NO NAMA OBAT

1 2
I TABLET
1 Allopurinol 100 mg Tablet
2 Asiklovir 200 mg
3 Asiklovir 400 mg
4 Ambroxol 50 mg
5 Aminophyllin 200 mg Tablet
6 Amlodipin 5 mg tab
7 Amlodipin 10 mg tab
8 Amitriptilin Hcl Salut Gula 25 mg Tablet
9 Amoxicillin 500 mg
10 Antalgin
11 Ampicillin 500 mg
12 Amocicilin 250 mg
13 Antasida Doen
14 Asam Askorbat (Vit C) 50 mg
15 Asam Mefenamat 500 mg
16 Asam Folac 1 mg
17 Atorvastatin 10 mg
18 Albendazole tab
19 AZITHROMYCIN 500 MG
20 Atropin Sulfat (Atropina) 0,5 mg Tablet
21 Bio ATP
22 Becefort Tab
23 Betahistin Mesylate
24 Buscopan Tablet
25 Captopril 12,5 mg Tablet
26 Captopril 25 mg Tablet
27 Candersata 16 mg
28 Cetrizine 10 mg
29 Cimetidine 200 mg Tablet
30 Ciprofloxacin 500 mg Tablet
31 Cefixime 100 mg
32 Cefadroxil 500 mg
33 Corsamed Tab
34 Dexamethasone 0,5 mg
35 Dextromethorphan Hbr 15 mg Tablet
36 Diazepam 2 mg Tablet
37 Donperidon 10 mg Tablet
38 Diltiazem 40 mg Tablet
39 Dimenhydrinate 50 mg tab
40 Digoksin 0,25 mg Tablet
41 Doksisiklin 100 mg Kapsul
42 Efedrin Tablet
43 Ergotamin Tartrat 1mg+Kofein tab, Komb
44 Ethambutol Hcl (Etambutil) 250 mg Tablet
45 Ethambutol Hcl (Etambutil) 500 mg Tablet
46 Erythromicyn 500 mg
47 Erythromicyn 250 mg
48 Fituno Caps
49 Fenobarbital 30 mg
50 Fenobarbital 100 mg
51 Fenoksimetil Penicillin 250 mg
52 Fenoksimetil Penicillin 500 mg
53 Ferro Sulfat
54 Fitomenadion (Vit K) 10 mg Tablet Salut
55 Fluconazole 150 mg
56 Furosemide 40 mg Tablet
57 Garam Oralit 200 ml
58 Garam Oralit 200 ml
59 Garam Oralit 1000 ml
60 Gentian Violet
61 Gemfibrozil capsul
62 Glibenclamid Tablet
63 Gliceril Guayacolat 100 mg Tablet
64 Glimepiride 2 mg
65 Griseofulvin 125 mg
66 Harnal 0,4 mg
67 Halloperidol 0,5 mg Tablet
68 Halloperidol 1,5 mg Tablet
69 Hemafort Caplet
70 Hidroklortiazida (Hct) 25 mg Tablet
71 Ibuprofen 200 mg Tablet
72 Ibuprofen 400 mg Tablet
73 Isosorbid Dinitrat 5 mg Tablet
74 Iodiol Kapsul Lunak
75 Isoniazid tab
76 Kalsium Laktat 500 mg Tablet
77 Kinina Sulfat 222 mg Tablet
78 Kloramphenicol 250 mg Kapsul
79 Klopheniramin Maleat 4 mg (CTM)
80 Klorkina Fosfat 250 mg Tablet
81 Klorpromazine 25 mg Tablet Salut
82 Klindamisin 150 mg
83 Klindamisin 300 mg
84 Klorpromazine 100 mg Tablet Salut
85 Klorpropamid 100 mg
86 Kodein 5 mg
87 Kodein 10 mg
88 Ketokonazol tab
89 Kotrimoxazole Tablet Pediatrik
90 Kotrimoxazole Tablet Kombibasi 480 mg
91 Lansoprazol 30 mg
92 Livron Tab
93 Metformin Tab
94 Methylprednisolon 4 mg
 95 Meloxicam 15 mg
96 Meloxicam 7,5 mg
97 Mineral Mix
98 Miniaspi 80 mg
99 Metoclopramide
100 Methylergometrin Maleat 0,125 mg Tablet
101 Metronidazole 250 mg
102 Metronidazole 500 mg
103 Natrium Bikarbonat 500 mg Tablet
104 Natrium Diklofenak 25 mg
105 Natrium Diklofenak 50 mg
106 Natrium Fenitoin 30 mg Kapsul
107 Natrium Fenitoin 100 mg Kapsul
108 Nifedipine Tablet
109 Nistatin 100.000 IU Tablet Vaginal
110 Nistatin 500.000 IU Tablet Vaginal
111 Omeprazole 20 mg
112 Papaverin Tablet
113 Paracetamol 500 mg Tablet
114 Perfenazin 4 mg Tablet
115 Perfenazin 16 mg Tablet
116 Pehavral Tab
117 Pircetam 400
118 Piracetam 800
119 Piperazine 500 mg Tablet
120 Pirantel Pamoat (Pyrantel) 125 mg Basa
121 Piridoxin Hcl (Vit B6) 10 mg Tablet
122 Prednison 5 mg Tablet
123 Primaquein
124 Propanolol Hcl 40 mg Tablet
125 Pehamoxil 500 mg
126 Piroxicam 10 mg Kapsul
127 Piroxicam 20 mg Kapsul
128 Ranitidine
129 Reserpina 0,25 mg Tablet
130 Retinol (Vit A) 100.000 IU Kapsul Lunak
131 Retinol (Vit A) 200.000 IU Kapsul Lunak
132 Salbutamol 2 mg Tablet
133 Salbutamol 2 mg Tablet
134 Salbutamol 4 mg Tablet
135 Sianocobalamin (Vit B12) 10 mg Tablet
136 Simvastatin 20 mg
137 Tetrasiklin 500 mg Kapsul
138 Tiamin Hcl (Vit B1) 50 mg Tablet
139 Trihexylphenidil Tablet
140 Vitamin B Komp Tablet
141 Verampil Tab
142 Zink Sulfat Tablet
143 Zidovudin 100 mg
144 Tramadol
145 Tenofofir 300 mg
146 quinin
II INJEKSI
147 Adona AC injeksi
148 Adimidon injeksi
149 Adidril injeksi
150 Aminophyllin 24 mg/ml-10 injeksi
151 Ampicillin injeksi
152 Aqua Proinjeksi Steril 20 ml
153 Clorpromazine Injeksi
154 Cefotaxim 1 gr injeksi
155 Ceftiaxon 1gr injeksi
156 Calcii Gluconas
157 Epineprim Injeksi
158 Dexamethasone 0,5 mg/ml-1 injeksi
159 Dexamethasone 5 mg/ml injeksi
160 Na.Phyntopenat/penitoin inj
161 Difenhidramin 10 mg/ml-1 injeksi
162 Fenobarbital 50 mg/ml-2 injeksi
163 Fitomenadion (Vit K) 10 mg/ml-1 ml injeksi
164 Gentamisin injeksi
165 Kinina Hidroklorida (Kina) 25% - 2 ml injeksi
166 Keterolac Injeksi
167 SGSO4 20% 25 ml
168 MGSO4 40% 25 ml
169 Lidokain
170 Miomergin
171 MEROPENEM 0,5 GR 1 VIAL INJ
172 Metilergometrin Maleat 0,0002 mg/ml injeksi
173 Methylprednisolon Injeksi
174 Oxytetracycline Hcl 50 mg/ml-10 injeksi
175 Oxytosin 10 IU/ml-1 injeksi
176 Pitogin injeksi
177 Phcain inj
178 Piracetam 200MG/ML
179 Piracetam 1G/5ML
180 Sianocobalamin (Vit B12) 500 mg/ml injeksi
181 Streptomycin inj
182 Tiamin Hcl (Vit B1) 100 mg/ml-1 injeksi
183 Vitamin B Komp injeksi
184 Viamin K3 injeksi
185 Ranitidine injeksi
186 KB Suntik 3 Bulanan
III SYRUP
187 Amoxicillin 125 mg/5 ml Syrup Kering
188 Amoxicillin 125 mg/5 ml Syrup Kering
189 Becefort syr
190 Becefort syr
191 Amoxan Syrup
192 Ambroxol Syrup
193 Antasida Suspensi
194 Ampicillin 125 mg/5 ml Syrup kering
195 Batugin Syr
196 CETIRIZINE HCL SIRUP 5MG/5ML (RAMA)
197 Cotrimoxazole Syrup
198 Cefixime syr
199 Cefadroxil Syrup
200 Ibuprofen syrup
201 Kloramfenikol syr
202 Erythromicyn Syrup
203 Donperidone Syrup
204 OBH Syrup
205 Metronidazole syr
206 Paracetamol Syrup
207 Sanmol Drops
208 Sanmol Syrup
209 Sukralfat syrup 5 ml/500 mg
IV ZALF/KRIM/TETES
210 Anti Hemoroid Suppo
211 Asiklovir Salep
212 Atropin Sulfat (Atropina) 0,5 % Tetes Mata
213 Bethamethasone Kriem
214 Bioplacenton Kriem
215 Bufacetin salep kulit
216 Fenol Glicerol Tetes Telinga
217 Gentamisin Salep Kulit
218 Gentian Violet 1% Larutan
219 Gentamisin TETES Mata 5 ml 0,3%
220 Gentamisin Salep Mata 0,3%
221 Hydrocortisone Kriem
222 Salisil Bedak
223 Ketoconazole kriem
224 Kloramphenicol 1% Salep Mata
225 Kloramphenicol 3% Tetes Telinga
226 Miconazol Kriem
227 Dumin Supp
228 Oxytetracycline 1% Salep Mata
229 Oxytetracycline Salep Kulit
230 Protofen Supp
231 Visien Tetes Mata
232 Zalp 2-4
V CAIRAN
0 Alkohol 70% 1 Liter
234 Alkohol 70% 1 Liter
235 Alkohol Swab
236 Ethyl Clorida Spray
237 Glukosa Larutan Infus 5%
238 Glukosa Larutan Infus 10%
239 Lisol
240 Metronidazole infus
241 Natrium Klorida 0,9%
242 Povidon Iodida 10% 5 L
243 Povidon Iodida 10% 300 ml
244 Povidon Iodida 10% 1 L
245 Rivanol 300 cc
246 Ringer Laktat
VI PREPARAT GIGI
247 Devitalisasi Pasta (Non Arsen)
248 Eugenol Cair
249 Glassionomert Art
250 Ethyl Clorida Spray
251 Kalsium Hidroxyda Pasta
252 Semen Seng Fosfat Serbuk
253 Semen Seng Fosfat Cair
254 Temporary Stopping Fletcher Serbuk
255 Temporary Stopping Fletcher Cair
VII BAHAN HABIS PAKAI
256 Abobocath No. 16
257 Abbocath No. 18
258 Abbocath No. 20
259 Abbocath No. 22
260 Abbocath No. 24 JELCO 24 G
261 Alat Suntik 0,05 ml
262 Alat Suntik 1 ml
263 Alat Suntik 2,5 ml ONMED SYRINGE 2,5 ML
264 Alat Suntik 3 ml
265 Alat Suntik 5 ml
266 Alat Suntik 10 ml
267 Catgut/Benang Bedah No.3/0
268 Catgut/Benang Bedah No.2/0
269 Catgut/Benang Bedah No.0
270 Catgut Plain No 01 HR 37
271 Foleey Cateter No. 18
272 Foleey Cateter No. 19
273 Foleey Cateter No. 20
274 Foleey Cateter No. 22
275 Foleey Cateter No. 24
276 Foleey Cateter No. 16
277 Jarum Jahit (Bedah) No. 9 s/d
278 IV Catheter 20 Short Terumo
279 IVCatheter 22 Terumo
280 Hanscoon Non Steril
281 Hanscoon Steril
282 Plesterin Non Woven 10 cmx5(hypavix)
283 IdealCare Intravena Admin Set
284 Infuset Anak
285 Infuset Dewasa
286 Kantong Darah
287 Kapas Berlemak 250 mg
288 Kapas Berlemak 500 mg
289 Kapas Putih
290 Kasa Pembalut Yd 40 x 80 Roll
291 Kasa Pembalut Hydrofil 2 x 80 cm
292 Kasa Pembalut Hydrofil 4 x 3 cm
293 Kasa Pembalut Hydrofil 4 x 15 cm
294 Kasa Pembalut Hydrofil 4 x 6 cm
295 Kasa Pembalut Hydrofil 18 x 22 cm
296 Kasa Pembalut Hydrofil 16 x 16 cm( kasa s)
297 Kasa Kompres YD 40 x 80 cm
298 Masker Oksigen Bayi
299 Masker Oksigen Anak
300 Masker Oksigen Dewasa
301 Plester 5 Yar x 2 Inch
302 Plester Roll Kain
303 Sarung Tangan No. 7,5
304 Surgical e-Cape tapel
305 Surgical e-Cape tapel
306 Silk (Bng Bdh Sutra) No. 3/0 dgn Jarum
307 Transfusion Set
308 Urine Bag 2000 cc
309 Wing Needle 21
310 Wing Needle 23
311 Wing Needle 25
312 Wing Needle 27
313 Wing Needle 28
314 Masker Tie On
315 Masker Earlop
316 Pembalut Elastis 7,5x4,55 M
317 Pembalut Elastis 10x4,55 M
318 Pembalut Elastis 15x4,55 M
319 Polycrap 7,5
320 Polygitt 7,5
321 Polygitt 10
322 Polygitt 15
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

PUSKESMAS : BERE-BERE
KECAMATAN : MOROTAI UTARA Pelaporan Bulanan / Periode : JANUARI 2019
KABUPATEN : PULAU MOROTAI Permintaan Bulanan / Periode :
PROVINSI : MALUKU UTARA

NO NAMA OBAT SATUAN

1 2 3
I TABLET
1 Allopurinol 100 mg Tablet 27500
3 Asiklovir 400 mg 14500
4 Ambroxol 50 mg 6000
6 Amlodipin 5 mg tab 10800
7 Amlodipin 10 mg tab 6000
9 Amoxicillin 500 mg 1400
10 Antalgin 10400
12 Amocicilin 250 mg 11400
13 Antasida Doen 18800
14 Asam Askorbat (Vit C) 50 mg 39900
15 Asam Mefenamat 500 mg 32800
16 Asam Folac 1 mg 5900
17 Atorvastatin 10 mg 1550
19 AZITHROMYCIN 500 MG 2540
23 Betahistin Mesylate 840
25 Captopril 12,5 mg Tablet 3900
27 Candersata 16 mg 840
28 Cetrizine 10 mg 25570
30 Ciprofloxacin 500 mg Tablet 5000
31 Cefixime 100 mg 200
32 Cefadroxil 500 mg 300
34 Dexamethasone 0,5 mg 110200
38 Diltiazem 40 mg Tablet 800
39 Dimenhydrinate 50 mg tab 3400
47 Erythromicyn 250 mg 15400
48 Fituno Caps 840
53 Ferro Sulfat 5300
54 Fitomenadion (Vit K) 10 mg Tablet Salut 400
55 Fluconazole 150 mg 900
56 Furosemide 40 mg Tablet 9800
61 Gemfibrozil capsul 700
62 Glibenclamid Tablet 6000
64 Glimepiride 2 mg 10500
65 Griseofulvin 125 mg 17600
 66 Harnal 0,4 mg 14
69 Hemafort Caplet 600
71 Ibuprofen 200 mg Tablet 5600
73 Isosorbid Dinitrat 5 mg Tablet 800
75 Isoniazid tab 600
76 Kalsium Laktat 500 mg Tablet 28800
79 Klopheniramin Maleat 4 mg (CTM) 27800
83 Klindamisin 300 mg 100
88 Ketokonazol tab 4950
89 Kotrimoxazole Tablet Pediatrik 4100
90 Kotrimoxazole Tablet Kombibasi 480 mg 36000
91 Lansoprazol 30 mg 4450
92 Loperamid 280
93 Metformin Tab 6300
94 Methylprednisolon 4 mg 1800
98 Miniaspi 80 mg 4600
99 Metoclopramide 6500
100 Methylergometrin Maleat 0,125 mg Tablet 4000
102 Metronidazole 500 mg 500
105 Natrium Diklofenak 50 mg 700
109 Nistatin 100.000 IU Tablet Vaginal 3400
111 Omeprazole 20 mg 42990
112 Papaverin Tablet 2000
113 Paracetamol 500 mg Tablet 51400
116 Pehavral Tab 1200
117 Pircetam 400 100
118 Piracetam 800 100
120 Pirantel Pamoat (Pyrantel) 125 mg Basa 1700
121 Piridoxin Hcl (Vit B6) 10 mg Tablet 49000
122 Prednison 5 mg Tablet 16400
123 Primaquein 800
125 Pehamoxil 500 mg 2100
126 Piroxicam 10 mg Kapsul 1500
127 Piroxicam 20 mg Kapsul 1400
130 Retinol (Vit A) 100.000 IU Kapsul Lunak 1650
131 Retinol (Vit A) 200.000 IU Kapsul Lunak 800
132 Salbutamol 2 mg Tablet 1200
134 Salbutamol 4 mg Tablet 8900
135 Sianocobalamin (Vit B12) 10 mg Tablet 31300
136 Simvastatin 20 mg 19770
137 Tetrasiklin 500 mg Kapsul 200
138 Tiamin Hcl (Vit B1) 50 mg Tablet 6900
140 Vitamin B Komp Tablet 6900
141 Verampil Tab 7000
142 Zink Sulfat Tablet 8400
143 Zidovudin 100 mg 1800
144 Tramadol 0
145 Tenofofir 300 mg 630
146 quinin 1000
II INJEKSI
151 Ampicillin injeksi 20
152 Aqua Proinjeksi Steril 20 ml 20
154 Cefotaxim 1 gr injeksi 540
155 Ceftiaxon 1gr injeksi 260
157 Epineprim Injeksi 660
158 Dexamethasone 0,5 mg/ml-1 injeksi 100
159 Dexamethasone 5 mg/ml injeksi 2260
160 Na.Phyntopenat/penitoin inj 16
161 Difenhidramin 10 mg/ml-1 injeksi 90
163 Fitomenadion (Vit K) 10 mg/ml-1 ml injeksi 30
164 Gentamisin injeksi 25
166 Keterolac Injeksi 2111
168 MGSO4 40% 25 ml 60
171 MEROPENEM 0,5 GR 1 VIAL INJ 70
172 Metilergometrin Maleat 0,0002 mg/ml injeksi 70
173 Neurobion Inj 20
174 Ondansetron Inj 15
177 Phcain inj 100
178 Piracetam 200MG/ML 69
179 Piracetam 1G/5ML 5
180 Sianocobalamin (Vit B12) 500 mg/ml injeksi 300
III SYRUP
188 Amoxicillin 125 mg/5 ml Syrup Kering 1584
192 Ambroxol Syrup 96
193 Antasida Suspensi 3700
195 Batugin Syr 72
196 CETIRIZINE HCL SIRUP 5MG/5ML (RAMA) 950
197 Cotrimoxazole Syrup 200
198 Cefixime syr 1824
199 Cefadroxil Syrup 29
200 Ibuprofen syrup 950
201 Kloramfenikol syr 1558
202 Vocea Syr 5
203 Donperidone Syrup 2050
204 OBH Syrup 11
205 Metronidazole syr 200
206 Paracetamol Syrup 350
207 Sanmol Drops 0
208 Sanmol Syrup 0
209 Sukralfat syrup 5 ml/500 mg 100
IV ZALF/KRIM/TETES
210 Anti Hemoroid Suppo 2640
211 Asiklovir Salep 0
212 Atropin Sulfat (Atropina) 0,5 % Tetes Mata 0
213 Bethamethasone Kriem 4600
214 Bioplacenton Kriem 0
215 Bufacetin salep kulit 22
216 Fenol Glicerol Tetes Telinga 0
217 Gentamisin Salep Kulit 0
218 Gentian Violet 1% Larutan 0
219 Gentamisin TETES Mata 5 ml 0,3% 0
220 Gentamisin Salep Mata 0,3% 0
221 Hydrocortisone Kriem 7200
222 Salisil Bedak 140
223 Ketoconazole kriem 2900
224 Kloramphenicol 1% Salep Mata 288
225 Kloramphenicol 3% Tetes Telinga 0
226 Miconazol Kriem 4170
227 Dumin Supp 35
228 Oxytetracycline 1% Salep Mata 9175
229 Oxytetracycline Salep Kulit 0
230 Protofen Supp 217
231 Visien Tetes Mata 0
232 Zalp 2-4 900
V CAIRAN
233 Alkohol 70% 1 Liter 44
234 Alkohol 70% 1 Liter 0
235 Alkohol Swab 0

236 Ethyl Clorida Spray 0

237 Glukosa Larutan Infus 5% 700
238 Glukosa Larutan Infus 10% 285
239 Lisol 0
240 Metronidazole infus 60
241 Natrium Klorida 0,9% 390
242 Povidon Iodida 10% 5 L 0
243 Povidon Iodida 10% 300 ml 70
244 Povidon Iodida 10% 1 L 22
245 Rivanol 300 cc 1
246 Ringer Laktat 600
VII BAHAN HABIS PAKAI
256 Abobocath No. 16 0
257 Abbocath No. 18 150
258 Abbocath No. 20 150
259 Abbocath No. 22 650
260 Abbocath No. 24 JELCO 24 G 950
261 Alat Suntik 0,05 ml 0
262 Alat Suntik 1 ml 2100
263 Alat Suntik 2,5 ml ONMED SYRINGE 2,5 ML 1700
264 Alat Suntik 3 ml 2900

265 Alat Suntik 5 ml 1600

266 Alat Suntik 10 ml 0
267 Catgut/Benang Bedah No.3/0 0
268 Catgut/Benang Bedah No.2/0 24
269 Catgut/Benang Bedah No.0 0
270 Catgut Plain No 01 HR 37 40
271 Foleey Cateter No. 18 50
272 Foleey Cateter No. 19 0
273 Foleey Cateter No. 20 40
274 Foleey Cateter No. 22 50
275 Foleey Cateter No. 24 50
276 Foleey Cateter No. 16 50
277 Jarum Jahit (Bedah) No. 9 s/d 0
278 IV Catheter 20 Short Terumo 100
279 IVCatheter 22 Terumo 100
280 Hanscoon Non Steril 20
281 Hanscoon Steril 250
282 Plesterin Non Woven 10 cmx5(hypavix) 0
283 IdealCare Intravena Admin Set 10
284 Infuset Anak 1150
285 Infuset Dewasa 4000
286 Kantong Darah 0
287 Kapas Berlemak 250 mg 0
288 Kapas Berlemak 500 mg 0
289 Kapas Putih 24
290 Kasa Pembalut Roll 15
291 Kasa Pembalut Hydrofil 2 x 80 cm 0
292 Kasa Pembalut Hydrofil 4 x 3 cm 0
293 Kasa Pembalut Hydrofil 4 x 15 cm 0
294 Kasa Pembalut Hydrofil 4 x 6 cm 0
295 Kasa Pembalut Hydrofil 18 x 22 cm 0
296 Kasa Pembalut Hydrofil 16 x 16 cm( kasa s) 120
297 Kasa Kompres YD 40 x 80 cm 0
298 Masker Oksigen Bayi 0
299 Masker Oksigen Anak 193
300 Masker Oksigen Dewasa 193
301 Plester 5 Yar x 2 Inch 275
302 Plester Roll Kain 7
303 Sarung Tangan No. 7,5 100
304 Surgical e-Cape tapel 50
305 Surgical e-Cape tapel 0
306 Silk (Bng Bdh Sutra) No. 3/0 dgn Jarum 0
307 Transfusion Set 0
308 Urine Bag 2000 cc 400
309 Wing Needle 21 0
310 Wing Needle 23 0
311 Wing Needle 25 0
312 Wing Needle 27 0
313 Wing Needle 28 0
314 Masker Tie On 0
315 Masker Earlop 0
316 Pembalut Elastis 7,5x4,55 M 0
317 Pembalut Elastis 10x4,55 M 0
318 Pembalut Elastis 15x4,55 M 0
319 Polycrap 7,5 21
320 Polygitt 7,5 4
321 Polygitt 10 5
322 Polygitt 15 3

JUMLAH KUNJUNGAN R/ UMUM

JUMLAH R/

MENGETAHUI YANG MENYERAHKAN

KEPALA DINAS KESEHATAN PENGELOLA OBAT
KAB. PULAU MOROTAI KAB. PULAU MOROTAI

`
dr.Victor Palimbong TITIEK NURNIATY,S.Farm.Apt
NIP. 19670513 198801 1 001 NIP. 19820103 201001 2 014
 STOK OBAT PUSKESMAS BERE-BERE PER 31 JANUARI

NO NAMA OBAT
JUMLAH SUMBER EXP NO.BATCH
I TABLET
1 Allopurinol 100 mg Tablet APBD 2018 Apr-22 E80876B
2 Asiklovir 200 mg
3 Asiklovir 400 mg APBD 2018 JULI 2023 681955J1
4 Ambroxol 50 mg APBD 2017 Nov-20 6483007
6 Amlodipin 5 mg tab APBD 2018 Feb-23 C80510B
7 Amlodipin 10 mg tab APBD 2018 Feb-23 C80516B1
9 Amoxicillin 500 mg APBD 2016 Nov-19 250522
10 Antalgin APBD 2018 Dec-22 L71862t
12 Amocicilin 250 mg APBD 2018 AGU 20 1808-65-51
13 Antasida Doen APBD 2016 Sep-20 170904109
14 Asam Askorbat (Vit C) 50 mg APBD 2018 Feb-21 B80023B1
15 Asam Mefenamat 500 mg APBD 2017 Mei 2019 170658
16 Asam Folac 1 mg APBD 2018 JULI 2020 18TF026
17 Atorvastatin 10 mg APBD 2019 Dec-19 48L0321
19 AZITHROMYCIN 500 MG APBD 2018 AGU 22 H72329J
23 Betahistin Mesylate APBD 2018 Oct-20 A82040
25 Captopril 12,5 mg Tablet APBD 2015 Nov-20 85323005ZN
27 Candersata 16 mg APBD 2018 Jun-20 4304204
28 Cetrizine 10 mg APBD 2018 Mei 2020 T05021AH
29 Cimetidine 200 mg Tablet APBD 2017 Agus 21 95331001R
30 Ciprofloxacin 500 mg Tablet APBD 2018 AGU 20 180846-108
31 Cefixime 100 mg APBD 2019 0ct 20 J82812J
32 Cefadroxil 500 mg APBD 2018 Dec-19 L73988J
34 Dexamethasone 0,5 mg APBD 2018 Sep-20 180918150
38 Diltiazem 40 mg Tablet APBD 2018
39 Dimenhydrinate 50 mg tab APBD 2018 Jan-23 A80015B
47 Erythromicyn 250 mg APBD 2018 Jun-21 F81675J
48 Fituno Caps APBD 2018 Jul-21 HB1502B
53 Ferro Sulfat APBD 2016 Oct-19 06818098CC
54 Fitomenadion (Vit K) 10 mg Tablet Salut APBD 2016 Nov-19 95381013
55 Fluconazole 150 mg APBD 2018 MEI 19 EE1216
56 Furosemide 40 mg Tablet APBD 2018 Aug-20 172012B
61 Gemfibrozil capsul APBD 2016 Jun-21 6441001
62 Glibenclamid Tablet APBD 2014 Sep-19 1406054
64 Glimepiride 2 mg APBD 2018 Mar-22 C80658J
65 Griseofulvin 125 mg APBD 2018 juni 2020 180607
66 Harnal 0,4 mg APBD 2019 Feb-19 17046YI
69 Hemafort Caplet APBD 2016 juni 2020 9506027
70 Hidroklortiazida (Hct) 25 mg Tablet APBD 2018 Oct-22 K72730
71 Ibuprofen 200 mg Tablet APBD 2019 Oct-20 1810-34-177
73 Isosorbid Dinitrat 5 mg Tablet APBD 2016 Mei 2021 1704018
75 Isoniazid tab APBD 2016 Feb-20 AB91201
76 Kalsium Laktat 500 mg Tablet APBD 2018 AGU 22 H71044T
79 Klopheniramin Maleat 4 mg (CTM) APBD 2018 Sep-22 1809-34-152
83 Klindamisin 300 mg APBD 2016 Mar-19 170147

88 Ketokonazol tab APBD 2016 MEI 20 1805-11-103

89 Kotrimoxazole Tablet Pediatrik APBD 2016 Oct-19 95336003
90 Kotrimoxazole Tablet Kombibasi 480 mg APBD 2018 Feb-20 A80226
91 Lansoprazol 30 mg APBD 2018 AGU 21 80208
93 Metformin Tab APBD 2016 Nov-20 85431018R
94 Methylprednisolon 4 mg APBD 2016Agustus 2020 95455004
98 Miniaspi 80 mg APBD 2018 Agu 20 A81635
99 Metoclopramide APBD 2018 Sep-22 J72536B
100 Methylergometrin Maleat 0,125 mg Tablet APBD 2019 MEI 21 18CE010
102 Metronidazole 500 mg APBD 2016 Apr-20 AD91268
105 Natrium Diklofenak 50 mg APBD 2018 Jul-23 G82136J
109 Nistatin 100.000 IU Tablet Vaginal APBD 2016 Sep-19 85372012
111 Omeprazole 20 mg APBD 2018 Sep-20 1809-09-53
112 Papaverin Tablet APBD 2016 Sep-19 1609114
113 Paracetamol 500 mg Tablet APBD 2017 Apr-19 170530
116 Pehavral Tab APBD 2016 Oct-19 6071010
117 Pircetam 400 APBD 2016 Mei 2019 47F0084
118 Piracetam 800 APBD 2016 Apr-19 47C0329
120 Pirantel Pamoat (Pyrantel) 125 mg Basa APBD 2018 Jun-23 G81348B
121 Piridoxin Hcl (Vit B6) 10 mg Tablet APBD 2018 Jan-21 B80224B
122 Prednison 5 mg Tablet APBD 2018 Jun-20 1806097
123 Primaquein APBD 2017
125 Pehamoxil 500 mg APBD 2016 Agus 2020 95061010
126 Piroxicam 10 mg Kapsul APBD 2018 JULI 2022 G71220B
127 Piroxicam 20 mg Kapsul APBD 2018
128 Ranitidine
130 Retinol (Vit A) 100.000 IU Kapsul Lunak APBD 2018 Oct-20 J72856W
131 Retinol (Vit A) 200.000 IU Kapsul Lunak 15KH007
132 Salbutamol 2 mg Tablet APBD 2016 Oct-19 A8246JS
134 Salbutamol 4 mg Tablet APBD 2018 MEI 22 YE535A
135 Sianocobalamin (Vit B12) 10 mg Tablet APBD 2019 mei 23 18TE040
136 Simvastatin 20 mg APBD 2018 Apr-21 YD2576
137 Tetrasiklin 500 mg Kapsul APBD 2018
138 Tiamin Hcl (Vit B1) 50 mg Tablet APBD 2016 Sep-19 1509-04-03
140 Vitamin B Komp Tablet APBD 2018 MEI 21 18TE048
141 Verampil Tab APBD 2018 Feb-23 C8054B
142 Zink Sulfat Tablet APBD 2018 Oct-19
143 Zidovudin 100 mg APBD 2019
145 Tenofofir 300 mg APBD 2018
146 quinin APBD 2016 Apr-19 D140379B
II INJEKSI
151 Ampicillin injeksi APBD 2016 Apr-19 85436020
153 Aqua Proinjeksi Steril 20 ml APBD 2017 Mar-19 83C46A
154 Cefotaxim 1 gr injeksi APBD 2016 Mei 2019 95444084BF

155 Ceftiaxon 1gr injeksi APBD 2018 Oct-20 I10031AH

156 Epineprim Injeksi APBD 2016 Mar-20 06344002-2
157 Dexamethasone 0,5 mg/ml-1 injeksi APBD 2016 Mar-20 06337048BF
158 Dexamethasone 5 mg/ml injeksi APBD 2018 Apr-20 F8D334
159 Na.Phyntopenat/penitoin inj APBD 2016 Mei 2020 6366001
160 Difenhidramin 10 mg/ml-1 injeksi APBD 2016 Jul-20 95342022-3
161 Fitomenadion (Vit K) 10 mg/ml-1 ml injeksi APBD 2017 Sep-20 D6382014-1
162 Gentamisin injeksi Jul-19 Jul-19 BF160076
163 Keterolac Injeksi APBD 2016 Apr-20 6459024
165 MGSO4 40% 25 ml APBD 2016 Jul-19 92G44
166 Lidokain APBD 2016 Mar-21 66362010-2
167 MEROPENEM 0,5 GR 1 VIAL INJ APBD 2018 AGU 20 D8H397
168 Metilergometrin Maleat 0,0002 mg/ml injeksi
169 Methylprednisolon Injeksi
170 Neurobion Inj
171 Ondanstron Inj
172 Pitogin injeksi
173 Phcain inj APBD 2017 AGU 20 06052032MF
174 Piracetam 200MG/ML APBD 2016 Mar-19 212002-1
175 Piracetam 1G/5ML APBD 2017 Feb-21 B10406802
176 Sianocobalamin (Vit B12) 500 mg/ml injeksi APBD 2018 Apr-22 181D017
III SYRUP
184 Amoxicillin 125 mg/5 ml Syrup Kering APBD 2016 Apr-19 270095
185 Ambroxol Syrup APBD 2018 Oct-20 1810-14-86
186 Antasida Suspensi APBD 2018 Sep-21 509023AH
187 Batugin Syr APBD 2018 Apr-20 E70753B
188 CETIRIZINE HCL SIRUP 5MG/5ML (RAMA) APBD 2019 Oct-20 S10048 AH
189 Cotrimoxazole Syrup APBD 2018 MEI 20 A81091
190 Cefixime syr APBD 2017 Jun-20 80206
191 Cefadroxil Syrup APBD 2018 Apr-19 6510045
192 Ibuprofen syrup APBD 2018 AGU 20 S 08025 AH
193 Kloramfenikol syr APBD 2018 Sep-20 1809-05-82
194 Donperidone Syrup APBD 2018 Oct-20 1809-16-186
195 OBH Syrup APBD 2016 Oct-19 J39604
196 Metronidazole syr APBD 2018 MEI 20 E8E188
197 Paracetamol Syrup APBD 2016 Mei 2020 1605-35-86
198 Sukralfat syrup 5 ml/500 mg APBD 2018 May-20 E8E159
IV ZALF/KRIM/TETES
210 Anti Hemoroid Suppo APBD 2018
213 Bethamethasone Kriem APBD 2018 Apr-21 D80663T
214 Bioplacenton Kriem
215 Bufacetin salep kulit APBD 2018 Jul-21 1007801
216 Fenol Glicerol Tetes Telinga
219 Gentamisin TETES Mata 5 ml 0,3%
220 Gentamisin Salep Mata 0,3%
221 Hydrocortisone Kriem APBD 2018 Feb-22 BB0265T
222 Salisil Bedak APBD 2019 Jan-23 A803665
223 Ketoconazole kriem APBD 2018 Oct-19 95489029
224 Kloramphenicol 1% Salep Mata APBD 2018 Jan-21 A80205W
226 Miconazol Kriem Dec-21 L73362W
227 Dumin Supp APBD 2018
228 Oxytetracycline 1% Salep Mata APBD 2018 Jul-21 681842Y
230 Protofen Supp APBD 2018
232 Zalp 2-4 APBD 2014 Oct-19 14057014
V CAIRAN DAN BMHP
233 Alkohol 70% 1 Liter APBD 2016 Nov-18 41110205
237 Glukosa Larutan Infus 5% APBD 2016 Mar-19 260421
238 Glukosa Larutan Infus 10% APBD 2016 Mar-19 260419
240 Metronidazole infus APBD 2018
241 Natrium Klorida 0,9% APBD 2016 Mar-21 260412
243 Povidon Iodida 10% 300 ml APBD 2018 Dec-19 161201209
244 Povidon Iodida 10% 1 L APBD 2018 Sep-20 1709012020
245 Rivanol 300 cc APBD 2016 Oct-18 1410-11207
246 Ringer Laktat APBD 2016 Apr-21 360509
256 Abobocath No. 16
257 Abbocath No. 18 APBD 2016 Apr-21 3191188
258 Abbocath No. 20 APBD 2016 Oct-21 3297227
259 Abbocath No. 22 APBD 2016 Jul-21 3247045
260 Abbocath No. 24 JELCO 24 G APBD 2016 Sep-20 3254882
261 Alat Suntik 0,05 ml APBD 2016 Jul-18 810
262 Alat Suntik 1 ml APBD 2018 Sep-19 810
263 Alat Suntik 2,5 ml ONMED SYRINGE 2,5 ML APBD 2017 Jul-21 1602201
264 Alat Suntik 3 ml APBD 2018 Jul-21 1602201
265 Alat Suntik 5 ml APBD 2018 Mei 2021 1604201
268 Catgut/Benang Bedah No.2/0 APBD 2018 Oct-19 30102013
270 Catgut Plain No 01 HR 37 APBD 2019
272 Foleey Cateter No. 19
278 IV Catheter 20 Short Terumo
279 IVCatheter 22 Terumo
280 Hanscoon Non Steril APBD 2018
281 Hanscoon Steril APBD 2018
284 Infuset Anak APBD 2018
285 Infuset Dewasa APBD 2018
289 Kapas Putih APBD 2016 Oct-21 1610091
290 Kasa Pembalut Roll APBD 2018
296 Kasa Pembalut Hydrofil 16 x 16 cm( kasa s) APBD 2018
298 Masker Oksigen Bayi APBD 2018
299 Masker Oksigen Anak APBD 2018
300 Masker Oksigen Dewasa APBD 2018
301 Plester 5 Yar x 2 Inch APBD 2016 Jan-19 60644209
302 Plester Roll Kain APBD 2018
303 Sarung Tangan No. 7,5 APBD 2016 Jul-19 2030065925P2A
304 Surgical e-Cape tapel APBD 2016
306 Silk (Bng Bdh Sutra) No. 3/0 dgn Jarum
308 Urine Bag 2000 cc APBD 2018
314 Masker Tie On
315 Masker Earlop
319 Polycrap 7,5 APBD 2016 Feb-22 1702115
320 Polygitt 7,5 APBD 2016 Mei 2019 1605026
321 Polygitt 10 APBD 2016 Mei 2019 1605028
322 Polygitt 15 APBD 2016 Mei 2019 1605025

PENGELOLA OBAT PUSKESMAS

Nurfitriyani Maradjabessy,Amd.Far
NIP. 199001022014032002
0065925P2A