DINAS KESEHATAN KABUPATEN MESUJI

Dr. Sutomo street No. 1 Margojadi, Mesuji Timur, Postalcode : 34699

e mail : pkm_margojadi@yahoo.com, facebook : Puskesmas Margojadi

RENCANA KEBUTUHAN OBAT ESSENSIAL

SERTA OBAT PROGRAM PUSKESMAS MARGOJADI TAHUN 2011

NO NAMA OBAT / ALAT KESEHATAN SATUAN RENCANA KEBUTUHAN

NAMA OBAT
1 alopurinol tablet 1000
2 aminofilin inj ampul 60
3 aminofilin tablet 2000
4 amitriptilin tablet 500
5 amoksisilin 250 kaplet 600
6 amoksisilin 500 kaplet 500
7 amoksisilin syrup botol 150
8 antalgin tablet 10000
9 antasida doen tablet 10000
10 captopril 12,5 tablet 2000
11 captopril 25 tablet 2000
12 ciprofloksasin tablet 3000
13 deksmetason inj ampul 1000
14 deksmetason tablet 10000
15 dekstrometorfan kapsul 10000
16 dekstrometorfan syrup botol 100
17 diazepam inj ampul 120
18 diazepam tablet 3000
19 difenhidramin inj ampul 300
20 etakridin botol 25
21 fenobarbital 30 tablet 5000
22 fitomenadion 10 tablet 2000
23 furosemid inj ampul 120
24 furosemid tablet 1500
25 garm oralit pro 200 sak 2500
26 glibenklamid tablet 2000
27 gliseril guaiakolas tablet 10000
28 glukosa lar 5 % plabot 100
29 glukosa lar 10 % plabot 100
30 kalsium laktat tablet 10000
31 kloramfenikol kapsul 3000
32 klorfeniramin maleat tablet 10000
33 kloroquin tablet 5000
34 kom. Primetamin s. doksin tablet 2000
35 kotrimoksazol 480 tablet 2000
36 kotrimoksazol 240 tablet 2000
37 kotrimoksazol susp botol 100
38 lidokain inj ampul 150
39 Na Cl 0,9 % plabot 40
40 obat batuk hitam botol 150
41 oksitosin inj ampul 250
42 paracetamol syrup botol 150
43 paracetmol 500 tablet 10000
44 pyrantel tablet 10000
45 piroksikam kapsul 2000
46 prednison tablet 10000
47 propanolol tablet 1000
48 primaquin tablet 5000
49 povidone iodine botol 20
50 pyridoksin tablet 10000
51 reserpin tablet 5000
52 ringer laktat plabot 120
53 salisil bedak sak 50
54 tetrasiklin 500 kapsul 3000
55 tetrasiklin 250 kapsul 10000
56 thiamin tablet 10000
57 vitamin B kompleks tablet 10000
58 vitamin C tablet 10000
59 pH kain box 2
60 klor etil botol 5
61 etapulgit box 10
62 folpuramid 2,5 mg box 10
63 simfastatin box 20
64 Asam mevenamat box 10000
65 vitamin B6 pot 10000
66 Salbutamol box 10000
67 Exstrak belladone pot 5000
68 betametason box 1000
ALAT KESEHATAN
1 etil klorid semprot tube 10
2 alat suntik sekali pakai 1 ml set 1000
3 alat suntik sekali pakai 2,5 ml set 1000
4 alat suntik sekali pakai 5 ml set 500
5 cat gun plain set 200
6 infus set dewasa set 50
7 infus set anak set 50
8 kasa pembalut rol 50
9 iv cateter no 22 set 100
10 iv cateter no 24 set 100
Margojadi,

Plt. Pimpinan Puskesmas Margojadi

 TARBI
NIP. 19660602 1987111 001
50000

KETERSEDIAAN OBAT MENURUT JENIS OBAT

PUSKESMAS MARGOJADI TAHUN 2013
45000
Laporan Dinamika Obat Puskesmas Margojadi Tahun
2016 NO
40000 NAMA OBAT / ALAT KESEHATAN
KEMASAN
35000 SISA STOK 2015
PENERIMAAN 2016

30000 STOCK 2016

25000

20000

15000

10000

5000

0
14

53

79
92
1

27
40

66

105

131
144
157
170
183
196
209
222
235
248
261
274
287
300

326
339

365
378
391
404
118

313

352
 DINAS KESEHATAN
DINAS KESEHATAN KABUPATEN MESUJI KABUPATEN MESUJI

PUSKESMAS MARGOJADI
Dr. Sutomo street No. 1 Dr. Sutomo street
Margojadi, Mesuji No I Margojadi,
Timur, Mesuji :Timur,
Postalcode 34699Kodepos 34699

Email : pkm_margojadi@yahoo.com, Facebook : Puskesmas Margojadi

KETERSEDIAAN OBAT
Laporan Dinamika Obat MENURUT
Puskesmas JENIS
Margojadi OBAT
Tahun 2016
tota
PUSKESMAS MARGOJADI SISA
PENE TAHUN
STOC
l stok2013
NAMA OBAT / RIMA peng opna TOTAL
NO ALAT KESEHATAN KEMASAN STOK AN K elua ne HARGA HARGA
2015 2016 2016 ran 2016
2016
1 Albendazol ktk 3x10 tab 150 - 150 150 - 447.33 -
2 Albendazol suspensi botol 20 36 56 34 22 3850 84,700
3 alkohol 70% ltl botol 0 20 20 0 20 2500 50,000
4 Alopurinol tablet 100 mg ktk 10x10 tab 800 800 1600 100 1,500 78.18 117,270
5 Alprazolam ktk 10x10 tab 300 200 500 0 500 900 450,000
6 Ambroxol ktk 10x10 tab 3400 - 3400 3400 - 113.58 -
7 Ambroxol sirup fless 990 - 990 300 690 2997 2,067,930
8 Amilorida tablet 5 mg (HCl) ktk 10x10 tab 0 - 0 0 - 0 -
9 Amlodipin ktk 3x10 tab 450 30 480 480 - 170 -
10 Aminofilin injeksi 24 mg/ml-10ml ktk @12 ampl 12 - 12 2 10 3823 38,230
11 Aminofilin tablet 200mg btl 100 tab 700 - 700 700 - 80 -
12 Amitriptilin HCL tablet salut 25 mg ktk 10x10 tab 800 200 1000 200 800 112 89,600
13 Amoksisilin kapsul 250 mg ktk 10x10 tab 4100 3,000 7100 5400 1,700 210 357,000
14 Amoksisilin kapsul 500 mg ktk 10x10 tab 34200 10,000 44200 28200 16,000 270 4,320,000
15 Amoksisilin sirup kering 125 mg/5ml botol 220 31 251 251 - 2445 -
16 amoklaf ktk 5x6 tab 840 - 840 840 - 4550 -
17 Ampisilin serbuk injeksi i.m/i.v 1000 mg/ vial 0 - 0 0 - 0 -
18 Ampisilin serbuk injeksi i.m/i.v 500 mg/m vial 0 - 0 0 - 0 -
19 Ampisillin 125 mg/5ml sirup botol 0 - 0 0 - 0 -
20 Ampisillin tablet 500 mg ktk 10x10 tab 0 - 0 0 - 0 -
21 Antalgin (Metampiron) tablet 500 mg ktk 10x10 tab 1400 - 1400 1400 - 121.32 -
22 Antalgin injeksi 250 mg/ml-2ml kotak@30 ampl 30 - 30 30 - 1212.13 -
23 Antasida DOEN II suspensi, kombinasi : botol 475 185 660 470 190 2160 410,400
24 Antasida DOEN tab ktk 10x10 tab 14200 10,700 24900 14900 10,000 72 720,000
25 Anti Bakteri DOEN salep kombinasi : tube 0 - 0 0 - 2491 -
26 Anti Hemoroid DOEN Kombinasi ktk@10 supp 200 40 240 200 40 3000 120,000
27 Anti Migren : Ergotamin Tartrat 1 mg + K btl@100 tab 200 - 200 0 200 135 27,000
28 Antifungi DOEN kombinasi : tube 0 - 0 0 - 1891 -
29 Antiparkinson DOEN tablet kombinasi : kotak 0 - 0 0 - 0 -
30 Aqua pro injeksi steril, bebas pirogen vial 120 - 120 88 32 5300 169,600
31 Artekain ampul 0 - 0 0 - 0 -
32 Arthemeter ampul 0 10 10 0 10 0 -
33 Asam Askorbat (Vit C ) tablet 50 mg pot @1000 tab 27000 - 27000 27000 - 32 -
34 Asam Folat tablet 1 mg btl @100 tab 0 - 0 0 - 680 -
35 Asam mefanamat ktk 10x10 tab 10400 200 10600 10600 - 176 -
36 asm transemat inj K0TAK 400 - 400 150 250 6668 1,667,000
37 Asetosal tablet 100 mg ktk 10x10 tab 0 - 0 0 - 0 -
38 Asetosal tablet 500 mg ktk 10x10 tab 0 - 0 0 - 0 -
39 Asiklovir krim 5% tube 25 - 25 25 - 3000 -
40 Asiklovir tablet 200 mg ktk 5x10 tab 900 300 1200 850 350 532 186,200
41 Asiklovir tablet 400 mg ktk 5x10 tab 0 850 850 350 500 629 314,500
42 Atropin Sulfat injeksi 0,25 mg/ml-1ml ktk@30 ampl 0 - 0 0 - 1265 -
43 Atropin Sulfat tablet 0,5 mg ktk 10x10 tab 600 100 700 0 700 74 51,800
44 Atropin Sulfat tetes mata 0,5 % btl tts 0 - 0 0 - 0 -
45 Bactricid syrup botol 0 - 0 0 - 0 -
46 Bacitracin salep tube 0 - 0 0 - 0 -
47 Becefort tablet kotak 0 - 0 0 - 0 -
48 Besi (II) sulfat 7 H2O tablet salut 300 mg botol 0 - 0 0 - 0 -
49 betahistin maleat ktk 3x10 tab 780 60 840 450 390 833.33 324,999
50 Betametason krim 0,1% tube 125 75 200 150 50 1525 76,250
51 Bioneuron inj botol 0 - 0 0 - 0 -
52 Bioneuron tablet kotak 0 - 0 0 - 0 -
53 Domperidon ktk 10x10 tab 1100 100 1200 900 300 167 50,100
54 Domperidon sirup botol 295 158 453 375 78 3333 259,974
55 Brimhexime botol 0 - 0 0 - 0 -
56 Cefadroksil ktk 10x10 tab 12600 5,100 17700 10700 7,000 509 3,563,000
57 Cefadroksil sirup botol 269 114 383 287 96 4896 470,016
58 Cefofoximp Inj vial 10 - 10 5 5 0 -
59 Cendo xitrol botol tts 0 - 0 0 - 0 -
60 Ceterizin sirup botol 100 191 291 121 170 10450 1,776,500
61 ceteruzin tab ktk 3x10 tab 1680 6,800 8480 3280 5,200 164.55 855,660
62 Ciprofloxacin ktk 10x10 tab 21700 - 21700 16700 5,000 225 1,125,000
63 Cimetidin ktk 10x10 tab 200 - 200 200 - 114.9 -
64 Deksametason injeksi 5mg.ml-1ml ktk@100 ampl 1600 500 2100 1900 200 2002 400,400
65 Deksametason tablet 0,5 mg ktk 10x10 tab 700 9,000 9700 2200 7,500 62 465,000
66 Dekstran 70-larutan infus 6% steril botol 0 - 0 0 - 0 -
67 Dekstrometorfan sirup 10mg/5ml botol 0 - 0 0 - 2865 -
68 Dekstrometorfan tablet 15 mg pot 0 - 0 0 - 11 -
69 Dexolut kotak 0 - 0 0 - 0 -
70 Diazepam injeksi 5mg/ml-2ml ktk @30 ampl 0 - 0 0 - 2368.1 -
71 Diazepam tablet 2 mg pot @1000 tab 0 100 100 0 100 31.9 3,190
72 Diazepam tablet 5 mg pot@250 tab 0 400 400 0 400 0 -
73 Difenhidramin HCl injeksi 10 mg/ml-1ml ktk@30 ampl 120 60 180 60 120 960 115,200
74 Digoksin tablet 0,25 mg ktk 10x10 tab 800 500 1300 900 400 143 57,200
75 Dikloksasilin kapsul 250 mg ktk 10x10 tab 0 - 0 0 - 0 -
76 Diltiazem HCl tablet 30 mg ktk 10x10 tab 500 - 500 0 500 134 67,000
77 Dimenhidrinat tablet 50 mg pot@100 tab 700 500 1200 0 1,200 95 114,000
78 Doksisiklin kapsul 100 mg ktk 10x10 tab 200 400 600 200 400 253 101,200
79 Efedrin HCl tablet 25 mg pot@100 tab 0 - 0 0 - 128.15 -
80 Efodril Inj kotak 0 - 0 0 - 0 -
81 Ekstrak Belladon tablet 10 mg pot@1000 tab 3000 - 3000 3000 - 31.68 -
82 Epinefrina HCl/Bitartrat (Epinefrina/Adren ktk@10 ampl 20 30 50 20 30 1500 45,000
83 Ergotamin pot @100 tab 0 - 0 0 - 0 -
84 erlamicetin tt mata tts botol 96 - 96 96 - 9000 -
85 erlamicetin tt telinga tts botol 114 - 114 114 - 5000 -
86 Eritromisin kapsul 250 mg ktk 10x10 tab 400 - 400 400 - 458.7 -
87 Eritromisin kapsul 500 mg ktk 10x10 tab 500 - 500 200 300 930 279,000
88 Eritromisin sirup 200 mg/5ml botol 180 162 342 235 107 8100 866,700
89 Etakridin (Rivanol) larutan 0,1% botol 0 - 0 0 - 1800 -
90 Etambutol tablet 250 mg (HCl) ktk 10x10 tab 0 - 0 0 - 0 -
91 Etambutol tablet salut 500 mg (HCl) ktk 10x10 tab 0 - 0 0 - 0 -
92 etanol 70% 100 ml botol 60 - 60 60 - 2500 -
93 Etanol 70% 1 lt botol 4 1 5 3 2 25000 50,000
94 Febrinex syrup botol 0 - 0 0 - 0 -
95 Fenilbutazon tablet 200 mg kotak 0 - 0 0 - 0 -
96 Fenitoin Natrium injeksi 50 mg/ml ampul 0 - 0 0 - 0 -
97 Fenitoin Natrium kapsul 30 mg kotak 400 300 700 100 600 0 -
98 Fenobarbital injeksi 50mg/ml-2ml ktk@30 ampl 100 - 100 0 100 1800 180,000
99 Fenobarbital tablet 30 mg ktk 10x10 tab 0 100 100 0 100 65 6,500
100 Fenoksimetil Penisilina tablet 250 mg kotak 0 - 0 0 - 0 -
101 Fenoksimetil Penisilina tablet 500 mg kotak 0 - 0 0 - 0 -
102 Fenol Gliserol tetes telinga 10% kotak 0 - 0 0 - 24200 -
103 Fitomenadion ( Vit.K1) injeksi 10mg/ml-1 ktk@30 ampl 0 210 210 30 180 1740 313,200
104 Fitomenadion ( Vit.K1) tablet salut gula pot@100 tab 100 700 800 0 800 680.62 544,496
105 Furosemid injeksi I.v/I.m. 10 mg/ml ktk@30 ampl 420 270 690 480 210 1716.73 360,513
106 Furosemid tablet 40 mg ktk@20x10 tab 0 - 0 0 - 510.4 -
107 Gameksan krim 1% tube 0 - 0 0 - 0 -
108 Garam Oralit untuk 200 ml air ktk 100 saset 0 - 0 0 - 380 -
109 Gentamicin injeksi 80mg/ml (sebagai sulf ktk@5 ampl 0 5 5 0 5 3696 18,480
110 Gentamicin salep kulit 30 175 31 206 206 - 540 -
111 gentamicin tts mata botol tts 40 32 72 50 22 3300 72,600
112 Gential Violet larutan 1% botol tts 192 - 192 192 - 5000 -
113 Glibenklamid tablet 5 mg ktk 10x10 tab 4200 400 4600 2600 2,000 72 144,000
114 Gliseril Guayacolat tablet 100 mg pot@1000 tab 15000 - 15000 11000 4,000 27.9 111,600
115 Gliserin kotak 1 - 1 0 1 4730 4,730
116 Glukosa larutan infus 10% steril (Produk botol 0 20 20 0 20 5727 114,540
117 Glukosa larutan infus 40% steril (Produk botol 0 - 0 0 - 0 -
118 Glukosa larutan infus 5% steril (Produk l botol 108 20 128 109 19 5060 96,140
119 Griseofulvin tablet 125 mg, micronized ktk 10x10 tab 900 500 1400 500 900 240 216,000
120 H2O2 3 % botol 0 - 0 0 - 0 -
121 Haloperidol tablet 0,5 mg ktk 10x10 tab 0 - 0 0 - 52.52 -
122 Haloperidol tablet 1,5 mg ktk 10x10 tab 600 100 700 700 - 60.47 -
123 Haloperidol tablet 5 mg ktk 10x10 tab 0 - 0 0 - 0 -
124 Hemafort kotak 0 - 0 0 - 0 -
125 Hidroklorotiazid (HCT) tablet 25 mg pot@1000 tab 1000 2,200 3200 1800 1,400 36.3 50,820
126 Hidrokortison krim 2,5% tube 100 133 233 158 75 2860 214,500
127 hiocin butil bromida ktk@5 ampl 25 20 45 30 15 4091 61,365
128 Ibuprofen tablet 200 mg pot@100 tab 1000 600 1600 1400 200 115.5 23,100
129 Ibuprofen tablet 400 mg ktk 10x10 tab 3300 7,200 10500 6800 3,700 205.04 758,648
130 Ibuprofen sirup botol 200 109 309 269 40 3500 140,000
131 Isoniazid tablet 100 mg ktk 10x10 tab 0 - 0 0 - 0 -
132 Isoniazid tablet 300 mg ktk 10x10 tab 0 - 0 0 - 0 -
133 Isosorbid Dinitrat tablet sublingual 5 mg ktk 10x10 tab 1000 2,300 3300 1600 1,700 97.35 165,495
134 Kalium Permanganat serbuk pot@1000 tab 0 - 0 0 - 0 -
135 Kalsium Laktat (Kalk) tablet 500mg pot@1000 tab 12000 - 12000 12000 - 52 -
136 Kaptopril tablet 12,5 mg ktk 10x10 tab 2200 900 3100 2700 400 90 36,000
137 Kaptopril tablet 25 mg ktk 10x10 tab 1200 100 1300 1300 - 137.75 -
138 Karbamazepin tablet 200 mg ktk 10x10 tab 100 - 100 100 - 0 -
139 Ketamin injeksi 10 mg/ml ampul 0 - 0 0 - 0 -
140 ketokenazole cream tube 0 65 65 0 65 7000 455,000
141 Ketokonazole ktk 5x10 tab 3050 750 3800 3200 600 410 246,000
142 ketoprofen 100 mg ktk 10x10 tab 3600 - 3600 3600 - 304 -
143 ketoprofen 200 mg ktk 10x10 tab 0 - 0 0 - 0 -
144 Klindamisin kapsul 150 mg ktk 5x10 tab 0 - 0 0 - 752.76 -
145 Klofazimin kapsul 100 mg micronize kotak 0 - 0 0 - 0 -
146 Kloramfenikol kapsul 250 mg ktk 10x10 tab 2800 100 2900 1700 1,200 266.5 319,800
147 Kloramfenikol suspensi 125 mg/5ml botol 0 85 85 0 85 4500 382,500
148 Kloramfenikol tetes mata botol tts 0 - 0 0 - 2500 -
149 Kloramfenikol tetes telinga 3% botol tts 0 - 0 0 - 1600 -
150 Klorfeniramin Maleat (CTM) tablet 4 mg pot@1000 tab 8000 4,100 12100 9600 2,500 24 60,000
151 Klorokuin tablet 150 mg pot@1000 tab 0 - 0 0 - 0 -
152 Klorpromazin HCl injeksi 25mg/ml-1ml ktk@30 ampl 30 - 30 30 - 0 -
153 Klorpromazin HCl injeksi 5mg/ml-2ml ktk@30 ampl 0 - 0 0 - 0 -
154 Klorpromazin tablet salut 100 mg KTK@100 tab 500 200 700 200 500 0 -
155 Klorpromazin tablet salut 25 mg pot@100 tab 500 200 700 200 500 0 -
156 Kodein ktk 10x10 tab 700 400 1100 100 1,000 1068.21 1,068,210
157 Kombinasi Pirimetamin 25mg + Sulfadox ktk 10x10 tab 0 - 0 0 - 0 -
158 Kotrimoksazol Suspensi kombinasi botol 230 57 287 240 47 1850 86,950
159 Kotrimoksazol tablet kombinasi ktk 10x10 tab 6700 3,000 9700 6100 3,600 165 594,000
160 Kotrimoksazol tablet pediatrik kombinasi pot@100 tab 0 - 0 0 - 77 -
161 Kuinin (Kina) tablet 200 mg kotak 0 - 0 0 - 0 -
162 Kuinin Hidroksida injeksi 25%-2ml ampul 0 - 0 0 - 0 -
163 lanzoprazol ktk 2x10 tab 400 860 1260 660 600 1182.5 709,500
164 Larutan Benedict botol 0 - 0 0 - 0 -
165 Larutan Eosin 2% botol 0 - 0 0 - 0 -
166 Larutan Etanol Asam botol 0 - 0 0 - 0 -
167 Larutan Giemsa Stain botol 0 - 0 0 - 0 -
168 Larutan Karbol Fuksin kotak 0 - 0 0 - 0 -
169 Larutan Metilen Biru botol 0 - 0 0 - 0 -
170 Larutan Turk botol 0 - 0 0 - 0 -
171 levofloxacin ktk 10x10 tab 1700 200 1900 1300 600 287 172,200
172 Lidokain Komp. Injeksi, kombinasi : ktk@30 ampl 0 - 0 0 - 113.67 -
173 Likogenta salp kotak 0 - 0 0 - 0 -
174 Lincomisin botol 0 - 0 0 - 0 -
175 Lisol, mengandung Kresol tersabun 50% botol 0 - 0 0 - 0 -
176 Loperamid ktk 10x10 tab 400 3,200 3600 1100 2,500 91.55 228,875
177 Loratadine ktk 10x10 tab 2000 3,400 5400 2600 2,800 166.54 466,312
178 Magnesium Sulfat inj (IV) 20%-25ml botol 5 - 5 0 5 0 -
179 Magnesium Sulfat inj (IV) 40%-25ml botol 240 - 240 132 108 0 -
180 Magnesium Sulfat serbuk 30 gram kotak 0 - 0 0 - 0 -
181 Mebendazol sirup 100 mg / 5ml botol 0 - 0 0 - 0 -
182 Mebendazol tablet 100 mg ktk 0 - 0 0 - 69.3 -
183 meloxicam ktk 5x10 tab 1100 - 1100 1100 - 691.9 -
184 Metanol botol 0 - 0 0 - 0 -
185 Metformin tablet salut 500 mg ktk 10x10 tab 2000 2,000 4000 2700 1,300 181.5 235,950
186 Methylprednisolon 4 mg ktk 10x10 tab 1000 1,400 2400 900 1,500 440.55 660,825
187 Metilergometrin Maleat tablet salut 0,1 ktk 10x10 tab 600 400 1000 100 900 121 108,900
188 Metilergometrin Maleat inj. 0,200mg-1ml ktk@10 ampl 0 - 0 0 - 4470 -
189 Metoclopramid ktk 10x10 tab 1500 1,700 3200 2400 800 110 88,000
190 Metronidazol tablet 250 mg ktk 10x10 tab 0 - 0 0 - 0 -
191 Metronidazol tablet 500 mg ktk 10x10 tab 5700 3,200 8900 6200 2,700 220 594,000
192 Mikonazol krim/salep 2% (nitrat) tube 120 88 208 120 88 3000 264,000
193 Na Diklofenol 25 Mg ktk 5x10 tab 1850 4,900 6750 2050 4,700 167.68 788,096
194 Natrium Bikarbonat tablet 500 mg pot@1000 tab 2000 - 2000 2000 - 14.3 -
195 Natrium Diklopenac 50mg kotak 0 1,100 1100 0 1,100 0 -
196 Natrium Fluoresein tetes mata 2% botol tts 0 - 0 0 - 0 -
197 Natrium Klorida larutan infus 0,9% steril botol 313 68 381 218 163 4900 798,700
198 Natrium tiosulfat injeksi 25%-10ml ampul 0 - 0 0 - 0 -
199 NB Topical botol 0 - 0 0 - 0 -
200 Nifedipin tablet 10 mg ktk 10x10 tab 0 500 500 0 500 110 55,000
201 Nistatin tablet salut 500.000 IU ktk 10x10 tab 700 400 1100 300 800 640 512,000
202 Nistatin tablet vaginal 100.000 IU/g ktk 10x10 tab 100 200 300 100 200 480 96,000
203 Noza streep 0 - 0 0 - 0 -
204 Obat Batuk Hitam (OBH) cairan botol 931 - 931 931 - 9750 -
205 Omeprazol ktk 3x10 tab 1650 2,250 3900 1770 2,130 245 521,850
206 ondensitron inj ktk@5 ampl 0 145 145 0 145 2400 348,000
207 Oksitetrasiklin HCl injeksi I.m 50 mg/ml- ktk@10 ampl 0 - 0 0 - 0 -
208 Oksitetrasiklin HCl salep mata 1% tube 75 - 75 50 25 1920 48,000
209 Oksitetrasiklin HCL salep kulit tube 100 - 100 75 25 1651 41,275
210 Oksitosin injeksi 10IU/ml-1ml ktk@10 ampl 0 - 0 0 - 5355 -
211 Palentin kotak 0 - 0 0 - 0 -
212 Paproxine botol 0 - 0 0 - 0 -
213 papaverin inj ktk@100 ampl 0 - 0 0 - 530 -
214 Papaverin pot@1000 tab 2000 - 2000 2000 - 99.5 -
215 Parafolmaldehid tablet 1 gram kotak 0 - 0 0 - 0 -
216 parasetamol drop botol 220 156 376 300 76 5227 397,252
217 Parasetamol sirup 120 mg/5 ml botol 793 426 1219 741 478 2300 1,099,400
218 Parasetamol tablet 100 mg ktk 10x10 tab 0 - 0 0 - 0 -
219 Parasetamol tablet 500 mg ktk 10x10 tab 13800 3,700 17500 15800 1,700 105 178,500
220 Pehamoxil 500 mg ktk 10x10 tab 0 - 0 0 - 0 -
221 Pehastan 500 / Asam Mefenamat 500 m ktk 10x10 tab 0 - 0 0 - 0 -
222 Pehatrim kotak 0 - 0 0 - 0 -
223 Pehavral kotak 0 - 0 0 - 0 -
224 Perfenazin tablet 4 mg (HCl) botol 0 - 0 0 - 0 -
225 Pilokarpin HCl / Nitrat tetes mata 2% botol 0 - 0 0 - 0 -
226 Pirasetam tab ktk 10x10 tab 900 200 1100 200 900 1293.6 1,164,240
227 Pirasetam inj ktk@6 ampl 42 - 42 6 36 11403.33 410,520
228 Pirantel sir 125up mg botol 93 13 106 93 13 32000 416,000
229 Pirazinamid tablet 500 mg ktk 10x10 tab 600 - 600 0 600 208 124,800
230 Piridoksin HCl (Vit.B6) tablet 10 mg pot@1000 tab 9000 400 9400 4200 5,200 17.4 90,480
231 Piroxicam 20 mg ktk 10x10 tab 0 - 0 0 - 91.96 -
232 Piroxicam 5 mg ktk 10x10 tab 0 - 0 0 - 0 -
233 Polikresulen 360mg/g botol 0 - 0 0 - 0 -
234 Povidon Iodida 10% 30 Ml botol 183 - 183 111 72 2400 172,800
235 povidon iodin 10% 60 ml botol 35 31 66 30 36 3500 126,000
236 Povidon Iodida 10% 300 ml botol 55 35 90 63 27 14500 391,500
237 povidon 10% 1 lt botol 17 - 17 9 8 42000 336,000
238 Prazikuantel tablet 600 mg ktk 10x10 tab 0 - 0 0 - 0 -
239 Prazosin tablet 1 mg (HCl) ktk 0 - 0 0 - 0 -
240 Prednisone tablet 5 mg ktk 10x10 tab 700 200 900 900 - 625 -
241 Primakuin tablet 15 mg pot@1000 tab 0 - 0 0 - 109 -
242 Prokain Benzil Penisilin G. injeksi 3 jt IU/ vial 12 5 17 0 17 10780 183,260
243 Propanolol tablet 10 mg (HCl) ktk 10x10 tab 300 2,300 2600 300 2,300 65 149,500
244 Propiltiourasil tablet 100 mg pot@100 tab 400 100 500 400 100 329.53 32,953
245 Propranolol HCl tablet 40 mg ktk 10x10 tab 0 - 0 0 - 65 -
246 Pyridoxine Hcl inj ktk@30 ampl 0 100 100 0 100 0 -
247 Ranitidin inj ktk@10 ampl 260 200 460 120 340 6425 2,184,500
248 Ranitidin tablet 150 mg ktk 10x10 tab 12900 3,900 16800 9400 7,400 220 1,628,000
249 Reserpin tablet 0,10 mg pot@100 tab 0 - 0 0 - 0 -
250 Reserpin tablet 0,25 mg pot@100 tab 0 - 0 0 - 0 -
251 Retinol (Vitamin A) tablet 50.000 IU botol 0 - 0 0 - 0 -
252 Retinol (Vitamin A) 100.000 IU kapsul lu botol 0 - 0 0 - 0 -
253 Retinol (Vitamin A) 200.000 IU kapsul lu botol 0 - 0 0 - 0 -
254 Rifampicin kaplet 600 mg ktk 10x10 tab 0 - 0 0 - 0 -
255 Rifampicin kapsul 300 mg ktk 10x10 tab 0 - 0 0 - 0 -
256 Rifampicin tablet salut 450 mg ktk 10x10 tab 200 - 200 200 - 660 -
257 Ringer Laktat larutan infus steril ( Produ botol 240 100 340 200 140 5200 728,000
258 Salbutamol ktk 10x10 tab 0 - 0 0 - 0 -
259 Salbutamol tablet 2 mg ( sebagai sulfat ) ktk 10x10 tab 1200 1,800 3000 1700 1,300 84.03 109,239
260 Salbutamol tablet 4 mg ( sebagai sulfat ) ktk 10x10 tab 600 - 600 600 - 97.49 -
261 Salep 2-4, kombinasi : tube 48 43 91 48 43 1229.1667 52,854
262 salep luka bakar tube 20 3 23 15 8 14000 112,000
263 Salisil Bedak 2% kotak 21 9 30 24 6 1430 8,580
264 Serum Anti Bisa Ular Polivalen injeksi 5 kotak 0 - 0 0 - 0 -
265 Serum Anti Bisa Ular Polivalen injeksi 50 kotak 0 - 0 0 - 0 -
266 Serum Anti Difteri injeksi 20.000 IU/vial kotak 0 - 0 0 - 0 -
267 Serum Anti Tetanus injeksi 1.500 IU/ampu kotak 0 - 0 0 - 0 -
268 Serum Anti Tetanus injeksi 20.000 IU/vial kotak 0 - 0 0 - 0 -
269 cefixim ktk 10x10 tab 100 9,000 9100 100 9,000 479 4,311,000
270 Sianokobalamin ktk 10x10 tab 1600 600 2200 700 1,500 131.02 196,530
271 Sianokobalamin (vit B12) injeksi 500mcgktk@100 ampl 500 100 600 400 200 1037 207,400
272 Simvastatin ktk 2x10 tab 560 - 560 560 - 769.5 -
273 Siprofloksasin tablet 500 mg ( sebagai H ktk 10x10 tab 0 - 0 0 - 0 -
274 Streptomisin serbuk injeksi I.v 1500 mg/ kotak 0 - 0 0 - 0 -
275 Sulfadimidin tablet 500 mg ktk 10x10 tab 0 - 0 0 - 0 -
276 sulfadoxin ktk 10x10 tab 500 100 600 0 600 0 -
277 Sulfasetamid Natrium tetes mata 15% botol tts 0 - 0 0 - 0 -
278 Tetrakain HCl tetes mata 0,5% botol tts 0 - 0 0 - 0 -
279 Tetrasiklin HCl kapsul 250 mg ktk 10x10 tab 1300 500 1800 1000 800 140 112,000
280 Tetrasiklin HCl kapsul 500 mg ktk 10x10 tab 0 400 400 0 400 257 102,800
281 Thiamin HCl (vit B1) injeksi 100 mg/ml-1 ktk@30 ampl 0 - 0 0 - 0 -
282 Thiamin HCl / Mononitrat (vit B1) tablet pot@1000 tab 9000 800 9800 6000 3,800 37.8 143,640
283 Thiamin Inj (Vitamin B1) ktk@30 ampl 60 - 60 0 60 766.67 46,000
284 Thiamfenikol ktk 10x10 tab 1400 - 1400 900 500 616 308,000
285 Tiopental Natrium serbuk injeksi 1000m botol 0 - 0 0 - 0 -
286 Tramadol injeksi 50 mg/ml ktk@5 ampl 0 - 0 0 - 1067 -
287 Tramadol tablet 50mg ktk 5x10 tab 0 50 50 0 50 330 16,500
288 Triheksifenidil Hidroklorida tablet 2 mg ktk 10x10 tab 2300 700 3000 1000 2,000 40 80,000
289 Vaksin Rabies Vero kotak 0 - 0 0 - 0 -
290 Verapamil tablet 80 mg (HCl) kotak 0 - 0 0 - 0 -
291 Vit B12 pot@1000 tab 0 - 0 0 - 0 -
292 Vitamin B Komplek tablet pot@1000 tab 0 - 0 0 - 22.2 -
293 zink sirup botol 40 26 66 10 56 7400 414,400
294 Zink ktk 10x10 tab 1200 900 2100 700 1,400 475 665,000
295 Febrinex syrup botol 1200 - 1200 1200 - 15855 -
296 Bionic plus botol 2 - 2 2 - 18700 -
297 Fituno STREEP 101 - 101 101 - 30140 -
298 Neorovit E STREEP 42 - 42 42 - 9240 -
299 Asifit botol 1080 - 1080 1080 - 1584 -
300 Nodiar STREEP 50 - 50 0 50 3696 184,800
301 amlodipin 10 mg ktk 3x10 tab 210 3,150 3360 780 2,580 300 774,000
302 asam mefenamat 250 mg ktk 10x10 tab 5,000 2,000 7000 5200 1,800 0 -
303 asam transemat inj 50mg/5ml ktk 10 amp@5ml - - 0 0 - 2681.8 -
304 asetilsalicylic acid (miniaspi 80mg) ktk 10x10 tab 3,600 2,900 6500 2100 4,400 134.54 591,976
305 batam opthal eyes drop btl 5ml 6 - 6 6 - 22823 -
306 cindo leeters 15 ml btl 15 ml 22 11 33 10 23 14318 329,314
307 clozapine 100 ktk 5x10 tab 100 50 150 0 150 4545.44 681,816
308 diflucan cap 500mg ktk 10 caps 80 60 140 80 60 314185 18,851,100
309 fluconazole150mg capsulgenoid sal ktk 1x10 caps 40 60 100 20 80 0 -
310 genoid salep mata 0,3% tube 3,4 grm 48 36 84 60 24 0 -
311 glimipiride ktk 50 tab 500 400 900 400 500 0 -
312 ketorolac inj ktk @12 ampl 60 240 300 132 168 2300 386,400
313 kloramfenikol salep mata 1% tube 5gr 48 45 93 48 45 1600 72,000
314 laxadine emulsion btl 60ml 20 7 27 12 15 11318 169,770
315 ondensitron tab ktk 3x10 tab 90 870 960 150 810 716 579,960
316 omepeprazole inj 40mg/vial+pelarut ktk 1 vial 30 14 44 13 31 0 -
317 resperidone 2mg ktk 5x10 tab 100 100 200 0 200 916.36 183,272
318 scabimet cream10mg tube 10 grm 31 38 69 26 43 10430 448,490
319 spironolacton tab 25mg ktk 10x10 tab 400 300 700 400 300 255 76,500
320 temiral salep mata tube 3,5 mg 56 5 61 61 - 22499 -
321 ulsafat suspensi 100mg btl 100 ml 50 20 70 20 50 12204 610,200
322 ulsidex 500mg ktk 10x10 tab 1,900 1,400 3300 1700 1,600 410 656,000
323 vagizol ovula kotak 5 ovula 10 10 20 0 20 0 -
324 vitamin b.compleks tablet/box ktk 10x10 tab 6,800 6,000 12800 8700 4,100 107 438,700
325 vitamin c tablet /box ktk 10x10 tab - 600 600 600 - 0 -
326 ventolin nebules 2,5 mg ktk 4x5 nebule 25 36 61 15 46 6000 276,000
327 ventolin in heler cfc free ktk 42 - 42 7 35 57955 2,028,425
328 progastic streep 20 - 20 20 - 3025 -
329 miraclav STREEP 50 - 50 50 - 79200 -
330 bioneuro inj box@5 amp 5 - 5 5 - 0 -
331 hustab streep 90 - 90 90 - 0 -
332 flutamol srp botol 60 ml 3 - 3 3 - 0 -
333 ramaton streep 100 - 100 100 - 0 -
334 bionic mild with dha srp botol 60 ml 16 - 16 16 - 0 -
335 bionic droop botol 15 ml 16 - 16 16 - 0 -
336 dipecta streep 400 - 400 100 300 0 -
337 kloramfecort tube 10 grm 72 - 72 32 40 0 -
338 betason tube 5 gr 10 - 10 10 - 0 -
339 neurodioal streep 200 - 200 50 150 0 -
340 mersibion inj ampl 60 - 60 20 40 0 -
341 Asam Askorbat (Vit C ) tablet 250 m kotak 10x10 tab - 400 400 400 -
342 lidocain ktk@100 ampl 300 400 700 400 300 664.95 199,485
0 0 -
OBAT GIGI 0 0 -
1 Air Raksa dental use botol 0 - 0 0 - 0 -
2 devitalisasi pasta (non arsen) kotak 0 - 0 0 - 0 -
 3 Etil lorida spray botol 16 4 20 13 7 105000 735,000
4 eugenol cairan kotak 0 - 0 0 - 550000 -
5 Fluor tablet 0,5 mg botol 0 - 0 0 - 0 -
6 Glass ionomer cement ART botol 0 - 0 0 - 0 -
7 Kalsium Hidroksida Pasta kotak 0 - 0 0 - 0 -
8 Klorfenol kamfer menthol (CHKM) botol 4 - 4 1 3 55000 165,000
9 Mummifying pasta botol 0 - 0 0 - 0 -
10 Semen seng fosfat serbuk dan cairan botol 0 - 0 0 - 0 -
11 Siver Amalgam serbuk 65-75% botol 0 - 0 0 - 0 -
12 Temporary Stopping Fletcher (Fletcher) botol 0 - 0 0 - 0 -
0 0 -
Alat Kesehatan 0 0 -
### 1 Alat suntik sekali pakai 1 ml kotak 100 set 500 800 1300 300 1,000 1090.5 1,090,500
2 Alat suntik sekali pakai 2,5 ml kotak 100 set 0 - 0 0 - 1038 -
3 Alat suntik sekali pakai 3 ml kotak 100 set 1600 800 2400 1700 700 650 455,000
4 Alat suntik sekali pakai 5 ml kotak 100 set 1400 400 1800 1000 800 1038 830,400
5 alkohol sweap kotak 700 1,400 2100 500 1,600 10000 16,000,000
6 bisturi ktk 100pcs 600 100 700 600 100 800 80,000
7 Catgut / benang No. 2/0-3/0 kotak 12 pcs 48 49 97 49 48 1883.25 90,396
8 Folley Catheter No. 14 kotak 10 set 0 - 0 0 - 17000 -
9 Folley Catheter No. 16 kotak 10 set 39 - 39 0 39 17000 663,000
10 Folley Catheter No. 18 kotak 10 set 10 - 10 3 7 17000 119,000
11 Infusion set anak kotak 50 set 56 50 106 19 87 4000 348,000
12 Infusion set dewasa kotak 50 set 70 106 176 67 109 3500 381,500
13 lomatule kotak 10 set 0 - 0 0 - 19000 -
14 IV Chateter no 20 kotak 50 set 300 - 300 250 50 4669.2 233,460
15 IV Chateter no 22 kotak 50 set 50 - 50 0 50 4669.2 233,460
16 IV Chateter no 24 kotak 50 set 500 - 500 450 50 4669.2 233,460
17 Kapas berlemak 500 gram bungkus 14 11 25 14 11 7500 82,500
18 kapas pembalut absorben 100 gram bungkus 13 4 17 17 - 0 -
19 Kapas Pembalut/Absorben 250 gram bungkus 106 - 106 106 - 0 -
20 Kasa Kompres 40/40 steril bungkus 0 56 56 0 56 0 -
21 Kasa Pembalut 2m x 80 cm bungkus 0 - 0 0 - 0 -
22 Kasa Pembalut 40 x 80 yard S-26 Rol 0 26 26 0 26 0 -
23 Kasa Pembalut Hidrofil 4 m x 15 cm elast Rol 8 18 26 0 26 30350 789,100
24 Kasa Pembalut Hidrofil 4 m x 3 cm elasti Rol 0 - 0 0 - 0 -
25 Masker kotak 20 120 140 52 88 22500 1,980,000
26 Pembalut Gips set 0 - 0 0 - 0 -
27 perban elastis Rol 11 - 11 0 11 30000 330,000
28 Plester 5 yard x 2 inch kotak 6 rol 36 4 40 37 3 0 -
29 Sarung tangan steril 6,5 kitak 0 - 0 0 - 212500 -
30 Sarung tangan steril 7 kotak 5 1 6 6 - 212500 -
31 Sarung tangan steril 7,5 kotak 0 - 0 0 - 212500 -
32 sarung tangan non steril kotak 7 47 54 10 44 32500 1,430,000
33 Silk ( Benang Bedah Sutera ) No. 3/0 saset 120 79 199 67 132 13616 1,797,312
34 Urine Bag bungkus 19 31 50 0 50 4000 200,000
35 tensigars set 0 - 0 0 - 0 -
36 aquagel sterile jeli 82grm tube 10 16 26 0 26 34528 897,728
37 suction catheter no 6 pcs 10 - 10 0 10 10000 100,000
38 suction catheter no 8 pcs 10 - 10 0 10 10000 100,000
39 cutget plant no 2/0 saset 48 45 93 36 57 27758 1,582,206
40 levin tube no 14 pcs 20 - 20 0 20 17000 340,000
41 levin tube no 16 pcs 20 40 60 0 60 17000 1,020,000
42 levin tube no 18 pcs 20 36 56 0 56 17000 952,000
43 kapas pembalut/adsorben 500mg bungkus 8 - 8 8 - 16500 -
44 kassa kompress 40cmx40cm bungkus 60 - 60 60 - 1800 -
45 nasal oxigen,O2 canula uk s pcs 20 - 20 2 18 20000 360,000
46 nasal oxigen,O2 canula uk m pcs 10 - 10 2 8 20000 160,000
47 nasal oxigen,O2 canula uk l pcs 20 - 20 2 18 20000 360,000
48 elastic perban rol 0 - 0 0 - 30000 -
49 kapas 100mg bungkus 0 - 0 0 - 30000 -
50 masker karet+tali kotak 51 - 51 51 - 40000 -
51 kasa hidrofil 16x16cm pcs 31 - 31 31 - 5800 -
 TOTAL 114,266,167

Mengetahui,
Pimpinan Puskesmas Margojadi PEMEGANG PROGRAM,

TARBI HASTIN FITRIA CAHYANI, S.farm

NIP. 19660602 198711 1 001 NIP. 19810826 201101 2004