 MG TABLET


1 GLISERIN LARUTAN

24

24

24,192

30

102,510

460,500

100

100

22,000

19,080

91

288

1,850

895

54

436

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50 MG

30

92,100

75,900
-

500

144,000

50

92,510

40

74,008

50

44,750

200

400

21,600

10,800
-

1,000
-

63,400

173,280

165,000

5,500

16,200

16,665

634

1 GAMEKSAN
1 GARAM ORALIT II SERBUK

36,100

1 ERYTHROMYCIN 250 MG

1,400

69,000

16,100

844

1,000

EKSTRAK BELLADONNA TABLET 10 MG

95

91

DOMPERIDON 5 MG SUSPENSI

24,700

3,333

DIGOKSIN 0,25 MG TABLET

1,245

54,000
-

120
-

660,000

28

4,730

5,000

140,000

10,500

1 GRISEOFULVIN 125 MG TABLET

200

2,100

1 HALOPERIDOL 0,5 MG TABLET

165

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
6,500
432
224

HALOPERIDOL 5 MG TABLET

246

500

HALOPERIDOL 5 MG INJEKSI

14,724

51,975

155,925

1 HEPARIN 200,000 IU GEL

500

HEPAPROTEKTOR SYRUP

123,000

8,010

HEPATOPROTEKTOR TABLET

4,730

27,968

1 HIDROKORTISON KRIM 2,5 %

2,399

48

11,800

1 HYOSINE N BUTILBROMIDA TABLET

1,265

100

55,550

4,499

41

1 IBUPROFEN 125 MG SUPP

35

1 IBUPROFEN 200 MG SUSPENSI

IBUPROFEN 200 MG TABLET

93

1 IBUPROFEN 400 MG TABLET

146

135,600

1,500

115,152

219,000

210
-

1,500

993,300
126,500

219,000

5,000

1 ISONIAZID 100 MG

44

6,000

1 ISONIAZID 300 MG

28,600

IMUNOSTIMULAN SIRUP

55,000

IMUNOSTIMULAN TABLET

4,950

ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

97

1,444

70

600

1 ITRAKONAZOL 100 MG

86,500
16,400

KALCIUM LACTAT 500 MG TABLET


1 KALIUM DIKLOFENAK 50 MG

42,000

1,000

70,000

70

KANAMYCINE 2 GR

19,800

842

KAOLIN SUSPENSI

12,012

410

100

41,000
112,800

7,950

KETOKONAZOL 200 MG TABLET

2,582

KETOKONAZOL KRIM 2 %

4,700

12

56,400

60

282,000

24

KETOPROFEN 100 MG

1,342

300

402,600

KETOROLAC INJ 10 MG

3,900

2,539

29,600

KLORAMFENIKOL 250 MG KAPSUL

310

2,468

1 KLORAMFENIKOL 1 %SALEP MATA

1,600

8,000

24

94

KLORAMFENIKOL SUSPENSI

3,800

KLORAMFENIKOL 0,5 % TETES MATA

5,995

100

492

KLORAMFINEKOL 3 %TETES TELINGA

1,815

600

KLARITROMISIN 500 MG

KODEIN FOSFAT 20 MG TABLET

7,225

3,500
1
2,407
45,900

1,100

KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5


1 MG KRIM

6,600

KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25 MG +


PARASETAMOL 400 MG/hustab/tuzalos

312

149,875
-

80

599,500

25

38,400

528,000
-

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
116
2,550

KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA
KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +
1 GG SYRUP

50

1 KOMB.METHAMPYRON + DIAZEPAM
KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL +
1 CTM

6,564

KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT

20,600

KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


1 TABLET

1,464
52
800
1,755

43,200
37,000

3,665

KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG TABLET


/ LIBROFED TABLET
KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +
VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET
KOTRIMOKSAZOL SUSPENSI
1 KOTRIMOKSAZOL ADULT 480 MG TABLET

12,240

1 KOTRIMOKSAZOL PEDIATRIK TABLET

2,700

1 LEVOFLOXACIN 500 MG TABLET

6,740

1 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

727
20,300

1 LINCOMYCIN 500 MG KAPSUL


LISOL
1 LOPERAMID 2 MG TABLET

220,000
-

120
-

50,000

80,300
100,000

10
1,520,640

500
-

10
10

96

803,000
-

158,400
100

501,600

1,100

15,840

240
-

110,000

100

48

123,200
-

273,000

5
209

79,200

660

147,520
20

1,500
-

20

10,450

737,600

100

10,000

KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG


SYRUP / TREMENZA SYRUP

200

15,885

KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100


MG

8,030

16,900

15,050

1,100

6,160

1 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM SYRUP

KOMB.TEOFILIN + SALBUTAMOL TABLET

KOMB.DEKSAMETASON, DEKSKLORFENIRAMIN MALEAT

7,376

182
11,800

110,500

158,400
100

550,000
400

110,000
100

1,056

422,400

1,975

50

98,750

138

500

50

574

50

1,030

60

61,800

638

300

191,400

13,200

91

28,700

105,600
-

69,000
-

12,800

MELOXICAM 7,5 MG

638

28,300

1 MELOXICAM 15 MG

1,199

100

119,900

600

719,400

300

359,700

133,100

1 METFORMIN 500 MG

105

200

21,000

1,500

157,500

200

21,000

METFORMIN 850 MG

260

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
3,000

1 METHILERGOMETRIN MALEAT 0,125 MG TABLET

59

METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

METHYLPREDNISOLON 4 MG TABLET

154

6
500
-

METHYLPREDNISOLON 8 MG TABLET
METHYLPREDNISOLON 125 MG INJEKSI
METOCLOPRAMIDE HCL 10 MG
METOCLOPRAMIDE SYRUP 5 MG / 5 ML

296

100
-

15,400

300

100

30,000

300

90,000

200

220,000

91

2,830

METRONIDAZOL 250 MG TABLET

123

6,400

1 METRONIDAZOL 500 MG TABLET

164

2,760

1 MICONAZOLE SALEP

3,000

4,070

1,000

300,000

44,000

10,000

2,750
30,200

60,000

350

1 MOMETHASON KRIM 0,1 %

17,800

1 MULTIVITAMIN ANAK DROP

16,335

50

816,750

50

816,750

20,680

60

1,240,800

200

4,136,000

50

1,034,000

2,000

2,574,000

700

900,900

300

386,100

8,157

MULTIVITAMIN ANAK SYRUP

1,287

42,000

1 NATRIUM BIKARBONAT 500 MG TABLET

14

29,400

1 NATRIUM DIKLOFENAK 25 MG TABLET

133

100

17,700

1 NATRIUM DIKLOFENAK 50 MG TABLET

176

30,200

500
69

MULTIVITAMIN TABLET

NATRIUM DIKLOFENAK GEL


NATRIUM KLORIDA LARUTAN INFUS 0,9%

13,300
-

300
-

39,900
-

600

79,800

500

88,000

4,700

14,100

1,420

NATRIUM KLORIDA 100 ML

11,110

72,200

NIFEDIPINE 10 MG TABLET

112

1,500

NYSTATIN 500.000 IU TABLET

640

1,600

NYSTATIN VAGINAL TABLET 100.000 IU

407

100

30,800

5,225

10

17,150
298

NYSTATIN SUSPENSI 100.000 IU/Ml


OBH
OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +
AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

10,725
3,550
16,070
2,530
1,500

1 OFLOXACIN 200 MG

413

OFLOXACIN 400 MG

654

1 ONDENSETRON INJ

52,250

200

1,045,000

24

40,700
125,400

6,050

OXYTETRASIKLIN HCL 3 % SALEP KULIT

1,450

7,250

100

OXYTETRASIKLIN HCL 1 % SALEP MATA

2,100

OXYTOCIN INJ

13,913

30

PANTOCAIN 0,5 % TETES MATA

16,100

119

1 PAPAVERIN 40 MG TABLET

145,000

417,390

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
1,400
924
6,142

1 PAPAVERIN INJEKSI 40 MG/ML


1 PARAFORMALDEHID TABLET 1 GR
1 PARASETAMOL 100 MG

60

530

12

84,480

1 PARASETAMOL DROPS

5,227

50

261,350

10

52,270

1 PARASETAMOL SYROP 120 MG / 5 ML

20

300

395,700

100

131,900

3,200

268,800

7,200

604,800
137,700

2,638

711

1 PERMETHRIN KRIM 5 %

119

91,320

84

178,000

1,319

47,600

32

PARASETAMOL 500 MG

9,500

7,040

PARASETAMOL SUPP 160 MG/ PROPIRETIC

937,400

29,786

33,400

2,805,600

26,380

11,475

12

1 PIRANTEL PAMOAT 125 MG

290

1 PIRAZINAMID 500 MG

198

18

2,000

36,000

3,000

54,000

83.93

480

40,286

360

30,215

1 PIRIDOKSIN (VIT B6 ) TABLET 10 MG


1 PIROXICAM
1 ALBOTYL

28,600

POVIDON IODIDA 30 ML

2,163

POVIDON IODIDA 60 ML

2,400

191

POVIDON IODIDA 300 ML

14,000

133

POVIDON IODIDA 1 L

42,000

57

1 PROPANOLOL 40 MG

120

1 RANITIDIN TABLET

120

92,800

2,000
2,000

114,000
240,000

2,000
1,000

4326
28,000
114,000
120,000

1,928

1,282

1 RETINOL 100,000 IU

14,300

186

1 RETINOL 200,000 IU

19,600

37,600

1 RIFAMPICIN 450 MG

594

1 RANITIDIN INJ 25 MG/2ML

10

21630

PREDNISON TABLET 5 MG

888

28,000

2,000

1,188,000

1 RINGER LAKTAT LARUTAN INFUS

5,200

27,850

1 RISPERIDONE 1 MG TABLET

1,500

150

56,800

RISPERIDONE 2 MG TABLET

1,008

506

78

SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL

253,260
37,200

SALBUTAMOL 2 MG TABLET

24,000

1 SALBUTAMOL 4 MG TABLET

1,000

83,000

300

24,900

100

44,500

100

8,900

500

1,250

100

1 SALISIL MENTOL BEDAK

3,630

810

1 SEFADROKSIL SYRUP

5,248

50

950

SEFADROKSIL 250 MG

468

200

100

SEFADROKSIL 500 MG

509

12,100

3,779

3,780

SALISIL BEDAK 2 %

SETRALINE 50 MG TABLET

2,100,000

83

3,100

63,750

1,400

89

1 SALEP 2 - 4

4,950

225,000

125,000
-

100

8,300
125,000

262,400

93,600

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
118,000
272
52,700

1 SIANOCOBALAMIN TABLET
SIANOCOBALAMIN / VIT. B 12 INJ
SILVER SULFADIAZINE 10 MG / 35 GR CREAM
SIMVASTATIN TABLET

58,300

391

500

12

195,500

500

195,500

23,540

919

STREPTOMISIN SERBUK INJ 1500 MG/ML

2,090

5,710

1 SULFASETAMIDA NATRIUM TETES MATA

3,226

97,800

1 STESOLID RECTAL SUPP

520

TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG

204,600

600
-

613,800

186

1,050

THIAMIN (VIT.B1) 100 MG / ML INJ

700

THIAMIN (VIT.B1) 50 MG TABLET

35

3,000

105,000

111 THIAMPHENIKOL 500 MG KAPSUL

431

100

43,100

TRAMADOL HCI 50 MG TABLET

323

130

TRAMADOL HCI 50 MG/ML INJ

5,400

40

300

12,000

1,000

40,000

107

700

74,900

3,000

321,000

475

500

237,500

300

142,500

6,000

300

500

1 TETRASIKLIN 500 MG KAPSUL

200
1,023

44,000
37,000
31,600

153,800

TRIHEKSILPHENIDIL 2 MG TABLET

742,800

VITAMIN B KOMP. TABLET

25,200

ZINC / ZINCDIAR TABLET


NEO KAOMINAL SUSPENSI
ALAT KESEHATAN DAN REAGEN

2,000

70,000

ALAT AUTOCLIX/LANCET DEVICE

110,000

2,100

ALAT SUNTIK SEKALI PAKAI 1 ML

2,662

11,300

ALAT SUNTIK SEKALI PAKAI 3 ML

3,120

200

7,231

ALAT SUNTIK SEKALI PAKAI 5 ML

7,750

ALAT SUNTIK SEKALI PAKAI 10 ML

3,300

32

590

798,600

624,000
-

8,360

525,000

ALCOHOL SWABS

275

100

BISTURI

550

9,600

396

902,000

78,100

5,415,500

1,650,000

1,650,000

1,650,000

2,420,000

2,420,000

2,420,000

39,050

302,500

110
22
81,900
507

5,518
-

ALAT PEMERIKSAAN HB

CATGUT DENGAN JARUM BEDAH


CATGUT CHROMIC

81

DEX GLASS

85

EDTA VACUM TUBE 5 ML

27,500

200

55,000

302,500

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
8,350
21
7
30,000

FOLEY CATETHER
GLUCOSA TEST TIP
GOLONGAN DARAH KIT
H2O2
HAND SCONE / SURGICAL GLOVE

300

HAND SCONE STERILE

210

HCG CASETTE / PP TEST

18,870

15,400

FESCOPLAST
8,323

30

249,690

511,500

20,900

880

200

8,800

13,200

30

HEMASITO METER

176,000
396,000

600
30

528,000
396,000
-

ISI AUTOCLIX

1,632

300

121

INFUSION SET ANAK

8,800

332

INFUSION SET DEWASA

7,321

IODIUM TEST

16,500

4,039

IV CATETHER

22,000

218

JARUM JAHIT

20,900

80

KACA MULUT

96,800

KAPAS PEMBALUT 250 GR

20,130

122

110,000

40,260

489,600
14,642

40,260

KAPSUL KOSONG NO.0

44

KAPSUL KOSONG NO.1

33

KASSA HIDROFIL 40 X 40

1,980

67

KASSA HIDROFIL GULUNG

130,000

260,000

KASSA STERIL

7,317

21,951

KASSA 4 M X 15 CM

2,680

LAMPU SPIRITUS

LARUTAN ASAM ALKOHOL

16

LARUTAN KOH 10 % 250 ML

46,200

101,750

37,400

1,078,000

330

108

22,000

108

22,000

461

105

LOMATUELL H 10 X 10 CM

16

METILEN BLUE 250 ML

MICROPIPET 3 UKURAN

27,750

MASKER

260,000

2,000

660,000

400

132,000

200

66,000

45

MATA BOR HIGH SPEED BUNDAR

95,700

45

MATA BOR HIGH SPEED FISURE

95,700

45

MATA BOR HIGH SPEED INVERTED CONE

95,700

236,500

MATA SCALLER

NASO GASTRIC TUBE

55,000

NEBULIZE MASK FOR INFANT

40,700

125

STOCK
AKHIR

NAMA OBAT

HARGA

DINAS

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
126
52
152
16
2

NEBULIZE MASK FOR ADULT


NEEDLE
OBJECT GLASS

34,991

10

13,500

5,400

40,700

OIL IMERSI
OSE

22

PENJEPIT TABUNG

PIPET BESAR

PIPET KECIL

167

110,000

PLESTER

8,167

349,910

24,500

POT DAHAK

POWDER ENZIMATIC ALKAZYME

943,500

PURIFIED PROTEIN DERIVATIVE 2 UT

702,240

13,200

26
3

SELANG O2 ANAK
SELANG O2 DEWASA

1
578

SILK DENGAN JARUM BEDAH

13,200

1,082,950

3,056

10

191,500

STRIP GULA DARAH

95,000

STRIP PROTEIN DAN GLUKOSA

77,000

STRIP KOLESTEROL

159,500

18

VENOJECT

440,000

19

YELLOW TIP

95,700

2,015

STRIP HB

6
3
-

30,556

95,000

37

TABUNG REAKSI BESAR

63

TABUNG REAKSI KECIL

2,015

TERMOMETER DIGITAL

34,320

462,000

17,850

1,000

104

13,200

102

169

TORNIKUET

URINE BAG

URINE TEST 3 PARAMETER

WIDAL TEST

24

4,950

247,500

1,396,000

133,100

STOCK
AKHIR

NAMA OBAT

HARGA

DINAS

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
-

OBAT GIGI
-

ARSEN

484,000

ARTIKULATING PAPER

291,500

AIR RAKSA DENTAL USE

225,500

3,740,000

73
-

CALCIDOR

209,000

66

CEVITRON

115,500

15

CHKM

70,000

CRESOPEN

770,000

DENTORIT

154,000

11

DYCAL

534,600

177

ETIL KLORIDA SPRAY

145,200

185

EUGENOL CAIRAN

3,178

14

IODOFORM PASTA

302,500

42

GLASS IONOMER ART

687,500

10

OCO / TSR

110,000

SILVER AMALGAM SERBUK 65 - 75 %

1,265,000

12

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

418,000

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

36,300

290,400

145,200

1,795,488

2,805,600

8,607,735

29,481,889

25,597,697

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

Pemakaian

CTK
Harga

Pemakaian

Harga

50

157,500

25

78,750

25

125

393,750

945,000

500

267,000

200

106,800

1,000

534,000

1,094,700

1,000

648,000

300

194,400

200

129,600

400

259,200

1,000

648,000

2,073,600

300

25,800

300

25,800

500

700

60,200

600

51,600

2,000

172,000

473,000

300

63,000

100

330,000

1,000

124,850

250
7,000

5,296,500

1,000

124,850

400

49,940

1,000

124,850

2,000

249,700

998,800

500

120

252,622

500

570,000

570,000

250

569,250

300

211,000

5,000

1,305,000

5,000

1,305,000

1,000

116,000

500

200
-

770,000

2,500

2,505,600
290,000

3,500
288,000

550

1,252,350

3,870,900

633,000

1,477,000

6,000

1,566,000

14,000

3,654,000

14,563,800

1,500

100

252,622

20

60,500

181,500

4,000

385,000
252,622

250

464,000

1,252,800

720,000

1,764,000

962,500

3,080,000

1,419,000

1,010,488

100
124,550

249,100

996,400

40

10,000

60

174,000

50
311,375

144,000

946,000

3,000

252,000

51,000

422,000

577,500

51,000

227,700

2,000

125

100

2
-

2,000

150

249,100

58,000

9,600

683,100

4,000
108,000

1,000

100

211,000

1,500

192,500

1,000

36,000

1,320,000

63,000

400

660,000

1,827,000

200

1,155,000

350

495,000

569,250

150

43,000

50

78,750

JBG
Harga

121,000

30

90,750

665,500

CBB
Pemakaian
-

CWD
Harga

Pemakaian
-

PM
Harga

Pemakaian
-

2,000

318,000

200

31,800

3,500

350,000

1,000

100,000

PWK
Harga

Pemakaian

5,500

550,000

JBG
Harga

Pemakaian

1,500

142,500

2,500

397,500

3,000

300,000

2,000

200,000
209,000

200

750

40

50

76,000

50

600

220,200

300

750

275,250

209,000
1,211,100

20

750

125

100

74,388

63,250

76,000

190,000

600

210

2,660,000

88,000

600,000

12

180,390

6,000

10

4,800

1,749,000

351,500

763,200

180,000

31,500

209,000

110,100

2,200

500

Harga

Pemakaian

275,250

CTK
Harga

74,388
168,600

540,000

90,000

63,250

3,900

87,000
152,000

1,095,900

174,000
722,000
-

1,433,100
-

3,000

189,000

3,000

189,000

1,700

107,100

1,500

94,500

3,000

189,000

926,100

1,000

88,000

3,000

264,000

3,500

308,000

1,500

132,000

3,000

264,000

1,188,000

100

880,000

2,288,000

1,020

876,180

2,525,460

10

88,000

150

128,850

1,020

876,180

10

88,000

120

103,080

50

10

730,800

100

18,800

658,000

200

23,200

46,400

1,200

294,000

661,500

1,000
300

188,000
73,500

1,000
200

188,000
49,000

600
400

522,000
112,800
98,000

300

73,500

104,400
-

600

200

10

101,200

50,600

10

50,600

7,200

654,984

2,000

181,940

1,000
14,400

1,309,968

2,565,354

CBB
Pemakaian

CWD
Harga

Pemakaian

Pemakaian

PWK
Harga

Pemakaian

10

57,270

10

57,270

10

39,600

20

79,200

1,000

69,000

5,000

345,000

100

200,000

100

200,000

30

2,000

138,000

PM
Harga

Pemakaian

Pemakaian

114,540

118,800

7,000

483,000

1,794,000

100

200,000

800,000

1,000

45,000

45,000

99,990

3,500

241,500

Harga

4,500

310,500

CTK
Harga

10

33,330

30

99,990

50

16,700

200

33,400

166,650

416,625

100

133,600

40,500

97,200

15

108,300

317,680

100

44,000

44,000

200

184,200

921,000

13,200

13,200

50,600

500

83,500

JBG
Harga

531,300

24

24,192

48,384

90

307,530

60

205,020

615,060

200

100

63,400

500

317,000

697,400

200

18,200

500

144,000

700

201,600

700

201,600

200

57,600

1,500

432,000

1,180,800

185,020

30

55,506

50

92,510

50

92,510

50

92,510

777,084

50

44,750

50

44,750

50

44,750

202,270

1,000

54,000

500

27,000

3,000

162,000

545,400

126,500

40,500

50

92,510

100

26

23,270

1,000
-

126,800

54,000
-

3,000

126,500

84,000

200

126,800

2,000

151,800

56,000

3,000
-

1,000

400

100

162,000
-

16,500

18,200

28,000
80,000
-

200
-

6,000

168,000
40,000
-

600
-

3,300,000

4,125,000

84,000

560,000

120,000

500

82,500

3,000

2,000

330,000

429,000

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

48

111,100

115,152
-

500

35,000

10

44,990

124
100

Pemakaian

98,400

297,476
449,900

96
10

500

CTK
Harga

Pemakaian

123,000

230,304
44,990

100
25

123,000

155,925

993,300

148

126,500
112,475

50

355,052
224,950

253,000
111,100
877,305

200

19,400

1,000

19,400
70,000

219,000

1,500

2,000

219,000

140,000

1,000

9,000

1,113,136

1,500

467,400

146,000

500

Harga

1,000

400

JBG
Harga

146,000

630,000

1,168,000

987,000
-

48

576,576

100

800

328,000

430,500

192

902,400

1,560,400

500

671,000

1,073,600

253,900

50

20,500

20

94,000

24

10
24
-

25,390
38,400

36

91,404

54

24

72

112,800
137,106
38,400

72

115,200

24

100

599,500

75

72

130,680

130,680

24

41,000

48

76,800

353,600

91,200

50

190,000

281,200

449,625

150

899,250

2,697,750

20

660,000
-

132,000
-

100
-

20

660,000

261,360
-

264
132,000

576,576

38,400

100

1,742,400

3,854,400

CBB
Pemakaian

CWD
Harga

Pemakaian

20

52
320,320

50

794,250

30,000
-

100

20,900

72
-

2,640,000

3,801,600

883,300

340,000
41,800

3,041,280

11,658,240

2,200,000

5,720,000

1,056,000

7,075,200

50

98,750

395,000

300

41,400

386,400

1,000
1,584,000

700

28,700

200

20
2

26,400

90
2

92,700
26,400

100
2

103,000
26,400

600

382,800

52,800

700

1,584,000

12,760

4,660,700

123,600

41,400

1,045,000

96,600

300

3,971,250

2,000

1,500

100

3,177,000

100,000
-

1,100,000

1,540,000

192

1,000

197,500

1,100,000

120

500

20,900

2,376,000

880,000
-

100

819,000

10

150

800

2,500
211,200

60,000

2,280,960

330,000

144

300

200

91,000

2,400
-

1,140,480

550,000

1,056,000

72

500

1,000

1,140,480

2,969,120

100
522,500

2,156,000

200

1,000

1,584,000
-

50
1,546,600

2,507,840

500
273,000

2,400
-

148
522,500

110,000

368,800
350

1,500

158,400

100

50

182,000

237,600

50

240

522,500

368,800

Harga

50

1,000

360

50

Pemakaian

CTK
Harga

Pemakaian

737,600

369,600

JBG
Harga

100

Pemakaian

147,520
60

PWK
Harga

Pemakaian

PM
Harga

52,500
-

1,000
-

105,000
-

1,000

1,199,000

1,000
-

446,600
105,000
-

1,000

6
1,000
2,000
-

138,000

79,200
638,000
210,000
-

206,000

587,100

586,960

211,200

500

45,500

45,500

1,000

638,000

1,722,600

1,500
-

157,500
-

2,398,000
829,500
-

CBB
Pemakaian
-

CWD
Harga

Pemakaian
-

PM
Harga

Pemakaian
-

10
-

PWK
Harga

Pemakaian
-

27,500

Pemakaian
-

Pemakaian
-

30,800

46,200

68,750

96,250

25
-

600

180,000

800

264,000

484,000

100

12,300

12,300

300

49,200

100

16,400

500

24

72,000

24

72,000

72,000

10

240,000

178,000

700

200

Harga

CTK
Harga

24

JBG
Harga

210,000

100

30,000

2,000

600,000

82,000

1,740,000

147,600

216,000

178,000

34

555,390

10

163,350

250

4,083,750

150

2,450,250

8,886,240

74

1,530,320

72

1,488,960

250

5,170,000

240

4,963,200

250

5,170,000

300

6,204,000

30,937,280

1,000

1,287,000

400

514,800

500

643,500

1,500

1,930,500

500

643,500

500

643,500

9,523,800

500

66,500
-

1,200
-

159,600
-

2,500
-

20

100

200

168,000

1,045,000

25

278,260

20

222,200

3,000

336,000

20

40

188,000

332,500
-

1,500

94,000

1,300

172,900

200

35,200

123,200

296,100

222,200

81,400

150

2,000

224,000
40,700

200

100

100

130,800
145,000

2,000

250

224,000

1,306,250

952,000

4,357,650

783,750

1,064,000

139,130

199,500

1,500

10

36,250

130,800

333,500

2,226,080

1,391,300

500

59,500

59,500

CBB
Pemakaian

CWD
Harga

Pemakaian

12

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

168,960

20

84,480

72

376,344

10

52,270

100

131,900

400

527,600

450

593,550

4,000

336,000

8,000

672,000

12,800

1,075,200

10,800

104,540
907,200

168

878,136

1,724,910

200

263,800

600

791,400

2,864,868

15,000

1,260,000

20,000

1,680,000

9,609,600

286,875

424,575

25

600

50,358

57,200

57,200
0

36,000

3,000

54,000

2,000

600

50,358

1,560

130,931

143,000

2,000

10

21630

36,000

2,000

36,000

252,000

1,080

90,644

3,600

302,148

694,940

15

429,000

10

21630

686,400
0

69,216

28,000

3,000

360,000

1,000

120,000

5,000

600,000

1,000

57,000

1,200

144,000

1,000
600

57,000
72,000

342,000
1,656,000

1,188,000

10

52,000

520,000

1,400

2,100,000

4,725,000

1,000

1,008,000

1,108,800

10
100

52,000
100,800

40

208,000

200

8,300

40

100

208,000

500

41,500

300,000
-

400

33,200

500

41,500

240,700

8,900

1,000

89,000

151,300

100

100

300

375,000

875,000

100

363,000

900,240

100
-

125,000
-

174,240

157,440

100

10

52,480

30

100

46,800

500

30

157,440

48

125,000

363,000
-

629,760

374,400

234,000

CBB
Pemakaian

CWD
Harga

Pemakaian

116,600

500

195,500

PM
Harga

Pemakaian

1,000

391,000

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

1,200

469,200

CTK
Harga

Pemakaian

1,000

391,000

Harga

3,000

1,173,000

24

24

2,000

77,424

500
2,046,000

511,500

1,000
-

200

1,000

2,000

70,000

200

86,200

100

43,100

10

54,000

77,424

232,272

1,534,500

5,933,400

1,500
37,200

37,200

4,000

140,000

500

215,500

54,000

4,000

140,000

595,000
387,900

500

20,000

500

20,000

500

20,000

1,000

40,000

1,000

40,000

192,000

1,500

160,500

1,000

107,000

2,000

214,000

5,000

535,000

2,000

214,000

4,000

428,000

2,054,400

1,000

475,000

500

237,500

1,000

475,000

500

237,500

1,000

475,000

2,280,000

1,000

35,000

24

1,023,000

35,000

77,424

116,600
3,010,700

100
-

312,000
-

500
-

1,560,000
-

800
-

2,496,000
-

100

300
-

936,000
-

300
-

936,000
-

100

266,200

1,064,800

100

312,000

7,176,000

600

902,000

781,000

10
-

781,000
-

165,000

1,500

412,500

902,000

400

110,000

100

27,500

400

110,000

907,500
-

1,650,000

1,650,000

1,650,000

1,650,000

1,650,000

11,550,000

2,420,000

2,420,000

2,420,000

2,420,000

2,420,000

16,940,000

1,210,000

605,000

302,500

CBB
Pemakaian

CWD
Harga

Pemakaian

500

440,000

1,000

PM
Harga

Pemakaian
-

77,000
511,500
880,000

150
2,000

1,760,000

210

510

10

88,000

50

366,050

100

20
6

73,210
440,000

49

120,780

832,320

1,078,000

62,700

1,248,450

2,772,000

Pemakaian

10

PWK
Harga

JBG
Harga

Pemakaian
-

700

616,000

704,000
880,000

100

150

732,100
3,300,000

210

385,600

77,000

800

489,600

Pemakaian

300

CTK
Harga

300

Harga

154,000

1,498,140

1,000

1,023,000
880,000

1,534,500
62,700
5,984,000

880,000

3,564,000

2,686,720

489,600

88,000

1,186,002

1,630,200

10

220,000

5,148,000

301,950

100,650

2,210,000

987,795

390,000

390,000

650,000

260,000

219,510

100

731,700

30

700

231,000

1,000

330,000

700

231,000

400

132,000

600

14,634

198,000

500

165,000

2,145,000

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

10

57,167

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

10

20

349,910

163,333

24

196,000

Harga

804,793

104,973

81,667

40,833

563,500

10

132,000

132,000

10

132,000

198,000

76,389

200

38,300,000

38,300,000

20

1,900,000

66,000

15

45,833

380,000

77,000

2,755,000

77,000

10

49,500

10

99,000

247,500

247,500

102,960

380,000

49,500
-

102,960

205,920

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

1,597,200
-

145,200

726,000

290,400

2,062,500

687,500

1,375,000

26,675,773

32,733,433

51,356,558

33,928,073

78,014,686

79,203,262

51,356,558

32,553,073

78,014,686

79,203,262

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

DINAMIKA LOGISTIK OBAT


DI KOTA CILEGON
Propinsi

: BANTEN

Alamat

: Jl.K.P.Tendean Km.2 Cilegon

Jumlah Unit Pelayanan

: 9 Unit

Bulan

: Oktober

Tahun

: 2015

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

ACYCLOVIR 5 GR KRIM

TUBE

3,550

3,550

ACYCLOVIR 200 MG TABLET

TABLET

10,350

10,350

100

200

ACYCLOVIR 400 MG TABLET

TABLET

16,800

16,800

100

150

1,000

ALLOPURINOL 100 MG TABLET

TABLET

45,100

45,100

1,000

200

300

ALLOPURINOL 300 MG TABLET

TABLET

1,500

1,500

AMBROXOL SYRUP 15 MG / 5 ML

BOTOL

21,995

21,995

AMBROXOL TABLET 30 MG

TABLET

AMINOFILIN 200 MG TABLET

TABLET

1,000

1,000

AMITRIPTILIN 25 MG TABLET

TABLET

40,300

40,300

10

AMLODIPIN 5 MG TABLET

TABLET

11

AMLODIPIN 10 MG TABLET

TABLET

12

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

VIAL

1,130

1,130

13

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

BOTOL

14,400

14,400

200

14

AMOXICILLIN 250 MG KAPLET

KAPLET

28,900

28,900

15

AMOXICILLIN 500 MG KAPLET

KAPLET

396,800

396,800

16

AMOXICILLIN + AS.KLAVULANAT

TABLET

1,500

1,500

17

ANTALGIN 500 MG TABLET

TABLET

160,300

160,300

100

1,500

18

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA


200 MG + ALUMUNIUM HIDROKSIDA 200 MG)

TABLET

175,300

175,300

500

1,500

300

19

ANTASIDA SUSPENSI

BOTOL

2,295

2,295

100

30

50

20

ANTI BISA ULAR (ABU) SERUM

VIAL

12

12

21

ANTI TETANUS SERUM 1500 UI

AMPUL

22

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


POLIMIKSIN B 10,000IU/G )

TUBE

23

ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM


SALISILAT 3 %)

POT

24

ANTI HEMOROID DOEN

1,560

1,560

10

30

25

ASAM ASCORBIT (VIT.C) 50 MG TABLET

TABLET

526,200

526,200

1,000

700

26

ASAM ASCORBIT (VIT.C) 250 MG TABLET

TABLET

5,700

5,700

500

800

SUPP

300

50

100

50

100

1,000

100

25

150

300

575
600
2,450

300

1,500

700

100

300

500

300

100

400

200

400

300

1,500

5,500
1,200

450

2,156
-

1,000

150
100

1,000

150

200

250

350

2,000

1,000

2,000

2,000

5,000 ###

2,000

4,000

6,000

9,600

1,500

1,600

350

300

1,750

1,000

3,500

11,500

7,000

8,000

46,600

3,000

1,000

5,000

13,700

3,000

5,000

4,000

2,000

7,000

23,300

150

50

50

250

680

25

25

3,365

3,365

25

100

18=(7s/d17)

50 ###

JUMLAH

25

25

5
8
100

50

75

300
-

30
2,000

100
1,000

40

70

20

4,000
500

50

250

5,000

12,800

2,000

4,800

NO

NAMA OBAT

SATUAN
3

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

6=4+5

PEMAKAIAN

JUMLAH

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

2,000

2,000

3,100

1,000

4,000

1,500

4,000

500

500

18=(7s/d17)

27

ASAM MEFENAMAT 500 MG

TABLET

225,200

225,200

28

ASAM TRANEKSAMAT 500 MG

TABLET

10,450

10,450

18,600

29

ATROPIN SULFAT INJ

AMPUL

66

66

30

ATTAPULGIT / MOLAGIT TABLET

TABLET

66,000

66,000

31

AQUABIDEST

BOTOL

32

AQUA PRO INJEKSI 25 ML

BOTOL

317

317

33

AZITHROMYCIN 500 MG

KAPSUL

110

110

34

BEKARBON

TABLET

17,810

17,810

35

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

VIAL

180

180

36

BETAMETASONE KRIM 0,1 %

TUBE

5,675

5,675

37

BETAHISTIN MESILAT 6 MG TABLET

TABLET

38

BETAKAROTEN 500 IU SYRUP

BOTOL

39

BISACODYL 10 MG SUPP

SUPP

342

342

40

BISOPROLOL 5 MG

TABLET

720

720

41

BROMHEKSIN HCL 8 MG TABLET

TABLET

89,700

89,700

42

BROMHEKSIN HCL SYRUP

BOTOL

1,500

1,500

43

BROMHEKSIN HCL 8 MG / 4 ML SOL

BOTOL

76

76

44

CALAMIN LOTION

BOTOL

1,341

1,341

45

CAPTOPRIL 12,5 MG TABLET

TABLET

584,000

584,000

2,000

1,000

1,200

5,000

1,300

2,500

1,000

2,000

16,000

46

CAPTOPRIL 25 MG TABLET

TABLET

157,100

157,100

2,000

400

300

3,000

2,500

3,500

1,000

4,000

16,700

47

CEFIXIME SYRUP KERING 100 MG

BOTOL

480

480

30

20

20

50

15

48

CEFIXIME 100 MG

KAPSUL

14,990

14,990

300

300

600

1,500

120

49

CEFIXIME 200 MG

50

CEFOTAXIME INJ 1G

VIAL

51

CEFTRIAXON INJ

VIAL

52

CETIRIZINE 5 MG SYRUP

BOTOL

305

305

53

CETIRIZINE DROP

BOTOL

54

CETIRIZIN 10 MG

TABLET

700

700

55

CIMETIDIN TABLET

TABLET

16,900

16,900

56

CIPROFLOXACIN 500 MG TABLET

TABLET

87,350

87,350

57

CLINDAMYCIN 150 MG KAPSUL

KAPSUL

950

950

58

CLINDAMYCIN 300 MG KAPSUL

KAPSUL

59

CHLORPHENIRAMIN MALEAT (CTM) 4 MG

TABLET

60

CHLORPROMAZINE 100 MG

TABLET

61

DEKSTROMETORPHAN HBR SYRUP

BOTOL

62

DEKSTROMETORPHAN HBR TABLET 15 MG

TABLET

63

DEKSTROSA LARUTAN INFUS 5 %

BOTOL

225

225

64

DEKSTROSA LARUTAN INFUS 10 %

BOTOL

376

376

10

65

DEKSTROSA LARUTAN INFUS 40 %

BOTOL

55

55

20

20

66

DEXAMETHASON 0,5 MG TABLET

TABLET

368,200

368,200

2,000

5,000

150

300

600

1,050

900

450

900

4,350
-

30

20

20

40

750 ###

110
1,500
-

50

100

25

100

50

25

125

475
-

90

12

12

2,100

7,500

90
300

600

2,700

180
1,800

2
50

1,110

150

2
50

135
1,110

5,190

549,100

549,100

50

50

20

120
700

500
500

200 ###

1,000

300

800

450

700

200

700

1,000

4,000

500

950
-

2,000

7,200

7,200

10,800

7,200

7,200

3,600

10,800

56,000

1,000

1,500

10

1,600

12
10
40
5,000

5,000 ###

26,100

NO

NAMA OBAT

67

DEXAMETHASON INJEKSI

68

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

10

CLG

CBB

CWD

PM

PWK

JBG

CTK

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

VIAL

1,799

1,799

DIAZEPAM TABLET

TABLET

39,000

39,000

500

69

DIAZEPAM INJ 5 MG/ML

AMPUL

120

120

70

DIFENHIDRAMIN INJ

AMPUL

180

180

71

DIGOKSIN 0,25 MG TABLET

TABLET

50,900

50,900

100

72

DOMPERIDON 5 MG SUSPENSI

BOTOL

1,245

1,245

100

73

DOMPERIDON 10 MG

TABLET

24,700

24,700

74

DOXYCYCLINE 100 MG KAPSUL

KAPSUL

7,000

7,000

75

EKSTRAK BELLADONNA TABLET 10 MG

TABLET

76

EPINEFRIN (ADRENALIN) INJ 0,1%

AMPUL

95

95

77

ERYTHROMYCIN 200 MG SYRUP

BOTOL

844

844

78

ERYTHROMYCIN 250 MG

KAPSUL

16,100

16,100

79

ERYTHROMYCIN 500 MG TABLET

TABLET

35,600

35,600

80

ETAMBUTOL 500 MG

TABLET

38,800

38,800

81

ETAKRIDIN 0,1 % / RIVANOL

BOTOL

115

115

82

ETANOL 70 % 1000 ML

BOTOL

473

473

83

FENITOIN 100 MG KAPSUL

KAPSUL

1,400

1,400

84

FENOBARBITAL 30 MG TABLET

TABLET

7,000

7,000

85

FENOL GLISEROL 10 %

BOTOL

960

960

86

FITOMENADION INJ

AMPUL

4,350

4,350

87

FITOMENADION 10 MG TABLET

TABLET

14,200

14,200

200

88

FLUCONAZOL 150 MG

TABLET

4,500

4,500

200

89

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

AMPUL

220

220

90

FUROSEMID 40 MG TABLET

TABLET

15,800

15,800

91

GAMEKSAN

BOTOL

92

GARAM ORALIT II SERBUK

SACHET

93

GENTAMYCIN SALEP KULIT

TUBE

400

400

94

GENTIAN VIOLET 1 % - 10 ML

BOTOL

2,251

2,251

95

GLIBENCLAMIDE 5 MG TABLET

TABLET

766,700

766,700

96

GLIMEPIRIDE 2 MG

TABLET

3,000

3,000

250

97

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50


MG

TABLET

14,730

14,730

100

98

GLISERIL GUAIAKOLT 100 MG TABLET

TABLET

390,000

390,000

99

GLISERIN LARUTAN

BOTOL

40,400

3
500

1,000

100
15

10
200

50 ###

100

200

300

225
200

15

20

500
300

35

100

300

900

400

1,000

1,700
-

10
3

15

10

24

24

24
60

100

200

200 ###

1,000
200
-

100

200

300
-

200

300

300

50

40

50 ###
1,000

600

200

2,000

6,000

500

500

30

50

40

50

100

50

50

200

500

2,000

3,000

800

50

2,000

100

300

1,000

3,000

700

5,000

200

1,000

3,700

40

100

350

2,000

150

501

3,000

11,100
2,900

360

460

3,000

22,000

10,500

10,500

101 HALOPERIDOL 0,5 MG TABLET

TABLET

2,100

2,100

102 HALOPERIDOL 5 MG TABLET

TABLET

6,500

6,500

103 HALOPERIDOL 5 MG INJEKSI

AMPUL

432

432

104 HEPARIN 200,000 IU GEL

TUBE

224

224

105 HEPAPROTEKTOR SYRUP

BOTOL

500

500

72
60

100

TABLET

30
-

40,400

100 GRISEOFULVIN 125 MG TABLET

1,000

200
600

200
100

300

600

500

1,100

600

1,000

2,600
-

3
50

4
50

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

TABLET

8,010

8,010

107 HIDROKORTISON KRIM 2,5 %

TUBE

27,968

27,968

TABLET

11,800

11,800

SUPP

41

41

110 IBUPROFEN 200 MG SUSPENSI

BOTOL

35

35

111 IBUPROFEN 200 MG TABLET

TABLET

112 IBUPROFEN 400 MG TABLET

TABLET

135,600

135,600

113 ISONIAZID 100 MG

TABLET

5,000

5,000

114 ISONIAZID 300 MG

TABLET

6,000

6,000

115 IMUNOSTIMULAN SIRUP

BOTOL

116 IMUNOSTIMULAN TABLET

TABLET

117 ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

TABLET

118 ITRAKONAZOL 100 MG

KAPSUL

119 KALCIUM LACTAT 500 MG TABLET

TABLET

86,500

86,500

120 KALIUM DIKLOFENAK 50 MG

TABLET

16,400

16,400

109 IBUPROFEN 125 MG SUPP

48

192

508
2

35

35

1,500

1,000

2,000

1,500

1,000

2,000

10,000

500
600

70

70

842

842

123 KETOKONAZOL 200 MG TABLET

TABLET

7,950

7,950

TUBE

2,582

2,582

125 KETOPROFEN 100 MG

TABLET

3,900

3,900

126 KETOROLAC INJ 10 MG

AMPUL

127 KLORAMFENIKOL 250 MG KAPSUL

KAPSUL

29,600

29,600

128 KLORAMFENIKOL 1 %SALEP MATA

TUBE

2,468

2,468

129 KLORAMFENIKOL SUSPENSI

BOTOL

94

94

130 KLORAMFENIKOL 0,5 % TETES MATA

BOTOL

7,225

7,225

50 ###

131 KLORAMFINEKOL 3 %TETES TELINGA

BOTOL

492

492

48

132 KLARITROMISIN 500 MG

TABLET

600

600

133 KODEIN FOSFAT 20 MG TABLET

TABLET

3,500

3,500

134 KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5


MG KRIM/mytaderm

TUBE

2,407

2,407

80 ###

135 KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25 MG +


PARASETAMOL 400 MG/hustab

TABLET

45,900

45,900

300 ###

138 KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +


GG + CTM SYRUP/dextral

124

1,000

VIAL

137 KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA

24

BOTOL

136 KOMB. BUDENOSID FORMATEROL 80/4,5 MCG INHALER, 60


DOSIS

1,440
72

1 ###

122 KAOLIN SUSPENSI

210

48

121 KANAMYCINE 2 GR

124 KETOKONAZOL KRIM 2 %

210

18=(7s/d17)

106 HEPATOPROTEKTOR TABLET


108 HYOSINE N BUTILBROMIDA TABLET

1,020

JUMLAH

500

300

1000

500

1500

2000

3,000

200

9,300
800
-

20
50
1

72

50

24 ###

100
36

36

84

92
200

120
100 ###

325
200

100
50

24

48

100
48

96

24

200
72

362
5

50
24

50

100

100

48

96

72

50

125

24 ###

580
341
-

100

100
30

120

70

30

300

220

630
900

BOTOL

116

116

BOTOL 60
ML

50

20

20

26

116
-

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

139 KOMB.BETAMETASON, DEKSKLORFENIRAMIN


MALEAT/zestam

TABLET

2,550

2,550

140 KOMB.METHAMPYRON + DIAZEPAM/danalgin

TABLET

11,800

11,800

141 KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL


+ CTM/febrinex

BOTOL

50

50

142 KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT/benacol

BOTOL

6,564

6,564

240

143 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


TABLET/flutab/tuzalos

TABLET

20,600

20,600

600

100

144 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


SYRUP/protexinal

BOTOL

1,464

1,464

150

10

145 KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100


MG

TUBE

52

52

146 KOMB.TEOFILIN + SALBUTAMOL TABLET/teosal

800

800

147 KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG


SYRUP / TREMENZA SYRUP

BOTOL 60
ML

TABLET

1,755

1,755

148 KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG


TABLET / tremenza TABLET

TABLET

43,200

43,200

149 KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +


VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET

TABLET

37,000

37,000

150 KOTRIMOKSAZOL SUSPENSI

BOTOL

3,665

3,665

151 KOTRIMOKSAZOL ADULT 480 MG TABLET

TABLET

16,900

16,900

152 KOTRIMOKSAZOL PEDIATRIK TABLET

TABLET

12,240

12,240

153 LEVOFLOXACIN 500 MG TABLET

TABLET

2,700

2,700

154 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

AMPUL

6,740

6,740

155 LINCOMYCIN 500 MG KAPSUL

TABLET

15,050

15,050

500
100

300

50

400

700

1,400

1,000

1,000

1,200

50

50

100

240

858

600

1,200

6,000
160

100

100
10

96

144

96

288

144

855

800

100

400

2,000

800

700

1,000

5,800

1,000

100

1,000

500

3,000

100

2,500

1,300

9,600

300

800

200

300

1,000

50

200

250

500

3,100
-

30

60

160

250

100

BOTOL

727

727

20,300

20,300

158 MELOXICAM 7,5 MG

TABLET

12,800

12,800

1,000

300

159 MELOXICAM 15 MG

TABLET

28,300

28,300

1,000

160 METFORMIN 500 MG

TABLET

133,100

133,100

1,000

161 METFORMIN 850 MG

TABLET

162 METHILERGOMETRIN MALEAT 0,125 MG TABLET

TABLET

3,000

3,000

12

163 METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

AMPUL

59

59

164 METHYLPREDNISOLON 4 MG TABLET

TABLET

165 METHYLPREDNISOLON 8 MG TABLET

TABLET

500

600

20

300

100

1,700

300

500

1,000

2,500

600

800

2,500

5,000

900

4,000

300

5,600

3,000

17,800

100

100
-

30,200

72

TABLET

180

2,550

100
5

157 LOPERAMID 2 MG TABLET

30,200

48

18=(7s/d17)

1,500

100

156 LISOL

250

JUMLAH

1,000

200

600

500

1,000

100

2,500

5,900

NO

NAMA OBAT

166 METHYLPREDNISOLON 125 MG INJEKSI

SATUAN

STOCK
AWAL

VIAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

TABLET

500

500

168 METOCLOPRAMIDE SYRUP 5 MG / 5 ML

BOTOL

169 METRONIDAZOL 250 MG TABLET

TABLET

10,000

10,000

170 METRONIDAZOL 500 MG TABLET

TABLET

6,400

6,400

171 MICONAZOLE SALEP

TUBE

2,760

2,760

172 MINYAK KAYU PUTIH 15 ML

BOTOL

173 MOMETHASON KRIM 0,1 %

TUBE

350

350

174 MULTIVITAMIN ANAK DROP

BOTOL

175 MULTIVITAMIN ANAK SYRUP

BOTOL

8,157

8,157

176 MULTIVITAMIN TABLET

TABLET

30,200

30,200

1,000

177 NATRIUM BIKARBONAT 500 MG TABLET

TABLET

42,000

42,000

1,000

178 NATRIUM DIKLOFENAK 25 MG TABLET

TABLET

29,400

29,400

700

179 NATRIUM DIKLOFENAK 50 MG TABLET

TABLET

17,700

17,700

500

300

20

48

400

200

200

1,000

10

48

24

24

178

10

30

24

10

20

94

100

96

300

240

192

216

1,193

700

800

1,000

1,500

600

6,000

1,000

1,000

2,500

1,200

6,800

400

1,200

48
400

1,000
400

TUBE

500

500

10

BOTOL

69

69

182 NATRIUM KLORIDA 100 ML

BOTOL

1,420

1,420

183 NIFEDIPINE 10 MG TABLET

TABLET

72,200

72,200

1,500

184 NYSTATIN 500.000 IU TABLET

TABLET

1,500

1,500

100

185 NYSTATIN VAGINAL TABLET 100.000 IU

TABLET

1,600

1,600

186 NYSTATIN SUSPENSI 100.000 IU/Ml

BOTOL

187 OBH

BOTOL

17,150

17,150

188 OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +


AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

BOTOL

298

298

189 OFLOXACIN 200 MG

TABLET

190 OFLOXACIN 400 MG

TABLET

191 ONDENSETRON INJ

AMPUL
TUBE
TUBE

194 PITOGIN/OXYTOCIN INJ/SYNTOCYNON INJ

AMPUL

3,550
16,070
2,530

15
48

###

25

1,000

2,500
100
-

200

50

400

100

400

200

500

1,850

50

50

50

50

16,070

25

50

100

25

75

197 PAPAVERIN INJEKSI 40 MG/ML

AMPUL

198 PARAFORMALDEHID TABLET 1 GR

TABLET

199 PARASETAMOL 100 MG

TABLET

SUPP

924

924

20

20

1,500

400

200

200

800

1,400

201 PARASETAMOL DROPS

BOTOL

6,142

6,142

202 PARASETAMOL SYROP 120 MG / 5 ML

BOTOL

29,786

29,786

275
-

2,530

BOTOL

1,400

10

5
10

TABLET

3,550

196 PAPAVERIN 40 MG TABLET

200 PARASETAMOL SUPP 160 MG/ PROPIRETIC

195 PANTOCAIN 0,5 % TETES MATA

1,500

100

24

181 NATRIUM KLORIDA LARUTAN INFUS 0,9%

100
200

180 NATRIUM DIKLOFENAK GEL

193 OXYTETRASIKLIN HCL 1 % SALEP MATA

18=(7s/d17)

167 METOCLOPRAMIDE HCL 10 MG

192 OXYTETRASIKLIN HCL 3 % SALEP KULIT

JUMLAH

12
10

112

10

200

100

12
122

300

600

200

112

112 ###

300

200

590
650

2,550

NO

NAMA OBAT

SATUAN
3

203 PARASETAMOL 500 MG

TABLET

204 PERMETHRIN KRIM 5 %

TUBE

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

6=4+5

937,400

937,400

711

711

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

10

11

12

13

10,800

7,200

6,000

14,400

10

JUMLAH

PWK

JBG

14

15

16

17

12,800

10,800

7,200

25,200

50

CTK

18=(7s/d17)

20

94,400
80

205 PIRANTEL PAMOAT 125 MG

TABLET

9,500

9,500

206 PIRAZINAMID 500 MG

TABLET

47,600

47,600

207 PIRIDOKSIN (VIT B6 ) TABLET 10 MG

TABLET

178,000

178,000

208 PIROXICAM

TABLET

91,320

91,320

209 POLIKRESULEN CAIRAN

BOTOL

119

119

210 POVIDON IODIDA 30 ML

BOTOL

888

888

211 POVIDON IODIDA 60 ML

BOTOL

212 POVIDON IODIDA 300 ML

BOTOL

191

191

2,000

4,000

600 ###
1

3,000
240

10
3

360
5

1,800

###
1,080

12,000
2,640

10

7,320
26

20

35
-

2 ###

13

213 POVIDON IODIDA 1 L

BOTOL

133

133

214 PREDNISON TABLET 5 MG

TABLET

28,000

28,000

215 PROPANOLOL 40 MG

TABLET

216 RANITIDIN TABLET

TABLET

217 RANITIDIN INJ 25 MG/2ML

AMPUL

218 RETINOL 100,000 IU

BOTOL

1,282

1,282

219 RETINOL 200,000 IU

BOTOL

186

186

220 RIFAMPICIN 450 MG

TABLET

37,600

37,600

506

506

221 RINGER LAKTAT LARUTAN INFUS

LABU

92,800
-

3,000 ###

1,000

5,200

2,000

1,800

11,000
-

1,000

1,200

1,000

1,500

1,500

15,200
-

2 ###

TABLET

27,850

27,850

500

223 RISPERIDONE 2 MG TABLET

TABLET

56,800

56,800

500

224 SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL

AMPUL

78

78

226 SALBUTAMOL 2 MG TABLET

TABLET

37,200

37,200

227 SALBUTAMOL 4 MG TABLET

TABLET

24,000

24,000

228 SALEP 2 - 4

4
1,000

92,800

222 RISPERIDONE 1 MG TABLET

225 SALBUTAMOL INHALER 100 MCG, 200 DOSIS

2
3,000

140

100

244

200
1,000

1,000

50

500

2,200

1,000

2,550

78

78

POT

500

300 ###

100

500

200 ###

1,200

600

600

500

4,600

800

600

100

500

2,400

229 SALISIL BEDAK 2 %

KOTAK

3,100

3,100

230 SALISIL MENTOL BEDAK

BOTOL

3,779

3,779

231 SEFADROKSIL SYRUP

BOTOL

810

810

232 SEFADROKSIL 250 MG

KAPSUL

950

950

233 SEFADROKSIL 500 MG

KAPSUL

100

100

234 SETRALINE 50 MG TABLET

TABLET

3,780

3,780

235 SIANOCOBALAMIN TABLET

TABLET

118,000

118,000

236 SIANOCOBALAMIN / VIT. B 12 INJ

AMPUL

TUBE

272

272

52,700

52,700

237 SILVER SULFADIAZINE 10 MG / 35 GR CREAM


238 SIMVASTATIN TABLET

TABLET

239 STESOLID RECTAL SUPP

TUBE

240 STREPTOMISIN SERBUK INJ 1500 MG/ML

VIAL

919

919

241 SULFASETAMIDA NATRIUM TETES MATA

BOTOL

5,710

5,710

100 ###

200

200 ###

800

24
5

10

24

10

20

200

48

650

93
850

5
100

2,000

500

5
500

1,000

1,000

1,000

1,500

4,500

12,100
6
-

24

72

96

NO

NAMA OBAT

SATUAN
3

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

97,800

6=4+5

PEMAKAIAN

JUMLAH

DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

1,000

5,000

4,500

1,500

TABLET

243 TETRASIKLIN 500 MG KAPSUL

KAPSUL

500

500

244 TEOFILIN 300 MG TABLET

TABLET

44,000

44,000

97,800

245 THIAMIN (VIT.B1) 100 MG / ML INJ

AMPUL

246 THIAMIN (VIT.B1) 50 MG TABLET

TABLET

37,000

37,000

247 THIAMPHENIKOL 500 MG KAPSUL

KAPSUL

31,600

31,600

248 TRAMADOL HCI 50 MG TABLET

TABLET

249 TRAMADOL HCI 50 MG/ML INJ

AMPUL

130

130

250 TRIHEKSILPHENIDIL 2 MG TABLET

TABLET

153,800

153,800

251 VITAMIN B KOMP. TABLET

TABLET

742,800

742,800

252 ZINC / ZINCDIAR TABLET

TABLET

25,200

25,200

500 ###

700

18=(7s/d17)

242 TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG

13,700

2,000

3,000

1,000

100 ###

2,000

2,000

100

200

3,000

2,000

4,000
###

19,000
700
-

10
300
100

10

500

800

500

700

1,000

1,000

4,000

1,500

1,500

1,500

2,000

1,500

1,300

4,000

2,500

2,000
4,000

3,000

8,800

2,500

16,000

3,000 ###

17,400

ALAT KESEHATAN DAN REAGEN


1

ALAT AUTOCLIX/LANCET DEVICE

SET

32

32

ALAT SUNTIK SEKALI PAKAI 1 ML

BUAH

2,100

2,100

ALAT SUNTIK SEKALI PAKAI 3 ML

BUAH

11,300

11,300

ALAT SUNTIK SEKALI PAKAI 5 ML

BUAH

7,231

7,231

350

350

ALAT SUNTIK SEKALI PAKAI 10 ML

BUAH

590

590

100

100

ALAT SUNTIK SEKALI PAKAI 20 ML

BUAH

110

110

ALAT PEMERIKSAAN HB

ALCOHOL SWABS

BUAH
SACHET

22

22

81,900

81,900

400
200

200

600

500

400
200

100

1,800

200

100

500

1,500

600

100

1,000

4,000

BISTURI

BUAH

507

507

10

BLOOD LANCET

BUAH

9,600

9,600

11

CAIRAN PENCUCI ANTISEPTIK

GALON

12

CATGUT DENGAN JARUM BEDAH

SACHET

5,518

5,518

13

CATGUT CHROMIC

ROLL

14

DENGUE IgG AND IgM DROP TEST

SET

15

DENGUE N5 1 ANTIGEN

SET

16

DEX GLASS

BUAH

81

81

17

EDTA VACUM TUBE 5 ML

BUAH

85

85

18

FESCOPLAST

ROLL

19

FOLEY CATETHER

BUAH

20

GLUCOSA TEST TIP

TIP

8,350

8,350

21

GOLONGAN DARAH KIT

SET

21

21

22

H2O2

BOTOL

23

HAND SCONE / SURGICAL GLOVE

LEMBAR

30,000

30,000

500

1,500

600

24

HAND SCONE STERILE

PASANG

300

300

50

50

50

25

HCG CASETTE / PP TEST

SACHET

210

210

100
1

100

###

3
24

31

5
2

5
4
-

60

150

210
-

30

4,000

1
700

200

1,000

8,500
150

30

60

120

NO

NAMA OBAT

SATUAN

STOCK
AWAL

26

HEMASITO METER

BUAH

27

ISI AUTOCLIX

KOTAK

28

INFUSION SET ANAK

29

INFUSION SET DEWASA

30

IODIUM TEST

BOTOL

31

IV CATETHER

SACHET

32

JARUM JAHIT

33

KACA MULUT

34

KAPAS PEMBALUT 250 GR

35
36

PENERIMAA PERSEDIAA
N
N
5
-

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

18=(7s/d17)

18,870

18,870

60

SET

121

121

50

SET

332

332

10

100

50

55

100

JUMLAH

300

210

240

300

510

1,620

10

67

10

172

4,039

4,039

155

BUAH

218

218

BUAH

80

80

BUNGKUS

122

122

KAPSUL KOSONG NO.0

BUAH

KAPSUL KOSONG NO.1

BUAH

37

KASSA HIDROFIL 40 X 40

LEMBAR

38

KASSA HIDROFIL GULUNG

ROLL

67

67

39

KASSA STERIL

KOTAK

461

461

40

KASSA 4 M X 15 CM

ROLL

41

LAMPU SPIRITUS

BUAH

42

LARUTAN ASAM ALKOHOL

BOTOL

43

LARUTAN KOH 10 % 250 ML

BOTOL

16

16

44

LOMATUELL H 10 X 10 CM

KOTAK

105

105

45

METILEN BLUE 250 ML

BOTOL

16

16

46

MICROPIPET 3 UKURAN

BUAH

47

MASKER

BUAH

27,750

27,750

48

MASKER OXYGEN FOR ADULT

BUAH

108

108

49

MASKER OXYGEN FOR CHILD

BUAH

108

108

50

MATA BOR HIGH SPEED BUNDAR

BUAH

45

45

51

MATA BOR HIGH SPEED FISURE

BUAH

45

45

52

MATA BOR HIGH SPEED INVERTED CONE

BUAH

45

45

53

MATA SCALLER

BUAH

54

NASO GASTRIC TUBE

TUBE

55

NEBULIZE MASK FOR INFANT

BUAH

125

125

56

NEBULIZE MASK FOR ADULT

BUAH

126

126

57

NEEDLE

BUAH

52

52

58

OBJECT GLASS

BUAH

152

152

59

OIL IMERSI

BOTOL

16

16

60

OSE

BUAH

61

PENJEPIT TABUNG

BUAH

22

22

62

PIPET BESAR

BUAH

63

PIPET KECIL

BUAH

12

12

50

55

300

100

200

600

1,100

500

800

100

3,700

2
5

2
5

10

20

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

10

CLG

CBB

11

12

13

14
15

PWK
15
24

JBG

CTK

16

17

JUMLAH
18=(7s/d17)

PLESTER

ROLL

167

167

65

POT DAHAK

BUAH

66

POWDER ENZIMATIC ALKAZYME

BUAH

67

PURIFIED PROTEIN DERIVATIVE 2 UT

VIAL

68

SELANG O2 ANAK

BUAH

26

26

10

69

SELANG O2 DEWASA

BUAH

70

SGOT/SGPT TEST

SET

71

SILK DENGAN JARUM BEDAH

578

578

72

STRIP ASAM URAT

73

STRIP HB

BOX

74

STRIP GULA DARAH

BOX

75

STRIP PROTEIN DAN GLUKOSA

BOX

76

STRIP KOLESTEROL

BOX

77

VENOJECT

KOTAK

18

18

78

YELLOW TIP

BUAH

19

19

79

TABUNG REAKSI BESAR

BUAH

37

37

80

TABUNG REAKSI KECIL

BUAH

63

63

81

TERMOMETER DIGITAL

BUAH

82

TORNIKUET

BUAH

102

102

83

UMBILICAL CORD CLAMP

BUAH

17,850

17,850

84

UNDER PAD 80 X 180 CM

BUAH

104

104

85

URINE BAG

BUAH

169

169

10

86

URINE TEST 3 PARAMETER

KOTAK

87

WIDAL TEST

KOTAK

88

WHITE TIP

BUAH

24

24

89

MASKER N 95 TYPE 1870

KOTAK

90

POCH PACK D

BUAH

91

POCH PACK L

BUAH

92

CHECK CONTROL HEMATOANALYZER

BUAH

93

CELL CLEAN HEMATOANALYZER

BUAH

94

CALIBRATION SCS

BUAH

95

CELL PACK HEMATONANALYZER

BUAH

96

STROMALYSER WH

BUAH

97

CHECK CONTROL HEMATOANALYZER XP 100

BUAH

98

CELL CLEAN HEMATOANALYZER XP 100

BUAH

99

CALIBRATION SCS XP 100

BUAH

OBAT GIGI

PM

64

SACHET

3 ###

CWD

58
-

15
3

1
15

50

10

75

10
1

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

ARSEN

BOTOL

ARTIKULATING PAPER

KOTAK

AIR RAKSA DENTAL USE

BOTOL

73

73

BEIN GIGI

SET

CALCIDOR

POT

CEVITRON

BUAH

66

66

CHKM

POT

15

15

CRESOPEN

BOTOL

DENTORIT

BOTOL

10

DYCAL

BOTOL

11

11

2
2
1

10

22

11

ETIL KLORIDA SPRAY

BOTOL

177

177

12

EUGENOL CAIRAN

BOTOL

185

185

13

IODOFORM PASTA

POT

14

14

14

GLASS IONOMER ART

SET

42

42

15

OCO / TSR

BOTOL

10

10

16

SILVER AMALGAM SERBUK 65 - 75 %

BOTOL

17

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

SET

12

12

18

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

SET

Cilegon, 30 Oktober 2015


kepala Bidang Sumber Daya Kesehatan

Kepala Seksi Farmasi dan Peralatan Kesehatan

Dra.E.Yolanda P,Apt.MKM

Riris Sinaga, S.Si., Apt.

Nip. 19660223 199203 2 002

NIP. 19740620 200312 2 003

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

Nama Obat

ED

Jumlah

Keluar

No
1
2
3

Ambroxol Syrup

Okt-15

10

Amixicillin 500 mg

Jul-14

600

Amoxicillin Syrup

Nov-14

10

Antacida tab

Jul-14

200

Antalgin 500 mg

Mei-16

400

Anti Bakteri Salep

Ags-17

10

Asam Ascorbat 250 mg

Sep-14

2,000

10

Asam Mefenamat

Jul-14

400

11

Captopril 25 mg

Ags-17

200

12

Co Amoxiclav

Jun-14

60

13

Cotrimoxazol 480 mg

Mei-17

400

14

CTM

Jul-14

600

15

Dexametason

Ags-17

400

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

MENURUT
KARTU
PERSEDIAA
N
2,775

MENURUT
STOK
OPNAME

SELISIH
LEBIH/KURA
NG

16

Etanol

17

Garam Oralit

Ags-17

200

18

Hidrokortison Salep

Jun-14

19

Kassa

20

Kotrimoxazol 120 mg

Mar-14

400

21

Metronodazol 500 mg

Apr-14

200

22

Natrium Diklofenak

Jul-14

100

23

Oxytetrasiklin 3 %

Jun-14

10

24

Piridoxin

Sep-14

2,000

25

Povidon Iodida 60 ml

Nov-14

26

Prednison

Jun-14

600

27

Salbutamol 2 mg

Jun-14

200

28

Salisil bedak

Mei-16

10

29

Simvastatin

Ags-17

100

30

Tablet Tambah Darah

Apr-14

12,000

31

Thiamin tab

Mar-14

2,000

Vitamin A 200.000 IU

Jan-14

150

Vitamin B Komplek

Sep-14

2,000

NO
1

NAMA OBAT

SATUAN

ACYCLOVIR 5 GR KRIM

2,775

ACYCLOVIR 200 MG TABLET

TABLET

23,800

23,800

ACYCLOVIR 400 MG TABLET

TABLET

5,950

5,950

ALBOTYL

BOTOL

288

288

ALLOPURINOL 100 MG TABLET

TABLET

19,200

19,200

ALLOPURINOL 300 MG TABLET

TABLET

8,800

8,800

AMBROXOL SYRUP 15 MG / 5 ML

BOTOL

282

282

10

AMBROXOL TABLET 30 MG

TABLET

59,600

59,600

11

AMINOFILIN 200 MG TABLET

TABLET

36,400

36,400

12

AMITRIPTILIN 25 MG TABLET

TABLET

28,700

28,700

13

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

VIAL

1,770

1,770

14

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

BOTOL

19,603

19,603

TUBE

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN
3

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

15

AMOXICILLIN 250 MG KAPLET

KAPLET

93,080

93,080

16

AMOXICILLIN 500 MG KAPLET

KAPLET

303,700

303,700

17

ANTALGIN 500 MG TABLET

TABLET

203,500

203,500

18

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA


200 MG + ALUMUNIUM HIDROKSIDA 200 MG)

TABLET

205,400

205,400

19

ANTASIDA SUSPENSI

BOTOL

3,624

3,624

20

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


POLIMIKSIN B 10,000IU/G )

TUBE

7,140

7,140

21

ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM


SALISILAT 3 %)

POT

281

281

22

ANTI HEMOROID DOEN

SUPP

1,970

1,970

23

ASAM MEFENAMAT 500 MG

TABLET

480,200

480,200

24

ASAM TRANEKSAMAT 500 MG

TABLET

12,600

12,600

25

ATROPIN SULFAT INJ

AMPUL

146

146

26

ATTAPULGIT / MOLAGIT TABLET

TABLET

110,050

110,050

27

BEKARBON

TABLET

23,480

23,480

28

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

VIAL

180

180

29

BETAMETASONE KRIM 0,1 %

TUBE

2,884

2,884

30

BETAHISTIN MESILAT 6 MG TABLET

TABLET

1,290

1,290

31

BISACODYL 10 MG SUPP

534

534

32

BISOPROLOL 5 MG

TABLET

1,900

1,900

33

BROMHEKSIN HCL 8 MG / 4 ML SOL

BOTOL

105

105

34

CALAMIN LOTION

BOTOL

860

860

35

CAPTOPRIL 12,5 MG TABLET

TABLET

707,800

707,800

36

CAPTOPRIL 25 MG TABLET

TABLET

270,700

270,700

37

CEFIXIME SYRUP KERING 100 MG

BOTOL

424

424

38

CEFIXIME 100 MG

KAPSUL

22,700

22,700

39

CEFOTAXIME INJ 1G

VIAL

263

263

40

CEFTRIAXON INJ

VIAL

280

280

41

CETIRIZINE 5 MG SYRUP

BOTOL

193

193

42

CIMETIDIN TABLET

TABLET

8,700

8,700

43

CIPROFLOXACIN 500 MG TABLET

TABLET

124,900

124,900

44

CLINDAMYCIN 300 MG KAPSUL

KAPSUL

11,000

11,000

45

CHLORPHENIRAMIN MALEAT (CTM) 4 MG

TABLET

445,800

445,800

46

CHLORPROMAZINE 100 MG

TABLET

20,000

20,000

47

DEKSTROMETORPHAN HBR SYRUP

BOTOL

7,623

7,623

48

DEKSTROMETORPHAN HBR TABLET 15 MG

TABLET

74,200

74,200

49

DEKSTROSA LARUTAN INFUS 5 %

BOTOL

313

313

50

DEKSTROSA LARUTAN INFUS 10 %

BOTOL

463

463

6=4+5

SUPP

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN
3

STOCK
AWAL
4

PENERIMAA PERSEDIAA
N
N
5

6=4+5

179,600

179,600

VIAL

2,660

2,660

TABLET

3,000

3,000

AMPUL

206

206

DIFENHIDRAMIN INJ

AMPUL

220

220

56

DIGOKSIN 0,25 MG TABLET

TABLET

51,900

51,900

57

DOMPERIDON 5 MG SUSPENSI

BOTOL

129

129

58

DOMPERIDON 10 MG

TABLET

590

590

59

DOXYCYCLINE 100 MG KAPSUL

KAPSUL

9,700

9,700

60

ERYTHROMYCIN 200 MG SYRUP

BOTOL

1,410

1,410

61

ERYTHROMYCIN 250 MG

KAPSUL

17,600

17,600

62

ERYTHROMYCIN 500 MG TABLET

TABLET

45,200

45,200

63

ETAMBUTOL 500 MG

TABLET

45,000

45,000

64

ETAKRIDIN 0,1 % / RIVANOL

BOTOL

225

225

65

ETANOL 70 % 1000 ML

BOTOL

657

657

66

FENITOIN 100 MG KAPSUL

KAPSUL

8,600

8,600

67

FENOBARBITAL 30 MG TABLET

TABLET

7,000

7,000

68

FENOL GLISEROL 10 %

BOTOL

2,304

2,304

69

FITOMENADION INJ

AMPUL

15,525

15,525

70

FITOMENADION 10 MG TABLET

TABLET

10,100

10,100

71

FLUCONAZOL 150 MG

TABLET

200

200

72

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

AMPUL

230

230

73

FUROSEMID 40 MG TABLET

TABLET

21,000

21,000

74

GARAM ORALIT II SERBUK

SACHET

7,400

7,400

75

GENTAMYCIN SALEP KULIT

TUBE

2,950

2,950

76

GENTIAN VIOLET 1 % - 10 ML

BOTOL

4,650

4,650

77

GLIBENCLAMIDE 5 MG TABLET

TABLET

792,100

792,100

78

GLIMEPIRIDE 2 MG

TABLET

2,680

2,680

79

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50


MG

TABLET

23,250

23,250

80

GLISERIL GUAIAKOLT 100 MG TABLET

TABLET

684,000

684,000

81

GLISERIN LARUTAN

BOTOL

79

79

82

GRISEOFULVIN 125 MG TABLET

TABLET

5,400

5,400

83

HALOPERIDOL 0,5 MG TABLET

TABLET

16,700

16,700

84

HALOPERIDOL 5 MG TABLET

TABLET

25,100

25,100

85

HALOPERIDOL 5 MG INJEKSI

AMPUL

456

456

86

HEPARIN 200,000 IU GEL

TUBE

15

15

87

HEPATOPROTEKTOR TABLET

TABLET

8,430

8,430

88

HIDROKORTISON KRIM 2,5 %

TUBE

34,385

34,385

89

HYOSINE N BUTILBROMIDA TABLET

TABLET

30,100

30,100

51

DEXAMETHASON 0,5 MG TABLET

52

DEXAMETHASON INJEKSI

53

DIAZEPAM TABLET

54

DIAZEPAM INJ 5 MG/ML

55

TABLET

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5
92

6,200

6,200

24,800

24,800

5,000

5,000

TABLET

8,713

8,713

IMUNOSTIMULAN SIRUP

BOTOL

999

999

IMUNOSTIMULAN TABLET

TABLET

800

800

97

ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

TABLET

1,600

1,600

98

KALCIUM LACTAT 500 MG TABLET

TABLET

123,900

123,900

99

KANAMYCINE 2 GR

85

85

90

IBUPROFEN 125 MG SUPP

SUPP

91

IBUPROFEN 200 MG TABLET

TABLET

92

IBUPROFEN 400 MG TABLET

TABLET

93

ISONIAZID 100 MG

TABLET

94

ISONIAZID 300 MG

95
96

VIAL

92

100 KAOLIN SUSPENSI

BOTOL

1,400

1,400

101 KETOKONAZOL 200 MG TABLET

TABLET

650

650

TUBE

1,051

1,051

103 KETOPROFEN 100 MG

TABLET

4,500

4,500

104 KETOROLAC INJ 10 MG

AMPUL

846

846

105 KLORAMFENIKOL 250 MG KAPSUL

KAPSUL

5,900

5,900

102 KETOKONAZOL KRIM 2 %

TUBE

165

165

107 KLORAMFENIKOL SUSPENSI

BOTOL

443

443

108 KLORAMFENIKOL 0,5 % TETES MATA

BOTOL

2,120

2,120

109 KLORAMFINEKOL 3 %TETES TELINGA

BOTOL

3,616

3,616

110 KODEIN FOSFAT 20 MG TABLET

TABLET

3,250

3,250

111 KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5


MG KRIM

TUBE

5,320

5,320

112 KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA

BOTOL

3,025

3,025

106 KLORAMFENIKOL 1 %SALEP MATA

113 KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +


GG + CTM SYRUP

BOTOL 60
ML

6,364

6,364

114 KOMB.BETAMETASON, DEKSKLORFENIRAMIN MALEAT

TABLET

40,300

40,300

115 KOMB.METHAMPYRON + DIAZEPAM

TABLET

23,720

23,720

116 KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT

BOTOL

8,573

8,573

117 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


TABLET

TABLET

80,400

80,400

201

201

118 KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100


MG
119 KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG
SYRUP / TREMENZA SYRUP

TUBE

BOTOL 60
ML

3,289

3,289
-

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN
3

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

120 KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG


TABLET / LIBROFED TABLET

TABLET

26,200

26,200

121 KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +


VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET

TABLET

49,900

49,900

6=4+5
-

122 KOTRIMOKSAZOL SUSPENSI

BOTOL

9,195

9,195

123 KOTRIMOKSAZOL ADULT 480 MG TABLET

TABLET

25,200

25,200

124 KOTRIMOKSAZOL PEDIATRIK TABLET

TABLET

15,240

15,240

125 LEVOFLOXACIN 500 MG TABLET

TABLET

5,150

5,150

126 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

AMPUL

12,763

12,763

127 LINCOMYCIN 500 MG KAPSUL

TABLET

440

440

128 LISOL

BOTOL

922

922

129 LOPERAMID 2 MG TABLET

TABLET

24,300

24,300

130 MELOXICAM 7,5 MG

TABLET

14,700

14,700

131 MELOXICAM 15 MG

TABLET

6,950

6,950

132 METFORMIN 500 MG

TABLET

210,800

210,800

133 METFORMIN 850 MG

TABLET

134 METHILERGOMETRIN MALEAT 0,125 MG TABLET

TABLET

2,600

2,600

135 METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

AMPUL

160

160

136 METHYLPREDNISOLON 8 MG TABLET

TABLET

17,500

17,500

50

50

138 METOCLOPRAMIDE HCL 10 MG

TABLET

3,300

3,300

139 METOCLOPRAMIDE SYRUP 5 MG / 5 ML

BOTOL

363

363

140 METRONIDAZOL 250 MG TABLET

TABLET

13,500

13,500

141 METRONIDAZOL 500 MG TABLET

TABLET

26,500

26,500

137 METHYLPREDNISOLON 125 MG INJEKSI

VIAL

142 MOMETHASON KRIM 0,1 %

TUBE

691

691

143 MULTIVITAMIN ANAK DROP

BOTOL

3,508

3,508

144 MULTIVITAMIN ANAK SYRUP

BOTOL

4,487

4,487

145 MULTIVITAMIN TABLET

TABLET

79,100

79,100

146 NATRIUM BIKARBONAT 500 MG TABLET

TABLET

76,000

76,000

147 NATRIUM DIKLOFENAK 25 MG TABLET

TABLET

22,950

22,950

148 NATRIUM DIKLOFENAK 50 MG TABLET

TABLET

900

900

149 NATRIUM KLORIDA LARUTAN INFUS 0,9%

BOTOL

108

108

150 NIFEDIPINE 10 MG TABLET

TABLET

112,400

112,400

151 NYSTATIN 500.000 IU TABLET

TABLET

1,400

1,400

152 NYSTATIN VAGINAL TABLET 100.000 IU

TABLET

2,400

2,400

153 NYSTATIN SUSPENSI 100.000 IU/Ml

BOTOL

130

130

154 OBH

BOTOL

10,998

10,998

155 OFLOXACIN 200 MG

TABLET

500

500

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

TABLET

5,100

5,100

157 OXYTETRASIKLIN HCL 3 % SALEP KULIT

TUBE

19,825

19,825

158 OXYTETRASIKLIN HCL 1 % SALEP MATA

TUBE

2,050

2,050

159 PANTOCAIN 0,5 % TETES MATA

BOTOL

160 PAPAVERIN 40 MG TABLET

TABLET

25,200

25,200

161 PARAFORMALDEHID TABLET 1 GR

TABLET

1,400

1,400

162 PARASETAMOL DROPS

BOTOL

9,768

9,768

163 PARASETAMOL SYROP 120 MG / 5 ML

BOTOL

53,385

53,385

164 PARASETAMOL 500 MG

TABLET

1,335,100

1,335,100

165 PIRANTEL PAMOAT 125 MG

TABLET

17,300

17,300

166 PIRAZINAMID 500 MG

TABLET

48,900

48,900

167 PIRIDOKSIN (VIT B6 ) TABLET 10 MG

TABLET

304,000

304,000

168 PIROXICAM

TABLET

48,700

48,700

169 OXYTOCIN INJ

AMPUL

3,820

3,820

170 POVIDON IODIDA 60 ML

BOTOL

159

159

171 POVIDON IODIDA 300 ML

BOTOL

262

262

156 OFLOXACIN 400 MG

172 POVIDON IODIDA 1 L

BOTOL

58

58

173 PREDNISON TABLET 5 MG

TABLET

98,000

98,000

174 PROPANOLOL 40 MG

TABLET

5,800

5,800

175 RANITIDIN TABLET

TABLET

104,100

104,100

176 RANITIDIN INJ 25 MG/2ML

AMPUL

1,552

1,552

177 RETINOL 100,000 IU

BOTOL

1,245

1,245

178 RETINOL 200,000 IU

BOTOL

573

573

179 RIFAMPICIN 450 MG

TABLET

44,500

44,500

LABU

3,089

3,089

527

527

180 RINGER LAKTAT LARUTAN INFUS


181 SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL

AMPUL

182 SALBUTAMOL 2 MG TABLET

TABLET

12,900

12,900

183 SALBUTAMOL 4 MG TABLET

TABLET

23,600

23,600

740

740

184 SALEP 2 - 4

POT

185 SEFADROKSIL SYRUP

BOTOL

1,656

1,656

186 SEFADROKSIL 250 MG

KAPSUL

8,600

8,600

187 SEFADROKSIL 500 MG

KAPSUL

11,800

11,800

188 SETRALINE 50 MG TABLET

TABLET

5,170

5,170

189 SIANOCOBALAMIN TABLET

TABLET

142,000

142,000

190 SIANOCOBALAMIN / VIT. B 12 INJ

AMPUL

450

450

191 SILVER SULFADIAZINE 10 MG / 35 GR CREAM

TUBE

375

375

192 STESOLID RECTAL SUPP

TUBE

266

266

934

934

6,896

6,896

193 STREPTOMISIN SERBUK INJ 1500 MG/ML

VIAL

194 SULFASETAMIDA NATRIUM TETES MATA

BOTOL

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN
3

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

6=4+5

195 TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG

TABLET

100,500

100,500

196 TETRASIKLIN 500 MG KAPSUL

KAPSUL

4,800

4,800

197 THIAMIN (VIT.B1) 50 MG TABLET

TABLET

199,000

199,000

198 THIAMPHENIKOL 500 MG KAPSUL

KAPSUL

41,600

41,600

199 TRAMADOL HCI 50 MG TABLET

TABLET

1,700

1,700

200 TRAMADOL HCI 50 MG/ML INJ

AMPUL

253

253

201 TRIHEKSILPHENIDIL 2 MG TABLET

TABLET

217,600

217,600

202 VITAMIN B KOMP. TABLET

TABLET

499,000

499,000

ZINC / ZINCDIAR TABLET

TABLET

65,400

65,400

NEO KAOMINAL SUSPENSI

BOTOL

144

144

ALAT KESEHATAN DAN REAGEN

ALAT AUTOCLIX/LANCET DEVICE

SET

ALAT SUNTIK SEKALI PAKAI 1 ML

32

32

BUAH

4,100

4,100

ALAT SUNTIK SEKALI PAKAI 3 ML

BUAH

24,438

24,438

ALAT SUNTIK SEKALI PAKAI 5 ML

BUAH

7,000

7,000

ALAT SUNTIK SEKALI PAKAI 10 ML

BUAH

900

900

ALAT PEMERIKSAAN HB

BUAH

11

11

ALCOHOL SWABS

109,000

109,000

10

ANTI BISA ULAR (ABU) SERUM

SACHET
VIAL

11

AQUA PRO INJEKSI 25 ML

BOTOL

1,224

1,224

12

BISTURI

BUAH

500

500

13

BLOOD LANCET

BUAH

9,900

9,900

14

CATGUT DENGAN JARUM BEDAH

SACHET

6,463

6,463

15

CATGUT CHROMIC

ROLL

16

DEX GLASS

BUAH

81

81

17

EDTA VACUM TUBE 5 ML

BUAH

97

97

18

FOLEY CATETHER

BUAH

325

325

19

GLUCOSA TEST TIP

TIP

8,400

8,400

20

GOLONGAN DARAH KIT

SET

20

20

21

H2O2

BOTOL

14

14

22

HAND SCONE / SURGICAL GLOVE

LEMBAR

97,600

97,600

23

HAND SCONE STERILE

PASANG

1,750

1,750

24

HCG CASETTE / PP TEST

SACHET

4,675

4,675

25

ISI AUTOCLIX

KOTAK

11,940

11,940

26

INFUSION SET ANAK

SET

535

535

27

INFUSION SET DEWASA

SET

477

477

28

IODIUM TEST

BOTOL

300

300

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

3,221

3,221

BUAH

355

355

BUAH

66

66

BUNGKUS

297

297

29

IV CATETHER

SACHET

30

JARUM JAHIT

31

KACA MULUT

32

KAPAS PEMBALUT 250 GR

33

KAPSUL KOSONG NO.0

BUAH

20,000

20,000

34

KAPSUL KOSONG NO.1

BUAH

30,000

30,000

35

KASSA HIDROFIL 40 X 40

LEMBAR

1,150

1,150

36

KASSA HIDROFIL GULUNG

ROLL

37

KASSA STERIL

KOTAK

1,479

1,479

38

KASSA 4 M X 15 CM

ROLL

3,370

3,370

39

LOMATUELL H 10 X 10 CM

KOTAK

134

134

40

MICROPIPET 3 UKURAN

BUAH

41

MASKER

BUAH

22,900

22,900

42

MASKER OXYGEN FOR ADULT

BUAH

148

148

43

MASKER OXYGEN FOR CHILD

BUAH

148

148

44

MATA BOR HIGH SPEED BUNDAR

BUAH

45

MATA BOR HIGH SPEED FISURE

BUAH

46

MATA BOR HIGH SPEED INVERTED CONE

BUAH

47

MATA SCALLER

BUAH

48

NASO GASTRIC TUBE

TUBE

30

30

49

NEBULIZE MASK FOR INFANT

BUAH

150

150

50

NEBULIZE MASK FOR ADULT

BUAH

150

150

51

NEEDLE

BUAH

67

67

52

OBJECT GLASS

BUAH

274

274

53

OSE

BUAH

54

PENJEPIT TABUNG

BUAH

22

22

55

PLESTER

ROLL

562

562

56

POWDER ENZIMATIC ALKAZYME

BUAH

57

PURIFIED PROTEIN DERIVATIVE 2 UT

VIAL

24

24

58

SELANG O2 ANAK

BUAH

107

107

59

SELANG O2 DEWASA

BUAH

88

88

60

SGOT/SGPT TEST

61

SILK DENGAN JARUM BEDAH

62

SET

SACHET

66

66

STRIP HB

BOX

392

392

63

STRIP GULA DARAH

BOX

185

185

64

STRIP KOLESTEROL

BOX

160

160

65

VENOJECT

KOTAK

66

YELLOW TIP

BUAH

67

TABUNG REAKSI BESAR

BUAH

37

37

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

68

TABUNG REAKSI KECIL

BUAH

63

63

69

TORNIKUET

BUAH

105

105

70

UNDER PAD 80 X 180 CM

BUAH

304

304

URINE BAG

BUAH

410

410

WHITE TIP

BUAH

24

24

OBAT GIGI

ARSEN

BOTOL

ARTIKULATING PAPER

KOTAK

AIR RAKSA DENTAL USE

BOTOL

73

73

CEVITRON

BUAH

153

153

CHKM

POT

21

21

ETIL KLORIDA SPRAY

BOTOL

177

177

EUGENOL CAIRAN

BOTOL

651

651

10

IODOFORM PASTA

POT

18

18

11

GLASS IONOMER ART

SET

28

28

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

SET

15

15

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

SET

8
-

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

Pemberian
STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
2,975

1 ACYCLOVIR 5 GR KRIM

3,150

50

157,500

50

157,500

9,750

1 ACYCLOVIR 200 MG TABLET

534

100

53,400

200

106,800

14,350

1 ACYCLOVIR 400 MG TABLET

648

100

64,800

150

97,200

39,600

1 ALLOPURINOL 100 MG TABLET

86

1,000

86,000

200

17,200

300

1 ALLOPURINOL 300 MG TABLET

210

3,300

19,800

300

19,839

AMBROXOL SYRUP 15 MG / 5 ML

990,000

100

21,000

100

330,000

113

1,000

AMINOFILIN 200 MG TABLET

80

39,300

1 AMITRIPTILIN 25 MG TABLET

102

1 AMLODIPIN 5 MG TABLET

240

187

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

4,750

12,650

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

2,445

200

489,000

100

17,400

AMOXICILLIN 250 MG KAPLET

211

2,000

422,000

350,200

AMOXICILLIN 500 MG KAPLET

261

5,000

1,305,000

3,000

116

100

980

1,500
146,600
152,000

1 AMBROXOL TABLET 30 MG

AMLODIPIN 10 MG TABLET

AMOXICILLIN + AS.KLAVULANAT
1 ANTALGIN 500 MG TABLET
ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA
200 MG + ALUMUNIUM HIDROKSIDA 200 MG)

72
1,615

ANTASIDA SUSPENSI

11,600

500
-

36,000

3,850

100

385,000

ANTI BISA ULAR (ABU) SERUM

473,000

17

ANTI TETANUS SERUM 1500 UI

126,311

1,310
513,400
900

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


1 POLIMIKSIN B 10,000IU/G )

2,491

ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM


1 SALISILAT 3 %)

1,713

ANTI HEMOROID DOEN


1 ASAM ASCORBIT (VIT.C) 50 MG TABLET
ASAM ASCORBIT (VIT.C) 250 MG TABLET

1,500

174,000

108,000
30
2

115,500
252,622

25
-

1,305,000

1,500

7
3,065

5,000

244,500

62,275
-

3,025

10

30,250

30

90,750

95

1,000

95,000

700

66,500

159

500

79,500

800

127,200

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
100

500

1,045

1,100

367

150

15,400

AQUA PRO INJEKSI 25 ML

2,900

AZITHROMYCIN 500 MG

4,500

30

116

12,185

1,520

50

206,600

ASAM MEFENAMAT 500 MG

10,450

1 ASAM TRANEKSAMAT 500 MG

66
61,650
317
16,310
180
5,200

ATROPIN SULFAT INJ


ATTAPULGIT / MOLAGIT TABLET
AQUABIDEST

1 BEKARBON
BENZATIN BENZIL PENISILIN 2,4 JUTA IU
BETAMETASONE KRIM 0,1 %

1,500
74
1,291

185

6,199

645

90

281

300

1 BROMHEKSIN HCL SYRUP

12,100

1 BROMHEKSIN HCL 8 MG / 4 ML SOL

66,000

12,650

63

2,000

126,000

1,000

2,000

176,000

400

35,200

30

264,000

300

257,700

1 BISACODYL 10 MG SUPP
BISOPROLOL 5 MG
1 BROMHEKSIN HCL 8 MG TABLET

CALAMIN LOTION

CEFIXIME SYRUP KERING 100 MG


CEFIXIME 100 MG
CEFOTAXIME INJ 1G
1 CEFTRIAXON INJ
1 CETIRIZINE 5 MG SYRUP

88

8,800

953,490

58,050

1,110

5,000

5,500

10,440

50

28,050

CETIRIZIN 10 MG

188

CIMETIDIN TABLET

116

500

58,000

245

500

200

49,000

200

1 CLINDAMYCIN 150 MG KAPSUL

CLINDAMYCIN 300 MG KAPSUL

493,100

1 CHLORPHENIRAMIN MALEAT (CTM) 4 MG

CHLORPROMAZINE 100 MG

DEKSTROMETORPHAN HBR SYRUP

DEKSTROMETORPHAN HBR TABLET 15 MG

213

1 DEKSTROSA LARUTAN INFUS 5 %

122,500

450

91

122

1,379

99

5,060

DEKSTROSA LARUTAN INFUS 10 %

5,727

15

1 DEKSTROSA LARUTAN INFUS 40 %

3,960

69

DEXAMETHASON 0,5 MG TABLET

49,000

527

366
342,100

522,000

1 CIPROFLOXACIN 500 MG TABLET

63,000

859

CETIRIZINE DROP

83,350

84,300

4,015

150

128,850

16,200

152,000

CAPTOPRIL 25 MG TABLET

55,050

140,400

CAPTOPRIL 12,5 MG TABLET

9,800

100

200,000

568,000
345

76,000

2,000

BETAKAROTEN 500 IU SYRUP

82,200

50,000

924

BETAHISTIN MESILAT 6 MG TABLET

540

135,000

500

25,300

330

50,000

2,000

1,000

181,940

69,000

7,200

1,500

654,984

10,120
103,500

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
1,796
38,000

DEXAMETHASON INJEKSI
1 DIAZEPAM TABLET

120
180

DIAZEPAM INJ 5 MG/ML


1 DIFENHIDRAMIN INJ

50,800

DIGOKSIN 0,25 MG TABLET

1,020
7,000

6,000

45

500

22,500

2,368

960

91

100

9,100

333,300

3,333

100

DOMPERIDON 10 MG

167

DOXYCYCLINE 100 MG KAPSUL

220

8,100

15

DOMPERIDON 5 MG SUSPENSI

23,700

2,000

EKSTRAK BELLADONNA TABLET 10 MG

88

EPINEFRIN (ADRENALIN) INJ 0,1%

49,995

7,220

15,200

1 ERYTHROMYCIN 250 MG

440

500

33,900

1 ERYTHROMYCIN 500 MG TABLET

921

300

38,800

1 ETAMBUTOL 500 MG

420

2,200

25,300

75,900

133

65

1 FENOL GLISEROL 10 %

1,008

24

1 FITOMENADION INJ

3,417

634

200

126,800

22,000

200

4,400,000

19,080

91

100

288

200

57,600

300

86,400

1,850

50

92,510

40

74,008

895

895

50

44,750

50

44,750

54

1,000

54,000

600

32,400

436

250

109,000

200

87,200

809

1 ERYTHROMYCIN 200 MG SYRUP

16,200

15

105

1 ETAKRIDIN 0,1 % / RIVANOL

443

1 ETANOL 70 % 1000 ML

1,400
7,000
888
4,290
13,200

FENITOIN 100 MG KAPSUL


1 FENOBARBITAL 30 MG TABLET

1 FITOMENADION 10 MG TABLET

4,300
220

FLUCONAZOL 150 MG
1 FLUTICASONE PROPIONATE 0,5 MG / 2 ML

15,500
36,700
50

FUROSEMID 40 MG TABLET
1 GAMEKSAN
1 GARAM ORALIT II SERBUK
1 GENTAMYCIN SALEP KULIT

1,750

GENTIAN VIOLET 1 % - 10 ML

755,600
100

GLIBENCLAMIDE 5 MG TABLET
1 GLIMEPIRIDE 2 MG

14,270

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50 MG


1

368,000
-

100
550,000

5,500

1 GLISERIL GUAIAKOLT 100 MG TABLET


1 GLISERIN LARUTAN

220,000

276,300

9,100
-

100

126,500
24,192
63,400

56,000

28

4,730

200

2,000

108,300

6,000

168,000
-

10,300

1 GRISEOFULVIN 125 MG TABLET

200

1,000

1 HALOPERIDOL 0,5 MG TABLET

165

3,900

HALOPERIDOL 5 MG TABLET

246

600

432

HALOPERIDOL 5 MG INJEKSI

14,724

51,975

51,975

34,391.50

50

220
450

1 HEPARIN 200,000 IU GEL


HEPAPROTEKTOR SYRUP

1,719,575

40,000
147,600

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
6,570

HEPATOPROTEKTOR TABLET

4,730

210

993,300

27,460

1 HIDROKORTISON KRIM 2,5 %

2,399

48

115,152

11,800

1 HYOSINE N BUTILBROMIDA TABLET

1,265

55,550

4,499

IBUPROFEN 200 MG TABLET

93

1 IBUPROFEN 400 MG TABLET

146

39

1 IBUPROFEN 125 MG SUPP

1 IBUPROFEN 200 MG SUSPENSI

125,600

1,020

1,000

4,824,600

55,550
146,000

1
1,500

55,550
219,000

5,000

1 ISONIAZID 100 MG

44

6,000

1 ISONIAZID 300 MG

107

IMUNOSTIMULAN SIRUP

28,600

IMUNOSTIMULAN TABLET

4,950

ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

97

1,444

70

500

35,000

500

35,000

355.30

600

213,180

200

71,060

77,200
15,600

1 ITRAKONAZOL 100 MG
KALCIUM LACTAT 500 MG TABLET
1 KALIUM DIKLOFENAK 50 MG

70

KANAMYCINE 2 GR

19,800

750

KAOLIN SUSPENSI

12,012

410

50

20,500

24

112,800

7,750

KETOKONAZOL 200 MG TABLET

2,257

KETOKONAZOL KRIM 2 %

4,700

4,700

24

3,700

KETOPROFEN 100 MG

1,342

KETOROLAC INJ 10 MG

2,539

310

29,400

KLORAMFENIKOL 250 MG KAPSUL

2,106

1 KLORAMFENIKOL 1 %SALEP MATA

89

1,600

KLORAMFENIKOL SUSPENSI

3,800

KLORAMFENIKOL 0,5 % TETES MATA

50

5,995

29,975

50

1,815

9,075

48

600

KLARITROMISIN 500 MG

3,200

100

1 KODEIN FOSFAT 20 MG TABLET

1,100

1,777

KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5


1 MG KRIM

6,600

45,000

KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25 MG +


PARASETAMOL 400 MG/hustab/tuzalos

312

80,000

38,400

299,750

50

299,750

87,120

24

43,560

110,000

80

300

24

528,000

80
-

KLORAMFINEKOL 3 %TETES TELINGA

3,400

151

6,645

112,800

528,000
300

93,600
-

93,600
-

110,500
-

KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA
KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +
1 GG SYRUP

7,376
6,160

50
-

20
368,800

147,520
-

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
-

KOMB.DEKSAMETASON, DEKSKLORFENIRAMIN MALEAT

10,600
-

1 KOMB.METHAMPYRON + DIAZEPAM
KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL +
1 CTM

5,706

14,600

KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT
KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM
1 TABLET

1,304

KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100


MG
KOMB.TEOFILIN + SALBUTAMOL TABLET

900

KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG


SYRUP / TREMENZA SYRUP

27,400

3,415

KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG TABLET


/ LIBROFED TABLET
KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +
VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET
KOTRIMOKSAZOL SUSPENSI

13,800

1 KOTRIMOKSAZOL ADULT 480 MG TABLET

12,240

1 KOTRIMOKSAZOL PEDIATRIK TABLET

2,700

1 LEVOFLOXACIN 500 MG TABLET

6,490

1 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

14,450
707
20,300

1 LINCOMYCIN 500 MG KAPSUL


LISOL
1 LOPERAMID 2 MG TABLET

79,200

15,840
-

1,100

100

100

5
20,900

66,000
-

800

158,400
100

880,000
1,000

110,000
100

1,056

105,600

1,975

138

300

50

574

1,030

30

638

14,850

12

91

178,200

1,056,000

3
-

10
1,140,480

80,300

72

1,204,500

70,400
10

100

464,640
150

110,000

2,508,000

600

100
-

240

91,000

110,000

100
-

500
-

13,200

704

209

10,450

15,885

8,030

700

37,400

KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM SYRUP


1

43

1,100

182

41,400

30,900
V167*13200
-

105,600
50

98,750

800

110,400

60

61,800

11,100

MELOXICAM 7,5 MG

682

1,000

682,000

300

204,600

22,700

1 MELOXICAM 15 MG

1,199

1,000

1,199,000

300

359,700

115,300

1 METFORMIN 500 MG

105

1,000

105,000

600

63,000

METFORMIN 850 MG

260

154

100

15,400

2,900

1 METHILERGOMETRIN MALEAT 0,125 MG TABLET

59

METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

METHYLPREDNISOLON 4 MG TABLET

296

METHYLPREDNISOLON 8 MG TABLET

300

2,750
24,300

1,000

300,000

200

60,000

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
6
500
-

METHYLPREDNISOLON 125 MG INJEKSI


METOCLOPRAMIDE HCL 10 MG
METOCLOPRAMIDE SYRUP 5 MG / 5 ML

44,000

91

2,830

48

9,900

METRONIDAZOL 250 MG TABLET

123

5,400

1 METRONIDAZOL 500 MG TABLET

164

2,582

1 MICONAZOLE SALEP

3,000

4,070

144,000

200

32,800

24

72,000

256

1 MOMETHASON KRIM 0,1 %

17,800

1 MULTIVITAMIN ANAK DROP

13,750

20,680

20,680

48

992,640

6,964

MULTIVITAMIN ANAK SYRUP

1,287

1,000

1,287,000

41,000

1 NATRIUM BIKARBONAT 500 MG TABLET

14

1,000

14,000

22,600

1 NATRIUM DIKLOFENAK 25 MG TABLET

133

700

93,100

16,500

1 NATRIUM DIKLOFENAK 50 MG TABLET

176

500

88,000

15,895

10

158,950

4,700

14,100

NATRIUM KLORIDA 100 ML

11,110

55,550

NIFEDIPINE 10 MG TABLET

112

1,400

NYSTATIN 500.000 IU TABLET

640

1,600

NYSTATIN VAGINAL TABLET 100.000 IU

407

30,800

5,225

24,200

485
21
1,395
69,700

15,300
248

MULTIVITAMIN TABLET

NATRIUM DIKLOFENAK GEL


NATRIUM KLORIDA LARUTAN INFUS 0,9%

NYSTATIN SUSPENSI 100.000 IU/Ml


OBH
OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +
AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

10,725
3,500
15,795
2,510
700
1,400
912
5,552
27,236

400
-

514,800
-

23,500

200

1,045,000

50

261,250

413

OFLOXACIN 400 MG

654

50

1 ONDENSETRON INJ

6,050

OXYTETRASIKLIN HCL 3 % SALEP KULIT

1,450

25

OXYTETRASIKLIN HCL 1 % SALEP MATA

2,100

OXYTOCIN INJ

13,913

PANTOCAIN 0,5 % TETES MATA

16,100

1 PAPAVERIN 40 MG TABLET

119

1 PAPAVERIN INJEKSI 40 MG/ML

530

60

1 PARAFORMALDEHID TABLET 1 GR
1 PARASETAMOL 100 MG

1 OFLOXACIN 200 MG

32,700

36,250

32

7,040

1 PARASETAMOL DROPS

5,227

10

52,270

112

585,424

10

52,270

1 PARASETAMOL SYROP 120 MG / 5 ML

1,319

200

263,800

100

131,900

PARASETAMOL SUPP 160 MG/ PROPIRETIC

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
843,000

PARASETAMOL 500 MG

84

631

1 PERMETHRIN KRIM 5 %

11,475

1 PIRANTEL PAMOAT 125 MG

290

1 PIRAZINAMID 500 MG

198

18

83.93

28,600

28,600

2,163

9,500
47,600
166,000
84,000
93

1 PIRIDOKSIN (VIT B6 ) TABLET 10 MG


1 PIROXICAM
1 ALBOTYL

853

POVIDON IODIDA 30 ML

10,800

4,000

600

50,358

600

50,358

10

286,000

6,489

2,400

POVIDON IODIDA 300 ML

14,000

129

POVIDON IODIDA 1 L

42,000

57

1 PROPANOLOL 40 MG

120

1 RANITIDIN TABLET

120

1,928

3,000
1,000

28,000
171,000
120,000

2
2
3,000
1,200

4,326
28,000
171,000
144,000

1,282

1 RETINOL 100,000 IU

14,300

186

1 RETINOL 200,000 IU

19,600

37,600

1 RIFAMPICIN 450 MG

594

1 RINGER LAKTAT LARUTAN INFUS

5,200

10,400

25,650

1 RISPERIDONE 1 MG TABLET

1,500

500

750,000

54,250

RISPERIDONE 2 MG TABLET

1,008

500

504,000

262

1 RANITIDIN INJ 25 MG/2ML

2,000

POVIDON IODIDA 60 ML

77,600

604,800

72,000

PREDNISON TABLET 5 MG

7,200

36,000

178
17,000

907,200

SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL

253,620
63,750

32,600

SALBUTAMOL 2 MG TABLET

59

500

21,600

1 SALBUTAMOL 4 MG TABLET

89

4,950

1 SALEP 2 - 4

1,000

10,400
1,008,000

29,500

300

17,700

300

17,700

200

17,800

200

17,800

1,250

100

1 SALISIL MENTOL BEDAK

3,630

717

1 SEFADROKSIL SYRUP

5,248

26,240

10

100

SEFADROKSIL 250 MG

468

200

100

SEFADROKSIL 500 MG

509

2,300
3,755

SALISIL BEDAK 2 %

125,000

93,600

100

125,000
52,480

3,780

SETRALINE 50 MG TABLET

12,100

118,000

1 SIANOCOBALAMIN TABLET

12

520

58,300

291,500

391

195,500

267
40,600
-

SIANOCOBALAMIN / VIT. B 12 INJ


SILVER SULFADIAZINE 10 MG / 35 GR CREAM
SIMVASTATIN TABLET
1 STESOLID RECTAL SUPP

100

39,100

2,000

782,000

500

23,540

141,240

919

STREPTOMISIN SERBUK INJ 1500 MG/ML

2,090

5,614

1 SULFASETAMIDA NATRIUM TETES MATA

3,226

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
84,100
500

TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG
1 TETRASIKLIN 500 MG KAPSUL

44,000
-

THIAMIN (VIT.B1) 100 MG / ML INJ

1,023

500
-

500
511,500

511,500

186

1,050

700

35

2,000

70,000

3,000

105,000

111 THIAMPHENIKOL 500 MG KAPSUL

431

100

43,100

100

43,100

TRAMADOL HCI 50 MG TABLET

323

120

TRAMADOL HCI 50 MG/ML INJ

5,400

40

300

12,000

500

18,000
30,900

THIAMIN (VIT.B1) 50 MG TABLET

20,000

32,000

145,000

TRIHEKSILPHENIDIL 2 MG TABLET

726,800

VITAMIN B KOMP. TABLET

107

ZINC / ZINCDIAR TABLET

475

100

47,500

7,800

NEO KAOMINAL SUSPENSI


ALAT KESEHATAN DAN REAGEN

1,000
2,000

800

4,000
950,000

1,500

712,500

32

ALAT AUTOCLIX/LANCET DEVICE

110,000

1,700

ALAT SUNTIK SEKALI PAKAI 1 ML

2,662

9,500

ALAT SUNTIK SEKALI PAKAI 3 ML

3,120

200

6,881

ALAT SUNTIK SEKALI PAKAI 5 ML

7,750

ALAT SUNTIK SEKALI PAKAI 10 ML

3,300

8,360

490
110
22
77,900

525,000

ALCOHOL SWABS

275

200

BISTURI

ALAT PEMERIKSAAN HB

55,000

100

624,000

27,500

550

9,500

396

902,000

5,487

78,100

507

CATGUT DENGAN JARUM BEDAH

902,000

902,000

5,415,500

1,650,000

2,420,000

39,050

302,500

CATGUT CHROMIC

76

DEX GLASS

81

EDTA VACUM TUBE 5 ML

FESCOPLAST

FOLEY CATETHER

11,000

GLUCOSA TEST TIP

8,323

60

511,500

20,900

880

500

440,000

8,800

50

440,000

13,200

8,140
21
6
21,500
150
90

GOLONGAN DARAH KIT


H2O2
HAND SCONE / SURGICAL GLOVE
HAND SCONE STERILE
HCG CASETTE / PP TEST

499,380

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
-

ISI AUTOCLIX

1,870

60

112,213

300

INFUSION SET ANAK

8,800

17,600

INFUSION SET DEWASA

7,321

14,642

IODIUM TEST

16,500

3,884

IV CATETHER

22,000

218

JARUM JAHIT

20,900

80

KACA MULUT

96,800

110

KAPAS PEMBALUT 250 GR

17,250
54
160
-

HEMASITO METER

20,130

561,066

2
-

40,260

KAPSUL KOSONG NO.0

44

KAPSUL KOSONG NO.1

33

KASSA HIDROFIL 40 X 40

1,980

55

KASSA HIDROFIL GULUNG

130,000

KASSA STERIL

7,317

KASSA 4 M X 15 CM

2,680

LAMPU SPIRITUS

LARUTAN ASAM ALKOHOL

16

LARUTAN KOH 10 % 250 ML

46,200

101,750

406

105

LOMATUELL H 10 X 10 CM

36,585

260,000

37,400

1,078,000

330

300

108

22,000

108

22,000

45

MATA BOR HIGH SPEED BUNDAR

95,700

45

MATA BOR HIGH SPEED FISURE

95,700

45

MATA BOR HIGH SPEED INVERTED CONE

95,700

236,500

16

METILEN BLUE 250 ML

MICROPIPET 3 UKURAN

24,050

MASKER

99,000

100

33,000

MATA SCALLER

NASO GASTRIC TUBE

55,000

124

NEBULIZE MASK FOR INFANT

40,700

125

NEBULIZE MASK FOR ADULT

47
132
16
2

NEEDLE
OBJECT GLASS

40,700

110,000

34,991

OIL IMERSI
OSE

13,500
5,400

22

PENJEPIT TABUNG

PIPET BESAR

PIPET KECIL

STOCK
AKHIR

NAMA OBAT

HARGA

DINAS

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
109

PLESTER

POT DAHAK

POWDER ENZIMATIC ALKAZYME

PURIFIED PROTEIN DERIVATIVE 2 UT

11

SELANG O2 ANAK

SELANG O2 DEWASA

503

SILK DENGAN JARUM BEDAH

943,500

702,240

13,200

8,167

24,500

24,500

13,200

1,082,950

3,056

162,500

STRIP GULA DARAH

95,000

STRIP PROTEIN DAN GLUKOSA

77,000

STRIP KOLESTEROL

159,500

18

VENOJECT

440,000

19

YELLOW TIP

95,700

2,015

STRIP HB

2
-

37

TABUNG REAKSI BESAR

63

TABUNG REAKSI KECIL

2,015

TERMOMETER DIGITAL

34,320

462,000

17,850

1,000

104

13,200

102

TORNIKUET

4,950

247,500

1,396,000

133,100

159

URINE BAG

URINE TEST 3 PARAMETER

WIDAL TEST

24

OBAT GIGI

STOCK
AKHIR

NAMA OBAT

HARGA

DINAS

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
-

ARSEN

484,000

ARTIKULATING PAPER

192,500

AIR RAKSA DENTAL USE

225,500

3,740,000

CALCIDOR

209,000

64

CEVITRON

115,500

13

CHKM

70,000

73

CRESOPEN

770,000

DENTORIT

154,000

DYCAL

534,600

155

ETIL KLORIDA SPRAY

176,000

185

EUGENOL CAIRAN

3,178

14

IODOFORM PASTA

302,500

42

GLASS IONOMER ART

687,500

10

OCO / TSR

330,000

1,265,000

418,000

SILVER AMALGAM SERBUK 65 - 75 %

12

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

36,300

1,277,910

3,000,690

176,000

41,384,516

18,731,748

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

CBB
Pemakaian
50

CWD
Harga

Pemakaian

157,500

Harga

Pemakaian

100

315,000

100

PWK
Harga

Pemakaian

315,000

300

160,200

648,000

100

64,800

1,000

648,000

100

300

25,800

50

1,000

PM

JBG
Harga

Pemakaian

157,500
-

64,800

25

CTK
Harga

Pemakaian

78,750

Harga
472,500

150

1,811,250

320,400

1,587,600

300

25,800

1,500

129,000

700

60,200

300

63,000

500

105,000

300

63,000

400

1,320,000

200

660,000

400

300

990,000

450

150

712,500

712,500

350

855,750

350

300

200

489,000

250

1,000

211,000

2,000

422,000

2,000

422,000

2,000

522,000

4,000

1,044,000

6,000

1,566,000

300

1,500

192,500

25

1,419,000

378,933

3,000

360,000

2,505,600
348,000

192,500

946,000

378,933

100
-

90,750

40

121,000

100

9,500

1,000

159,000

4,000

380,000

#VALUE!

7,000

1,827,000

8,000

2,088,000

12,162,600

1,000

116,000

5,000

144,000
50

192,500

250

1,589,200

504,000

1,677,600

962,500

2,618,000

2,365,000

1,010,488

75
186,825

747,300

500

580,000

124,550

20

7,000

211,750

102,000

2,426,500

70

AQ24*2277

738,500

50

102,000

1,000

252,000
7,114,800

3,500

249,100

1,485,000

473,000

211,000

288,000
50

1,000

2,000

577,500

30

4,000

190,000

185,600

9,600

AM24*2277

150

62,275

1,600

5,000

25

2,000

174,000

216,000
-

62,275

3,000
21,600

50

V24*2277

1,320,000

129,000

1,500

60,500
79,500

50

151,250

756,250

5,000

475,000

1,216,000

2,000

318,000

763,200

CBB
Pemakaian
2,000

CWD
Harga

Pemakaian

200,000

3,100

PM
Harga

Pemakaian

310,000

1,000

PWK
Harga

Pemakaian

100,000

4,000

JBG
Harga

Pemakaian

400,000

1,500

CTK
Harga

Pemakaian

150,000

4,000

Harga
400,000

300

110,100

600

20

25

38,000

100

220,200

1,050

385,350

900

330,300

450

20

750

25

90,000

152,000

50

76,000

165,150
90,000
AO45*V45-190X127
38,000

900
-

330,300
87,000

#VALUE!

125

190,000

12

90

600

50

632,500

758,700

58,050

5,000

315,000

1,300

81,900

2,500

157,500

1,000

300

26,400

3,000

264,000

2,500

220,000

3,500

308,000

20

176,000

20

176,000

50

440,000

300

257,700

600

515,400

1,500

1,288,500

505,800

75,600

1,200

1,800

750

495,000

2,700

1,596,450

180,000

40

168,600

1,860,000

2,100
-

74,388
590,100
132,000
-

722,000
74,388
116,100
2,107,500
132,000
632,500

63,000

2,000

126,000

1,008,000

1,000

88,000

4,000

352,000

1,469,600

15

132,000

103,080

1,110

120

50

20

1,252,800

700

200

23,200

81,200

1,000

245,000

980,000

1,000

245,000

300

73,500

800

522,000

196,000

208,800

953,490

1,188,000

131,600

4,458,210

131,600

500

7,200

654,984

10,800

982,476

7,200

654,984

7,200

654,984

3,600

327,492

10,800

982,476

5,094,320

10

50,600

60,720

10

57,270

57,270

1,600

110,400

20

79,200

20

79,200

2,000

138,000

5,000

345,000

5,000

345,000

5,000

345,000

5,000

345,000

158,400
1,800,900

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

500

10

33,330

50

166,650

50

166,650

749,925

100

16,700

200

300

50,100

200

33,400

167,000

200

33,400

33,400

Harga

6,000

45,000

9,100

22,500

56,700

20

144,400

252,700

100

44,000

300

132,000

396,000

400

368,400

1,000

921,000

1,565,700

10

22,000

22,000

15

126,500

24

24

24,192

40,500

379,500

200

200

126,800

63,400

200

27,300

86,400

500

144,000

500

144,000

700

30

55,506

50

92,510

40

74,008

201,600
-

74,008

100

185,020

647,570

150

134,250

448,395

3,000

162,000

89,500

50

44,750

50

44,750

27,000

2,000

108,000

3,000

162,000

800

43,200

50

21,800

2,000

872,000

100

43,600

300

130,800

599,400
1,264,400

360
-

2,530,000

84,000

616,000

40,000

600

99,000

500

82,500

181,500

100

300

600

147,600

1,000

246,000

639,600

24,600

73,800

2,000

56,000

1,980,000

5,000

140,000

3,000

84,000

1,000

28,000

40

500

4,400,000

1,065,600

100

634,000

288,000

10,800

205,020

1,000

44,750

126,800

57,600

50

200

200

200

72,576

205,020

126,800

60

300

24,192

759,000

100

18,200

50,600

155,925
-

3,000

207,900

1,719,575

CBB
Pemakaian
210

CWD
Harga

Pemakaian

993,300

PM
Harga

Pemakaian
-

Harga

Pemakaian
-

Harga

Pemakaian
-

Harga

Pemakaian
-

111,100

35

300

21,000

1,000

146,000

70,000

2,000

500

292,000

35,000

1,500

1,500

219,000

105,000

1,000

2,000

284,240

72

100

100

48

50

169,200
-

31,042

76,800

48

299,750

36

84
-

394,800
-

76,800

96

100

41,000
134,200

153,600

651,000

20,500

169,200

210,000

1,460,000

240,240

36

3,000

292,000

157,465

50

140,000

2,000

157,465

1,218,692

20
-

146,000

192

460,608

6,811,200

48

115,152

Harga

72

124

297,476

CTK

24

57,576

JBG

1,000

172,728

PWK

100
24

864,864
-

82,000

120

564,000

1,527,500

100

134,200

268,400
-

31,042

38,400

72

1,105,104

62,084

115,200

579,200

50

299,750

100

599,500

100

599,500

50

299,750

125

749,375

3,477,100

87,120

96

174,240

72

130,680

24

43,560

24

43,560

618,915

48

110,000

30
-

300

120
198,000

93,600

70
792,000

30
462,000

220
198,000

1,452,000

4,158,000

20

26

280,800
-

147,520
-

191,776
-

855,616

CBB
Pemakaian

CWD
Harga

Pemakaian

400

96
-

400
500

1,284,800

118,800
20,900

2,280,960

13,543,200

1,100,000

6,380,000

1,372,800

10,137,600
493,750
427,800

1,000
1,300
2,640,000

200

395,000
69,000

500

160

257,500

500

382,800

#VALUE!

1,159,400

100

63,800

164,800
74,250
-

1,000

138,000

4,266,240

144

2,500

844,800

26,400
-

770,000

105,600

8,966,100

300

41,400

3,168,000

700

100

2,508,000

4,561,920

880,000

794,250

288

800

794,250

200

27,600

528,000

1,320,000

1,100,000

1,200
422,400

1,520,640

2,200,000
3,000

464,100

240
1,045,000

96

2,000

2,280,960

440,000

1,056,000

1,000
50

144
1,520,640

1,000

600

Harga

100

704,000

Pemakaian

1,000

Harga

273,000

985,600

CTK

1,500

Pemakaian

1,400

26,400

522,500

492,800

Harga

1,881,000

JBG

50

700

Pemakaian

45,500

281,600

Harga

180
501,600

PWK

250
54,600

Pemakaian

48

Harga

300
-

PM

300

204,600

100

68,200

500

599,500

1,000

1,199,000

2,500

2,997,500

800

84,000

2,500

262,500

5,000

525,000

600

180,000

900

500

94,500

319,000

150,000

4,000
-

1,000

420,000

300,000

300

359,700

6,714,400

3,000

315,000

1,869,000

15,400

100

30,000

2,500

750,000

1,770,000

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

100

12,300

12,300

200

32,800

164,000

24

72,000

534,000

400

65,600

200

32,800

10

30,000

48

144,000

24

10
100

178,000
2,068,000

30
-

24
-

10
-

178,000
-

20
-

356,000
-

1,673,200
-

300

6,204,000

240

4,963,200

192

3,970,560

216

4,466,880

24,671,240

900,900

800

1,029,600

1,000

1,287,000

1,500

1,930,500

600

772,200

7,722,000

700

1,000

133,000
52,800

1,000

300

20

1,500

168,000

100

64,000

400

427,200

1,985,280

53,200

534,000

96

400

72,000

94,000
-

2,090,000

133,000

2,500

332,500

400

1,000

112,000

100

23,500

23,500
-

522,500

5
-

400

2,090,000

904,400

70,400

14,000

111,100

159,600

1,200

10

200

211,200
238,425

10

47,000

225,600

10

111,100

277,750

280,000

64,000

1,045,000

79,475

500

2,612,500

9,666,250

536,250

536,250

50
-

32,700

100

278,260

200

95,200

50
20

72,500
278,260

145,000

75

108,750

398,750

400

84,480

12
300

84,480
395,700

47,600

122

637,694

600

791,400

200

263,800

25

36,250

23,800

200

23,800

112

585,424

112

585,424

112

585,424

3,083,930

300

395,700

200

263,800

650

857,350

3,363,450

CBB
Pemakaian

CWD
Harga

Pemakaian

6,000

504,000

10

114,750

PM
Harga

Pemakaian

Harga

Pemakaian

12,800

1,075,200

50

573,750

14,400

1,209,600

PWK

JBG
Harga

Pemakaian

Harga

Pemakaian

7,200

604,800

20

229,500

10,800

907,200

CTK

25,200

Harga
2,116,800
-

918,000
-

3,000

54,000

1,800

151,074

240

20,143

360

30,215

143,000

10

10,815

20

70,000

84,000

1,000

120,000

1,500

180,000

(3*28600)+(7*17

28,000

84,000

3,000

171,000

5,200

624,000

2
1,000
2,000

43,260
28,000
57,000
240,000

1,080

90,644

7,929,600

3,000

54,000

2,640

221,575

614,368

182,000

168,000

627,000

1,000
1,800

57,000
216,000

1,500

216,000

10,815

180,000

#VALUE!
75,705

1,824,000

140

1,268,800

728,000

100

520,000

200

300,000

50

50,400

78

19,782,360

100

5,900

500

29,500

200

24

10

52,480

1,000
-

1,500,000
-

500

750,000

3,300,000

1,000

1,008,000

2,570,400

19,782,360
-

1,200

70,800

600

35,400

600

35,400

500

29,500

271,400

800

71,200

600

53,400

100

8,900

500

44,500

213,600

250,000

87,120

200

250,000
-

200
-

20

104,960

48

304,200

250,000
251,904

1,000,000
87,120
488,064

650

397,800

291,500

500

195,500

1,000

24

391,000
77,424

1,000

391,000

1,000

391,000

1,500

586,500

4,500

72

1,759,500
232,272

4,731,100
141,240
309,696

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

1,000
-

PWK
Harga

Pemakaian

5,000
1,023,000

JBG
Harga

Pemakaian

700
5,115,000

CTK
Harga

Pemakaian

4,500
716,100

Harga

1,500
4,603,500

1,534,500

14,015,100

2,000

70,000

2,000

70,000

100

43,100

200

86,200

10

54,000

700

28,000

1,000

500

35,000

20,000

1,500
1,300

1,500
617,500

4,000

105,000

140,000

665,000

200

86,200

301,700

2,000

70,000

54,000

2,000

3,000

1,000

40,000

1,500
1,900,000

4,000

3,000

2,500

4,000
1,187,500

80,000

3,000

120,000

352,000

1,425,000

8,265,000

2,500
1,425,000

3,000

400

1,064,800

1,064,800

500

1,560,000

200

100

200

624,000

600

1,872,000

624,000

312,000

5,616,000

350

2,712,500

2,712,500

100

330,000

330,000

500

100

902,000

137,500

1,874,400

1,500

412,500

600

165,000

27,500
39,600

1,000

275,000

1,100,000

39,600

2,706,000

2,421,100

24

1,210,000

150

1,747,830

20,900

20,900

4,000

3,520,000

605,000

1,500

1,320,000

600

528,000

50

440,000

50

440,000

30

396,000

605,000

700

30

546,700

100

616,000
396,000

200

1,248,450

176,000

1,000

60

195,250

880,000
792,000

195,250

7,480,000
1,320,000
1,584,000

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

210

44,000

50

440,000

10

73,210

100

732,100

50

Harga

Pemakaian
-

392,746
366,050

Harga

Pemakaian
-

448,853

300

CTK
Harga

Pemakaian
-

561,066

Harga
-

510

953,812

3,029,756

10

88,000

589,600

10

73,210

1,259,212

3,410,000

55

1,210,000

100

240

JBG

PWK

2,200,000

1
-

4
20,130

5
80,520

100,650

241,560

1,560,000

390,000

260,000

390,000

365,850

402,435

260,000

50

200

66,000

600

198,000

1,100

363,000

500

165,000

800

264,000

100

33,000

1,221,000

40,700

40,700

220,000

174,955

110,000

349,910

40,700
550,000

10

174,955

220,000

40,700

699,820

CBB
Pemakaian

CWD
Harga

Pemakaian

Harga

Pemakaian

Harga

Pemakaian

Harga

Pemakaian

Harga

Pemakaian

Harga

3,511,200

3,511,200

10

132,000

66,000

198,000

39,600

1
-

1,082,950
-

15

45,833

40,833

473,667
-

39,600

1,082,950

229,167

50

152,778

10

30,556

190,000

570,000

77,000

77,000

380,000

24,500

CTK

24

196,000

JBG

15

122,500

PWK

40,833

PM

10

49,500

49,500

247,500

495,000

247,500

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

231,000

231,000

140,000

140,000

1,069,200

1,069,200

880,000

#VALUE!

10

39,829,919

1,760,000

43,355,325

704,000

2*145200

68,645,950

32,365,326

40,984,679

61,885,284

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

DINAMIKA LOGISTIK OBAT


DI KOTA CILEGON
Propinsi

: BANTEN

Alamat

: Jl.K.P.Tendean Km.2 Cilegon

Jumlah Unit Pelayanan

: 9 Unit

Bulan

: November

Tahun

: 2015

NO

NAMA OBAT

ACYCLOVIR 5 GR KRIM

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

TUBE

2,975

2,975

ACYCLOVIR 200 MG TABLET

TABLET

9,750

9,750

ACYCLOVIR 400 MG TABLET

TABLET

14,350

14,350

ALLOPURINOL 100 MG TABLET

TABLET

39,600

39,600

ALLOPURINOL 300 MG TABLET

TABLET

300

300

AMBROXOL SYRUP 15 MG / 5 ML

BOTOL

19,839

19,839

AMBROXOL TABLET 30 MG

TABLET

AMINOFILIN 200 MG TABLET

TABLET

1,000

1,000

39,300

39,300

30,000

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

10

25

CLG
11
25

50

PM

13

14
75

PWK

JBG

CTK

15

16

17

100

200

100

200

400

300

500

250
1,000

500

JUMLAH
18=(7s/d17)

150

500

300

700

500

1,500

200

1,500

5,000

400

600

1,950

300

200

200

250

30,000

100

AMITRIPTILIN 25 MG TABLET

TABLET

AMLODIPIN 5 MG TABLET

TABLET

11

AMLODIPIN 10 MG TABLET

TABLET

12

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

VIAL

13

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

BOTOL

14

AMOXICILLIN 250 MG KAPLET

KAPLET

17,400

45,000

62,400

500

15

AMOXICILLIN 500 MG KAPLET

KAPLET

350,200

100,000

450,200

3,000

16

AMOXICILLIN + AS.KLAVULANAT

TABLET

1,500

1,500

17

ANTALGIN 500 MG TABLET

TABLET

146,600

146,600

18

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA


200 MG + ALUMUNIUM HIDROKSIDA 200 MG)

TABLET

152,000

19

ANTASIDA SUSPENSI

BOTOL

1,615

1,615

20

ANTI BISA ULAR (ABU) SERUM

VIAL

21

ANTI TETANUS SERUM 1500 UI

AMPUL

17

17

22

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


POLIMIKSIN B 10,000IU/G )

TUBE

3,065

3,065

23

ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM


SALISILAT 3 %)

POT

24

ANTI HEMOROID DOEN

25

ASAM ASCORBIT (VIT.C) 50 MG TABLET

SUPP

CWD
75

1,000

TABLET

12
50

100 ###

10

100
-

102,900

980

980
12,650

123,900

102,900

12,650

CBB

275,900

900

480

300

200

50

300

300

900

600

900

4,380

180

360

600

1,810

980
120

1,000

2,000

5,500

4,000

###
6,000

3,000

1,500
4,500

9,600

7,000

6,000

43,100

1,000

200

1,000

1,000

3,500

1,500

3,600

11,800

1,500

1,000

2,000

4,000

3,000

3,000

8,000

24,500

50

50

50

50

50

100

350

2,000

2
50

1
###

25

75

3
50

250
-

1,310

1,310

30

40

10

50

60

50

20

30

290

513,400

513,400

2,000

500

2,000

1,000

1,500

3,000

2,000

10,000

22,000

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

26

ASAM ASCORBIT (VIT.C) 250 MG TABLET

TABLET

900

900

27

ASAM MEFENAMAT 500 MG

TABLET

206,600

206,600

28

ASAM TRANEKSAMAT 500 MG

TABLET

10,450

10,450

29

ATROPIN SULFAT INJ

AMPUL

66

66

30

ATTAPULGIT / MOLAGIT TABLET

TABLET

61,650

61,650

31

AQUABIDEST

BOTOL

32

AQUA PRO INJEKSI 25 ML

BOTOL

317

33

AZITHROMYCIN 500 MG

KAPSUL

34

BEKARBON

TABLET

35

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

VIAL

180

180

36

BETAMETASONE KRIM 0,1 %

TUBE

5,200

5,200

37

BETAHISTIN MESILAT 6 MG TABLET

TABLET

38

BETAKAROTEN 500 IU SYRUP

39

BISACODYL 10 MG SUPP

40

BISOPROLOL 5 MG

TABLET

540

540

41

BROMHEKSIN HCL 8 MG TABLET

TABLET

82,200

82,200

42

BROMHEKSIN HCL SYRUP

BOTOL

1,500

1,500

43

BROMHEKSIN HCL 8 MG / 4 ML SOL

BOTOL

74

74

44

CALAMIN LOTION

BOTOL

1,291

1,291

10

20

30

45

CAPTOPRIL 12,5 MG TABLET

TABLET

568,000

568,000

3,000

500

1,500

4,000

3,000

1,700

1,500

3,000

18,200

46

CAPTOPRIL 25 MG TABLET

TABLET

140,400

140,400

3,000

200

300

2,000

3,000

4,000

1,500

3,500

17,500

47

CEFIXIME SYRUP KERING 100 MG

BOTOL

345

345

10

20

20

10

50

48

CEFIXIME 100 MG

KAPSUL

9,800

9,800

450

180

210

120

1,020

2,520

49

CEFIXIME 200 MG

50

CEFOTAXIME INJ 1G

VIAL

51

CEFTRIAXON INJ

VIAL

52

CETIRIZINE 5 MG SYRUP

BOTOL

185

185

53

CETIRIZINE DROP

BOTOL

54

CETIRIZIN 10 MG

TABLET

55

CIMETIDIN TABLET

TABLET

16,200

16,200

56

CIPROFLOXACIN 500 MG TABLET

TABLET

83,350

83,350

57

CLINDAMYCIN 150 MG KAPSUL

KAPSUL

58

CLINDAMYCIN 300 MG KAPSUL

KAPSUL

59

CHLORPHENIRAMIN MALEAT (CTM) 4 MG

TABLET

60

CHLORPROMAZINE 100 MG

TABLET

61

DEKSTROMETORPHAN HBR SYRUP

BOTOL

62

DEKSTROMETORPHAN HBR TABLET 15 MG

TABLET

63

DEKSTROSA LARUTAN INFUS 5 %

BOTOL

213

213

64

DEKSTROSA LARUTAN INFUS 10 %

BOTOL

366

366

2,000

16,310

3,500

1,000

50

4,500

3,500

750

450

600

600

25,000
150
5

1,050

450

150

4,050

317

BOTOL

1,000

1,000

SUPP

330

750

750
-

25

25

50

100

50

75

75

25

100

12

12
120

600 ###

1,200

900

600

90

210

3,900

7,800
-

420

120

110

24,000

5,000

493,100

625
-

330

5,000

6,000

16,310

24,000

2,000

100

2,000

6,000

493,100

2,000

6,000

2,500

100

100

10

50

50

115
-

500

300

500
1,000

300

500

400

300

200

500

2,700
500

400

1,000

2,700
-

3,600

10,800

3,600

3,600

7,200

3,600

7,200

40,100

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

65

DEKSTROSA LARUTAN INFUS 40 %

BOTOL

15

66

DEXAMETHASON 0,5 MG TABLET

TABLET

342,100

67

DEXAMETHASON INJEKSI

68

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

15
2,000

1,000

200

1,000

VIAL

1,796

DIAZEPAM TABLET

TABLET

38,000

38,000

69

DIAZEPAM INJ 5 MG/ML

AMPUL

120

120

70

DIFENHIDRAMIN INJ

AMPUL

180

180

71

DIGOKSIN 0,25 MG TABLET

TABLET

50,800

50,800

72

DOMPERIDON 5 MG SUSPENSI

BOTOL

1,020

1,020

73

DOMPERIDON 10 MG

TABLET

23,700

23,700

74

DOXYCYCLINE 100 MG KAPSUL

KAPSUL

7,000

7,000

75

EKSTRAK BELLADONNA TABLET 10 MG

TABLET

76

EPINEFRIN (ADRENALIN) INJ 0,1%

AMPUL

88

88

77

ERYTHROMYCIN 200 MG SYRUP

BOTOL

809

809

78

ERYTHROMYCIN 250 MG

KAPSUL

15,200

15,200

79

ERYTHROMYCIN 500 MG TABLET

TABLET

33,900

33,900

80

ETAMBUTOL 500 MG

TABLET

38,800

38,800

81

ETAKRIDIN 0,1 % / RIVANOL

BOTOL

105

105

82

ETANOL 70 % 1000 ML

BOTOL

443

443

83

FENITOIN 100 MG KAPSUL

KAPSUL

1,400

1,400

84

FENOBARBITAL 30 MG TABLET

TABLET

7,000

7,000

85

FENOL GLISEROL 10 %

BOTOL

888

888

86

FITOMENADION INJ

AMPUL

4,290

4,290

87

FITOMENADION 10 MG TABLET

TABLET

13,200

13,200

88

FLUCONAZOL 150 MG

TABLET

4,300

4,300

89

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

AMPUL

220

220

90

FUROSEMID 40 MG TABLET

TABLET

15,500

15,500

91

GAMEKSAN

BOTOL

92

GARAM ORALIT II SERBUK

SACHET

93

GENTAMYCIN SALEP KULIT

TUBE

50

94

GENTIAN VIOLET 1 % - 10 ML

BOTOL

1,750

1,750

50

95

GLIBENCLAMIDE 5 MG TABLET

TABLET

755,600

755,600

1,500

96

GLIMEPIRIDE 2 MG

TABLET

100

100

97

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50


MG

TABLET

14,270

14,270

98

GLISERIL GUAIAKOLT 100 MG TABLET

TABLET

368,000

368,000

99

GLISERIN LARUTAN

BOTOL

TABLET

10,300

101 HALOPERIDOL 0,5 MG TABLET

TABLET

1,000

102 HALOPERIDOL 5 MG TABLET

TABLET

3,900

2,000

3,000

5,500

4,000

5,000

4,900

100

1,300
-

10
-

25
500 ###

50

10

400

500

50

20

50

205

200

400

2,500
-

30
200

10
50

80

500

200

700

500

500

1,200
-

3
3

14

100

100
-

24

24
60

100

200

###

72

60
100

120

500

300

1,200

20

20
-

200

200
-

200

500

500

300

1,700
-

400

500

50

50

1,000

2,000

50 ###
1,200

250
1,000
100

1,650 ###

1,650

1,650

1,650

3,000

2,000

3,000

6,000

10,000

1,650 ###
5,000

5,000

11,400

200

4,950

10,300

24,500
1,796

36,700

100 GRISEOFULVIN 125 MG TABLET

2,000

2,096

36,700

18=(7s/d17)
-

342,100
300

JUMLAH

7,600
100
11,550

6,000

40,000
-

200

200

1,000

1,000

1,000

15,300

1,000

1,000

NO

NAMA OBAT

103 HALOPERIDOL 5 MG INJEKSI

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

AMPUL

432

432

104 HEPARIN 200,000 IU GEL

TUBE

220

220

105 HEPAPROTEKTOR SYRUP

BOTOL

450

450

106 HEPATOPROTEKTOR TABLET

TABLET

6,570

6,570

107 HIDROKORTISON KRIM 2,5 %

TUBE

27,460

27,460

TABLET

11,800

11,800

108 HYOSINE N BUTILBROMIDA TABLET


109 IBUPROFEN 125 MG SUPP

SUPP

39

39

110 IBUPROFEN 200 MG SUSPENSI

BOTOL

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

10

10

540
96

300

300

###

600

48

240
100

1,740

100
###

9
-

111 IBUPROFEN 200 MG TABLET

TABLET

112 IBUPROFEN 400 MG TABLET

TABLET

125,600

125,600

113 ISONIAZID 100 MG

TABLET

5,000

5,000

114 ISONIAZID 300 MG

TABLET

6,000

6,000

500

1,000

1,000

4,000

1,000

500

8,000

115 IMUNOSTIMULAN SIRUP

BOTOL

1,000

1,000

116 IMUNOSTIMULAN TABLET

TABLET

10,000

10,000

117 ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

TABLET

118 ITRAKONAZOL 100 MG

KAPSUL

119 KALCIUM LACTAT 500 MG TABLET

TABLET

77,200

77,200

120 KALIUM DIKLOFENAK 50 MG

TABLET

2500

15,600

15,600

121 KANAMYCINE 2 GR

VIAL

70

70

122 KAOLIN SUSPENSI

BOTOL

750

750

123 KETOKONAZOL 200 MG TABLET

TABLET

7,750

7,750

300

TUBE

2,257

2,257

60

TABLET

3,700

3,700

124 KETOKONAZOL KRIM 2 %


125 KETOPROFEN 100 MG
126 KETOROLAC INJ 10 MG

AMPUL

127 KLORAMFENIKOL 250 MG KAPSUL

KAPSUL

29,400

29,400

128 KLORAMFENIKOL 1 %SALEP MATA

210

1000

500

1000

900

1,000

1500

10,000

100

17,400
1,100
-

38

48

86
50
12

150

200

50

20

700
144

100

286
100

210

100

10

10

50

100

2,106

2,106

89

89

130 KLORAMFENIKOL 0,5 % TETES MATA

BOTOL

6,645

6,645

131 KLORAMFINEKOL 3 %TETES TELINGA

BOTOL

151

151

132 KLARITROMISIN 500 MG

TABLET

600

600

133 KODEIN FOSFAT 20 MG TABLET

TABLET

3,400

3,400

134 KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5


MG KRIM/mytaderm

TUBE

1,777

1,777

135 KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25 MG +


PARASETAMOL 400 MG/hustab

TABLET

45,000

45,000
100

24
19

50 ###

100
24

40
600 ###

24

60
600

48 ###

1,000

TUBE

100

24

500

BOTOL

48

200

129 KLORAMFENIKOL SUSPENSI

136 KOMB. BUDENOSID FORMATEROL 80/4,5 MCG INHALER, 60


DOSIS

200

193
50

89
350

24

48

120

50

120

120

40

200

630

600

600

600

600

900

5,100
-

NO

NAMA OBAT

137 KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

BOTOL

BOTOL 60
ML

139 KOMB.BETAMETASON, DEKSKLORFENIRAMIN


MALEAT/zestam

TABLET

140 KOMB.METHAMPYRON + DIAZEPAM/danalgin

TABLET

141 KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL


+ CTM/febrinex

BOTOL

142 KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT/benacol

BOTOL

5,706

143 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


TABLET/flutab/tuzalos

TABLET

14,600

14,600

144 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


SYRUP/protexinal

BOTOL

1,304

1,304

145 KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100


MG

TUBE

43

43

138 KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +


GG + CTM SYRUP/dextral

146 KOMB.TEOFILIN + SALBUTAMOL TABLET/teosal

10,600

10,600

200

500

2,100

7,806

96
100

1,000

100

48

400

192
1,000

192
2,500

TABLET

700

700

147 KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG


SYRUP / TREMENZA SYRUP

BOTOL 60
ML

900

900

148 KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG


TABLET / tremenza TABLET

TABLET

37,400

37,400

200

500

149 KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +


VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET

TABLET

27,400

27,400

100

2,500

150 KOTRIMOKSAZOL SUSPENSI

BOTOL

3,415

3,415

151 KOTRIMOKSAZOL ADULT 480 MG TABLET

TABLET

13,800

13,800

600

400

152 KOTRIMOKSAZOL PEDIATRIK TABLET

TABLET

12,240

12,240

1,500

1,200

153 LEVOFLOXACIN 500 MG TABLET

TABLET

2,700

2,700

50

154 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

AMPUL

6,490

155 LINCOMYCIN 500 MG KAPSUL

TABLET

14,450

14,450

200

700

156 LISOL

BOTOL

707

707

157 LOPERAMID 2 MG TABLET

TABLET

20,300

20,300

158 MELOXICAM 7,5 MG

TABLET

11,100

11,100

300

159 MELOXICAM 15 MG

TABLET

22,700

22,700

100

160 METFORMIN 500 MG

TABLET

115,300

115,300

161 METFORMIN 850 MG

TABLET

162 METHILERGOMETRIN MALEAT 0,125 MG TABLET

TABLET

2,900

500

1,200

528
2,000

100
144

96

300

100

500

100

1,000

120

100

200
1,500

200

3,000

8,300

100
240

1,000 ###
100

200 ###
200

144

849
3,600

2,000

8,800

200 ###

1,200

1,000

500 ###

3,200

1,500

1,500 ###

8,700

###

100

6,990

6,490

100
1,000
500 ###

900
6

300

12
2,200

200

1,000 ###
300

1,000

1,500

2,500

4,000

300

500

1,000

4,000

2,900

700

20,300
3,500
6,200

500

10,500
-

100

100

200

NO

NAMA OBAT

SATUAN

STOCK
AWAL

163 METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

AMPUL

164 METHYLPREDNISOLON 4 MG TABLET

TABLET

165 METHYLPREDNISOLON 8 MG TABLET

TABLET

166 METHYLPREDNISOLON 125 MG INJEKSI


167 METOCLOPRAMIDE HCL 10 MG

VIAL
TABLET

PENERIMAA PERSEDIAA
N
N
5

59
-

6=4+5
400

459

18,800

18,800

24,300
6
3,000

3,500

1,000

1,000

BOTOL
TABLET

9,900

9,900

170 METRONIDAZOL 500 MG TABLET

TABLET

5,400

5,400

TUBE

2,582

2,582

500

GRG

CLG

10

11

TUBE

174 MULTIVITAMIN ANAK DROP

BOTOL

2,800

2,800

175 MULTIVITAMIN ANAK SYRUP

BOTOL

6,964

2,500

9,464

176 MULTIVITAMIN TABLET

TABLET

24,200

40,000

64,200

177 NATRIUM BIKARBONAT 500 MG TABLET

TABLET

41,000

41,000

178 NATRIUM DIKLOFENAK 25 MG TABLET

TABLET

22,600

22,600

179 NATRIUM DIKLOFENAK 50 MG TABLET

TABLET

256

48

100

2,000

300

700

1,000

200

183 NIFEDIPINE 10 MG TABLET

TABLET

69,700

69,700

184 NYSTATIN 500.000 IU TABLET

TABLET

1,400

1,400

185 NYSTATIN VAGINAL TABLET 100.000 IU

TABLET

1,600

1,600

186 NYSTATIN SUSPENSI 100.000 IU/Ml

BOTOL

187 OBH

BOTOL

15,300

4,000

19,300

188 OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +


AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

BOTOL

248

132

380

189 OFLOXACIN 200 MG

TABLET

190 OFLOXACIN 400 MG

TABLET

191 ONDENSETRON INJ

AMPUL

AMPUL
TABLET

700

300

1,500

100
500

721

60

96

192

360

400

360

1,705

600

2,000

1,000

6,600

1,000

1,000
1,200

300

400

500

1,500 ###

6,400

1,000

2,700
15

2
5

50

100

1,000

55
1,700

100

2,900
100

100

200

1,450

150

100

300

400

300

100

100

100

400
15,795
2,510

100
-

150

100

75

25

50 ###

450

2,510

1,400

20

400

4,300

10

3,500

15,795

300

3,500

1,400

800

1,000

1,395

198 PARAFORMALDEHID TABLET 1 GR

600

300

144

1,395

197 PAPAVERIN INJEKSI 40 MG/ML

15

BOTOL

700

18=(7s/d17)

182 NATRIUM KLORIDA 100 ML

TABLET

600

30

21

196 PAPAVERIN 40 MG TABLET

300

256

BOTOL

17

181 NATRIUM KLORIDA LARUTAN INFUS 0,9%

BOTOL

16
5

300

15

AMPUL

15

500

195 PANTOCAIN 0,5 % TETES MATA

14

JUMLAH

100

485

194 PITOGIN/OXYTOCIN INJ/SYNTOCYNON INJ

13

CTK

16,500

TUBE

12

JBG

500

485

193 OXYTETRASIKLIN HCL 1 % SALEP MATA

PWK

500

16,500

PM

200

TUBE

TUBE

CWD

10

180 NATRIUM DIKLOFENAK GEL

192 OXYTETRASIKLIN HCL 3 % SALEP KULIT

CBB

500

173 MOMETHASON KRIM 0,1 %

P2KP

500

169 METRONIDAZOL 250 MG TABLET

172 MINYAK KAYU PUTIH 15 ML

DINAS

24,300

168 METOCLOPRAMIDE SYRUP 5 MG / 5 ML

171 MICONAZOLE SALEP

PEMAKAIAN
PROGRAM

30

40

100

170

700

700

7,000
100

7,700
100

1,400

NO

NAMA OBAT

199 PARASETAMOL 100 MG

SATUAN

STOCK
AWAL

TABLET

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

200 PARASETAMOL SUPP 160 MG/ PROPIRETIC

SUPP

912

912

201 PARASETAMOL DROPS

BOTOL

5,552

5,552

12
224 ###

BOTOL

27,236

27,236

203 PARASETAMOL 500 MG

TABLET

843,000

843,000

204 PERMETHRIN KRIM 5 %

TUBE

631

631

10
300

100

200

500

500

300

200

500

2,600

8,000

7,200

12,200

10,800

10,800

18,000

85,300

9,500
47,600

207 PIRIDOKSIN (VIT B6 ) TABLET 10 MG

TABLET

166,000

166,000

1,000

208 PIROXICAM

TABLET

84,000

84,000

960

209 POLIKRESULEN CAIRAN

BOTOL

93

210 POVIDON IODIDA 30 ML

BOTOL

853

211 POVIDON IODIDA 60 ML

BOTOL

212 POVIDON IODIDA 300 ML

BOTOL

178

178
129

215 PROPANOLOL 40 MG

TABLET

216 RANITIDIN TABLET

TABLET

217 RANITIDIN INJ 25 MG/2ML

AMPUL

218 RETINOL 100,000 IU

BOTOL

10,000

87,600

BOTOL

186

TABLET

37,600
262

8,000

1,800

1,080

2,880

9,240

15

19

10

13

10

19
5
1,000

2,000
-

2,000

500

3,000

2,000

5,000

1,000

2,500

500

650

100

836

100
1

37,600
2,000

2,262

25,650

350

54,250

100

224 SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL

AMPUL

100

200

140

1,000

500

383

200
1,000

1,000
1,000

1,550
2,000

5,600
-

100

TABLET

32,600

32,600

200

227 SALBUTAMOL 4 MG TABLET

TABLET

21,600

21,600

200

300

100

400
200

400

500

1,900

500

500

200

1,500

3,100

100

100

100 ###

672

229 SALISIL BEDAK 2 %

KOTAK

2,300

2,300

230 SALISIL MENTOL BEDAK

BOTOL

3,755

3,755

231 SEFADROKSIL SYRUP

BOTOL

717

717

232 SEFADROKSIL 250 MG

KAPSUL

100

233 SEFADROKSIL 500 MG

KAPSUL

100

234 SETRALINE 50 MG TABLET

TABLET

3,780

3,780

235 SIANOCOBALAMIN TABLET

TABLET

118,000

118,000

236 SIANOCOBALAMIN / VIT. B 12 INJ

AMPUL

10,000

40

226 SALBUTAMOL 2 MG TABLET

672

16,500
-

1,282

54,250

3,000

25,650

1,440

1,000

1,000

TABLET

POT

360

3,000

TABLET

228 SALEP 2 - 4

480

223 RISPERIDONE 2 MG TABLET

240

222 RISPERIDONE 1 MG TABLET

225 SALBUTAMOL INHALER 100 MCG 200 DOSIS

300

1,282

220 RIFAMPICIN 450 MG

LABU

2,000

219 RETINOL 200,000 IU


221 RINGER LAKTAT LARUTAN INFUS

2,000

70
-

853

17,000

77,600

30 ###

193

129

1,792

50

9,500

17,000

224 ###

7,200

47,600

BOTOL

48
224

200

TABLET

TABLET

12
224

10,800

TABLET

214 PREDNISON TABLET 5 MG

24
224

200

206 PIRAZINAMID 500 MG

224

150

205 PIRANTEL PAMOAT 125 MG

213 POVIDON IODIDA 1 L

18=(7s/d17)
-

202 PARASETAMOL SYROP 120 MG / 5 ML

100

JUMLAH

100

100

100

10,100

100

15

50

10

200

300

500

60

90

500

96

96

200

275

500

2,600

100
500

500

150
-

NO

NAMA OBAT

237 SILVER SULFADIAZINE 10 MG / 35 GR CREAM


238 SIMVASTATIN TABLET

SATUAN

STOCK
AWAL

TUBE
TABLET

PENERIMAA PERSEDIAA
N
N
5

6=4+5

267

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

267

40,600

40,600
50

1,500

1,500

1,500

1,000

10

1,000

2,000

9,400

37

240 STREPTOMISIN SERBUK INJ 1500 MG/ML

VIAL

919

919

241 SULFASETAMIDA NATRIUM TETES MATA

BOTOL

5,614

5,614

24

242 TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG

TABLET

84,100

320,710

600

243 TETRASIKLIN 500 MG KAPSUL

KAPSUL

500

500

244 TEOFILIN 300 MG TABLET

TABLET

44,000

44,000

245 THIAMIN (VIT.B1) 100 MG / ML INJ

AMPUL

246 THIAMIN (VIT.B1) 50 MG TABLET

TABLET

18,000

18,000

247 THIAMPHENIKOL 500 MG KAPSUL

KAPSUL

30,900

30,900

248 TRAMADOL HCI 50 MG TABLET

TABLET

249 TRAMADOL HCI 50 MG/ML INJ

AMPUL

120

120

250 TRIHEKSILPHENIDIL 2 MG TABLET

TABLET

145,000

145,000

251 VITAMIN B KOMP. TABLET

TABLET

726,800

252 ZINC / ZINCDIAR TABLET

TABLET

7,800

5 ###

200

TUBE

236,610

50

700

239 STESOLID RECTAL SUPP

###
1,500

1,500

3,000

1,000

4,000

48
1,500

200

4,000

1,000

4,000
200

3,000

2,000

4,000

18,000

100

100

500

900

200

726,800
21,100

13,100

500

1,000

200

1,000

200

1,200

2,000

2,000

1,500

2,500

5,000

28,900

1,500

2,000

7,100

3,000

16,500

1,500

1,500

ALAT KESEHATAN DAN REAGEN


1

ALAT AUTOCLIX/LANCET DEVICE

SET

32

32

ALAT SUNTIK SEKALI PAKAI 1 ML

BUAH

1,700

1,700

ALAT SUNTIK SEKALI PAKAI 3 ML

BUAH

9,500

9,500

ALAT SUNTIK SEKALI PAKAI 5 ML

BUAH

6,881

6,881

ALAT SUNTIK SEKALI PAKAI 10 ML

BUAH

490

490

ALAT SUNTIK SEKALI PAKAI 20 ML

BUAH

110

110

ALAT PEMERIKSAAN HB

BUAH

22

22

ALCOHOL SWABS

77,900

77,900

SACHET

507

100
300

100
200

100

600

200

300

300

50

###
200
300

200

300
300

300 ###

1,900
1,700

100

100

50

100
-

200 ###

1,000

1,500

400

2,000

BISTURI

BUAH

507

BLOOD LANCET

BUAH

9,500

11

CAIRAN PENCUCI ANTISEPTIK

GALON

12

CATGUT DENGAN JARUM BEDAH

SACHET

5,487

5,487

13

CATGUT CHROMIC

ROLL

14

DENGUE IgG AND IgM DROP TEST

SET

15

DENGUE N5 1 ANTIGEN

SET

16

DEX GLASS

BUAH

76

76

17

EDTA VACUM TUBE 5 ML

BUAH

81

81

18

FESCOPLAST

ROLL

19

FOLEY CATETHER

BUAH

110

110

100

5,900

10

3,000

200

600

300

12,500

120

10

96

24

250

###

NO

NAMA OBAT

SATUAN

STOCK
AWAL

20

GLUCOSA TEST TIP

21

GOLONGAN DARAH KIT

22

H2O2

23

HAND SCONE / SURGICAL GLOVE

24
25
26

HEMASITO METER

BUAH

27

ISI AUTOCLIX

KOTAK

28

INFUSION SET ANAK

29

INFUSION SET DEWASA

30

IODIUM TEST

31

IV CATETHER

SACHET

32

JARUM JAHIT

BUAH

33

KACA MULUT

34

KAPAS PEMBALUT 250 GR

35
36

PENERIMAA PERSEDIAA
N
N
5

6=4+5

TIP

8,140

8,140

SET

21

21

BOTOL

LEMBAR

21,500

21,500

HAND SCONE STERILE

PASANG

150

700

850

HCG CASETTE / PP TEST

SACHET

90

1,800

1,890

DINAS

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17
300

1 ###

600 ###

1
700

10

1,000

3,000

400

200

50

30 ###

54

500

554

SET

160

5,000

5,160

BOTOL

137

137

100

3,984

218

7,200
60

30

30

30

240

300

150
-

17,250

SET

18=(7s/d17)
6

1
700

JUMLAH

300

17,250

3,884

PEMAKAIAN
PROGRAM

300
4

240
20

1,200

2,280

54

54

50

79

200

279

70

218

BUAH

80

80

BUNGKUS

110

110

KAPSUL KOSONG NO.0

BUAH

KAPSUL KOSONG NO.1

BUAH

37

KASSA HIDROFIL 40 X 40

LEMBAR

38

KASSA HIDROFIL GULUNG

ROLL

55

39

KASSA STERIL

KOTAK

406

40

KASSA 4 M X 15 CM

ROLL

41

LAMPU SPIRITUS

BUAH

42

LARUTAN ASAM ALKOHOL

BOTOL

43

LARUTAN KOH 10 % 250 ML

BOTOL

16

16

44

LOMATUELL H 10 X 10 CM

KOTAK

105

105

45

METILEN BLUE 250 ML

BOTOL

16

16

46

MICROPIPET 3 UKURAN

BUAH

47

MASKER

BUAH

24,050

24,050

48

MASKER OXYGEN FOR ADULT

BUAH

108

108

49

MASKER OXYGEN FOR CHILD

BUAH

108

108

50

MATA BOR HIGH SPEED BUNDAR

BUAH

45

45

51

MATA BOR HIGH SPEED FISURE

BUAH

45

45

52

MATA BOR HIGH SPEED INVERTED CONE

BUAH

45

45

53

MATA SCALLER

BUAH

54

NASO GASTRIC TUBE

TUBE

55

NEBULIZE MASK FOR INFANT

BUAH

124

124

56

NEBULIZE MASK FOR ADULT

BUAH

125

125

57

NEEDLE

BUAH

47

47

58

OBJECT GLASS

BUAH

132

132

120

120

55
200

606

1,000

1,000

2
10

54

50

###

10

119
-

###

2
-

150

400

300

1,000

500

1,200

400

200

4,150

10

NO

NAMA OBAT

SATUAN

STOCK
AWAL

59

OIL IMERSI

BOTOL

60

OSE

BUAH

61

PENJEPIT TABUNG

BUAH

62

PIPET BESAR

BUAH

63

PIPET KECIL

64

PENERIMAA PERSEDIAA
N
N
5

6=4+5

16

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

16

22

22

BUAH

PLESTER

ROLL

109

109

65

POT DAHAK

BUAH

66

POWDER ENZIMATIC ALKAZYME

BUAH

67

PURIFIED PROTEIN DERIVATIVE 2 UT

VIAL

68

SELANG O2 ANAK

BUAH

11

100

111

69

SELANG O2 DEWASA

BUAH

100

100

70

SGOT/SGPT TEST

SET

71

SILK DENGAN JARUM BEDAH

SACHET

503

72

STRIP ASAM URAT

73

STRIP HB

BOX

74

STRIP GULA DARAH

BOX

75

STRIP PROTEIN DAN GLUKOSA

BOX

76

STRIP KOLESTEROL

BOX

7,600

77

VENOJECT

KOTAK

18

18

78

YELLOW TIP

BUAH

19

19

79

TABUNG REAKSI BESAR

BUAH

37

37

80

TABUNG REAKSI KECIL

BUAH

63

63

81

TERMOMETER DIGITAL

BUAH

82

TORNIKUET

BUAH

102

102

83

UMBILICAL CORD CLAMP

BUAH

17,850

17,850

84

UNDER PAD 80 X 180 CM

BUAH

104

85

URINE BAG

BUAH

159

159

86

URINE TEST 3 PARAMETER

KOTAK

87

WIDAL TEST

KOTAK

88

WHITE TIP

BUAH

24

24

89

MASKER N 95 TYPE 1870

KOTAK

90

POCH PACK D

BUAH

91

POCH PACK L

BUAH

92

CHECK CONTROL HEMATOANALYZER

BUAH

93

CELL CLEAN HEMATOANALYZER

BUAH

94

CALIBRATION SCS

BUAH

95

CELL PACK HEMATONANALYZER

BUAH

96

STROMALYSER WH

BUAH

97

CHECK CONTROL HEMATOANALYZER XP 100

BUAH

15

24

200

10

50

1,000

36

11

101
-

18,000

2
7,600

57

18,000

503
1,000

10

304

10

10
-

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

98

CELL CLEAN HEMATOANALYZER XP 100

BUAH

99

CALIBRATION SCS XP 100

BUAH

OBAT GIGI
1

ARSEN

BOTOL

ARTIKULATING PAPER

KOTAK

AIR RAKSA DENTAL USE

BOTOL

73

73

BEIN GIGI

SET

CALCIDOR

POT

CEVITRON

BUAH

64

64

CHKM

POT

13

13

CRESOPEN

BOTOL

DENTORIT

BOTOL

10

DYCAL

BOTOL

11

ETIL KLORIDA SPRAY

BOTOL

155

155

12

EUGENOL CAIRAN

BOTOL

185

185

13

IODOFORM PASTA

POT

14

14

14

GLASS IONOMER ART

SET

42

42

15

OCO / TSR

BOTOL

10

10

16

SILVER AMALGAM SERBUK 65 - 75 %

BOTOL

17

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

SET

12

12

18

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

SET

10

Cilegon, 30 November 2015


kepala Bidang Sumber Daya Kesehatan

1
-

Kepala Seksi Farmasi dan Peralatan Kesehatan

Dra.E.Yolanda P,Apt.MKM

Riris Sinaga, S.Si., Apt.

Nip. 19660223 199203 2 002

NIP. 19740620 200312 2 003

15

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

Nama Obat

ED

Jumlah

Keluar

No
1
2
3

Ambroxol Syrup

Okt-15

10

Amixicillin 500 mg

Jul-14

600

Amoxicillin Syrup

Nov-14

10

Antacida tab

Jul-14

200

Antalgin 500 mg

Mei-16

400

Anti Bakteri Salep

Ags-17

10

Asam Ascorbat 250 mg

Sep-14

2,000

10

Asam Mefenamat

Jul-14

400

11

Captopril 25 mg

Ags-17

200

12

Co Amoxiclav

Jun-14

60

13

Cotrimoxazol 480 mg

Mei-17

400

14

CTM

Jul-14

600

15

Dexametason

Ags-17

400

16

Etanol

17

Garam Oralit

2
Ags-17

200

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN

STOCK
AWAL

Jun-14

PENERIMAA PERSEDIAA
N
N

18

Hidrokortison Salep

19

Kassa

20

Kotrimoxazol 120 mg

Mar-14

400

21

Metronodazol 500 mg

Apr-14

200

22

Natrium Diklofenak

Jul-14

100

23

Oxytetrasiklin 3 %

Jun-14

10

24

Piridoxin

Sep-14

2,000

25

Povidon Iodida 60 ml

Nov-14

26

Prednison

Jun-14

600

27

Salbutamol 2 mg

Jun-14

200

28

Salisil bedak

Mei-16

10

29

Simvastatin

Ags-17

100

30

Tablet Tambah Darah

Apr-14

12,000

31

Thiamin tab

Mar-14

2,000

Vitamin A 200.000 IU

Jan-14

150

Vitamin B Komplek

Sep-14

2,000

6=4+5

MENURUT
STOK
OPNAME

SELISIH
LEBIH/KURA
NG

6
5

NO
1

NAMA OBAT

SATUAN

MENURUT
KARTU
PERSEDIAA
N
2,350

ACYCLOVIR 5 GR KRIM

2,350

ACYCLOVIR 200 MG TABLET

TABLET

22,600

22,600

ACYCLOVIR 400 MG TABLET

TABLET

3,400

3,400

ALBOTYL

BOTOL

266

266

ALLOPURINOL 100 MG TABLET

TABLET

12,200

12,200

ALLOPURINOL 300 MG TABLET

TABLET

8,640

8,640

AMBROXOL TABLET 30 MG

TABLET

47,000

47,000

10

AMINOFILIN 200 MG TABLET

TABLET

35,400

35,400

11

AMITRIPTILIN 25 MG TABLET

TABLET

28,700

28,700

12

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

VIAL

1,770

1,770

17,903

81,640

TUBE

13

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

BOTOL

17,903

14

AMOXICILLIN 250 MG KAPLET

KAPLET

81,640

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN
3

STOCK
AWAL
4

PENERIMAA PERSEDIAA
N
N

15

AMOXICILLIN 500 MG KAPLET

KAPLET

255,500

255,500

16

ANTALGIN 500 MG TABLET

TABLET

185,400

185,400

17

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA


200 MG + ALUMUNIUM HIDROKSIDA 200 MG)

TABLET
184,100

184,100

18

ANTASIDA SUSPENSI

BOTOL

3,424

3,424

19

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


POLIMIKSIN B 10,000IU/G )

TUBE
6,765

6,765

20

ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM


SALISILAT 3 %)

POT

21

ANTI HEMOROID DOEN

SUPP

6=4+5

202

202

1,720

1,720

459,100

22

ASAM MEFENAMAT 500 MG

TABLET

459,100

23

ASAM TRANEKSAMAT 500 MG

TABLET

12,600

12,600

24

ATROPIN SULFAT INJ

AMPUL

146

146

25

ATTAPULGIT / MOLAGIT TABLET

TABLET

105,600

105,600

26

BEKARBON

TABLET

21,880

21,880

27

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

VIAL

180

180

TUBE

2,420

2,420

TABLET

690

690

SUPP

528

528

28

BETAMETASONE KRIM 0,1 %

29

BETAHISTIN MESILAT 6 MG TABLET

30

BISACODYL 10 MG SUPP

31

BISOPROLOL 5 MG

TABLET

1,800

1,800

32

BROMHEKSIN HCL 8 MG / 4 ML SOL

BOTOL

101

101

550

33

CALAMIN LOTION

BOTOL

550

34

CAPTOPRIL 12,5 MG TABLET

TABLET

695,800

695,800

35

CAPTOPRIL 25 MG TABLET

TABLET

254,700

254,700

36

CEFIXIME SYRUP KERING 100 MG

BOTOL

374

374

37

CEFIXIME 100 MG

KAPSUL

19,950

19,950

38

CEFOTAXIME INJ 1G

VIAL

173

173

VIAL

230

230

39

CEFTRIAXON INJ

40

CETIRIZINE 5 MG SYRUP

BOTOL

108

108

41

CIMETIDIN TABLET

TABLET

8,000

8,000

42

CIPROFLOXACIN 500 MG TABLET

TABLET

121,000

121,000

43

CLINDAMYCIN 300 MG KAPSUL

KAPSUL

8,900

8,900

375,800

44

CHLORPHENIRAMIN MALEAT (CTM) 4 MG

TABLET

375,800

45

CHLORPROMAZINE 100 MG

TABLET

18,000

18,000

46

DEKSTROMETORPHAN HBR SYRUP

BOTOL

7,623

7,623

47

DEKSTROMETORPHAN HBR TABLET 15 MG

TABLET

74,200

74,200

48

DEKSTROSA LARUTAN INFUS 5 %

BOTOL

308

308

49

DEKSTROSA LARUTAN INFUS 10 %

BOTOL

458

458

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN
3

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

6=4+5

155,400

155,400

VIAL

2,625

2,625

TABLET

3,000

3,000

AMPUL

206

206

DIFENHIDRAMIN INJ

AMPUL

220

220

DIGOKSIN 0,25 MG TABLET

TABLET

51,700

51,700

94

50

DEXAMETHASON 0,5 MG TABLET

51

DEXAMETHASON INJEKSI

52

DIAZEPAM TABLET

53

DIAZEPAM INJ 5 MG/ML

54
55

TABLET

56

DOMPERIDON 5 MG SUSPENSI

BOTOL

94

57

DOXYCYCLINE 100 MG KAPSUL

KAPSUL

9,700

9,700

58

ERYTHROMYCIN 200 MG SYRUP

BOTOL

1,325

1,325

59

ERYTHROMYCIN 250 MG

KAPSUL

17,500

17,500

60

ERYTHROMYCIN 500 MG TABLET

TABLET

44,900

44,900

61

ETAMBUTOL 500 MG

TABLET

44,000

44,000

62

ETAKRIDIN 0,1 % / RIVANOL

BOTOL

220

220

63

ETANOL 70 % 1000 ML

BOTOL

640

640

64

FENITOIN 100 MG KAPSUL

KAPSUL

8,500

8,500

65

FENOBARBITAL 30 MG TABLET

TABLET

7,000

7,000

66

FENOL GLISEROL 10 %

BOTOL

2,184

2,184

15,525

67

FITOMENADION INJ

AMPUL

15,525

68

FITOMENADION 10 MG TABLET

TABLET

8,400

8,400

69

FLUCONAZOL 150 MG

TABLET

200

200

70

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

AMPUL

220

220

71

FUROSEMID 40 MG TABLET

TABLET

20,400

20,400

72

GARAM ORALIT II SERBUK

SACHET

6,800

6,800

73

GENTAMYCIN SALEP KULIT

TUBE

2,600

2,600

74

GENTIAN VIOLET 1 % - 10 ML

BOTOL

4,300

4,300

75

GLIBENCLAMIDE 5 MG TABLET

TABLET

780,900

780,900

76

GLIMEPIRIDE 2 MG

TABLET

1,900

1,900

77

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50


MG

TABLET
21,930

21,930

78

GLISERIL GUAIAKOLT 100 MG TABLET

TABLET

645,000

645,000

79

GLISERIN LARUTAN

BOTOL

79

79

80

GRISEOFULVIN 125 MG TABLET

TABLET

5,000

5,000

81

HALOPERIDOL 0,5 MG TABLET

TABLET

15,500

15,500

82

HALOPERIDOL 5 MG TABLET

TABLET

24,600

24,600

83

HALOPERIDOL 5 MG INJEKSI

AMPUL

456

456

84

HEPARIN 200,000 IU GEL

TUBE

85

HEPATOPROTEKTOR TABLET

TABLET

7,890

7,890

86

HIDROKORTISON KRIM 2,5 %

TUBE

33,722

33,722

87

HYOSINE N BUTILBROMIDA TABLET

TABLET

30,100

30,100

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

5,000

5,000

18,600

18,600

5,000

5,000

TABLET

8,000

8,000

BOTOL

969

969

400

400

IBUPROFEN 125 MG SUPP

SUPP

89

IBUPROFEN 200 MG TABLET

TABLET

90

IBUPROFEN 400 MG TABLET

TABLET

91

ISONIAZID 100 MG

TABLET

92

ISONIAZID 300 MG

93

IMUNOSTIMULAN SIRUP

91

6=4+5
91

88

94

IMUNOSTIMULAN TABLET

TABLET

95

ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

TABLET

1,300

1,300

96

KALCIUM LACTAT 500 MG TABLET

TABLET

116,900

116,900

97

KANAMYCINE 2 GR

VIAL

75

75

98

KAOLIN SUSPENSI

BOTOL

1,400

1,400

99

KETOKONAZOL 200 MG TABLET

TABLET

3,000

3,000

824

824

101 KETOPROFEN 100 MG

TABLET

4,300

4,300

102 KETOROLAC INJ 10 MG

AMPUL

786

786

103 KLORAMFENIKOL 250 MG KAPSUL

KAPSUL

5,780

5,780

104 KLORAMFENIKOL 1 %SALEP MATA

TUBE

141

141

105 KLORAMFENIKOL SUSPENSI

BOTOL

438

438

106 KLORAMFENIKOL 0,5 % TETES MATA

BOTOL

1,745

1,745

107 KLORAMFINEKOL 3 %TETES TELINGA

BOTOL

3,394

3,394

108 KODEIN FOSFAT 20 MG TABLET

TABLET

2,750

2,750

4,818

4,818

2,900

2,900

5,854

5,854

37,450

37,450

23,270

23,270

8,300

8,300

74,940

74,940

171

171

2,747

2,747

100 KETOKONAZOL KRIM 2 %

TUBE

109 KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5


MG KRIM

TUBE

110 KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA

BOTOL

111 KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +


GG + CTM SYRUP

BOTOL 60
ML

112 KOMB.BETAMETASON, DEKSKLORFENIRAMIN MALEAT

TABLET

113 KOMB.METHAMPYRON + DIAZEPAM

TABLET

114 KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT

BOTOL

115 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


TABLET

TABLET

116 KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100


MG
117 KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG
SYRUP / TREMENZA SYRUP

TUBE
BOTOL 60
ML

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

20,950

20,950

6=4+5

118 KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG


TABLET / LIBROFED TABLET

TABLET

119 KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +


VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET

TABLET
42,200

42,200

120 KOTRIMOKSAZOL SUSPENSI

BOTOL

8,845

8,845

121 KOTRIMOKSAZOL ADULT 480 MG TABLET

TABLET

25,200

25,200

122 KOTRIMOKSAZOL PEDIATRIK TABLET

TABLET

15,240

15,240

123 LEVOFLOXACIN 500 MG TABLET

TABLET

5,050

5,050

124 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

AMPUL

12,373

12,373

125 LISOL

BOTOL

892

892

126 LOPERAMID 2 MG TABLET

TABLET

24,100

24,100

127 MELOXICAM 7,5 MG

TABLET

12,600

12,600

128 MELOXICAM 15 MG

TABLET

650

650

129 METFORMIN 500 MG

TABLET

205,900

205,900

130 METHILERGOMETRIN MALEAT 0,125 MG TABLET

TABLET

2,100

2,100

131 METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

AMPUL
55

55

22,800

22,800

50

50

132 METHYLPREDNISOLON 8 MG TABLET


133 METHYLPREDNISOLON 125 MG INJEKSI

TABLET
VIAL

134 METOCLOPRAMIDE HCL 10 MG

TABLET

2,800

2,800

135 METOCLOPRAMIDE SYRUP 5 MG / 5 ML

BOTOL

273

273

136 METRONIDAZOL 250 MG TABLET

TABLET

13,500

13,500

137 METRONIDAZOL 500 MG TABLET

TABLET

25,000

25,000

138 MOMETHASON KRIM 0,1 %

TUBE

631

631

139 MULTIVITAMIN ANAK DROP

BOTOL

3,326

3,326

140 MULTIVITAMIN ANAK SYRUP

BOTOL

3,253

3,253

141 MULTIVITAMIN TABLET

TABLET

73,400

73,400

142 NATRIUM BIKARBONAT 500 MG TABLET

TABLET

75,000

75,000

143 NATRIUM DIKLOFENAK 25 MG TABLET

TABLET

17,650

17,650

144 NATRIUM KLORIDA LARUTAN INFUS 0,9%

BOTOL

73

73

145 NIFEDIPINE 10 MG TABLET

TABLET

108,800

108,800

146 NYSTATIN 500.000 IU TABLET

TABLET

1,200

1,200

147 NYSTATIN VAGINAL TABLET 100.000 IU

TABLET

2,200

2,200

148 NYSTATIN SUSPENSI 100.000 IU/Ml

BOTOL

130

130

149 OBH

BOTOL

8,827

8,827

150 OFLOXACIN 200 MG

TABLET

500

500

151 OFLOXACIN 400 MG

TABLET

5,100

5,100

TUBE

19,375

19,375

152 OXYTETRASIKLIN HCL 3 % SALEP KULIT

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

153 OXYTETRASIKLIN HCL 1 % SALEP MATA

SATUAN

STOCK
AWAL

TUBE

PENERIMAA PERSEDIAA
N
N
5

2,050

6=4+5
2,050

154 PANTOCAIN 0,5 % TETES MATA

BOTOL

155 PAPAVERIN 40 MG TABLET

TABLET

21,900

21,900

156 PARAFORMALDEHID TABLET 1 GR

TABLET

1,400

1,400

157 PARASETAMOL DROPS

BOTOL

9,578

9,578

158 PARASETAMOL SYROP 120 MG / 5 ML

BOTOL

51,881

51,881

159 PARASETAMOL 500 MG

TABLET

1,260,300

1,260,300

160 PIRANTEL PAMOAT 125 MG

TABLET

17,300

17,300

161 PIRAZINAMID 500 MG

TABLET

47,900

47,900

162 PIRIDOKSIN (VIT B6 ) TABLET 10 MG

TABLET

287,000

287,000

163 PIROXICAM

TABLET

38,800

38,800

164 OXYTOCIN INJ

AMPUL

3,750

3,750

165 POVIDON IODIDA 60 ML

BOTOL

134

134

166 POVIDON IODIDA 300 ML

BOTOL

256

256

167 POVIDON IODIDA 1 L

BOTOL

56

56

168 PREDNISON TABLET 5 MG

TABLET

94,000

94,000

169 PROPANOLOL 40 MG

TABLET

5,700

5,700

170 RANITIDIN TABLET

TABLET

92,900

92,900

171 RANITIDIN INJ 25 MG/2ML

AMPUL

1,402

1,402

172 RETINOL 100,000 IU

BOTOL

1,245

1,245

173 RETINOL 200,000 IU

BOTOL

573

573

174 RIFAMPICIN 450 MG

TABLET

43,500

43,500

LABU

2,829

2,829

176 RISPERIDONE 1 MG TABLET

TABLET

86,300

86,300

177 SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL

AMPUL
517

517

178 SALBUTAMOL 2 MG TABLET

TABLET

9,500

9,500

179 SALBUTAMOL 4 MG TABLET

TABLET

21,500

21,500

690

690

175 RINGER LAKTAT LARUTAN INFUS

180 SALEP 2 - 4

POT

181 SEFADROKSIL SYRUP

BOTOL

1,616

1,616

182 SEFADROKSIL 250 MG

KAPSUL

7,800

7,800

183 SEFADROKSIL 500 MG

KAPSUL

10,100

10,100

184 SETRALINE 50 MG TABLET

TABLET

5,080

5,080

185 SIANOCOBALAMIN TABLET

TABLET

142,000

142,000

186 SIANOCOBALAMIN / VIT. B 12 INJ

AMPUL

450

450

187 SILVER SULFADIAZINE 10 MG / 35 GR CREAM

TUBE

361

361

188 STESOLID RECTAL SUPP

TUBE

255

255

189 STREPTOMISIN SERBUK INJ 1500 MG/ML

VIAL

934

934

190 SULFASETAMIDA NATRIUM TETES MATA

BOTOL

6,752

6,752

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

191 TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG

TABLET
91,500

91,500

192 TETRASIKLIN 500 MG KAPSUL

KAPSUL

4,800

4,800

193 THIAMIN (VIT.B1) 50 MG TABLET

TABLET

185,000

185,000

194 THIAMPHENIKOL 500 MG KAPSUL

KAPSUL

40,900

40,900

195 TRAMADOL HCI 50 MG TABLET

TABLET

1,550

1,550

196 TRAMADOL HCI 50 MG/ML INJ

AMPUL

253

253

197 TRIHEKSILPHENIDIL 2 MG TABLET

TABLET

212,700

212,700

198 VITAMIN B KOMP. TABLET

TABLET

479,000

479,000

ZINC / ZINCDIAR TABLET

TABLET

60,900

60,900

NEO KAOMINAL SUSPENSI

BOTOL

144

144

ALAT KESEHATAN DAN REAGEN

ALAT AUTOCLIX/LANCET DEVICE

SET

ALAT SUNTIK SEKALI PAKAI 1 ML

5
6

32

32

BUAH

4,100

4,100

ALAT SUNTIK SEKALI PAKAI 3 ML

BUAH

22,938

22,938

ALAT SUNTIK SEKALI PAKAI 5 ML

BUAH

6,900

6,900

BUAH

900

900

ALAT SUNTIK SEKALI PAKAI 10 ML

ALAT PEMERIKSAAN HB

ALCOHOL SWABS

10

ANTI BISA ULAR (ABU) SERUM

11

AQUA PRO INJEKSI 25 ML

12

BISTURI

13

BLOOD LANCET

14

CATGUT DENGAN JARUM BEDAH

15

CATGUT CHROMIC

16
17

11

11

105,700

105,700

BOTOL

1,158

1,158

BUAH

400

400

BUAH

9,900

9,900

SACHET

6,418

6,418

ROLL

DEX GLASS

BUAH

81

81

EDTA VACUM TUBE 5 ML

BUAH

97

97

BUAH

315

315

BUAH
SACHET
VIAL

18

FOLEY CATETHER

19

GLUCOSA TEST TIP

TIP

8,400

8,400

20

GOLONGAN DARAH KIT

SET

18

18

21

H2O2

BOTOL

13

13

22

HAND SCONE / SURGICAL GLOVE

LEMBAR

93,300

93,300

23

HAND SCONE STERILE

PASANG

1,700

1,700

24

HCG CASETTE / PP TEST

SACHET

4,550

4,550

25

ISI AUTOCLIX

KOTAK

10,860

10,860

26

INFUSION SET ANAK

SET

505

505

27

INFUSION SET DEWASA

SET

433

433

28

IODIUM TEST

BOTOL

300

300

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

3,132

3,132

BUAH

350

350

BUAH

66

66

29

IV CATETHER

SACHET

30

JARUM JAHIT

31

KACA MULUT

32

KAPAS PEMBALUT 250 GR

33

KAPSUL KOSONG NO.0

BUNGKUS
281

281

BUAH

20,000

20,000

30,000

30,000

34

KAPSUL KOSONG NO.1

BUAH

35

KASSA HIDROFIL 40 X 40

LEMBAR

1,110

1,110

36

KASSA STERIL

KOTAK

1,446

1,446

37

KASSA 4 M X 15 CM

ROLL

3,170

3,170

38

LOMATUELL H 10 X 10 CM

KOTAK

134

134

39

MICROPIPET 3 UKURAN

BUAH

40

MASKER

BUAH

18,800

18,800

41

MASKER OXYGEN FOR ADULT

BUAH

146

146

42

MASKER OXYGEN FOR CHILD

BUAH

146

146

43

MATA BOR HIGH SPEED BUNDAR

BUAH

44

MATA BOR HIGH SPEED FISURE

BUAH

45

MATA BOR HIGH SPEED INVERTED CONE

BUAH

46

MATA SCALLER

BUAH

47

NASO GASTRIC TUBE

TUBE

30

30

48

NEBULIZE MASK FOR INFANT

BUAH

145

145

49

NEBULIZE MASK FOR ADULT

BUAH

145

145

50

NEEDLE

BUAH

66

66

51

OBJECT GLASS

BUAH

274

274

52

OSE

BUAH

53

PENJEPIT TABUNG

BUAH

22

22

54

PLESTER

ROLL

510

510

55

POWDER ENZIMATIC ALKAZYME

BUAH

19

56

PURIFIED PROTEIN DERIVATIVE 2 UT

VIAL

19

57

SELANG O2 ANAK

BUAH

101

101

58

SELANG O2 DEWASA

BUAH

82

82

59

SGOT/SGPT TEST

SET

60

SILK DENGAN JARUM BEDAH

SACHET

61

STRIP HB

BOX

368

368

62

STRIP GULA DARAH

BOX

157

157

63

STRIP KOLESTEROL

BOX

155

155

64

VENOJECT

KOTAK

65

YELLOW TIP

BUAH

66

TABUNG REAKSI BESAR

BUAH

37

37

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

67

TABUNG REAKSI KECIL

BUAH

63

63

68

TORNIKUET

BUAH

105

105

69

UNDER PAD 80 X 180 CM

BUAH

304

304

URINE BAG

BUAH

400

400

WHITE TIP

BUAH

24

24

OBAT GIGI

ARSEN

BOTOL

ARTIKULATING PAPER

KOTAK

AIR RAKSA DENTAL USE

BOTOL

73

73

CEVITRON

BUAH

150

150

CHKM

POT

21

21

ETIL KLORIDA SPRAY

BOTOL

149

149

EUGENOL CAIRAN

BOTOL

651

651

10

IODOFORM PASTA

POT

17

17

11

GLASS IONOMER ART

SET

26

26

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

SET

15

15

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

SET
8

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH
18=(7s/d17)

Pemberian
STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
2,475

1 ACYCLOVIR 5 GR KRIM

3,150

25

78,750

25

78,750

50

9,050

1 ACYCLOVIR 200 MG TABLET

534

100

53,400

100

53,400

12,850

1 ACYCLOVIR 400 MG TABLET

648

50

32,400

100

64,800

200

129,600

34,600

1 ALLOPURINOL 100 MG TABLET

86

1,000

86,000

300

25,800

300

1 ALLOPURINOL 300 MG TABLET

210

3,300

300

121

17,889
30,000

AMBROXOL SYRUP 15 MG / 5 ML
1 AMBROXOL TABLET 30 MG

157,500

990,000

900

AMINOFILIN 200 MG TABLET

80

39,300

1 AMITRIPTILIN 25 MG TABLET

102

1 AMLODIPIN 5 MG TABLET

240

187

900

200

489,000

50
-

98,520

AMLODIPIN 10 MG TABLET

168,300

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

4,750

10,840

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

2,445

120

56,900

AMOXICILLIN 250 MG KAPLET

211

500

105,500

407,100

AMOXICILLIN 500 MG KAPLET

3,000

783,000

1,500
134,800
251,400

AMOXICILLIN + AS.KLAVULANAT
1 ANTALGIN 500 MG TABLET

261

116

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA


200 MG + ALUMUNIUM HIDROKSIDA 200 MG)
ANTASIDA SUSPENSI

ANTI BISA ULAR (ABU) SERUM

14

ANTI TETANUS SERUM 1500 UI

2,815
1,020
491,400

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


1 POLIMIKSIN B 10,000IU/G )
ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM
1 SALISILAT 3 %)
ANTI HEMOROID DOEN
1 ASAM ASCORBIT (VIT.C) 50 MG TABLET

3,000

72
1,265

293,400

2,000
-

480
-

4,000
1,000

144,000

50

473,000

126,311

2,491
-

1,713

50
-

1,044,000
116,000

192,500
252,622

124,550

108,000

122,250

1,500

3,850

89,760

3,025

30

90,750

40

121,000

95

2,000

190,000

500

47,500

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
800

ASAM ASCORBIT (VIT.C) 250 MG TABLET

181,600

ASAM MEFENAMAT 500 MG

10,300

1 ASAM TRANEKSAMAT 500 MG

61
57,600
317
2,000
15,560
180

ATROPIN SULFAT INJ


ATTAPULGIT / MOLAGIT TABLET

1,500
73
1,261

100

1,045

1,100

367

750

15,400

2,500

250,000

275,250

2,000

450

200,000
165,150

AQUA PRO INJEKSI 25 ML

AZITHROMYCIN 500 MG

4,500

127

12,185

1,520

25

38,000

25

924

28,600

6,199

12

645

281

600

1 BROMHEKSIN HCL SYRUP

12,100

1 BROMHEKSIN HCL 8 MG / 4 ML SOL

66,000

66,000

12,650

10

126,500

20

253,000

1 BEKARBON
BENZATIN BENZIL PENISILIN 2,4 JUTA IU
BETAHISTIN MESILAT 6 MG TABLET

74,400

6,000

330

BETAMETASONE KRIM 0,1 %

318

2,900

AQUABIDEST

4,575
1,000

159

BETAKAROTEN 500 IU SYRUP


1 BISACODYL 10 MG SUPP
BISOPROLOL 5 MG
1 BROMHEKSIN HCL 8 MG TABLET

CALAMIN LOTION

38,000

50

76,000

74,388
168,600

600
-

168,600
-

549,800

CAPTOPRIL 12,5 MG TABLET

63

3,000

189,000

500

31,500

122,900

CAPTOPRIL 25 MG TABLET

88

3,000

264,000

200

17,600

8,800

10

88,000

859

420

4,015

5,000

5,500

10,440

52,200

28,050

235
7,280

CEFIXIME SYRUP KERING 100 MG


CEFIXIME 100 MG

24,000
-

CEFOTAXIME INJ 1G

1 CEFTRIAXON INJ

70

1 CETIRIZINE 5 MG SYRUP

2,300
15,700
80,650

10

104,400

CETIRIZIN 10 MG

500

CIMETIDIN TABLET

116

245

527

91

1 CIPROFLOXACIN 500 MG TABLET

CLINDAMYCIN 300 MG KAPSUL


1 CHLORPHENIRAMIN MALEAT (CTM) 4 MG

CHLORPROMAZINE 100 MG

DEKSTROMETORPHAN HBR SYRUP

DEKSTROMETORPHAN HBR TABLET 15 MG

366

1 CLINDAMYCIN 150 MG KAPSUL

213

360,780

188

CETIRIZINE DROP

453,000

1 DEKSTROSA LARUTAN INFUS 5 %


DEKSTROSA LARUTAN INFUS 10 %

3,600

94,000

327,492

300

10,800

56,400

982,476

122

1,379

99

5,060

5,727

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
15

1 DEKSTROSA LARUTAN INFUS 40 %

317,600

DEXAMETHASON 0,5 MG TABLET

300
36,700

DEXAMETHASON INJEKSI
1 DIAZEPAM TABLET

120
170

DIAZEPAM INJ 5 MG/ML


1 DIFENHIDRAMIN INJ

50,800

DIGOKSIN 0,25 MG TABLET

815
7,000

69

2,000

45

200

2,368

960

91

2,000

138,000

9,000

1,000

69,000
45,000

3,333

167

500

DOXYCYCLINE 100 MG KAPSUL

220

8,100

EKSTRAK BELLADONNA TABLET 10 MG

78

EPINEFRIN (ADRENALIN) INJ 0,1%

83,500

25

83,325

500

83,500

7,220

30

14,500

1 ERYTHROMYCIN 250 MG

440

32,700

1 ERYTHROMYCIN 500 MG TABLET

921

200

38,800

1 ETAMBUTOL 500 MG

420

2,200

6,600

25,300

75,900

75,900

133

65

1 FENOL GLISEROL 10 %

1,008

24

1 FITOMENADION INJ

3,417

634

100

22,000

19,080

91

288

200

1,850

895

50

44,750

54

1,500

81,000

400

436

729

1 ERYTHROMYCIN 200 MG SYRUP

1,000

DOMPERIDON 10 MG

DOMPERIDON 5 MG SUSPENSI

21,200

3,960

100

1 ETAKRIDIN 0,1 % / RIVANOL

429

1 ETANOL 70 % 1000 ML

1,300
7,000
816
4,170
12,000

FENITOIN 100 MG KAPSUL


1 FENOBARBITAL 30 MG TABLET

1 FITOMENADION 10 MG TABLET

4,280
220

FLUCONAZOL 150 MG
1 FLUTICASONE PROPIONATE 0,5 MG / 2 ML

15,300
-

FUROSEMID 40 MG TABLET
1 GAMEKSAN

35,000

1 GARAM ORALIT II SERBUK

4,950

1 GENTAMYCIN SALEP KULIT

1,500

GENTIAN VIOLET 1 % - 10 ML

748,000
-

GLIBENCLAMIDE 5 MG TABLET
1 GLIMEPIRIDE 2 MG

2,720

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50 MG


1

328,000
10,100
14,300

5,500

1 GLISERIL GUAIAKOLT 100 MG TABLET

184,200
-

4,400

24,192
63,400

1,650
-

216,600

60

205,020

200

126,800

57,600
21,600
-

1,650
9,075,000

28

4,730

1 GRISEOFULVIN 125 MG TABLET

200

200

1 HALOPERIDOL 0,5 MG TABLET

165

HALOPERIDOL 5 MG TABLET

246

1 GLISERIN LARUTAN

3,000

84,000

9,075,000
10,000

280,000
40,000

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
432
211
440

HALOPERIDOL 5 MG INJEKSI
1 HEPARIN 200,000 IU GEL
HEPAPROTEKTOR SYRUP

14,724

51,975

51,975

34,391.50

10

259,875
343,915

540

2,554,200

4,830

HEPATOPROTEKTOR TABLET

4,730

27,220

1 HIDROKORTISON KRIM 2,5 %

2,399

96

11,700

1 HYOSINE N BUTILBROMIDA TABLET

1,265

55,550

4,499

30

1 IBUPROFEN 125 MG SUPP

1 IBUPROFEN 200 MG SUSPENSI

IBUPROFEN 200 MG TABLET

93

1 IBUPROFEN 400 MG TABLET

146

500

117,600

230,304

73,000

111,100

5,000

1 ISONIAZID 100 MG

44

6,000

1 ISONIAZID 300 MG

107

1,000

IMUNOSTIMULAN SIRUP

28,600

10,000

IMUNOSTIMULAN TABLET

5,280

97

1,444

70

2,500

175,000

355.30

1,000

355,300

59,800
14,500

ISOSORBIT DINITRAT 5 MG SUB LING.TABLET


1 ITRAKONAZOL 100 MG
KALCIUM LACTAT 500 MG TABLET
1 KALIUM DIKLOFENAK 50 MG

70,000

70

KANAMYCINE 2 GR

19,800

664

KAOLIN SUSPENSI

12,012

38

456,456

48

576,576

410

300

123,000

282,000

12

7,050

KETOKONAZOL 200 MG TABLET

1,971

KETOKONAZOL KRIM 2 %

4,700

60

3,600

KETOPROFEN 100 MG

1,342

KETOROLAC INJ 10 MG

2,300

28,400

KLORAMFENIKOL 250 MG KAPSUL

310

1,913

1 KLORAMFENIKOL 1 %SALEP MATA

1,600

48

210

6,295
31
600

1,600

5,995

KLORAMFENIKOL 0,5 % TETES MATA

5,280

50

KLORAMFINEKOL 3 %TETES TELINGA

1,815

KLARITROMISIN 500 MG

3,200

1 KODEIN FOSFAT 20 MG TABLET

1,100

1,147

KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5


1 MG KRIM

6,600

KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25 MG +


PARASETAMOL 400 MG/hustab/tuzalos

110,500

76,800

264,000

24

43,560

264,000

40

60
264,000

600
-

50

56,400

312

100

KLORAMFENIKOL SUSPENSI

3,400

39,900

1,000

396,000
600

187,200
-

187,200
-

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
-

KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA

KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +


1 GG SYRUP

KOMB.DEKSAMETASON, DEKSKLORFENIRAMIN MALEAT

7,376
-

1 KOMB.METHAMPYRON + DIAZEPAM

KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL +


1 CTM

7,278
6,300

KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT
KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM
1 TABLET

1,299

600
51

KOMB.TEOFILIN + SALBUTAMOL TABLET


KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG
SYRUP / TREMENZA SYRUP

33,800

KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG TABLET


/ LIBROFED TABLET

18,600

KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +


VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET

2,215
10,600

KOTRIMOKSAZOL SUSPENSI
1 KOTRIMOKSAZOL ADULT 480 MG TABLET

3,540

1 KOTRIMOKSAZOL PEDIATRIK TABLET

2,600

1 LEVOFLOXACIN 500 MG TABLET

500
13,550
695

1 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000


1 LINCOMYCIN 500 MG KAPSUL
LISOL

70,400

704
-

200
100

138

200

27,600

2,280,960

550,000

300

2,500

66,000
-

500

40,150

144

70,400
5

105,600

1,056

704,000

220,000

1,100

100

15,840

1,975

1,000

13,200
209

330,000
100

2,640,000

105,600

200

395,000

200

395,000

600

82,800

400

55,200

1,200

60,000

50

1,500

75,000

574

50

28,700

1,030

638

14,850

91

7,600

MELOXICAM 7,5 MG

682

300

204,600

16,500

1 MELOXICAM 15 MG

1,199

100

119,900

104,800

1 METFORMIN 500 MG

105

500

METFORMIN 850 MG

260

154

2,700

1 LOPERAMID 2 MG TABLET

100

10,450

15,885

8,030
KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100
MG

KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM SYRUP


1

38

1,100

6,160
182

9,900

1 METHILERGOMETRIN MALEAT 0,125 MG TABLET

1,000

682,000
52,500

200
500

136,400
52,500

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
444

METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

2,750

10
-

27,500

18,800

METHYLPREDNISOLON 4 MG TABLET

205

20,000

METHYLPREDNISOLON 8 MG TABLET

300

200

3,000
1,000

METHYLPREDNISOLON 125 MG INJEKSI


METOCLOPRAMIDE HCL 10 MG
METOCLOPRAMIDE SYRUP 5 MG / 5 ML

44,000

91

500

45,500

2,830

9,800

METRONIDAZOL 250 MG TABLET

123

4,000

1 METRONIDAZOL 500 MG TABLET

164

300

2,582

1 MICONAZOLE SALEP

3,000

4,070

500
196

1 MOMETHASON KRIM 0,1 %

17,800

2,800

1 MULTIVITAMIN ANAK DROP

13,750
20,680

7,759

MULTIVITAMIN ANAK SYRUP

103,400

144

2,977,920

48

992,640

2,000

2,574,000

300

386,100

1,287

14

16,200

1 NATRIUM DIKLOFENAK 25 MG TABLET

133

13,800

1 NATRIUM DIKLOFENAK 50 MG TABLET

176

15,895

4,700

11,110

470

NATRIUM DIKLOFENAK GEL

719

NATRIUM KLORIDA LARUTAN INFUS 0,9%

1,340

NATRIUM KLORIDA 100 ML

66,800

1 NATRIUM BIKARBONAT 500 MG TABLET

MULTIVITAMIN TABLET

49,200

40,000

57,600

60,000

1,000

133,000

200

26,600

500

88,000

15

238,425

9,400
-

55,550

NIFEDIPINE 10 MG TABLET

112

100

1,400

NYSTATIN 500.000 IU TABLET

640

1,500

NYSTATIN VAGINAL TABLET 100.000 IU

17,850
280

NYSTATIN SUSPENSI 100.000 IU/Ml


OBH

11,200

407

30,800

5,225

150

OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +


AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

10,725

783,750

100

522,500

1 OFLOXACIN 200 MG

413

3,400

OFLOXACIN 400 MG

654

400

1 ONDENSETRON INJ

2,400

OXYTETRASIKLIN HCL 3 % SALEP KULIT

1,450

150

100

OXYTETRASIKLIN HCL 1 % SALEP MATA

2,100

OXYTOCIN INJ

13,913

30

PANTOCAIN 0,5 % TETES MATA

16,100

1 PAPAVERIN 40 MG TABLET

119

1 PAPAVERIN INJEKSI 40 MG/ML

530

60

15,345
2,340
7,000
100
1,400

1 PARAFORMALDEHID TABLET 1 GR

217,500

145,000

417,390

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
864
3,760

1 PARASETAMOL 100 MG

32

7,040

1 PARASETAMOL DROPS

5,227

224

1,170,848

1 PARASETAMOL SYROP 120 MG / 5 ML

PARASETAMOL SUPP 160 MG/ PROPIRETIC

12

84,480

224

1,170,848

1,319

150

197,850

200

263,800

50

65,950

757,700

PARASETAMOL 500 MG

84

100

8,400

200

16,800

10,800

907,200

7,200

604,800

561

1 PERMETHRIN KRIM 5 %

11,475

10

114,750

300

87,000

24,636

9,200
47,600
158,000
74,760
174

1 PIRANTEL PAMOAT 125 MG

290

1 PIRAZINAMID 500 MG

198

18

1,000

18,000

83.93

960

80,573

240

17,393

2,163

1 PIRIDOKSIN (VIT B6 ) TABLET 10 MG


1 PIROXICAM
1 ALBOTYL

840

POVIDON IODIDA 30 ML

20,143
6,489

POVIDON IODIDA 60 ML

2,400

159

POVIDON IODIDA 300 ML

14,000

124

POVIDON IODIDA 1 L

42,000

57

65

120

1,928

100

1,430,000
19,600

15,000
2,000
71,100
-

PREDNISON TABLET 5 MG
1 PROPANOLOL 40 MG
1 RANITIDIN TABLET
1 RANITIDIN INJ 25 MG/2ML

1,000
2,000

57,000
240,000

500

1,182

1 RETINOL 100,000 IU

14,300

835

1 RETINOL 200,000 IU

19,600

37,600

1 RIFAMPICIN 450 MG

594

1 RINGER LAKTAT LARUTAN INFUS

5,200

24,100

1 RISPERIDONE 1 MG TABLET

1,500

350

525,000

48,650

RISPERIDONE 2 MG TABLET

1,008

100

100,800

1,879

SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL

SALBUTAMOL 2 MG TABLET

59

1 SALBUTAMOL 4 MG TABLET

89

4,950

1,250

1 SALISIL MENTOL BEDAK

3,630

1 SEFADROKSIL SYRUP

5,248

SEFADROKSIL 250 MG

468

100

46,800

SEFADROKSIL 500 MG

509

100

50,900

500

18,500

442
7,500

1 SALEP 2 - 4
SALISIL BEDAK 2 %

60,000
-

15,600
1,008,000

30,700

3,659

63,750

1,800

100

672

215,600

1,000

28,000

200

11,800

300

200

17,800

15

254,500

17,700

78,720
-

200

101,800
726,000

3,630

SETRALINE 50 MG TABLET

12,100

60

118,000

1 SIANOCOBALAMIN TABLET

12

520

SIANOCOBALAMIN / VIT. B 12 INJ

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
267
31,200
13

SILVER SULFADIAZINE 10 MG / 35 GR CREAM


SIMVASTATIN TABLET
1 STESOLID RECTAL SUPP

58,300

1,500

586,500

700

273,700

83,740

83,740

2,090

5,566

1 SULFASETAMIDA NATRIUM TETES MATA

3,226

24

500

1 TETRASIKLIN 500 MG KAPSUL

44,000

391

STREPTOMISIN SERBUK INJ 1500 MG/ML


TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200
MG+ASAM FOLAT 0,25 MG

16,748

919
307,610

1,023

77,424

600
-

1,500
613,800

1,534,500

186

1,050

THIAMIN (VIT.B1) 100 MG / ML INJ

700

THIAMIN (VIT.B1) 50 MG TABLET

35

431

30,000

111 THIAMPHENIKOL 500 MG KAPSUL

200

TRAMADOL HCI 50 MG TABLET

120

TRAMADOL HCI 50 MG/ML INJ

4,000

140,000

1,000

189

5,400

40

137,900

TRIHEKSILPHENIDIL 2 MG TABLET

710,300

VITAMIN B KOMP. TABLET

107

27,400

ZINC / ZINCDIAR TABLET

475

NEO KAOMINAL SUSPENSI


ALAT KESEHATAN DAN REAGEN

500

1,000

35,000

40,000

2,000

32

ALAT AUTOCLIX/LANCET DEVICE

110,000

1,400

ALAT SUNTIK SEKALI PAKAI 1 ML

2,662

100

7,600

ALAT SUNTIK SEKALI PAKAI 3 ML

3,120

300

200

624,000

5,181

ALAT SUNTIK SEKALI PAKAI 5 ML

7,750

200

1,550,000

ALAT SUNTIK SEKALI PAKAI 10 ML

3,300

8,360

525,000

ALCOHOL SWABS

275

200

BISTURI

550

200

12,500

396

902,000

78,100

120

5,415,500

1,650,000

2,420,000

39,050

302,500

390
10
22
72,000
207

5,237
-

ALAT PEMERIKSAAN HB

CATGUT DENGAN JARUM BEDAH


CATGUT CHROMIC

1
1
76

DEX GLASS

77

EDTA VACUM TUBE 5 ML

FESCOPLAST

110

FOLEY CATETHER

11,000

936,000

110,000

9,372,000

266,200

55,000

200

55,000

STOCK
AKHIR

NAMA OBAT

DINAS

HARGA

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
7,840
15
5
14,300
790
1,740
14,970
500

GLUCOSA TEST TIP


GOLONGAN DARAH KIT
H2O2
HAND SCONE / SURGICAL GLOVE
HAND SCONE STERILE
HCG CASETTE / PP TEST

8,316

511,500

1,023,000

20,900

20,900

880

700

600

600

528,000

8,800

10

88,000

13,200

30

396,000

30

HEMASITO METER

616,000

ISI AUTOCLIX

1,870

300

INFUSION SET ANAK

8,800

7,321

137

IODIUM TEST

16,500

3,705

IV CATETHER

24,200

218

JARUM JAHIT

20,900

80

KACA MULUT

96,800

5,081

105

528,000

INFUSION SET DEWASA

1,023,000

396,000
561,066
36,605

96,800

20,130

KAPSUL KOSONG NO.0

44

KAPSUL KOSONG NO.1

33

120

KASSA HIDROFIL 40 X 40

1,980

130,000

KASSA STERIL

7,317

10

73,170

KASSA 4 M X 15 CM

2,680

45
487
1,000

KAPAS PEMBALUT 250 GR

29,284

KASSA HIDROFIL GULUNG

54

60,390

395,118

40,260

260,000

LAMPU SPIRITUS

LARUTAN ASAM ALKOHOL

16

LARUTAN KOH 10 % 250 ML

101,750

103

LOMATUELL H 10 X 10 CM

46,200
37,400

1,078,000

330

150

400

108

22,000

108

22,000

16

METILEN BLUE 250 ML

MICROPIPET 3 UKURAN

19,900

MASKER

49,500

132,000

300

99,000

45

MATA BOR HIGH SPEED BUNDAR

95,700

45

MATA BOR HIGH SPEED FISURE

95,700

45

MATA BOR HIGH SPEED INVERTED CONE

95,700

236,500

MATA SCALLER

NASO GASTRIC TUBE

55,000

124

NEBULIZE MASK FOR INFANT

40,700

125

NEBULIZE MASK FOR ADULT

37
129

NEEDLE
OBJECT GLASS

40,700

110,000

34,991

330,000
-

STOCK
AKHIR

NAMA OBAT

HARGA

DINAS

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
16
2

13,500

5,400

OIL IMERSI
OSE

22

PENJEPIT TABUNG

PIPET BESAR

PIPET KECIL

52

PLESTER

15

POT DAHAK

POWDER ENZIMATIC ALKAZYME

943,500

PURIFIED PROTEIN DERIVATIVE 2 UT

702,240

8,167

122,500

40,833

100

SELANG O2 ANAK

13,200

100

SELANG O2 DEWASA

18,600

1,082,950

3,056

3,212

162,500

3,795

STRIP PROTEIN DAN GLUKOSA

77,000

STRIP KOLESTEROL

13,904

402

SILK DENGAN JARUM BEDAH

1,000
18,000
7,600

STRIP HB
STRIP GULA DARAH

15,278

18

VENOJECT

440,000

19

YELLOW TIP

95,700

37

TABUNG REAKSI BESAR

2,015

63

TABUNG REAKSI KECIL

2,015

TERMOMETER DIGITAL

34,320

TORNIKUET

22,000

17,850

1,000

294

13,200

10

4,950

247,500

102

159
1

URINE BAG
URINE TEST 3 PARAMETER

247,500

1,396,000

133,100

5
24

WIDAL TEST

STOCK
AKHIR

NAMA OBAT

HARGA

DINAS

PROGRAM
Harga

Pemakaian

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

19=6-18
-

OBAT GIGI
-

ARSEN

484,000

ARTIKULATING PAPER

192,500

AIR RAKSA DENTAL USE

225,500

3,740,000

73
-

CALCIDOR

209,000

64

CEVITRON

115,500

13

CHKM

70,000

CRESOPEN

770,000

DENTORIT

154,000

DYCAL

534,600

ETIL KLORIDA SPRAY

176,500

140
185

EUGENOL CAIRAN

3,178

14

IODOFORM PASTA

302,500

42

GLASS IONOMER ART

687,500

10

OCO / TSR

330,000

SILVER AMALGAM SERBUK 65 - 75 %

1,265,000

12

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

418,000

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

36,300

2,886,551

12,717,058

39,327,331

36,093,320

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

STOCK
AKHIR
19=6-18

NAMA OBAT

HARGA

DINAS
Pemakaian

PROGRAM
Harga

Pemakaian

Harga

P2KP
Pemakaian

GRG
Harga

Pemakaian

CLG
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

75

236,250

75

200

106,800

400

259,200

500

43,000

200

660,000

200

660,000

1,000
250

236,250

86,000
825,000

JBG
Harga

Pemakaian

150

472,500

1,575,000

300

160,200

373,800

250

162,000

500

324,000

972,000

500

43,000

200

1,500

129,000

430,000

400

100

56,100

56,100

900

168,300

733,500

180

440,100

360

500

105,500

1,500

316,500

6,000

1,566,000

4,500

1,174,500

200

23,200

1,000

3,000
1,000

116,000

2,000
72,000

50

783,000

192,500

124,550

192,500

116,000

9,600
3,500

192,500

2,505,600
406,000

6,435,000
-

900

600

1,467,000

4,425,450

168,300
-

819,060
-

1,000

211,000

2,000

422,000

1,160,500

7,000

1,827,000

6,000

1,566,000

11,249,100

1,500

174,000

3,600

192,500
126,311

75
-

417,600

1,368,800

100

576,000

1,764,000

385,000

1,347,500

378,933

50
186,825

8,000
216,000

1,980,000

8,000

8,000

3,000

600

50

1,320,000

216,000

62,275

880,200

17,200

25
-

112,200

3,000
288,000

50

4,000

1,000

144,000
50

50

600

300

300

Harga

300

Pemakaian

100

315,000

CTK
Harga

124,550

622,750

10

30,250

50

151,250

60

181,500

50

151,250

20

60,500

30

90,750

877,250

2,000

190,000

1,000

95,000

1,500

142,500

3,000

285,000

2,000

190,000

10,000

950,000

2,090,000

CBB
Pemakaian
-

CWD
Harga

Pemakaian
-

3,500

350,000

50

52,250

600

220,200

PM
Harga

Pemakaian

100

15,900

1,000

100,000

5,500

600

220,200

PWK
Harga

Pemakaian
-

4,500

450,000

100

104,500

1,050

385,350

3,500

JBG
Harga

Pemakaian
-

350,000

2,000

150

95,288

450

165,150

750

75

114,000

2,500,000

76,000

600,000

15,900

6,000

50

200,000

Harga

152,000

Pemakaian

Harga

100

CTK

75

114,000

25

95,288
38,000

100

55,050

152,000

156,750
5,500
1,486,350

798,000

111,582

120

77,400

900

252,900

600

37,194

1,200

337,200

168,600

90

58,050

135,450

3,900

1,095,900

2,191,800

66,000

379,500

94,500

4,000

252,000

3,000

189,000

1,700

107,100

1,500

94,500

3,000

189,000

1,146,600

300

26,400

2,000

176,000

3,000

264,000

4,000

352,000

1,500

132,000

3,500

308,000

1,540,000

20

176,000

20

176,000

10

88,000

50

440,000

450

386,550

180

154,620

120

210

180,390

120

103,080

1,500

103,080

1,020

876,180

968,000
2,164,680

50

50

1,200,600

500

1,000

245,000

300

522,000
94,000
73,500

500

94,000

300

34,800

400

98,000

522,000
-

94,000

400

500

200

23,200

58,000

1,000

245,000

661,500
-

3,600

327,492

3,600

327,492

7,200

654,984

75,200

3,600

327,492

7,200

654,984

507,600

3,602,412

CBB
Pemakaian
2,000

CWD
Harga

Pemakaian
-

138,000

2,000

100

PM
Harga

Pemakaian
-

138,000
4,500
4,800
-

3,000

PWK
Harga

Pemakaian
-

207,000

5,500

JBG
Harga

Pemakaian
-

379,500

4,000

CTK
Harga

Pemakaian
-

276,000

5,000

Harga
345,000

1,690,500

58,500

9,600

166,650

4,800
-

50

166,650

10

33,330

50

20

66,660

50

166,650

683,265

400

66,800

500

83,500

200

33,400

400

66,800

417,500
-

81,000
577,600

40,500

40,500

50

361,000

500

220,000

200

88,000

308,000

500

460,500

500

460,500

1,105,200

11,000

24

100

63,400

126,500

75,900

354,200

100

13,300

13,300

24,192

24

60

205,020

410,040

500

317,000

300

190,200

760,800

440,000

440,000

24,192

72,576

20

200

18,200

300

500

144,000

500

500

1,650

27,000
-

1,650
9,075,000

2,000

144,000

56,000

200
-

57,600
-

489,600
-

50

44,750

50

44,750

50

44,750

50

44,750

223,750

54,000

2,000

108,000

1,200

64,800

1,000

54,000

410,400

100

43,600

43,600

9,075,000

63,525,000

168,000

1,120,000

1,650
84,000

86,400

1,000

9,075,000
3,000

18,200

9,075,000
6,000

168,000

1,650

5,000

140,000

1,650
9,075,000

5,000

140,000

6,000

40,000

1,000

165,000

165,000

1,000

246,000

246,000

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

155,925

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian
-

467,775

600

575,760

126,500

300

1,419,000

96

230,304

48

115,152

100

1,000

146,000

Harga

146,000

Pemakaian

1,419,000

1,000

Harga

300

277,750

CTK

4,000

584,000

55,550

126,500

2,838,000

1,000

146,000

500

55,550

73,000

343,915
8,230,200

499,950
1,168,000

900

500

35,000

1,000

70,000

63,000

1,500

105,000
35,530

100

1,033,032

150

61,500

200

82,000

50

235,000

20

94,000

144

100

134,200

100

31,042

24

38,400

24

38,400

200
-

62,084
-

200
-

62,084
-

48

76,800

76,800

308,800

50

100

528,000

50

100

24

43,560

24

48

50
-

600
187,200
-

120
330,000

600

120
792,000

600
187,200

528,000

600
187,200

40
792,000

87,120

1,848,000
217,800

200

600

1,320,000

4,158,000

280,800

1,591,200

900
187,200

264,000

187,200
-

48

134,200
310,420

10
264,000

287,000
1,344,200

155,210

10

390,830

500

19
-

676,800

43,560

1,218,000

700,000

50

20,500

10,000

CBB
Pemakaian

CWD
Harga

Pemakaian

96
400
281,600

79,200

144
1,520,640

500
110,000

1,000

2,280,960

550,000

1,056,000

1,900,800

3,168,000

40,150

66,000

20,900

3,801,600

13,448,160

1,100,000

3,960,000

2,112,000

9,292,800

200

395,000

2,370,000

500

69,000

500

69,000

441,600

1,500

75,000

1,500

75,000

435,000

574,200

178,200

28,700

1,500

75,000

395,000

1,000

138,000

1,500

75,000

200

127,600

700

446,600

44,550

44,550

5,843,200

2,000

200

100

5,517,600

395,000

1,000
1,100,000

105,600

240

3,000

200

1,584,000

200

395,000

20,900

1,000

100

770,000

100

550,000

1,408,000

100

120

844,800

2,000

1,200

2,006,400

1,760,000

192

96

100

704,000

500

2,500

2,006,400
1,000

Harga

192

Pemakaian

501,600
-

Harga

CTK

48

Pemakaian

1,003,200

220,000

Harga

JBG

Pemakaian

200

Harga

PWK

50

Pemakaian

Harga

PM

9,100
-

300

300

359,700

1,000

1,199,000

1,500

157,500

2,500

262,500

4,000

27,300
4,796,000

6
-

89,100
-

1,000

682,000

2,200

200,200

236,600

1,000

682,000

2,387,000

300

359,700

500

599,500

1,000

105,000

4,000

420,000

500

100

15,400

100

15,400

57,400

52,500

7,433,800
1,102,500

30,800

CBB
Pemakaian

CWD
Harga

Pemakaian

300

Harga

Pemakaian

PM

90,000

600

Harga

Pemakaian

PWK

180,000

600

Harga

Pemakaian

5
-

JBG

180,000

800

Harga

Pemakaian

13,750

CTK

240,000

300

Harga

90,000

1,500

450,000

41,250
1,290,000

45,500

100

12,300

300

300

49,200

500

100

2,068,000

700

900,900

1,000

133,000

30
-

49,200
-

534,000
-

96

1,985,280

600

772,200

1,000

14,000

360

1,200

159,600

400

70,400

500

7,444,800

178,000
-

20
-

2,000

2,574,000

1,000

1,287,000

8,494,200

1,500

199,500

1,000

176,000

1,500

50

555,500

1,000

112,000

100

100

300

400

1,072,500

300

238,425

9,400

611,050

324,800

11,200

1,567,500

200

100

50

36,250

1,045,000

40,700
7,576,250

72,500

50

65,400
72,500
1,391,300

1,072,500
65,400
652,500
-

100

700

40

556,520

25

40,700

108,750

14,000
851,200
475,200

199,500
-

75

35,259,400

1,068,000

7,444,800

356,000

360

2,090,000

8,272,000

1,567,500

12,300
229,600

400

300

190,400

1,700

88,000

10

100

52,800

192

3,970,560

82,000

83,300

2,365,210
83,300

CBB
Pemakaian
-

CWD
Harga

Pemakaian
-

PM
Harga

Pemakaian
-

168,960

12

84,480

1,170,848

224

1,170,848

263,800

500

659,500

500

672,000

7,200

604,800

12,200

200
8,000
-

300

28,000

10
-

30,215
21,630
-

1,440

120,859

15

260,895

10

140,000

210,000

10,800

360

659,500

69,572

Pemakaian

1,024,800

40,286

Harga

1,170,848

JBG

224

480

Pemakaian

24

1,170,848

Harga

224

224

PWK

200

263,800
907,200

30

344,250

30

Harga
-

337,920

1,170,848

9,366,784

500

659,500

3,429,400

18,000

1,512,000

7,165,200

344,250

803,250

224

87,000
-

3,000

54,000

1,000

18,000

3,000

54,000

144,000

1,800

151,074

1,080

90,644

2,880

241,718

775,513

330,467

28,119

266,000

210,000

114,000

42,000

28,000

5,000

10,800

2,000

907,200

3,000

395,700

240,000

Pemakaian

1,170,848

360,000

Harga

224

CTK

600,000

1,000

120,000

1,000
2,500

57,000
300,000

500

60,000

1,980,000

1,430,000

19,600

1,991,600

1,000

1,500,000

2,325,000

1,000

1,008,000

40

208,000

200

300,000

200
1,000

100

1,008,000

1,040,000

5,900

140
500

728,000
504,000

400

23,600

500

44,500

500

400
200

17,800

200

100

500

50
-

125,000
262,400
-

300

152,700

90

1,089,000

10
500

52,480
254,500

500

125,000

254,500

100

44,500
125,000

23,600

2,016,000

5,644,800

100

17,800

2,000

500

29,500

112,100

1,500

133,500

275,900

100

96

348,480

348,480

200

1,049,600

1,443,200

46,800

1,323,400

254,500

125,000

125,000

100

625,000

1,815,000

CBB
Pemakaian
-

CWD
Harga

Pemakaian
-

PM
Harga

Pemakaian
-

PWK
Harga

Pemakaian
-

JBG
Harga

Pemakaian
-

200

78,200

1,500

586,500

1,500

586,500

1,000

391,000

83,740

10

167,480

83,740

33,496

CTK
Harga

Pemakaian
-

2,000

782,000

3,675,400

83,740

619,676

24

1,534,500

3,000
-

1,000
3,069,000

1,500

1,000

391,000

Harga

4,000
1,023,000

77,424

154,848

1,534,500

13,401,300

1,500
4,092,000

200

200

8,000

2,000

1,000

86,200

4,000

140,000

105,000

2,000

70,000

4,000

140,000

630,000

43,100

100

43,100

500

215,500

387,900

100

40,000

1,500

200

8,000

2,500

1,200

100

266,200

100

266,200

798,600

200

2,325,000

300

2,325,000

300

100

330,000

50

418,000

2,325,000

624,000

300

936,000

5,928,000

300

2,325,000

300

2,325,000

13,175,000

330,000

836,000

10

781,000

165,000

400

100

55,000

165,000

19,525,000

96

7,497,600

605,000

24

1,874,400

110,000

2,000

550,000

600

1,500

412,500

624,000

200

275,000

3,000

300

1,000

284,000
712,500

80,000
-

1,872,000

712,500

2,000
-

600

418,000

60,000
-

312,000

50

1,500

1,500

100

48,000

5,000

3,000

605,000

1,622,500

1,210,000

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

700
30

616,000
396,000

1,000

880,000

50

440,000

3,000

2,640,000

30

Harga

Pemakaian

300

2,494,800

511,500

400

396,000

30

352,000
396,000

1
200

511,500
176,000

2,494,800
3,069,000
20,900
6,336,000

528,000

1,980,000

240

448,853

240

54

475,200

475,200

50

366,050

578,359

#VALUE!

20
5

146,420
121,000

70

(23*22000)+(47*2

200

4,840,000

448,853

Harga

CTK

300

561,066

1,200

2,244,264

4,264,102

100,650

260,000

260,000

365,850

260,000

1,300,000

50

870,723

400

1,000

330,000

500

101,750

165,000

1,200

396,000

36,585

260,000

132,000

200

101,750

66,000

203,500
1,369,500

110,000

1,100,000

104,973

104,973

220,000
-

4
-

440,000
-

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

10

465,500

79,200

24

196,000

24,500

2,808,960

2,808,960

152,778

145,200

50

308,612

154,000

154,000

36

110,000

66,000

10

30,556

81,667

742,500

495,000

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

770,000

10

353,000

529,500

770,000

1,765,000

2,647,500

38,602,148

41,099,271

70,018,578

35,522,189

64,280,072

71,486,480

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

CBB
Pemakaian

CWD
Harga

Pemakaian

PM
Harga

Pemakaian

PWK
Harga

Pemakaian

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

DINAMIKA LOGISTIK OBAT


DI KOTA CILEGON
Propinsi

: BANTEN

Alamat

: Jl.K.P.Tendean Km.2 Cilegon

Jumlah Unit Pelayanan

: 9 Unit

Bulan

:Desember

Tahun

: 2015

NO

NAMA OBAT

ACYCLOVIR 5 GR KRIM

Pemberian

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

10

11

12

13

14

TUBE

2,475

2,475

75

25

50

ACYCLOVIR 200 MG TABLET

TABLET

9,050

9,050

300

300

1,000

ACYCLOVIR 400 MG TABLET

TABLET

12,850

12,850

300

500

ALLOPURINOL 100 MG TABLET

TABLET

34,600

34,600

ALLOPURINOL 300 MG TABLET

TABLET

300

300

AMBROXOL SYRUP 15 MG / 5 ML

BOTOL

17,889

17,889

29

300

150

200

200

300

AMBROXOL TABLET 30 MG

TABLET

30,000

30,000

2,000

2,000

1,000

500

1,000

2,000

AMINOFILIN 200 MG TABLET

TABLET

900

900

AMITRIPTILIN 25 MG TABLET

TABLET

39,300

39,300

10

AMLODIPIN 5 MG TABLET

TABLET

11

AMLODIPIN 10 MG TABLET

TABLET

12

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

VIAL

13

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

BOTOL

14

AMOXICILLIN 250 MG KAPLET

KAPLET

56,900

56,900

500

15

AMOXICILLIN 500 MG KAPLET

KAPLET

407,100

407,100

500

16

AMOXICILLIN + AS.KLAVULANAT

TABLET

1,500

1,500

17

ANTALGIN 500 MG TABLET

TABLET

134,800

134,800

18

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA


200 MG + ALUMUNIUM HIDROKSIDA 200 MG)

TABLET

251,400

251,400

19

ANTASIDA SUSPENSI

BOTOL

1,265

1,265

20

ANTI BISA ULAR (ABU) SERUM

VIAL

21

ANTI TETANUS SERUM 1500 UI

AMPUL

14

14

22

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


POLIMIKSIN B 10,000IU/G )

TUBE

2,815

2,815

ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM


SALISILAT 3 %)

POT

23

500 ###

100

1,000

200

1,500

PWK

JBG

CTK

15

16

17

300

200

510 ###

300

2,075

1 ACYCLOVIR 5 GR KRIM

1,000

3,000

6,050

1 ACYCLOVIR 200 MG TABLET

400

500

3,000

9,850

1 ACYCLOVIR 400 MG TABLET

200

1,000

3,900

30,700

300

300

400

200

2,079

15,810

1,000

2,000

11,500

18,500

1,020

1,500

600

1,500

50

100

200

3,000

3,000

360

300

120

300

800

AMINOFILIN 200 MG TABLET

38,800

1 AMITRIPTILIN 25 MG TABLET

5,940

200

100

1,430

1 AMLODIPIN 5 MG TABLET

92,580

AMLODIPIN 10 MG TABLET

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

9,410

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

1,000

1,000

500

2,000

1,000

2,000

8,000

48,900

AMOXICILLIN 250 MG KAPLET

5,000

3,000

6,500

10,000

7,000

13,000

51,000

356,100

AMOXICILLIN 500 MG KAPLET

120

1,380

120
500

AMBROXOL SYRUP 15 MG / 5 ML

1 AMBROXOL TABLET 30 MG

500

10,840

1 ALLOPURINOL 100 MG TABLET


1 ALLOPURINOL 300 MG TABLET

100
-

98,520
-

10,840

19=6-18

400

98,520

18=(7s/d17)

NAMA OBAT

400

100
300

STOCK
AKHIR

150

100
200

JUMLAH

AMOXICILLIN + AS.KLAVULANAT

1 ANTALGIN 500 MG TABLET

1,000

100

1,500

2,000

4,000

1,500

5,000

15,600

119,200

2,000

1,200

1,000

6,000

3,000

3,000

10,000

26,500

224,900

100

50

50

200

480

785

ANTI BISA ULAR (ABU) SERUM

ANTI TETANUS SERUM 1500 UI

400

2,415

50

30
3
25

50

2
50

50

75

150

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM


HIDROKSIDA 200 MG + ALUMUNIUM HIDROKSIDA 200
MG)
ANTASIDA SUSPENSI

1
-

24

ANTI HEMOROID DOEN

1,020

1,020

20

25

ASAM ASCORBIT (VIT.C) 50 MG TABLET

TABLET

SUPP

491,400

491,400

500

26

ASAM ASCORBIT (VIT.C) 250 MG TABLET

TABLET

800

800

27

ASAM MEFENAMAT 500 MG

TABLET

181,600

181,600

28

ASAM TRANEKSAMAT 500 MG

TABLET

10,300

10,300

29

ATROPIN SULFAT INJ

AMPUL

61

61

30

ATTAPULGIT / MOLAGIT TABLET

TABLET

57,600

57,600

31

AQUABIDEST

BOTOL

32

AQUA PRO INJEKSI 25 ML

BOTOL

317

317

33

AZITHROMYCIN 500 MG

KAPSUL

2,000

2,000

40

10

30

1,000

1,000

30 ###
2,500

3,500

2,000

3,000

160

860

13,500

477,900

2,000

500

2,000

2,000

100

1,000

4,500

2,500

2,000

5,000

100
15

300

300

450

300

300

1,500

600

600

120
500

60

20

900

800

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500


IU/G + POLIMIKSIN B 10,000IU/G )
ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % +
ASAM SALISILAT 3 %)
ANTI HEMOROID DOEN

1 ASAM ASCORBIT (VIT.C) 50 MG TABLET


ASAM ASCORBIT (VIT.C) 250 MG TABLET

21,500

160,100

ASAM MEFENAMAT 500 MG

200

10,100

1 ASAM TRANEKSAMAT 500 MG

15

46

5,250

52,350

10

130

187

100

680

1,320

ATROPIN SULFAT INJ


ATTAPULGIT / MOLAGIT TABLET
AQUABIDEST
AQUA PRO INJEKSI 25 ML
AZITHROMYCIN 500 MG

NO

NAMA OBAT

34

BEKARBON

35

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

36

BETAMETASONE KRIM 0,1 %

37

SATUAN
3
TABLET

STOCK
AWAL
4

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17
480

18=(7s/d17)

19=6-18

3,360

180

180

TUBE

4,575

4,575

150

BETAHISTIN MESILAT 6 MG TABLET

TABLET

6,000

6,000

1,020

38

BETAKAROTEN 500 IU SYRUP

BOTOL

1,000

1,000

39

BISACODYL 10 MG SUPP

SUPP

318

318

40

BISOPROLOL 5 MG

TABLET

330

330

41

BROMHEKSIN HCL 8 MG TABLET

TABLET

74,400

74,400

42

BROMHEKSIN HCL SYRUP

BOTOL

1,500

1,500

43

BROMHEKSIN HCL 8 MG / 4 ML SOL

BOTOL

73

73

44

CALAMIN LOTION

BOTOL

1,261

1,261

45

CAPTOPRIL 12,5 MG TABLET

TABLET

549,800

549,800

3,000

2,500

4,000

6,000

8,000

6,500

46

CAPTOPRIL 25 MG TABLET

TABLET

122,900

122,900

1,000

100

800

2,000

4,000

3,000

47

CEFIXIME SYRUP KERING 100 MG

BOTOL

235

235

100

10

48

CEFIXIME 100 MG

KAPSUL

7,280

7,280

49

CEFIXIME 200 MG

KAPSUL

24,000

24,000

50

CEFOTAXIME INJ 1G

VIAL

51

CEFTRIAXON INJ

VIAL

1 CEFTRIAXON INJ

52

CETIRIZINE 5 MG SYRUP

BOTOL

70

70

70

1 CETIRIZINE 5 MG SYRUP

53

CETIRIZINE DROP

BOTOL

CETIRIZINE DROP

54

CETIRIZIN 10 MG

TABLET

2,300

2,300

CETIRIZIN 10 MG

55

CIMETIDIN TABLET

TABLET

15,700

15,700

500

56

CIPROFLOXACIN 500 MG TABLET

TABLET

80,650

80,650

300

57

CLINDAMYCIN 150 MG KAPSUL

KAPSUL

58

CLINDAMYCIN 300 MG KAPSUL

KAPSUL

59

CHLORPHENIRAMIN MALEAT (CTM) 4 MG

TABLET

60

CHLORPROMAZINE 100 MG

TABLET

CHLORPROMAZINE 100 MG

61

DEKSTROMETORPHAN HBR SYRUP

BOTOL

DEKSTROMETORPHAN HBR SYRUP

62

DEKSTROMETORPHAN HBR TABLET 15 MG

TABLET

DEKSTROMETORPHAN HBR TABLET 15 MG

63

DEKSTROSA LARUTAN INFUS 5 %

BOTOL

213

213

213

64

DEKSTROSA LARUTAN INFUS 10 %

BOTOL

366

366

366

DEKSTROSA LARUTAN INFUS 10 %

65

DEKSTROSA LARUTAN INFUS 40 %

BOTOL

15

15

10

1 DEKSTROSA LARUTAN INFUS 40 %

66

DEXAMETHASON 0,5 MG TABLET

TABLET

317,600

317,600

67

DEXAMETHASON INJEKSI

300

300

68

DIAZEPAM TABLET

TABLET

36,700

36,700

69

DIAZEPAM INJ 5 MG/ML

AMPUL

120

120

70

DIFENHIDRAMIN INJ

AMPUL

170

170

71

DIGOKSIN 0,25 MG TABLET

TABLET

50,800

50,800

72

DOMPERIDON 5 MG SUSPENSI

BOTOL

815

815

73

DOMPERIDON 10 MG

TABLET

21,200

21,200

74

DOXYCYCLINE 100 MG KAPSUL

KAPSUL

7,000

7,000

75

EKSTRAK BELLADONNA TABLET 10 MG

TABLET

76

EPINEFRIN (ADRENALIN) INJ 0,1%

AMPUL

78

78

77

ERYTHROMYCIN 200 MG SYRUP

BOTOL

729

729

78

ERYTHROMYCIN 250 MG

KAPSUL

14,500

14,500

79

ERYTHROMYCIN 500 MG TABLET

TABLET

32,700

32,700

80

ETAMBUTOL 500 MG

TABLET

38,800

38,800

81

ETAKRIDIN 0,1 % / RIVANOL

BOTOL

100

100

75

50
510

510
36

900

300

25

200

675

3,900

BETAMETASONE KRIM 0,1 %

900

120

510

1,020

4,590

1,410

BETAHISTIN MESILAT 6 MG TABLET

60

24

3,600

12

156

300

2,100

50

10
2,010

210

150

210

750

50

90

240
66,300

500

3,600

7,200

200
1,000

###

7,200

300

10,800

3,600

150

21,600

1,000

5,600

39,000

510,800

CAPTOPRIL 12,5 MG TABLET

3,000

13,900

109,000

CAPTOPRIL 25 MG TABLET

25

195

40

3,470

3,810

1,000
500

18,000

5
2,000

2,000

2,500

2,500

6,500

50

50

5,500

2,300

14,000

2,750

77,900

77,600

500
300

50

100

20

400

1,500

300

6,000

31,000

286,600

50

160

140

50 ###
200

1,000

200
5
10

50
200

200

375,400

4,000

72

CALAMIN LOTION

CEFIXIME SYRUP KERING 100 MG


CEFIXIME 100 MG

24,000

1,700

50

1 BROMHEKSIN HCL 8 MG / 4 ML SOL

5,000

200
200

1 BROMHEKSIN HCL SYRUP

1,200

50

500

BISOPROLOL 5 MG

1 BROMHEKSIN HCL 8 MG TABLET

61

100

1,500

BETAKAROTEN 500 IU SYRUP

1 BISACODYL 10 MG SUPP

69

120

20

162

4
10
4,000

1,000

8,100
-

4
1

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

75

90
900

180

100

24

12,200

1 BEKARBON

VIAL

VIAL

1,440

NAMA OBAT

15,560

453,000

480

STOCK
AKHIR

15,560

453,000

960

JUMLAH

36,700

55

65

170

50,800

270

545

3,900

17,300

500

6,500

73

132

597

CEFOTAXIME INJ 1G

CIMETIDIN TABLET

1 CIPROFLOXACIN 500 MG TABLET


1 CLINDAMYCIN 150 MG KAPSUL
CLINDAMYCIN 300 MG KAPSUL

1 CHLORPHENIRAMIN MALEAT (CTM) 4 MG

1 DEKSTROSA LARUTAN INFUS 5 %

DEXAMETHASON 0,5 MG TABLET


DEXAMETHASON INJEKSI

1 DIAZEPAM TABLET
DIAZEPAM INJ 5 MG/ML

1 DIFENHIDRAMIN INJ
DIGOKSIN 0,25 MG TABLET
DOMPERIDON 5 MG SUSPENSI
DOMPERIDON 10 MG
DOXYCYCLINE 100 MG KAPSUL
EKSTRAK BELLADONNA TABLET 10 MG
EPINEFRIN (ADRENALIN) INJ 0,1%

1 ERYTHROMYCIN 200 MG SYRUP

14,500

1 ERYTHROMYCIN 250 MG

200

32,500

1 ERYTHROMYCIN 500 MG TABLET

200

38,600

1 ETAMBUTOL 500 MG

100

1 ETAKRIDIN 0,1 % / RIVANOL

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

10

11

12

13

14

PWK

JBG

15

16

17

STOCK
AKHIR

18=(7s/d17)

19=6-18

429

429

83

FENITOIN 100 MG KAPSUL

KAPSUL

1,300

1,300

1,300

FENITOIN 100 MG KAPSUL

84

FENOBARBITAL 30 MG TABLET

TABLET

7,000

7,000

7,000

1 FENOBARBITAL 30 MG TABLET

85

FENOL GLISEROL 10 %

BOTOL

816

816

86

FITOMENADION INJ

AMPUL

4,170

4,170

87

FITOMENADION 10 MG TABLET

TABLET

12,000

12,000

88

FLUCONAZOL 150 MG

TABLET

4,280

4,280

89

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

AMPUL

220

220

90

FUROSEMID 40 MG TABLET

TABLET

15,300

15,300

91

GAMEKSAN

BOTOL

92

GARAM ORALIT II SERBUK

SACHET

35,000

35,000

500

93

GENTAMYCIN SALEP KULIT

TUBE

4,950

4,950

50

94

GENTIAN VIOLET 1 % - 10 ML

BOTOL

1,500

1,500

95

GLIBENCLAMIDE 5 MG TABLET

TABLET

748,000

748,000

96

GLIMEPIRIDE 2 MG

TABLET

97

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50


MG

TABLET

2,720

2,720

98

GLISERIL GUAIAKOLT 100 MG TABLET

TABLET

99

GLISERIN LARUTAN

BOTOL

72

744

270

90

510

3,660

100

200

500

11,500

100

120

4,160

20

200

200
-

300

500
###

50

100
1,500

3,000

328,000
-

1 FITOMENADION 10 MG TABLET
FLUCONAZOL 150 MG

15,100
-

10,100

FUROSEMID 40 MG TABLET

1 GAMEKSAN

2,000

4,100

30,900

1 GARAM ORALIT II SERBUK

100

450

4,500

1 GENTAMYCIN SALEP KULIT

50

25

50

200

1,300

3,000

1,000

2,500

11,000

737,000

5,000

7,000

7,000

TABLET

102 HALOPERIDOL 5 MG TABLET

TABLET

14,300

14,300

103 HALOPERIDOL 5 MG INJEKSI

AMPUL

432

432

TUBE

211

211

3,000

200

2,520

10,100

105 HEPAPROTEKTOR SYRUP

BOTOL

440

440

106 HEPATOPROTEKTOR TABLET

TABLET

4,830

4,830

107 HIDROKORTISON KRIM 2,5 %

TUBE

27,220

27,220

TABLET

22,000
-

200

500

200

1,000

GENTIAN VIOLET 1 % - 10 ML
GLIBENCLAMIDE 5 MG TABLET

1 GLIMEPIRIDE 2 MG

150

900
72

72

10,100
12,400

24

416

1,950

2,880

HEPATOPROTEKTOR TABLET

48

192

27,028

1 HIDROKORTISON KRIM 2,5 %

600

11,100

1 HYOSINE N BUTILBROMIDA TABLET

27

1 IBUPROFEN 125 MG SUPP


1 IBUPROFEN 200 MG SUSPENSI

30

110 IBUPROFEN 200 MG SUSPENSI

BOTOL

111 IBUPROFEN 200 MG TABLET

TABLET

112 IBUPROFEN 400 MG TABLET

TABLET

117,600

117,600

113 ISONIAZID 100 MG

TABLET

5,000

5,000

114 ISONIAZID 300 MG

TABLET

6,000

6,000

115 IMUNOSTIMULAN SIRUP

BOTOL

1,000

1,000

20

116 IMUNOSTIMULAN TABLET

TABLET

10,000

10,000

500

117 ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

TABLET

100

1,500

500

KAPSUL

119 KALCIUM LACTAT 500 MG TABLET

TABLET

59,800

59,800

120 KALIUM DIKLOFENAK 50 MG

TABLET

14,500

14,500

1 ISONIAZID 100 MG
1 ISONIAZID 300 MG

100

120

880

1,000

1,500

8,500

VIAL

70

70

122 KAOLIN SUSPENSI

BOTOL

664

664

123 KETOKONAZOL 200 MG TABLET

TABLET

7,050

7,050

TUBE

1,971

1,971

125 KETOPROFEN 100 MG

TABLET

3,600

3,600

126 KETOROLAC INJ 10 MG

AMPUL

210

210

127 KLORAMFENIKOL 250 MG KAPSUL

KAPSUL

28,400

28,400

200

2500

2,000

200

100
5

12

24
50

200

4,900

54,900

300

14,200

IMUNOSTIMULAN TABLET
ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

1 ITRAKONAZOL 100 MG
KALCIUM LACTAT 500 MG TABLET

1 KALIUM DIKLOFENAK 50 MG

65

KANAMYCINE 2 GR

48

616

KAOLIN SUSPENSI

300

350

6,700

KETOKONAZOL 200 MG TABLET

168

264

1,707

KETOKONAZOL KRIM 2 %

100

100

3,500

KETOPROFEN 100 MG

10

120

90

200

28,200

48

60

IMUNOSTIMULAN SIRUP

48
50
12

IBUPROFEN 200 MG TABLET

1 IBUPROFEN 400 MG TABLET

5,000

200

108,100

HEPAPROTEKTOR SYRUP

5,000

121 KANAMYCINE 2 GR

9,500

HALOPERIDOL 5 MG INJEKSI

1 HEPARIN 200,000 IU GEL

1,000

1,000

118 ITRAKONAZOL 100 MG

HALOPERIDOL 5 MG TABLET

300

11,700

4,000

1 HALOPERIDOL 0,5 MG TABLET

196

30

1,500

1 GRISEOFULVIN 125 MG TABLET

15

11,700

500

1 GLISERIN LARUTAN

10

SUPP

1,500

1 GLISERIL GUAIAKOLT 100 MG TABLET

432

109 IBUPROFEN 125 MG SUPP

500

1,900

306,000

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C


50 MG

24
300 ###

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

50

200

328,000

101 HALOPERIDOL 0,5 MG TABLET

124 KETOKONAZOL KRIM 2 %

1 FITOMENADION INJ

200

600

100

25

220

1 FENOL GLISEROL 10 %

TABLET

108 HYOSINE N BUTILBROMIDA TABLET

24

60

100 GRISEOFULVIN 125 MG TABLET

104 HEPARIN 200,000 IU GEL

24
200

###

414

1 ETANOL 70 % 1000 ML

BOTOL

60

15

NAMA OBAT

ETANOL 70 % 1000 ML

30

JUMLAH

82

10

CTK

KETOROLAC INJ 10 MG
KLORAMFENIKOL 250 MG KAPSUL

NO

NAMA OBAT

128 KLORAMFENIKOL 1 %SALEP MATA

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

TUBE

1,913

1,913

129 KLORAMFENIKOL SUSPENSI

BOTOL

130 KLORAMFENIKOL 0,5 % TETES MATA

BOTOL

6,295

6,295

131 KLORAMFINEKOL 3 %TETES TELINGA

BOTOL

31

31

132 KLARITROMISIN 500 MG

TABLET

600

600

133 KODEIN FOSFAT 20 MG TABLET

TABLET

3,400

3,400

134 KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5


MG KRIM/mytaderm

TUBE

1,147

1,147

135 KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25 MG +


PARASETAMOL 400 MG/hustab

TABLET

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

10

11

12

13

14

48

24

24

75

24

50

24

PWK

JBG

15

16
48

75

CTK
17
24

144

50 ###

24

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

360

1,553

300

5,995

24

100

2,000
150

60

50

20

150

90

250

NAMA OBAT

KLORAMFENIKOL SUSPENSI

2,100

1,300

770

377

100

100

100

BOTOL

BOTOL 60
ML

139 KOMB.BETAMETASON, DEKSKLORFENIRAMIN


MALEAT/zestam

TABLET

140 KOMB.METHAMPYRON + DIAZEPAM/danalgin

TABLET

9,900

9,900

141 KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL


+ CTM/febrinex

BOTOL

142 KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT/benacol

BOTOL

7,278

7,278

96

143 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


TABLET/flutab/Tuzalos

TABLET

6,300

6,300

200

144 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


SYRUP/protexinal

BOTOL

136 KOMB. BUDENOSID FORMATEROL 80/4,5 MCG INHALER, 60


DOSIS

145 KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100


146 MG
KOMB.TEOFILIN + SALBUTAMOL TABLET/teosal

KLORAMFINEKOL 3 %TETES TELINGA


KLARITROMISIN 500 MG

1 KODEIN FOSFAT 20 MG TABLET


1

39,900

138 KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +


GG + CTM SYRUP/dextral

KLORAMFENIKOL 0,5 % TETES MATA

600

39,900

137 KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA

1 KLORAMFENIKOL 1 %SALEP MATA

300

300

600

39,300

KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25


MG + PARASETAMOL 400 MG/hustab/tuzalos

100

100

1,000

1,200
-

96
400

288

600

96

150

2,000

8,700

1 KOMB.METHAMPYRON + DIAZEPAM

283

1,105

6,173

1,000

4,200

2,100

1,299

1,299
1

TUBE

38

38

38

TABLET

600

600

600

147 KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG


SYRUP / TREMENZA SYRUP

BOTOL 60
ML

51

51

148 KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG


TABLET / tremenza TABLET

TABLET

33,800

33,800

149 KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +


VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET

TABLET

18,600

18,600

24 ###
200

1,000

300

100

500

1,500

150 KOTRIMOKSAZOL SUSPENSI

BOTOL

2,215

2,215

151 KOTRIMOKSAZOL ADULT 480 MG TABLET

TABLET

10,600

10,600

152 KOTRIMOKSAZOL PEDIATRIK TABLET

TABLET

3,540

3,540

153 LEVOFLOXACIN 500 MG TABLET

TABLET

2,600

2,600

154 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

AMPUL

500

500

155 LINCOMYCIN 500 MG KAPSUL

TABLET

13,550

13,550

156 LISOL

BOTOL

695

695

157 LOPERAMID 2 MG TABLET

TABLET

158 MELOXICAM 7,5 MG

TABLET

7,600

7,600

500

150

159 MELOXICAM 15 MG

TABLET

16,500

16,500

200

300

500

160 METFORMIN 500 MG

TABLET

104,800

104,800

200

1,000

20

60

6,300

27,500

KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG


TABLET / LIBROFED TABLET

3,000

100

2,000

1,000

7,600

11,000

KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200


MG + VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG +
GLUTAMIC ACID 200 MG TABLET

700

80

100

2,115

2,200

8,400

3,540

300

1,300

1,300

20

380

120

700

12,850

24

671

500 ###

60
500

200

6
1,000

1,000

500
2,500

KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30


MG SYRUP / TREMENZA SYRUP

1,000

200
12

KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC


100 MG
KOMB.TEOFILIN + SALBUTAMOL TABLET

500

200

100

KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


SYRUP

700

1,000
40

KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


TABLET

2,000

100
300

48

KOMB.DEXTROMETHORPHAN + THIOKOL +
PARASETAMOL + CTM
KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +
GUAIAKOLATSULFONAT

1
1,299

KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES
MATA
KOMB.DEKSTROMETORFAN HBR +
FENILPROPANOLAMIN + GG SYRUP
KOMB.DEKSAMETASON, DEKSKLORFENIRAMIN
MALEAT

1
###

KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN


SULFAT 5 MG KRIM

3,000

1,600

2,000

1,000

KOTRIMOKSAZOL SUSPENSI

KOTRIMOKSAZOL ADULT 480 MG TABLET

1 KOTRIMOKSAZOL PEDIATRIK TABLET


1 LEVOFLOXACIN 500 MG TABLET
1

LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

1 LINCOMYCIN 500 MG KAPSUL


LISOL

1 LOPERAMID 2 MG TABLET

2,650

4,950

MELOXICAM 7,5 MG

1,500

15,000

1 MELOXICAM 15 MG

11,500

93,300

1 METFORMIN 500 MG

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

161 METFORMIN 850 MG

TABLET

162 METHILERGOMETRIN MALEAT 0,125 MG TABLET

TABLET

2,700

2,700

200

163 METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

AMPUL

444

444

164 METHYLPREDNISOLON 4 MG TABLET

TABLET

18,800

18,800

165 METHYLPREDNISOLON 8 MG TABLET

TABLET

20,000

20,000

166 METHYLPREDNISOLON 125 MG INJEKSI

1,000
100

2,000

1,000

200
100

200

100
800

600

1,500

VIAL

167 METOCLOPRAMIDE HCL 10 MG

TABLET

3,000

3,000

500

168 METOCLOPRAMIDE SYRUP 5 MG / 5 ML

BOTOL

1,000

1,000

60

169 METRONIDAZOL 250 MG TABLET

TABLET

9,800

9,800

500

170 METRONIDAZOL 500 MG TABLET

TABLET

4,000

4,000

171 MICONAZOLE SALEP

TUBE

2,582

2,582

48

172 MINYAK KAYU PUTIH 15 ML

BOTOL

500

500

15

300

1,000

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

200

2,500

104

340

2,000

16,800

METHYLPREDNISOLON 4 MG TABLET

6,800

13,200

METHYLPREDNISOLON 8 MG TABLET

500

TUBE

196

196

174 MULTIVITAMIN ANAK DROP

BOTOL

2,800

2,800

60

175 MULTIVITAMIN ANAK SYRUP

BOTOL

7,759

7,759

176 MULTIVITAMIN TABLET

TABLET

57,600

57,600

177 NATRIUM BIKARBONAT 500 MG TABLET

TABLET

40,000

40,000

178 NATRIUM DIKLOFENAK 25 MG TABLET

TABLET

16,200

16,200

179 NATRIUM DIKLOFENAK 50 MG TABLET

TABLET

13,800

13,800

90

96

120

192

144

96

216

500

700

1,000

1,000

300

200

METHILERGOMETRIN MALEAT 0,125 MG TABLET


METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

METHYLPREDNISOLON 125 MG INJEKSI

1,900

160

840

700

9,100

METRONIDAZOL 250 MG TABLET

300

1,000

3,000

1 METRONIDAZOL 500 MG TABLET

48

144

2,438

1 MICONAZOLE SALEP

15

485

METOCLOPRAMIDE HCL 10 MG
METOCLOPRAMIDE SYRUP 5 MG / 5 ML

20

20

176

1 MOMETHASON KRIM 0,1 %

90

120

626

2,174

1 MULTIVITAMIN ANAK DROP

240

240

168

1,296

6,463

1,000

3,000

1,000

8,200

49,400

400

METFORMIN 850 MG

1,100

200

24

50

200
50 ###

200

24

173 MOMETHASON KRIM 0,1 %

100

NAMA OBAT

MULTIVITAMIN ANAK SYRUP


MULTIVITAMIN TABLET

40,000

1 NATRIUM BIKARBONAT 500 MG TABLET

500

1,000

500

2,600

13,600

1 NATRIUM DIKLOFENAK 25 MG TABLET

300

500

500

1,300

12,500

1 NATRIUM DIKLOFENAK 50 MG TABLET

470

NATRIUM DIKLOFENAK GEL

70

649

NATRIUM KLORIDA LARUTAN INFUS 0,9%

50

1,290

NATRIUM KLORIDA 100 ML

500

3,200

63,600

NIFEDIPINE 10 MG TABLET

200

200

1,200

NYSTATIN 500.000 IU TABLET

200

1,300

NYSTATIN VAGINAL TABLET 100.000 IU

180 NATRIUM DIKLOFENAK GEL

TUBE

470

470

181 NATRIUM KLORIDA LARUTAN INFUS 0,9%

BOTOL

719

719

60

182 NATRIUM KLORIDA 100 ML

BOTOL

1,340

1,340

40

10

183 NIFEDIPINE 10 MG TABLET

TABLET

66,800

66,800

500

100

184 NYSTATIN 500.000 IU TABLET

TABLET

1,400

1,400

185 NYSTATIN VAGINAL TABLET 100.000 IU

TABLET

1,500

1,500

186 NYSTATIN SUSPENSI 100.000 IU/Ml

BOTOL

187 OBH

BOTOL

17,850

17,850

188 OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +


AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP

BOTOL

280

280

189 OFLOXACIN 200 MG

TABLET

190 OFLOXACIN 400 MG

TABLET

3,400

3,400

3,400

OFLOXACIN 400 MG

191 ONDENSETRON INJ

AMPUL

400

400

172

228

1 ONDENSETRON INJ

15,345

15,345

1,275

14,070

192 OXYTETRASIKLIN HCL 3 % SALEP KULIT

TUBE

193 OXYTETRASIKLIN HCL 1 % SALEP MATA

TUBE

194 PITOGIN/OXYTOCIN INJ/SYNTOCYNON INJ

AMPUL

2,340

2,340

195 PANTOCAIN 0,5 % TETES MATA

BOTOL

196 PAPAVERIN 40 MG TABLET

TABLET

7,000

7,000

500

100

1,500

5 ###

100 ###
100 ###

200

250

450

300

50

20
75

150

100

200

50
250

30

100

200 ###

500

600

2,000

15,850

96

146

134

2
200

150

20
200

250
50

200

2,140

500

1,000

2,600

10

15

4,400

197 PAPAVERIN INJEKSI 40 MG/ML

AMPUL

100

100

198 PARAFORMALDEHID TABLET 1 GR

TABLET

1,400

1,400

1,400

199 PARASETAMOL 100 MG

TABLET

SUPP

864

864

96

768

200 PARASETAMOL SUPP 160 MG/ PROPIRETIC


201 PARASETAMOL DROPS

BOTOL

3,760

3,760

202 PARASETAMOL SYROP 120 MG / 5 ML

BOTOL

24,636

24,636

203 PARASETAMOL 500 MG

TABLET

757,700

757,700

204 PERMETHRIN KRIM 5 %

TUBE

561

561

9,200

9,200

205 PIRANTEL PAMOAT 125 MG

TABLET

12

12
112 ###
50 ###
100

14

24

48

85

NYSTATIN SUSPENSI 100.000 IU/Ml


OBH
OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN +
CTM + AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE
SYRUP

1 OFLOXACIN 200 MG

OXYTETRASIKLIN HCL 3 % SALEP KULIT


OXYTETRASIKLIN HCL 1 % SALEP MATA
OXYTOCIN INJ
PANTOCAIN 0,5 % TETES MATA

1 PAPAVERIN 40 MG TABLET
1 PAPAVERIN INJEKSI 40 MG/ML
1 PARAFORMALDEHID TABLET 1 GR
1 PARASETAMOL 100 MG
PARASETAMOL SUPP 160 MG/ PROPIRETIC

1 PARASETAMOL DROPS

112

112

224

224

224

112

1,352

2,408

400

100

250

300

500

450

200

400

2,700

21,936

5,000

6,000

7,000

9,000

15,800

10,000

10,000

20,000

82,900

674,800

PARASETAMOL 500 MG

14

547

1 PERMETHRIN KRIM 5 %

9,200

1 PARASETAMOL SYROP 120 MG / 5 ML

1 PIRANTEL PAMOAT 125 MG

NO

NAMA OBAT

SATUAN
3

STOCK
AWAL
4

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

NAMA OBAT

TABLET

47,600

47,600

200

207 PIRIDOKSIN (VIT B6 ) TABLET 10 MG

TABLET

158,000

158,000

2,000

208 PIROXICAM

TABLET

74,760

74,760

360

209 POLIKRESULEN CAIRAN

BOTOL

174

174

210 POVIDON IODIDA 30 ML

BOTOL

840

840

211 POVIDON IODIDA 60 ML

BOTOL

212 POVIDON IODIDA 300 ML

BOTOL

159

159

213 POVIDON IODIDA 1 L

BOTOL

124

124

214 PREDNISON TABLET 5 MG

TABLET

15,000

15,000

215 PROPANOLOL 40 MG

TABLET

2,000

2,000

216 RANITIDIN TABLET

TABLET

71,100

71,100

217 RANITIDIN INJ 25 MG/2ML

AMPUL

218 RETINOL 100,000 IU

BOTOL

1,182

1,182

1,182

1 RETINOL 100,000 IU

219 RETINOL 200,000 IU

BOTOL

835

835

835

1 RETINOL 200,000 IU

220 RIFAMPICIN 450 MG

TABLET

37,600

37,600

200

37,400

1 RIFAMPICIN 450 MG

LABU

1,879

1,879

411

1,468

222 RISPERIDONE 1 MG TABLET

TABLET

24,100

24,100

3,350

20,750

1 RISPERIDONE 1 MG TABLET

223 RISPERIDONE 2 MG TABLET

TABLET

48,650

48,650

3,500

45,150

RISPERIDONE 2 MG TABLET

224 SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL

AMPUL

221 RINGER LAKTAT LARUTAN INFUS

225 SALBUTAMOL INHALER 100 MCG, 200 DOSIS

14

1,000

3,000

17,000

141,000

2,040

1,800

600

3,120

7,920

66,840

51

123

31

809

POVIDON IODIDA 30 ML

POVIDON IODIDA 60 ML

150

POVIDON IODIDA 300 ML

17

107

POVIDON IODIDA 1 L

5,000

10,000

200

200

1,800

2,000

14,500

56,600

10

###

11

2,000

1,500

2,000

5
5

1,000
1,000

1,000

6,000

1,000
2,000

200
3

20

200

180

150
1,000

1,000

5
200

2,000

500

1,000

1,000

100

100

30,700

30,700

2,000

400

227 SALBUTAMOL 4 MG TABLET

TABLET

18,500

18,500

2,000

400

200

200

1 PIRIDOKSIN (VIT B6 ) TABLET 10 MG

3,000

20

47,400

2,000

TABLET

300

1,500

500

200

1,000

500
24

200

200

100

100

24

48

24

50

200

1 ALBOTYL

PREDNISON TABLET 5 MG

1 PROPANOLOL 40 MG
1 RANITIDIN TABLET
1 RANITIDIN INJ 25 MG/2ML

1 RINGER LAKTAT LARUTAN INFUS

SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR


NEBUL

100

5,100

25,600

SALBUTAMOL 2 MG TABLET

4,100

14,400

1 SALBUTAMOL 4 MG TABLET

48

96

576

300

1,300

500

120

362

3,297

50

385

57

1 SALEP 2 - 4

672

672

KOTAK

1,800

1,800

200

230 SALISIL MENTOL BEDAK

BOTOL

3,659

3,659

96

231 SEFADROKSIL SYRUP

BOTOL

442

442

100

232 SEFADROKSIL 250 MG

KAPSUL

233 SEFADROKSIL 500 MG

KAPSUL

7,500

7,500

234 SETRALINE 50 MG TABLET

TABLET

3,630

3,630

3,630

SETRALINE 50 MG TABLET

235 SIANOCOBALAMIN TABLET

TABLET

118,000

118,000

118,000

1 SIANOCOBALAMIN TABLET

236 SIANOCOBALAMIN / VIT. B 12 INJ

AMPUL

TUBE

267

267

31,200

31,200

13

13

238 SIMVASTATIN TABLET


239 STESOLID RECTAL SUPP

TABLET
TUBE

240 STREPTOMISIN SERBUK INJ 1500 MG/ML

VIAL

919

919

241 SULFASETAMIDA NATRIUM TETES MATA

BOTOL

5,566

5,566

242 TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG

TABLET

307,610

307,610

243 TETRASIKLIN 500 MG KAPSUL

KAPSUL

500

500

244 TEOFILIN 300 MG TABLET

TABLET

44,000

44,000

24

1 PIROXICAM

229 SALISIL BEDAK 2 %

237 SILVER SULFADIAZINE 10 MG / 35 GR CREAM

POT

2,000

10

226 SALBUTAMOL 2 MG TABLET


228 SALEP 2 - 4

4,000

200

1 PIRAZINAMID 500 MG

206 PIRAZINAMID 500 MG

100

100
30

500

200

300

100

500

200

500

2,300

300

300

200

2,000

2,000

1,500

1,000

10

31,550

30,550

29,850

30,550

30,550

33,550

9,300

21,900

500
3,900

5,326

253,210

54,400

500

AMPUL

246 THIAMIN (VIT.B1) 50 MG TABLET

TABLET

247 THIAMPHENIKOL 500 MG KAPSUL

KAPSUL

30,000

30,000

100

248 TRAMADOL HCI 50 MG TABLET

TABLET

200

200

50

249 TRAMADOL HCI 50 MG/ML INJ

AMPUL

120

120

250 TRIHEKSILPHENIDIL 2 MG TABLET

TABLET

137,900

137,900

200

1,000

50
500

200

1,000

1,000

1,500

2,000

SIMVASTATIN TABLET

1 STESOLID RECTAL SUPP


STREPTOMISIN SERBUK INJ 1500 MG/ML

SULFASETAMIDA NATRIUM TETES MATA


TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200
MG+ASAM FOLAT 0,25 MG

1 TETRASIKLIN 500 MG KAPSUL

40,100

245 THIAMIN (VIT.B1) 100 MG / ML INJ

100

SILVER SULFADIAZINE 10 MG / 35 GR CREAM

919

240

3,900

100

SIANOCOBALAMIN / VIT. B 12 INJ

2,000

32,550

SEFADROKSIL 500 MG

262

96 ###
34,050

SEFADROKSIL 250 MG

5,200

48

1 SEFADROKSIL SYRUP

SALISIL BEDAK 2 %

1 SALISIL MENTOL BEDAK

THIAMIN (VIT.B1) 100 MG / ML INJ


THIAMIN (VIT.B1) 50 MG TABLET

111 THIAMPHENIKOL 500 MG KAPSUL

1,300

28,700

100

100

TRAMADOL HCI 50 MG TABLET

120

TRAMADOL HCI 50 MG/ML INJ

6,400

131,500

TRIHEKSILPHENIDIL 2 MG TABLET

NO

NAMA OBAT

SATUAN
3

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

2,000

1,500

3,500

4,000

251 VITAMIN B KOMP. TABLET

TABLET

710,300

710,300

2,000

500

252 ZINC / ZINCDIAR TABLET

TABLET

27,400

27,400

1,000

500

1,000

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

NAMA OBAT

5,000

18,500

691,800

VITAMIN B KOMP. TABLET

2,000

4,500

22,900

ZINC / ZINCDIAR TABLET


NEO KAOMINAL SUSPENSI

ALAT KESEHATAN DAN REAGEN

ALAT KESEHATAN DAN REAGEN

ALAT AUTOCLIX/LANCET DEVICE

SET

32

32

ALAT SUNTIK SEKALI PAKAI 1 ML

BUAH

1,400

1,400

ALAT SUNTIK SEKALI PAKAI 3 ML

BUAH

7,600

7,600

ALAT SUNTIK SEKALI PAKAI 5 ML

BUAH

5,181

5,181

ALAT SUNTIK SEKALI PAKAI 10 ML

BUAH

390

390

ALAT SUNTIK SEKALI PAKAI 20 ML

BUAH

10

10

ALAT PEMERIKSAAN HB

ALCOHOL SWABS

BISTURI

10

BLOOD LANCET

BUAH

22

22

72,000

72,000

BUAH

207

207

BUAH

12,500

12,500

SACHET

11

CAIRAN PENCUCI ANTISEPTIK

GALON

12

CATGUT DENGAN JARUM BEDAH

SACHET

5,237

5,237

13

CATGUT CHROMIC

ROLL

14

DENGUE IgG AND IgM DROP TEST

SET

15

DENGUE N5 1 ANTIGEN

SET

16

DEX GLASS

BUAH

76

76

17

EDTA VACUM TUBE 5 ML

BUAH

77

77

18

FESCOPLAST

ROLL

19

FOLEY CATETHER

BUAH

110

110

20

GLUCOSA TEST TIP

TIP

7,840

21

GOLONGAN DARAH KIT

SET

22

H2O2

BOTOL

23

HAND SCONE / SURGICAL GLOVE

24

32

ALAT AUTOCLIX/LANCET DEVICE

400

1,000

ALAT SUNTIK SEKALI PAKAI 1 ML

1,300

6,300

ALAT SUNTIK SEKALI PAKAI 3 ML

200

200

4,981

ALAT SUNTIK SEKALI PAKAI 5 ML

100

100

290

10

100
100

300

100

300
600

200

200 ###

600

100

2,000

600

400

3,000

100
100
1

48

10

24

24

10

22

7,000

65,000

200

100

12,400

116

5,121

ALAT SUNTIK SEKALI PAKAI 10 ML

ALAT PEMERIKSAAN HB
ALCOHOL SWABS
BISTURI

CATGUT DENGAN JARUM BEDAH


CATGUT CHROMIC

76

DEX GLASS

70

EDTA VACUM TUBE 5 ML

FESCOPLAST

10

20

90

FOLEY CATETHER

7,840

450

450

7,390

15

15

GOLONGAN DARAH KIT

H2O2

LEMBAR

14,300

14,300

HAND SCONE STERILE

PASANG

790

25

HCG CASETTE / PP TEST

SACHET

26

HEMASITO METER

BUAH

27

ISI AUTOCLIX

KOTAK

28

INFUSION SET ANAK

29

INFUSION SET DEWASA

30

IODIUM TEST

31

2
10

200

100

400

700

1,000

1,000

790

100

50

140

1,740

1,740

30

600

1,000

100
60

300

600

180

1,560

2,280

12,690

100

155

345

100

124

4,957

HAND SCONE / SURGICAL GLOVE


HAND SCONE STERILE
HCG CASETTE / PP TEST
HEMASITO METER

500

500

SET

5,081

5,081

BOTOL

137

137

IV CATETHER

SACHET

3,705

3,705

32

JARUM JAHIT

BUAH

218

218

33

KACA MULUT

BUAH

80

80

34

KAPAS PEMBALUT 250 GR

BUNGKUS

105

105

35

KAPSUL KOSONG NO.0

BUAH

KAPSUL KOSONG NO.0

36

KAPSUL KOSONG NO.1

BUAH

KAPSUL KOSONG NO.1

37

KASSA HIDROFIL 40 X 40

LEMBAR

120

120

120

38

KASSA HIDROFIL GULUNG

ROLL

45

45

39

KASSA STERIL

KOTAK

487

487

40

KASSA 4 M X 15 CM

ROLL

1,000

1,000

41

LAMPU SPIRITUS

BUAH

20

300

400

SET

50

240

390

14,970
1

240

30

9,300

14,970

600

60

5,000

GLUCOSA TEST TIP

90

50

10
2

51

2
4

20

20

100 ###

INFUSION SET ANAK


INFUSION SET DEWASA

137

IODIUM TEST

144

3,561

IV CATETHER

10

208

JARUM JAHIT

80

KACA MULUT

ISI AUTOCLIX

101

KAPAS PEMBALUT 250 GR

KASSA HIDROFIL 40 X 40

37

55

432

KASSA STERIL

240

760

KASSA 4 M X 15 CM

KASSA HIDROFIL GULUNG

LAMPU SPIRITUS

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

NAMA OBAT

42

LARUTAN ASAM ALKOHOL

BOTOL

LARUTAN ASAM ALKOHOL

43

LARUTAN KOH 10 % 250 ML

BOTOL

16

16

16

LARUTAN KOH 10 % 250 ML

44

LOMATUELL H 10 X 10 CM

KOTAK

103

103

45

METILEN BLUE 250 ML

BOTOL

16

16

46

MICROPIPET 3 UKURAN

BUAH

47

MASKER

BUAH

19,900

19,900

48

MASKER OXYGEN FOR ADULT

BUAH

108

49

MASKER OXYGEN FOR CHILD

BUAH

50

MATA BOR HIGH SPEED BUNDAR

BUAH

51

MATA BOR HIGH SPEED FISURE

52

1
1

300

400

MICROPIPET 3 UKURAN

5,000

14,900

108

15

20

88

108

108

15

20

88

45

45

45

MATA BOR HIGH SPEED BUNDAR

BUAH

45

45

45

MATA BOR HIGH SPEED FISURE

MATA BOR HIGH SPEED INVERTED CONE

BUAH

45

45

45

MATA BOR HIGH SPEED INVERTED CONE

53

MATA SCALLER

BUAH

54

NASO GASTRIC TUBE

TUBE

55

NEBULIZE MASK FOR INFANT

BUAH

124

124

124

NEBULIZE MASK FOR INFANT

56

NEBULIZE MASK FOR ADULT

BUAH

125

125

125

NEBULIZE MASK FOR ADULT

57

NEEDLE

BUAH

37

37

58

OBJECT GLASS

BUAH

129

129

59

OIL IMERSI

BOTOL

16

16

16

60

OSE

BUAH

61

PENJEPIT TABUNG

BUAH

22

22

22

PENJEPIT TABUNG

62

PIPET BESAR

BUAH

PIPET BESAR

63

PIPET KECIL

BUAH

PIPET KECIL

64

PLESTER

ROLL

52

52

52

PLESTER

65

POT DAHAK

BUAH

66

POWDER ENZIMATIC ALKAZYME

BUAH

67

PURIFIED PROTEIN DERIVATIVE 2 UT

VIAL

68

SELANG O2 ANAK

BUAH

100

100

69

SELANG O2 DEWASA

BUAH

100

100

70

SGOT/SGPT TEST

SET

71

SILK DENGAN JARUM BEDAH

72

STRIP ASAM URAT

BOX

73

STRIP HB

BOX

74

STRIP GULA DARAH

BOX

75

STRIP PROTEIN DAN GLUKOSA

BOX

76

STRIP KOLESTEROL

BOX

7,600

7,600

7,600

77

VENOJECT

KOTAK

18

18

78

YELLOW TIP

BUAH

19

79

TABUNG REAKSI BESAR

BUAH

80

TABUNG REAKSI KECIL

81

3 ###

402

402
1,000

28

124

24

10

5
5
5

10
10
36

10
50

10

MASKER

MATA SCALLER
NASO GASTRIC TUBE

NEEDLE
OBJECT GLASS
OIL IMERSI
OSE

POT DAHAK

POWDER ENZIMATIC ALKAZYME

PURIFIED PROTEIN DERIVATIVE 2 UT

21

79

SELANG O2 ANAK

25

75

SELANG O2 DEWASA

101

301

SILK DENGAN JARUM BEDAH

1,000

18,000

1,000
-

150

METILEN BLUE 250 ML

1,000

SACHET

500

LOMATUELL H 10 X 10 CM

16

700

1,950

102

18,000

STRIP HB

18,000

STRIP GULA DARAH


STRIP PROTEIN DAN GLUKOSA
STRIP KOLESTEROL

17

VENOJECT

19

19

YELLOW TIP

37

37

37

TABUNG REAKSI BESAR

BUAH

63

63

62

TABUNG REAKSI KECIL

TERMOMETER DIGITAL

BUAH

TERMOMETER DIGITAL

82

TORNIKUET

BUAH

102

102

102

83

UMBILICAL CORD CLAMP

BUAH

17,850

17,850

17,850

84

UNDER PAD 80 X 180 CM

BUAH

294

294

55

239

85

URINE BAG

BUAH

159

159

159

86

URINE TEST 3 PARAMETER

KOTAK

URINE TEST 3 PARAMETER

87

WIDAL TEST

KOTAK

WIDAL TEST

88

WHITE TIP

BUAH

24

24

24

89

MASKER N 95 TYPE 1870

KOTAK

50

TORNIKUET

URINE BAG

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

90

POCH PACK D

BUAH

91

POCH PACK L

BUAH

92

CHECK CONTROL HEMATOANALYZER

BUAH

93

CELL CLEAN HEMATOANALYZER

BUAH

94

CALIBRATION SCS

BUAH

95

CELL PACK HEMATONANALYZER

BUAH

96

STROMALYSER WH

BUAH

97

CHECK CONTROL HEMATOANALYZER XP 100

BUAH

98

CELL CLEAN HEMATOANALYZER XP 100

BUAH

99

CALIBRATION SCS XP 100

BUAH

NAMA OBAT

OBAT GIGI

OBAT GIGI

ARSEN

BOTOL

ARTIKULATING PAPER

KOTAK

AIR RAKSA DENTAL USE

BOTOL

73

73

73

BEIN GIGI

SET

CALCIDOR

POT

CALCIDOR

CEVITRON

BUAH

64

64

64

CEVITRON

CHKM

POT

13

13

11

CHKM

CRESOPEN

BOTOL

DENTORIT

BOTOL

10

DYCAL

BOTOL

11

ETIL KLORIDA SPRAY

BOTOL

140

140

12

EUGENOL CAIRAN

BOTOL

185

185

13

IODOFORM PASTA

POT

14

14

14

GLASS IONOMER ART

SET

42

42

15

OCO / TSR

BOTOL

10

16

SILVER AMALGAM SERBUK 65 - 75 %

BOTOL

17

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

18

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

ARSEN

ARTIKULATING PAPER
AIR RAKSA DENTAL USE

CRESOPEN
DENTORIT

19

121

ETIL KLORIDA SPRAY

185

EUGENOL CAIRAN

13

IODOFORM PASTA

40

GLASS IONOMER ART

10

10

OCO / TSR

SILVER AMALGAM SERBUK 65 - 75 %

SET

12

12

12

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

SET

10

1
2

Cilegon, 30 Desember 2015


kepala Bidang Sumber Daya Kesehatan

Kepala Seksi Farmasi dan Peralatan Kesehatan

Dra.E.Yolanda P,Apt.MKM

Riris Sinaga, S.Si., Apt.

Nip. 19660223 199203 2 002

NIP. 19740620 200312 2 003

DYCAL

TEMPORARY STROPPING FLETCHER SERBUK DAN


CAIRAN

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

Nama Obat

ED

Jumlah

Keluar

No
1
2

Ambroxol Syrup

Okt-15

10

3
4

Amixicillin 500 mg

Jul-14

600

Amoxicillin Syrup

Nov-14

10

5
6

Antacida tab

Jul-14

200

Antalgin 500 mg

Mei-16

400

Anti Bakteri Salep

Ags-17

10

Asam Ascorbat 250 mg

Sep-14

2,000

Asam Mefenamat

Jul-14

400

10

Captopril 25 mg

Ags-17

200

11

Co Amoxiclav

Jun-14

60

12

Cotrimoxazol 480 mg

Mei-17

400

13

CTM

Jul-14

600

14

Dexametason

Ags-17

400

15

Etanol

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

NAMA OBAT

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

16

Garam Oralit

Ags-17

200

17

Hidrokortison Salep

Jun-14

18

Kassa

19

Kotrimoxazol 120 mg

Mar-14

400

20

Metronodazol 500 mg

Apr-14

200

21

Natrium Diklofenak

Jul-14

100

22

Oxytetrasiklin 3 %

Jun-14

10

23

Piridoxin

Sep-14

2,000

24

Povidon Iodida 60 ml

Nov-14

25

Prednison

Jun-14

600

26

Salbutamol 2 mg

Jun-14

200

27

Salisil bedak

Mei-16

10

28

Simvastatin

Ags-17

100

29

Tablet Tambah Darah

Apr-14

12,000

30

Thiamin tab

Mar-14

2,000

31

Vitamin A 200.000 IU

Jan-14

150

Vitamin B Komplek

Sep-14

2,000

6=4+5

NO
NAMA OBAT

SATUAN

MENURUT
KARTU
STOK

MENURUT
STOK
OPNAME

SELISIH
KURANG /
LEBIH

1
2

TUBE

5,076

5,076

ACYCLOVIR 200 MG TABLET

TABLET

21,700

21,700

ACYCLOVIR 400 MG TABLET

TABLET

12,100

12,100

ALBOTYL

BOTOL

234

234

ALLOPURINOL 100 MG TABLET

TABLET

8,500

8,500

ALLOPURINOL 300 MG TABLET

TABLET

8,610

8,610

AMBROXOL SYRUP 15 MG / 5 ML

BOTOL

10,000

10,000

AMBROXOL TABLET 30 MG

TABLET

38,200

38,200

10

AMITRIPTILIN 25 MG TABLET

TABLET

28,700

28,700

11

AMLODIPIN 5 MG TABLET

TABLET

60,000

60,000

12

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

VIAL

1,720

1,720

13

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

BOTOL

16,903

16,903

14

AMOXICILLIN 250 MG KAPLET

KAPLET

74,680

74,680

15

AMOXICILLIN 500 MG KAPLET

KAPLET

222,700

222,700

16

AMOXICILLIN + AS.KLAVULANAT

TABLET

3,600

3,600

17

ANTALGIN 500 MG TABLET

TABLET

171,400

171,400

18

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA


200 MG + ALUMUNIUM HIDROKSIDA 200 MG)

TABLET
162,100

162,100

ACYCLOVIR 5 GR KRIM

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

NAMA OBAT

NO

NAMA OBAT

SATUAN

STOCK
AWAL

19

ANTASIDA SUSPENSI

BOTOL

20

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +


POLIMIKSIN B 10,000IU/G )

TUBE

21

ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM


SALISILAT 3 %)

POT

22

ANTI HEMOROID DOEN

SUPP

23

ASAM ASCORBIT (VIT.C) 250 MG TABLET

24

PENERIMAA PERSEDIAA
N
N
5

6=4+5

2,974

2,974

6,590

6,590

128

128

1,500

1,500

TABLET

200,200

200,200

ASAM MEFENAMAT 500 MG

TABLET

437,200

437,200

25

ASAM TRANEKSAMAT 500 MG

TABLET

12,600

12,600

26

ATROPIN SULFAT INJ

AMPUL

146

146

27

ATTAPULGIT / MOLAGIT TABLET

TABLET

102,650

102,650

28

BEKARBON

TABLET

20,280

20,280

29

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

VIAL

180

180

30

BETAMETASONE KRIM 0,1 %

TUBE

1,977

1,977

31

BETAHISTIN MESILAT 6 MG TABLET

TABLET

120

120

32

BISACODYL 10 MG SUPP

SUPP

522

522

33

BISOPROLOL 5 MG

TABLET

1,600

1,600

34

BROMHEKSIN HCL 8 MG TABLET

TABLET

132,000

132,000

35

BROMHEKSIN HCL 8 MG / 4 ML SOL

BOTOL

100

100

36

CALAMIN LOTION

BOTOL

430

430

37

CAPTOPRIL 12,5 MG TABLET

TABLET

685,800

685,800

38

CAPTOPRIL 25 MG TABLET

TABLET

242,300

242,300

39

CEFIXIME SYRUP KERING 100 MG

BOTOL

344

344

40

CEFIXIME 100 MG

KAPSUL

18,900

18,900

41

CEFOTAXIME INJ 1G

VIAL

119

119

42

CEFTRIAXON INJ

VIAL

220

220

43

CETIRIZIN 10 MG

TABLET

39,200

39,200

44

CIPROFLOXACIN 500 MG TABLET

TABLET

121,000

121,000

45

CLINDAMYCIN 150 MG KAPSUL

KAPSUL

10,000

10,000

46

CLINDAMYCIN 300 MG KAPSUL

KAPSUL

8,700

8,700

47

CHLORPHENIRAMIN MALEAT (CTM) 4 MG

TABLET

348,800

348,800

48

CHLORPROMAZINE 100 MG

TABLET

15,000

15,000

49

DEKSTROMETORPHAN HBR SYRUP

BOTOL

7,623

7,623

50

DEKSTROMETORPHAN HBR TABLET 15 MG

TABLET

74,200

74,200

51

DEKSTROSA LARUTAN INFUS 5 %

BOTOL

308

308

52

DEKSTROSA LARUTAN INFUS 10 %

BOTOL

448

448

53

DEXAMETHASON 0,5 MG TABLET

TABLET

133,400

133,400

54

DEXAMETHASON INJEKSI

VIAL

2,595

2,595

55

DIAZEPAM TABLET

TABLET

3,000

3,000

56

DIAZEPAM INJ 5 MG/ML

AMPUL

206

206

57

DIFENHIDRAMIN INJ

AMPUL

220

220

58

DIGOKSIN 0,25 MG TABLET

TABLET

51,500

51,500

59

DOXYCYCLINE 100 MG KAPSUL

KAPSUL

9,400

9,400

60

EPINEFRIN (ADRENALIN) INJ 0,1%

AMPUL

107

107

61

ERYTHROMYCIN 200 MG SYRUP

BOTOL

1,325

1,325

62

ERYTHROMYCIN 250 MG

KAPSUL

17,500

17,500

63

ERYTHROMYCIN 500 MG TABLET

TABLET

44,700

44,700

64

ETAMBUTOL 500 MG

TABLET

44,000

44,000

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

NAMA OBAT

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

620

620

8,400

8,400

7,000

7,000

BOTOL

2,136

2,136

FITOMENADION 10 MG TABLET

TABLET

8,000

8,000

71

FLUCONAZOL 150 MG

TABLET

200

200

72

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

AMPUL

220

220

73

FUROSEMID 40 MG TABLET

TABLET

20,200

20,200

74

GARAM ORALIT II SERBUK

SACHET

6,800

6,800

75

GENTAMYCIN SALEP KULIT

TUBE

2,375

2,375

76

GENTIAN VIOLET 1 % - 10 ML

BOTOL

4,150

4,150

77

GLIBENCLAMIDE 5 MG TABLET

TABLET

872,300

872,300

78

GLIMEPIRIDE 2 MG

TABLET

1,640

1,640

79

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50


MG

TABLET
21,330

21,330

80

GLISERIL GUAIAKOLT 100 MG TABLET

TABLET

632,000

632,000

81

GRISEOFULVIN 125 MG TABLET

TABLET

4,400

4,400

82

HALOPERIDOL 0,5 MG TABLET

TABLET

13,300

13,300

83

HALOPERIDOL 5 MG TABLET

TABLET

23,600

23,600

84

HALOPERIDOL 5 MG INJEKSI

AMPUL

456

456

85

HEPATOPROTEKTOR TABLET

TABLET

7,080

7,080

86

HIDROKORTISON KRIM 2,5 %

TUBE

33,480

33,480

87

IBUPROFEN 125 MG SUPP

SUPP

91

91

88

IBUPROFEN 200 MG SUSPENSI

BOTOL

1,000

1,000

89

IBUPROFEN 200 MG TABLET

TABLET

2,800

2,800

90

IBUPROFEN 400 MG TABLET

TABLET

43,700

43,700

91

ISONIAZID 100 MG

TABLET

5,000

5,000

92

ISONIAZID 300 MG

TABLET

8,000

8,000

93

IMUNOSTIMULAN SIRUP

BOTOL

924

924

94

ISOSORBIT DINITRAT 5 MG SUB LING.TABLET

TABLET

1,200

1,200

95

KALCIUM LACTAT 500 MG TABLET

TABLET

110,700

110,700

96

KANAMYCINE 2 GR

VIAL

75

75

97

KAOLIN SUSPENSI

BOTOL

1,400

1,400

98

KETOKONAZOL 200 MG TABLET

TABLET

1,900

1,900

99

KETOKONAZOL KRIM 2 %

TUBE

5,751

5,751

100 KETOPROFEN 100 MG

TABLET

3,100

3,100

101 KETOROLAC INJ 10 MG

AMPUL

717

717

102 KLORAMFENIKOL SUSPENSI

BOTOL

438

438

103 KLORAMFENIKOL 0,5 % TETES MATA

BOTOL

1,545

1,545

104 KLORAMFINEKOL 3 %TETES TELINGA

BOTOL

3,126

3,126

105 KLARITROMISIN 500 MG

TABLET

300

300

106 KODEIN FOSFAT 20 MG TABLET

TABLET

2,500

2,500

4,389

4,389

46,800

46,800

ETAKRIDIN 0,1 % / RIVANOL

BOTOL

66

ETANOL 70 % 1000 ML

BOTOL

67

FENITOIN 100 MG KAPSUL

KAPSUL

68

FENOBARBITAL 30 MG TABLET

TABLET

69

FENOL GLISEROL 10 %

70

107 KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5


MG KRIM

TUBE

108 KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25 MG +


PARASETAMOL 400 MG

TABLET

216

6=4+5
216

65

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

NAMA OBAT

NO

NAMA OBAT

109 KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON


VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA

110 KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +


GG + CTM SYRUP

SATUAN

STOCK
AWAL

6=4+5

BOTOL

BOTOL 60
ML

111 KOMB.BETAMETASON, DEKSKLORFENIRAMIN MALEAT

TABLET

112 KOMB.METHAMPYRON + DIAZEPAM

TABLET

113 KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL


+ CTM

BOTOL

114 KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +


GUAIAKOLATSULFONAT

BOTOL

115 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM


TABLET

TABLET

116 KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100


MG

PENERIMAA PERSEDIAA
N
N

2,820

2,820

5,784

5,784

34,450

34,450

20,070

20,070

2,000

2,000

7,685

7,685

70,080

70,080

156

156

2,499

2,499

18,050

18,050

TUBE

117 KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG


SYRUP / TREMENZA SYRUP

BOTOL 60
ML

118 KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG


TABLET / LIBROFED TABLET

TABLET

119 KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +


VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET

TABLET
27,000

27,000

120 KOTRIMOKSAZOL SUSPENSI

BOTOL

8,015

8,015

121 KOTRIMOKSAZOL ADULT 480 MG TABLET

TABLET

25,200

25,200

122 KOTRIMOKSAZOL PEDIATRIK TABLET

TABLET

15,240

15,240

123 LEVOFLOXACIN 500 MG TABLET

TABLET

4,950

4,950

124 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000

AMPUL

12,100

12,100

125 LISOL

BOTOL

877

877

126 LOPERAMID 2 MG TABLET

TABLET

23,900

23,900

127 MELOXICAM 7,5 MG

TABLET

6,900

6,900

128 METFORMIN 500 MG

TABLET

201,400

201,400

129 METHILERGOMETRIN MALEAT 0,125 MG TABLET

TABLET

1,900

1,900

130 METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML

AMPUL

131 METHYLPREDNISOLON 8 MG TABLET

TABLET

132 METHYLPREDNISOLON 125 MG INJEKSI

VIAL

43

43

18,400

18,400

50

50

133 METOCLOPRAMIDE HCL 10 MG

TABLET

7,300

7,300

134 METOCLOPRAMIDE SYRUP 5 MG / 5 ML

BOTOL

253

253

135 METRONIDAZOL 250 MG TABLET

TABLET

13,500

13,500

136 METRONIDAZOL 500 MG TABLET

TABLET

24,700

24,700

137 MOMETHASON KRIM 0,1 %

TUBE

611

611

138 MULTIVITAMIN ANAK DROP

BOTOL

3,231

3,231

139 MULTIVITAMIN ANAK SYRUP

BOTOL

2,391

2,391

140 MULTIVITAMIN TABLET

TABLET

68,100

68,100

141 NATRIUM BIKARBONAT 500 MG TABLET

TABLET

55,000

55,000

142 NATRIUM DIKLOFENAK 25 MG TABLET

TABLET

56,450

56,450

143 NATRIUM DIKLOFENAK 50 MG TABLET

TABLET

8,000

8,000

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

NAMA OBAT

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

144 NATRIUM KLORIDA LARUTAN INFUS 0,9%

BOTOL

60

60

145 NIFEDIPINE 10 MG TABLET

TABLET

104,600

104,600

146 NYSTATIN 500.000 IU TABLET

TABLET

2,700

2,700

147 NYSTATIN VAGINAL TABLET 100.000 IU

TABLET

3,500

3,500

148 NYSTATIN SUSPENSI 100.000 IU/Ml

BOTOL

130

130

149 OBH

BOTOL

15,332

15,332

150 OFLOXACIN 200 MG

TABLET

500

500

151 OFLOXACIN 400 MG

TABLET

5,050

5,050

152 ONDENSETRON INJ

AMPUL

500

500

153 OXYTETRASIKLIN HCL 3 % SALEP KULIT

TUBE

18,975

18,975

154 PANTOCAIN 0,5 % TETES MATA

BOTOL

155 PAPAVERIN 40 MG TABLET

TABLET

21,400

21,400

156 PARAFORMALDEHID TABLET 1 GR

TABLET

1,400

1,400

157 PARASETAMOL DROPS

BOTOL

9,412

9,412

158 PARASETAMOL SYROP 120 MG / 5 ML

BOTOL

50,831

50,831

159 PARASETAMOL 500 MG

TABLET

1,189,100

1,189,100

160 PIRANTEL PAMOAT 125 MG

TABLET

17,300

17,300

161 PIRAZINAMID 500 MG

TABLET

47,900

47,900

162 PIRIDOKSIN (VIT B6 ) TABLET 10 MG

TABLET

270,000

270,000

163 PIROXICAM

TABLET

30,000

30,000

164 OXYTOCIN INJ

AMPUL

3,620

3,620

165 POVIDON IODIDA 60 ML

BOTOL

1,119

1,119

166 POVIDON IODIDA 300 ML

BOTOL

356

356

167 POVIDON IODIDA 1 L

BOTOL

55

55

168 PREDNISON TABLET 5 MG

TABLET

91,000

91,000

169 PROPANOLOL 40 MG

TABLET

1,700

1,700

170 RANITIDIN TABLET

TABLET

81,600

81,600

171 RANITIDIN INJ 25 MG/2ML

AMPUL

1,350

1,350

172 RETINOL 100,000 IU

BOTOL

1,645

1,645

173 RETINOL 200,000 IU

BOTOL

573

573

174 RIFAMPICIN 450 MG

TABLET

42,900

42,900

LABU

2,737

2,737

176 RISPERIDONE 1 MG TABLET

TABLET

83,100

83,100

177 SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL

AMPUL
477

477

178 SALBUTAMOL 2 MG TABLET

TABLET

25,700

25,700

179 SALBUTAMOL 4 MG TABLET

TABLET

19,000

19,000

616

616

175 RINGER LAKTAT LARUTAN INFUS

180 SALEP 2 - 4

POT

181 SALISIL BEDAK 2 %

KOTAK

5,900

5,900

182 SALISIL MENTOL BEDAK

BOTOL

5,000

5,000

183 SEFADROKSIL SYRUP

BOTOL

1,581

1,581

184 SEFADROKSIL 250 MG

KAPSUL

7,800

7,800

185 SEFADROKSIL 500 MG

KAPSUL

9,200

9,200

186 SETRALINE 50 MG TABLET

TABLET

4,990

4,990

187 SIANOCOBALAMIN TABLET

TABLET

140,000

140,000

361

361

90,600

90,600

240

240

188 SILVER SULFADIAZINE 10 MG / 35 GR CREAM


189 SIMVASTATIN TABLET
190 STESOLID RECTAL SUPP

TUBE
TABLET
TUBE

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

NAMA OBAT

NO

NAMA OBAT

191 STREPTOMISIN SERBUK INJ 1500 MG/ML

SATUAN

STOCK
AWAL

VIAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5

919

919

6,728

6,728

192 SULFASETAMIDA NATRIUM TETES MATA

BOTOL

193 TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200


MG+ASAM FOLAT 0,25 MG

TABLET
112,500

112,500

194 TETRASIKLIN 500 MG KAPSUL

KAPSUL

4,400

4,400

195 TEOFILIN 300 MG TABLET

TABLET

45,800

45,800

196 THIAMIN (VIT.B1) 50 MG TABLET

TABLET

169,000

169,000

197 THIAMPHENIKOL 500 MG KAPSUL

KAPSUL

40,200

40,200

198 TRAMADOL HCI 50 MG TABLET

TABLET

1,350

1,350

199 TRAMADOL HCI 50 MG/ML INJ

AMPUL

253

253

200 TRIHEKSILPHENIDIL 2 MG TABLET

TABLET

208,000

208,000

TABLET

56,800

56,800

ZINC / ZINCDIAR TABLET


1

ALAT KESEHATAN DAN REAGEN

ALAT AUTOCLIX/LANCET DEVICE

SET

32

32

ALAT SUNTIK SEKALI PAKAI 1 ML

BUAH

4,000

4,000

ALAT SUNTIK SEKALI PAKAI 3 ML

BUAH

21,438

21,438

ALAT SUNTIK SEKALI PAKAI 5 ML

BUAH

6,900

6,900

ALAT SUNTIK SEKALI PAKAI 10 ML

BUAH

900

900

ALAT SUNTIK SEKALI PAKAI 20 ML

BUAH

200

200

ALAT PEMERIKSAAN HB

BUAH

11

11

ALCOHOL SWABS

103,800

103,800

10

ANTI BISA ULAR (ABU) SERUM

VIAL

11

ANTI TETANUS SERUM 1500 UI

AMPUL

50

50

12

AQUA PRO INJEKSI 25 ML

BOTOL

1,058

1,058

13

BISTURI

BUAH

300

300

14

BLOOD LANCET

BUAH

9,900

9,900

15

CATGUT DENGAN JARUM BEDAH

SACHET

6,392

6,392

16

CATGUT CHROMIC

ROLL

17

DEX GLASS

BUAH

81

81

18

EDTA VACUM TUBE 5 ML

BUAH

97

97

19

FOLEY CATETHER

BUAH

315

315

20

GLUCOSA TEST TIP

TIP

8,250

8,250

21

GOLONGAN DARAH KIT

SET

18

18

22

H2O2

BOTOL

13

13

23

HAND SCONE / SURGICAL GLOVE

LEMBAR

87,600

87,600

24

HAND SCONE STERILE

PASANG

1,700

1,700

25

HCG CASETTE / PP TEST

SACHET

4,425

4,425

26

ISI AUTOCLIX

KOTAK

13,620

13,620

27

INFUSION SET ANAK

SET

490

490

28

INFUSION SET DEWASA

SET

388

388

29

IODIUM TEST

BOTOL

300

300

30

IV CATETHER

SACHET

3,302

3,302

31

JARUM JAHIT

BUAH

350

350

32

KACA MULUT

BUAH

56

56

33

KAPAS PEMBALUT 250 GR

268

268

34

KAPSUL KOSONG NO.0

20,000

20,000

SACHET

BUNGKUS
BUAH

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

NAMA OBAT

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N

35

KAPSUL KOSONG NO.1

BUAH

30,000

30,000

36

KASSA HIDROFIL 40 X 40

LEMBAR

1,000

1,000

37

KASSA STERIL

KOTAK

1,416

1,416

38

KASSA 4 M X 15 CM

ROLL

2,870

2,870

39

LOMATUELL H 10 X 10 CM

KOTAK

131

131

40

MICROPIPET 3 UKURAN

BUAH

41

MASKER

BUAH

14,300

14,300

42

MASKER OXYGEN FOR ADULT

BUAH

144

144

43

MASKER OXYGEN FOR CHILD

BUAH

144

144

44

MATA BOR HIGH SPEED BUNDAR

BUAH

45

MATA BOR HIGH SPEED FISURE

BUAH

46

MATA BOR HIGH SPEED INVERTED CONE

BUAH

47

MATA SCALLER

BUAH

48

NASO GASTRIC TUBE

TUBE

30

30

49

NEBULIZE MASK FOR INFANT

BUAH

143

143

50

NEBULIZE MASK FOR ADULT

BUAH

143

143

51

NEEDLE

BUAH

65

65

52

OBJECT GLASS

BUAH

272

272

53

OSE

BUAH

54

PENJEPIT TABUNG

BUAH

22

22

55

PLESTER

ROLL

487

487

56

POWDER ENZIMATIC ALKAZYME

BUAH

57

PURIFIED PROTEIN DERIVATIVE 2 UT

VIAL

17

17

58

SELANG O2 ANAK

BUAH

92

92

59

SELANG O2 DEWASA

BUAH

73

73

60

SGOT/SGPT TEST

SET

61

STRIP HB

BOX

359

359

62

STRIP GULA DARAH

BOX

152

152

63

STRIP KOLESTEROL

BOX

153

153

64

VENOJECT

KOTAK

65

YELLOW TIP

BUAH

66

TABUNG REAKSI BESAR

BUAH

37

37

67

TABUNG REAKSI KECIL

BUAH

63

63

68

TORNIKUET

BUAH

103

103

69

UNDER PAD 80 X 180 CM

BUAH

304

304

70

URINE BAG

BUAH

400

400

71

URINE TEST 3 PARAMETER

KOTAK

10

10

72

WHITE TIP

BUAH

24

24

73

POCH PACK D

BUAH

74

POCH PACK L

BUAH

75

CHECK CONTROL HEMATOANALYZER

BUAH

12

12

76

CELL CLEAN HEMATOANALYZER

BUAH

77

CALIBRATION SCS

BUAH

78

CELL PACK HEMATONANALYZER

BUAH

79

STROMALYSER WH

BUAH

80

CHECK CONTROL HEMATOANALYZER XP 100

BUAH

24

24

81

CELL CLEAN HEMATOANALYZER XP 100

BUAH

CALIBRATION SCS XP 100

BUAH

6=4+5

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

NAMA OBAT

NO

NAMA OBAT

SATUAN

STOCK
AWAL

PENERIMAA PERSEDIAA
N
N
5

6=4+5
-

OBAT GIGI

ARSEN

BOTOL

ARTIKULATING PAPER

KOTAK

AIR RAKSA DENTAL USE

BOTOL

73

73

CEVITRON

BUAH

150

150

CHKM

POT

21

21

ETIL KLORIDA SPRAY

BOTOL

134

134

EUGENOL CAIRAN

BOTOL

639

639

IODOFORM PASTA

POT

17

17

10

GLASS IONOMER ART

SET

24

24

11

SEMEN SENG FOSFAT SERBUK DAN CAIRAN

SET

15

15

TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN

SET
8

PEMAKAIAN
DINAS

PROGRAM

P2KP

GRG

CLG

CBB

CWD

PM

PWK

JBG

CTK

10

11

12

13

14

15

16

17

JUMLAH

STOCK
AKHIR

18=(7s/d17)

19=6-18

NAMA OBAT

DINAS
HARGA

Pemakai
an

PROGRAM

Harga

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Pemakai
an

Harga

CBB
Pemakai
an

Harga

CWD
Pemakai
an

Harga

PM

Harga

Pemakaian

PWK
Pemakaia
n

Harga

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

3,150

75

236,250

25

9,927,225

50

157,500

100

534

300

160,200

300

160,200

1,000

534,000

648

300

194,400

500

324,000

100

64,800

1,000

648,000

200

86

500

500

43,000

200

17,200

1,500

129,000

210

3,300

29

95,700

300

990,000

150

495,000

200

660,000

200

660,000

300

990,000

300

121

2,000

242,000

2,000

242,000

1,000

121,000

500

60,500

1,000

121,000

2,000

242,000

80

102

300

240

187

510

4,750
2,445

43,000
-

30,600
95,370

200

510

95,370

300

20,400
56,100

150

472,500

11,108,475

400

213,600

1,000

534,000

1,602,000

400

259,200

500

324,000

1,944,000

200

17,200

1,000

86,000

335,400

300

63,000

63,000

315,000
129,600

990,000

400

1,320,000

200

660,000

6,860,700

2,000

242,000

1,391,500

1,000

121,000

100

8,000

1,020

190,740

1,500

280,500

600

112,200

8,000

51,000

1,500

50

100

200

360

300

120

300

122,250

211

500

105,500

261

500

130,500

3,000

72

500

200

26,800

3,850

50

473,000

126,311

100

13,400

3,000

244,500
783,000
36,000
-

3,000
-

489,000
783,000

880,200

733,500

293,400

1,110,780

733,500

3,496,350

1,000

211,000

1,000

211,000

500

105,500

2,000

422,000

1,000

211,000

2,000

422,000

1,688,000

5,000

1,305,000

3,000

783,000

6,500

1,696,500

10,000

2,610,000

7,000

1,827,000

13,000

3,393,000

13,311,000

120

360,000

1,000

72,000

100

7,200

1,500

108,000

2,000

144,000

4,000

288,000

1,500

108,000

5,000

360,000

2,000

268,000

1,200

160,800

1,000

134,000

6,000

804,000

3,000

402,000

3,000

402,000

10,000

1,340,000

115,500

192,500

200

770,000

360,000
1,123,200

3,551,000

134

2,491
-

1,713

30

192,500

25
-

62,275

20

60,500

40

95

500

47,500

100

2,000

1,045

1,100

367

300

110,100

15,400

2,900

4,500

300

121,000
-

100

385,000

50

192,500

50

946,000

473,000

1,419,000

252,622

1,136,799

505,244

124,550

50
-

30

90,750

1,000

95,000

1,000

95,000

2,500
-

124,550

237,500
-

186,825
-

3,500
-

332,500
-

373,650

996,400

30

90,750

30

90,750

484,000

2,000

190,000

3,000

285,000

1,282,500

100

104,500

450

120

348,000

10

29,000

377,000

500

60

270,000

20

100

450,000

3,060,000

110,100

2,250,000

165,150

300

100

104,500

15

16,500

300

110,100

2,150,000

110,100

1,500

550,500
-

600

220,200

600

200,000

220,200

90,000

5,000

250,000

2,000

100,000

450,000

2,500

150

1,000

200,000

4,500

75

50,000

200,000

2,000

124,550

30,250

50

10

1,848,000

500

200,000

2,000

378,933

50

3,025

159

280,500

900

500,000

330,300
-

209,000
16,500
1,926,750
-

DINAS
HARGA

Pemakai
an

PROGRAM

Harga

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Pemakai
an

Harga

CBB
Pemakai
an

Harga

CWD
Pemakai
an

Harga

PM

Harga

Pemakaian

PWK
Pemakaia
n

Harga

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

127

960

12,185

1,520

924

28,600

6,199

645

281

900

12,100

66,000

12,650

12,650

63

88

8,800

2,010

121,968
-

150

252,900

1,020

900

3,000
-

480

24

252,900

189,000

300

2,500

84,300

157,500

100
-

50

942,480

60,984

510

471,240
-

510
-

100
471,240
-

900
-

831,600
-

120
-

36

223,164

90

58,050

264,000

50

632,500

8,000

504,000

6,500

4,000

148,776

252,000

800

10

88,000

150

128,850

210

6,000

378,000

2,000
-

60

75

3,600

371,940
1,011,600
-

4,000

24

1,440
-

182,952
-

25
110,880
148,776

510
12

480
-

60,984
-

471,240
74,388

1,020

942,480
-

967,044

300

264,000

100

880,000

10

750

644,250

2,100

10

126,500

409,500

4,000

252,000

88,000

50

440,000

25

120

103,080

3,000

84,300

5,000

590,100

220,000

1,716,000

3,000

5,500

10,440

20

50

200

180,390

208,800

522,000

730,800
-

188

100

18,800

500

114.84

500

57,420

245

300

73,500

300

527

91

3,600

122

1,379

327,492

7,200

654,984

7,200

654,984

10,800

73,500

982,476

500
300

3,600

94,000
73,500

327,492

1,000

114,840

150

36,750

200

21,600

1,964,952

49,000

37,600

2,963,550
-

28,050

94,000

771,650
2,457,000

2,276,100

315,000

5,000

180,390

58,050

4,241,160

1,726,590

859

426,888
-

200

4,015

210

75

1,000
-

1,000

200

22,968

1,000

245,000

500

5,600

509,432

18,000

188,000
122,500

1,637,460

432,400
195,228
673,750
7,059,272

5,060

5,727

3,960

19,800

19,800

99

69

2,500

172,500

2,500

172,500

6,500

448,500

5,500

4,000

276,000

6,000

414,000

2,139,000

1,580

7,900

50

79,000

50

79,000

7,900

50

79,000

252,800

45

2,368

50

960

91

3,333

50

166,650

100

333,300

20

66,660

50

166,650

50

166,650

899,910

167

500

400

66,800

1,500

250,500

300

50,100

200

33,400

1,000

167,000

651,300

220

300

8,100

7,220

440

921

420

2,200

2,000

138,000

2,000

138,000

83,500

200

10

200

66,000

84,000
-

379,500

118,400

130,240

11,840

110,000

40,500

40,500

50

361,000

200

184,200

84,000

72,200

44,000

184,200

72

519,840

953,040

DINAS
HARGA

Pemakai
an

PROGRAM

Harga

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Pemakai
an

Harga

CBB
Pemakai
an

Harga

CWD
Pemakai
an

Harga

PM

Harga

Pemakaian

PWK
Pemakaia
n

Harga

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

25,300

10

379,500

133

65

1,008

24

24,192

24

24,192

24

24,192

72,576

3,417

30

205,020

1,742,670

634

200

22,000

19,080
91

126,800
-

60

270

922,590

90

307,530

100

63,400

200

126,800

317,000

100

2,200,000

2,640,000

500

144,000

600

100

176,000

500

1,760

50

895

50

54

436

1,100,000

5,500

86,400
44,750

50

88,000

100

25

22,375

1,500
-

81,000
-

3,000
-

4,730

200

165

246

14,724

51,975

34,391.50

4,730

2,399

1,265

55,550

4,499

200

300

93

146

259,875

1,500

219,000

300

500

1,100,000

123,000

709,500

900

4,257,000

72

172,728

200

7,000

616,000

825,396

196,000

10

300

1,419,000

9,223,500

48

115,152

460,608

72

172,728

500

632,500

100

126,500

1,000

467,400

49,200

246,000
519,750
-

779,625
825,396

759,000

166,650

500

166,650

584,000

1,500

219,000

73,000

1,387,000

107,000

3,432,000

500

1,444

70

200

14,000

200

355.30

200

71,060

19,800

12,012

50
12

300

4,700

12

1,342

2,300

310

56,400
-

24

150

5,280

196,000

28,600

594,000

135,000

2,500

179,000

54,000

1,180,800

1,000

576,000

162,000

2,000

3,000

57,600

#VALUE!

200

44,750

4,000

18,200

176,000

219,000

50

1,500

100

73,000

22,375

88,000

1,419,000

172,800

25

500

7,000

440,000

50

20

44,750

162,000

50

107,000

49,200

44

1,000

140,000

107

97

1,419,000

5,000

84,000

3,000

176,000

28

18,200

200

V104*1850.2

300

200

205,020

288

144,000

126,500

102,510

60

253,000

572,000

100

15,000

56,400

24

14,000

50
-

2,860,000

1,000

20

2,500

100

35,530

99,000

48

300

90,000

105,000

168

789,600

1,240,800

175,000

112,800
-

48
-

225,600
-

200

100

134,200

10
62,084

60
-

2,000

140,000

576,576

106,590
99,000
576,576

134,200

62,084

343,000

DINAS
HARGA

Pemakai
an

PROGRAM

Harga

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Pemakai
an

Harga

CBB
Pemakai
an

Harga

CWD
Pemakai
an

Harga

PM

Harga

Pemakaian

PWK
Pemakaia
n

Harga

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

1,600

4,500

5,995

75

1,815

3,200

1,100

100

110,000

2,000

300

48

2,200,000

24

24

38,400

24

24

50

299,750

75

24

43,560

60

50
396,000

449,625

50

144

230,400

576,000

299,750

1,798,500

299,750

50

2,310,000

150

90
990,000

38,400

24

76,800

132,000

48

20
330,000

38,400

594,000

300
-

7,376
-

6,160
-

182
-

1,650,000

100

110,000

93,600

140,800

96
1,267,200

281,600

110,000

1,267,200

1,100,000

1,320,000

283
1,980,000

1,408,000

1,000

150

2,000

96

3,801,600

422,400

100

288

600

1,267,200

400

96

187,200
-

1,267,200

5,082,000

200

96

704

13,200

15,885

43,560

250
-

110,500

1,100

38,400

449,625

990,000

38,400

150
-

93,600

76,800

312

6,600

(173*10450)+(110*13200

#VALUE!

1,000
-

704,000

2,956,800

13,200

209

8,030

15,840
200
-

138

574

1,000

40

41,200

638

14,850

12

574,000
-

300

41,400

110,000

550,000

200

27,600

2,200,000

380,160

770,000

700

550,000

96,600

500

197,500
69,000

500

300

20

20,600

60

61,800

44,550

103,000

150

102,300

500

599,500

91

500

341,000

1,199

200

239,800

300

359,700

105

200

21,000

1,000

105,000

200

21,000

80

82,400

200

682

100

500
-

500

599,500

2,500

262,500

3,000

315,000

1,600

61,800

44,550

60

168,000

6
1,000
2,000

760,320

1,100,000

6,930,000

1,056,000

8,025,600

1,000

2,112,000
100

380,160
1,000

2,000

105,600
-

24

500

100

3,168,000
-

24

700

3,000

2,000

1,584,000
-

500

1,500

100

178,200

330,000

50

1,030

1,100,000

300

1,000

1,056

220,000

1,100

1,975

20

69,000
-

682,000
210,000

1,000
1,000

303,600
-

172,200

746,200

20,600

391,400
-

89,100

197,500

682,000
105,000

356,400
1,807,300
1,798,500
1,207,500

DINAS
HARGA

Pemakai
an

PROGRAM

Harga

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Pemakai
an

Harga

CBB
Pemakai
an

Harga

CWD
Pemakai
an

Harga

PM

Harga

Pemakaian

PWK
Pemakaia
n

Harga

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

260
154
2,750

200

41,000

200

60,000

600

200
4

30,800
11,000

2,000

44,000

91

500

45,500

100

2,600

60

156,000

123

500

61,500

164

500

82,000

200

32,800

3,000

48

144,000

24

72,000

24

4,070

15

17,800

16,720

60

1,003,200

50

90

1,504,800

96

1,605,120

120

2,006,400

90

20,680

192

3,970,560

144

2,977,920

96

1,985,280

216

4,466,880

240

4,963,200

240

1,287

500

643,500

700

900,900

1,000

1,287,000

1,000

1,287,000

1,000

1,287,000

3,000

14

133

400

176

15,895

4,700

836,000

53,200

200

180,000

72,000

1,500

450,000
-

800

30,000

30,000

100

300,000

100

205,000

300

1,000

205

600,000

1,000

164,000
-

90,000
-

100
-

1,000
-

100,100

50

130,000

416,000

200

24,600

50

130,000

300

49,200

164,000

48

144,000

432,000

20

356,000

356,000

1,504,800

120

2,006,400

10,466,720

4,963,200

168

3,474,240

26,801,280

3,861,000

1,000

1,287,000

10,553,400

500

66,500

1,000

133,000

500

66,500

345,800

300

52,800

500

88,000

500

88,000

228,800

26,600

60

282,000

23,500

112

500

56,000

100

640

480

30,800

5,225

100

100

200

250

450

300

600

50

96

86,100

27,300

10,725

410,000
2,040,000

300

11,200

300,000

30,800
286,000

18,200

11,110

275,000

200

9,100

300

1,500

536,250

168,000

23,500

329,000
555,500

40

444,400

10

111,100

500

56,000

100

11,200

500

56,000

358,400

200

128,000

128,000

100

100

48,000

96,000

48,000
-

1,029,600

1,565,850
-

413

654

2,400

20

48,000

100

4,800

412,800

1,450

75

150

200

290,000

150

217,500

2,100

13,913

30

16,100

127

200

573

60

32

7,040

12

84,480

108,750

5,227

1,319

50

65,950

84

100

8,400

11,475

14

160,650

290

50

65,950

25,300

200

12

240,000

50

120,000

362,500

200

250

100

500

217,500
417,390
25,300

84,480

24

168,960

48

1,391,300
63,250

337,920

20
200

290,000
278,260
-

250

50

362,500
695,650
-

1,848,750
2,782,600
-

500

63,250

1,000

126,500

328,900

2,865

10

5,730

8,595

675,840

25,300

112

585,424

112

585,424

112

585,424

112

585,424

224

1,170,848

224

1,170,848

224

1,170,848

112

585,424

6,439,664

400

527,600

100

131,900

250

329,750

300

395,700

500

659,500

450

593,550

200

263,800

400

527,600

3,561,300

5,000

420,000

6,000

504,000

7,000

588,000

9,000

756,000

15,800

1,327,200

10,000

840,000

10,000

840,000

20,000

1,680,000

6,963,600

160,650

DINAS
HARGA

Pemakai
an

PROGRAM

Harga

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Pemakai
an

Harga

CBB
Pemakai
an

Harga

CWD
Pemakai
an

Harga

PM

Harga

Pemakaian

PWK
Pemakaia
n

Harga

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

198

200

39,600

18

2,000

36,000

360

30,215

10

173,930

6,489

83.93

17,393

14

243,502

2,163

6,489

2,400

14,000

42,000

11

57

65

120

462,000

86,965

1,000
1,500

28,000
57,000
180,000

20

4,000

72,000

2,000

42,000

240,000

2,000

1,000

36,000
34,786

210,000

120,000

39,600

2,000

36,000

3,000

54,000

1,000

18,000

3,000

54,000

306,000

2,040

171,217

1,800

151,074

600

50,358

10

173,930

2,000
6,000

28,000
114,000
720,000

3,120

261,862

664,726

10

173,930

887,043

10,815

67,053

43,260

1,000

57,000

1,000
2,000

70,000
57,000
240,000

126,000

714,000

285,000

200

13,000

13,000

2,000

240,000

1,740,000

1,928

14,300

19,600

594

200

118,800

5,200

15,600

2,137,200

1,500

1,008

215,600

118,800

1,000

15,600
1,008,000

20

104,000

200

150

225,000

1,000

1,040,000
1,008,000

180

26,000

200

300,000

2,000

3,000,000

500

504,000

1,000

1,008,000

936,000

59

2,000

118,000

400

23,600

200

178,000

400

35,600

24

118,800

100

125,000

200

250,000

200

250,000

100

125,000

24

87,120

48

174,240

24

87,120

26,240

200

11,800

63,750

11,800

17,700

1,500

88,500

200

17,800

1,000

89,000

500

5,025,000

3,528,000

500

29,500

300,900
364,900

89

2,000

4,950

1,250

200

250,000

100

3,630

96

348,480

5,248

100

524,800

30

468

509

500

300

12,100

12

520

58,300

254,500

200

101,800

391

300

117,300

16,748

2,090

3,226

10

385

38.50

1,050

3,900

700

35

431

157,440
152,700

100

200

33,496

30,550
(14700*1023)+(19

29,850
1,176,175

50,900

78,200

117,300

300

31,550
-

186

125,000

2,000

48

254,500

200

1,500

83,740

154,848

34,050
1,176,175

101,800

782,000

44,500
-

2,000

782,000

30,550
1,149,225

500

118,800

48

237,600

475,200

100

125,000

300

375,000

1,625,000

50

181,500

120

435,600

1,314,060

200

1,049,600

50

262,400

2,020,480

500

254,500

33,496

309,696

33,550
1,176,175

1,170,700
-

391,000

96

1,000

586,500

24

30,550
1,310,925

1,500,000

300

1,000

2,000

291,500

291,500

782,000

3,636,300

150,732

96

309,696

774,240

1,253,175

#VALUE!

32,550
1,291,675

93,000

500

4,095,000

100

43,100

100

15,950

4,095,000

319

50

5,400

40

200

8,000

500

20,000

200

8,000

1,000

40,000

1,000

40,000

100

43,100

50

15,950

43,100

1,500

60,000

1,000

93,000

431,000

2,000

80,000

560,300
31,900
256,000

DINAS
HARGA

Pemakai
an

PROGRAM

Harga

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Pemakai
an

Harga

CBB
Pemakai
an

Harga

CWD
Pemakai
an

Harga

PM

Harga

Pemakaian

PWK
Pemakaia
n

Harga

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

475

110,000

2,662

3,120

100

7,750

200

3,300

100

8,360

525,000

275

200

200

600

550

100

100

396

902,000

78,100

48

5,415,500

1,650,000

2,420,000

39,050

302,500

312,000

2,000
1,000

500

300

3,748,800

1,500

475,000

500

2,000
237,500

936,000

100

100

300

266,200

600

2,000
-

10

39,600
781,000

11,000

10

624,000

600

400

10

1,874,400

110,000

200

24

1,872,000

24

1,874,400

605,000

902,000

9,059,600

2,117,500

10

110,000

220,000

3,745,350

3,069,000

450

3,745,350

2,557,500

20,900

880

200

176,000

400

600

6,930

13,200

700

616,000

1,000

880,000

1,000

880,000

100

693,000

50

346,500

140

970,200

100

693,000

30

396,000

60

792,000

60

300

600

1,122,132

240

448,853

520,300

7,321

5,830

24,200
20,900

96,800

20,130

44

33

1,980

130,000

4
-

7,317

51

2,070

373,167

96,800

21,963

240

448,853

300

396,000
561,066

4,400,000

2,702,700

2,376,000

600

1,122,132

4,264,102

52,030

50

100

1,040,600

1,612,930

100

732,100

907,804

90
-

20

20

50

(10*21065)+(4
0*24200)

(90*21065)

30

880,000

146,420

41,400

792,000

1,000

130,000

528,000

511,500

20

40,260

39,600

7,321

10,406

781,000

561,066

1,870

4,056,000

1,064,800

352,000

798,600

8,323

88,000

950,000

3,000

511,500

100

2,000

2,137,500

1,512,500

5,000

902,000

100

475,000

4,000

312,000

1,000

3,500

107

#VALUE!

209,000

10

209,000

80,520

100

40,260

260,000

41,400
-

260,000

130,000

29,268

207,000

100

207,000

260,000

1,040,000
402,435
496,800
-

DINAS
HARGA

Pemakai
an

PROGRAM

Harga

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Pemakai
an

Harga

CBB
Pemakai
an

Harga

CWD
Pemakai
an

Harga

PM

Harga

Pemakaian

PWK
Pemakaia
n

Harga

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

26,999

101,750

101,750

64,900

2,090,000

2,090,000

101,750
2,090,000

330

500

700

231,000

1,000

330,000

300

1,650,000

22,000

110,000

15

330,000

440,000

22,000

110,000

15

330,000

440,000

95,700

95,700

95,700

1,950

643,500

165,000

150

49,500

171,600

522,500

951,500

140,000

140,000

21,450

40,700

40,700

104,500

28,000

13,500

5,400

132,000

8,167

400

236,500

429,000

99,000

171,600

24

10

946,000

702,240

6,600

33,000

10

66,000

33,000

10

10

66,000

10

308,612

6,600

6,600

1,082,950

3,056

36

15,278

66,000
110,000

50

152,778

30,556

33,000

138,600
165,000

3,212

191,500

3,795

77,000

13,904

242,000

95,700

2,015

2,015

2,015

2,015

34,320

22,000

1,000

13,200

50

4,950

247,500

935,000

133,100

DINAS
HARGA

Pemakai
an

PROGRAM

Harga

Pemakaian

P2KP

Harga

Pemakaian

GRG
Harga

Pemakaian

CLG
Pemakai
an

Harga

CBB
Pemakai
an

Harga

CWD
Pemakai
an

Harga

PM

Harga

Pemakaian

PWK
Pemakaia
n

Harga

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

484,000

192,500

225,500

3,740,000

209,000

115,500

70,000

70,000

140,000

770,000

770,000

770,000

154,000

534,600

534,600

534,600

176,500

353,000

3,178

302,500

687,500

330,000

1,265,000

418,000

36,300

882,500

302,500

10

302,500

1,375,000

353,000

1,375,000

1,765,000

2,902,892

6,879,992

14,781,297

24,609,635

20,201,631

3,353,500

70,000

39,343,484

29,797,185

75,614,350

31,328,290

43,002,818

60,967,528

DINAS
HARGA

Pemakai
an

Harga

PROGRAM
Pemakaian

Harga

P2KP
Pemakaian
-

GRG
Harga

Pemakaian

CLG
Harga

Pemakai
an

CBB
Harga

Pemakai
an

CWD
Harga

Pemakai
an

Harga

PM
Pemakaian

PWK
Harga

Pemakaia
n

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

DINAS
HARGA

Pemakai
an

Harga

PROGRAM
Pemakaian

Harga

P2KP
Pemakaian
-

GRG
Harga

Pemakaian

CLG
Harga

Pemakai
an

CBB
Harga

Pemakai
an

CWD
Harga

Pemakai
an

Harga

PM
Pemakaian

PWK
Harga

Pemakaia
n

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

DINAS
HARGA

Pemakai
an

Harga

PROGRAM
Pemakaian

Harga

P2KP
Pemakaian
-

GRG
Harga

Pemakaian

CLG
Harga

Pemakai
an

CBB
Harga

Pemakai
an

CWD
Harga

Pemakai
an

Harga

PM
Pemakaian

PWK
Harga

Pemakaia
n

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

DINAS
HARGA

Pemakai
an

Harga

PROGRAM
Pemakaian

Harga

P2KP
Pemakaian
-

GRG
Harga

Pemakaian

CLG
Harga

Pemakai
an

CBB
Harga

Pemakai
an

CWD
Harga

Pemakai
an

Harga

PM
Pemakaian

PWK
Harga

Pemakaia
n

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

DINAS
HARGA

Pemakai
an

Harga

PROGRAM
Pemakaian

Harga

P2KP
Pemakaian
-

GRG
Harga

Pemakaian

CLG
Harga

Pemakai
an

CBB
Harga

Pemakai
an

CWD
Harga

Pemakai
an

Harga

PM
Pemakaian

PWK
Harga

Pemakaia
n

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

DINAS
HARGA

Pemakai
an

Harga

PROGRAM
Pemakaian

Harga

P2KP
Pemakaian
-

GRG
Harga

Pemakaian

CLG
Harga

Pemakai
an

CBB
Harga

Pemakai
an

CWD
Harga

Pemakai
an

Harga

PM
Pemakaian

PWK
Harga

Pemakaia
n

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

DINAS
HARGA

Pemakai
an

Harga

PROGRAM
Pemakaian

Harga

P2KP
Pemakaian
-

GRG
Harga

Pemakaian

CLG
Harga

Pemakai
an

CBB
Harga

Pemakai
an

CWD
Harga

Pemakai
an

Harga

PM
Pemakaian

PWK
Harga

Pemakaia
n

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

DINAS
HARGA

Pemakai
an

Harga

PROGRAM
Pemakaian

Harga

P2KP
Pemakaian
-

GRG
Harga

Pemakaian

CLG
Harga

Pemakai
an

CBB
Harga

Pemakai
an

CWD
Harga

Pemakai
an

Harga

PM
Pemakaian

PWK
Harga

Pemakaia
n

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

DINAS
HARGA

Pemakai
an

Harga

PROGRAM
Pemakaian

Harga

P2KP
Pemakaian
-

GRG
Harga

Pemakaian

CLG
Harga

Pemakai
an

CBB
Harga

Pemakai
an

CWD
Harga

Pemakai
an

Harga

PM
Pemakaian

PWK
Harga

Pemakaia
n

JBG
Harga

Pemakaian

CTK
Harga

Pemakaian

Harga

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