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DAFTAR PERMINTAAN OBAT PUSKESMAS ANGGI

NO. NAMA OBAT SEDIAAN JUMLAH KETERANGAN


1 Asam Mefenamat kaplet 200 box
2 Antalgin tablet 300 box
3 Natrium Diklofenak tablet 100 box
4 Piroxicam tablet 50 box
5 Ibuprofen tablet 100 box
6 Paracetamol tablet 50 box
7 Paracetamol sirup 4 dus
8 Ciprofloxacin tablet 20 box
9 Cefadroxil kapsul 20 box
10 Cefadroxil sirup 1 dus
11 Amoxicilin sirup 4 dus
12 Cotrimoxazole sirup 1 dus
13 Nystatin tablet 2 box
14 DHP tablet 20 box
15
16
17
Primakuin
Dexametason
Prednison
tablet
tablet
tablet
10 box
100 box
3 toples
O
18
19
GG
OBH
tablet
sirup
5 toples
100 botol
B
20
21
22
Ambroxol
Ambroxol
Cetirizine
tablet
sirup
tablet
30 box
1 dus
5 box
A
23
24
Loratadine
Allupurinol
tablet
tablet
5 box
10 box
T
25 Simvastatin tablet 5 box
26 Metformin tablet 10 box
27 Captopril 25mg tablet 10 box
28
29
Captopril 12,5mg
Vitamin B 1
tablet
tablet
10 box
10 box
O
30
31
32
Vitamin B 12
Vitamin B Com
Vitamin C
tablet
tablet
tablet
3 toples
8 toples
5 toples
R
33
34
Vitamin K
ISDN
tablet
tablet
3 botol
1 box A
L
35 Clopidogrel tablet 1 box
36 SF / Sangobion tablet 20 box
37 Antasida tablet 200 box
38 Antasida sirup 3 dus
39 Ranitidin tablet 100 box
40 Cimetidine tablet 100 box
41 Omeprazole kapsul 20 box
42 Papaverine tablet 2 toples
43 Ondancentron tablet 5 box
44 Zinc tablet 20 box
45 Oralit saset 5 box
46 Norit / Kaolin Pektin tablet 3 toples
47 Diazepam tablet 1 toples
48 Methylergometrin tablet 2 box
49 Pyrantel tablet 10 box
50 Albendazole tablet 10 box
DAFTAR PERMINTAAN OBAT PUSKESMAS ANGGI

NO. NAMA OBAT SEDIAAN JUMLAH KETERANGAN


1 Lidocain ampul 2 box
2 MgSO4 flakon 20 flakon
3
4
Dexametason
Ketorolac
ampul
ampul
2 box
100 ampul
O
5 Ranitidin ampul 2 box B
6 Ondancentron 8MG ampul 100 ampul A
7 Asam Tranexamat ampul 100 ampul
8 Ceftriaxon ampul 20 ampul T
9 Vitamin K ampul 1 box
10 Vitamun B1 ampul 1 box
11 Vitamin B12 ampul 5 box
I
12 Aminofilin ampul 10 ampul N
13 Epinefrin ampul 2 box J
14 Paracetamol drip botol 10 botol
15 Diazepam ampul 30 ampul E
16 D40% flakon 10 flakon K
17 Methergin ampul 20 ampul
18 RL 500 cc plabot 3 dus
S
19 NaCl 500 cc plabot 5 dus I
20 NaCl 100 cc plabot 20 plabot
21 Aquades botol 5 box

NO. NAMA OBAT SEDIAAN JUMLAH KETERANGAN


1 Miconazole Salep 4 box
2 Ketoconazole Salep 2 box
3 Hidrocortison Salep 4 box
4 Betametason Salep 2 box
5 Bacitrasin Salep 3 box
6 Gentamycin Salep 3 box
7 Oxytetracyclin Kulit Salep 3 box
8 Oxytetracyclin Mata Salep 2 box O
9 Acyclovir Salep 1 box
10 Kloramfenikol Tetes Mata Tetes 50 B
11
12
Kloramfenikol Tetes Telinga
Forumen
Tetes
Tetes
50
2
A
13 Pantocain Tetes 4 T
14 Eye Rinse 3 box
15 Insto Tetes 10 box
16
17
Cendo Minidose
Salep 2-4
Tetes
Salep
30 pax
4 box
L
18 Permetrin Salep 20 U
19 Burnazin Salep 1 Toples
20 Mebo Salep 10 A
21
22
Bioplacenton
Diazepam supp 5mg
Salep
Suppositoria
30
5
R
23 Diazepam supp 10mg Suppositoria 10
24 Kaltofren supp Suppositoria 30
25 Dumin supp Suppositoria 20
26 Nystatin per vaginam 2 box
27 Ventolin / Combiven Tetes 50 pcs
28 Gentian Violet Tetes 2 box

DAFTAR PERMINTAAN OBAT PUSKESMAS ANGGI

NO. NAMA OBAT SEDIAAN JUMLAH KETERANGAN


1 Spuit 3 cc 2 dus
2 Spuit 5 cc 1 dus
3 Needle wing no.22 50 pcs
4 Spuit 10 cc 30 pcs
5 Spuit 20 cc 2 pcs
6 Silk with needle 4 pax
7 Catgut with needle 2 pax
8
9
10
Handscoen steril 7 1/2
Handscoen Panjang Bimanual
Kassa Gulung
3 dus
10 pcs
5 pcs
A
11
12
Minor Set
THT Set
3 set
1 set
L
13
14
15
Dental Set
Cek HB
Strip Kolesterol
1 set
1 set
5
K
16
17
Strip Asam Urat
Strip Gula Darah
5
3
E
18
19
20
Lampu kepala THT
Infus Makro Set
Infus Mikro Set
1
30 pcs
10 pcs
S
21 Abocath no. 20 50 pcs
22 Lampu Pemeriksaan 2 pcs
23 Masker 5 box
24 Nebulizer 1 pcs
25 Kateter 10 pcs
26 Plastik Obat Kecil 20 pax