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USULAN OBAT TAHUN ANGGARAN 2016

PUSKESMAS PURWOASRI

AH
SATUAN JUMLAH USUL KETERA
NO. NAMA OBAT PEMAKAIAN AN NGAN
KEMASAN 2015
2016
0101 Albendasol Tablet 400 mg Tablet 7586 300
0102 Albendazol suspensi 200 mg/5 ml Botol 550 300
0103 Alopurinol Tablet 100 mg Tablet 5575 10000
0104 Ambroxol sirup 15 mg/ml Botol 223 300
0105 Ambroxol Tablet 30 mg Tablet 8080 10000
0106 Aminofilin Tablet 200 mg Tablet 0 5000
0107 Aminofilin Injeksi 24 mg/ml - 10 ML Ampul 0 0
0108 Amitriptilin HCL Tablet Salut 25 mg Tablet 15 0
0109 Amlodipin tablet 5 mg Tablet 1958 3000
0110 Amoksisilin + As. Klavulanat 625 mg tablet Tablet 0 0
0111 Amoksisilin Sirup Kering 125 mg/5 ml Botol 486 500
0112 Amoksisilin Kapsul 250 mg Kapsul 660 6000
0113 Amoksisilin Kapsul 500 mg Tablet 44275 50000
0114 Ampisillin Serbuk Injeksi i.m/i.v 1000 mg/ml Vial 170 0
0115 Ampisillin sirup kering 125 mg/5ml Botol 0 0
0116 Antalgin ( metampiron ) Tablet 500 mg Tablet 11140 10000
0117 Antalgin Injeksi 250 mg/ml - 2 ml Ampul 0 0
0118 Antasida DOEN Tablet Kombinasi : Tablet 23050 50000
Antasida DOEN II suspensi,kombinasi: Aluminium Hidroksida 200 mg
0119 Magnesium Hidroksida 200 mg Botol 220 300
0120 Anti Bakteri DOEN, Salep Kombinasi Tube 373 0
Antifungi DOEN Kombinasi:
0121 Asam Benzoat 6% + Asam Salisilat 3% Tablet 0 0
0122 Antihemoroid DOEN Kombinasi:Bismut subSuppositoria 32 100
0123 Antimigrain Doen Kombinasi Tablet 0 2000
0124 Aqua Proinjeksi Steril, Bebas Pirogen Vial 123 0
0125 Artesunate 50 mg + Amodiquin (ACT) Tablet 0 0
0126 Asam Askorbat ( Vit C ) Tablet 50 mg Tablet 5990 20000
0127 Asam Mefenamat Tablet 500 mg Tablet 23645 40000
0128 Asam Traneksamat 500 mg Tablet 0 0
0129 Asam Traneksamat injeksi 250 mg Ampul 10 0
0130 Asetosal Tablet 100 mg Tablet 70 0
0131 Asetosal Tablet 500 mg Tablet 60 300
0132 Asiklovir Tablet 400 mg Tablet 240 500
0133 Asiklovir Tablet 200 mg Tablet 30 0
0134 Asiklovir Krim 5 % Tube 137 200
0135 Atropin Sulfat Injeksi 0,25 mg/ml - 1 ml Ampul 0 0
0136 Atropin Sulfat Tablet 0,5 mg Tablet 10 0
0137 Attapulgite Pektin Tablet 22 0
0201 Benzatin Benzil Penisilin 2,4 juta IU/vial Vial 0 0
0202 Besi (III) Hidroksida Polimaltosa Sirup ( Tablet 0 0
0203 Besi (II) Sulfat 200 mg + Asam Folat 0,25 Botol 63000 0
0204 Betahistin Mesilat Tablet 6 mg Tablet 60 200
0205 Betametason Krim 0,1 % Tube 258 300
0206 Bisacodyl 5 mg Tablet 22 0
0207 Bisoprolol tablet 5mg Tablet 0 5000
0208 Bromheksin Tablet 8 mg Tablet 700 1000
0301 Cetirizin sirup 5 mg/5 ml Botol 8 100
0302 Cetirizine tablet 10 mg Tablet 190 2000
0401 Deksametason Inj.5 mg/ml - 1 ml Ampul 300 0
0402 Deksametason Tablet 0,5 mg Tablet 20460 20000
0403 Dekstrometorfan HBR Sirup 10 mg/5 ml Botol 0 0
0404 Dekstrometorfan HBR Tablet 15 mg Tablet 0 0
0405 Diazepam Inj. 5 mg/ml - 2 ml Ampul 0 10
0406 Diazepam Tablet 2 mg Tablet 0 2000
0407 Diazepam Tablet 5 mg Tablet 0 500
0408 Dietilkarbamazin Sitrat Tablet 100 mg Tablet 0 0
0409 Difenhidramin HCL Inj. 10 mg/ml - 1 ml Ampul 475 300
0410 Digoksin Tablet 0,25 mg Tablet 212 0
0411 Diltiazem HCl Tablet 30 mg Tablet 0 0
0412 Dimenhidrinat Tablet Tablet 1310 0
0413 Doksisiklin Kapsul 100 mg Kapsul 20 0
0414 Domperidon Suspensi 5 mg/ 5 ml Botol 18 50
0415 Domperidon Tablet 10 mg Tablet 1665 3000
0501 Echinacea purpurea 250mg, Zinc picolinate Kaplet 1396 5000
0502 Efedrin HCL Tablet 25 mg Tablet 0 0
0503 Ekstrak Belladon Tablet 10 mg Tablet 8760 3000
0504 Epinefrin HCL/Bitartrat ( Adrenalin ) Inj. 0, Ampul 0 0
0505 Eritromisin Kapsul 250 mg Kapsul 0 0
0506 Eritromisin Tablet 500 mg Tablet 1920 0
0507 Eritromisin Sirup 200 mg/5 mg Botol 147 0
0508 Etakridin ( Rivanol ) Larutan 0,1 % Botol 5 0
0509 Etambutol HCL Tablet 250 mg Tablet 0 0
0601 Famotidin Tablet 20 mg Tablet 435 0
0602 Fenitoin Natrium Injeksi 50 mg/ml Ampul 0 0
0603 Fenitoin Natrium Kapsul 100 mg Kapsul 0 0
0604 Fenitoin Natrium Kapsul 30 mg Kapsul 0 0
0605 Fenobarbital Injeksi 50 mg/ml - 2 ml Ampul 11 0
0606 Fenobarbital Tablet 100 mg Tablet 0 0
0607 Fenobarbital Tablet 30 mg Tablet 0 1000
0608 Fenoksimetil Penisilina Tablet 250 mg Tablet 0 0
0609 Fenoksimetil Penisilina Tablet 500 mg Tablet 0 0
0610 Fenol Gliserol Tetes Telinga 10 % Botol 42 0
0611 Fitomenadion ( Vit. K 1 ) Inj. 10 mg/ml - 1 m Ampul 650 120
0612 Fitomenadion ( Vit. K ) Tablet Salut 10 mg Tablet 1454 2000
0613 Fluconazole Kapsul 150 mg Kapsul 0 0
0614 Fluphenazine Decanoate 25mg/ml Ampul 10 60
0615 Fluor Tablet 0,5 mg Tablet 0 0
0616 Furosemid Tablet 40 mg Tablet 665 500
0617 Furosemid Injeksi i.v / i.m 10 mg/ml Ampul 0 0
0701 Gameksan Emulsi 1 % Botol 0 100
0702 Garam Oralit 200 ml Air Sachet 4000 1000
0703 Gentamisin injeksi 40 mg/ml Ampul 305 0
0704 Gentamisin Salep Kulit 0,1 % Tube 52 200
0705 Gentian Violet Larutan 1 % Botol 393 100
0706 Glibenklamid Tablet 5 mg Tablet 3716 5000
0707 Gliseril Guayakolat Tablet 100 mg Tablet 18125 35000
0708 Glukosa Larutan Infus 5 % Steril (Produk lo Botol 105 100
0709 Glukosa Larutan Infus 10 % Steril (Produk l Botol 150 0
0710 Glukosa Larutan Infus 40 % Steril Botol 30 0
0711 Griseofulvin Tablet 125 mg, Micronized Tablet 1180 1000
0801 Haloperidol Tablet 0,5 mg Tablet 0 0
0802 Haloperidol Tablet 1,5 mg Tablet 0 0
0803 Haloperidol Tablet 2 mg Tablet 335 8000
0804 Haloperidol Tablet 5 mg Tablet 3077 7000
0805 Haloperidol Dekanoat Injeksi Ampul 0 0
0806 Haloperidol Injeksi 5 mg/ml Ampul 0 0
0807 Hidroklorotiazid ( HCT ) Tablet 25 mg Tablet 8724 1000
0808 Hidrokortison Krim 2,5 % Tube 223 250
0809 Hyoscine Butylbromide 10 mg Methampyr Tablet 30 200
0901 Ibuprofen suspensi 100 mg/5 ml Botol 46 200
0902 Ibuprofen Tablet 200 mg Tablet 13100 4000
0903 Ibuprofen Tablet 400 mg Tablet 30435 40000
0904 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 320 1000
1001 Kalium Diklofenak Tablet 50 mg Tablet 4270 10000
1002 Kalium Permanganat Serbuk Pot 0 0
1003 Kalsium Laktat ( Kalk ) Tablet 500 mg Tablet 17630 20000
1004 Kaolin Pektin Sirup Botol 8 30
1005 Kaptopril Tablet 12,5 mg Tablet 0 0
1006 Kaptopril Tablet 25 mg Tablet 17387 25000
1007 Kaptopril Tablet 50 mg Tablet 670 0
1008 Karbamazepin Tablet 200 mg Tablet 902 1500
1009 Ketokonazol Tablet 200 mg Tablet 1332 2000
1010 Ketokonazol Krim 2% Tube 111 200
1011 Ketorolak Injeksi 10 mg Ampul 0 0
1012 Ketorolak Injeksi 30 mg Ampul 0 0
1013 Klindamisin Kapsul 300 mg Kapsul 0 0
1014 Klofazimin Kapsul 100 mg, Micronized Kapsul 0 0
1015 Kloramfenikol Kapsul 250 mg Kapsul 0 3000
1016 Kloramfenikol Suspensi 125 mg/5 ml Botol 127 0
1017 Kloramfenikol Tetes Mata 0,5 % Botol 75 0
1018 Kloramfenikol Salep Mata 1 % Tube 0 0
1019 Kloramfenikol Tetes Telinga 3 % Botol 294 300
1020 Klorfeniramin Maleat ( CTM ) Tablet 4 mg Tablet 55235 70000
1021 Klorokuin Fosfat Tablet 250 mg Tablet 0 0
1022 Klorpromazin HCL Inj. 25 mg/ml - 1ml Ampul 0 0
1023 Klorpromazin HCL Inj. 5 mg/ml - 2 ml Ampul 30 0
1024 Klorpromazin HCL Tablet Salut 100 mg Tablet 3607 5000
1025 Klorpromazin HCL Tablet Salut 25 mg Tablet 0 0
1026 Klorpropamid Tablet 100 mg Tablet 0 0
1027 Kodein HCl Tablet 10 mg Tablet 335 0
1028 Kodein HCl Tablet 15 mg Tablet 0 0
1029 Kotrimoksasol Pediatrik Tablet Tablet 2988 5000
1030 Kotrimoksasol Suspensi Botol 712 1000
1031 Kotrimoksasol Dewasa Tablet Tablet 5237 7000
1032 Kuinin Dihidroklorida Inj. 25 % - 2 ml Ampul 0 0
1033 Kuinin Sulfa Tablet 222 mg ( 7 H2O ) Tablet 0 0
1101 Lanzoprazol kapsul/kaplet 30 mg Tablet 0 1000
1102 Levofloksasin Tablet 500 mg Tablet 0 0
1103 Lidokain Kompositum Injeksi Ampul 120 100
1104 Lidokain Hcl Injeksi 2 % Ampul 412 200
1105 Lisinopril Tablet 5 mg Tablet 36 1000
1106 Loratadin Tablet 10 mg Tablet 0 1000
1107 Lorazepam 2 mg Tablet 0 0
1108 Loperamid Tablet Tablet 2253 2000
1201 Magnesium Sulfat Injeksi ( IV ) 20 % - 25 m Vial 0 0
1202 Magnesium Sulfat Injeksi ( IV ) 40 % - 25 m Vial 0 0
1203 Mebendasol Sirup 100 mg/5 ml Botol 0 0
1204 Mebendasol Tablet 100 mg Tablet 0 0
1205 Meloksikam Tablet 7,5 mg Tablet 538 2500
1206 Metil Ergometrin Maleat Tablet Salut 0,125 Tablet 3465 0
1207 Metil Ergometrin Maleat Inj. 0,200 mg - 1 m Ampul 180 60
1208 Metilprednisolon Tablet 4 mg Tablet 0 1000
1209 Metformin HCl Tablet 500 mg Tablet 1042 3000
1210 Metoklopramide Tablet 10 mg Tablet 0 0
1211 Metoklopramide Injeksi 5 mg/ml Ampul 0 0
1212 Metoklopramide Sirup 5 mg/5ml Botol 27 0
1213 Metronidasol Tablet 250 mg Tablet 2000 0
1214 Metronidasol Tablet 500 mg Tablet 2476 5000
1215 Metronidazol Infus 500 mg/100 ml Botol 0 0
1216 Mikonazol Krim/Salep 2 % Tube 192 200
1217 Mineral Mix Sachet 200 0
1218 Multivitamin Sirup Botol 120 250
1219 Multivitamin tablet Tablet 1080 2000
1301 Natrium Bikarbonat Tablet 500 mg Tablet 0 0
1302 Natrium Diklofenak Tablet 50 mg Tablet 11990 12000
1303 Natrium Klorida Larutan Infus 0,9 % Steril Botol 80 0
1304 Nifedipin Tablet 10 mg Tablet 0 3000
1305 Nistatin 100.000 IU/G Tablet Vaginal Tablet 87 300
1306 Nistatin 500.000 IU Tablet Salut Tablet 0 0
1401 Obat Antituberkulosis Kategori 1 Paket 73 70
1402 Obat Antituberkulosis Kategori 2 Paket 6 10
1403 Obat Antituberkulosis Kategori Anak Paket 3 5
1404 Obat Batuk Hitam ( O.B.H ) Cairan Botol 321 500
1405 Obat Flu Kombinasi (Alpara) Tablet 1630 2000
1406 Ofloxacin tablet 200 mg Tablet 0 0
1407 Oksitetrasiklin HCL Injeksi I.M. 50 mg/ml - Ampul 0 0
1408 Oksitetrasiklin HCL Salep 3 % Tube 97 200
1409 Oksitetrasiklin HCL Salep Mata Tube 341 500
1410 Oksitosin Injeksi 10 IU/ml - 1 ml Ampul 500 300
1411 Omeprazol Kapsul 20 mg Kapsul 272 1000
1412 Oseltamivir kapsul/kaplet 75 mg Kapsul 0 0
1501 Papaverin Tablet 40 mg Tablet 1075 5000
1502 Papaverin Injeksi 40 mg/ml Ampul 0 0
1503 Paraformaldehid Tablet 1 Gram Tablet 0 0
1504 Parasetamol Drops Botol 162 0
1505 Parasetamol Sirup 120 mg/5 ml Botol 228 200
1506 Parasetamol Tablet 100 mg Tablet 0 0
1507 Parasetamol Tablet 500 mg Tablet 70795 ###
1508 Perfenazin Tablet 16 mg Tablet 0 0
1509 Perfenazin Tablet 4 mg Tablet 0 0
1510 Piracetam Injeksi 1 g/5 ml Ampul 0 0
1511 Piracetam Tablet 400 mg Tablet 0 0
1512 Piracetam Tablet 800 mg Tablet 94 0
1513 Pirantel Pamoat Tablet 125 mg Tablet 0 0
1514 Piridoksin HCL Tablet 10 mg Tablet 6630 10000
1515 Piroksikam Kapsul 10 mg Kapsul 0 0
1516 Piroksikam Tablet 20 mg Tablet 7870 10000
1517 Polikresulen Botol 17 20
1518 Prednison Tablet 5 mg Tablet 9978 16000
1519 Primakuin Tablet 15 mg Tablet 0 0
1520 Propiltiourasil Tablet 100 mg Tablet 534 1000
1521 Propanolol HCL Tablet 40 mg Tablet 341 500
1601 Ranitidin Tablet 150 mg Tablet 5770 10000
1602 Ranitidin Injeksi 25 mg/ml Ampul 0 0
1603 Ranitidin Injeksi 50 mg/2 ml Ampul 0 0
1604 Reserpin Tablet 0,10 mg Tablet 0 0
1605 Reserpin Tablet 0,25 mg Tablet 0 0
1606 Retinol ( Vitamin A ) Kapsul 100.000 IU Kapsul 1050 0
1607 Retinol ( Vitamin A ) Kapsul 200.000 IU Kapsul 12600 0
1608 Rifampisin Kapsul 300 mg Kapsul 0 0
1609 Ringer Asetat Cairan Infus Botol 80 0
1610 Ringer Laktat Larutan Infus Steril Botol 228 200
1611 Risperidone Tablet 2 mg Tablet 0 5000
1701 Salbutamol Tablet 4 mg Tablet 3760 5000
1702 Salep 2 - 4 Kombinasi : Asam Salisilat 2 % + Pot 131 200
1703 Salisil Bedak 2 % Kotak 142 100
1704 Salisil Spiritus 10 % Botol 0 0
1705 Sefadroxil Sirup Kering 125 mg/ml Botol 110 100
1706 Sefadroxil Kapsul 250 mg Kapsul 0 0
1707 Sefadroxil Kapsul 500 mg Tablet 2171 5000
1708 Sefiksim Kapsul 100 mg Kapsul 0 0
1709 Sefiksim 400 mg + Azitromisin 1000 mg Paket 0 0
1710 Sefotaksim Injeksi 1 g Vial 0 0
1711 Serum Anti Bisa Ular Polivalen Inj. 5 ml ( A Vial 1 2
1712 Serum Anti Bisa Ular Polivalen Inj. 50 ml ( Vial 0 0
1713 Serum Anti Difteri Inj. 20.000 IU/Vial ( A.D. Vial 0 0
1714 Serum Anti Tetanus Inj. 1.500 IU/Ampul ( A. Ampul 11 10
1715 Serum Anti Tetanus Inj. 20.000 IU/Vial ( A.T Vial 0 0
1716 Sianokobalamin ( Vit. B 12 ) Inj. 500 mcg/m Ampul 400 300
1717 Sianokobalamin (Vit.B12) Tablet 50 mcg Tablet 36090 10000
1718 Simetidin Tablet 200 mg Tablet 2436 6000
1719 Simvastatin Tablet 10 mg Tablet 192 3000
1720 Siprofloksasin Tablet 500 mg Tablet 3378 10000
1721 Sulfadimidin Tablet 500 mg Tablet 0 0
1722 Sulfasetamid Natrium Tetes Mata 15 % Botol 370 500
1801 Terbutalin tablet 2,5 mg Tablet 0 0
1802 Tetrasiklin HCL Kapsul 250 mg Kapsul 0 0
1803 Tetrasiklin HCL Kapsul 500 mg Kapsul 0 0
1804 Tiamfenikol Kapsul 500 mg Kapsul 1570 4000
1805 Tiamfenikol sirup kering 125 mg / 5 ml Botol 60 100
1806 Tiamin HCL ( Vit. B1 ) Inj. 100 mg/ml - 1 ml Ampul 870 0
1807 Tiamin HCL Mononitrat ( Vit B 1 ) Tablet 5 Tablet 37570 60000
1808 Tramadol Injeksi 50 mg/ml Ampul 0 0
1809 Tramadol Kapsul 50 mg Kapsul 2450 0
1810 Triamcinolone Acetonide 1 mg Tube 123 300
1811 Trifluoroperazin Tablet 5 mg Tablet 0 3000
1812 Triheksifenidil Tablet 2 mg Tablet 7615 10000
1901 Vitamin B Komplek Tablet Tablet 5510 10000
2001 Yodium Povidon Larutan 10 % 30 ml Botol 0 20
2002 Yodium Povidon Larutan 10 % 60 ml Botol 7 10
2003 Yodium Povidon Larutan 10 % 300 ml Botol 0 0
2004 Yodium Povidon Larutan 10 % 1000 ml Botol 0 0
2101 Zinc Tablet 20 mg Tablet 1400 500
0 OBAT GIGI 0 0
2201 Air Raksa Dental Use Botol 0 0
2202 Devitalisasi Pasta ( Non Arsen ) Botol 0 0
2203 Etil Klorida Spray Vial 20 20
2204 Eugenol Cairan Botol 0 0
2205 Glass Ionomer Cement Universal Restorati Set 4 10
2206 Kalsium Hidroksida Pasta (Kalsidor) Kotak 0 3
2207 Monoklorkamfer Mentol Cairan (CHKM) Botol 0 0
2208 Mummifying Pasta Botol 0 0
2209 Semen Seng Fosfat Serbuk dan Cairan Set 0 0
2210 Silver Amalgam Serbuk 65-75 % Botol 0 0
2211 Temporary Filling Material / Hydraulic Te Botol 4 5
2212 Temporary Stopping Fletcher Serbuk dan C Set 0 0
2213 Trikresol Formalin ( TKF ) Cairan Botol 0 0
2214 Tumpatan Tetap dengan Sinar Set Paket 2 2
0 REAGEN LABORATORIUM 0 0 0
2301 EDTA 10% cair Botol 0 2
2302 Ether Alkohol: Ether 80% - Alkohol 20% Botol 0 0
2303 Golongan darah Test ( set 3 vial @10 ml ) Set 0 2
2304 HCL 0,1 N Botol 0 2
2305 KOH 10% Botol 0 0
2306 Larutan Benedict Botol 0 2
2307 Larutan Buffer Giemsa Botol 0 2
2308 Larutan Eosin 2% Botol 0 2
2309 Larutan Etanol Asam Botol 0 2
2310 Larutan Giemsa Stain Botol 0 2
2311 Larutan Hayem Botol 0 2
2312 Larutan Karbol Fuksin Botol 0 2
2313 Larutan Metilen Biru Botol 0 2
2314 Larutan Rees Ecker Botol 0 2
2315 Larutan Turk Botol 0 2
2316 Lens Tissu Set 0 0
2317 Metanol Botol 0 0
2318 Reagen SD (HIV) Set 100 0
2319 Reagen ZN Set: @ 1 btl 100cc lar. Carbolfu Botol 0 0
2320 Rapid Plasma Reagen Test Kit Set 0 0
2321 Sifilis Kit Set 0 0
2322 Tuberkulin Vial 0 0
2323 Widal slide test ( set a vial @ 5 ml ) Sal Set 0 1
0 PERBEKALAN KESEHATAN 0 0 0
2401 Alat Suntik Sekali Pakai 0,05 ml Pcs 632 0
2402 Alat Suntik Sekali Pakai 0,5 ml Pcs 2481 0
2403 Alat Suntik Sekali Pakai 1 ml Pcs 200 200
2404 Alat Suntik Sekali Pakai 2,5 ml Pcs 510 1000
2405 Alat Suntik Sekali Pakai 3 ml Pcs 1290 1000
2406 Alat Suntik Sekali Pakai 5 ml Pcs 200 100
2407 Alat Suntik Sekali Pakai 10 ml Pcs 0 0
2408 Alkohol 95% Botol 0 0
2409 Blood Lancet Pcs 800 1000
2410 Blood Transfusion set Pcs 74 50
2411 Catgut / Benang Bedah No. 3/0 dengan ja Pcs 9 50
2412 Dresing penutup luka berperekat 5cm x 5m Rol 3 7
2413 Etanol (Alkohol 70%) Botol 63 100
2414 Infusion Set Anak Pcs 0 0
2415 Infusion Set Dewasa Pcs 27 100
2416 Infusion Set Anak Elasty Ball Pcs 0 0
2417 Infusion Set Dewasa Elasty Ball Pcs 0 0
2418 Jarum Infus (i.v. Catheter) Dewasa No 20 Pcs 10 50
2419 Jarum Infus (i.v. Catheter) Dewasa No 22 Pcs 2 50
2420 Jarum Infus (i.v. Catheter) Anak No 24 Pcs 15 50
2421 Kapas Berlemak 500 Gram Bungkus 0 0
2422 Kapas Pembalut / Absorben 250 gram Bungkus 40 100
2423 Kasa Kompres 40/40 Steril Bungkus 3 0
2424 Kasa Hidrofil Steril uk. 16x16 (isi 16 lembar Rol/Kotak 3630 5000
2425 Kasa Pembalut 2 m x 80 cm Rol 0 0
2426 Kasa Pembalut Elastic 3 inchi Rol 7 200
2427 Kasa Pembalut Hidrofil 4 m x 3 cm Rol 10 100
2428 Kasa Pembalut Hidrofil 4 m x 5 cm Rol 64 200
2429 Kasa Pembalut Hidrofil 4 m x 10 cm Rol 26 200
2430 Kasa Pembalut Hidrofil 4 m x 15 cm Rol 15 200
2431 Kasa Hidrofil uk. 36 m x 80 cm Rol 2 3
2432 Kateter (Folley / Urine) No. 10 Pcs 0 0
2433 Kateter (Folley / Urine) No. 16 Pcs 0 0
2434 Kateter (Folley / Urine) No. 18 Pcs 12 20
2435 Klem tali pusat Pcs 22 100
2436 Lisol Botol 3 0
2437 Masker Pcs 300 500
2438 Mess / Pisau scalpel no 11 Pcs 75 300
2439 Plester 5 yards x 2 inch Rol 14 25
2440 Sarung Tangan Karet Obgyn Sekali Pakai St Psg 200 400
2441 Sarung Tangan Karet Sekali Pakai S Pcs 470 400
2442 Sarung Tangan Karet Sekali Pakai M Pcs 540 1000
2443 Sarung Tangan Karet Sekali Pakai L Pcs 320 500
2444 Silk / Benang Sutra no. 3/0 dengan Jarum Pcs 25 50
2445 Urine Bag Pcs 0 0
2446 Under Pad 60x90 Steril Pcs 0 500
2447 Wing Needle No. 25 G Pcs 10 0

USULAN OBAT/PERBEKALAN
KESEHATAN BARU
1 Jarum heacting 20
2 Salep luka bakar 10
3 Benang 20
4 GIC Fuji IX 5
5 GIC Fuji II 5
6 Devitalisasi Pasta ( Arsen ) 4
7 Tumpatan Tetap dengan Sinar Set (Composit ) 5
8 Temporary Filling Material (dentorit ) 5
9 Cresophen 4
10 Alfogyl 2
11 3 Mix 2
12 Gelatin Spongiosa (Spongostan ) 5
13 Articulating Paper 1
14 Cavity cleaner 4
15 Putrex 4
16 Formaldehyd 2
17 Pehacain 12 box@20 ampul
18 Dycal 4
19 Tooth Stain Remover 2
20 Asam folat 5000
21 Cardio aspirin 2000
22 Clopidogrel 3000
23 Adalat oros 2000
24 Metildopa 1000
25 Glimepirid 3000
26 V gell ( utk pemasangan cateter) 20

USULAN OBAT/PERBEKALAN
PROGRAM KESEHATAN IBU
1. Oxytosin Inj. 10 IU/ml
2. Metilergomentrin Inj. 0,2 mg/ml
3. Mesoprostol
4. Aqua Pro Injeksi Steril
5. Lidocain
6. MGSO4 20% (25cc)
7. MGSO4 40%
8. Glukonas
9. Infus Set Dewasa
10. Transfusi Set
11. Medicut no.16
12. Medicut no.18
13. Benang Cat gut
14. Jarum Heacting
15. Spuit 3cc
16. Spuit 5cc
17. Spuit 10cc
18. Handscoon Steril 7cm
19. Handscoon Steril 7,5cm
20. Handscoon Panjang no. 7
21. Handscoon Panjang no.7,5
22. U Pad
23. Kassa Steril
25. Etanol/ Alkohol
26. Albutyl
27. Plaster / Hipavic
28. Verband / Kassa Gulung
29. Metilergomentrin tablet
30. Amoksirin
31. Asam Mefenamat
32. Kateter
33. Kapas 500 gram
34. Cairan Infus RL
35. Cairan Infus DS
36. Cairan Infus RD 5%
37. Cairan Infus NaCl
38. PP Test
39. Aspilet
40. Vit. E

PROGRAM KB
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Kediri, 07 Desember