Kebutuhan Setahun

RENCANA KEBUTUHAN OBAT TAHUN 2014
PUSKESMAS TANJUNG PINANG KOTA JAMBI
PENERIMAAN TAHUN 2013 RENCANA KEBUTUHAN 2014

No Nama Obat Satuan Stok Sisa Stok Pemakaian Safety Stok Opt Kebutuhan Realisasi Ket
Penerimaan Pengeluaran
2013 (d+e - f) 2013 ( f ) ( h x 10 % ) (h+i) (j-g)
a b c d e f g h i j k l m
1 Air Raksa Dental Use Btl 0 0 0 0 0 0 0 0 0 Air Raksa Dental Use
2 Alat Suntik 1 ml Set 0 300 200 100 200 20 220 120 400 lebih Alat Suntik 1 ml
3 Alat Suntik 2.5 ml Set 0 2100 2052 48 2052 205.2 2257.2 2209.2 2500 kurang Alat Suntik 2.5 ml
4 Albendazol 400 mg Set 65 600 371 294 371 37.1 408.1 114.1 300 lebih Albendazol 400 mg
5 Alupurinol 100 mg Tab 967 1200 1360 807 1360 136 1496 689 1500 lebih Alupurinol 100 mg
6 Aminophylin 200 mg Tab 899 4600 4692 807 4692 469.2 5161.2 4354.2 4000 kurang Aminophylin 200 mg
7 Aminophylin inj 24 mg/ml 10 ml Amp 0 0 0 0 0 0 0 0 0 Aminophylin inj 24 mg/ml 10 ml
8 Amitriptilin HCl tablet 25 mg Tab 560 400 635 325 635 63.5 698.5 373.5 1700 lebih Amitriptilin HCl tablet 25 mg
9 Amoksisillin sirup kering 125 mg/5 ml Btl 181 2600 2529 252 2529 252.9 2781.9 2529.9 1640 kurang Amoksisillin sirup kering 125 mg/5 m
10 Amoksisillin kapsul 250 mg Kap 916 19200 16896 3220 16896 1689.6 18585.6 15365.6 19800 lebih Amoksisillin kapsul 250 mg
11 Amoksisillin kaplet 500 mg Kap 3528 57000 52097 8431 52097 5209.7 57306.7 48875.7 50000 kurang Amoksisillin kaplet 500 mg
12 Ampicillin kaplet 500 mg Kap 1460 3100 3601 959 3601 360.1 3961.1 3002.1 2300 kurang Ampicillin kaplet 500 mg
13 Ampicillin sirup kering 125 mg/5 ml Btl 126 480 483 123 483 48.3 531.3 408.3 358 kurang Ampicillin sirup kering 125 mg/5 ml
14 Antalgin tablet 500 mg Tab 11456 20600 20236 11820 20236 2023.6 22259.6 10439.6 10000 kurang Antalgin tablet 500 mg
15 Antalgin injeksi Amp 0 0 0 0 0 0 0 0 0 Antalgin injeksi
16 Antasida DOEN tablet kombinasi Tab 11549 43000 43285 11264 43285 4328.5 47613.5 36349.5 7000 kurang Antasida DOEN tablet kombinasi
17 Antibakteri DOEN salep kombinasi Pot 52 225 159 118 159 15.9 174.9 56.9 50 kurang Antibakteri DOEN salep kombinasi
18 Antihemoroid DOEN kombinasi Pot 58 150 154 54 154 15.4 169.4 115.4 100 kurang Antihemoroid DOEN kombinasi
19 Antifungi DOEN kombinasi Pot 77 72 81 68 81 8.1 89.1 21.1 96 lebih Antifungi DOEN kombinasi
20 Antimigrain DOEN kombinasi Tab 0 300 56 244 56 5.6 61.6 -182.4 0 Antimigrain DOEN kombinasi
21 Aqua proinjeksi bebas pirogen Amp 2 10 7 5 7 0.7 7.7 2.7 10 kurang Aqua proinjeksi bebas pirogen
22 Aquadest steril Amp 0 0 0 0 0 0 0 0 0 Aquadest steril
23 Asam askorbat (vit C) 50 mg Tab 25394 55000 55618 24776 55618 5561.8 61179.8 36403.8 11000 kurang Asam askorbat (vit C) 50 mg
24 Asam askorbat (vit C)250 mg Tab 0 0 0 0 0 0 0 0 0 Asam askorbat (vit C)250 mg
25 Asetosal tablet 100 mg Tab 440 500 440 500 440 44 484 -16 0 Asetosal tablet 100 mg
26 Asetosal tablet 500 mg Tab 0 0 0 0 0 0 0 0 0 Asetosal tablet 500 mg
27 Atropin sulfat injeksi 0,25 mg/ml - ml Amp 0 0 0 0 0 0 0 0 0 Atropin sulfat injeksi 0,25 mg/ml - m
28 Atropin sulfat tablet 0,5 mg Tab 0 0 0 0 0 0 0 0 0 Atropin sulfat tablet 0,5 mg
2013 (d+e - f) 2013 ( f ) ( h x 10 % ) (h+i) (j-g)
29 Atropin sulfat tetes mata 0 5 % Btl 0 0 0 0 0 0 0 0 0 Atropin sulfat tetes mata 0 5 %
30 Benzatin benzil penicillin inj. 2,4 juta IU/vial Amp 0 0 0 0 0 0 0 0 0 Benzatin benzil penicillin inj. 2,4 juta
31 Besi sirup Btl 0 0 0 0 0 0 0 0 0 Besi sirup
32 Betametason krim 0,1 % Tube 79 450 463 66 463 46.3 509.3 443.3 400 kurang Betametason krim 0,1 %
33 Catgut/benang bedah no. 2/0 - 3/0 Sak 5 0 5 0 5 0.5 5.5 5.5 0 kurang Catgut/benang bedah no. 2/0 - 3/0
34 Captopril 12.5 mg tablet Tab 1265 1500 2765 0 2765 276.5 3041.5 3041.5 7000 kurang Captopril 12.5 mg tablet
35 Captopril 25 mg tablet Tab 3497 2000 5497 0 5497 549.7 6046.7 6046.7 5000 kurang Captopril 25 mg tablet
36 Deksametason injeksi 5 mg/ml - 1 ml Amp 0 0 0 0 0 0 0 0 100 lebih Deksametason injeksi 5 mg/ml - 1 m
37 Deksametason tablet 0,5 mg Tab 18604 23800 35483 6921 35483 3548.3 39031.3 32110.3 38000 kurang Deksametason tablet 0,5 mg
38 Dekstromethorpan HBr sirup 10 mg/5 ml Btl 109 600 498 211 498 49.8 547.8 336.8 350 kurang Dekstromethorpan HBr sirup 10 mg
39 Dekstromethorpan HBr tablet 15 mg Tab 3145 6000 4628 4517 4628 462.8 5090.8 573.8 4000 lebih Dekstromethorpan HBr tablet 15 mg
40 Devitalisasi pasta Btl 0 0 0 0 0 0 0 0 0 Devitalisasi pasta
41 Diazepam injeksi 5 mg/ml - 2 ml Amp 59 0 9 50 9 0.9 9.9 -40.1 0 Diazepam injeksi 5 mg/ml - 2 ml
42 Diazepam 2 mg Tab 1708 3000 3282 1426 3282 328.2 3610.2 2184.2 3000 kurang Diazepam 2 mg
43 Diazepam 5 mg Tab 0 0 0 0 0 0 0 0 0 Diazepam 5 mg
44 Difenhidramin HCl injeksi 10 mg/ml - ml Amp 314 270 439 145 439 43.9 482.9 337.9 360 kurang Difenhidramin HCl injeksi 10 mg/ml
45 Digoksin tablet 0,25 mg Tab 95 100 95 100 95 9.5 104.5 4.5 0 Digoksin tablet 0,25 mg
46 Efedrin HCl tablet 25 mg Tab 2490 0 1036 1454 1036 103.6 1139.6 -314.4 0 Efedrin HCl tablet 25 mg
47 Ekstrak belladon tablet 10 mg Tab 0 2000 528 1472 528 52.8 580.8 -891.2 1000 Ekstrak belladon tablet 10 mg
48 Epinephrin HCl injeksi Amp 52 0 3 49 3 0.3 3.3 -45.7 0 Epinephrin HCl injeksi
49 Etakridin (rivanol) larutan 0,1 Btl 12 20 25 7 25 2.5 27.5 20.5 25 Etakridin (rivanol) larutan 0,1
50 Etambutol HCl 250 mg tablet Tab 0 0 0 0 0 0 0 0 0 Etambutol HCl 250 mg tablet
51 Etambutol HCl 500 mg tablet Tab 508 0 356 152 356 35.6 391.6 239.6 0 Etambutol HCl 500 mg tablet
52 Etil klorida semprot Btl 1 13 13 1 13 1.3 14.3 13.3 3 Etil klorida semprot
53 Eugenol cairan Btl 0 5 5 0 5 0.5 5.5 5.5 0 Eugenol cairan
54 Fenitoin natrium kapsul 100 mg Kap 0 500 95 405 95 9.5 104.5 -300.5 500 Fenitoin natrium kapsul 100 mg
55 Fenitoin natrium kapsul 30 mg Kap 0 0 0 0 0 0 0 0 750 Fenitoin natrium kapsul 30 mg
56 Fenobarbital injeksi 50 mg/ml - 2 ml Amp 6 0 0 6 0 0 0 -6 0 Fenobarbital injeksi 50 mg/ml - 2 ml
57 Fenobarbital tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 Fenobarbital tablet 100 mg
58 Fenobarbital tablet 30 mg Tab 2612 0 1180 1432 1180 118 1298 -134 1000 Fenobarbital tablet 30 mg
59 Fenoksi metil penisillin tablet 250 mg Tab 0 0 0 0 0 0 0 0 0 Fenoksi metil penisillin tablet 250 m
2013 (d+e - f) 2013 ( f ) ( h x 10 % ) (h+i) (j-g)
61 Fenol gliserol tetes telinga 10 % Btl 35 168 176 27 176 17.6 193.6 166.6 48 kurang Fenol gliserol tetes telinga 10 %
62 Fitomenadion (vit K) inj. 10 mg/ml - 1 ml Amp 129 120 46 203 46 4.6 50.6 -152.4 30 Fitomenadion (vit K) inj. 10 mg/ml -
63 Fitomenadion (vit K) tablet salut 10 mg Tab 183 2700 1207 1676 1207 120.7 1327.7 -348.3 800 Fitomenadion (vit K) tablet salut 10
64 Furosemid tablet 40 mg Tab 296 0 296 0 296 29.6 325.6 325.6 200 kurang Furosemid tablet 40 mg
65 Gameksan emulsi 1 % Btl 0 0 0 0 0 0 0 0 0 Gameksan emulsi 1 %
66 Garam oralit 200 ml air Sak 1305 6800 7428 677 7428 742.8 8170.8 7493.8 7200 kurang Garam oralit 200 ml air
67 Gentian violet larutan 1 % Btl 112 240 270 82 270 27 297 215 168 kurang Gentian violet larutan 1 %
68 Glass ionomer semen (gc ix) Btl 0 1 1 0 1 0.1 1.1 1.1 0 Glass ionomer semen (gc ix)
69 Glibenklamid tablet 5 mg Tab 814 2000 1220 1594 1220 122 1342 -252 2000 Glibenklamid tablet 5 mg
70 Gliseril guayakolat tablet 100 mg Tab 30467 58000 68760 19707 68760 6876 75636 55929 70000 kurang Gliseril guayakolat tablet 100 mg
71 Gliserin Btl 0 0 0 0 0 0 0 0 0 Gliserin
72 Glukosa Larutan Infus 5 % Steril Btl 0 0 0 0 0 0 0 0 0 Glukosa Larutan Infus 5 % Steril
73 Griseofulvin 125 mg micronized Tab 493 1500 1358 635 1358 135.8 1493.8 858.8 1400 lebih Griseofulvin 125 mg micronized
74 Halloperidol tablet 0,5 mg Tab 0 600 0 600 0 0 0 -600 0 Halloperidol tablet 0,5 mg
75 Halloperidol tablet 1,5 mg Tab 340 1700 1772 268 1772 177.2 1949.2 1681.2 1100 kurang Halloperidol tablet 1,5 mg
76 Halloperidol tablet 5 mg Tab 493 0 95 398 95 9.5 104.5 -293.5 500 Halloperidol tablet 5 mg
77 Hidroklrotiazed ( hct ) tablet 25 mg Tab 2175 1000 997 2178 997 99.7 1096.7 -1081.3 1000 Hidroklrotiazed ( hct ) tablet 25 mg
78 Hidrokortison krim 2,5 % Pot 143 600 641 102 641 64.1 705.1 603.1 528 kurang Hidrokortison krim 2,5 %
79 Ibuprofen tablet 200 mg Tab 1155 27000 17077 11078 17077 1707.7 18784.7 7706.7 11000 lebih Ibuprofen tablet 200 mg
80 Ibuprofen tablet 400 mg Tab 715 1000 755 960 755 75.5 830.5 -129.5 0 Ibuprofen tablet 400 mg
81 Infusion set anak Set 0 0 0 0 0 0 0 0 0 Infusion set anak
82 Infusion set dewasa Set 0 0 0 0 0 0 0 0 0 Infusion set dewasa
83 I N H tablet 100 mg Tab 4030 0 230 3800 230 23 253 -3547 1000 I N H tablet 100 mg
84 I N H tablet 300 mg Tab 1894 0 972 922 972 97.2 1069.2 147.2 0 I N H tablet 300 mg
85 Isosorbit dinitrat tablet sublingual 5 mg Tab 90 300 210 180 210 21 231 51 200 lebih Isosorbit dinitrat tablet sublingual 5
86 Kalium permanganat serbuk Btl 0 0 0 0 0 0 0 0 0 Kalium permanganat serbuk
87 Kalsium hidroksida pasta Tab 0 0 0 0 0 0 0 0 0 Kalsium hidroksida pasta
88 Kalsium Laktat ( Kalk ) 500 mg Tab 4732 21000 20890 4842 20890 2089 22979 18137 20000 kurang Kalsium Laktat ( Kalk ) 500 mg
89 Kapas pembalut / Absorben 250 gram Rol 16 40 37 19 37 3.7 40.7 21.7 30 Kapas pembalut / Absorben 250 gra
90 Karbamazepin tablet 200 mg Tab 267 600 867 0 867 86.7 953.7 953.7 900 kurang Karbamazepin tablet 200 mg
2013 (d+e - f) 2013 ( f ) ( h x 10 % ) (h+i) (j-g)
91 Kasa kompres 40/40 steril Rol 0 90 90 0 90 9 99 99 112 kurang Kasa kompres 40/40 steril
92 Kasa pembalut hidrofil 4 m x 15 cm Rol 17 150 118 49 118 11.8 129.8 80.8 100 kurang Kasa pembalut hidrofil 4 m x 15 cm
93 Kasa pembalut hidrofil 4 m x 3 cm Rol 0 0 0 0 0 0 0 0 0 Kasa pembalut hidrofil 4 m x 3 cm
94 Kloramfenikol 250 mg kapsul Kap 384 500 648 236 648 64.8 712.8 476.8 1000 lebih Kloramfenikol 250 mg kapsul
95 Kloramfenikol salep mata 1 % Pot 122 72 180 14 180 18 198 184 216 kurang Kloramfenikol salep mata 1 %
96 Kloramfenikol tetes telinga 3 % Btl 3 168 127 44 127 12.7 139.7 95.7 240 lebih Kloramfenikol tetes telinga 3 %
97 Klorfeniramine maleat tablet 4 mg Tab 10759 70000 64132 16627 64132 6413.2 70545.2 53918.2 103000 lebih Klorfeniramine maleat tablet 4 mg
98 Kloroquin pospat tablet 250 mg Tab 0 0 0 0 0 0 0 0 0 Kloroquin pospat tablet 250 mg
99 Klorpromazin hcl injeksi Amp 0 0 0 0 0 0 0 0 0 Klorpromazin hcl injeksi
100 Klorfenol kamfermenthol (CHKM) Btl 0 0 0 0 0 0 0 0 0 Klorfenol kamfermenthol (CHKM)
101 Klorpromazin hcl injeksi 5 mg/ml - 1 ml Amp 0 0 0 0 0 0 0 0 0 Klorpromazin hcl injeksi 5 mg/ml - 1
102 Klorpromazin hcl tablet salut 100 mg Tab 721 2000 1715 1006 1715 171.5 1886.5 880.5 2000 lebih Klorpromazin hcl tablet salut 100 mg
103 Klorpromazin hcl tablet salut 25 mg Tab 0 0 0 0 0 0 0 0 0 Klorpromazin hcl tablet salut 25 mg
104 Kodein hcl tablet 10 mg Tab 0 0 0 0 0 0 0 0 250 Kodein hcl tablet 10 mg
105 Komb. primetamin 25 mg + suldok 500 mg Tab 0 0 0 0 0 0 0 0 0 Komb. primetamin 25 mg + suldok 5
106 Kotrimoksazol pediatrik tablet Tab 0 5600 4053 1547 4053 405.3 4458.3 2911.3 800 kurang Kotrimoksazol pediatrik tablet
107 Kotrimoksazol suspensi Btl 152 1316 1252 216 1252 125.2 1377.2 1161.2 1250 kurang Kotrimoksazol suspensi
108 Kotrimoksazol dewasa tablet Tab 3378 10000 10525 2853 10525 1052.5 11577.5 8724.5 11000 kurang Kotrimoksazol dewasa tablet
109 Kuinin dihidroklorida injeksi 25 % - 2 ml Amp 0 0 0 0 0 0 0 0 30 lebih Kuinin dihidroklorida injeksi 25 % - 2
110 Kuinin sulfat tablet 222 mg ( 7H2O ) Tab 0 0 0 0 0 0 0 0 60 lebih Kuinin sulfat tablet 222 mg ( 7H2O )
111 Lidokain Kompositum injeksi Amp 118 450 427 141 427 42.7 469.7 328.7 270 kurang Lidokain Kompositum injeksi
112 Magnesium sulfat inj. 20% - 25 ml Btl 0 0 0 0 0 0 0 0 0 Magnesium sulfat inj. 20% - 25 ml
114 Mebendazol syrup Btl 0 0 0 0 0 0 0 0 0 Mebendazol syrup
115 Metilergometrin tablet salut Tab 245 400 285 360 285 28.5 313.5 -46.5 200 lebih Metilergometrin tablet salut
116 Metilergometrin Inj. Amp 0 0 0 0 0 0 0 0 0 Metilergometrin Inj.
117 Metronidazol tablet 250 mg Tab 552 0 552 0 552 55.2 607.2 607.2 0 Metronidazol tablet 250 mg
118 Metronidazol tablet 500 mg Tab 0 2500 1040 1460 1040 104 1144 -316 300 Metronidazol tablet 500 mg
119 Mummifying pasta Pot 0 0 0 0 0 0 0 0 0 Mummifying pasta
120 Natrium bikarbonat tablet 500 mg Tab 0 0 0 0 0 0 0 0 0 Natrium bikarbonat tablet 500 mg
121 Natrium klorida larutan infus 0,9 % steril Btl 0 0 0 0 0 0 0 0 0 Natrium klorida larutan infus 0,9 % s
2013 (d+e - f) 2013 ( f ) ( h x 10 % ) (h+i) (j-g)
122 Nistatin 100.000 iu/g tablet vaginal Tab 67 0 67 0 67 6.7 73.7 73.7 100 lebih Nistatin 100.000 iu/g tablet vaginal
123 Nistatin 500.000 iu/g tablet salut Tab 95 0 95 0 95 9.5 104.5 104.5 0 kurang Nistatin 500.000 iu/g tablet salut
124 Nifedipin tab Tab 120 700 513 307 513 51.3 564.3 257.3 500 lebih Nifedipin tab
125 Obat anti tuberkolusis katagori 1 Tab 0 30 29 1 29 2.9 31.9 30.9 37 Obat anti tuberkolusis katagori 1
126 Obat anti tuberkolusis katagori 2 Tab 0 0 0 0 0 0 0 0 0 Obat anti tuberkolusis katagori 2
128 Obat anti tuberkolusis sisipan Tab 0 0 0 0 0 0 0 0 0 Obat anti tuberkolusis sisipan
129 Obat anti tuberkolosis anak Tab 0 0 0 0 0 0 0 0 2 Obat anti tuberkolosis anak
130 Obat batuk hitam ( o b h ) cairan Btl 41 860 725 176 725 72.5 797.5 621.5 580 kurang Obat batuk hitam ( o b h ) cairan
131 Oksitetrasiklin hcl inj. Amp 10 5 13 2 13 1.3 14.3 12.3 10 Oksitetrasiklin hcl inj.
132 Oksitetrasiklin hcl salep kulit 3 % Pot 34 700 609 125 609 60.9 669.9 544.9 650 kurang Oksitetrasiklin hcl salep kulit 3 %
133 Oksitetrasiklin hcl salep mata 1 % Pot 73 100 109 64 109 10.9 119.9 55.9 75 kurang Oksitetrasiklin hcl salep mata 1 %
134 Papaverin tablet Tab 0 0 0 0 0 0 0 0 0 Papaverin tablet
135 Paraformaldehid tablet 1 gram Tab 0 0 0 0 0 0 0 0 0 Paraformaldehid tablet 1 gram
136 Parasetamol sirup 120 mg/5ml Btl 150 2000 1763 387 1763 176.3 1939.3 1552.3 950 kurang Parasetamol sirup 120 mg/5ml
137 Parasetamol tablet 100 mg Tab 500 1000 500 1000 500 50 550 -450 4000 lebih Parasetamol tablet 100 mg
138 Parasetamol tablet 500 mg Tab 37994 133000 163569 7425 163569 16356.9 179925.9 172500.9 111800 kurang Parasetamol tablet 500 mg
139 Perfenazin tablet 4 mg Tab 0 0 0 0 0 0 0 0 0 Perfenazin tablet 4 mg
140 Pirantel pamoat tablet 365 mg Tab 424 280 499 205 499 49.9 548.9 343.9 300 Pirantel pamoat tablet 365 mg
141 Piridoxin hcl tablet 10 mg Tab 7008 37000 30220 13788 30220 3022 33242 19454 12000 kurang Piridoxin hcl tablet 10 mg
142 Pyrazinamid tablet Tab 430 600 1030 0 1030 103 1133 1133 1800 Pyrazinamid tablet
143 Plester 5 yard x 2 inch Rol 5 12 11 6 11 1.1 12.1 6.1 12 Plester 5 yard x 2 inch
144 Polikresulen Btl 6 0 2 4 2 0.2 2.2 -1.8 0 Polikresulen
145 Prazikuantel tablet 600 mg Tab 0 0 0 0 0 0 0 0 0 Prazikuantel tablet 600 mg
146 Prednison tablet 5 mg Tab 5633 32000 29484 8149 29484 2948.4 32432.4 24283.4 27000 kurang Prednison tablet 5 mg
147 Primaquin tablet 15 mg Tab 0 0 0 0 0 0 0 0 0 Primaquin tablet 15 mg
148 Prokain benzyl penisillin 3 juta iu/vial inj. Amp 0 0 0 0 0 0 0 0 0 Prokain benzyl penisillin 3 juta iu/via
149 Propiltiourasil tablet 100 mg Tab 1038 600 1329 309 1329 132.9 1461.9 1152.9 3500 lebih Propiltiourasil tablet 100 mg
150 Propanolol hcl tablet 40 mg Tab 0 0 0 0 0 0 0 0 0 Propanolol hcl tablet 40 mg
151 Propanolol hcl tablet 10 mg Tab 0 1800 1030 770 1030 103 1133 363 2300 lebih Propanolol hcl tablet 10 mg
152 Reserpin tablet 0,10 mg Tab 0 0 0 0 0 0 0 0 0 Reserpin tablet 0,10 mg
2013 (d+e - f) 2013 ( f ) ( h x 10 % ) (h+i) (j-g)
153 Reserpin tablet 0,25 mg Tab 0 3000 1516 1484 1516 151.6 1667.6 183.6 3000 lebih Reserpin tablet 0,25 mg
154 Retinol ( Vit A ) 200.000 iu Kap 0 6150 6100 50 6100 610 6710 6660 4150 Retinol ( Vit A ) 200.000 iu
156 Rifampisin kapsul 600 mg Kap 243 200 319 124 319 31.9 350.9 226.9 200 Rifampisin kapsul 600 mg
157 Rifampisin kapsul 450 mg Kap 155 500 514 141 514 51.4 565.4 424.4 1100 lebih Rifampisin kapsul 450 mg
158 Rifampisin kapsul 300 mg Kap 410 200 239 371 239 23.9 262.9 -108.1 0 Rifampisin kapsul 300 mg
159 Ringer laktat infus steril Btl 0 0 0 0 0 0 0 0 0 Ringer laktat infus steril
160 Salbutamol tablet 2 mg Tab 498 1200 1186 512 1186 118.6 1304.6 792.6 0 Salbutamol tablet 2 mg
161 Salep 2-4 Pot 92 72 132 32 132 13.2 145.2 113.2 120 kurang Salep 2-4
162 Salisil bedak 2 % Sak 43 350 327 66 327 32.7 359.7 293.7 538 kurang Salisil bedak 2 %
163 Salisil spritus 10 % Btl 0 0 0 0 0 0 0 0 0 Salisil spritus 10 %
164 Semen seng fosfat serbuk dan cairan Btl 0 0 0 0 0 0 0 0 0 Semen seng fosfat serbuk dan caira
165 Serum ABU polivalen inj. Amp 0 0 0 0 0 0 0 0 0 Serum ABU polivalen inj.
166 Serum ATS 1500 IU Amp 2 6 6 2 6 0.6 6.6 4.6 5 Serum ATS 1500 IU
167 Serum ATS 20000 IU Amp 0 0 0 0 0 0 0 0 0 Serum ATS 20000 IU
168 Simvastatin Tab 420 300 430 290 430 43 473 183 1000 lebih Simvastatin
169 Sianokobalamin inj. 500 mcg/ml Amp 424 1100 1172 352 1172 117.2 1289.2 937.2 800 Sianokobalamin inj. 500 mcg/ml
170 Silk (benang bedah sutera) no. 3/0 Rol 1 28 20 9 20 2 22 13 5 Silk (benang bedah sutera) no. 3/0
171 Silver amalgam serbuk 65 - 75 % Pot 0 0 0 0 0 0 0 0 0 Silver amalgam serbuk 65 - 75 %
172 Spons gelatin cublices 1x1x1 cm Sak 0 0 0 0 0 0 0 0 0 Spons gelatin cublices 1x1x1 cm
173 Streptomycin serbuk inj. 1000 mg/vial Amp 0 0 0 0 0 0 0 0 0 Streptomycin serbuk inj. 1000 mg/vi
174 Sulfadimidin tablet 500 mg Tab 0 0 0 0 0 0 0 0 0 Sulfadimidin tablet 500 mg
175 Sulfasetamid natrium tetes mata 15 % Btl 0 24 20 4 20 2 22 18 0 Sulfasetamid natrium tetes mata 15
176 Tablet tambah darah kombinasi Tab 5460 27000 25637 6823 25637 2563.7 28200.7 21377.7 18000 kurang Tablet tambah darah kombinasi
177 Temporary stoping fletcher dan cairan Btl 0 0 0 0 0 0 0 0 0 Temporary stoping fletcher dan caira
178 Tetrasiklin HCl kapsul 250 mg Kap 4800 0 2104 2696 2104 210.4 2314.4 -381.6 2000 Tetrasiklin HCl kapsul 250 mg
179 Tetrasiklin HCl kapsul 500 mg Kap 240 2500 1815 925 1815 181.5 1996.5 1071.5 1000 kurang Tetrasiklin HCl kapsul 500 mg
180 Tiamin HCl (vit B1) inj. 100 mg/ml - 1ml Amp 64 0 64 0 64 6.4 70.4 70.4 90 lebih Tiamin HCl (vit B1) inj. 100 mg/ml -
181 Tiamin HCl mononitrat tablet 50 mg Tab 9453 33000 31086 11367 31086 3108.6 34194.6 22827.6 26000 kurang Tiamin HCl mononitrat tablet 50 mg
182 Triheksilfenidil HCl tablet 2 mg Tab 187 1600 1610 177 1610 161 1771 1594 2600 lebih Triheksilfenidil HCl tablet 2 mg
183 Trikresol formalin cairan Btl 0 0 0 0 0 0 0 0 0 Trikresol formalin cairan
2013 (d+e - f) 2013 ( f ) ( h x 10 % ) (h+i) (j-g)
184 Vaksin Rabies Vero Amp 0 0 0 0 0 0 0 0 0 Vaksin Rabies Vero
185 Vitamin B komplek tablet Tab 12001 58000 60276 9725 60276 6027.6 66303.6 56578.6 17000 kurang Vitamin B komplek tablet
186 Yodium povidon larutan 10 % - 30 ml Btl 21 0 19 2 19 1.9 20.9 18.9 10 Yodium povidon larutan 10 % - 30 m
187 Yodium povidon larutan 10 % - 300 ml Btl 7 9 14 2 14 1.4 15.4 13.4 20 Yodium povidon larutan 10 % - 300
0 0 0 0 0 0 0 0 0
1 Acyclovir tablet 200 mg Tab 586 1300 1021 865 1021 102.1 1123.1 258.1 1000 lebih Acyclovir tablet 200 mg
2 Acyclovir cream Tube 108 300 280 128 280 28 308 180 300 lebih Acyclovir cream
3 Acyclovir tablet 400 mg Tab 759 1300 1306 753 1306 130.6 1436.6 683.6 1200 kurang Acyclovir tablet 400 mg
4 Andalan Injeksi Amp 0 80 80 0 80 8 88 88 0 Andalan Injeksi
5 Asam mefenamat kapsul 250 mg Tab 0 0 0 0 0 0 0 0 0 Asam mefenamat kapsul 250 mg
6 Asam mefenamat tablet 500 mg Tab 639 5000 3572 2067 3572 357.2 3929.2 1862.2 6000 lebih Asam mefenamat tablet 500 mg
7 Ampicilin injeksi 1 g Amp 0 0 0 0 0 0 0 0 0 Ampicilin injeksi 1 g
8 Ambroxol Sirup Amp 176 750 696 230 696 69.6 765.6 535.6 350 kurang Ambroxol Sirup
9 Cefotaxime inj 1 gr Amp 0 0 0 0 0 0 0 0 0 Cefotaxime inj 1 gr
10 Cimetidin tablet 200 mg Tab 0 0 0 0 0 0 0 0 0 Cimetidin tablet 200 mg
11 Ciprofloxacin kaplet 500 mg Kap 0 1000 340 660 340 34 374 -286 1300 Ciprofloxacin kaplet 500 mg
12 Dasabion tab Tab 0 0 0 0 0 0 0 0 0 Dasabion tab
13 Domperidon tab Tab 625 1300 925 1000 925 92.5 1017.5 17.5 1000 lebih Domperidon tab
14 Erytromycin caps 250 mg Kap 0 0 0 0 0 0 0 0 0 Erytromycin caps 250 mg
15 Erytromycin capt 500 mg Kap 0 1100 650 450 650 65 715 265 100 Erytromycin capt 500 mg
16 Erytromycin Syr Btl 113 0 71 42 71 7.1 78.1 36.1 0 Erytromycin Syr
17 Etabion Cap Cap 0 300 300 0 300 30 330 330 0 Etabion Cap
18 Gentamycin injeksi Amp 0 0 0 0 0 0 0 0 0 Gentamycin injeksi
19 Gentamycin salep kulit Pot 39 100 57 82 57 5.7 62.7 -19.3 180 lebih Gentamycin salep kulit
20 Gentamycin tetes mata Btl 50 0 10 40 10 1 11 -29 30 lebih Gentamycin tetes mata
21 H2O2 Btl 2 5 5 2 5 0.5 5.5 3.5 5 H2O2
22 Ichtyol salap Pot 0 0 0 0 0 0 0 0 0 Ichtyol salap
23 Levertran salep Pot 9 0 9 0 9 0.9 9.9 9.9 0 Levertran salep
24 Kloramphenicol tetes mata Btl 104 96 200 0 200 20 220 220 100 kurang Kloramphenicol tetes mata
25 Metoklorpropamide Hcl 10 mg Tab 0 300 226 74 226 22.6 248.6 174.6 400 lebih Metoklorpropamide Hcl 10 mg
26 Mikonazole cream Pot 72 144 123 93 123 12.3 135.3 42.3 120 lebih Mikonazole cream
2013 (d+e - f) 2013 ( f ) ( h x 10 % ) (h+i) (j-g)
27 Methyl Prednisolon tab 4 mg Tab 0 0 0 0 0 0 0 0 2000 lebih Methyl Prednisolon tab 4 mg
28 Nipedipin tablet Tab 0 0 0 0 0 0 0 0 0 Nipedipin tablet
29 Natrium Diklofenak 50 mg Tab 0 500 300 200 300 30 330 130 200 lebih Natrium Diklofenak 50 mg
30 Obat Tambah Darah Indo tab 0 0 0 0 0 0 0 0 0 Obat Tambah Darah Indo
31 Obat Flu Indo Tab 0 0 0 0 0 0 0 0 0 Obat Flu Indo
32 Obat Maag indo Tab 0 0 0 0 0 0 0 0 0 Obat Maag indo
33 Papaverin injeksi Amp 0 0 0 0 0 0 0 0 0 Papaverin injeksi
34 Papaverin tablet 40 mg Tab 864 3000 2357 1507 2357 235.7 2592.7 1085.7 2000 Papaverin tablet 40 mg
35 Piperazin 500 mg Tab 0 0 0 0 0 0 0 0 0 Piperazin 500 mg
36 Piperazin sirup Btl 0 0 0 0 0 0 0 0 0 Piperazin sirup
37 Piroksikam tablet 10 mg Tab 1003 1800 2307 496 2307 230.7 2537.7 2041.7 1200 kurang Piroksikam tablet 10 mg
38 Piroksikam tablet 20 mg Tab 0 0 0 0 0 0 0 0 1100 lebih Piroksikam tablet 20 mg
39 Ranitidine 150 mg Tab 578 2000 2020 558 2020 202 2222 1664 3500 lebih Ranitidine 150 mg
40 Stesolit Rectal supp Tube 0 0 0 0 0 0 0 0 3 Stesolit Rectal supp
0 0 0 0 0 0 0 0 0
1 Alkohol 70 % Btl 7 31 36 2 36 3.6 39.6 37.6 36 kurang Alkohol 70 %
2 Anisol solution Btl 0 0 0 0 0 0 0 0 0 Anisol solution
3 Asam Asetat Glasial Btl 0 0 0 0 0 0 0 0 0 Asam Asetat Glasial
4 Aqua destilata Btl 0 0 0 0 0 0 0 0 0 Aqua destilata
5 Asam Klorida 0.1 N Btl 0 2 2 0 2 0.2 2.2 2.2 3 Asam Klorida 0.1 N
6 Asam klorida 0,1 N Btl 0 0 0 0 0 0 0 0 0 Asam klorida 0,1 N
7 Asam sulfosalisilat 20 % Btl 0 2 2 0 2 0.2 2.2 2.2 1 Asam sulfosalisilat 20 %
8 Barium Klorida Btl 0 2 2 0 2 0.2 2.2 2.2 1 Barium Klorida
9 Beker Glass Btl 0 0 0 0 0 0 0 0 0 Beker Glass
10 Blood Lancet Ktk 0 0 0 0 0 0 0 0 0 Blood Lancet
11 Erlemeyer Btl 0 0 0 0 0 0 0 0 0 Erlemeyer
12 Etanol asam 3 % Btl 0 0 0 0 0 0 0 0 0 Etanol asam 3 %
13 Etanol 70 % Btl 0 0 0 0 0 0 0 0 0 Etanol 70 %
14 Fauchet Btl 0 0 0 0 0 0 0 0 0 Fauchet
15 Imersen Oil HB Btl 0 0 0 0 0 0 0 0 0 Imersen Oil HB
16 Kapas 1 KG Rol 0 0 0 0 0 0 0 0 0 Kapas 1 KG
2013 (d+e - f) 2013 ( f ) ( h x 10 % ) (h+i) (j-g)
17 Kertas Saring Whatman Rol 0 0 0 0 0 0 0 0 0 Kertas Saring Whatman
18 Kertas Perkamen Rol 550 500 750 300 750 75 825 525 500 Kertas Perkamen
19 Larutan Bupper PH 7.2 Btl 0 1 1 0 1 0.1 1.1 1.1 1 Larutan Bupper PH 7.2
20 Label Etiket Set 0 0 0 0 0 0 0 0 0 Label Etiket
21 Larutan Metanol Btl 0 0 0 0 0 0 0 0 0 Larutan Metanol
22 Larutan Sulposalisilat Btl 0 0 0 0 0 0 0 0 0 Larutan Sulposalisilat
23 Larutan Benedict Btl 0 0 0 0 0 0 0 0 0 Larutan Benedict
24 Larutan Eosin 2 % Btl 0 0 0 0 0 0 0 0 0 Larutan Eosin 2 %
25 Larutan Etanol Asam Btl 0 0 0 0 0 0 0 0 0 Larutan Etanol Asam
26 Larutan Giemsa Stalin Btl 0 2 2 0 2 0.2 2.2 2.2 1 Larutan Giemsa Stalin
27 Larutan Karbol Fuksin Btl 0 0 0 0 0 0 0 0 2 Larutan Karbol Fuksin
28 Larutan Metilen Biru Btl 0 0 0 0 0 0 0 0 0 Larutan Metilen Biru
29 Larutan Turk Btl 0 3 3 0 3 0.3 3.3 3.3 1 Larutan Turk
30 L i s o l Btl 0 9 6 3 6 0.6 6.6 3.6 3 Lisol
31 Metanol Btl 0 0 0 0 0 0 0 0 0 Metanol
32 Natrium Sitrat 38 % Btl 0 2 2 0 2 0.2 2.2 2.2 0 Natrium Sitrat 38 %
33 Objek Glass Ktk 0 0 0 0 0 0 0 0 0 Objek Glass
34 Plastik Obat Set 0 92000 80000 12000 80000 8000 88000 76000 69000 kurang Plastik Obat
35 Pipet Tetes Biasa Ktk 0 0 0 0 0 0 0 0 0 Pipet Tetes Biasa
36 Rees echer Btl 1 5 6 0 6 0.6 6.6 6.6 1 Rees echer
37 Rak Pewarna kaca pipet Ktk 0 0 0 0 0 0 0 0 0 Rak Pewarna kaca pipet
38 Schlesinger Btl 0 0 0 0 0 0 0 0 0 Schlesinger
39 Spiritus 100 ml Btl 0 1 1 0 1 0.1 1.1 1.1 0 Spiritus 100 ml
40 Tes Gol. Darah( A,B,AB) Ktk 0 2 2 0 2 0.2 2.2 2.2 1 Tes Gol. Darah( A,B,AB)
41 Tes Kehamilan HCG Ktk 100 100 200 0 200 20 220 220 150 Tes Kehamilan HCG
42 Tabung Reaksi Set 0 0 0 0 0 0 0 0 0 Tabung Reaksi
43 Tissue lensa Set 0 0 0 0 0 0 0 0 0 Tissue lensa
44 Alat suntik 3 cc pcs 100 0 100 0 100 10 110 110 0 Alat suntik 3 cc
45 A C T ktk 0 0 0 0 0 0 0 0 0 ACT
46 Artesunate amp 0 0 0 0 0 0 0 0 0 Artesunate
47 Ambroxol tab tab 699 5000 4051 1648 4051 405.1 4456.1 2808.1 1000 kurang Ambroxol tab
2013 (d+e - f) 2013 ( f ) ( h x 10 % ) (h+i) (j-g)
48 Clindamicin caps 0 0 0 0 0 0 0 0 0 Clindamicin
49 Cetrizin tab 275 450 305 420 305 30.5 335.5 -84.5 1450 lebih Cetrizin
50 Hemafort tab 0 0 0 0 0 0 0 0 0 Hemafort
51 Oxytocin inj amp 0 0 0 0 0 0 0 0 0 Oxytocin inj
52 Pembalut gip bks 0 0 0 0 0 0 0 0 0 Pembalut gip
53 Salbutamol 4 mg tab 213 0 115 98 115 11.5 126.5 28.5 0 Salbutamol 4 mg
54 Antasida Syrup btl 99 50 101 48 101 10.1 111.1 63.1 0 Antasida Syrup
55 Lysmin sirup btl 0 0 0 0 0 0 0 0 0 Lysmin sirup
56 Lytamin syrup btl 79 72 151 0 151 15.1 166.1 166.1 192 Lytamin syrup
57 Mecobion tab tab 814 1000 1304 510 1304 130.4 1434.4 924.4 3000 Mecobion tab
58 Bismecon jelly tube 0 22 16 6 16 1.6 17.6 11.6 5 Bismecon jelly
59 Dolodon 500 mg tab 0 0 0 0 0 0 0 0 0 Dolodon 500 mg
60 Metformin tab 1244 5500 5384 1360 5384 538.4 5922.4 4562.4 5500 lebih Metformin
61 Meloxicam 7,5 mg tab 0 500 460 40 460 46 506 466 2000 lebih Meloxicam 7,5 mg
62 Bisturi 10,11,20,22 pcs 0 0 0 0 0 0 0 0 0 Bisturi 10,11,20,22
63 Jarum jhit 10,11,12,13,14 pcs 6 10 7 9 7 0.7 7.7 -1.3 0 Jarum jhit 10,11,12,13,14
64 Duo care Gluko le st pcs 0 0 0 0 0 0 0 0 0 Duo care Gluko le st
65 Stick gula darah pcs 0 103 103 0 103 10.3 113.3 113.3 400 lebih Stick gula darah
66 Hand scun pcs 200 600 700 100 700 70 770 670 1100 Hand scun
67 Omeperazole Tab 303 0 80 223 80 8 88 -135 0 Omeperazole
68 Asam Folat Tab 1630 0 1630 0 1630 163 1793 1793 2000 lebih Asam Folat
70 Zink Tablet Tab 0 7000 4095 2905 4095 409.5 4504.5 1599.5 5000 lebih Zink Tablet
71 Doxyciclin 100 mg Caps 0 400 100 300 100 10 110 -190 0 Doxyciclin 100 mg
72 Amlodipin 5 mg Tab 0 450 80 370 80 8 88 -282 300 lebih Amlodipin 5 mg
73 Dexanta Tab 0 0 0 0 0 0 0 0 16400 lebih Dexanta tab
74 Viliron Tab Tab 0 0 0 0 0 0 0 0 600 lebih Viliron Tab
75 Masker Ktk 0 0 0 0 0 0 0 0 5 lebih Masker
Yang menerima/Melapor Yang Menerima,

2013 (d+e - f) 2013 ( f ) ( h x 10 % ) (h+i) (j-g)
Ka. Puskesmas Petugas Pengelola OBat Puskesmas
( dr. Emildan Pasai ) (SusantI)

Nip. 19731201 200604 1 013 Nip. 19721001 199203 2 001
Air Raksa Dental Use
Alat Suntik 1 ml
Alat Suntik 2.5 ml
Albendazol 400 mg
Alupurinol 100 mg
Aminophylin 200 mg
Aminophylin inj 24 mg/ml 10 ml
Amitriptilin HCl tablet 25 mg
Amoksisillin sirup kering 125 mg/5 ml
Amoksisillin kapsul 250 mg
Amoksisillin kaplet 500 mg
Ampicillin kaplet 500 mg
Ampicillin sirup kering 125 mg/5 ml
Antalgin tablet 500 mg
Antalgin injeksi
Antasida DOEN tablet kombinasi
Antibakteri DOEN salep kombinasi
Antihemoroid DOEN kombinasi
Antifungi DOEN kombinasi
Antimigrain DOEN kombinasi
Aqua proinjeksi bebas pirogen
Aquadest steril
Asam askorbat (vit C) 50 mg
Asam askorbat (vit C)250 mg
Asetosal tablet 100 mg
Atropin sulfat injeksi 0,25 mg/ml - ml
Atropin sulfat tablet 0,5 mg
Atropin sulfat tetes mata 0 5 %
Benzatin benzil penicillin inj. 2,4 juta IU/vial
Betametason krim 0,1 %

Catgut/benang bedah no. 2/0 - 3/0
Captopril 12.5 mg tablet
Captopril 25 mg tablet
Deksametason injeksi 5 mg/ml - 1 ml
Deksametason tablet 0,5 mg
Dekstromethorpan HBr sirup 10 mg/5 ml
Dekstromethorpan HBr tablet 15 mg
Devitalisasi pasta
Diazepam injeksi 5 mg/ml - 2 ml
Diazepam 2 mg
Diazepam 5 mg
Difenhidramin HCl injeksi 10 mg/ml - ml
Digoksin tablet 0,25 mg
Efedrin HCl tablet 25 mg
Ekstrak belladon tablet 10 mg
Epinephrin HCl injeksi
Etakridin (rivanol) larutan 0,1
Etambutol HCl 250 mg tablet
Etil klorida semprot
Eugenol cairan
Fenitoin natrium kapsul 100 mg
Fenobarbital injeksi 50 mg/ml - 2 ml
Fenobarbital tablet 100 mg
Fenoksi metil penisillin tablet 250 mg
Fenol gliserol tetes telinga 10 %
Fitomenadion (vit K) inj. 10 mg/ml - 1 ml
Fitomenadion (vit K) tablet salut 10 mg
Furosemid tablet 40 mg
Gameksan emulsi 1 %
Garam oralit 200 ml air
Gentian violet larutan 1 %
Glass ionomer semen (gc ix)
Glibenklamid tablet 5 mg
Gliseril guayakolat tablet 100 mg
Glukosa Larutan Infus 5 % Steril

Griseofulvin 125 mg micronized
Halloperidol tablet 0,5 mg
Halloperidol tablet 5 mg
Hidroklrotiazed ( hct ) tablet 25 mg
Hidrokortison krim 2,5 %
Ibuprofen tablet 200 mg
Infusion set anak
Infusion set dewasa
I N H tablet 100 mg
I N H tablet 300 mg
Isosorbit dinitrat tablet sublingual 5 mg
Kalium permanganat serbuk
Kalsium hidroksida pasta
Kalsium Laktat ( Kalk ) 500 mg
Kapas pembalut / Absorben 250 gram
Karbamazepin tablet 200 mg
Kasa kompres 40/40 steril
Kasa pembalut hidrofil 4 m x 15 cm
Kloramfenikol 250 mg kapsul
Kloramfenikol salep mata 1 %
Kloramfenikol tetes telinga 3 %
Klorfeniramine maleat tablet 4 mg
Kloroquin pospat tablet 250 mg
Klorpromazin hcl injeksi
Klorfenol kamfermenthol (CHKM)
Klorpromazin hcl injeksi 5 mg/ml - 1 ml
Klorpromazin hcl tablet salut 100 mg
Kodein hcl tablet 10 mg
Komb. primetamin 25 mg + suldok 500 mg
Kotrimoksazol pediatrik tablet
Kotrimoksazol suspensi
Kotrimoksazol dewasa tablet
Kuinin dihidroklorida injeksi 25 % - 2 ml
Kuinin sulfat tablet 222 mg ( 7H2O )
Lidokain Kompositum injeksi
Magnesium sulfat inj. 20% - 25 ml
Mebendazol syrup
Metilergometrin tablet salut
Metilergometrin Inj.
Metronidazol tablet 250 mg
Mummifying pasta
Natrium bikarbonat tablet 500 mg
Natrium klorida larutan infus 0,9 % steril
Nistatin 100.000 iu/g tablet vaginal
Nistatin 500.000 iu/g tablet salut
Obat anti tuberkolusis katagori 1

Obat anti tuberkolusis sisipan
Obat anti tuberkolosis anak
Obat batuk hitam ( o b h ) cairan
Oksitetrasiklin hcl inj.
Oksitetrasiklin hcl salep kulit 3 %
Oksitetrasiklin hcl salep mata 1 %
Papaverin tablet
Paraformaldehid tablet 1 gram
Parasetamol sirup 120 mg/5ml
Parasetamol tablet 100 mg
Perfenazin tablet 4 mg
Pirantel pamoat tablet 365 mg
Piridoxin hcl tablet 10 mg
Pyrazinamid tablet
Plester 5 yard x 2 inch
Prazikuantel tablet 600 mg

Prednison tablet 5 mg
Primaquin tablet 15 mg
Prokain benzyl penisillin 3 juta iu/vial inj.
Propiltiourasil tablet 100 mg
Propanolol hcl tablet 40 mg
Reserpin tablet 0,10 mg
Retinol ( Vit A ) 200.000 iu
Rifampisin kapsul 600 mg
Ringer laktat infus steril
Salbutamol tablet 2 mg
Salisil bedak 2 %
Salisil spritus 10 %
Semen seng fosfat serbuk dan cairan
Serum ABU polivalen inj.
Serum ATS 1500 IU
Serum ATS 20000 IU
Sianokobalamin inj. 500 mcg/ml

Silk (benang bedah sutera) no. 3/0
Silver amalgam serbuk 65 - 75 %
Spons gelatin cublices 1x1x1 cm
Streptomycin serbuk inj. 1000 mg/vial
Sulfadimidin tablet 500 mg
Sulfasetamid natrium tetes mata 15 %
Tablet tambah darah kombinasi
Temporary stoping fletcher dan cairan
Tetrasiklin HCl kapsul 250 mg
Tiamin HCl (vit B1) inj. 100 mg/ml - 1ml
Tiamin HCl mononitrat tablet 50 mg
Triheksilfenidil HCl tablet 2 mg
Trikresol formalin cairan
Vaksin Rabies Vero
Vitamin B komplek tablet
Yodium povidon larutan 10 % - 30 ml
Acyclovir tablet 200 mg

Acyclovir cream
Andalan Injeksi
Asam mefenamat kapsul 250 mg
Asam mefenamat tablet 500 mg
Ampicilin injeksi 1 g
Ambroxol Sirup
Cefotaxime inj 1 gr
Cimetidin tablet 200 mg
Ciprofloxacin kaplet 500 mg
Dasabion tab
Domperidon tab
Erytromycin caps 250 mg
Erytromycin capt 500 mg
Erytromycin Syr
Gentamycin injeksi
Gentamycin salep kulit
Gentamycin tetes mata
Levertran salep
Kloramphenicol tetes mata
Metoklorpropamide Hcl 10 mg
Mikonazole cream
Methyl Prednisolon tab 4 mg
Nipedipin tablet
Natrium Diklofenak 50 mg
Obat Tambah Darah Indo
Obat Flu Indo
Obat Maag indo
Papaverin injeksi
Papaverin tablet 40 mg
Piperazin 500 mg
Piperazin sirup
Piroksikam tablet 10 mg
Ranitidine 150 mg
Stesolit Rectal supp
Alkohol 70 %
Anisol solution
Asam Asetat Glasial
Aqua destilata
Asam Klorida 0.1 N
Asam klorida 0,1 N
Asam sulfosalisilat 20 %
Barium Klorida
Blood Lancet
Etanol asam 3 %
Imersen Oil HB
Kertas Saring Whatman
Kertas Perkamen
Larutan Bupper PH 7.2
Larutan Metanol
Larutan Sulposalisilat
Larutan Benedict
Larutan Eosin 2 %
Larutan Etanol Asam
Larutan Giemsa Stalin
Larutan Karbol Fuksin
Larutan Metilen Biru
Natrium Sitrat 38 %
Pipet Tetes Biasa
Rak Pewarna kaca pipet
Spiritus 100 ml
Tes Gol. Darah( A,B,AB)
Tes Kehamilan HCG
Tabung Reaksi
Alat suntik 3 cc
Ambroxol tab
Pembalut gip
Salbutamol 4 mg
Antasida Syrup
Lytamin syrup
Mecobion tab
Bismecon jelly
Dolodon 500 mg
Meloxicam 7,5 mg
Bisturi 10,11,20,22
Jarum jhit 10,11,12,13,14
Duo care Gluko le st
Stick gula darah
Omeperazole
Alat suntik 5 cc
Doxyciclin 100 mg
Amlodipin 5 mg
LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT PUSKESMAS TANJUNG PINANG
TAHUN 2012
Penerimaan 2012 Pemakaian 2012
Stok Triwulan I Triwulan II Triwulan III Triwulan IV
No Nama Obat Sat Jumlah
Awal Jan Feb Mar Apr Mei Jun
PKD Askes Prog PKD Bon Bon PKD Bon Bon PKD Bon Bon
1 Air Raksa Dental Use Btl 0 0 0 0 0 0 0 0
2 Alat Suntik 1 ml Set 0 300 300 20
3 Alat Suntik 2.5 ml Set 0 600 500 500 500 2100 306 92 239 107 274
4 Albendazol 400 mg Set 65 300 300 665 0 1 64
5 Alupurinol 100 mg Tab 967 400 500 300 2167 35 142 51 112 273 48
6 Aminophylin 200 mg Tab 899 1000 600 1500 1500 5499 436 399 380 409 408 309
7 Aminophylin inj 24 mg/ml 10 ml Amp 0 0 0
8 Amitriptilin HCl tablet 25 mg Tab 560 400 960 0 0 12
9 Amoksisillin sirup kering 125 mg/5 ml Btl 181 500 800 800 500 2781 260 242 128 116 272 211
10 Amoksisillin kapsul 250 mg Kap 916 6000 2400 6000 4800 20116 1132 1618 1958 1458 1758 809
11 Amoksisillin kaplet 500 mg Kap 3528 15000 12000 20000 10000 60528 4622 3781 3876 4728 4959 5134
12 Ampicillin kaplet 500 mg Kap 1460 500 1000 1000 600 4560 287 256 224 305 302 254
13 Ampicillin sirup kering 125 mg/5 ml Btl 126 96 144 240 606 46 44 114 29 35 20
14 Antalgin tablet 500 mg Tab 11456 6000 3600 6000 5000 32056 1795 1480 1887 1383 936 2823
15 Antalgin injeksi Amp 0 0 0
16 Antasida DOEN tablet kombinasi Tab 11549 6000 10000 15000 12000 54549 3644 3448 3700 3818 3761 3761
17 Antibakteri DOEN salep kombinasi Pot 52 50 50 75 50 277 33 24 36 10 28
18 Antihemoroid DOEN kombinasi Pot 58 50 50 50 208 6 16 27 19 2 26
19 Antifungi DOEN kombinasi Pot 77 48 24 149 1 5 10 8 11 5
20 Antimigrain DOEN kombinasi Tab 0 300 300 0
21 Aqua proinjeksi bebas pirogen Amp 2 10 12 1 0
22 Aquadest steril Amp 0 0 0
23 Asam askorbat (vit C) 50 mg Tab 25394 15000 10000 20000 10000 80394 3901 4356 5098 2893 5061 7149
24 Asam askorbat (vit C)250 mg Tab 0 0 0
25 Asetosal tablet 100 mg Tab 440 500 940 10 430 0
26 Asetosal tablet 500 mg Tab 0 0 0
27 Atropin sulfat injeksi 0,25 mg/ml - ml Amp 0 0 0
28 Atropin sulfat tablet 0,5 mg Tab 0 0 0
29 Atropin sulfat tetes mata 0 5 % Btl 0 0 0
30 Benzatin benzil penicillin inj. 2,4 juta IU/vial Amp 0 0 0
31 Besi sirup Btl 0 0 0
32 Betametason krim 0,1 % Tube 79 100 100 150 100 529 38 37 50 40 32 36
33 Catgut/benang bedah no. 2/0 - 3/0 Sak 5 5 1 2 0
34 Captopril 12.5 mg tablet Tab 1265 1500 2765 310 418 402 488 711 396
35 Captopril 25 mg tablet Tab 3497 2000 5497 805 531 681 758 534 877
36 Deksametason injeksi 5 mg/ml - 1 ml Amp 0 0 0
37 Deksametason tablet 0,5 mg Tab 18604 3600 15000 5200 42404 3036 3056 3242 2782 3514 2870
38 Dekstromethorpan HBr sirup 10 mg/5 ml Btl 109 100 200 300 709 40 51 57 40 59 59
39 Dekstromethorpan HBr tablet 15 mg Tab 3145 2000 3000 1000 9145 346 502 505 576 537
40 Devitalisasi pasta Btl 0 0 0
41 Diazepam injeksi 5 mg/ml - 2 ml Amp 59 59 1 8 0
42 Diazepam 2 mg Tab 1708 1000 2000 4708 247 406 420 285 304 320
43 Diazepam 5 mg Tab 0 0 0
44 Difenhidramin HCl injeksi 10 mg/ml - ml Amp 314 150 120 584 39 33 40 38 26 35
45 Digoksin tablet 0,25 mg Tab 95 100 195 0
46 Efedrin HCl tablet 25 mg Tab 2490 2490 202 141 112 53 63 80
47 Ekstrak belladon tablet 10 mg Tab 0 2000 2000 73 164 33 45 43 150
48 Epinephrin HCl injeksi Amp 52 52 1 0
49 Etakridin (rivanol) larutan 0,1 Btl 12 10 10 32 3 4 1 4 0 2
50 Etambutol HCl 250 mg tablet Tab 0 0 0
51 Etambutol HCl 500 mg tablet Tab 508 508 111 56 14 45 0 120
52 Etil klorida semprot Btl 1 3 5 5 14 2 2
53 Eugenol cairan Btl 0 5 5 3 0
54 Fenitoin natrium kapsul 100 mg Kap 0 500 500 0
55 Fenitoin natrium kapsul 30 mg Kap 0 0 0
56 Fenobarbital injeksi 50 mg/ml - 2 ml Amp 6 6 0
57 Fenobarbital tablet 100 mg Tab 0 0 0
58 Fenobarbital tablet 30 mg Tab 2612 2612 26 53 104 97 170 82
59 Fenoksi metil penisillin tablet 250 mg Tab 0 0 0
60 Fenoksi metil penisillin tablet 500 mg Tab 0 0 0
61 Fenol gliserol tetes telinga 10 % Btl 35 48 24 48 48 203 13 48 22 0 8
62 Fitomenadion (vit K) inj. 10 mg/ml - 1 ml Amp 129 120 249 4 4 4 3 3 3
63 Fitomenadion (vit K) tablet salut 10 mg Tab 183 200 1000 1000 500 2883 124 82 113 91 119 110
64 Furosemid tablet 40 mg Tab 296 296 10 45
65 Gameksan emulsi 1 % Btl 0 0 0
66 Garam oralit 200 ml air Sak 1305 2600 1200 2000 1000 8105 908 636 266 489 518 517
67 Gentian violet larutan 1 % Btl 112 96 96 48 352 26 22 21 22 22 15
68 Glass ionomer semen (gc ix) Btl 0 1 1 1 0
69 Glibenklamid tablet 5 mg Tab 814 500 500 1000 2814 150 80 140 400 0 144
70 Gliseril guayakolat tablet 100 mg Tab 30467 3000 10000 30000 15000 88467 5139 5635 5953 6126 6574 6104
71 Gliserin Btl 0 0 0
72 Glukosa Larutan Infus 5 % Steril Btl 0 0 0
73 Griseofulvin 125 mg micronized Tab 493 300 300 500 400 1993 96 149 148 298 17 123
74 Halloperidol tablet 0,5 mg Tab 0 600 600 0
75 Halloperidol tablet 1,5 mg Tab 340 600 300 500 300 2040 234 165 80 81 133 145
76 Halloperidol tablet 5 mg Tab 493 493 13 0
77 Hidroklrotiazed ( hct ) tablet 25 mg Tab 2175 1000 3175 89 210 272 65 74 70
78 Hidrokortison krim 2,5 % Pot 143 168 120 192 120 743 58 50 52 46 56 58
79 Ibuprofen tablet 200 mg Tab 1155 5000 3000 4000 7000 8000 28155 1125 1650 1804 1672 1590 1102
80 Ibuprofen tablet 400 mg Tab 715 1000 1715 415 100 28 172
81 Infusion set anak Set 0 0 0
82 Infusion set dewasa Set 0 0 0
83 I N H tablet 100 mg Tab 4030 4030 127 43 10 10
84 I N H tablet 300 mg Tab 1894 1894 1 97 19 40 36 51
85 Isosorbit dinitrat tablet sublingual 5 mg Tab 90 100 200 390 20 20 3 40 10 20
86 Kalium permanganat serbuk Btl 0 0 0
87 Kalsium hidroksida pasta Tab 0 0 0
88 Kalsium Laktat ( Kalk ) 500 mg Tab 4732 5000 5000 6000 5000 25732 1738 1627 1858 1767 1702 1695
89 Kapas pembalut / Absorben 250 gram Rol 16 10 10 20 56 6 6 2 4 4 1
90 Karbamazepin tablet 200 mg Tab 267 200 200 200 867 20 40 10 40 78 60
91 Kasa kompres 40/40 steril Rol 0 50 20 20 90 18 10 12
92 Kasa pembalut hidrofil 4 m x 15 cm Rol 17 50 50 50 167 5 5 10 17 9 15
93 Kasa pembalut hidrofil 4 m x 3 cm Rol 0 0 0
94 Kloramfenikol 250 mg kapsul Kap 384 250 250 884 57 65 50 42 125 67
95 Kloramfenikol salep mata 1 % Pot 122 72 194 17 10 8 14 16 9
96 Kloramfenikol tetes telinga 3 % Btl 3 96 72 171 23 6 17 29 12 6
97 Klorfeniramine maleat tablet 4 mg Tab 10759 30000 20000 20000 80759 8628 9012 8812 8442 9557 9225
98 Kloroquin pospat tablet 250 mg Tab 0 0 0
99 Klorpromazin hcl injeksi Amp 0 0 0
100 Klorfenol kamfermenthol (CHKM) Btl 0 0 0
101 Klorpromazin hcl injeksi 5 mg/ml - 1 ml Amp 0 0 0
102 Klorpromazin hcl tablet salut 100 mg Tab 721 2000 2721 169 204 138 87 106 119
103 Klorpromazin hcl tablet salut 25 mg Tab 0 0 0
104 Kodein hcl tablet 10 mg Tab 0 0 0
105 Komb. primetamin 25 mg + suldok 500 mg Tab 0 0 0
106 Kotrimoksazol pediatrik tablet Tab 0 2000 600 1000 2000 5600 223 308 283 202 275 659
107 Kotrimoksazol suspensi Btl 152 480 288 48 500 1468 129 124 138 162 159 164
108 Kotrimoksazol dewasa tablet Tab 3378 2000 2000 3000 3000 13378 827 749 983 756 816 1144
109 Kuinin dihidroklorida injeksi 25 % - 2 ml Amp 0 0 0
110 Kuinin sulfat tablet 222 mg ( 7H2O ) Tab 0 0 0
111 Lidokain Kompositum injeksi Amp 118 150 60 150 90 568 32 55 5 30 33 4
112 Magnesium sulfat inj. 20% - 25 ml Btl 0 0 0
113 Magnesium sulfat inj. 40% - 25 ml Btl 0 0 0
114 Mebendazol syrup Btl 0 0 0
115 Metilergometrin tablet salut Tab 245 400 645 10 10 10 145 20
116 Metilergometrin Inj. Amp 0 0 0
117 Metronidazol tablet 250 mg Tab 552 552 0
118 Metronidazol tablet 500 mg Tab 0 1000 500 1000 2500 10 40 60 90 81 164
119 Mummifying pasta Pot 0 0 0
120 Natrium bikarbonat tablet 500 mg Tab 0 0 0
121 Natrium klorida larutan infus 0,9 % steril Btl 0 0 0
122 Nistatin 100.000 iu/g tablet vaginal Tab 67 67 13 4 50 0
123 Nistatin 500.000 iu/g tablet salut Tab 95 95 95 0
124 Nifedipin tab Tab 120 200 300 200 820 75 20 30 50 25 40
125 Obat anti tuberkolusis katagori 1 Tab 0 2 4 4 2 2 2 3 3 5 3 30 1 1 4 4 2 2
126 Obat anti tuberkolusis katagori 2 Tab 0 0 0
127 Obat anti tuberkolusis katagori 3 Tab 0 0 0
128 Obat anti tuberkolusis sisipan Tab 0 0 0
129 Obat anti tuberkolosis anak Tab 0 0 0
130 Obat batuk hitam ( o b h ) cairan Btl 41 180 180 300 200 901 49 56 76 74 66 42
131 Oksitetrasiklin hcl inj. Amp 10 5 15 1 1 1 0 1
132 Oksitetrasiklin hcl salep kulit 3 % Pot 34 150 150 200 200 734 56 71 37 28 65 46
133 Oksitetrasiklin hcl salep mata 1 % Pot 73 25 50 25 173 5 13 15 9 9 9
134 Papaverin tablet Tab 0 0 0
135 Paraformaldehid tablet 1 gram Tab 0 0 0
136 Parasetamol sirup 120 mg/5ml Btl 150 800 300 600 300 2150 167 153 202 184 195 117
137 Parasetamol tablet 100 mg Tab 500 1000 1500 500
138 Parasetamol tablet 500 mg Tab 37994 30000 20000 53000 30000 170994 ### ### ### ### ### ###
139 Perfenazin tablet 4 mg Tab 0 0 0
140 Pirantel pamoat tablet 365 mg Tab 424 180 100 704 51 45 18 24 53 12
141 Piridoxin hcl tablet 10 mg Tab 7008 6000 6000 10000 15000 44008 2555 2356 2401 2323 2864 2589
142 Pyrazinamid tablet Tab 430 300 300 1030 157 84 29 8 55 28
143 Plester 5 yard x 2 inch Rol 5 6 6 17 1 1 1 1
144 Polikresulen Btl 6 6 1 1 0
145 Prazikuantel tablet 600 mg Tab 0 0 0
146 Prednison tablet 5 mg Tab 5633 5000 5000 12000 10000 37633 2012 1860 4409 1949 3154 1548
147 Primaquin tablet 15 mg Tab 0 0 0
148 Prokain benzyl penisillin 3 juta iu/vial inj. Amp 0 0 0
149 Propiltiourasil tablet 100 mg Tab 1038 600 1638 60 87 131 58 83
150 Propanolol hcl tablet 40 mg Tab 0 0 0
151 Propanolol hcl tablet 10 mg Tab 0 500 300 1000 1800 30 90 100 60 90
152 Reserpin tablet 0,10 mg Tab 0 0 0
153 Reserpin tablet 0,25 mg Tab 0 1000 2000 3000 12 306 211 334
154 Retinol ( Vit A ) 200.000 iu Kap 0 2500 3650 6150 2300 100 100
155 Retinol ( Vit A ) 100.000 iu Kap 0 300 700 1000 250 25 25
156 Rifampisin kapsul 600 mg Kap 243 200 443 32 28 3 1 0 5
157 Rifampisin kapsul 450 mg Kap 155 300 200 655 7 28 30 1 20
158 Rifampisin kapsul 300 mg Kap 410 200 610 27 20 12 54 39
159 Ringer laktat infus steril Btl 0 0 0
160 Salbutamol tablet 2 mg Tab 498 200 1000 1698 203 71 122 54 112 49
161 Salep 2-4 Pot 92 24 48 164 23 21 12 8 9
162 Salisil bedak 2 % Sak 43 100 50 100 100 393 36 22 18 33 35 31
163 Salisil spritus 10 % Btl 0 0 0
164 Semen seng fosfat serbuk dan cairan Btl 0 0 0
165 Serum ABU polivalen inj. Amp 0 0 0
166 Serum ATS 1500 IU Amp 2 3 3 8 1 1 1 1 1
167 Serum ATS 20000 IU Amp 0 0 0
168 Simvastatin Tab 420 300 720 90 40 30 110 110
169 Sianokobalamin inj. 500 mcg/ml Amp 424 200 200 200 500 1524 146 143 36 153 65 74
170 Silk (benang bedah sutera) no. 3/0 Rol 1 6 10 12 29 6 5 2
171 Silver amalgam serbuk 65 - 75 % Pot 0 0 0
172 Spons gelatin cublices 1x1x1 cm Sak 0 0 0
173 Streptomycin serbuk inj. 1000 mg/vial Amp 0 0 0
174 Sulfadimidin tablet 500 mg Tab 0 0 0
175 Sulfasetamid natrium tetes mata 15 % Btl 0 24 24 0
176 Tablet tambah darah kombinasi Tab 5460 3000 6000 1800 10200 6000 32460 2151 2298 2303 2369 2565 2333
177 Temporary stoping fletcher dan cairan Btl 0 0 0
178 Tetrasiklin HCl kapsul 250 mg Kap 4800 4800 300 153 260 330 150 240
179 Tetrasiklin HCl kapsul 500 mg Kap 240 1000 1000 500 2740 146 430 460 110 120 110
180 Tiamin HCl (vit B1) inj. 100 mg/ml - 1ml Amp 64 64 4 0
181 Tiamin HCl mononitrat tablet 50 mg Tab 9453 6000 7000 10000 10000 42453 2588 2368 2940 2395 3228 2707
182 Triheksilfenidil HCl tablet 2 mg Tab 187 500 300 200 600 1787 204 195 150 94 190 154
183 Trikresol formalin cairan Btl 0 0 0
184 Vaksin Rabies Vero Amp 0 0 0
185 Vitamin B komplek tablet Tab 12001 13000 10000 15000 20000 70001 3762 4583 5198 4997 5285 5490
186 Yodium povidon larutan 10 % - 30 ml Btl 21 21 1 5 1 1 0 1
187 Yodium povidon larutan 10 % - 300 ml Btl 7 6 3 16 3 4 1 1
1 Acyclovir tablet 200 mg Tab 586 500 500 300 1886 115 231 65 67 103 45
2 Acyclovir cream Tube 108 50 50 100 100 408 20 21 25 35 37 37
3 Acyclovir tablet 400 mg Tab 759 500 500 300 2059 95 236 72 147 115 200
4 Andalan Injeksi Amp 0 80 80 0
5 Asam mefenamat kapsul 250 mg Tab 0 0 0
6 Asam mefenamat tablet 500 mg Tab 639 1000 1000 3000 5639 239 372 246 356 451 321
7 Ampicilin injeksi 1 g Amp 0 0 0
8 Ambroxol Sirup Amp 176 100 200 200 250 926 92 53 55 48 53 100
9 Cefotaxime inj 1 gr Amp 0 0 0
10 Cimetidin tablet 200 mg Tab 0 0 0
11 Ciprofloxacin kaplet 500 mg Kap 0 1000 1000 0
12 Dasabion tab Tab 0 0 0
13 Domperidon tab Tab 625 300 1000 1925 84 110 125 154 113 76
14 Erytromycin caps 250 mg Kap 0 0
15 Erytromycin capt 500 mg Kap 0 500 300 300 1100 58 50 45 40 20 87
16 Erytromycin Syr Btl 113 113 11 6 14 33 0 2
17 Etabion Cap Cap 0 300 300 20 51 79
18 Gentamycin injeksi Amp 0 0 0
19 Gentamycin salep kulit Pot 39 100 139 5 3 10 11 0
20 Gentamycin tetes mata Btl 50 50 1 6 0
21 H2O2 Btl 2 5 7 2 0
22 Ichtyol salap Pot 0 0 0
23 Levertran salep Pot 9 9 1 0
24 Kloramphenicol tetes mata Btl 104 48 48 200 12 32 12 17 36 16
25 Metoklorpropamide Hcl 10 mg Tab 0 300 300 0
26 Mikonazole cream Pot 72 24 48 72 216 10 10 14 12 15 13
27 Methyl Prednisolon tab 4 mg Tab 0 0 0
28 Nipedipin tablet Tab 0 0 0
29 Natrium Diklofenak 50 mg Tab 0 500 500 10 20 20 20
30 Obat Tambah Darah Indo tab 0 0 0
31 Obat Flu Indo Tab 0 0 0
32 Obat Maag indo Tab 0 0 0
33 Papaverin injeksi Amp 0 0 0
34 Papaverin tablet 40 mg Tab 864 1000 1000 1000 3864 402 251 333 5 152 140
35 Piperazin 500 mg Tab 0 0 0
36 Piperazin sirup Btl 0 0 0
37 Piroksikam tablet 10 mg Tab 1003 600 1200 2803 89 64 148 112 202 358
38 Piroksikam tablet 20 mg Tab 0 0 0
39 Ranitidine 150 mg Tab 578 500 500 1000 2578 160 138 172 116 146 213
40 Stesolit Rectal supp Tube 0 0 0
0
1 Alkohol 70 % Btl 7 6 10 10 5 38 5 3 2 4 3 1
2 Anisol solution Btl 0 0 0
3 Asam Asetat Glasial Btl 0 0 0
4 Aqua destilata Btl 0 0 0
5 Asam Klorida 0.1 N Btl 0 2 2 2 0
6 Asam klorida 0,1 N Btl 0 0 0
7 Asam sulfosalisilat 20 % Btl 0 2 2 0
8 Barium Klorida Btl 0 2 2 0
9 Beker Glass Btl 0 0 0
10 Blood Lancet Ktk 0 0 0
11 Erlemeyer Btl 0 0 0
12 Etanol asam 3 % Btl 0 0 0
13 Etanol 70 % Btl 0 0 0
14 Fauchet Btl 0 0 0
15 Imersen Oil HB Btl 0 0 0
16 Kapas 1 KG Rol 0 0 0
17 Kertas Saring Whatman Rol 0 0 0
18 Kertas Perkamen Rol 550 500 1050 7 36 37 420
19 Larutan Bupper PH 7.2 Btl 0 1 1 0
20 Label Etiket Set 0 0 0
21 Larutan Metanol Btl 0 0 0
22 Larutan Sulposalisilat Btl 0 0 0
23 Larutan Benedict Btl 0 0 0
24 Larutan Eosin 2 % Btl 0 0 0
25 Larutan Etanol Asam Btl 0 0 0
26 Larutan Giemsa Stalin Btl 0 2 2 0
27 Larutan Karbol Fuksin Btl 0 0 0
28 Larutan Metilen Biru Btl 0 0 0
29 Larutan Turk Btl 0 3 3 2 1
30 Lisol Btl 0 3 3 3 9 1 1 1
31 Metanol Btl 0 0 0
32 Natrium Sitrat 38 % Btl 0 2 2 0
33 Objek Glass Ktk 0 0 0
34 Plastik Obat Set 0 24000 24000 20000 24000 92000 6850 7000 6800 6650 7000 6650
35 Pipet Tetes Biasa Ktk 0 0 0
36 Rees echer Btl 1 5 6 1 0
37 Rak Pewarna kaca pipet Ktk 0 0 0
38 Schlesinger Btl 0 0 0
39 Spiritus 100 ml Btl 0 1 1 0
40 Tes Gol. Darah( A,B,AB) Ktk 0 1 1 2 1 0
41 Tes Kehamilan HCG Ktk 100 100 200 5 4 38
42 Tabung Reaksi Set 0 0 0
43 Tissue lensa Set 0 0 0
44 Alat suntik 3 cc pcs 100 100 92 8
45 ACT ktk 0 0 0
46 Artesunate amp 0 0 0
47 Ambroxol tab tab 699 500 1000 1500 2000 5699 371 391 437 254 420 326
48 Clindamicin caps 0 0 0
49 Cetrizin tab 275 450 725 40 10 10 10 5 61
50 Hemafort tab 0 0 0
51 Oxytocin inj amp 0 0 0
52 Pembalut gip bks 0 0 0
53 Salbutamol 4 mg tab 213 213 3 0 49
54 Antasida Syrup btl 99 50 149 14 10 12 11 11 8
55 Lysmin sirup btl 0 0 0
56 Lytamin syrup btl 79 72 151 23 12 9 10 12 49
57 Mecobion tab tab 814 1000 1814 91 110 140 80 70
58 Bismecon jelly tube 0 12 10 22 1 1
59 Dolodon 500 mg tab 0 0 0
60 Metformin tab 1244 1000 500 1000 3000 6744 544 360 336 170 440 594
61 Meloxicam 7,5 mg tab 0 500 500 0
62 Bisturi 10,11,20,22 pcs 0 0 0
63 Jarum jhit 10,11,12,13,14 pcs 6 10 16 6 0
64 Duo care Gluko le st pcs 0 0 0
65 Stick gula darah pcs 0 2 1 100 103 1 1
66 Hand scun pcs 200 300 100 200 800 100 100 100
67 Omeperazole Tab 303 303 10 10 5 5
68 Asam Folat Tab 1630 1630 10 20 50 10 15 16
69 Alat suntik 5 cc pcs 100 100 100 0
70 Zink Tablet Tab 1000 1000 2000 3000 7000 0 500 500
71 Doxyciclin 100 mg Tab 400 400
72 Amlodipin 5 mg Tab 450 450
Mengetahui, Yang menyerahkan, Yang menerima/Melapor

Kepala Dinkes Kota Jambi Ka. IFK Ka. Puskesmas
( dr. Emildan Pasai )

(…………………………….) (…………………….) Nip. 19731201 200604 1 013
KAIAN OBAT PUSKESMAS TANJUNG PINANG
HUN 2012
Pemakaian 2012
JumlahStok Akhir
Jul Ags Sep Okt Nov Des
0 0 0 0 0 0 0 0
55 25 20 30 37 13 200 100
201 204 114 213 173 129 2052 48
300 6 371 294
37 129 153 99 100 181 1360 807
471 273 429 385 316 477 4692 807
0 0
128 153 101 101 140 635 325
200 172 261 221 233 213 2529 252
639 1112 1080 1562 1989 1781 16896 3220
4462 3578 4211 4088 4460 4198 52097 8431
264 257 340 344 374 394 3601 959
31 33 34 38 30 29 483 123
1753 1275 1841 1613 1975 1475 20236 11820
0 0
3723 3058 3478 3515 3649 3730 43285 11264
8 5 5 4 4 2 159 118
13 15 8 9 13 154 54
6 5 4 14 6 6 81 68
14 20 21 1 56 244
1 1 1 3 7 5
0 0
4184 4887 4562 4292 4678 4557 55618 24776
0 0
440 500
0 0
0 0
0 0
0 0
0 0
0 0
51 25 30 43 43 38 463 66
2 5 0
40 2765 0
292 544 475 5497 0
0 0
2934 2422 2778 3081 2983 2785 35483 6921
51 51 44 46 498 211
393 379 412 341 365 272 4628 4517
0 0
9 50
210 210 306 151 274 149 3282 1426
0 0
28 28 77 62 33 439 145
95 95 100
76 78 52 48 104 27 1036 1454
10 10 528 1472
2 3 49
3 1 1 2 1 3 25 7
0 0
10 356 152
1 2 3 1 2 13 1
2 5 0
10 85 95 405
0 0
0 6
0 0
141 112 42 154 81 118 1180 1432
0 0
0 0
3 37 7 30 8 176 27
2 2 2 4 12 3 46 203
41 111 125 58 98 135 1207 1676
41 100 100 296 0
0 0
767 131 1255 709 766 466 7428 677
24 18 22 19 20 39 270 82
1 0
66 70 60 70 40 1220 1594
4932 5096 5788 5295 5621 6497 68760 19707
0 0
0 0
60 62 101 90 92 122 1358 635
0 600
120 240 132 151 131 160 1772 268
2 50 30 95 398
30 20 15 63 61 28 997 2178
38 42 49 75 59 58 641 102
1212 1330 1640 1446 1104 1402 17077 11078
40 755 960
0 0
0 0
20 20 230 3800
117 131 152 78 145 105 972 922
20 20 30 17 10 210 180
0 0
0 0
1574 1433 1984 1930 1868 1714 20890 4842
5 3 3 2 1 37 19
90 130 70 158 171 867 0
20 10 10 5 5 90 0
14 6 16 6 15 118 49
0 0
27 28 45 45 35 62 648 236
10 17 5 23 32 19 180 14
6 14 14 127 44
7083 3373 64132 16627
0 0
0 0
0 0
0 0
208 195 88 158 105 138 1715 1006
0 0
0 0
0 0
845 729 76 113 155 185 4053 1547
62 6 2 100 117 89 1252 216
1090 912 1006 727 215 1300 10525 2853
0 0
0 0
73 34 33 63 32 33 427 141
0 0
0 0
0 0
10 30 40 10 285 360
0 0
56 120 141 159 76 552 0
40 190 120 157 88 1040 1460
0 0
0 0
0 0
67 0
95 0
30 50 30 40 30 93 513 307
1 4 3 4 3 29 1
0 0
0 0
0 0
0 0
72 53 55 59 50 73 725 176
7 1 1 13 2
60 45 63 28 56 54 609 125
4 5 17 12 6 5 109 64
0 0
0 0
134 104 149 116 130 112 1763 387
500 1000
### ### ### ### ### ### 163569 7425
0 0
107 44 22 31 26 66 499 205
2349 3296 2312 4198 521 2456 30220 13788
107 122 147 98 149 46 1030 0
1 1 1 3 1 11 6
2 4
0 0
1659 2306 2625 2572 2775 2615 29484 8149
0 0
0 0
124 168 182 121 156 159 1329 309
0 0
110 150 160 110 130 1030 770
0 0
31 116 123 285 98 1516 1484
2650 700 200 50 6100 50
350 300 20 970 30
33 55 34 38 56 34 319 124
71 59 107 33 85 73 514 141
58 8 21 239 371
0 0
103 96 82 114 68 112 1186 512
19 8 9 5 8 10 132 32
20 25 22 29 30 26 327 66
0 0
0 0
0 0
1 6 2
0 0
50 430 290
134 42 67 159 118 35 1172 352
2 2 2 1 20 9
0 0
0 0
0 0
0 0
20 20 4
2606 1899 2388 1683 1811 1231 25637 6823
0 0
192 75 95 78 122
109 2104 2696
144 30 70 100
95 1815 925
60 64 0
2279 2103 2534 2624 3162 2158 31086 11367
200 105 160 158 1610 177
0 0
0 0
5019 4159 4973 5718 5765 5327 60276 9725
2 1 1 4 2 19 2
3 1 1 14 2
50 70 85 25 105 60 1021 865

2 23 18 5 39 18 280 128
85 60 75 60 86 75 1306 753
20 20 40 80 0
0 0
370 140 65 285 331 396 3572 2067
0 0
58 38 42 50 62 45 696 230
0 0
0 0
30 70 100 40 100 340 660
0 0
192 71 925 1000
0 0
33 95 50 62 60 50 650 450
2 1 1 1 71 42
10 30 40 70 300 0
0 0
10 4 9 5 57 82
1 2 10 40
1 2 5 2
0 0
1 1 2 4 9 0
10 9 18 13 25 200 0
3 46 57 58 62 226 74
9 7 5 7 12 9 123 93
0 0
0 0
110 10 30 20 40 20 300 200
0 0
0 0
0 0
0 0
270 107 211 234 152 100 2357 1507
0 0
0 0
354 101 15 202 336 326 2307 496
0 0
76 95 167 274 267 196 2020 558
0 0
6 2 3 4 2 1 36 2
0 0
0 0
0 0
2 0
0 0
1 1 2 0
1 1 2 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 34 6 100 100 750 300
1 1 0
0 0
0 0
0 0
0 0
0 0
0 0
2 2 0
0 0
0 0
3 0
1 1 1 6 3
0 0
1 1 2 0
0 0
7325 6960 6720 5310 6500 6235 80000 12000
0 0
1 4 6 0
0 0
0 0
1 1 0
1 2 0
8 1 4 37 103 200 0
0 0
0 0
100 0
0 0
0 0
208 317 347 222 246 512 4051 1648
0 0
84 55 30 305 420
0 0
0 0
0 0
36 24 3 115 98
9 7 5 5 5 4 101 48
0 0
9 6 12 6 3 151 0
125 138 170 130 80 170 1304 510
10 3 1 16 6
0 0
281 389 500 625 535 610 5384 1360
20 430 10 460 40
0 0
1 7 9
0 0
1 50 50 103 0
200 100 100 700 100
15 5 10 10 10 80 223
1509 1630 0
100 0
440 550 285 790 655 375 4095 2905
100 100 300
60 20 80 370
Yang Menerima,
Petugas Puskesmas
(SusantI)
Nip. 19721001 199203 2 001

2012 (d+e - f) 2012 ( f ) ( h x 10 % ) (h+i) (j-g)
2 Alat Suntik 1 ml Set 0 300 200 100 200 20 220 120 400 lebih Alat Suntik 1 ml
3 Alat Suntik 2.5 ml Set 0 2100 2052 48 2052 205.2 2257.2 2209.2 2500 kurang Alat Suntik 2.5 ml
4 Albendazol 400 mg Set 65 600 371 294 371 37.1 408.1 114.1 300 lebih Albendazol 400 mg
5 Alupurinol 100 mg Tab 967 1200 1360 807 1360 136 1496 689 1500 lebih Alupurinol 100 mg
6 Aminophylin 200 mg Tab 899 4600 4692 807 4692 469.2 5161.2 4354.2 4000 kurang Aminophylin 200 mg
8 Amitriptilin HCl tablet 25 mg Tab 560 400 635 325 635 63.5 698.5 373.5 1700 lebih Amitriptilin HCl tablet 25 mg
9 Amoksisillin sirup kering 125 mg/5 ml Btl 181 2600 2529 252 2529 252.9 2781.9 2529.9 1640 kurang Amoksisillin sirup kering 125 mg/5 m
10 Amoksisillin kapsul 250 mg Kap 916 19200 16896 3220 16896 1689.6 18585.6 15365.6 19800 lebih Amoksisillin kapsul 250 mg
11 Amoksisillin kaplet 500 mg Kap 3528 57000 52097 8431 52097 5209.7 57306.7 48875.7 50000 kurang Amoksisillin kaplet 500 mg
12 Ampicillin kaplet 500 mg Kap 1460 3100 3601 959 3601 360.1 3961.1 3002.1 2300 kurang Ampicillin kaplet 500 mg
13 Ampicillin sirup kering 125 mg/5 ml Btl 126 480 483 123 483 48.3 531.3 408.3 358 kurang Ampicillin sirup kering 125 mg/5 ml
14 Antalgin tablet 500 mg Tab 11456 20600 20236 11820 20236 2023.6 22259.6 10439.6 10000 kurang Antalgin tablet 500 mg
16 Antasida DOEN tablet kombinasi Tab 11549 43000 43285 11264 43285 4328.5 47613.5 36349.5 7000 kurang Antasida DOEN tablet kombinasi
17 Antibakteri DOEN salep kombinasi Pot 52 225 159 118 159 15.9 174.9 56.9 50 kurang Antibakteri DOEN salep kombinasi
18 Antihemoroid DOEN kombinasi Pot 58 150 154 54 154 15.4 169.4 115.4 100 kurang Antihemoroid DOEN kombinasi
19 Antifungi DOEN kombinasi Pot 77 72 81 68 81 8.1 89.1 21.1 96 lebih Antifungi DOEN kombinasi
20 Antimigrain DOEN kombinasi Tab 0 300 56 244 56 5.6 61.6 -182.4 0 Antimigrain DOEN kombinasi
21 Aqua proinjeksi bebas pirogen Amp 2 10 7 5 7 0.7 7.7 2.7 10 kurang Aqua proinjeksi bebas pirogen
23 Asam askorbat (vit C) 50 mg Tab 25394 55000 55618 24776 55618 5561.8 61179.8 36403.8 11000 kurang Asam askorbat (vit C) 50 mg
25 Asetosal tablet 100 mg Tab 440 500 440 500 440 44 484 -16 0 Asetosal tablet 100 mg
2012 (d+e - f) 2012 ( f ) ( h x 10 % ) (h+i) (j-g)
32 Betametason krim 0,1 % Tube 79 450 463 66 463 46.3 509.3 443.3 400 kurang Betametason krim 0,1 %
33 Catgut/benang bedah no. 2/0 - 3/0 Sak 5 0 5 0 5 0.5 5.5 5.5 0 kurang Catgut/benang bedah no. 2/0 - 3/0
34 Captopril 12.5 mg tablet Tab 1265 1500 2765 0 2765 276.5 3041.5 3041.5 7000 kurang Captopril 12.5 mg tablet
35 Captopril 25 mg tablet Tab 3497 2000 5497 0 5497 549.7 6046.7 6046.7 5000 kurang Captopril 25 mg tablet
36 Deksametason injeksi 5 mg/ml - 1 ml Amp 0 0 0 0 0 0 0 0 100 lebih Deksametason injeksi 5 mg/ml - 1 m
37 Deksametason tablet 0,5 mg Tab 18604 23800 35483 6921 35483 3548.3 39031.3 32110.3 38000 kurang Deksametason tablet 0,5 mg
38 Dekstromethorpan HBr sirup 10 mg/5 ml Btl 109 600 498 211 498 49.8 547.8 336.8 350 kurang Dekstromethorpan HBr sirup 10 mg
39 Dekstromethorpan HBr tablet 15 mg Tab 3145 6000 4628 4517 4628 462.8 5090.8 573.8 4000 lebih Dekstromethorpan HBr tablet 15 mg
41 Diazepam injeksi 5 mg/ml - 2 ml Amp 59 0 9 50 9 0.9 9.9 -40.1 0 Diazepam injeksi 5 mg/ml - 2 ml
42 Diazepam 2 mg Tab 1708 3000 3282 1426 3282 328.2 3610.2 2184.2 3000 kurang Diazepam 2 mg
43 Diazepam 5 mg Tab 0 0 0 0 0 0 0 0 0 Diazepam 5 mg
44 Difenhidramin HCl injeksi 10 mg/ml - ml Amp 314 270 439 145 439 43.9 482.9 337.9 360 kurang Difenhidramin HCl injeksi 10 mg/ml
45 Digoksin tablet 0,25 mg Tab 95 100 95 100 95 9.5 104.5 4.5 0 Digoksin tablet 0,25 mg
46 Efedrin HCl tablet 25 mg Tab 2490 0 1036 1454 1036 103.6 1139.6 -314.4 0 Efedrin HCl tablet 25 mg
47 Ekstrak belladon tablet 10 mg Tab 0 2000 528 1472 528 52.8 580.8 -891.2 1000 Ekstrak belladon tablet 10 mg
48 Epinephrin HCl injeksi Amp 52 0 3 49 3 0.3 3.3 -45.7 0 Epinephrin HCl injeksi
49 Etakridin (rivanol) larutan 0,1 Btl 12 20 25 7 25 2.5 27.5 20.5 25 Etakridin (rivanol) larutan 0,1
51 Etambutol HCl 500 mg tablet Tab 508 0 356 152 356 35.6 391.6 239.6 0 Etambutol HCl 500 mg tablet
52 Etil klorida semprot Btl 1 13 13 1 13 1.3 14.3 13.3 3 Etil klorida semprot
53 Eugenol cairan Btl 0 5 5 0 5 0.5 5.5 5.5 0 Eugenol cairan
54 Fenitoin natrium kapsul 100 mg Kap 0 500 95 405 95 9.5 104.5 -300.5 500 Fenitoin natrium kapsul 100 mg
58 Fenobarbital tablet 30 mg Tab 2612 0 1180 1432 1180 118 1298 -134 1000 Fenobarbital tablet 30 mg
2012 (d+e - f) 2012 ( f ) ( h x 10 % ) (h+i) (j-g)
61 Fenol gliserol tetes telinga 10 % Btl 35 168 176 27 176 17.6 193.6 166.6 48 kurang Fenol gliserol tetes telinga 10 %
62 Fitomenadion (vit K) inj. 10 mg/ml - 1 ml Amp 129 120 46 203 46 4.6 50.6 -152.4 30 Fitomenadion (vit K) inj. 10 mg/ml -
63 Fitomenadion (vit K) tablet salut 10 mg Tab 183 2700 1207 1676 1207 120.7 1327.7 -348.3 800 Fitomenadion (vit K) tablet salut 10
64 Furosemid tablet 40 mg Tab 296 0 296 0 296 29.6 325.6 325.6 200 kurang Furosemid tablet 40 mg
66 Garam oralit 200 ml air Sak 1305 6800 7428 677 7428 742.8 8170.8 7493.8 7200 kurang Garam oralit 200 ml air
67 Gentian violet larutan 1 % Btl 112 240 270 82 270 27 297 215 168 kurang Gentian violet larutan 1 %
68 Glass ionomer semen (gc ix) Btl 0 1 1 0 1 0.1 1.1 1.1 0 Glass ionomer semen (gc ix)
69 Glibenklamid tablet 5 mg Tab 814 2000 1220 1594 1220 122 1342 -252 2000 Glibenklamid tablet 5 mg
70 Gliseril guayakolat tablet 100 mg Tab 30467 58000 68760 19707 68760 6876 75636 55929 70000 kurang Gliseril guayakolat tablet 100 mg
73 Griseofulvin 125 mg micronized Tab 493 1500 1358 635 1358 135.8 1493.8 858.8 1400 lebih Griseofulvin 125 mg micronized
74 Halloperidol tablet 0,5 mg Tab 0 600 0 600 0 0 0 -600 0 Halloperidol tablet 0,5 mg
75 Halloperidol tablet 1,5 mg Tab 340 1700 1772 268 1772 177.2 1949.2 1681.2 1100 kurang Halloperidol tablet 1,5 mg
76 Halloperidol tablet 5 mg Tab 493 0 95 398 95 9.5 104.5 -293.5 500 Halloperidol tablet 5 mg
77 Hidroklrotiazed ( hct ) tablet 25 mg Tab 2175 1000 997 2178 997 99.7 1096.7 -1081.3 1000 Hidroklrotiazed ( hct ) tablet 25 mg
78 Hidrokortison krim 2,5 % Pot 143 600 641 102 641 64.1 705.1 603.1 528 kurang Hidrokortison krim 2,5 %
79 Ibuprofen tablet 200 mg Tab 1155 27000 17077 11078 17077 1707.7 18784.7 7706.7 11000 lebih Ibuprofen tablet 200 mg
80 Ibuprofen tablet 400 mg Tab 715 1000 755 960 755 75.5 830.5 -129.5 0 Ibuprofen tablet 400 mg
83 I N H tablet 100 mg Tab 4030 0 230 3800 230 23 253 -3547 1000 I N H tablet 100 mg
84 I N H tablet 300 mg Tab 1894 0 972 922 972 97.2 1069.2 147.2 0 I N H tablet 300 mg
85 Isosorbit dinitrat tablet sublingual 5 mg Tab 90 300 210 180 210 21 231 51 200 lebih Isosorbit dinitrat tablet sublingual 5
88 Kalsium Laktat ( Kalk ) 500 mg Tab 4732 21000 20890 4842 20890 2089 22979 18137 20000 kurang Kalsium Laktat ( Kalk ) 500 mg
89 Kapas pembalut / Absorben 250 gram Rol 16 40 37 19 37 3.7 40.7 21.7 30 Kapas pembalut / Absorben 250 gra
90 Karbamazepin tablet 200 mg Tab 267 600 867 0 867 86.7 953.7 953.7 900 kurang Karbamazepin tablet 200 mg
2012 (d+e - f) 2012 ( f ) ( h x 10 % ) (h+i) (j-g)
91 Kasa kompres 40/40 steril Rol 0 90 90 0 90 9 99 99 112 kurang Kasa kompres 40/40 steril
92 Kasa pembalut hidrofil 4 m x 15 cm Rol 17 150 118 49 118 11.8 129.8 80.8 100 kurang Kasa pembalut hidrofil 4 m x 15 cm
94 Kloramfenikol 250 mg kapsul Kap 384 500 648 236 648 64.8 712.8 476.8 1000 lebih Kloramfenikol 250 mg kapsul
95 Kloramfenikol salep mata 1 % Pot 122 72 180 14 180 18 198 184 216 kurang Kloramfenikol salep mata 1 %
96 Kloramfenikol tetes telinga 3 % Btl 3 168 127 44 127 12.7 139.7 95.7 240 lebih Kloramfenikol tetes telinga 3 %
97 Klorfeniramine maleat tablet 4 mg Tab 10759 70000 64132 16627 64132 6413.2 70545.2 53918.2 103000 lebih Klorfeniramine maleat tablet 4 mg
102 Klorpromazin hcl tablet salut 100 mg Tab 721 2000 1715 1006 1715 171.5 1886.5 880.5 2000 lebih Klorpromazin hcl tablet salut 100 mg
103 Klorpromazin hcl tablet salut 25 mg Tab 0 0 0 0 0 0 0 0 0 Klorpromazin hcl tablet salut 25 mg
104 Kodein hcl tablet 10 mg Tab 0 0 0 0 0 0 0 0 250 Kodein hcl tablet 10 mg
106 Kotrimoksazol pediatrik tablet Tab 0 5600 4053 1547 4053 405.3 4458.3 2911.3 800 kurang Kotrimoksazol pediatrik tablet
107 Kotrimoksazol suspensi Btl 152 1316 1252 216 1252 125.2 1377.2 1161.2 1250 kurang Kotrimoksazol suspensi
108 Kotrimoksazol dewasa tablet Tab 3378 10000 10525 2853 10525 1052.5 11577.5 8724.5 11000 kurang Kotrimoksazol dewasa tablet
109 Kuinin dihidroklorida injeksi 25 % - 2 ml Amp 0 0 0 0 0 0 0 0 30 lebih Kuinin dihidroklorida injeksi 25 % - 2
110 Kuinin sulfat tablet 222 mg ( 7H2O ) Tab 0 0 0 0 0 0 0 0 60 lebih Kuinin sulfat tablet 222 mg ( 7H2O )
111 Lidokain Kompositum injeksi Amp 118 450 427 141 427 42.7 469.7 328.7 270 kurang Lidokain Kompositum injeksi
114 Mebendazol syrup Btl 0 0 0 0 0 0 0 0 0 Mebendazol syrup
115 Metilergometrin tablet salut Tab 245 400 285 360 285 28.5 313.5 -46.5 200 lebih Metilergometrin tablet salut
117 Metronidazol tablet 250 mg Tab 552 0 552 0 552 55.2 607.2 607.2 0 Metronidazol tablet 250 mg
118 Metronidazol tablet 500 mg Tab 0 2500 1040 1460 1040 104 1144 -316 300 Metronidazol tablet 500 mg
2012 (d+e - f) 2012 ( f ) ( h x 10 % ) (h+i) (j-g)
122 Nistatin 100.000 iu/g tablet vaginal Tab 67 0 67 0 67 6.7 73.7 73.7 100 lebih Nistatin 100.000 iu/g tablet vaginal
123 Nistatin 500.000 iu/g tablet salut Tab 95 0 95 0 95 9.5 104.5 104.5 0 kurang Nistatin 500.000 iu/g tablet salut
124 Nifedipin tab Tab 120 700 513 307 513 51.3 564.3 257.3 500 lebih Nifedipin tab
125 Obat anti tuberkolusis katagori 1 Tab 0 30 29 1 29 2.9 31.9 30.9 37 Obat anti tuberkolusis katagori 1
130 Obat batuk hitam ( o b h ) cairan Btl 41 860 725 176 725 72.5 797.5 621.5 580 kurang Obat batuk hitam ( o b h ) cairan
131 Oksitetrasiklin hcl inj. Amp 10 5 13 2 13 1.3 14.3 12.3 10 Oksitetrasiklin hcl inj.
132 Oksitetrasiklin hcl salep kulit 3 % Pot 34 700 609 125 609 60.9 669.9 544.9 650 kurang Oksitetrasiklin hcl salep kulit 3 %
133 Oksitetrasiklin hcl salep mata 1 % Pot 73 100 109 64 109 10.9 119.9 55.9 75 kurang Oksitetrasiklin hcl salep mata 1 %
135 Paraformaldehid tablet 1 gram Tab 0 0 0 0 0 0 0 0 0 Paraformaldehid tablet 1 gram
136 Parasetamol sirup 120 mg/5ml Btl 150 2000 1763 387 1763 176.3 1939.3 1552.3 950 kurang Parasetamol sirup 120 mg/5ml
137 Parasetamol tablet 100 mg Tab 500 1000 500 1000 500 50 550 -450 4000 lebih Parasetamol tablet 100 mg
138 Parasetamol tablet 500 mg Tab 37994 133000 163569 7425 163569 16356.9 179925.9 172500.9 111800 kurang Parasetamol tablet 500 mg
140 Pirantel pamoat tablet 365 mg Tab 424 280 499 205 499 49.9 548.9 343.9 300 Pirantel pamoat tablet 365 mg
141 Piridoxin hcl tablet 10 mg Tab 7008 37000 30220 13788 30220 3022 33242 19454 12000 kurang Piridoxin hcl tablet 10 mg
142 Pyrazinamid tablet Tab 430 600 1030 0 1030 103 1133 1133 1800 Pyrazinamid tablet
143 Plester 5 yard x 2 inch Rol 5 12 11 6 11 1.1 12.1 6.1 12 Plester 5 yard x 2 inch
144 Polikresulen Btl 6 0 2 4 2 0.2 2.2 -1.8 0 Polikresulen
146 Prednison tablet 5 mg Tab 5633 32000 29484 8149 29484 2948.4 32432.4 24283.4 27000 kurang Prednison tablet 5 mg
149 Propiltiourasil tablet 100 mg Tab 1038 600 1329 309 1329 132.9 1461.9 1152.9 3500 lebih Propiltiourasil tablet 100 mg
150 Propanolol hcl tablet 40 mg Tab 0 0 0 0 0 0 0 0 0 Propanolol hcl tablet 40 mg
151 Propanolol hcl tablet 10 mg Tab 0 1800 1030 770 1030 103 1133 363 2300 lebih Propanolol hcl tablet 10 mg
2012 (d+e - f) 2012 ( f ) ( h x 10 % ) (h+i) (j-g)
153 Reserpin tablet 0,25 mg Tab 0 3000 1516 1484 1516 151.6 1667.6 183.6 3000 lebih Reserpin tablet 0,25 mg
156 Rifampisin kapsul 600 mg Kap 243 200 319 124 319 31.9 350.9 226.9 200 Rifampisin kapsul 600 mg
157 Rifampisin kapsul 450 mg Kap 155 500 514 141 514 51.4 565.4 424.4 1100 lebih Rifampisin kapsul 450 mg
158 Rifampisin kapsul 300 mg Kap 410 200 239 371 239 23.9 262.9 -108.1 0 Rifampisin kapsul 300 mg
160 Salbutamol tablet 2 mg Tab 498 1200 1186 512 1186 118.6 1304.6 792.6 0 Salbutamol tablet 2 mg
161 Salep 2-4 Pot 92 72 132 32 132 13.2 145.2 113.2 120 kurang Salep 2-4
162 Salisil bedak 2 % Sak 43 350 327 66 327 32.7 359.7 293.7 538 kurang Salisil bedak 2 %
166 Serum ATS 1500 IU Amp 2 6 6 2 6 0.6 6.6 4.6 5 Serum ATS 1500 IU
168 Simvastatin Tab 420 300 430 290 430 43 473 183 1000 lebih Simvastatin
169 Sianokobalamin inj. 500 mcg/ml Amp 424 1100 1172 352 1172 117.2 1289.2 937.2 800 Sianokobalamin inj. 500 mcg/ml
170 Silk (benang bedah sutera) no. 3/0 Rol 1 28 20 9 20 2 22 13 5 Silk (benang bedah sutera) no. 3/0
175 Sulfasetamid natrium tetes mata 15 % Btl 0 24 20 4 20 2 22 18 0 Sulfasetamid natrium tetes mata 15
176 Tablet tambah darah kombinasi Tab 5460 27000 25637 6823 25637 2563.7 28200.7 21377.7 18000 kurang Tablet tambah darah kombinasi
178 Tetrasiklin HCl kapsul 250 mg Kap 4800 0 2104 2696 2104 210.4 2314.4 -381.6 2000 Tetrasiklin HCl kapsul 250 mg
179 Tetrasiklin HCl kapsul 500 mg Kap 240 2500 1815 925 1815 181.5 1996.5 1071.5 1000 kurang Tetrasiklin HCl kapsul 500 mg
180 Tiamin HCl (vit B1) inj. 100 mg/ml - 1ml Amp 64 0 64 0 64 6.4 70.4 70.4 90 lebih Tiamin HCl (vit B1) inj. 100 mg/ml -
181 Tiamin HCl mononitrat tablet 50 mg Tab 9453 33000 31086 11367 31086 3108.6 34194.6 22827.6 26000 kurang Tiamin HCl mononitrat tablet 50 mg
182 Triheksilfenidil HCl tablet 2 mg Tab 187 1600 1610 177 1610 161 1771 1594 2600 lebih Triheksilfenidil HCl tablet 2 mg
2012 (d+e - f) 2012 ( f ) ( h x 10 % ) (h+i) (j-g)
185 Vitamin B komplek tablet Tab 12001 58000 60276 9725 60276 6027.6 66303.6 56578.6 17000 kurang Vitamin B komplek tablet
186 Yodium povidon larutan 10 % - 30 ml Btl 21 0 19 2 19 1.9 20.9 18.9 10 Yodium povidon larutan 10 % - 30 m
187 Yodium povidon larutan 10 % - 300 ml Btl 7 9 14 2 14 1.4 15.4 13.4 20 Yodium povidon larutan 10 % - 300
0 0 0 0 0 0 0 0 0
1 Acyclovir tablet 200 mg Tab 586 1300 1021 865 1021 102.1 1123.1 258.1 1000 lebih Acyclovir tablet 200 mg
2 Acyclovir cream Tube 108 300 280 128 280 28 308 180 300 lebih Acyclovir cream
3 Acyclovir tablet 400 mg Tab 759 1300 1306 753 1306 130.6 1436.6 683.6 1200 kurang Acyclovir tablet 400 mg
4 Andalan Injeksi Amp 0 80 80 0 80 8 88 88 0 Andalan Injeksi
6 Asam mefenamat tablet 500 mg Tab 639 5000 3572 2067 3572 357.2 3929.2 1862.2 6000 lebih Asam mefenamat tablet 500 mg
8 Ambroxol Sirup Amp 176 750 696 230 696 69.6 765.6 535.6 350 kurang Ambroxol Sirup
11 Ciprofloxacin kaplet 500 mg Kap 0 1000 340 660 340 34 374 -286 1300 Ciprofloxacin kaplet 500 mg
13 Domperidon tab Tab 625 1300 925 1000 925 92.5 1017.5 17.5 1000 lebih Domperidon tab
15 Erytromycin capt 500 mg Kap 0 1100 650 450 650 65 715 265 100 Erytromycin capt 500 mg
16 Erytromycin Syr Btl 113 0 71 42 71 7.1 78.1 36.1 0 Erytromycin Syr
17 Etabion Cap Cap 0 300 300 0 300 30 330 330 0 Etabion Cap
19 Gentamycin salep kulit Pot 39 100 57 82 57 5.7 62.7 -19.3 180 lebih Gentamycin salep kulit
20 Gentamycin tetes mata Btl 50 0 10 40 10 1 11 -29 30 lebih Gentamycin tetes mata
21 H2O2 Btl 2 5 5 2 5 0.5 5.5 3.5 5 H2O2
23 Levertran salep Pot 9 0 9 0 9 0.9 9.9 9.9 0 Levertran salep
24 Kloramphenicol tetes mata Btl 104 96 200 0 200 20 220 220 100 kurang Kloramphenicol tetes mata
25 Metoklorpropamide Hcl 10 mg Tab 0 300 226 74 226 22.6 248.6 174.6 400 lebih Metoklorpropamide Hcl 10 mg
26 Mikonazole cream Pot 72 144 123 93 123 12.3 135.3 42.3 120 lebih Mikonazole cream
2012 (d+e - f) 2012 ( f ) ( h x 10 % ) (h+i) (j-g)
27 Methyl Prednisolon tab 4 mg Tab 0 0 0 0 0 0 0 0 2000 lebih Methyl Prednisolon tab 4 mg
29 Natrium Diklofenak 50 mg Tab 0 500 300 200 300 30 330 130 200 lebih Natrium Diklofenak 50 mg
31 Obat Flu Indo Tab 0 0 0 0 0 0 0 0 0 Obat Flu Indo
34 Papaverin tablet 40 mg Tab 864 3000 2357 1507 2357 235.7 2592.7 1085.7 2000 Papaverin tablet 40 mg
37 Piroksikam tablet 10 mg Tab 1003 1800 2307 496 2307 230.7 2537.7 2041.7 1200 kurang Piroksikam tablet 10 mg
38 Piroksikam tablet 20 mg Tab 0 0 0 0 0 0 0 0 1100 lebih Piroksikam tablet 20 mg
39 Ranitidine 150 mg Tab 578 2000 2020 558 2020 202 2222 1664 3500 lebih Ranitidine 150 mg
40 Stesolit Rectal supp Tube 0 0 0 0 0 0 0 0 3 Stesolit Rectal supp
0 0 0 0 0 0 0 0 0
1 Alkohol 70 % Btl 7 31 36 2 36 3.6 39.6 37.6 36 kurang Alkohol 70 %
4 Aqua destilata Btl 0 0 0 0 0 0 0 0 0 Aqua destilata
5 Asam Klorida 0.1 N Btl 0 2 2 0 2 0.2 2.2 2.2 3 Asam Klorida 0.1 N
7 Asam sulfosalisilat 20 % Btl 0 2 2 0 2 0.2 2.2 2.2 1 Asam sulfosalisilat 20 %
8 Barium Klorida Btl 0 2 2 0 2 0.2 2.2 2.2 1 Barium Klorida
2012 (d+e - f) 2012 ( f ) ( h x 10 % ) (h+i) (j-g)
18 Kertas Perkamen Rol 550 500 750 300 750 75 825 525 500 Kertas Perkamen
19 Larutan Bupper PH 7.2 Btl 0 1 1 0 1 0.1 1.1 1.1 1 Larutan Bupper PH 7.2
26 Larutan Giemsa Stalin Btl 0 2 2 0 2 0.2 2.2 2.2 1 Larutan Giemsa Stalin
29 Larutan Turk Btl 0 3 3 0 3 0.3 3.3 3.3 1 Larutan Turk
30 L i s o l Btl 0 9 6 3 6 0.6 6.6 3.6 3 Lisol
32 Natrium Sitrat 38 % Btl 0 2 2 0 2 0.2 2.2 2.2 0 Natrium Sitrat 38 %
34 Plastik Obat Set 0 92000 80000 12000 80000 8000 88000 76000 69000 kurang Plastik Obat
36 Rees echer Btl 1 5 6 0 6 0.6 6.6 6.6 1 Rees echer
39 Spiritus 100 ml Btl 0 1 1 0 1 0.1 1.1 1.1 0 Spiritus 100 ml
40 Tes Gol. Darah( A,B,AB) Ktk 0 2 2 0 2 0.2 2.2 2.2 1 Tes Gol. Darah( A,B,AB)
41 Tes Kehamilan HCG Ktk 100 100 200 0 200 20 220 220 150 Tes Kehamilan HCG
45 A C T ktk 0 0 0 0 0 0 0 0 0 ACT
47 Ambroxol tab tab 699 5000 4051 1648 4051 405.1 4456.1 2808.1 1000 kurang Ambroxol tab
2012 (d+e - f) 2012 ( f ) ( h x 10 % ) (h+i) (j-g)
49 Cetrizin tab 275 450 305 420 305 30.5 335.5 -84.5 1450 lebih Cetrizin
52 Pembalut gip bks 0 0 0 0 0 0 0 0 0 Pembalut gip
53 Salbutamol 4 mg tab 213 0 115 98 115 11.5 126.5 28.5 0 Salbutamol 4 mg
54 Antasida Syrup btl 99 50 101 48 101 10.1 111.1 63.1 0 Antasida Syrup
56 Lytamin syrup btl 79 72 151 0 151 15.1 166.1 166.1 192 Lytamin syrup
57 Mecobion tab tab 814 1000 1304 510 1304 130.4 1434.4 924.4 3000 Mecobion tab
58 Bismecon jelly tube 0 22 16 6 16 1.6 17.6 11.6 5 Bismecon jelly
60 Metformin tab 1244 5500 5384 1360 5384 538.4 5922.4 4562.4 5500 lebih Metformin
61 Meloxicam 7,5 mg tab 0 500 460 40 460 46 506 466 2000 lebih Meloxicam 7,5 mg
62 Bisturi 10,11,20,22 pcs 0 0 0 0 0 0 0 0 0 Bisturi 10,11,20,22
63 Jarum jhit 10,11,12,13,14 pcs 6 10 7 9 7 0.7 7.7 -1.3 0 Jarum jhit 10,11,12,13,14
65 Stick gula darah pcs 0 103 103 0 103 10.3 113.3 113.3 400 lebih Stick gula darah
66 Hand scun pcs 200 600 700 100 700 70 770 670 1100 Hand scun
67 Omeperazole Tab 303 0 80 223 80 8 88 -135 0 Omeperazole
68 Asam Folat Tab 1630 0 1630 0 1630 163 1793 1793 2000 lebih Asam Folat
70 Zink Tablet Tab 0 7000 4095 2905 4095 409.5 4504.5 1599.5 5000 lebih Zink Tablet
71 Doxyciclin 100 mg Caps 0 400 100 300 100 10 110 -190 0 Doxyciclin 100 mg
72 Amlodipin 5 mg Tab 0 450 80 370 80 8 88 -282 300 lebih Amlodipin 5 mg
73 Dexanta Tab 0 0 0 0 0 0 0 0 16400 lebih Dexanta tab
74 Viliron Tab Tab 0 0 0 0 0 0 0 0 600 lebih Viliron Tab
75 Masker Ktk 0 0 0 0 0 0 0 0 5 lebih Masker

2012 (d+e - f) 2012 ( f ) ( h x 10 % ) (h+i) (j-g)

Nip. 19731201 200604 1 013 Nip. 19721001 199203 2 001
Alat Suntik 1 ml
Alat Suntik 2.5 ml
Albendazol 400 mg
Alupurinol 100 mg
Aminophylin 200 mg
Antalgin injeksi
Aquadest steril

Devitalisasi pasta
Diazepam 2 mg
Diazepam 5 mg
Eugenol cairan
Gameksan emulsi 1 %

Infusion set anak
Infusion set dewasa
I N H tablet 100 mg
I N H tablet 300 mg
Mebendazol syrup
Mummifying pasta

Papaverin tablet
Pyrazinamid tablet

Salisil bedak 2 %
Serum ATS 1500 IU
Serum ATS 20000 IU

Vaksin Rabies Vero

Acyclovir cream
Andalan Injeksi
Ambroxol Sirup
Cefotaxime inj 1 gr
Dasabion tab
Domperidon tab
Erytromycin Syr
Gentamycin injeksi
Levertran salep
Mikonazole cream
Nipedipin tablet
Obat Flu Indo
Obat Maag indo
Papaverin injeksi
Piperazin 500 mg
Piperazin sirup
Ranitidine 150 mg
Alkohol 70 %
Anisol solution
Asam Asetat Glasial
Aqua destilata
Asam Klorida 0.1 N
Asam klorida 0,1 N
Barium Klorida
Blood Lancet
Etanol asam 3 %
Imersen Oil HB
Kertas Perkamen
Larutan Metanol
Larutan Benedict
Larutan Eosin 2 %
Larutan Etanol Asam
Natrium Sitrat 38 %
Pipet Tetes Biasa
Spiritus 100 ml
Tes Kehamilan HCG
Tabung Reaksi
Alat suntik 3 cc
Ambroxol tab
Pembalut gip
Salbutamol 4 mg
Antasida Syrup
Lytamin syrup
Mecobion tab
Bismecon jelly
Dolodon 500 mg
Meloxicam 7,5 mg
Bisturi 10,11,20,22
Jarum jhit 10,11,12,13,14
Stick gula darah
Omeperazole
Alat suntik 5 cc
Doxyciclin 100 mg
Amlodipin 5 mg
LB 2
Kode Pustu : Bulan
Pustu : SIJINJANG II Tahun
kecamatan : JAMBI TIMUR
Kota : JAMBI TIMUR
Provinsi : JAMBI TIMUR
PEMAKAI PEMBERIAN
KELAS STOCK PENERIM PERSEDI PEMAKAI SISA STOCK PERMINT
NO NAMA OBAT SATUAN AN RT 2 ( KET
TERAPI AWAL AAN AN AN STOCK OPT AAN PKD ASKES PROG JPS LAIN2 JML
3 BLN)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1 Alat Suntik 2.5 ml 32 Set
2 Alupurinol 100 mg 1.2 Tab
3 Aminophylin 200 mg 26.1 Tab
4 Amoksisillin sirup kering 125 mg/5 m 6.2.1 Btl
5 Amoksisillin kapsul 250 mg 6.2.1 Kap
6 Amoksisillin kaplet 500 mg 6.2.1 Kap
7 Ampicillin kaplet 500 mg 1.2 Kap
8 Ampicillin sirup kering 125 mg/5 ml 1.2 Btl
9 Antalgin tablet 500 mg 18.3 Tab
10 Antalgin injeksi 18.3 Amp
11 Antasida DOEN tablet kombinasi 25.1 Tab
12 Antibakteri DOEN salep kombinasi 18.2 Pot
13 Antihemoroid DOEN kombinasi 25.3 Pot
14 Antifungi DOEN kombinasi 18.3 Pot
15 Antimigrain DOEN kombinasi 7.2 Tab
16 Aqua proinjeksi bebas pirogen 20.3 Amp
17 Asam askorbat (vit C) 50 mg 29 Tab
18 Betametason krim 0,1 % 18.4 Tube
19 Catgut/benang bedah no. 2/0 - 3/0 32 Sak
20 Captopril 12.5 mg tablet Tab
21 Captopril 25 mg tablet Tab
22 Deksametason injeksi 5 mg/ml - 1 m 3 Amp
23 Deksametason tablet 0,5 mg 3 Tab
24 Dekstromethorpan HBr sirup 10 mg/ 26.2 Btl
PEMAKAI PEMBERIAN
3 BLN)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
25 Dekstromethorpan HBr tablet 15 mg 26.2 Tab
26 Difenhidramin HCl injeksi 10 mg/ml 5 Amp
27 Efedrin HCl tablet 25 mg 26.1 Tab
28 Ekstrak belladon tablet 10 mg 26.1 Tab
29 Epinephrin HCl injeksi 3 Amp
30 Etakridin (rivanol) larutan 0,1 13.2 Btl
31 Fenol gliserol tetes telinga 10 % 28.2 Btl
32 Fitomenadion (vit K) inj. 10 mg/ml - 10.2 Amp
33 Fitomenadion (vit K) tablet salut 10 10.2 Tab
34 Garam oralit 200 ml air 20.1 Sak
35 Gentian violet larutan 1 % 14.2 Btl
36 Gliseril guayakolat tablet 100 mg 26.3 Tab
37 Griseofulvin 125 mg micronized 6.3 Tab
38 Hidroklrotiazed ( hct ) tablet 25 mg 15 Tab
39 Hidrokortison krim 2,5 % 18.4 Pot
40 Ibuprofen tablet 200 mg 1.2 Tab
41 Kalsium Laktat ( Kalk ) 500 mg 29 Tab
42 Kapas pembalut / Absorben 250 gr 32 Rol
43 Kasa pembalut hidrofil 4 m x 15 cm 32 Rol
44 Kasa pembalut hidrofil 4 m x 3 cm 32 Rol
45 Kloramfenikol 250 mg kapsul 6.2.2 Kap
46 Kloramfenikol salep mata 1 % 21.21 Pot
47 Kloramfenikol tetes telinga 3 % 28.1 Btl
48 Klorfeniramine maleat tablet 4 mg 3 Tab
49 Kloroquin pospat tablet 250 mg 6.4.2.1 Tab
50 Kotrimoksazol pediatrik tablet 6.2.2 Tab
51 Kotrimoksazol suspensi 6.2.2 Btl
52 Kotrimoksazol dewasa tablet 6.2.2 Tab
53 Lidokain Kompositum injeksi 31 Amp
PEMAKAI PEMBERIAN
3 BLN)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
54 Metronidazol tablet 250 mg 622 Tab
55 Metronidazol tablet 500 mg 623 Tab
56 Natrium bikarbonat tablet 500 mg 14.1 Tab
57 Nistatin 100.000 iu/g tablet vaginal 6.3 Tab
58 Obat batuk hitam ( o b h ) cairan 26.3 Btl
59 Oksitetrasiklin hcl inj. 6.2.2 Amp
60 Oksitetrasiklin hcl salep kulit 3 % 18.23 Pot
61 Oksitetrasiklin hcl salep mata 1 % 21.22 Pot
62 Papaverin tablet 12.2 Tab
63 Parasetamol sirup 120 mg/5ml 1.2 Btl
64 Parasetamol tablet 500 mg 1.2 Tab
65 Pirantel pamoat tablet 365 mg 23.4 Tab
66 Piridoxin hcl tablet 10 mg 29 Tab
67 Plester 5 yard x 2 inch 32 Rol
68 Prednison tablet 5 mg 16.4 Tab
69 Primaquin tablet 15 mg 6.4.2.2 Tab
70 Reserpin tablet 0,10 mg 17.1 Tab
71 Reserpin tablet 0,25 mg 17.1 Tab
72 Salbutamol tablet 2 mg 26.1 Tab
73 Salep 2-4 18.1 Pot
74 Salisil bedak 2 % 18.4 Sak
75 Sianokobalamin inj. 500 mcg/ml 20.1 Amp
76 Silk (benang bedah sutera) no. 3/0 32 Rol
77 Sulfasetamid natrium tetes mata 15 21.2.2 Btl
78 Tablet tambah darah kombinasi 10.1 Tab
79 Tetrasiklin HCl kapsul 250 mg 6.2.2 Kap
80 Tetrasiklin HCl kapsul 500 mg 6.2.2 Kap
81 Tiamin HCl (vit B1) inj. 100 mg/ml - 29 Amp
82 Tiamin HCl mononitrat tablet 50 mg 29 Tab
PEMAKAI PEMBERIAN
3 BLN)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
83 Vitamin B komplek tablet 29 Tab
84 Yodium povidon larutan 10 % - 30 m 13.1 Btl
85 Yodium povidon larutan 10 % - 300 13.1 Btl
1 Acyclovir tablet 200 mg Tab

2 Acyclovir cream Tube
3 Acyclovir tablet 400 mg Tab
4 Asam mefenamat kapsul 250 mg Tab
5 Asam mefenamat tablet 500 mg Tab
6 H2O2 Btl
7 Ichtyol salap Pot
8 Levertran salep Pot
9 Metoklorpropamide Hcl 10 mg Tab
10 Obat Flu Indo Tab
11 Obat Maag indo Tab
12 Piroksikam tablet 10 mg Tab
13 Piroksikam tablet 20 mg Tab
ALKES
1 Alkohol 70 % Btl
2 Kertas Perkamen lbr
3 Lisol 31 Btl
4 Plastik Obat Set
5 Tes Kehamilan HCG Ktk
6 Alat suntik 3 cc pcs
7
8
9
10
11
PEMAKAI PEMBERIAN
3 BLN)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
12
13
14
15

2011 (d+e - f) 2011 ( f ) ( h x 10 % ) (h+i) (j-g)
2 Alat Suntik 1 ml Set 125 0 125 0 125 12.5 137.5 137.5 200 Lebih Alat Suntik 1 ml
3 Alat Suntik 2.5 ml Set 333 800 1133 0 1133 113.3 1246.3 1246.3 2052 Lebih Alat Suntik 2.5 ml
4 Albendazol 400 mg Set 68 0 3 65 3 0.3 3.3 -61.7 371 Lebih Albendazol 400 mg
5 Alupurinol 100 mg Tab 1263 1000 1296 967 1296 129.6 1425.6 458.6 1360 Lebih Alupurinol 100 mg
6 Aminophylin 200 mg Tab 434 3800 3335 899 3335 333.5 3668.5 2769.5 4692 Lebih Aminophylin 200 mg
8 Amitriptilin HCl tablet 25 mg Tab 660 200 300 560 300 30 330 -230 635 Lebih Amitriptilin HCl tablet 25 mg
9 Amoksisillin sirup kering 125 mg/5 ml Btl 394 2428 2641 181 2641 264.1 2905.1 2724.1 2529 Kurang Amoksisillin sirup kering 125 mg/5 m
10 Amoksisillin kapsul 250 mg Kap 465 17400 16949 916 16949 1694.9 18643.9 17727.9 16896 Kurang Amoksisillin kapsul 250 mg
11 Amoksisillin kaplet 500 mg Kap 6124 49000 51596 3528 51596 5159.6 56755.6 53227.6 52097 Kurang Amoksisillin kaplet 500 mg
12 Ampicillin kaplet 500 mg Kap 1594 3200 3334 1460 3334 333.4 3667.4 2207.4 3601 Lebih Ampicillin kaplet 500 mg
13 Ampicillin sirup kering 125 mg/5 ml Btl 250 240 364 126 364 36.4 400.4 274.4 483 Lebih Ampicillin sirup kering 125 mg/5 ml
14 Antalgin tablet 500 mg Tab 4728 29000 22272 11456 22272 2227.2 24499.2 13043.2 20236 Lebih Antalgin tablet 500 mg
16 Antasida DOEN tablet kombinasi Tab 7238 41000 36689 11549 36689 3668.9 40357.9 28808.9 43285 Lebih Antasida DOEN tablet kombinasi
17 Antibakteri DOEN salep kombinasi Pot 2 250 200 52 200 20 220 168 159 Kurang Antibakteri DOEN salep kombinasi
18 Antihemoroid DOEN kombinasi Pot 80 80 102 58 102 10.2 112.2 54.2 154 Lebih Antihemoroid DOEN kombinasi
19 Antifungi DOEN kombinasi Pot 0 192 115 77 115 11.5 126.5 49.5 81 Lebih Antifungi DOEN kombinasi
20 Antimigrain DOEN kombinasi Tab 157 0 157 0 157 15.7 172.7 172.7 56 Kurang Antimigrain DOEN kombinasi
21 Aqua proinjeksi bebas pirogen Amp 10 10 18 2 18 1.8 19.8 17.8 7 Kurang Aqua proinjeksi bebas pirogen
23 Asam askorbat (vit C) 50 mg Tab 16129 66000 56735 25394 56735 5673.5 62408.5 37014.5 55618 Lebih Asam askorbat (vit C) 50 mg
25 Asetosal tablet 100 mg Tab 0 500 60 440 60 6 66 -374 440 Lebih Asetosal tablet 100 mg
2011 (d+e - f) 2011 ( f ) ( h x 10 % ) (h+i) (j-g)
32 Betametason krim 0,1 % Tube 0 600 521 79 521 52.1 573.1 494.1 463 Kurang Betametason krim 0,1 %
33 Catgut/benang bedah no. 2/0 - 3/0 Sak 7 0 2 5 2 0.2 2.2 -2.8 5 Lebih Catgut/benang bedah no. 2/0 - 3/0
34 Captopril 12.5 mg tablet Tab 4344 2000 5079 1265 5079 507.9 5586.9 4321.9 2765 Kurang Captopril 12.5 mg tablet
35 Captopril 25 mg tablet Tab 11020 3000 10523 3497 10523 1052.3 11575.3 8078.3 5497 Kurang Captopril 25 mg tablet
36 Deksametason injeksi 5 mg/ml - 1 ml Amp 88 0 88 0 88 8.8 96.8 96.8 0 Deksametason injeksi 5 mg/ml - 1 m
37 Deksametason tablet 0,5 mg Tab 17764 30000 29160 18604 29160 2916 32076 13472 35483 Lebih Deksametason tablet 0,5 mg
38 Dekstromethorpan HBr sirup 10 mg/5 ml Btl 34 450 375 109 375 37.5 412.5 303.5 498 Lebih Dekstromethorpan HBr sirup 10 mg
39 Dekstromethorpan HBr tablet 15 mg Tab 3664 6000 6519 3145 6519 651.9 7170.9 4025.9 4628 Lebih Dekstromethorpan HBr tablet 15 mg
41 Diazepam injeksi 5 mg/ml - 2 ml Amp 62 0 3 59 3 0.3 3.3 -55.7 9 Lebih Diazepam injeksi 5 mg/ml - 2 ml
42 Diazepam 2 mg Tab 1383 3000 2675 1708 2675 267.5 2942.5 1234.5 3282 Lebih Diazepam 2 mg
43 Diazepam 5 mg Tab 1065 0 1065 0 1065 106.5 1171.5 1171.5 0 Diazepam 5 mg
44 Difenhidramin HCl injeksi 10 mg/ml - ml Amp 246 300 232 314 232 23.2 255.2 -58.8 439 Lebih Difenhidramin HCl injeksi 10 mg/ml
45 Digoksin tablet 0,25 mg Tab 115 0 20 95 20 2 22 -73 95 Lebih Digoksin tablet 0,25 mg
46 Efedrin HCl tablet 25 mg Tab 5000 0 2510 2490 2510 251 2761 271 1036 Lebih Efedrin HCl tablet 25 mg
47 Ekstrak belladon tablet 10 mg Tab 1564 0 1564 0 1564 156.4 1720.4 1720.4 528 Kurang Ekstrak belladon tablet 10 mg
48 Epinephrin HCl injeksi Amp 55 0 3 52 3 0.3 3.3 -48.7 3 Lebih Epinephrin HCl injeksi
49 Etakridin (rivanol) larutan 0,1 Btl 10 26 24 12 24 2.4 26.4 14.4 25 Lebih Etakridin (rivanol) larutan 0,1
51 Etambutol HCl 500 mg tablet Tab 0 1000 492 508 492 49.2 541.2 33.2 356 Lebih Etambutol HCl 500 mg tablet
52 Etil klorida semprot Btl 4 9 12 1 12 1.2 13.2 12.2 13 Cukup Etil klorida semprot
53 Eugenol cairan Btl 0 0 0 0 0 0 0 0 5 Lebih Eugenol cairan
54 Fenitoin natrium kapsul 100 mg Kap 514 0 514 0 514 51.4 565.4 565.4 95 Kurang Fenitoin natrium kapsul 100 mg
58 Fenobarbital tablet 30 mg Tab 2505 1000 893 2612 893 89.3 982.3 -1629.7 1180 Lebih Fenobarbital tablet 30 mg
2011 (d+e - f) 2011 ( f ) ( h x 10 % ) (h+i) (j-g)
61 Fenol gliserol tetes telinga 10 % Btl 56 48 69 35 69 6.9 75.9 40.9 176 Lebih Fenol gliserol tetes telinga 10 %
62 Fitomenadion (vit K) inj. 10 mg/ml - 1 ml Amp 170 0 41 129 41 4.1 45.1 -83.9 46 Lebih Fitomenadion (vit K) inj. 10 mg/ml -
63 Fitomenadion (vit K) tablet salut 10 mg Tab 458 1500 1775 183 1775 177.5 1952.5 1769.5 1207 Kurang Fitomenadion (vit K) tablet salut 10
64 Furosemid tablet 40 mg Tab 310 0 14 296 14 1.4 15.4 -280.6 296 Cukup Furosemid tablet 40 mg
66 Garam oralit 200 ml air Sak 644 7200 6539 1305 6539 653.9 7192.9 5887.9 7428 Lebih Garam oralit 200 ml air
67 Gentian violet larutan 1 % Btl 101 336 325 112 325 32.5 357.5 245.5 270 Cukup Gentian violet larutan 1 %
68 Glass ionomer semen (gc ix) Btl 0 0 0 0 0 0 0 0 1 Cukup Glass ionomer semen (gc ix)
69 Glibenklamid tablet 5 mg Tab 730 2000 1916 814 1916 191.6 2107.6 1293.6 1220 Kurang Glibenklamid tablet 5 mg
70 Gliseril guayakolat tablet 100 mg Tab 0 95000 64533 30467 64533 6453.3 70986.3 40519.3 68760 Lebih Gliseril guayakolat tablet 100 mg
73 Griseofulvin 125 mg micronized Tab 133 1600 1240 493 1240 124 1364 871 1358 Lebih Griseofulvin 125 mg micronized
74 Halloperidol tablet 0,5 mg Tab 0 0 0 0 0 0 0 0 0 Halloperidol tablet 0,5 mg
75 Halloperidol tablet 1,5 mg Tab 380 1800 1840 340 1840 184 2024 1684 1772 Lebih Halloperidol tablet 1,5 mg
76 Halloperidol tablet 5 mg Tab 0 500 7 493 7 0.7 7.7 -485.3 95 Lebih Halloperidol tablet 5 mg
77 Hidroklrotiazed ( hct ) tablet 25 mg Tab 1926 2000 1751 2175 1751 175.1 1926.1 -248.9 997 Lebih Hidroklrotiazed ( hct ) tablet 25 mg
78 Hidrokortison krim 2,5 % Pot 0 672 529 143 529 52.9 581.9 438.9 641 Lebih Hidrokortison krim 2,5 %
79 Ibuprofen tablet 200 mg Tab 4996 13000 16841 1155 16841 1684.1 18525.1 17370.1 17077 Kurang Ibuprofen tablet 200 mg
80 Ibuprofen tablet 400 mg Tab 0 1000 285 715 285 28.5 313.5 -401.5 755 Lebih Ibuprofen tablet 400 mg
83 I N H tablet 100 mg Tab 4253 0 223 4030 223 22.3 245.3 -3784.7 230 Lebih I N H tablet 100 mg
84 I N H tablet 300 mg Tab 2919 0 1025 1894 1025 102.5 1127.5 -766.5 972 Lebih I N H tablet 300 mg
85 Isosorbit dinitrat tablet sublingual 5 mg Tab 330 0 240 90 240 24 264 174 210 Lebih Isosorbit dinitrat tablet sublingual 5
88 Kalsium Laktat ( Kalk ) 500 mg Tab 5588 19000 19856 4732 19856 1985.6 21841.6 17109.6 20890 Lebih Kalsium Laktat ( Kalk ) 500 mg
89 Kapas pembalut / Absorben 250 gram Rol 11 46 41 16 41 4.1 45.1 29.1 37 Lebih Kapas pembalut / Absorben 250 gra
90 Karbamazepin tablet 200 mg Tab 282 500 515 267 515 51.5 566.5 299.5 867 Lebih Karbamazepin tablet 200 mg
2011 (d+e - f) 2011 ( f ) ( h x 10 % ) (h+i) (j-g)
91 Kasa kompres 40/40 steril Rol 40 30 70 0 70 7 77 77 90 Lebih Kasa kompres 40/40 steril
92 Kasa pembalut hidrofil 4 m x 15 cm Rol 76 100 159 17 159 15.9 174.9 157.9 118 Kurang Kasa pembalut hidrofil 4 m x 15 cm
94 Kloramfenikol 250 mg kapsul Kap 267 600 483 384 483 48.3 531.3 147.3 648 Lebih Kloramfenikol 250 mg kapsul
95 Kloramfenikol salep mata 1 % Pot 0 312 190 122 190 19 209 87 180 Lebih Kloramfenikol salep mata 1 %
96 Kloramfenikol tetes telinga 3 % Btl 0 264 261 3 261 26.1 287.1 284.1 127 Kurang Kloramfenikol tetes telinga 3 %
97 Klorfeniramine maleat tablet 4 mg Tab 14937 75000 79178 10759 79178 7917.8 87095.8 76336.8 64132 Kurang Klorfeniramine maleat tablet 4 mg
102 Klorpromazin hcl tablet salut 100 mg Tab 0 3000 2279 721 2279 227.9 2506.9 1785.9 1715 Kurang Klorpromazin hcl tablet salut 100 mg
103 Klorpromazin hcl tablet salut 25 mg Tab 364 0 364 0 364 36.4 400.4 400.4 0 Kurang Klorpromazin hcl tablet salut 25 mg
104 Kodein hcl tablet 10 mg Tab 68 0 68 0 68 6.8 74.8 74.8 0 Kurang Kodein hcl tablet 10 mg
106 Kotrimoksazol pediatrik tablet Tab 1883 2000 3883 0 3883 388.3 4271.3 4271.3 4053 Kurang Kotrimoksazol pediatrik tablet
107 Kotrimoksazol suspensi Btl 159 1800 1807 152 1807 180.7 1987.7 1835.7 1252 Kurang Kotrimoksazol suspensi
108 Kotrimoksazol dewasa tablet Tab 2825 14000 13447 3378 13447 1344.7 14791.7 11413.7 10525 Lebih Kotrimoksazol dewasa tablet
109 Kuinin dihidroklorida injeksi 25 % - 2 ml Amp 0 0 0 0 0 0 0 0 0 Kuinin dihidroklorida injeksi 25 % - 2
110 Kuinin sulfat tablet 222 mg ( 7H2O ) Tab 0 0 0 0 0 0 0 0 0 Kuinin sulfat tablet 222 mg ( 7H2O )
111 Lidokain Kompositum injeksi Amp 291 330 503 118 503 50.3 553.3 435.3 427 Kurang Lidokain Kompositum injeksi
114 Mebendazol syrup Btl 6 0 6 0 6 0.6 6.6 6.6 0 Mebendazol syrup
115 Metilergometrin tablet salut Tab 306 200 261 245 261 26.1 287.1 42.1 285 Lebih Metilergometrin tablet salut
117 Metronidazol tablet 250 mg Tab 3270 0 2718 552 2718 271.8 2989.8 2437.8 552 Kurang Metronidazol tablet 250 mg
118 Metronidazol tablet 500 mg Tab 853 0 853 0 853 85.3 938.3 938.3 1040 Lebih Metronidazol tablet 500 mg
2011 (d+e - f) 2011 ( f ) ( h x 10 % ) (h+i) (j-g)
122 Nistatin 100.000 iu/g tablet vaginal Tab 158 0 91 67 91 9.1 100.1 33.1 67 Lebih Nistatin 100.000 iu/g tablet vaginal
123 Nistatin 500.000 iu/g tablet salut Tab 95 0 0 95 0 0 0 -95 95 Lebih Nistatin 500.000 iu/g tablet salut
124 Nifedipin tab Tab 924 0 804 120 804 80.4 884.4 764.4 513 Kurang Nifedipin tab
125 Obat anti tuberkolusis katagori 1 Tab 0 0 0 0 0 0 0 0 29 Lebih Obat anti tuberkolusis katagori 1
130 Obat batuk hitam ( o b h ) cairan Btl 8 840 807 41 807 80.7 887.7 846.7 725 Kurang Obat batuk hitam ( o b h ) cairan
131 Oksitetrasiklin hcl inj. Amp 0 10 0 10 0 0 0 -10 13 Lebih Oksitetrasiklin hcl inj.
132 Oksitetrasiklin hcl salep kulit 3 % Pot 0 550 516 34 516 51.6 567.6 533.6 609 Lebih Oksitetrasiklin hcl salep kulit 3 %
133 Oksitetrasiklin hcl salep mata 1 % Pot 162 50 139 73 139 13.9 152.9 79.9 109 Lebih Oksitetrasiklin hcl salep mata 1 %
135 Paraformaldehid tablet 1 gram Tab 0 100 100 0 100 10 110 110 0 Kurang Paraformaldehid tablet 1 gram
136 Parasetamol sirup 120 mg/5ml Btl 103 2028 1981 150 1981 198.1 2179.1 2029.1 1763 Kurang Parasetamol sirup 120 mg/5ml
137 Parasetamol tablet 100 mg Tab 0 2000 1500 500 1500 150 1650 1150 500 Kurang Parasetamol tablet 100 mg
138 Parasetamol tablet 500 mg Tab 82443 90000 134449 37994 134449 13444.9 147893.9 109899.9 163569 Lebih Parasetamol tablet 500 mg
140 Pirantel pamoat tablet 365 mg Tab 932 0 508 424 508 50.8 558.8 134.8 499 Lebih Pirantel pamoat tablet 365 mg
141 Piridoxin hcl tablet 10 mg Tab 9224 17000 19216 7008 19216 1921.6 21137.6 14129.6 30220 Lebih Piridoxin hcl tablet 10 mg
142 Pyrazinamid tablet Tab 438 800 808 430 808 80.8 888.8 458.8 1030 Lebih Pyrazinamid tablet
143 Plester 5 yard x 2 inch Rol 10 12 17 5 17 1.7 18.7 13.7 11 Kurang Plester 5 yard x 2 inch
144 Polikresulen Btl 0 6 0 6 0 0 0 -6 2 Lebih Polikresulen
146 Prednison tablet 5 mg Tab 3295 30000 27662 5633 27662 2766.2 30428.2 24795.2 29484 Lebih Prednison tablet 5 mg
149 Propiltiourasil tablet 100 mg Tab 772 1500 1234 1038 1234 123.4 1357.4 319.4 1329 Lebih Propiltiourasil tablet 100 mg
150 Propanolol hcl tablet 40 mg Tab 240 300 540 0 540 54 594 594 0 Kurang Propanolol hcl tablet 40 mg
151 Propanolol hcl tablet 10 mg Tab 0 0 0 0 0 0 0 0 1030 Lebih Propanolol hcl tablet 10 mg
2011 (d+e - f) 2011 ( f ) ( h x 10 % ) (h+i) (j-g)
153 Reserpin tablet 0,25 mg Tab 3369 0 3369 0 3369 336.9 3705.9 3705.9 1516 Kurang Reserpin tablet 0,25 mg
154 Retinol ( Vit A ) 200.000 iu Kap 0 0 0 0 0 0 0 0 6100 cukup Retinol ( Vit A ) 200.000 iu
155 Retinol ( Vit A ) 100.000 iu Kap 0 0 0 0 0 0 0 0 970 cukup Retinol ( Vit A ) 100.000 iu
156 Rifampisin kapsul 600 mg Kap 221 400 378 243 378 37.8 415.8 172.8 319 Lebih Rifampisin kapsul 600 mg
157 Rifampisin kapsul 450 mg Kap 0 800 645 155 645 64.5 709.5 554.5 514 Kurang Rifampisin kapsul 450 mg
158 Rifampisin kapsul 300 mg Kap 231 200 21 410 21 2.1 23.1 -386.9 239 Lebih Rifampisin kapsul 300 mg
160 Salbutamol tablet 2 mg Tab 1288 500 1290 498 1290 129 1419 921 1186 Lebih Salbutamol tablet 2 mg
161 Salep 2-4 Pot 0 168 76 92 76 7.6 83.6 -8.4 132 Lebih Salep 2-4
162 Salisil bedak 2 % Sak 100 200 257 43 257 25.7 282.7 239.7 327 Lebih Salisil bedak 2 %
166 Serum ATS 1500 IU Amp 2 3 3 2 3 0.3 3.3 1.3 6 Lebih Serum ATS 1500 IU
168 Simvastatin Tab 0 1300 880 420 880 88 968 548 430 Kurang Simvastatin
169 Sianokobalamin inj. 500 mcg/ml Amp 383 1200 1159 424 1159 115.9 1274.9 850.9 1172 Lebih Sianokobalamin inj. 500 mcg/ml
170 Silk (benang bedah sutera) no. 3/0 Rol 5 10 14 1 14 1.4 15.4 14.4 20 Lebih Silk (benang bedah sutera) no. 3/0
175 Sulfasetamid natrium tetes mata 15 % Btl 0 48 48 0 48 4.8 52.8 52.8 20 Kurang Sulfasetamid natrium tetes mata 15
176 Tablet tambah darah kombinasi Tab 6074 27000 27614 5460 27614 2761.4 30375.4 24915.4 25637 Lebih Tablet tambah darah kombinasi
178 Tetrasiklin HCl kapsul 250 mg Kap 594 5000 794 4800 794 79.4 873.4 -3926.6 2104 Lebih Tetrasiklin HCl kapsul 250 mg
179 Tetrasiklin HCl kapsul 500 mg Kap 1470 2000 3230 240 3230 323 3553 3313 1815 Kurang Tetrasiklin HCl kapsul 500 mg
180 Tiamin HCl (vit B1) inj. 100 mg/ml - 1ml Amp 145 0 81 64 81 8.1 89.1 25.1 64 Lebih Tiamin HCl (vit B1) inj. 100 mg/ml -
181 Tiamin HCl mononitrat tablet 50 mg Tab 11347 22000 23894 9453 23894 2389.4 26283.4 16830.4 31086 Lebih Tiamin HCl mononitrat tablet 50 mg
182 Triheksilfenidil HCl tablet 2 mg Tab 320 1400 1533 187 1533 153.3 1686.3 1499.3 1610 Kurang Triheksilfenidil HCl tablet 2 mg
2011 (d+e - f) 2011 ( f ) ( h x 10 % ) (h+i) (j-g)
185 Vitamin B komplek tablet Tab 17283 36000 41282 12001 41282 4128.2 45410.2 33409.2 60276 Lebih Vitamin B komplek tablet
186 Yodium povidon larutan 10 % - 30 ml Btl 0 38 17 21 17 1.7 18.7 -2.3 19 Lebih Yodium povidon larutan 10 % - 30 m
187 Yodium povidon larutan 10 % - 300 ml Btl 1 18 12 7 12 1.2 13.2 6.2 14 Lebih Yodium povidon larutan 10 % - 300
0 0 0 0 0 0 0 0
1 Acyclovir tablet 200 mg Tab 1049 600 1063 586 1063 106.3 1169.3 583.3 1021 Lebih Acyclovir tablet 200 mg
2 Acyclovir cream Tube 110 225 227 108 227 22.7 249.7 141.7 280 Lebih Acyclovir cream
3 Acyclovir tablet 400 mg Tab 1088 600 929 759 929 92.9 1021.9 262.9 1306 Lebih Acyclovir tablet 400 mg
4 Andalan Injeksi Amp 0 0 0 0 0 0 0 0 80 Lebih Andalan Injeksi
6 Asam mefenamat tablet 500 mg Tab 717 3000 3078 639 3078 307.8 3385.8 2746.8 3572 Lebih Asam mefenamat tablet 500 mg
8 Ambroxol Sirup Amp 275 600 699 176 699 69.9 768.9 592.9 696 Lebih Ambroxol Sirup
11 Ciprofloxacin kaplet 500 mg Kap 0 0 0 0 0 0 0 0 340 Lebih Ciprofloxacin kaplet 500 mg
13 Domperidon tab Tab 0 2000 1375 625 1375 137.5 1512.5 887.5 925 Lebih Domperidon tab
15 Erytromycin capt 500 mg Kap 352 0 352 0 352 35.2 387.2 387.2 650 Lebih Erytromycin capt 500 mg
16 Erytromycin Syr Btl 153 0 40 113 40 4 44 -69 71 Lebih Erytromycin Syr
17 Etabion Cap Cap 0 0 0 0 0 0 0 0 300 Lebih Etabion Cap
19 Gentamycin salep kulit Pot 0 50 11 39 11 1.1 12.1 -26.9 57 Lebih Gentamycin salep kulit
20 Gentamycin tetes mata Btl 0 50 0 50 0 0 0 -50 10 Lebih Gentamycin tetes mata
21 H2O2 Btl 8 0 6 2 6 0.6 6.6 4.6 5 cukup H2O2
23 Levertran salep Pot 57 0 48 9 48 4.8 52.8 43.8 9 Kurang Levertran salep
24 Kloramphenicol tetes mata Btl 0 192 88 104 88 8.8 96.8 -7.2 200 Lebih Kloramphenicol tetes mata
25 Metoklorpropamide Hcl 10 mg Tab 0 300 300 0 300 30 330 330 226 Kurang Metoklorpropamide Hcl 10 mg
26 Mikonazole cream Pot 86 144 158 72 158 15.8 173.8 101.8 123 Lebih Mikonazole cream
2011 (d+e - f) 2011 ( f ) ( h x 10 % ) (h+i) (j-g)
27 Methyl Prednisolon tab 4 mg Tab 0 0 0 0 0 0 0 0 0 Methyl Prednisolon tab 4 mg
29 Natrium Diklofenak 50 mg Tab 0 0 0 0 0 0 0 0 300 Lebih Natrium Diklofenak 50 mg
31 Obat Flu Indo Tab 1299 0 1299 0 1299 129.9 1428.9 1428.9 0 Kurang Obat Flu Indo
34 Papaverin tablet 40 mg Tab 837 3000 2973 864 2973 297.3 3270.3 2406.3 2357 Kurang Papaverin tablet 40 mg
37 Piroksikam tablet 10 mg Tab 845 1200 1042 1003 1042 104.2 1146.2 143.2 2307 Lebih Piroksikam tablet 10 mg
38 Piroksikam tablet 20 mg Tab 600 0 600 0 600 60 660 660 0 Piroksikam tablet 20 mg
39 Ranitidine 150 mg Tab 1326 1500 2248 578 2248 224.8 2472.8 1894.8 2020 Lebih Ranitidine 150 mg
40 Stesolit Rectal supp Tube 2 0 2 0 2 0.2 2.2 2.2 0 Stesolit Rectal supp
0 0 0 0 0 0 0 0
1 Alkohol 70 % Btl 10 32 35 7 35 3.5 38.5 31.5 36 Lebih Alkohol 70 %
4 Aqua destilata Btl 0 5 5 0 5 0.5 5.5 5.5 0 Kurang Aqua destilata
5 Asam Klorida 0.1 N Btl 0 4 4 0 4 0.4 4.4 4.4 2 Kurang Asam Klorida 0.1 N
7 Asam sulfosalisilat 20 % Btl 0 0 0 0 0 0 0 0 2 Lebih Asam sulfosalisilat 20 %
8 Barium Klorida Btl 0 4 4 0 4 0.4 4.4 4.4 2 Kurang Barium Klorida
2011 (d+e - f) 2011 ( f ) ( h x 10 % ) (h+i) (j-g)
18 Kertas Perkamen Rol 900 0 350 550 350 35 385 -165 750 Lebih Kertas Perkamen
19 Larutan Bupper PH 7.2 Btl 0 0 0 0 0 0 0 0 1 Lebih Larutan Bupper PH 7.2
26 Larutan Giemsa Stalin Btl 0 0 0 0 0 0 0 0 2 Lebih Larutan Giemsa Stalin
29 Larutan Turk Btl 0 0 0 0 0 0 0 0 3 Lebih Larutan Turk
30 L i s o l Btl 3 3 6 0 6 0.6 6.6 6.6 6 cukup Lisol
32 Natrium Sitrat 38 % Btl 0 2 2 0 2 0.2 2.2 2.2 2 cukup Natrium Sitrat 38 %
34 Plastik Obat Set 25000 44000 69000 0 69000 6900 75900 75900 80000 Lebih Plastik Obat
36 Rees echer Btl 0 9 8 1 8 0.8 8.8 7.8 6 Kurang Rees echer
39 Spiritus 100 ml Btl 0 0 0 0 0 0 0 0 1 Lebih Spiritus 100 ml
40 Tes Gol. Darah( A,B,AB) Ktk 0 0 0 0 0 0 0 0 2 Lebih Tes Gol. Darah( A,B,AB)
41 Tes Kehamilan HCG Ktk 250 0 150 100 150 15 165 65 200 Lebih Tes Kehamilan HCG
44 Alat suntik 3 cc pcs 70 1100 1070 100 1070 107 1177 1077 100 Kurang Alat suntik 3 cc
45 A C T ktk 0 0 0 0 0 0 0 0 0 ACT
47 Ambroxol tab tab 0 4000 3301 699 3301 330.1 3631.1 2932.1 4051 Lebih Ambroxol tab
2011 (d+e - f) 2011 ( f ) ( h x 10 % ) (h+i) (j-g)
49 Cetrizin tab 225 300 250 275 250 25 275 0 305 Lebih Cetrizin
52 Pembalut gip bks 2 0 2 0 2 0.2 2.2 2.2 0 Pembalut gip
53 Salbutamol 4 mg tab 800 0 587 213 587 58.7 645.7 432.7 115 Kurang Salbutamol 4 mg
54 Antasida Syrup btl 139 100 140 99 140 14 154 55 101 Lebih Antasida Syrup
56 Lytamin syrup btl 0 96 17 79 17 1.7 18.7 -60.3 151 Lebih Lytamin syrup
57 Mecobion tab tab 2650 0 1836 814 1836 183.6 2019.6 1205.6 1304 Kurang Mecobion tab
58 Bismecon jelly tube 7 0 7 0 7 0.7 7.7 7.7 16 Lebih Bismecon jelly
60 Metformin tab 210 4500 3466 1244 3466 346.6 3812.6 2568.6 5384 Lebih Metformin
61 Meloxicam 7,5 mg tab 760 0 760 0 760 76 836 836 460 Kurang Meloxicam 7,5 mg
62 Bisturi 10,11,20,22 pcs 16 0 16 0 16 1.6 17.6 17.6 0 Bisturi 10,11,20,22
63 Jarum jhit 10,11,12,13,14 pcs 2 10 6 6 6 0.6 6.6 0.6 7 Lebih Jarum jhit 10,11,12,13,14
65 Stick gula darah pcs 0 2 2 0 2 0.2 2.2 2.2 103 Lebih Stick gula darah
66 Hand scun pcs 150 700 650 200 650 65 715 515 700 Lebih Hand scun
67 Omeperazole Tab 0 450 147 303 147 14.7 161.7 -141.3 80 Lebih Omeperazole
68 Asam Folat Tab 0 2000 370 1630 370 37 407 -1223 1630 Lebih Asam Folat
69 Alat suntik 5 cc pcs 0 100 0 100 0 0 0 -100 100 Lebih Alat suntik 5 cc
70 Zink Tablet Tab 4095 Lebih Zink Tablet
71 Doxyciclin 100 mg Caps 100 Lebih Doxyciclin 100 mg
72 Amlodipin 5 mg Tab 80 Lebih Amlodipin 5 mg

2011 (d+e - f) 2011 ( f ) ( h x 10 % ) (h+i) (j-g)
Nip. 19731201 200604 1 013 Nip. 19721001 199203 2 001
Alat Suntik 1 ml
Alat Suntik 2.5 ml
Albendazol 400 mg
Alupurinol 100 mg
Aminophylin 200 mg
Antalgin injeksi
Aquadest steril

Devitalisasi pasta
Diazepam 2 mg
Diazepam 5 mg
Eugenol cairan
Gameksan emulsi 1 %

Infusion set anak
Infusion set dewasa
I N H tablet 100 mg
I N H tablet 300 mg
Mebendazol syrup
Mummifying pasta

Papaverin tablet
Pyrazinamid tablet

Salisil bedak 2 %
Serum ATS 1500 IU
Serum ATS 20000 IU

Vaksin Rabies Vero

Acyclovir cream
Andalan Injeksi
Ambroxol Sirup
Cefotaxime inj 1 gr
Dasabion tab
Domperidon tab
Erytromycin Syr
Gentamycin injeksi
Levertran salep
Mikonazole cream
Nipedipin tablet
Obat Flu Indo
Obat Maag indo
Papaverin injeksi
Piperazin 500 mg
Piperazin sirup
Ranitidine 150 mg
Alkohol 70 %
Anisol solution
Asam Asetat Glasial
Aqua destilata
Asam Klorida 0.1 N
Asam klorida 0,1 N
Barium Klorida
Blood Lancet
Etanol asam 3 %
Imersen Oil HB
Kertas Perkamen
Larutan Metanol
Larutan Benedict
Larutan Eosin 2 %
Larutan Etanol Asam
Natrium Sitrat 38 %
Pipet Tetes Biasa
Spiritus 100 ml
Tes Kehamilan HCG
Tabung Reaksi
Alat suntik 3 cc
Ambroxol tab
Pembalut gip
Salbutamol 4 mg
Antasida Syrup
Lytamin syrup
Mecobion tab
Bismecon jelly
Dolodon 500 mg
Meloxicam 7,5 mg
Bisturi 10,11,20,22
Jarum jhit 10,11,12,13,14
Stick gula darah
Omeperazole
Alat suntik 5 cc
Doxyciclin 100 mg
Amlodipin 5 mg

2009 (d+e - f) 2010 ( f ) ( h x 10 % ) (h+i) (j-g)
1 Air Raksa Dental Use Btl 0 0 0 0 0 0 0 0 0
2 Alat Suntik 1 ml Set 275 0 150 125 150 15 165 40 0 Kurang
3 Alat Suntik 2.5 ml Set 431 1535 1633 333 1633 163.3 1796.3 1463.3 800 Kurang
4 Albendazol 400 mg Set 93 0 25 68 25 2.5 27.5 -40.5 0 Lebih
5 Alupurinol 100 mg Tab 794 1500 1031 1263 1031 103.1 1134.1 -128.9 1000 Lebih
6 Aminophylin 200 mg Tab 1429 4300 5295 434 5295 529.5 5824.5 5390.5 3800 Kurang
7 Aminophylin inj 24 mg/ml 10 ml Amp 0 0 0 0 0 0 0 0 0
8 Amitriptilin HCl tablet 25 mg Tab 150 900 390 660 390 39 429 -231 200 Lebih
9 Amoksisillin sirup kering 125 mg/5 ml Btl 442 2882 2930 394 2930 293 3223 2829 2428 Kurang
10 Amoksisillin kapsul 250 mg Kap 10164 2400 12099 465 12099 1209.9 13308.9 12843.9 17400 Lebih
11 Amoksisillin kaplet 500 mg Kap 18750 45793 58419 6124 58419 5841.9 64260.9 58136.9 49000 Kurang
12 Ampicillin kaplet 500 mg Kap 795 3300 2501 1594 2501 250.1 2751.1 1157.1 3200 Lebih
13 Ampicillin sirup kering 125 mg/5 ml Btl 139 650 539 250 539 53.9 592.9 342.9 240 Kurang
14 Antalgin tablet 500 mg Tab 13737 12000 21009 4728 21009 2100.9 23109.9 18381.9 29000 Lebih
15 Antalgin injeksi Amp 60 90 150 0 150 15 165 165 0 Kurang
16 Antasida DOEN tablet kombinasi Tab 15468 27000 35230 7238 35230 3523 38753 31515 41000 Lebih
17 Antibakteri DOEN salep kombinasi Pot 98 100 196 2 196 19.6 215.6 213.6 250 Lebih
18 Antihemoroid DOEN kombinasi Pot 33 250 203 80 203 20.3 223.3 143.3 80 Kurang
19 Antifungi DOEN kombinasi Pot 218 0 218 0 218 21.8 239.8 239.8 192 Kurang
20 Antimigrain DOEN kombinasi Tab 331 100 274 157 274 27.4 301.4 144.4 0 Kurang
21 Aqua proinjeksi bebas pirogen Amp 0 30 20 10 20 2 22 12 10 Kurang
22 Aquadest steril Amp 0 0 0 0 0 0 0 0 0
23 Asam askorbat (vit C) 50 mg Tab 29885 40000 53756 16129 53756 5375.6 59131.6 43002.6 66000 Lebih
24 Asam askorbat (vit C)250 mg Tab 0 0 0 0 0 0 0 0 0
25 Asetosal tablet 100 mg Tab 0 0 0 0 0 0 0 0 500 Lebih
26 Asetosal tablet 500 mg Tab 0 0 0 0 0 0 0 0 0
27 Atropin sulfat injeksi 0,25 mg/ml - ml Amp 0 0 0 0 0 0 0 0 0
28 Atropin sulfat tablet 0,5 mg Tab 0 0 0 0 0 0 0 0 0
2009 (d+e - f) 2010 ( f ) ( h x 10 % ) (h+i) (j-g)
29 Atropin sulfat tetes mata 0 5 % Btl 0 0 0 0 0 0 0 0 0
30 Benzatin benzil penicillin inj. 2,4 juta IU/vial Amp 0 0 0 0 0 0 0 0 0
31 Besi sirup Btl 0 0 0 0 0 0 0 0 0
32 Betametason krim 0,1 % Tube 99 200 299 0 299 29.9 328.9 328.9 600 Lebih
33 Catgut/benang bedah no. 2/0 - 3/0 Sak 12 0 5 7 5 0.5 5.5 -1.5 0 :Lebih
34 Captopril 12.5 mg tablet Tab 6704 6000 8360 4344 8360 836 9196 4852 2000 Kurang
35 Captopril 25 mg tablet Tab 11707 14400 15087 11020 15087 1508.7 16595.7 5575.7 3000 Kurang
36 Deksametason injeksi 5 mg/ml - 1 ml Amp 594 0 506 88 506 50.6 556.6 468.6 0 Kurang
37 Deksametason tablet 0,5 mg Tab 17567 40000 39803 17764 39803 3980.3 43783.3 26019.3 30000 Lebih
38 Dekstromethorpan HBr sirup 10 mg/5 ml Btl 132 300 398 34 398 39.8 437.8 403.8 450 Lebih
39 Dekstromethorpan HBr tablet 15 mg Tab 4801 5000 6137 3664 6137 613.7 6750.7 3086.7 6000 Lebih
40 Devitalisasi pasta Btl 0 0 0 0 0 0 0 0 0
41 Diazepam injeksi 5 mg/ml - 2 ml Amp 70 8 16 62 16 1.6 17.6 -44.4 0 Lebih
42 Diazepam 2 mg Tab 1249 3000 2866 1383 2866 286.6 3152.6 1769.6 3000 Lebih
43 Diazepam 5 mg Tab 110 1250 295 1065 295 29.5 324.5 -740.5 0 Lebih
44 Difenhidramin HCl injeksi 10 mg/ml - ml Amp 496 300 550 246 550 55 605 359 300 Kurang
45 Digoksin tablet 0,25 mg Tab 175 0 60 115 60 6 66 -49 0 Lebih
46 Efedrin HCl tablet 25 mg Tab 1670 5000 1670 5000 1670 167 1837 -3163 0 Lebih
47 Ekstrak belladon tablet 10 mg Tab 4120 0 2556 1564 2556 255.6 2811.6 1247.6 0 Kurang
48 Epinephrin HCl injeksi Amp 62 0 7 55 7 0.7 7.7 -47.3 0 Lebih
49 Etakridin (rivanol) larutan 0,1 Btl 9 32 31 10 31 3.1 34.1 24.1 26 Lebih
50 Etambutol HCl 250 mg tablet Tab 0 0 0 0 0 0 0 0 0
51 Etambutol HCl 500 mg tablet Tab 0 0 0 0 0 0 0 0 1000 Lebih
52 Etil klorida semprot Btl 6 11 13 4 13 1.3 14.3 10.3 9 Kurang
53 Eugenol cairan Btl 0 1 1 0 1 0.1 1.1 1.1 0 Kurang
54 Fenitoin natrium kapsul 100 mg Kap 72 750 308 514 308 30.8 338.8 -175.2 0 Lebih
55 Fenitoin natrium kapsul 30 mg Kap 50 500 550 0 550 55 605 605 0 Kurang
56 Fenobarbital injeksi 50 mg/ml - 2 ml Amp 0 8 2 6 2 0.2 2.2 -3.8 0 Lebih
57 Fenobarbital tablet 100 mg Tab 0 0 0 0 0 0 0 0 0
58 Fenobarbital tablet 30 mg Tab 1921 1000 416 2505 416 41.6 457.6 -2047.4 1000 Lebih
59 Fenoksi metil penisillin tablet 250 mg Tab 0 0 0 0 0 0 0 0 0
2009 (d+e - f) 2010 ( f ) ( h x 10 % ) (h+i) (j-g)
60 Fenoksi metil penisillin tablet 500 mg Tab 0 0 0 0 0 0 0 0 0
61 Fenol gliserol tetes telinga 10 % Btl 103 72 119 56 119 11.9 130.9 74.9 48 Kurang
62 Fitomenadion (vit K) inj. 10 mg/ml - 1 ml Amp 37 202 69 170 69 6.9 75.9 -94.1 0 Lebih
63 Fitomenadion (vit K) tablet salut 10 mg Tab 586 2500 2628 458 2628 262.8 2890.8 2432.8 1500 Kurang
64 Furosemid tablet 40 mg Tab 370 0 60 310 60 6 66 -244 0 Lebih
65 Gameksan emulsi 1 % Btl 0 0 0 0 0 0 0 0 0
66 Garam oralit 200 ml air Sak 2671 4800 6827 644 6827 682.7 7509.7 6865.7 7200 Lebih
67 Gentian violet larutan 1 % Btl 111 266 276 101 276 27.6 303.6 202.6 336 Lebih
68 Glass ionomer semen (gc ix) Btl 0 1 1 0 1 0.1 1.1 1.1 0 Kurang
69 Glibenklamid tablet 5 mg Tab 2345 2900 4515 730 4515 451.5 4966.5 4236.5 2000 Kurang
70 Gliseril guayakolat tablet 100 mg Tab 40329 25000 65329 0 65329 6532.9 71861.9 71861.9 95000 Lebih
71 Gliserin Btl 0 0 0 0 0 0 0 0 0
72 Glukosa Larutan Infus 5 % Steril Btl 0 0 0 0 0 0 0 0 0
73 Griseofulvin 125 mg micronized Tab 537 1600 2004 133 2004 200.4 2204.4 2071.4 1600 Kurang
74 Halloperidol tablet 0,5 mg Tab 0 0 0 0 0 0 0 0 0
75 Halloperidol tablet 1,5 mg Tab 820 1000 1440 380 1440 144 1584 1204 1800 Lebih
76 Halloperidol tablet 5 mg Tab 0 0 0 0 0 0 0 0 500 Lebih
77 Hidroklrotiazed ( hct ) tablet 25 mg Tab 4249 0 2323 1926 2323 232.3 2555.3 629.3 2000 Lebih
78 Hidrokortison krim 2,5 % Pot 57 576 633 0 633 63.3 696.3 696.3 672 Kurang
79 Ibuprofen tablet 200 mg Tab 14214 10000 19218 4996 19218 1921.8 21139.8 16143.8 13000 Kurang
80 Ibuprofen tablet 400 mg Tab 221 0 221 0 221 22.1 243.1 243.1 1000 Lebih
81 Infusion set anak Set 0 0 0 0 0 0 0 0 0
82 Infusion set dewasa Set 0 0 0 0 0 0 0 0 0
83 I N H tablet 100 mg Tab 7061 0 2808 4253 2808 280.8 3088.8 -1164.2 0 Lebih
84 I N H tablet 300 mg Tab 442 3000 523 2919 523 52.3 575.3 -2343.7 0 Lebih
85 Isosorbit dinitrat tablet sublingual 5 mg Tab 400 0 70 330 70 7 77 -253 0 Lebih
86 Kalium permanganat serbuk Btl 0 0 0 0 0 0 0 0 0
87 Kalsium hidroksida pasta Tab 0 0 0 0 0 0 0 0 0
88 Kalsium Laktat ( Kalk ) 500 mg Tab 10622 21000 26034 5588 26034 2603.4 28637.4 23049.4 19000 Kurang
89 Kapas pembalut / Absorben 250 gram Rol 4 46 39 11 39 3.9 42.9 31.9 46 Lebih
90 Karbamazepin tablet 200 mg Tab 247 300 265 282 265 26.5 291.5 9.5 500 Lebih
2009 (d+e - f) 2010 ( f ) ( h x 10 % ) (h+i) (j-g)
91 Kasa kompres 40/40 steril Rol 48 100 108 40 108 10.8 118.8 78.8 30 Kurang
92 Kasa pembalut hidrofil 4 m x 15 cm Rol 55 100 79 76 79 7.9 86.9 10.9 100 Lebih
93 Kasa pembalut hidrofil 4 m x 3 cm Rol 150 0 150 0 150 15 165 165 0 Kurang
94 Kloramfenikol 250 mg kapsul Kap 730 1000 1463 267 1463 146.3 1609.3 1342.3 600 Kurang
95 Kloramfenikol salep mata 1 % Pot 0 240 240 0 240 24 264 264 312 Lebih
96 Kloramfenikol tetes telinga 3 % Btl 100 192 292 0 292 29.2 321.2 321.2 264 Kurang
97 Klorfeniramine maleat tablet 4 mg Tab 69057 45000 99120 14937 99120 9912 109032 94095 75000 Kurang
98 Kloroquin pospat tablet 250 mg Tab 613 0 613 0 613 61.3 674.3 674.3 0 Kurang
99 Klorpromazin hcl injeksi Amp 0 0 0 0 0 0 0 0 0
100 Klorfenol kamfermenthol (CHKM) Btl 0 0 0 0 0 0 0 0 0
101 Klorpromazin hcl injeksi 5 mg/ml - 1 ml Amp 0 0 0 0 0 0 0 0 0
102 Klorpromazin hcl tablet salut 100 mg Tab 0 1000 1000 0 1000 100 1100 1100 3000 Lebih
103 Klorpromazin hcl tablet salut 25 mg Tab 0 1000 636 364 636 63.6 699.6 335.6 0 Kurang
104 Kodein hcl tablet 10 mg Tab 112 0 44 68 44 4.4 48.4 -19.6 0 Lebih
105 Komb. primetamin 25 mg + suldok 500 mg Tab 100 0 100 0 100 10 110 110 0 Kurang
106 Kotrimoksazol pediatrik tablet Tab 2204 3600 3921 1883 3921 392.1 4313.1 2430.1 2000 Kurang
107 Kotrimoksazol suspensi Btl 579 1500 1920 159 1920 192 2112 1953 1800 Kurang
108 Kotrimoksazol dewasa tablet Tab 2572 12100 11847 2825 11847 1184.7 13031.7 10206.7 14000 Lebih
109 Kuinin dihidroklorida injeksi 25 % - 2 ml Amp 0 0 0 0 0 0 0 0 0
110 Kuinin sulfat tablet 222 mg ( 7H2O ) Tab 0 0 0 0 0 0 0 0 0
111 Lidokain Kompositum injeksi Amp 44 750 503 291 503 50.3 553.3 262.3 330 Lebih
112 Magnesium sulfat inj. 20% - 25 ml Btl 0 0 0 0 0 0 0 0 0
113 Magnesium sulfat inj. 40% - 25 ml Btl 0 0 0 0 0 0 0 0 0
114 Mebendazol syrup Btl 30 30 54 6 54 5.4 59.4 53.4 0 Kurang
115 Metilergometrin tablet salut Tab 106 676 476 306 476 47.6 523.6 217.6 200 Kurang
116 Metilergometrin Inj. Amp 0 0 0 0 0 0 0 0 0
117 Metronidazol tablet 250 mg Tab 4923 0 1653 3270 1653 165.3 1818.3 -1451.7 0 Lebih
118 Metronidazol tablet 500 mg Tab 1984 0 1131 853 1131 113.1 1244.1 391.1 0 Kurang
119 Mummifying pasta Pot 0 0 0 0 0 0 0 0 0
120 Natrium bikarbonat tablet 500 mg Tab 315 0 315 0 315 31.5 346.5 346.5 0 Kurang
121 Natrium klorida larutan infus 0,9 % steril Btl 0 0 0 0 0 0 0 0 0
2009 (d+e - f) 2010 ( f ) ( h x 10 % ) (h+i) (j-g)
122 Nistatin 100.000 iu/g tablet vaginal Tab 0 200 42 158 42 4.2 46.2 -111.8 0 Lebih
123 Nistatin 500.000 iu/g tablet salut Tab 100 0 5 95 5 0.5 5.5 -89.5 0 Lebih
124 Nifedipin tab Tab 939 57 72 924 72 7.2 79.2 -844.8 0 Lebih
125 Obat anti tuberkolusis katagori 1 Tab 0 0 0 0 0 0 0 0 0
128 Obat anti tuberkolusis sisipan Tab 0 0 0 0 0 0 0 0 0
129 Obat anti tuberkolosis anak Tab 0 0 0 0 0 0 0 0 0
130 Obat batuk hitam ( o b h ) cairan Btl 173 600 765 8 765 76.5 841.5 833.5 840 Lebih
131 Oksitetrasiklin hcl inj. Amp 0 0 0 0 0 0 0 0 10 Lebih
132 Oksitetrasiklin hcl salep kulit 3 % Pot 51 625 676 0 676 67.6 743.6 743.6 550 Kurang
133 Oksitetrasiklin hcl salep mata 1 % Pot 0 350 188 162 188 18.8 206.8 44.8 50 Lebih
134 Papaverin tablet Tab 0 0 0 0 0 0 0 0 0
135 Paraformaldehid tablet 1 gram Tab 0 0 0 0 0 0 0 0 100 Lebih
136 Parasetamol sirup 120 mg/5ml Btl 61 2900 2858 103 2858 285.8 3143.8 3040.8 2028 Kurang
137 Parasetamol tablet 100 mg Tab 500 2000 2500 0 2500 250 2750 2750 2000 Kurang
138 Parasetamol tablet 500 mg Tab 45257 180000 142814 82443 142814 14281.4 157095.4 74652.4 90000 Lebih
139 Perfenazin tablet 4 mg Tab 0 0 0 0 0 0 0 0 0
140 Pirantel pamoat tablet 365 mg Tab 232 1300 600 932 600 60 660 -272 0 Lebih
141 Piridoxin hcl tablet 10 mg Tab 10025 19000 19801 9224 19801 1980.1 21781.1 12557.1 17000 Lebih
142 Pyrazinamid tablet Tab 0 880 442 438 442 44.2 486.2 48.2 800 Lebih
143 Plester 5 yard x 2 inch Rol 0 22 12 10 12 1.2 13.2 3.2 12 Lebih
144 Polikresulen Btl 2 1 3 0 3 0.3 3.3 3.3 6 Lebih
145 Prazikuantel tablet 600 mg Tab 0 0 0 0 0 0 0 0 0
146 Prednison tablet 5 mg Tab 9676 20000 26381 3295 26381 2638.1 29019.1 25724.1 30000 Lebih
147 Primaquin tablet 15 mg Tab 2909 0 2659 250 2659 265.9 2924.9 2674.9 0 Kurang
148 Prokain benzyl penisillin 3 juta iu/vial inj. Amp 0 0 0 0 0 0 0 0 0
149 Propiltiourasil tablet 100 mg Tab 200 2500 1928 772 1928 192.8 2120.8 1348.8 1500 Lebih
150 Propanolol hcl tablet 40 mg Tab 780 200 740 240 740 74 814 574 300 Kurang
151 Propanolol hcl tablet 10 mg Tab 0 0 0 0 0 0 0 0 0
152 Reserpin tablet 0,10 mg Tab 500 0 500 0 500 50 550 550 0 Kurang
2009 (d+e - f) 2010 ( f ) ( h x 10 % ) (h+i) (j-g)
153 Reserpin tablet 0,25 mg Tab 4000 0 631 3369 631 63.1 694.1 -2674.9 0 Lebih
154 Retinol ( Vit A ) 200.000 iu Kap 0 0 0 0 0 0 0 0 0
155 Retinol ( Vit A ) 100.000 iu Kap 0 0 0 0 0 0 0 0 0
156 Rifampisin kapsul 600 mg Kap 415 300 494 221 494 49.4 543.4 322.4 400 Lebih
157 Rifampisin kapsul 450 mg Kap 212 500 712 0 712 71.2 783.2 783.2 800 Lebih
158 Rifampisin kapsul 300 mg Kap 319 0 88 231 88 8.8 96.8 -134.2 200 Lebih
159 Ringer laktat infus steril Btl 0 0 0 0 0 0 0 0 0
160 Salbutamol tablet 2 mg Tab 2178 0 890 1288 890 89 979 -309 500 Lebih
161 Salep 2-4 Pot 16 96 112 0 112 11.2 123.2 123.2 168 Lebih
162 Salisil bedak 2 % Sak 131 250 281 100 281 28.1 309.1 209.1 200 Kurang
163 Salisil spritus 10 % Btl 0 0 0 0 0 0 0 0 0
164 Semen seng fosfat serbuk dan cairan Btl 0 1 1 0 1 0.1 1.1 1.1 0 Kurang
165 Serum ABU polivalen inj. Amp 0 0 0 0 0 0 0 0 0
166 Serum ATS 1500 IU Amp 0 3 1 2 1 0.1 1.1 -0.9 3 Lebih
167 Serum ATS 20000 IU Amp 0 0 0 0 0 0 0 0 0
168 Simvastatin Tab 0 750 750 0 750 75 825 825 1300 Lebih
169 Sianokobalamin inj. 500 mcg/ml Amp 127 1500 1244 383 1244 124.4 1368.4 985.4 1200 Lebih
170 Silk (benang bedah sutera) no. 3/0 Rol 0 18 13 5 13 1.3 14.3 9.3 10 Lebih
171 Silver amalgam serbuk 65 - 75 % Pot 0 0 0 0 0 0 0 0 0
172 Spons gelatin cublices 1x1x1 cm Sak 0 1 1 0 1 0.1 1.1 1.1 0 Kurang
173 Streptomycin serbuk inj. 1000 mg/vial Amp 0 0 0 0 0 0 0 0 0
174 Sulfadimidin tablet 500 mg Tab 0 0 0 0 0 0 0 0 0
175 Sulfasetamid natrium tetes mata 15 % Btl 0 144 144 0 144 14.4 158.4 158.4 48 Kurang
176 Tablet tambah darah kombinasi Tab 3917 35700 33543 6074 33543 3354.3 36897.3 30823.3 27000 Kurang
177 Temporary stoping fletcher dan cairan Btl 0 0 0 0 0 0 0 0 0
178 Tetrasiklin HCl kapsul 250 mg Kap 0 2000 1406 594 1406 140.6 1546.6 952.6 5000 Lebih
179 Tetrasiklin HCl kapsul 500 mg Kap 386 2700 1616 1470 1616 161.6 1777.6 307.6 2000 Lebih
180 Tiamin HCl (vit B1) inj. 100 mg/ml - 1ml Amp 40 150 45 145 45 4.5 49.5 -95.5 0 Lebih
181 Tiamin HCl mononitrat tablet 50 mg Tab 2152 42000 32805 11347 32805 3280.5 36085.5 24738.5 22000 Kurang
182 Triheksilfenidil HCl tablet 2 mg Tab 40 1300 1020 320 1020 102 1122 802 1400 Lebih
183 Trikresol formalin cairan Btl 0 0 0 0 0 0 0 0 0
2009 (d+e - f) 2010 ( f ) ( h x 10 % ) (h+i) (j-g)
184 Vaksin Rabies Vero Amp 0 0 0 0 0 0 0 0 0
185 Vitamin B komplek tablet Tab 18942 30000 31659 17283 31659 3165.9 34824.9 17541.9 36000 Lebih
186 Yodium povidon larutan 10 % - 30 ml Btl 26 0 26 0 26 2.6 28.6 28.6 38 Lebih
187 Yodium povidon larutan 10 % - 300 ml Btl 0 21 20 1 20 2 22 21 18 Kurang
0 0 0 0 0 0 0 0 0
1 Acyclovir tablet 200 mg Tab 1074 900 925 1049 925 92.5 1017.5 -31.5 600 Lebih
2 Acyclovir cream Tube 160 325 375 110 375 37.5 412.5 302.5 225 Kurang
3 Acyclovir tablet 400 mg Tab 1077 1000 989 1088 989 98.9 1087.9 -0.1 600 Lebih
4 Andalan Injeksi Amp 140 0 140 0 140 14 154 154 0 Kurang
5 Asam mefenamat kapsul 250 mg Tab 0 0 0 0 0 0 0 0 0
6 Asam mefenamat tablet 500 mg Tab 1164 3200 3647 717 3647 364.7 4011.7 3294.7 3000 Kurang
7 Ampicilin injeksi 1 g Amp 0 0 0 0 0 0 0 0 0
8 Ambroxol Sirup Amp 0 750 475 275 475 47.5 522.5 247.5 600 Lebih
9 Cefotaxime inj 1 gr Amp 0 0 0 0 0 0 0 0 0
10 Cimetidin tablet 200 mg Tab 0 0 0 0 0 0 0 0 0
11 Ciprofloxacin kaplet 500 mg Kap 1686 0 1686 0 1686 168.6 1854.6 1854.6 0 Kurang
12 Dasabion tab Tab 0 0 0 0 0 0 0 0 0
13 Domperidon tab Tab 210 600 810 0 810 81 891 891 2000 Lebih
14 Erytromycin caps 250 mg Kap 0 0 0 0 0 0 0 0 0
15 Erytromycin capt 500 mg Kap 0 600 248 352 248 24.8 272.8 -79.2 0 Lebih
16 Erytromycin Syr Btl 21 180 48 153 48 4.8 52.8 -100.2 0 Lebih
17 Etabion Cap Cap 279 1400 1679 0 1679 167.9 1846.9 1846.9 0 Kurang
18 Gentamycin injeksi Amp 0 0 0 0 0 0 0 0 0
19 Gentamycin salep kulit Pot 0 0 0 0 0 0 0 0 50 Lebih
20 Gentamycin tetes mata Btl 0 5 5 0 5 0.5 5.5 5.5 50 Lebih
21 H2O2 Btl 0 10 2 8 2 0.2 2.2 -5.8 0 Lebih
22 Ichtyol salap Pot 9 0 9 0 9 0.9 9.9 9.9 0 Kurang
23 Levertran salep Pot 63 0 6 57 6 0.6 6.6 -50.4 0
24 Kloramphenicol tetes mata Btl 0 0 0 0 0 0 0 0 192 Lebih
25 Metoklorpropamide Hcl 10 mg Tab 264 0 264 0 264 26.4 290.4 290.4 300 Lebih
26 Mikonazole cream Pot 130 168 212 86 212 21.2 233.2 147.2 144 Kurang
2009 (d+e - f) 2010 ( f ) ( h x 10 % ) (h+i) (j-g)
27 Methyl Prednisolon tab 4 mg Tab 517 0 517 0 517 51.7 568.7 568.7 0 Kurang
28 Nipedipin tablet Tab 939 57 196 800 196 19.6 215.6 -584.4 0 Lebih
29 Natrium Diklofenak 50 mg Tab 0 0 0 0 0 0 0 0 0
30 Obat Tambah Darah Indo tab 0 0 0 0 0 0 0 0 0
31 Obat Flu Indo Tab 926 1320 947 1299 947 94.7 1041.7 -257.3 0
32 Obat Maag indo Tab 528 0 528 0 528 52.8 580.8 580.8 0 Kurang
33 Papaverin injeksi Amp 0 0 0 0 0 0 0 0 0
34 Papaverin tablet 40 mg Tab 748 2000 1911 837 1911 191.1 2102.1 1265.1 3000 Lebih
35 Piperazin 500 mg Tab 0 0 0 0 0 0 0 0 0
36 Piperazin sirup Btl 0 0 0 0 0 0 0 0 0
37 Piroksikam tablet 10 mg Tab 2467 1080 2702 845 2702 270.2 2972.2 2127.2 1200 Kurang
38 Piroksikam tablet 20 mg Tab 720 0 120 600 120 12 132 -468 0
39 Ranitidine 150 mg Tab 1569 3100 3343 1326 3343 334.3 3677.3 2351.3 1500 Kurang
40 Stesolit Rectal supp Tube 0 2 0 2 0 0 0 -2 0
0 0 0 0 0 0 0 0 0
1 Alkohol 70 % Btl 2 47 39 10 39 3.9 42.9 32.9 32 Cukup
2 Anisol solution Btl 0 0 0 0 0 0 0 0 0
3 Asam Asetat Glasial Btl 0 0 0 0 0 0 0 0 0
4 Aqua destilata Btl 0 0 0 0 0 0 0 0 5 Lebih
5 Asam Klorida 0.1 N Btl 0 0 0 0 0 0 0 0 4 Lebih
6 Asam klorida 0,1 N Btl 0 0 0 0 0 0 0 0 0
7 Asam sulfosalisilat 20 % Btl 0 0 0 0 0 0 0 0 0
8 Barium Klorida Btl 0 0 0 0 0 0 0 0 4 Lebih
9 Beker Glass Btl 0 0 0 0 0 0 0 0 0
10 Blood Lancet Ktk 0 0 0 0 0 0 0 0 0
11 Erlemeyer Btl 0 0 0 0 0 0 0 0 0
12 Etanol asam 3 % Btl 0 0 0 0 0 0 0 0 0
13 Etanol 70 % Btl 0 0 0 0 0 0 0 0 0
14 Fauchet Btl 0 0 0 0 0 0 0 0 0
15 Imersen Oil HB Btl 0 0 0 0 0 0 0 0 0
16 Kapas 1 KG Rol 0 0 0 0 0 0 0 0 0
2009 (d+e - f) 2010 ( f ) ( h x 10 % ) (h+i) (j-g)
17 Kertas Saring Whatman Rol 0 0 0 0 0 0 0 0 0
18 Kertas Perkamen Rol 0 1600 700 900 700 70 770 -130 0
19 Larutan Bupper PH 7.2 Btl 0 0 0 0 0 0 0 0 0
20 Label Etiket Set 0 0 0 0 0 0 0 0 0
21 Larutan Metanol Btl 0 0 0 0 0 0 0 0 0
22 Larutan Sulposalisilat Btl 0 0 0 0 0 0 0 0 0
23 Larutan Benedict Btl 0 0 0 0 0 0 0 0 0
24 Larutan Eosin 2 % Btl 0 0 0 0 0 0 0 0 0
25 Larutan Etanol Asam Btl 0 0 0 0 0 0 0 0 0
26 Larutan Giemsa Stalin Btl 0 0 0 0 0 0 0 0 0
27 Larutan Karbol Fuksin Btl 0 0 0 0 0 0 0 0 0
28 Larutan Metilen Biru Btl 0 0 0 0 0 0 0 0 0
29 Larutan Turk Btl 0 0 0 0 0 0 0 0 0
30 L i s o l Btl 6 6 9 3 9 0.9 9.9 6.9 3 Kurang
31 Metanol Btl 0 0 0 0 0 0 0 0 0
32 Natrium Sitrat 38 % Btl 0 0 0 0 0 0 0 0 2 Lebih
33 Objek Glass Ktk 0 0 0 0 0 0 0 0 0
34 Plastik Obat Set 0 90000 65000 25000 65000 6500 71500 46500 44000 Kurang
35 Pipet Tetes Biasa Ktk 0 0 0 0 0 0 0 0 0
36 Rees echer Btl 0 0 0 0 0 0 0 0 9
37 Rak Pewarna kaca pipet Ktk 0 0 0 0 0 0 0 0 0
38 Schlesinger Btl 0 0 0 0 0 0 0 0 0
39 Spiritus 100 ml Btl 0 0 0 0 0 0 0 0 0
40 Tes Gol. Darah( A,B,AB) Ktk 0 0 0 0 0 0 0 0 0
41 Tes Kehamilan HCG Ktk 0 300 50 250 50 5 55 -195 0
42 Tabung Reaksi Set 0 0 0 0 0 0 0 0 0
43 Tissue lensa Set 0 0 0 0 0 0 0 0 0
44 Alat suntik 3 cc pcs 320 500 750 70 750 75 825 755 1100 Lebih
45 A C T ktk 0 0 0 0 0 0 0 0 0
46 Artesunate amp 0 0 0 0 0 0 0 0 20 Lebih
47 Ambroxol tab tab 0 3500 3500 0 3500 350 3850 3850 4000 Lebih
2009 (d+e - f) 2010 ( f ) ( h x 10 % ) (h+i) (j-g)
48 Clindamicin caps 250 0 250 0 250 25 275 275 0 Kurang
49 Cetrizin tab 275 450 500 225 500 50 550 325 300 Kurang
50 Hemafort tab 0 0 0 0 0 0 0 0 0
51 Oxytocin inj amp 60 0 60 0 60 6 66 66 0 Kurang
52 Pembalut gip bks 2 0 0 2 0 0 0 -2 0
53 Salbutamol 4 mg tab 800 0 0 800 0 0 0 -800 0
54 Antasida Syrup btl 0 200 61 139 61 6.1 67.1 -71.9 100
55 Lysmin sirup btl 0 90 90 0 90 9 99 99 0 Kurang
56 Lytamin syrup btl 0 45 45 0 45 4.5 49.5 49.5 96 Lebih
57 Mecobion tab tab 0 4000 1350 2650 1350 135 1485 -1165 0
58 Bismecon jelly tube 0 23 16 7 16 1.6 17.6 10.6 0 Kurang
59 Dolodon 500 mg tab 0 1800 1800 0 1800 180 1980 1980 0 Kurang
60 Metformin tab 0 2000 1790 210 1790 179 1969 1759 4500 Lebih
61 Meloxicam 7,5 mg tab 0 850 90 760 90 9 99 -661 0
62 Bisturi 10,11,20,22 pcs 0 20 4 16 4 0.4 4.4 -11.6 0
63 Jarum jhit 10,11,12,13,14 pcs 0 5 3 2 3 0.3 3.3 1.3 10 Kurang
64 Duo care Gluko le st pcs 0 1 1 0 1 0.1 1.1 1.1 0 Kurang
65 Stick gula darah pcs 0 2 2 0 2 0.2 2.2 2.2 2 Kurang
66 Hand scun pcs 0 300 150 150 150 15 165 15 700 Lebih
67 Omeperazole Tab 0 0 0 0 0 0 0 0 450 Lebih
68 Asam Folat Tab 0 0 0 0 0 0 0 0 2000 Lebih
69 Alat suntik 5 cc pcs 0 0 0 0 0 0 0 0 100 Lebih

Ka. Puskesmas Petugas Puskesmas

2009 (d+e - f) 2010 ( f ) ( h x 10 % ) (h+i) (j-g)
Nip. 19731201 200604 1 013 Nip. 19721001 199203 2 001
LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT PU
TAHUN 2011
Penerimaan 2011
Stok
No Nama Obat Sat Triwulan I Triwulan II Triwulan III
Awal
PKD Askes Prog PKD Askes Bafer PKD Bon Bon
1 Air Raksa Dental Use Btl 0
2 Alat Suntik 1 ml Set 125
3 Alat Suntik 2.5 ml Set 333 300 500
4 Albendazol 400 mg Set 68
5 Alupurinol 100 mg Tab 1263 1000
6 Aminophylin 200 mg Tab 434 800 2000
7 Aminophylin inj 24 mg/ml 10 ml Amp 0
8 Amitriptilin HCl tablet 25 mg Tab 660 200
9 Amoksisillin sirup kering 125 mg/5 ml Btl 394 216 912 1000
10 Amoksisillin kapsul 250 mg Kap 465 3000 6000 2400 2400
11 Amoksisillin kaplet 500 mg Kap 6124 10000 14000 5000 2000 3500
12 Ampicillin kaplet 500 mg Kap 1594 600 1000 1000
13 Ampicillin sirup kering 125 mg/5 ml Btl 250 120
14 Antalgin tablet 500 mg Tab 4728 6000 3000 10000
15 Antalgin injeksi Amp 0
16 Antasida DOEN tablet kombinasi Tab 7238 10000 6000 20000
17 Antibakteri DOEN salep kombinasi Pot 2 100 75
18 Antihemoroid DOEN kombinasi Pot 80 30
19 Antifungi DOEN kombinasi Pot 0 48 96
20 Antimigrain DOEN kombinasi Tab 157
21 Aqua proinjeksi bebas pirogen Amp 10 10
22 Aquadest steril Amp 0
23 Asam askorbat (vit C) 50 mg Tab 16129 6000 15000 30000
24 Asam askorbat (vit C)250 mg Tab 0
25 Asetosal tablet 100 mg Tab 0 500
26 Asetosal tablet 500 mg Tab 0
27 Atropin sulfat injeksi 0,25 mg/ml - ml Amp 0
28 Atropin sulfat tablet 0,5 mg Tab 0
29 Atropin sulfat tetes mata 0 5 % Btl 0
30 Benzatin benzil penicillin inj. 2,4 juta IU/vial Amp 0
31 Besi sirup Btl 0
32 Betametason krim 0,1 % Tube 0 200 100 150
33 Catgut/benang bedah no. 2/0 - 3/0 Sak 7
34 Captopril 12.5 mg tablet Tab 4344
35 Captopril 25 mg tablet Tab 11020
36 Deksametason injeksi 5 mg/ml - 1 ml Amp 88
37 Deksametason tablet 0,5 mg Tab 17764 10000 10000
38 Dekstromethorpan HBr sirup 10 mg/5 ml Btl 34 150 300
39 Dekstromethorpan HBr tablet 15 mg Tab 3664 2000 2000
40 Devitalisasi pasta Btl 0
41 Diazepam injeksi 5 mg/ml - 2 ml Amp 62
42 Diazepam 2 mg Tab 1383 3000
43 Diazepam 5 mg Tab 1065
44 Difenhidramin HCl injeksi 10 mg/ml - ml Amp 246 300
45 Digoksin tablet 0,25 mg Tab 115
46 Efedrin HCl tablet 25 mg Tab 5000
47 Ekstrak belladon tablet 10 mg Tab 1564
48 Epinephrin HCl injeksi Amp 55
49 Etakridin (rivanol) larutan 0,1 Btl 10 10 10
50 Etambutol HCl 250 mg tablet Tab 0
51 Etambutol HCl 500 mg tablet Tab 0 1000
52 Etil klorida semprot Btl 4 6
53 Eugenol cairan Btl 0
54 Fenitoin natrium kapsul 100 mg Kap 514
55 Fenitoin natrium kapsul 30 mg Kap 0
56 Fenobarbital injeksi 50 mg/ml - 2 ml Amp 6
57 Fenobarbital tablet 100 mg Tab 0
58 Fenobarbital tablet 30 mg Tab 2505
59 Fenoksi metil penisillin tablet 250 mg Tab 0
60 Fenoksi metil penisillin tablet 500 mg Tab 0
61 Fenol gliserol tetes telinga 10 % Btl 56 48
62 Fitomenadion (vit K) inj. 10 mg/ml - 1 ml Amp 170
63 Fitomenadion (vit K) tablet salut 10 mg Tab 458 1000 300
64 Furosemid tablet 40 mg Tab 310
65 Gameksan emulsi 1 % Btl 0
66 Garam oralit 200 ml air Sak 644 1200 1200 1200 600
67 Gentian violet larutan 1 % Btl 101 120 120
68 Glass ionomer semen (gc ix) Btl 0
69 Glibenklamid tablet 5 mg Tab 730 1000 500
70 Gliseril guayakolat tablet 100 mg Tab 0 30000 15000 30000
71 Gliserin Btl 0
72 Glukosa Larutan Infus 5 % Steril Btl 0
73 Griseofulvin 125 mg micronized Tab 133 500 500
74 Halloperidol tablet 0,5 mg Tab 0
75 Halloperidol tablet 1,5 mg Tab 380 300 300 1000
76 Halloperidol tablet 5 mg Tab 0 500
77 Hidroklrotiazed ( hct ) tablet 25 mg Tab 1926 2000
78 Hidrokortison krim 2,5 % Pot 0 192 120 240
79 Ibuprofen tablet 200 mg Tab 4996 3000 10000
80 Ibuprofen tablet 400 mg Tab 0 1000
81 Infusion set anak Set 0
82 Infusion set dewasa Set 0
83 I N H tablet 100 mg Tab 4253
84 I N H tablet 300 mg Tab 2919
85 Isosorbit dinitrat tablet sublingual 5 mg Tab 330
86 Kalium permanganat serbuk Btl 0
87 Kalsium hidroksida pasta Tab 0
88 Kalsium Laktat ( Kalk ) 500 mg Tab 5588 5000 3000 8000
89 Kapas pembalut / Absorben 250 gram Rol 11 10 6 10
90 Karbamazepin tablet 200 mg Tab 282 300
91 Kasa kompres 40/40 steril Rol 40 20
92 Kasa pembalut hidrofil 4 m x 15 cm Rol 76 50 50
93 Kasa pembalut hidrofil 4 m x 3 cm Rol 0
94 Kloramfenikol 250 mg kapsul Kap 267 600
95 Kloramfenikol salep mata 1 % Pot 0 96 48 120
96 Kloramfenikol tetes telinga 3 % Btl 0 96 72 48
97 Klorfeniramine maleat tablet 4 mg Tab 14937 30000 30000
98 Kloroquin pospat tablet 250 mg Tab 0
99 Klorpromazin hcl injeksi Amp 0
100 Klorfenol kamfermenthol (CHKM) Btl 0
101 Klorpromazin hcl injeksi 5 mg/ml - 1 ml Amp 0
102 Klorpromazin hcl tablet salut 100 mg Tab 0 1000 1000 1000
103 Klorpromazin hcl tablet salut 25 mg Tab 364
104 Kodein hcl tablet 10 mg Tab 68
105 Komb. primetamin 25 mg + suldok 500 mg Tab 0
106 Kotrimoksazol pediatrik tablet Tab 1883 1000
107 Kotrimoksazol suspensi Btl 159 500 500 400
108 Kotrimoksazol dewasa tablet Tab 2825 2000 2000 10000
109 Kuinin dihidroklorida injeksi 25 % - 2 ml Amp 0
110 Kuinin sulfat tablet 222 mg ( 7H2O ) Tab 0
111 Lidokain Kompositum injeksi Amp 291 60 150
112 Magnesium sulfat inj. 20% - 25 ml Btl 0
113 Magnesium sulfat inj. 40% - 25 ml Btl 0
114 Mebendazol syrup Btl 6
115 Metilergometrin tablet salut Tab 306
116 Metilergometrin Inj. Amp 0
117 Metronidazol tablet 250 mg Tab 3270
118 Metronidazol tablet 500 mg Tab 853
119 Mummifying pasta Pot 0
120 Natrium bikarbonat tablet 500 mg Tab 0
121 Natrium klorida larutan infus 0,9 % steril Btl 0
122 Nistatin 100.000 iu/g tablet vaginal Tab 158
123 Nistatin 500.000 iu/g tablet salut Tab 95
124 Nifedipin tab Tab 924
125 Obat anti tuberkolusis katagori 1 Tab 0
128 Obat anti tuberkolusis sisipan Tab 0
129 Obat anti tuberkolosis anak Tab 0
130 Obat batuk hitam ( o b h ) cairan Btl 8 300 240 240
131 Oksitetrasiklin hcl inj. Amp 0 10
132 Oksitetrasiklin hcl salep kulit 3 % Pot 0 300 50
133 Oksitetrasiklin hcl salep mata 1 % Pot 162 50
134 Papaverin tablet Tab 0
135 Paraformaldehid tablet 1 gram Tab 0 100
136 Parasetamol sirup 120 mg/5ml Btl 103 1000 528 300
137 Parasetamol tablet 100 mg Tab 0 2000
138 Parasetamol tablet 500 mg Tab 82443 30000
139 Perfenazin tablet 4 mg Tab 0
140 Pirantel pamoat tablet 365 mg Tab 932
141 Piridoxin hcl tablet 10 mg Tab 9224 5000 6000
142 Pyrazinamid tablet Tab 438 500
143 Plester 5 yard x 2 inch Rol 10 6
144 Polikresulen Btl 0
145 Prazikuantel tablet 600 mg Tab 0
146 Prednison tablet 5 mg Tab 3295 6000 4000 10000
147 Primaquin tablet 15 mg Tab 250
148 Prokain benzyl penisillin 3 juta iu/vial inj. Amp 0
149 Propiltiourasil tablet 100 mg Tab 772 1000 500
150 Propanolol hcl tablet 40 mg Tab 240 300
151 Propanolol hcl tablet 10 mg Tab 0
152 Reserpin tablet 0,10 mg Tab 0
153 Reserpin tablet 0,25 mg Tab 3369
154 Retinol ( Vit A ) 200.000 iu Kap 0
155 Retinol ( Vit A ) 100.000 iu Kap 0
156 Rifampisin kapsul 600 mg Kap 221 200 200
157 Rifampisin kapsul 450 mg Kap 0 500 300
158 Rifampisin kapsul 300 mg Kap 231 200
159 Ringer laktat infus steril Btl 0
160 Salbutamol tablet 2 mg Tab 1288
161 Salep 2-4 Pot 0 72 48
162 Salisil bedak 2 % Sak 100 100 50
163 Salisil spritus 10 % Btl 0
164 Semen seng fosfat serbuk dan cairan Btl 0
165 Serum ABU polivalen inj. Amp 0
166 Serum ATS 1500 IU Amp 2 3
167 Serum ATS 20000 IU Amp 0
168 Simvastatin Tab 0 1000
169 Sianokobalamin inj. 500 mcg/ml Amp 383 100 500 300
170 Silk (benang bedah sutera) no. 3/0 Rol 5 5
171 Silver amalgam serbuk 65 - 75 % Pot 0
172 Spons gelatin cublices 1x1x1 cm Sak 0
173 Streptomycin serbuk inj. 1000 mg/vial Amp 0
174 Sulfadimidin tablet 500 mg Tab 0
175 Sulfasetamid natrium tetes mata 15 % Btl 0 48
176 Tablet tambah darah kombinasi Tab 6074 12000 9000 6000
177 Temporary stoping fletcher dan cairan Btl 0
178 Tetrasiklin HCl kapsul 250 mg Kap 594
179 Tetrasiklin HCl kapsul 500 mg Kap 1470 1000 500
180 Tiamin HCl (vit B1) inj. 100 mg/ml - 1ml Amp 145
181 Tiamin HCl mononitrat tablet 50 mg Tab 11347 5000 5000 6000
182 Triheksilfenidil HCl tablet 2 mg Tab 320 300 300 500
183 Trikresol formalin cairan Btl 0
184 Vaksin Rabies Vero Amp 0
185 Vitamin B komplek tablet Tab 17283 6000 10000
186 Yodium povidon larutan 10 % - 30 ml Btl 0 10 2
187 Yodium povidon larutan 10 % - 300 ml Btl 1 6 2
0
1 Acyclovir tablet 200 mg Tab 1049 300
2 Acyclovir cream Tube 110 25 50
3 Acyclovir tablet 400 mg Tab 1088 300
4 Andalan Injeksi Amp 0
5 Asam mefenamat kapsul 250 mg Tab 0
6 Asam mefenamat tablet 500 mg Tab 717 1000 1000
7 Ampicilin injeksi 1 g Amp 0
8 Ambroxol Sirup Amp 275 300 100
9 Cefotaxime inj 1 gr Amp 0
10 Cimetidin tablet 200 mg Tab 0
11 Ciprofloxacin kaplet 500 mg Kap 0
12 Dasabion tab Tab 0
13 Domperidon tab Tab 0 500 500
14 Erytromycin caps 250 mg Kap 0
15 Erytromycin capt 500 mg Kap 352
16 Erytromycin Syr Btl 153
17 Etabion Cap Cap 0
18 Gentamycin injeksi Amp 0
19 Gentamycin salep kulit Pot 0
20 Gentamycin tetes mata Btl 0
21 H2O2 Btl 8
22 Ichtyol salap Pot 0
23 Levertran salep Pot 57
24 Kloramphenicol tetes mata Btl 0 48 96
25 Metoklorpropamide Hcl 10 mg Tab 0 300
26 Mikonazole cream Pot 86 24 24
27 Methyl Prednisolon tab 4 mg Tab 0
28 Nipedipin tablet Tab 0
29 Natrium Diklofenak 50 mg Tab 0
30 Obat Tambah Darah Indo tab 0
31 Obat Flu Indo Tab 1299
32 Obat Maag indo Tab 0
33 Papaverin injeksi Amp 0
34 Papaverin tablet 40 mg Tab 837 2000 1000
35 Piperazin 500 mg Tab 0
36 Piperazin sirup Btl 0
37 Piroksikam tablet 10 mg Tab 845
38 Piroksikam tablet 20 mg Tab 600
39 Ranitidine 150 mg Tab 1326 500
40 Stesolit Rectal supp Tube 2
0
1 Alkohol 70 % Btl 10 6 6 10
2 Anisol solution Btl 0
3 Asam Asetat Glasial Btl 0
4 Aqua destilata Btl 0
5 Asam Klorida 0.1 N Btl 0 2 2
6 Asam klorida 0,1 N Btl 0
7 Asam sulfosalisilat 20 % Btl 0
8 Barium Klorida Btl 0 2 2
9 Beker Glass Btl 0
10 Blood Lancet Ktk 0
11 Erlemeyer Btl 0
12 Etanol asam 3 % Btl 0
13 Etanol 70 % Btl 0
14 Fauchet Btl 0
15 Imersen Oil HB Btl 0
16 Kapas 1 KG Rol 0
17 Kertas Saring Whatman Rol 0
18 Kertas Perkamen Rol 900
19 Larutan Bupper PH 7.2 Btl 0
20 Label Etiket Set 0
21 Larutan Metanol Btl 0
22 Larutan Sulposalisilat Btl 0
23 Larutan Benedict Btl 0
24 Larutan Eosin 2 % Btl 0
25 Larutan Etanol Asam Btl 0
26 Larutan Giemsa Stalin Btl 0
27 Larutan Karbol Fuksin Btl 0
28 Larutan Metilen Biru Btl 0
29 Larutan Turk Btl 0
30 Lisol Btl 3 3
31 Metanol Btl 0
32 Natrium Sitrat 38 % Btl 0 2
33 Objek Glass Ktk 0
34 Plastik Obat Set 25000 24000 15000
35 Pipet Tetes Biasa Ktk 0
36 Rees echer Btl 0 3 3
37 Rak Pewarna kaca pipet Ktk 0
38 Schlesinger Btl 0
39 Spiritus 100 ml Btl 0
40 Tes Gol. Darah( A,B,AB) Ktk 0
41 Tes Kehamilan HCG Ktk 250
42 Tabung Reaksi Set 0
43 Tissue lensa Set 0
44 Alat suntik 3 cc pcs 70 500
45 ACT ktk 0
46 Artesunate amp 0 20
47 Ambroxol tab tab 0 2000 1000
48 Clindamicin caps 0
49 Cetrizin tab 225 300
50 Hemafort tab 0
51 Oxytocin inj amp 0
52 Pembalut gip bks 2
53 Salbutamol 4 mg tab 800
54 Antasida Syrup btl 139 100
55 Lysmin sirup btl 0
56 Lytamin syrup btl 0
57 Mecobion tab tab 2650
58 Bismecon jelly tube 7
59 Dolodon 500 mg tab 0
60 Metformin tab 210 1000 500 1000 500
61 Meloxicam 7,5 mg tab 760
62 Bisturi 10,11,20,22 pcs 16
63 Jarum jhit 10,11,12,13,14 pcs 2 10
64 Duo care Gluko le st pcs 0
65 Stick gula darah pcs 0
66 Hand scun pcs 150 300
67 Omeperazole Tab 0 300 150
68 Asam Folat Tab 0 2000
69 Alat suntik 5 cc pcs 0 100
Mengetahui, Yang menyerahkan,

Kepala Dinkes Kota Jambi Ka. IFK
(…………………………….) (…………………….)
AN PEMAKAIAN OBAT PUSKESMAS TANJUNG PINANG
TAHUN 2011
Pemakaian 2011
Triwulan IV Jumlah Jumlah
Jan Feb Mar Apr Mei Jun Jul Ags Sep Okt Nov Des
PKD Bon Bon
0 0
125 125 125
1133 174 144 88 147 162 187 97 130 4 1133
68 3 3
2263 134 60 85 138 160 107 94 71 95 120 78 154 1296
1000 4234 297 135 2 279 206 191 314 305 455 424 436 291 3335
0 0
860 30 30 30 30 30 30 30 40 20 30 300
100 200 2822 228 228 103 163 191 254 243 206 226 226 255 318 2641
2400 1200 17865 811 767 797 869 903 945 1958 1737 2665 1665 2782 1050 16949
9500 5000 55124 4795 4215 5248 4824 4621 4934 3845 2684 3601 4128 4692 4009 51596
600 4794 283 246 240 218 379 320 328 324 251 227 332 186 3334
120 490 24 33 176 82 23 13 4 2 4 2 1 364
10000 33728 1396 1801 2014 1952 1994 2216 1879 1154 1777 2198 2105 1786 22272
0 0
5000 48238 2118 2202 749 3163 3493 3453 3210 3076 3940 4038 3696 3551 36689
75 252 2 48 54 49 36 9 2 200
50 160 8 15 16 7 6 5 10 8 8 2 17 102
48 192 11 16 7 5 5 15 21 16 19 115
157 157 157
20 4 2 2 1 1 2 1 1 3 1 18
0 0
15000 82129 2994 4374 5565 10214 4716 4969 4050 3150 3793 3948 4228 4734 56735
0 0
500 30 30 60
0 0
0 0
0 0
0 0
0 0
0 0
150 600 36 47 31 35 41 48 49 41 57 46 53 37 521
7 2 2
2000 6344 326 431 1013 557 710 297 201 440 100 230 350 424 5079
3000 14020 900 836 1874 1500 840 632 475 506 910 827 621 602 10523
88 14 59 2 10 3 88
10000 47764 1897 1781 386 1246 2953 3106 2366 3016 3033 3134 3405 2837 29160
484 34 7 74 34 28 29 44 42 35 48 375
2000 9664 1868 611 809 757 173 576 515 631 579 6519
0 0
62 2 1 3
4383 248 315 401 214 205 164 266 307 231 324 2675
1065 88 90 345 358 163 21 1065
546 17 27 30 29 8 16 40 32 33 232
115 5 10 5 20
5000 478 173 306 280 322 345 243 198 165 2510
1564 289 291 310 273 287 114 1564
55 2 1 3
6 36 3 2 1 2 1 4 2 3 2 2 2 24
0 0
1000 51 106 37 40 50 50 20 10 61 25 42 492
3 13 1 2 2 1 1 3 1 1 12
0 0
514 69 41 100 80 140 84 514
0 0
6 0
0 0
1000 3505 37 18 40 8 22 72 70 256 181 89 73 27 893
0 0
0 0
104 8 7 4 4 5 8 11 5 17 69
170 4 10 4 3 3 2 2 3 3 4 3 41
200 1958 109 115 52 90 23 213 477 303 135 117 141 1775
310 4 10 14
0 0
2000 1000 7844 195 353 365 416 688 556 415 574 959 942 1076 6539
96 437 34 26 29 23 21 25 16 27 28 36 18 42 325
0 0
500 2730 70 116 230 100 120 320 260 135 145 160 140 120 1916
20000 95000 4335 2123 6853 5611 6049 6380 5312 5131 5973 5379 5145 6242 64533
0 0
0 0
600 1733 79 29 51 21 199 107 137 188 81 105 107 136 1240
0 0
200 2180 150 140 90 270 140 170 158 185 120 264 113 40 1840
500 7 7
3926 86 273 302 285 122 81 176 111 101 214 1751
120 672 41 25 44 41 55 40 47 56 48 34 49 49 529
17996 612 873 1448 1422 1709 660 1445 1179 1932 1811 1988 1762 16841
1000 120 40 20 105 285
0 0
0 0
4253 10 17 21 28 42 23 35 47 223
2919 115 63 95 85 89 103 91 78 90 110 77 29 1025
330 50 50 60 30 20 10 20 240
0 0
0 0
3000 24588 1337 797 1075 1781 1896 1756 1786 1335 1913 2262 2205 1713 19856
20 57 5 5 3 3 4 3 6 3 1 4 1 3 41
200 782 15 60 40 115 135 60 70 20 515
10 70 10 20 10 10 10 5 5 70
176 15 16 17 10 15 17 19 7 16 5 10 12 159
0 0
867 55 42 18 142 10 24 84 52 22 34 483
48 312 1 21 24 17 11 19 14 15 21 11 10 26 190
48 264 4 17 22 16 16 22 21 44 15 16 28 40 261
15000 89937 5711 4798 3249 4780 4739 6115 8360 7711 8097 8312 8552 8754 79178
0 0
0 0
0 0
0 0
3000 204 155 366 231 221 263 185 189 150 215 100 2279
364 364 364
68 68 68
0 0
1000 3883 329 109 71 200 162 204 329 428 472 873 400 306 3883
400 1959 99 152 182 142 123 149 142 110 209 166 175 158 1807
16825 1171 1131 1001 1045 789 827 761 1009 1653 1295 1534 1231 13447
0 0
0 0
120 621 74 94 8 65 8 64 34 3 30 64 30 29 503
0 0
0 0
6 6 6
200 506 40 20 10 36 30 50 75 261
0 0
3270 45 122 130 192 583 450 324 468 404 2718
853 40 200 360 140 95 18 853
0 0
0 0
0 0
158 6 6 4 9 14 12 4 7 16 7 6 91
95 0
924 34 65 106 35 18 50 73 63 80 77 76 127 804
0 0
0 0
0 0
0 0
0 0
60 848 67 67 98 59 71 34 109 46 75 72 53 56 807
10 0
150 50 550 68 60 70 82 46 14 10 29 57 80 516
212 3 39 5 8 39 2 9 9 25 139
0 0
100 50 50 100
200 2131 251 210 276 216 238 253 259 151 60 17 50 1981
2000 500 1000 1500
60000 172443 11983 5585 1862 12252 13215 12957 12318 10116 13272 13581 13496 13812 134449
0 0
932 41 20 48 39 52 64 60 36 38 40 21 49 508
6000 26224 655 524 33 364 1230 2414 2219 1923 2557 2611 2740 1946 19216
300 1238 136 76 146 57 40 71 74 52 24 51 25 56 808
6 22 3 1 1 1 1 2 3 1 1 3 17
6 6 0
0 0
10000 33295 2012 1383 1926 1320 2760 2532 2317 2280 2726 2756 2793 2857 27662
250 7 7 236 250
0 0
2272 212 150 175 130 181 73 134 40 139 1234
540 176 74 75 24 50 10 20 51 60 540
0 0
0 0
3369 105 178 283 254 1183 225 241 75 825 3369
0 0
0 0
621 74 34 57 34 55 30 3 10 51 30 378
800 38 20 35 49 54 71 84 82 74 59 50 29 645
431 12 9 21
0 0
500 1788 161 74 324 206 231 18 53 142 81 1290
48 168 7 2 12 10 12 6 8 10 9 76
50 300 9 23 25 31 29 27 21 22 27 21 22 257
0 0
0 0
0 0
5 2 1 3
0 0
300 1300 130 70 90 100 140 70 40 80 20 50 50 40 880
300 1583 158 38 99 37 159 37 139 138 135 40 44 135 1159
5 15 4 1 2 5 2 14
0 0
0 0
0 0
0 0
48 7 6 13 11 11 48
33074 3085 2192 2481 2087 2570 2223 2343 1630 2412 2431 2177 1983 27614
0 0
5000 5594 58 160 9 53 314 50 150 794
500 3470 122 518 34 376 696 295 84 136 290 160 519 3230
145 2 2 1 2 3 3 22 46 81
6000 33347 220 640 1889 1649 951 1798 2700 1848 3250 3025 3038 2886 23894
300 1720 102 128 60 240 110 140 172 163 90 114 184 30 1533
0 0
0 0
20000 53283 3352 2337 2005 2555 1004 2502 4402 3632 4756 5344 5674 3719 41282
26 38 3 1 3 2 2 1 5 17
10 19 3 3 1 2 1 1 1 12
0 0
300 1649 373 28 442 20 99 46 55 1063
150 335 16 15 16 27 10 13 22 13 22 28 14 31 227
300 1688 266 63 60 118 77 107 67 111 60 929
0 0
0 0
1000 3717 395 322 319 454 153 363 314 387 371 3078
0 0
200 875 113 79 83 39 24 57 47 68 39 45 36 69 699
0 0
0 0
0 0
0 0
1000 2000 20 130 104 225 21 87 128 285 137 238 1375
0 0
352 10 50 70 22 80 30 30 25 35 352
153 2 1 2 5 3 4 4 3 7 6 3 40
0 0
0 0
50 50 11 11
50 50 0
8 2 2 2 6
0 0
57 4 5 3 5 9 8 2 3 7 2 48
48 192 6 12 18 8 4 3 9 4 4 10 10 88
300 11 289 300
96 230 16 9 11 15 20 20 11 8 3 19 11 15 158
0 0
0 0
0 0
0 0
1299 39 151 209 225 675 1299
0 0
0 0
3837 164 209 367 108 241 284 252 216 230 280 227 395 2973
0 0
0 0
1200 2045 308 537 140 8 49 1042
600 600 600
1000 2826 188 366 302 338 421 211 39 192 191 2248
2 2 2
0 0
10 42 5 3 4 3 3 6 2 1 4 2 2 35
0 0
0 0
5 5 1 2 2 5
4 1 1 1 1 4
0 0
0 0
4 1 1 1 1 4
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
900 50 50 50 50 50 50 50 350
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
6 2 1 2 1 6
0 0
2 1 1 2
0 0
5000 69000 7000 6000 8000 6000 7000 7000 6000 2000 3000 6000 6000 5000 69000
0 0
3 9 1 2 1 1 1 1 1 8
0 0
0 0
0 0
0 0
250 50 2 3 7 54 5 4 4 3 18 150
0 0
0 0
600 1170 60 10 223 177 100 100 190 210 1070
0 0
20 1 1 18 20
1000 4000 108 74 97 405 336 298 323 227 422 265 280 466 3301
0 0
525 30 42 36 13 20 31 30 10 11 12 15 250
0 0
0 0
2 2 2
800 10 10 202 25 61 63 59 157 587
239 68 8 11 13 3 2 4 11 6 2 9 3 140
0 0
96 96 7 10 17
2650 260 280 310 130 170 20 110 146 120 140 70 80 1836
7 7 7
0 0
1500 4710 265 250 320 360 399 116 130 275 496 190 295 370 3466
760 92 202 197 227 42 760
16 6 2 8 16
12 2 4 6
0 0
2 2 1 1 2
400 850 50 100 30 170 100 100 100 650
450 44 44 40 3 16 147
2000 100 86 139 25 20 370
100 0

Ka. Puskesmas Petugas Puskesmas

Nip. 19731201 200604 1 013 Nip. 19721001 199203 2 001
Stok Akhir
0
0
0
65
967
899
0
560
181
916
3528
1460
126
11456
0
11549
52
58
77
0
2
0
25394
0
440
0
0
0
0
0
0
79
5
1265
3497
0
18604
109
3145
0
59
1708
0
314
95
2490
0
52
12
0
508
1
0
0
0
6
0
2612
0
0
35
129
183
296
0
1305
112
0
814
30467
0
0
493
0
340
493
2175
143
1155
715
0
0
4030
1894
90
0
0
4732
16
267
0
17
0
384
122
3
10759
0
0
0
0
721
0
0
0
0
152
3378
0
0
118
0
0
0
245
0
552
0
0
0
0
67
95
120
0
0
0
0
0
41
10
34
73
0
0
150
500
37994
0
424
7008
430
5
6
0
5633
0
0
1038
0
0
0
0
0
0
243
155
410
0
498
92
43
0
0
0
2
0
420
424
1
0
0
0
0
0
5460
0
4800
240
64
9453
187
0
0
12001
21
7
0
586
108
759
0
0
639
0
176
0
0
0
0
625
0
0
113
0
0
39
50
2
0
9
104
0
72
0
0
0
0
0
0
0
864
0
0
1003
0
578
0
0
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
550
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
100
0
0
100
0
0
699
0
275
0
0
0
213
99
0
79
814
0
0
1244
0
0
6
0
0
200
303
1630
100
Penerimaan 2010
No Nama Obat Sat Stok Awal Triwulan I Triwulan II
PKD Askes Prog PKD Askes Bafer
1 Air Raksa Den Btl 0 0
2 Alat Suntik 1 Set 275 0
3 Alat Suntik 2. Set 431 600
4 Albendazol 4 Set 93 0
5 Alupurinol 10 Tab 794 600 900
6 Aminophylin Tab 1429 1000 1000
7 Aminophylin i Amp 0 0
8 Amitriptilin H Tab 150 300
9 Amoksisillin Btl 442 300 180 350 240
10 Amoksisillin Kap 10164 0
11 Amoksisillin Kap 18750 8700 7000
12 Ampicillin ka Kap 795 0 300
13 Ampicillin sir Btl 139 100 50
14 Antalgin tabl Tab 13737 0 3000
15 Antalgin injeks Amp 60 0 90
16 Antasida DOE Tab 15468 0 5000
17 Antibakteri D Pot 98 0
18 Antihemoroid Pot 33 50 50
19 Antifungi DO Pot 218 0
20 Antimigrain Tab 331 0
21 Aqua proinjek Amp 0 0 20
22 Aquadest steri Amp 0 0
23 Asam askorbat Tab 29885 0 15000
24 Asam askorbat Tab 0 0
25 Asetosal tabl Tab 0 0
26 Asetosal tabl Tab 0 0
27 Atropin sulfat Amp 0 0
28 Atropin sulfat Tab 0 0
29 Atropin sulfat Btl 0 0
30 Benzatin benzil Amp 0 0
31 Besi sirup Btl 0 0
32 Betametason Tube 99 100 100
33 Catgut/benang Sak 12 0
34 Captopril 12. Tab 6704 0
35 Captopril 25 Tab 11707 0
36 Deksametason Amp 594 0
37 Deksametason Tab 17567 5000 15000
38 Dekstrometho Btl 132 100
39 Dekstrometho Tab 4801 0
40 Devitalisasi p Btl 0 0
41 Diazepam inje Amp 70 0
42 Diazepam 2 Tab 1249 0 1000
43 Diazepam 5 Tab 110 0 250
44 Difenhidramin Amp 496 0
45 Digoksin tabl Tab 175 0
46 Efedrin HCl t Tab 1670 0
47 Ekstrak bella Tab 4120 0
48 Epinephrin HCl Amp 62 0
49 Etakridin (riv Btl 9 12 20
50 Etambutol HCl Tab 0 0
51 Etambutol HCl Tab 0 0
52 Etil klorida s Btl 6 0 6
53 Eugenol caira Btl 0 0
54 Fenitoin natr Kap 72 500
55 Fenitoin natr Kap 50 500
56 Fenobarbital i Amp 0 0
57 Fenobarbital Tab 0 0
58 Fenobarbital Tab 1921 0
59 Fenoksi metil Tab 0 0
60 Fenoksi metil Tab 0 0
61 Fenol gliserol Btl 103 0
62 Fitomenadion ( Amp 37 0 30
63 Fitomenadion ( Tab 586 500 500
64 Furosemid tab Tab 370 0
65 Gameksan em Btl 0 0
66 Garam oralit 2 Sak 2671 0 1200
67 Gentian violet Btl 111 50 72
68 Glass ionomer Btl 0 0
69 Glibenklamid Tab 2345 1000 900
70 Gliseril guaya Tab 40329 0
71 Gliserin Btl 0 0
72 Glukosa Larut Btl 0 0
73 Griseofulvin Tab 537 300 300 300
74 Halloperidol t Tab 0 0
77 Hidroklrotiaze Tab 4249 0
78 Hidrokortison Pot 57 96 240
79 Ibuprofen tab Tab 14214 0
80 Ibuprofen tab Tab 221 0
81 Infusion set Set 0 0
82 Infusion set Set 0 0
83 I N H tablet Tab 7061 0
84 I N H tablet Tab 442 0
85 Isosorbit dini Tab 400 0
86 Kalium perma Btl 0 0
87 Kalsium hidro Tab 0 0
88 Kalsium Lakta Tab 10622 5000 3000
89 Kapas pembal Rol 4 10 6
90 Karbamazepin Tab 247 300
91 Kasa kompres Rol 48 0
92 Kasa pembalut Rol 55 0
93 Kasa pembalut Rol 150 0
94 Kloramfenikol Kap 730 0 500
95 Kloramfenikol Pot 0 192 48
96 Kloramfenikol Btl 100 0 72
97 Klorfeniramin Tab 69057 0
98 Kloroquin pos Tab 613 0
99 Klorpromazin h Amp 0 0
100 Klorfenol ka Btl 0 0
101 Klorpromazin h Amp 0 0
102 Klorpromazin Tab 0 1000
103 Klorpromazin Tab 0 0
104 Kodein hcl ta Tab 112 0
105 Komb. primet Tab 100 0
106 Kotrimoksazol Tab 2204 0 600
107 Kotrimoksazol Btl 579 200 200
108 Kotrimoksazol Tab 2572 1000 2000 500
109 Kuinin dihidro Amp 0 0
110 Kuinin sulfat Tab 0 0
111 Lidokain Komp Amp 44 300
112 Magnesium sul Btl 0 0
113 Magnesium sul Btl 0 0
114 Mebendazol s Btl 30 0
115 Metilergometri Tab 106 300
116 Metilergometri Amp 0 0
117 Metronidazol Tab 4923 0
118 Metronidazol Tab 1984 0
119 Mummifying p Pot 0 0
120 Natrium bikar Tab 315 0
121 Natrium klorid Btl 0 0
122 Nistatin 100.0 Tab 0 0 200
123 Nistatin 500.0 Tab 100 0
124 Nifedipin tab Tab 939 0
125 Obat anti tube Tab 0 0
129 Obat anti tub Tab 0 0
130 Obat batuk hit Btl 173 0 120 240
131 Oksitetrasiklin Amp 0 0
132 Oksitetrasikli Pot 51 100 250
133 Oksitetrasikli Pot 0 150
134 Papaverin tab Tab 0 0
135 Paraformaldeh Tab 0 0
136 Parasetamol Btl 61 600 50 500 250
137 Parasetamol t Tab 500 2000
138 Parasetamol t Tab 45257 0 60000
139 Perfenazin ta Tab 0 0
140 Pirantel pamo Tab 232 0 300
141 Piridoxin hcl Tab 10025 5000
142 Pyrazinamid t Tab 0 100 80
143 Plester 5 yard Rol 0 10
144 Polikresulen Btl 2 0
145 Prazikuantel Tab 0 0
146 Prednison tab Tab 9676 3000 14000
147 Primaquin tab Tab 2909 0
148 Prokain benzyl Amp 0 0
149 Propiltiourasi Tab 200 2000 500
150 Propanolol hc Tab 780 0
151 Propanolol hc Tab 0 0
152 Reserpin tabl Tab 500 0
153 Reserpin tabl Tab 4000 0
154 Retinol ( Vit Kap 0 0
155 Retinol ( Vit Kap 0 0
156 Rifampisin ka Kap 415 0
159 Ringer laktat i Btl 0 0
160 Salbutamol ta Tab 2178 0
161 Salep 2-4 Pot 16 48
162 Salisil bedak Sak 131 0
163 Salisil spritu Btl 0 0
164 Semen seng fo Btl 0 0
165 Serum ABU pol Amp 0 0
166 Serum ATS 15 Amp 0 0
167 Serum ATS 20 Amp 0 0
168 Simvastatin Tab 0 600 150
169 Sianokobalami Amp 127 500 200 500
170 Silk (benang Rol 0 0 18
171 Silver amalga Pot 0 0
172 Spons gelatin Sak 0 0
173 Streptomycin Amp 0 0
174 Sulfadimidin Tab 0 0
175 Sulfasetamid Btl 0 48 24
176 Tablet tamba Tab 3917 9000 8700
177 Temporary sto Btl 0 0
178 Tetrasiklin H Kap 0 0 2000
179 Tetrasiklin H Kap 386 500 2200
180 Tiamin HCl (vi Amp 40 0 150
181 Tiamin HCl m Tab 2152 15000 13000
182 Triheksilfenid Tab 40 1000
183 Trikresol form Btl 0 0
184 Vaksin Rabie Amp 0 0
185 Vitamin B kom Tab 18942 0
186 Yodium povido Btl 26 0
187 Yodium povido Btl 0 10 6
0 0
1 Acyclovir tab Tab 1074 0 900
2 Acyclovir cre Tube 160 100 100
3 Acyclovir tab Tab 1077 0 1000
4 Andalan Injek Amp 140 0
5 Asam mefenam Tab 0 0
6 Asam mefenam Tab 1164 0 2200
7 Ampicilin inje Amp 0 0
8 Ambroxol Sir Amp 0 300 50
9 Cefotaxime inj Amp 0 0
10 Cimetidin tab Tab 0 0
11 Ciprofloxacin Kap 1686 0
12 Dasabion tab Tab 0 0
13 Domperidon t Tab 210 0 600
14 Erytromycin Kap 0 0
15 Erytromycin Kap 0 0 400
16 Erytromycin S Btl 21 60 60
17 Etabion Cap Cap 279 0 1400
18 Gentamycin in Amp 0 0
19 Gentamycin sa Pot 0 0
20 Gentamycin t Btl 0 0 5
21 H2O2 Btl 0 0
22 Ichtyol salap Pot 9 0
23 Levertran sal Pot 63 0
24 Kloramphenico Btl 0 0
25 Metoklorprop Tab 264 0
26 Mikonazole c Pot 130 0
27 Methyl Predni Tab 517 0
28 Nipedipin tabl Tab 939 0
29 Natrium Dikl Tab 0 0
30 Obat Tambah tab 0 0
31 Obat Flu Indo Tab 926 0 1320
32 Obat Maag in Tab 528 0
33 Papaverin inj Amp 0 0
34 Papaverin tab Tab 748 2000
35 Piperazin 50 Tab 0 0
36 Piperazin siru Btl 0 0
37 Piroksikam ta Tab 2467 0 1080
38 Piroksikam ta Tab 720 0
39 Ranitidine 15 Tab 1569 0 3100
40 Stesolit Recta Tube 0 0 2
0 0
1 Alkohol 70 % Btl 2 10 17
2 Anisol solutio Btl 0 0
3 Asam Asetat G Btl 0 0
4 Aqua destilat Btl 0 0
5 Asam Klorida Btl 0 0
6 Asam klorida Btl 0 0
7 Asam sulfosal Btl 0 0
8 Barium Klorid Btl 0 0
9 Beker Glass Btl 0 0
10 Blood Lancet Ktk 0 0
11 Erlemeyer Btl 0 0
12 Etanol asam Btl 0 0
13 Etanol 70 % Btl 0 0
14 Fauchet Btl 0 0
15 Imersen Oil Btl 0 0
16 Kapas 1 KG Rol 0 0
17 Kertas Sarin Rol 0 0
18 Kertas Perka Rol 0 100 500
19 Larutan Bupp Btl 0 0
20 Label Etiket Set 0 0
21 Larutan Meta Btl 0 0
22 Larutan Sulpos Btl 0 0
23 Larutan Bened Btl 0 0
24 Larutan Eosi Btl 0 0
25 Larutan Etan Btl 0 0
26 Larutan Giems Btl 0 0
27 Larutan Karbo Btl 0 0
28 Larutan Metil Btl 0 0
29 Larutan Turk Btl 0 0
30 Lisol Btl 6 0
31 Metanol Btl 0 0
32 Natrium Sitra Btl 0 0
33 Objek Glass Ktk 0 0
34 Plastik Obat Set 0 20000 20000
35 Pipet Tetes B Ktk 0 0
36 Rees echer Btl 0 0
37 Rak Pewarna Ktk 0 0
38 Schlesinger Btl 0 0
39 Spiritus 100 m Btl 0 0
40 Tes Gol. Dara Ktk 0 0
41 Tes Kehamil Ktk 0 0
42 Tabung Reaks Set 0 0
43 Tissue lensa Set 0 0
44 Alat suntik 3 pcs 320 0 200
45 ACT ktk 0 0
46 Artesunate amp 0 0
47 Ambroxol tab tab 0 500 1500
48 Clindamicin caps 250 0
49 Cetrizin tab 275 0 450
50 Hemafort tab 0 0
51 Oxytocin inj amp 60 0
52 Pembalut gip bks 2 0
53 Salbutamol 4 tab 800 0
54 Antasida Syr btl 0 50
55 Lysmin sirup btl 0 0 90
56 Lytamin syru btl 0 0 45
57 Mecobion tab tab 0 0 4000
58 Bismecon jell tube 0 0 23
59 Dolodon 500 tab 0 0 1800
60 Metformin tab 0 0 500
61 Meloxicam 7, tab 0 0 850
62 Bisturi 10,11 pcs 0 0
63 Jarum jhit 10 pcs 0 0
64 Duo care Gluk pcs 0 0
65 Stick gula da pcs 0 0
66 Hand scun pcs 0 0
LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT PUSKESMAS TANJUNG PINANG
TAHUN 2010
Penerimaan 2010
Triwulan III Triwulan IV Jumlah
Jan Feb Mar
PKD Askes Bafer PKD Bon Bon
0
275 15 39
600 35 300 1966 325 88 177
93 6
2294 100 98 146
1000 1300 5729 387 602 364
0
300 300 1050 90 30 30
960 60 480 312 3324 247 209 249
2400 12564 1201 898 1006
15000 93 10000 5000 64543 5003 4721 5001
3000 4095 135 108 78
200 60 240 789 59 45 32
3000 6000 25737 1546 1502 1796
150
10000 12000 42468 2732 3191 3408
100 198 1 82
50 100 283 21 9 13
218 5 7
100 431 90 21 9
10 30
0
15000 10000 69885 4755 4817 4679
0
0
0
0
0
0
0
0
299 86 71 36
12
6000 12704 140 240 258
14400 26107 1190 1649 1165
594 19 9 5
10000 10000 57567 3467 3549 3265
100 100 432 37 35 38
3000 2000 9801 406 537 539
0
8 78 2 2
2000 4249 186 220 357
1000 1360 81 29
300 796 66 47 34
175 5 8
5000 6670 269 223 143
4120 193 257 204
62
41 3 3 1
0
0
5 17 3 1
1 1
250 822 35
550 9 14 20
8 8
0
1000 2921 101 55 24
0
0
48 24 175 9 9 14
30 142 239 5 8 5
1000 500 3086 193 123 210
370 4
0
2400 1200 7471 481 443 548
72 72 377 21 28 21
1 1
1000 5245 522 543 700
20000 5000 65329 6017 5214 5915
0
0
500 200 2137 213 225 107
0
500 500 1820 144 150 200
0
4249 100 138 82
240 633 31 49 49
8000 2000 24214 2360 1887 1562
221 200 21
0
0
7061 10 5 501
3000 3442 178 194 70
400 10 10
0
0
6000 7000 31622 4009 2255 2142
20 10 50 3 1 2
547 19 52 70
50 50 148 3 10 10
50 50 155 2 8 28
150 20 20
500 1730 125 171 124
240 18 44 25
72 48 292 30 19 19
30000 15000 114057 8578 7845 8394
613
0
0
0
1000 117 151
1000 1000
112 1
100
1000 2000 5804 347 322 308
500 600 2079 150 116 123
5000 3600 14672 1089 902 965
0
0
450 794 96 4 2
0
0
30 60 1 1
300 76 782 50 10 20
0
4923 299 114 187
1984 165 78 110
0
315 9 24
0
200 8
100
57 996 10 10 5
0
0
0
0
0
240 773 77 73 54
0
250 25 676 45 74 20
50 150 350 9 12 10
0
0
1000 500 2961 126 234 263
2500 500
60000 60000 225257 12577 11625 12322
0
1000 1532 42 78 62
8000 6000 29025 2865 3212 3040
200 500 880 16 8 14
6 6 22 2 2 1
1 3
0
3000 29676 1808 2577 2052
2909 7
0
2700 100 90 160
200 980 20 20 10
0
500
4000
0
0
300 715 166 49
712 106 138 167
319 1 7
0
2178 198 62 48
48 112 9 7 9
200 50 381 16 57 38
0
1 1
0
3 3
0
750 7 43 130
300 1627 161 91 175
18
0
1 1
0
0
24 48 144 4 15 15
3000 15000 39617 2476 2240 1912
0
2000 160
3086 233 101 112
190 2 12 3
6000 8000 44152 2566 4668 3009
300 1340 102 60 170
0
0
10000 20000 48942 6449 4125 4134
26 10 5 2
5 21 1 2
0
1974 35 79 124
125 485 17 31 48
2077 29 80 138
140 10 20 30
0
1000 4364 374 400 617
0
100 100 200 750 16 60 25
0
0
1686 96 58 127
0
810 15 51 88
0
200 600 25
60 201 2 9
1679 155 184 340
0
0
5
10 10
9 7 2
63 2 1
0
264 11 20
96 72 298 24 20 20
517 76 22 40
57 996 10 10 5
0
0
2246 37 50 179
528 44 20 20
0
2748 79 113
0
0
3547 275 156 305
720
4669 225 149 336
2
0
10 10 49 4 2 2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1000 1600 40 60
0
0
0
0
0
0
0
0
0
0
0
6 12 1
0
0
0
20000 30000 90000 5000 5000 5000
0
0
0
0
0
0
300 300
0
0
300 820 15
0
0
1000 500 3500 12 178 251
250 10 25 10
725 20 5 30
0
60
2
800
150 200 5 8
90 1 8
45 1 8
4000 10 20
23 1
1800
1000 500 2000
850 10
20 20
5 5
1 1
2 2
300 300
NG
Pemakaian 2010
Jumlah
Apr Mei Jun Jul Ags Sep Okt Nov Des
0
21 10 65 150
152 96 108 87 129 87 179 205 1633
10 3 6 25
85 71 100 85 45 66 108 127 1031
464 477 388 456 383 458 379 415 522 5295
0
30 30 30 60 30 60 390
245 262 254 261 295 228 256 192 232 2930
1067 1385 890 1353 1078 518 548 1152 1003 12099
4902 4706 4525 5301 5419 4146 4854 5001 4840 58419
196 104 75 142 263 199 199 655 347 2501
40 36 38 56 119 19 70 25 539
1692 1883 1728 1827 1719 1425 1922 1794 2175 21009
150 150
1105 4344 2409 2821 3475 2474 3243 3015 3013 35230
15 14 33 51 196
12 15 20 19 37 22 13 4 18 203
15 6 11 11 37 96 30 218
23 21 59 11 15 10 6 9 274
12 2 2 2 2 20
0
4212 6280 3680 5380 3920 2299 3655 4972 5107 53756
0
0
0
0
0
0
0
0
48 5 40 13 299
2 2 1 5
139 4106 21 1646 294 70 290 320 836 8360
1625 4074 2004 535 370 564 797 1114 15087
6 406 4 11 6 8 12 14 6 506
3479 4327 3031 3344 3184 2662 3250 3064 3181 39803
27 22 24 35 28 26 33 45 48 398
457 464 428 355 524 1016 592 819 6137
0
2 10 16
325 208 109 275 191 314 186 200 295 2866
40 42 86 17 295
46 45 47 113 152 550
10 24 5 8 60
43 992 1670
184 530 116 120 156 197 370 229 2556
1 1 5 7
5 3 1 2 3 1 6 3 31
0
0
1 1 2 1 2 2 13
1 1
37 41 75 45 75 308
139 94 58 24 76 38 61 17 550
2 2
0
27 45 8 13 20 59 1 37 26 416
0
0
14 15 10 10 10 5 6 7 10 119
18 11 5 4 2 3 2 3 3 69
260 288 181 405 220 167 190 165 226 2628
5 10 5 15 21 60
0
727 580 724 660 680 524 392 656 412 6827
31 25 22 27 29 29 12 9 22 276
1 1
581 609 395 281 424 190 70 200 4515
6098 4591 5904 5871 6227 6383 4816 5032 3261 65329
0
0
266 171 105 356 151 90 62 152 106 2004
0
120 90 90 116 120 90 120 110 90 1440
0
250 177 203 106 141 983 143 2323
61 75 54 78 68 81 40 45 2 633
2349 2055 1263 1616 1437 706 1493 1181 1309 19218
221
0
0
696 411 275 263 235 248 131 25 8 2808
39 42 523
30 10 10 70
0
0
2245 2433 1634 2158 1988 2108 1272 1761 2029 26034
3 4 5 6 4 1 3 5 2 39
60 14 30 20 265
10 10 5 15 10 10 15 10 108
12 5 15 3 6 79
47 30 8 10 2 3 10 150
123 122 85 167 187 9 123 99 128 1463
32 14 17 18 13 14 29 16 240
21 15 21 17 28 25 19 78 292
6688 9373 8681 8311 8763 8306 5706 9732 8743 99120
613 613
0
0
0
100 91 92 121 124 89 90 25 1000
360 276 636
7 16 20 44
100 100
456 322 233 394 313 323 212 307 384 3921
67 219 107 240 165 117 180 236 200 1920
178 1676 793 682 928 1416 1073 914 1231 11847
0
0
2 109 34 88 64 32 6 62 4 503
0
0
18 10 3 6 3 2 10 54
40 30 80 76 70 60 40 476
0
58 65 64 65 93 113 201 224 170 1653
119 70 150 100 140 76 36 37 50 1131
0
29 20 10 188 35 315
0
4 3 3 6 3 8 7 42
5 5
14 10 23 72
0
0
0
0
0
43 46 75 86 46 40 43 82 100 765
0
85 97 61 84 67 54 71 18 676
6 14 8 8 33 30 30 28 188
0
0
245 209 284 138 253 275 230 322 279 2858
500 500 500 500 2500
10435 11667 11556 11816 14157 9118 10991 13371 13179 142814
0
14 30 85 35 76 78 9 53 38 600
2842 2807 259 79 830 2576 356 935 19801
139 3 28 52 120 16 30 16 442
2 1 2 1 1 12
2 1 3
0
1988 2255 2341 2022 2217 1938 2176 2319 2688 26381
2652 2659
0
160 332 168 518 91 129 90 90 1928
30 430 40 30 160 740
0
22 193 36 245 4 500
80 255 131 120 45 631
0
0
100 6 22 37 11 59 16 28 494
151 88 62 712
13 1 5 11 11 15 14 10 88
0
114 118 148 10 59 133 890
11 10 7 4 3 48 4 112
20 11 33 18 17 59 12 281
0
1 1
0
1 1
0
60 90 30 112 158 60 10 50 750
75 184 164 64 40 51 41 151 47 1244
2 2 2 2 2 3 13
0
1 1
0
0
12 17 9 8 13 3 13 21 14 144
3328 2173 2595 1550 2396 1798 3722 4826 4527 33543
0
68 156 253 152 278 301 38 1406
240 100 310 160 150 20 90 50 50 1616
3 3 13 2 4 3 45
3706 3646 2544 1189 4014 4745 858 1860 32805
90 60 60 60 90 90 60 90 88 1020
0
0
2813 1421 257 3953 3369 282 3574 1282 31659
2 1 4 1 1 26
1 4 3 2 1 2 1 2 1 20
0
140 10 45 95 76 123 73 53 72 925
43 22 25 31 35 38 35 31 19 375
77 77 113 118 146 211 989
20 20 40 140
0
532 523 474 444 283 3647
0
36 29 45 22 23 31 22 56 110 475
0
0
96 220 125 104 96 222 278 170 94 1686
0
75 48 83 65 65 71 79 112 58 810
0
15 45 20 70 38 10 5 20 248
14 9 1 2 2 7 2 48
330 45 170 95 160 150 50 1679
0
0
1 4 5
2 2
9
3 6
0
33 7 193 264
15 24 18 13 13 12 19 16 18 212
49 152 178 517
14 10 147 196
0
0
43 118 26 38 456 947
40 6 32 40 326 528
0
280 138 113 67 159 297 387 278 1911
0
0
265 343 149 108 63 292 241 259 246 2702
120 120
302 199 293 215 302 346 363 271 342 3343
0
0
4 4 3 2 5 3 3 5 2 39
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100 75 50 100 75 50 50 50 50 700
0
0
0
0
0
0
0
0
0
0
0
3 1 1 1 1 1 9
0
0
0
6000 8000 6000 5000 5000 7000 7000 6000 65000
0
0
0
0
0
0
0 50 50
0
0
200 40 130 115 85 95 55 15 750
0
0
239 255 276 182 256 292 430 889 240 3500
45 90 35 20 15 250
25 95 97 30 45 47 30 36 40 500
0
60 60
0
0
6 8 5 6 2 5 5 11 61
8 4 11 6 8 9 6 20 9 90
6 6 9 5 8 2 45
20 50 200 220 90 110 150 210 270 1350
6 1 2 3 1 2 16
539 86 607 245 86 237 1800
10 190 140 50 294 195 405 256 250 1790
20 10 50 90
2 2 4
1 2 3
1 1
1 1 2
100 50 150
Stok Akhir
0
125
333
68
1263
434
0
660
394
465
6124
1594
250
4728
0
7238
2
80
0
157
10
0
16129
0
0
0
0
0
0
0
0
0
7
4344
11020
88
17764
34
3664
0
62
1383
1065
246
115
5000
1564
55
10
0
0
4
0
514
0
6
0
2505
0
0
56
170
458
310
0
644
101
0
730
0
0
0
133
0
380
0
1926
0
4996
0
0
0
4253
2919
330
0
0
5588
11
282
40
76
0
267
0
0
14937
0
0
0
0
0
364
68
0
1883
159
2825
0
0
291
0
0
6
306
0
3270
853
0
0
0
158
95
924
0
0
0
0
0
8
0
0
162
0
0
103
0
82443
0
932
9224
438
10
0
0
3295
250
0
772
240
0
0
3369
0
0
221
0
231
0
1288
0
100
0
0
0
2
0
0
383
5
0
0
0
0
0
6074
0
594
1470
145
11347
320
0
0
17283
0
1
0
1049
110
1088
0
0
717
0
275
0
0
0
0
0
0
352
153
0
0
0
0
8
0
57
0
0
86
0
800
0
0
1299
0
0
837
0
0
845
600
1326
2
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
900
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
25000
0
0
0
0
0
0
250
0
0
70
0
0
0
0
225
0
0
2
800
139
0
0
2650
7
0
210
760
16
2
0
0
150

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RENCANA KEBUTUHAN OBAT TAHUN 2014

PUSKESMAS TANJUNG PINANG KOTA JAMBI

PENERIMAAN TAHUN 2013 RENCANA KEBUTUHAN 2014

Yang menerima/Melapor Yang Menerima,

( dr. Emildan Pasai ) (SusantI)

Betametason krim 0,1 %

Glukosa Larutan Infus 5 % Steril

Obat anti tuberkolusis katagori 1

Prazikuantel tablet 600 mg

Sianokobalamin inj. 500 mcg/ml

Acyclovir tablet 200 mg

Pipet Tetes Biasa

Rak Pewarna kaca pipet

Mengetahui, Yang menyerahkan, Yang menerima/Melapor

( dr. Emildan Pasai )

50 70 85 25 105 60 1021 865

PENERIMAAN TAHUN 2012 RENCANA KEBUTUHAN 2013

Yang menerima/Melapor Yang Menerima,

( dr. Emildan Pasai ) (SusantI)

Betametason krim 0,1 %

Glukosa Larutan Infus 5 % Steril

Obat anti tuberkolusis katagori 1

Prazikuantel tablet 600 mg

Sianokobalamin inj. 500 mcg/ml

Acyclovir tablet 200 mg

Pipet Tetes Biasa

Rak Pewarna kaca pipet

1 Acyclovir tablet 200 mg Tab

PENERIMAAN TAHUN 2011 RENCANA KEBUTUHAN 2012

Yang menerima/Melapor Yang Menerima,

Betametason krim 0,1 %

Glukosa Larutan Infus 5 % Steril

Obat anti tuberkolusis katagori 1

Prazikuantel tablet 600 mg

Sianokobalamin inj. 500 mcg/ml

Acyclovir tablet 200 mg

Pipet Tetes Biasa

Rak Pewarna kaca pipet

PENERIMAAN TAHUN 2010 RENCANA KEBUTUHAN 2011

Yang menerima/Melapor Yang Menerima,

( dr. Emildan Pasai ) (SusantI)

Mengetahui, Yang menyerahkan,

Yang menerima/Melapor Yang Menerima,

( dr. Emildan Pasai ) (SusantI)

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