Stok Opname JKN PKM Sudah PPN Semester 1 2016

LAPORAN STOK OPNAME OBAT & BMHP JKN BULAN JULI S/D DESEMBER 2
DINKES KAB. CIREBON (Menggunakan daftar harga sudah

NO.
STOK AWAL
Penerimaan/
Tanggal Pengeluaran URAIAN Harga Stok Awal
SATUAN Sudah Termasuk Jan
PPN 2016
Air untuk injeksi (Aqua pro Injeks) 20 ml Vial 20 ml 2,030.00 30
Akarbose tablet/kaplet 100 mg Tablet 990.00 -
Albendazol suspensi 200 mg/5 ml Botol 3,849.00 -
Albendazol tablet/kapsul/kaplet 400 mg Tablet 338.00 -
Alopurinol tablet/kapsul/kaplet 100 mg Tablet 86.00 300
Alopurinol tablet/kapsul/kaplet 300 mg Tablet 199.50 -
Alprazolam tablet/kapsul/kaplet 0,25 mg Tablet 380.00 -
Alprazolam tablet/kapsul/kaplet 0,5 mg Tablet 176.00 -
Alprazolam tablet/kapsul/kaplet 1 mg Tablet 233.00 -
Aminofilin injeksi 24 mg/ml Ampul 3,822.00 -
Aminofilin tablet scored 200 mg Tablet 90.00 -
Aminofilin tablet/kapsul/kaplet 150 mg Tablet 80.00 -
Amitriptilin tablet salut 25 mg (HCl) Tablet 112.00 -
Amlodipin tablet 10 mg Tablet 330.00 -
Amlodipin tablet 5 mg Tablet 187.00 300
Amoksisilin kapsul/kaplet 250 mg Tablet 211.00 -
Amoksisilin sirup kering forte 250 mg/5 ml Botol 4,045.00 -
Amoksisilin sirup kering 125 mg/ 5 ml Botol 2,445.00 -
Ampisilin serbuk injeksi i.v. 1000 mg/vial Vial 5,100.00 -
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg Magnesium Hidroksida 200 mg Tablet 75.00 6,000
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml Magnesium Hidroksida 200 mg/5 ml Botol 2,100.00 300
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g Polimiksin 10.000 IU/g Tube 2,516.00 -
Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg lidokain 10 mg seng oksida 120 mg Suppositoria 3,045.00 -
Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet 135.00 -
Asam Asetilsalisilat (asetosal) tablet 100 mg Tablet 116.00 -
Asam Asetilsalisilat (asetosal) tablet/kaplet/kapsul 80 mg Tablet 148.00 -
NO.
STOK AWAL
Penerimaan/
PPN 2016
Asam Askorbat (Vitamin C) tablet 250 mg Tablet 159.00 -
Asam Askorbat (Vitamin C) tablet 50 mg Tablet 95.00 -
Asam Folat tablet/kapsul/kaplet 0,4 mg Tablet 84.00 -
Asam Folat tablet/kapsul/kaplet 1 mg Tablet 48.00 300
Asam Mefenamat kapsul/kaplet 250 mg Kapsul 158.00 -
Asam Mefenamat kapsul/kaplet 500 mg Kaplet 112.00 -
Asam pipemidat kapsul 400 mg Kapsul 1,815.00 -
Asam traneksamat injeksi 50 mg/ml Ampul 2,950.00 -
Asiklovir salep mata 3% Tube 24,750.00 -
Asiklovir tablet/kapsul/kaplet 200 mg Tablet 237.00 500
Asiklovir tablet/kapsul/kaplet 400 mg Tablet 345.00 -
Atapulgit tablet 600 mg Tablet 190.00 -
Atenolol tablet/kapsul/kaplet 100 mg Tablet 700.00 -
Atropin injeksi i.v./i.m./s.k. 0,25 mg/ml Ampul 1,350.00 -
Atropin Sulfat tablet 0,5 mg Tablet 74.00 -
Azitromisin tablet 500 mg Tablet 4,500.00 -
Bedak salisil serbuk 2% Dus @ 50 gram 1,250.00 500
Betametason krim 0,1% (sebagai Valerat) Tube 5 gr 1,520.00 120
Bisakodil suppositoria 10 mg Supp 6,045.00 -
Bisakodil suppositoria 5 mg Supp 4,990.00 30
Bisoprolol tablet 2,5 mg Tablet 746.00 -
Bisoprolol tablet 5 mg Tablet 645.00 180
Deksametason injeksi i.v./i.m. 5 mg/ml Ampul 1,580.00 -
Deksametason tablet 0,5 mg Tablet 68.00 800
Diazepam larutan rektal 5 mg/2,5 mL Tube 11,525.00 -
Diazepam injeksi i.v./i.m 5 mg/ml Ampul 4,180.00 -
Diazepam larutan rektal 10 mg/2,5 mL Tube 16,748.00 -
Diazepam tablet/kapsul/kaplet 2 mg Tablet 45.00 -
NO.
STOK AWAL
Penerimaan/
PPN 2016
Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) Ampul 1,054.00 -
Digoksin tablet 0,25 mg Tablet 97.00 300
Dimenhidrinat tablet 50 mg Tablet 104.00 -
Doksisiklin tablet/kapsul/kaplet 100 mg Kapsul 270.00 -
Domperidon suspensi/sirup 5 mg/5 ml Botol 3,333.00 150
Domperidon tablet 10 mg Tablet 167.00 200
Dopamin injeksi 40 mg/ml Ampul 9,840.00 -
Efedrin Inj 50 mg/ml Ampul 12,990.00 -
Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul 8,100.00 -
Eritromisin kapsul/kaplet 250 mg Kapsul 497.00 -
Eritromisin kapsul/kaplet 500 mg Kapsul 930.00 -
Eritromisin sirup kering 200 mg/ 5 ml Botol @60 ml 7,700.00 -
Etanol 70% cairan btl @ 100 ml 2,500.00 -
Eugenol cairan Botol 10 ml 16,667.00 -
Fenitoin kapsul/kaplet 100 mg Kapsul 133.00 500
Fenobarbital injeksi i.m./i.v. 50 mg/ml Ampul 1,800.00 -
Fenobarbital tablet/kapsul/kaplet 100 mg Tablet 220.00 -
Fitomenadion (Vit.K1) tablet salut gula 10 mg Tablet 634.00 -
Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 3,417.00 -
Flukonazol tablet/kaplet/kapsul 50 mg Tablet 4,862.00 -
Furosemid tablet 40 mg Tablet 85.00 -
Garam Oralit I serbuk, kombinasi : Natrium klorida 0,52 g kalium klorida 0,30 g Trinatrium sitrat dihidrat 0,58 g Gluk Shacset 285.00 -
Gemfibrozil kapsul/kaplet 300 mg Kapsul 289.00 -
Gentamisin injeksi 40 mg/ ml Ampul 3,399.00 -
Gentamisin salep mata 0,3% Tube @ 3,5 gr 2,600.00 -
Gentamisin tetes mata 0,3% Botol 3,194.00 -
Glibenklamid tablet 5 mg Tablet 56.00 -
Glimepiride tablet 1 mg Tablet 265.00 100
NO.
STOK AWAL
Penerimaan/
PPN 2016
Glimepiride tablet 2 mg Tablet 436.00 -
Glimepiride tablet 4 mg Tablet 430.00 -
Glukosa larutan infus 10 % steril botol @ 500 ml 5,700.00 -
Glukosa larutan infus 5 % steril botol @ 500 ml 5,200.00 -
Griseofulvin tablet 125 mg Tablet 219.00 -
Haloperidol tablet 0,5 mg Tablet 59.00 -
Haloperidol tablet 5 mg Tablet 96.00 -
Haloperidol tablet 1,5 mg Tablet 69.00 -
Haloperidol tablet 2 mg Tablet 126.00 -
Hidrokortison krim 1% tube @ 5 ml 2,570.00 -
Hidrokortison krim 2,5 % Tube 5 gr 2,798.00 48
Hiosin butilbromid injeksi 20 mg/ml Ampul 4,500.00 -
Ibuprofen sirup 100 mg/5 ml Botol 3,499.00 -
Ibuprofen suspensi 200 mg/5 ml Botol 4,499.00 -
Ibuprofen tablet 200 mg Tablet 110.00 1,400
Ibuprofen tablet 400 mg Tablet 149.00 16,100
Irbesartan tab 300 mg Tablet 2,470.00 -
Isosorbid Dinitrat tablet sublingual 5 mg Tablet 88.00 -
Isosorbid dinitrat tablet/kaplet/kapsul 10 mg Tablet 189.00 -
Kalsium Glukonat injeksi i.v 10% (100 mg/ml) Ampul 7,800.00 -
Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet 70.00 9,000
Kanamisin inj 1000 mg/ vial vial 5,000.00 -
Kaptopril tablet 50 mg Tablet 140.00 -
Kaptopril tablet scored 25 mg Tablet 80.00 9,000
Kaptopril tablet scored12,5 mg Tablet 62.00 -
Karbamazepin tablet 200 mg Tablet 245.00 -
Karbogliserin tetes telinga 10% Botol 2,042.00 48
Ketokonazol krim 2% tube 10 gr 2,569.00 150
NO.
STOK AWAL
Penerimaan/
PPN 2016
Ketokonazol krim 2% tube 5 gr 2,850.00 -
Ketokonazol krim 2% Tube 4,700.00 -
Ketokonazol tablet 200 mg Tablet 300.00 -
Ketoprofen supositoria 100 mg Supp 2,722.00 -
Ketorolac injeksi 30 mg/ml Ampul 2,300.00 -
Klindamisin kapsul/kaplet 150 mg Kapsul 361.00 -
Klindamisin kapsul/kaplet 300 mg Kapsul 553.00 -
Klobazam tab 10 mg Tablet 900.00 -
Kloramfenikol salep kulit 2% Tube 3,524.00 -
Kloramfenikol salep mata 1 % Tube 1,600.00 -
Kloramfenikol suspensi 125 mg/ 5 ml Botol @ 60 ml 3,680.00 -
Klorfeniramina Maleat (CTM) tablet/kapsul/kaplet 4 mg Tablet 51.00 10,000
Klorpromazin tablet salut 100 mg (HCl) Tablet 144.00 -
Klorpromazin tablet salut 25 mg (HCl) Tablet 68.00 100
Kodein tablet 10 mg Tablet 500.00 -
Kodein tablet 20 mg Tablet 1,100.00 -
Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam folat 0,25 mg Tablet 50.00 -
Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam folat 0,25 mg Tablet 42.00 -
Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg Trimetoprim 80 mg Kaplet 149.00 1,200
Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim 40 mg / 5 ml Botol @ 60 ml 2,145.00 150
Kuinin (Kina) tablet 200 mg Tablet 670.00 -
Laktulosa sir 3,335 g/5 mL Botol 60 ml 14,500.00 -
Lanzoprazol kapsul/kaplet 30 mg Kapsul 473.00 -
Levofloksasin tablet 500 mg Tablet 528.00 -
Lidokain injeksi 2% (HCL) Ampul 839.00 -
Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml Ampul 1,363.00 -
Lidokain jeli 2% Tube 40,000.00 -
Lidokain semprot 10% Botol 142,000.00 -
NO.
STOK AWAL
Penerimaan/
PPN 2016
Loperamid tablet 2 mg Tablet 89.00 -
Loratadin tablet 10 mg Tablet 154.00 -
Magnesium sulfat injeksi 20% Ampul 2,800.00 -
Magnesium sulfat injeksi 40% Ampul 3,500.00 -
Metformin HCl tablet 500 mg Tablet 112.50 -
Metformin HCl tablet 850 mg Tablet 197.50 -
Metildopa tablet salut 250 mg Tablet 800.00 600
Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg Tablet 154.00 -
Metilergometrin Maleat injeksi 0,200 mg-1 ml Ampul 2,750.00 -
Metilprednisolon tablet 16 mg Tablet 635.00 -
Metoklopramid drop botol 10 mL Botol 5,280.00 -
Metoklopramide sirup 5 mg/ 5 ml Botol 2,600.00 -
Metoklopramide tablet 5 mg Tablet 108.00 -
Metronidazol infus 500 mg/100 ml Botol 9,950.00 -
Metronidazol ovula 500 mg Tablet 3,850.00 -
Metronidazol sirup 125 mg/5 Ml Boto 4,100.00 -
Metronidazol supositoria 500 mg Supp 3,220.00 -
Metronidazol tablet 250 mg Tablet 110.00 -
Metronidazol tablet 500 mg Tablet 160.00 500
Mikonazol krim/salep 2 % (Nitrat) Tube 10 gram 3,000.00 -
Nacl 0,9% Botol 500 ml 4,700.00 -
Natrium Bikarbonat injeksi i.v 8,4% Ampul 6,200.00 -
Natrium Diklofenak tablet 50 mg Tablet 200.00 -
Nifedipin tab 20 mg, slow release; oros Tablet 2,999.00 -
Nifedipin tab 30 mg, oros Tablet 3,500.00 -
Nifedipin tablet/kapsul 10 mg Tablet 100.00 200
NO.
STOK AWAL
Penerimaan/
PPN 2016
Nistatin vaginal tablet 100.000 IU/ g Tablet 480.00 200
Obat Antituberkulosis FDC Kategori 1 Paket 359,900.00 -
Obat Antituberkulosis FDC Kategori Anak Paket 214,900.00 -
Ofloksasin tets telinga 3% Btl @ 5 ml 48,500.00 -
Ofloxacin tablet 200 mg Tablet 400.00 -
Oksitosin injeksi 10 IU/ml Ampul 2,200.00 -
Omeprazol injeksi 40 mg/ 10 ml Vial 36,000.00 -
Omeprazol kapsul/kaplet 20 mg Kaplet 211.00 300
ondansetron inj 4 mg/ 2 mL Ampul 2,400.00 -
Ondansetron tab 4 mg Tablet 716.00 -
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 5,200.00 -
Parasetamol sirup 120 mg / 5 ml Botol 1,438.00 2,940
Parasetamol tablet 500 mg Tablet 89.00 45,000
Parasetamol tetes 60 mg/0,6 mL Botol 6,450.00 330
Permetrin krim 5% Tube @ 10 g 11,475.00 -
Pirantel suspensi 125 mg/5 ml Botol 60 ml 8,360.00 -
Pirantel tablet score (base) 125 mg Tablet 296.00 -
Piridoksin (vitamin B6) inj 100 mg/mL Ampul 1 ml 1,000.00 -
Polikresulen cairan Botol 17,393.00 -
Povidon Iodida larutan 10% 1000 ml botol @ 1000 ml 37,109.00 -
Povidon Iodida larutan 10% 30 ml botol @ 30 ml 2,163.00 25
Povidon Iodida larutan 10% 300 ml botol @ 300 ml 14,203.00 -
Povidon Iodida larutan 10% 60 ml btl 60 ml 5,998.00 -
Pravastatin tablet 20 mg Tablet 2,300.00 -
Prokain Benzilpenisilin serbuk injeksi 3 juta IU/vial Vial @ 3 juta IU 7,190.00 -
Propanolol tablet 10 mg ( HCl ) Tablet 65.00 -
Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet 319.00 -
Propranolol tablet 40 mg (HCl) Tablet 106.00 -
NO.
STOK AWAL
Penerimaan/
PPN 2016
Ranitidin injeksi 25 mg/ml Ampul 1,140.00 -
Ranitidin tablet 150 mg Tablet 120.00 6,000
Retinol (Vitamin A) 100.000 IU Kasul 260.00 -
Retinol (Vitamin A) 200.000 IU kapsul lunak Kapsul 459.00 -
Ringer Laktat larutan infus botol 500 ml 5,200.00 80
Risperidon tablet 2 mg Tablet 1,008.00 -
Salbutamol inhalasi/aerosol 100 mcg/dosis Botol 63,750.00 -
Salbutamol tablet 2 mg (sebagai Sulfat) Tablet 59.00 -
Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% Pot @ 30 gram 2,000.00 -
Sefadroksil sirup kering 125 mg/5ml Botol 4,746.00 50
Sefadroksil kapsul/kaplet 250 mg Tablet 513.00 -
Sefadroksil kapsul/kaplet 500 mg Kapsul 509.00 -
Sefadroksil sir kering 250 mg/5 mL Botol 5,895.00 -
Sefiksim kapsul/kaplet 100 mg Kapsul 859.00 -
Sefiksim sirup kering 100 mg/ 5 ml Botol 8,800.00 -
Sefotaksim injeksi 1 g Vial 2,950.00 -
Setirizin sirup 5 mg/5 ml Botol @ 60 ml 7,999.00 50
Setirizin tablet 10 mg Kapsul 181.00 300
Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1,078.00 -
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50 mcg Tablet 57.00 6,000
Simvastatin scored tablet 10 mg Tablet 169.00 -
Simvastatin tablet 20 mg Tablet 391.00 -
Siprofloksasin tablet 500 mg (sebagai HCl) Tablet 255.00 -
Spironolakton tablet 25 mg Tablet 315.00 -
Sukralfat susp 500 mg/5 mL Botol, 100 ml 13,425.00 -
Flutikason propionat nebules 0,5 mg Botol 12,917.00 -
Teofilin tab SR 300 mg Kaplet 1,050.00 -
Teofilin tablet 150 mg Tablet 250.00 -
NO.
STOK AWAL
Penerimaan/
PPN 2016
Terbutalin tablet 2,5 mg Tablet 99.00 -
Tetrakain HCl tetes mata 0,5% botol 5 ml 11,500.00 -
Tetrasiklin kapsul/kaplet 250 mg Kapsul 148.00 -
Tetrasiklin tablet/kapsul/kaplet 500 mg Tablet 300.00 -
Vitamin B Kompleks tablet Tablet 107.00 9,000
Zinc drop 10 mg/mL Botol 12,840.00 -
Zinc sir 10 mg/mL Botol 14,980.00 -
Zinc sir 20 mg/5 Ml Botol 7,400.00 -
Zinc tablet dispersible20 mg Tablet 473.00 -
JUMLAH RP. OBAT
Alat Suntik Sekali Pakai - 1 cc Tuberculin 27G x 1/2" (nipro) Pcs 990.00 -
Alat Suntik Sekali Pakai - 1 cc Tuberculin 27G x 1/2"(stera) Pcs 650.00 -
Alat Suntik Sekali Pakai - 1 cc Tuberculin 27G x 1/2"(Terumo) Pcs 1,540.00 -
Alat Suntik Sekali Pakai - 10 cc x 21G x 1 1/2"(nipro) Pcs 1,298.00 -
Alat Suntik Sekali Pakai - 10 cc x 21G x 1 1/2"(stera) Pcs 925.00 -
Alat Suntik Sekali Pakai - 10 cc x 21G x 1 1/2"(terumo) Pcs 1,790.00 -
Alat Suntik Sekali Pakai - 2.5 cc x 23G x 1 1/4"(stera) Pcs 650.00 -
Alat Suntik Sekali Pakai - 3 cc x 23G x 1 1/4"(nipro) Pcs 792.00 400
Alat Suntik Sekali Pakai - 3 cc x 23G x 1 1/4"(terumo) Pcs 828.00 -
Alat Suntik Sekali Pakai - 3 cc x 23G x 1 1/4"(terumo) Pcs 957.00 -
Alat Suntik Sekali Pakai - 5 cc x 22G x 1 1/4"(NIPRO) Pcs 979.00 -
Benang Bedah SMI(CATGUT CHROMIC SMI 2/0 DS 24 MM) Rajawali Nursindo Pcs 27,758.00 -
Benang Bedah SMI(CATGUT CHROMIC SMI 2/0 HR 26 MM) Rajawali Nursindo Pcs 22,599.00 -
NO.
STOK AWAL
Penerimaan/
PPN 2016
Benang Bedah SMI(CATGUT PLAIN SMI 2/0 HR 37 MM) Rajawali Nursindo Pcs 23,631.00 -
Benang Bedah SMI(CATGUT PLAIN SMI 3/0 DS 24 MM) Rajawali Nursindo Pcs 27,758.00 -
Benang Bedah SMI(CATGUT PLAIN SMI 3/0 HR 26 MM) Rajawali Nursindo Pcs 23,691.00 -
Benang Bedah SMI(CATGUT PLAIN SMI 3/0 DS 24 MM) Rajawali Nursindo Pcs 27,758.00 -
Benang Bedah SMI(SILK BLACK 2/0 HR 20 MM) Rajawali Nursindo Pcs 14,000.00 -
Benang Bedah SMI(SILK BLACK 3/0 DS 24 MM)Rajawali Nursindo Pcs 15,497.00 -
Benang Bedah SMI(SILK BLACK 2/0 DS 24 MM) Rajawali Nursindo Pcs 16,064.00 -
Benang Operasi - Catgut Chromic 2/0 + jarum 1/2 GT 35 mm(Onemed Catgut chromic 2/0 + jarum 1/2 GT 35 mm) Pcs 5,583 -
Benang Operasi - Catgut Chromic 3/0 + jarum 1/2 GT 35 mm(Onemed Catgut chromic 3/0 + jarum 1/2 GT 35 mm) Pcs 5,583 -
Benang Operasi - Catgut Plain 2/0 + jarum 1/2 GT 35 mm(Onemed Catgut Plain 2/0 + jarum 1/2 GT 35 mm) Pcs 5,583 -
Benang Operasi - Catgut Plain 3/0 + jarum 1/2 GT 35 mm(Onemed Catgut Plain 3/0 + jarum 1/2 GT 35 mm) Pcs 5,583 -
Benang Operasi - Silk 2/0 + jarum 1/2 GT 35 mm(Onemed Silk 2/0 + jarum 1/2 GT 35 mm) Pcs 3,055.56 -
Benang Operasi - Silk 3/0 + jarum 1/2 GT 35 mm(Onemed Silk 3/0 + jarum 1/2 GT 35 mm) Pcs 3,055.56 -
Blade bbraun Aesculap blade/carbon steal scalpel blades # 19 Pcs 3,000.00 -
Folley Catheter 2 way No. 16 Onemed -urocare folley Catheter 2 way No 18 Pcs 8,000.00 -
NO.
STOK AWAL
Penerimaan/
PPN 2016
Folley Catheter ped No 6 Onemed -urocare folley Catheter ped No 6 Pcs 36,500.00 -
Infus Set, IV, Wing needle - I.V Catheter No. 22 G x 1"(Stera I.V Catheter No. 22G x 1") Pcs 3,800.00 -
Infus Set, IV, Wing needle - I.V Catheter No. 24 G x 3/4"(Stera I.V Catheter No. 24G x 3/4") Pcs 3,800.00 -
Infus Set, IV, Wing needle - Infusion Set Pediatric (60 drops/ml)(Stera Infusion Set Pediatric (60 drops/ml)) Pcs 3,500.00 -
IV Catheter( NIPRO 28G X 1 - 1/4) Pcs 7,018.00 -
IV Catheter( NIPRO 28G X 2) Pcs 7,018.00 -
IV Catheter( NIPRO 24G X 1- 1/4) Pcs 7,018.00 -
IV Catheter( NIPRO 24G X 3/4) Pcs 7,018.00 -
IV Catheter Jerco 1 (18G) Pcs 7,334.00 -
IV Catheter Jerco 2(22G) Pcs 14,718.00 -
Kasa, Verband, Kapas - kasa Hydrofil 36 x 80cm (AHMADARIS DRC 36 x 80 cm) Rol 130,000.00 -
Kasa, Verband, Kapas - kasa Hydrofil 40 x 80cm (ONEMED KASA HIDROFIL 40 x 80 cm) Rol 105,000.00 -
Kasa, Verband, Kapas - kasa Hydrofil 40 x 80cm ( SURYA HUSADA KASA HIDROFIL 40 x 80 cm) Rol 104,500.00 -
Kasa, Verband, Kapas - kasa hydrophil 4 x 3 cm (AHMADARIS kasa PEMBALUT DRC 4X3 cm) Rol 800.00 -
Kasa, Verband, Kapas - kasa hydrophil 4 x 3 cm (ONEMED kasa hydrophil 4X3 cm) Rol 590.00 -
NO.
STOK AWAL
Penerimaan/
PPN 2016
Kasa, Verband, Kapas - kasa sterile (AHMADARIS kasa steril DRC / 16 pad 16 x 16 cm ) Box 9,000.00 360
Kasa, Verband, Kapas - Kapas Pembalut Hydrofil(AHMADARIS DRC 250gr) Rol 24,002.05 18
Sarung tangan Steril AXIMED CHIRURGI GLOVES, (SIZE 6.0) Pcs 6,930.00 -
Sarung tangan Steril GLOBAL DISPOMEDIKA SG060 70006 TRO SENSOSUREGE, SURGICAL GLOVE STERIL 6.0 Pasang 6,595.00 -
Surgical Mask - FRES AIR SURGICAL MASK EAR LOOP (ISI 50 LEMBAR) KASA HUSADA WIRA JATIM Lembar 310.00 -
Syringe 1 cc Aximed Pcs 748.00 -
Syringe 10 cc Aximed Pcs 1,188.00 -
IV Catheter Aximed (18G) Pcs 5,500.00 -
Infus Set, IV, Wing needle - Infusion Set Dewasa (20 drops/ml) Bbraun Intrafix Primeline I.S. TYP Pcs 14,399.00 -
Kasa, Verband, Kapas - Kasa Hydrophil 2 x 80 cm AHMADARIS Pcs 9,400.00 -
Antiseptik dan Disinfektan - Lysol 1 liter Onemed Botol 41,000.00 -
SABUN NON - MIKROBIAL Bbraun SOFTASKIN 500 ML Botol 58,539.00 -
SKIN DISINFEKTAN POVIDON IODIN + ALKOHOL Bbraun BRAUNODERM SPRAY 250 ML Botol 130,000.00 -
NO.
STOK AWAL
Penerimaan/
PPN 2016
Lubricating Jelly AQUAGEL STERILE JELY 82gr Tube 34,528.00 -
Alat Suntik Sekali Pakai - 20 cc ec stera Pcs 750.00 -
IV Catheter Global Dispomedika IV TRO-Vensite Plus 20G-2TRGISP20 Pcs 23,100.00 -
Surgical Mask - With Visor Onemed pcs 55,000.00 -
Benang Bedah SMI SILK BLACK 3/0 DS 24 MM Pcs 15,497.00 -
JUMLAH RP. BMHP
TOTAL RP.
3,217,720
19,925,760
N JULI S/D DESEMBER 2015 PUSKESMAS SINDANGJAWA
akan daftar harga sudah termasuk PPN)
JUMLAH HARGA BARANG YANG DITERIMA/
STOK AWAL Keterangan
YANG DIKELUARKAN/SISA
Stok Awal Jan Masuk Keluar Sisa Jumlah obat Jumlah Rp.
Rp. Jani - Jun Jani - Jun Juni Bertambah Berkurang Sisa di PKM Jumlah obat Rusak/ditarik Jumlah Rp. Rusak/ditarik
Tahun 2016 2016 2016 2016 (Rp) (Rp) (Rp) Kadaluarsa Ijin edarnya Kadaluarsa Ijin edarnya
60,900 - - 30 - - 60,900 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
25,800 - 300 - - 25,800 - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
56,100 - 300 - - 56,100 - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
450,000 - 6,000 - - 450,000 - - - - -
630,000 - - 300 - - 630,000 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
14,400 - - 300 - - 14,400 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
118,500 - - 500 - - 118,500 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
625,000 - 440 60 - 550,000 75,000 - - - -
182,400 - 120 - - 182,400 - - - - -
- - - - - - - - - - -
149,700 - - 30 - - 149,700 - - - -
- - - - - - - - - - -
116,100 - - 180 - - 116,100 - - - -
- - - - - - - - - - -
54,400 - 800 - - 54,400 - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
29,100 - - 300 - - 29,100 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
499,950 - 75 75 - 249,975 249,975 - - - -
33,400 - 100 100 - 16,700 16,700 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
66,500 - 500 - - 66,500 - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
26,500 - 50 50 - 13,250 13,250 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
134,304 - 48 - - 134,304 - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
154,000 - 390 1,010 - 42,900 111,100 - - - -
2,398,900 - 6,600 9,500 - 983,400 1,415,500 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
630,000 - 6,500 2,500 - 455,000 175,000 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
720,000 - 1,700 7,300 - 136,000 584,000 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
98,016 - 48 - - 98,016 - - - - -
385,350 - 50 100 - 128,450 256,900 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
510,000 - 10,000 - - 510,000 - - - - -
- - - - - - - - - - -
6,800 - - 100 - - 6,800 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
178,800 - 300 900 - 44,700 134,100 - - - -
321,750 - 117 33 - 250,965 70,785 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
480,000 - 400 200 - 320,000 160,000 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
80,000 - 200 300 - 32,000 48,000 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
20,000 - - 200 - - 20,000 - - - -
96,000 - - 200 - - 96,000 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
63,300 - 300 - - 63,300 - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
4,227,720 - 550 2,390 - 790,900 3,436,820 - - - -
4,005,000 - 39,500 5,500 - 3,515,500 489,500 - - - -
2,128,500 - 48 282 - 309,600 1,818,900 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
54,075 - - 25 - - 54,075 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
720,000 - 2,100 3,900 - 252,000 468,000 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
416,000 - - 80 - - 416,000 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
237,300 - 17 33 - 80,682 156,618 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
399,950 - - 50 - - 399,950 - - - -
54,300 - 270 30 - 48,870 5,430 - - - -
- - - - - - - - - - -
342,000 - 2,400 3,600 - 136,800 205,200 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
963,000 - 2,300 6,700 - 246,100 716,900 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
22,963,815 - 10,244,612 12,719,203 - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
316,800 - - 400 - - 316,800 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
3,240,000 - - 360 - - 3,240,000 - - - -
432,037 - - 18 - - 432,037 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
3,988,837 - - 3,988,837 - -
26,952,652 - 10,244,612 16,708,040 - -
Mengetahui Sumber 31 Desember 2015

KEPALA PUSKESMAS SINDANGJAWA Pengelola obat Puskesmas Sindangjawa
HJ. TITITN KARTINI, S.KM FIM HARDI UTOMO, S.Farm, Apt

Nip. 19600709 198307 2 001
Penerimaan e Katalog
No Nama obat Satuan Jan Feb Maret
Air untuk injeksi (Aqua pro Injeks) 20 ml Vial 20 ml

Akarbose tablet/kaplet 100 mg Tablet
Albendazol suspensi 200 mg/5 ml Botol
Albendazol tablet/kapsul/kaplet 400 mg Tablet
Alopurinol tablet/kapsul/kaplet 100 mg Tablet
Alprazolam tablet/kapsul/kaplet 0,25 mg Tablet
Alprazolam tablet/kapsul/kaplet 1 mg Tablet
Aminofilin injeksi 24 mg/ml Ampul
Aminofilin tablet scored 200 mg Tablet
Aminofilin tablet/kapsul/kaplet 150 mg Tablet
Amitriptilin tablet salut 25 mg (HCl) Tablet
Amlodipin tablet 10 mg Tablet
Amoksisilin kapsul/kaplet 250 mg Tablet
Amoksisilin sirup kering forte 250 mg/5 ml Botol
Amoksisilin sirup kering 125 mg/ 5 ml Botol
Ampisilin serbuk injeksi i.v. 1000 mg/vial Vial
Antasida DOEN I tablet kunyah, kombinasi : Alumin Tablet
Antasida DOEN II suspensi, kombinasi : Aluminium Botol
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU Tube
Antihemoroid, kombinasi: bismut subgalat 150 mg he Suppositoria
Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet
Asam Asetilsalisilat (asetosal) tablet 100 mg Tablet
Asam Asetilsalisilat (asetosal) tablet/kaplet/kapsul 8 Tablet
Asam Askorbat (Vitamin C) tablet 250 mg Tablet
Asam Folat tablet/kapsul/kaplet 0,4 mg Tablet
Asam Folat tablet/kapsul/kaplet 1 mg Tablet
Asam Mefenamat kapsul/kaplet 250 mg Kapsul
Asam Mefenamat kapsul/kaplet 500 mg Kaplet
Asam pipemidat kapsul 400 mg Kapsul
Asam traneksamat injeksi 50 mg/ml Ampul
Asiklovir salep mata 3% Tube
Asiklovir tablet/kapsul/kaplet 200 mg Tablet
Atapulgit tablet 600 mg Tablet
Atenolol tablet/kapsul/kaplet 100 mg Tablet
Atropin injeksi i.v./i.m./s.k. 0,25 mg/ml Ampul
Atropin Sulfat tablet 0,5 mg Tablet
Azitromisin tablet 500 mg Tablet
Bedak salisil serbuk 2% Dus @ 50 gram
Betametason krim 0,1% (sebagai Valerat) Tube 5 gr
Bisakodil suppositoria 10 mg Supp
Bisoprolol tablet 2,5 mg Tablet
Bisoprolol tablet 5 mg Tablet
Deksametason injeksi i.v./i.m. 5 mg/ml Ampul
Deksametason tablet 0,5 mg Tablet
Diazepam larutan rektal 5 mg/2,5 mL Tube
Diazepam injeksi i.v./i.m 5 mg/ml Ampul
Diazepam tablet/kapsul/kaplet 2 mg Tablet
Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) Ampul
Digoksin tablet 0,25 mg Tablet
Dimenhidrinat tablet 50 mg Tablet
Doksisiklin tablet/kapsul/kaplet 100 mg Kapsul

Domperidon suspensi/sirup 5 mg/5 ml Botol
Domperidon tablet 10 mg Tablet
Dopamin injeksi 40 mg/ml Ampul
Efedrin Inj 50 mg/ml Ampul
Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul
Eritromisin kapsul/kaplet 250 mg Kapsul
Eritromisin sirup kering 200 mg/ 5 ml Botol @60 ml
Etanol 70% cairan btl @ 100 ml
Eugenol cairan Botol 10 ml
Fenitoin kapsul/kaplet 100 mg Kapsul
Fenobarbital injeksi i.m./i.v. 50 mg/ml Ampul
Fenobarbital tablet/kapsul/kaplet 100 mg Tablet
Fitomenadion (Vit.K1) tablet salut gula 10 mg Tablet
Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul
Flukonazol tablet/kaplet/kapsul 50 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit I serbuk, kombinasi : Natrium klorida 0,5 Shacset
Gemfibrozil kapsul/kaplet 300 mg Kapsul
Gentamisin injeksi 40 mg/ ml Ampul
Gentamisin salep mata 0,3% Tube @ 3,5 gr
Gentamisin tetes mata 0,3% Botol
Glibenklamid tablet 5 mg Tablet
Glimepiride tablet 1 mg Tablet
Glukosa larutan infus 10 % steril botol @ 500 ml
Griseofulvin tablet 125 mg Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidrokortison krim 1% tube @ 5 ml
Hidrokortison krim 2,5 % Tube 5 gr
Hiosin butilbromid injeksi 20 mg/ml Ampul
Ibuprofen sirup 100 mg/5 ml Botol
Ibuprofen suspensi 200 mg/5 ml Botol
Ibuprofen tablet 200 mg Tablet
Irbesartan tab 300 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Isosorbid dinitrat tablet/kaplet/kapsul 10 mg Tablet
Kalsium Glukonat injeksi i.v 10% (100 mg/ml) Ampul
Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet
Kanamisin inj 1000 mg/ vial vial
Kaptopril tablet 50 mg Tablet
Kaptopril tablet scored 25 mg Tablet
Kaptopril tablet scored12,5 mg Tablet
Karbamazepin tablet 200 mg Tablet
Karbogliserin tetes telinga 10% Botol
Ketokonazol krim 2% tube 10 gr
Ketokonazol krim 2% Tube
Ketokonazol tablet 200 mg Tablet
Ketoprofen supositoria 100 mg Supp
Ketorolac injeksi 30 mg/ml Ampul
Klindamisin kapsul/kaplet 150 mg Kapsul

Klobazam tab 10 mg Tablet
Kloramfenikol salep kulit 2% Tube
Kloramfenikol salep mata 1 % Tube
Kloramfenikol suspensi 125 mg/ 5 ml Botol @ 60 ml
Klorfeniramina Maleat (CTM) tablet/kapsul/kaplet 4 Tablet
Klorpromazin tablet salut 100 mg (HCl) Tablet
Kodein tablet 10 mg Tablet
Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Tablet
Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Tablet
Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfamet Kaplet
Kotrimoksazol Suspensi komb: Sulfametoksazol 200 m Botol @ 60 ml
Kuinin (Kina) tablet 200 mg Tablet
Laktulosa sir 3,335 g/5 mL Botol 60 ml
Lanzoprazol kapsul/kaplet 30 mg Kapsul
Levofloksasin tablet 500 mg Tablet
Lidokain injeksi 2% (HCL) Ampul
Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml Ampul
Lidokain jeli 2% Tube
Lidokain semprot 10% Botol
Loperamid tablet 2 mg Tablet
Loratadin tablet 10 mg Tablet
Magnesium sulfat injeksi 20% Ampul
Metformin HCl tablet 500 mg Tablet
Metildopa tablet salut 250 mg Tablet
Metilergometrin Maleat (Metilergometrin) tablet salut Tablet
Metilergometrin Maleat injeksi 0,200 mg-1 ml Ampul
Metilprednisolon tablet 16 mg Tablet
Metoklopramid drop botol 10 mL Botol
Metoklopramide sirup 5 mg/ 5 ml Botol
Metoklopramide tablet 5 mg Tablet
Metronidazol infus 500 mg/100 ml Botol
Metronidazol ovula 500 mg Tablet
Metronidazol sirup 125 mg/5 Ml Boto
Metronidazol supositoria 500 mg Supp
Metronidazol tablet 250 mg Tablet
Mikonazol krim/salep 2 % (Nitrat) Tube 10 gram
Nacl 0,9% Botol 500 ml
Natrium Bikarbonat injeksi i.v 8,4% Ampul
Natrium Diklofenak tablet 50 mg Tablet
Nifedipin tab 20 mg, slow release; oros Tablet
Nifedipin tab 30 mg, oros Tablet
Nifedipin tablet/kapsul 10 mg Tablet
Nistatin vaginal tablet 100.000 IU/ g Tablet
Obat Antituberkulosis FDC Kategori 1 Paket
Obat Antituberkulosis FDC Kategori Anak Paket
Ofloksasin tets telinga 3% Btl @ 5 ml
Ofloxacin tablet 200 mg Tablet
Oksitosin injeksi 10 IU/ml Ampul
Omeprazol injeksi 40 mg/ 10 ml Vial
Omeprazol kapsul/kaplet 20 mg Kaplet

ondansetron inj 4 mg/ 2 mL Ampul
Ondansetron tab 4 mg Tablet
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml Botol
Parasetamol sirup 120 mg / 5 ml Botol
Parasetamol tablet 500 mg Tablet
Parasetamol tetes 60 mg/0,6 mL Botol
Permetrin krim 5% Tube @ 10 g
Pirantel suspensi 125 mg/5 ml Botol 60 ml
Pirantel tablet score (base) 125 mg Tablet
Piridoksin (vitamin B6) inj 100 mg/mL Ampul 1 ml
Polikresulen cairan Botol
Povidon Iodida larutan 10% 1000 ml botol @ 1000 ml
Povidon Iodida larutan 10% 60 ml btl 60 ml
Pravastatin tablet 20 mg Tablet
Prokain Benzilpenisilin serbuk injeksi 3 juta IU/vial Vial @ 3 juta IU
Propanolol tablet 10 mg ( HCl ) Tablet
Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet
Propranolol tablet 40 mg (HCl) Tablet
Ranitidin injeksi 25 mg/ml Ampul
Ranitidin tablet 150 mg Tablet
Retinol (Vitamin A) 100.000 IU Kasul
Retinol (Vitamin A) 200.000 IU kapsul lunak Kapsul
Ringer Laktat larutan infus botol 500 ml
Risperidon tablet 2 mg Tablet
Salbutamol inhalasi/aerosol 100 mcg/dosis Botol
Salbutamol tablet 2 mg (sebagai Sulfat) Tablet
Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang Pot @ 30 gram
Sefadroksil sirup kering 125 mg/5ml Botol
Sefadroksil kapsul/kaplet 250 mg Tablet
Sefadroksil kapsul/kaplet 500 mg Kapsul
Sefadroksil sir kering 250 mg/5 mL Botol
Sefiksim kapsul/kaplet 100 mg Kapsul
Sefiksim sirup kering 100 mg/ 5 ml Botol
Sefotaksim injeksi 1 g Vial
Setirizin sirup 5 mg/5 ml Botol @ 60 ml
Setirizin tablet 10 mg Kapsul
Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 5 Tablet
Simvastatin scored tablet 10 mg Tablet
Simvastatin tablet 20 mg Tablet
Siprofloksasin tablet 500 mg (sebagai HCl) Tablet
Spironolakton tablet 25 mg Tablet
Sukralfat susp 500 mg/5 mL Botol, 100 ml
Flutikason propionat nebules 0,5 mg Botol
Teofilin tab SR 300 mg Kaplet
Teofilin tablet 150 mg Tablet
Terbutalin tablet 2,5 mg Tablet
Tetrakain HCl tetes mata 0,5% botol 5 ml
Tetrasiklin kapsul/kaplet 250 mg Kapsul
Tetrasiklin tablet/kapsul/kaplet 500 mg Tablet
Vitamin B Kompleks tablet Tablet
Zinc drop 10 mg/mL Botol
Zinc sir 10 mg/mL Botol
Zinc sir 20 mg/5 Ml Botol
Zinc tablet dispersible20 mg Tablet
0 0
0 0
Alat Suntik Sekali Pakai - 1 cc Tuberculin 27G x 1/2" ( Pcs
Alat Suntik Sekali Pakai - 1 cc Tuberculin 27G x 1/2"(s Pcs
Alat Suntik Sekali Pakai - 1 cc Tuberculin 27G x 1/2" Pcs
Alat Suntik Sekali Pakai - 10 cc x 21G x 1 1/2"(nipro) Pcs
Alat Suntik Sekali Pakai - 10 cc x 21G x 1 1/2"(stera) Pcs
Alat Suntik Sekali Pakai - 10 cc x 21G x 1 1/2"(terumo Pcs
Alat Suntik Sekali Pakai - 2.5 cc x 23G x 1 1/4"(stera) Pcs
Alat Suntik Sekali Pakai - 3 cc x 23G x 1 1/4"(terumo) Pcs
Alat Suntik Sekali Pakai - 5 cc x 22G x 1 1/4"(NIPRO) Pcs
Benang Bedah SMI(CATGUT CHROMIC SMI 2/0 DS 24 M Pcs
Benang Bedah SMI(CATGUT CHROMIC SMI 2/0 HR 26 Pcs
Benang Bedah SMI(CATGUT PLAIN SMI 2/0 HR 37 MM) Pcs
Benang Bedah SMI(CATGUT PLAIN SMI 3/0 DS 24 MM) Pcs
Benang Bedah SMI(CATGUT PLAIN SMI 3/0 HR 26 MM) Pcs
Benang Bedah SMI(CATGUT PLAIN SMI 3/0 DS 24 MM) Pcs
Benang Bedah SMI(SILK BLACK 2/0 HR 20 MM) Rajawa Pcs
Benang Bedah SMI(SILK BLACK 3/0 DS 24 MM)Rajawa Pcs
Benang Bedah SMI(SILK BLACK 2/0 DS 24 MM) Rajawa Pcs
Benang Operasi - Catgut Chromic 2/0 + jarum 1/2 G Pcs
Benang Operasi - Catgut Chromic 3/0 + jarum 1/2 G Pcs
Benang Operasi - Catgut Plain 2/0 + jarum 1/2 GT 3 Pcs
Benang Operasi - Catgut Plain 3/0 + jarum 1/2 GT 3 Pcs
Benang Operasi - Silk 2/0 + jarum 1/2 GT 35 mm(One Pcs
Benang Operasi - Silk 3/0 + jarum 1/2 GT 35 mm(One Pcs
Blade bbraun Aesculap blade/carbon steal scalpel bla Pcs
Folley Catheter 2 way No. 16 Onemed -urocare folley Pcs
Folley Catheter ped No 6 Onemed -urocare folley Cat Pcs
Folley Catheter ped No 8 Onemed -urocare folley Cat Pcs
Folley Catheter ped No 10 Onemed -urocare folley Ca Pcs
Infus Set, IV, Wing needle - I.V Catheter No. 22 G x 1"( Pcs
Infus Set, IV, Wing needle - I.V Catheter No. 24 G x 3/4 Pcs
Infus Set, IV, Wing needle - Infusion Set Pediatric (60 Pcs
IV Catheter( NIPRO 28G X 1 - 1/4) Pcs
IV Catheter( NIPRO 28G X 2) Pcs

IV Catheter( NIPRO 24G X 1- 1/4) Pcs
IV Catheter( NIPRO 24G X 3/4) Pcs
IV Catheter Jerco 1 (18G) Pcs
IV Catheter Jerco 2(22G) Pcs
Kasa, Verband, Kapas - kasa Hydrofil 36 x 80cm (A Rol
Kasa, Verband, Kapas - kasa Hydrofil 40 x 80cm (O Rol
Kasa, Verband, Kapas - kasa Hydrofil 40 x 80cm ( Rol
Kasa, Verband, Kapas - kasa hydrophil 4 x 3 cm ( Rol
Kasa, Verband, Kapas - kasa hydrophil 4 x 3 cm (ON Rol
Kasa, Verband, Kapas - kasa sterile (AHMADARIS kasa Box
Kasa, Verband, Kapas - Kapas Pembalut Hydrofil(AH Rol
Sarung tangan Steril AXIMED CHIRURGI GLOVES, (SIZ Pcs
Sarung tangan Steril GLOBAL DISPOMEDIKA SG060 Pasang
Surgical Mask - FRES AIR SURGICAL MASK EAR LOOP Lembar
Syringe 1 cc Aximed Pcs
IV Catheter Aximed (18G) Pcs
Infus Set, IV, Wing needle - Infusion Set Dewasa (20 d Pcs
Kasa, Verband, Kapas - Kasa Hydrophil 2 x 80 cm AH Pcs
Antiseptik dan Disinfektan - Lysol 1 liter Onemed Botol
SABUN NON - MIKROBIAL Bbraun SOFTASKIN 500 ML Botol
SKIN DISINFEKTAN POVIDON IODIN + ALKOHOL Bbr Botol
Lubricating Jelly AQUAGEL STERILE JELY 82gr Tube
Alat Suntik Sekali Pakai - 20 cc ec stera Pcs
IV Catheter Global Dispomedika IV TRO-Vensite Plus Pcs
Surgical Mask - With Visor Onemed pcs
Benang Bedah SMI SILK BLACK 3/0 DS 24 MM Pcs
April Mei Juni Total
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Pengeluaran e kataolg
No Nama obat Satuan Jan Feb Maret April
Air untuk injeksi (Aqua pro Injeks) 20 ml Vial 20 ml 0 0 0 0

Alopurinol tablet/kapsul/kaplet 100 mg Tablet 0 26 99 55
Amlodipin tablet 5 mg Tablet 0 144 89 67
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Tablet 0 0 980 1980
Antasida DOEN II suspensi, kombinasi : Aluminium Hid Botol 0 0 0 0
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g Tube
Antihemoroid, kombinasi: bismut subgalat 150 mg heksaSuppositoria
Asam Asetilsalisilat (asetosal) tablet/kaplet/kapsul 80 m Tablet
Asam Folat tablet/kapsul/kaplet 1 mg Tablet 0 0 0 0
Asiklovir tablet/kapsul/kaplet 200 mg Tablet 0 0 0 0
Bedak salisil serbuk 2% Dus @ 50 gram 77 58 64 97
Betametason krim 0,1% (sebagai Valerat) Tube 5 gr 0 0 0 100
Bisakodil suppositoria 5 mg Supp 0 0 0 0
Bisoprolol tablet 5 mg Tablet 0 0 0 0
Deksametason tablet 0,5 mg Tablet 389 411 0 0
Digoksin tablet 0,25 mg Tablet 0 0 0 0

Domperidon suspensi/sirup 5 mg/5 ml Botol 0 2 1 17
Domperidon tablet 10 mg Tablet 0 0 0 0
Fenitoin kapsul/kaplet 100 mg Kapsul 10 105 115 80
Garam Oralit I serbuk, kombinasi : Natrium klorida 0,52 g Shacset
Glimepiride tablet 1 mg Tablet 0 0 0 20
Hidrokortison krim 2,5 % Tube 5 gr 0 0 22 26
Ibuprofen tablet 200 mg Tablet 0 40 139 44
Ibuprofen tablet 400 mg Tablet 360 55 675 640
Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet 0 0 1696 2074
Kaptopril tablet scored 25 mg Tablet 0 0 381 449
Karbogliserin tetes telinga 10% Botol 0 0 26 22
Ketokonazol krim 2% tube 10 gr 0 0 0 25

Klorfeniramina Maleat (CTM) tablet/kapsul/kaplet 4 mg Tablet 0 1938 2670 2779
Klorpromazin tablet salut 25 mg (HCl) Tablet 0 0 0 0
Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asa Tablet
Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asa Tablet
Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametok Kaplet 0 0 0 0
Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg B
+otol @ 60 ml 50 0 23 17
Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml Ampul
Metildopa tablet salut 250 mg Tablet 0 0 20 140
Metilergometrin Maleat (Metilergometrin) tablet salut 0 Tablet
Metronidazol tablet 500 mg Tablet 100 0 30 50
Nifedipin tablet/kapsul 10 mg Tablet 0 0 0 0
Nistatin vaginal tablet 100.000 IU/ g Tablet 0 0 0 0

Omeprazol kapsul/kaplet 20 mg Kaplet 26 34 80 36
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol
Parasetamol sirup 120 mg / 5 ml Botol 25 21 144 197
Parasetamol tablet 500 mg Tablet 0 3500 9200 12300
Parasetamol tetes 60 mg/0,6 mL Botol 2 14 8 6
Povidon Iodida larutan 10% 30 ml botol @ 30 ml 0 0 0 0
Ranitidin tablet 150 mg Tablet 0 0 130 236
Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang en Pot @ 30 gram
Sefadroksil sirup kering 125 mg/5ml Botol 4 0 4 2
Setirizin sirup 5 mg/5 ml Botol @ 60 ml 0 0 0 0
Setirizin tablet 10 mg Kapsul 10 30 40 20
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50 m Tablet 99 165 335 331
Vitamin B Kompleks tablet Tablet 0 0 0 875

0 0
0 0
Alat Suntik Sekali Pakai - 1 cc Tuberculin 27G x 1/2" (nip Pcs
Alat Suntik Sekali Pakai - 1 cc Tuberculin 27G x 1/2"(ster Pcs
Alat Suntik Sekali Pakai - 1 cc Tuberculin 27G x 1/2"(Te Pcs
Alat Suntik Sekali Pakai - 2.5 cc x 23G x 1 1/4"(stera) Pcs
Alat Suntik Sekali Pakai - 3 cc x 23G x 1 1/4"(nipro) Pcs 0 0 0 0
Alat Suntik Sekali Pakai - 5 cc x 22G x 1 1/4"(NIPRO) Pcs
Benang Bedah SMI(CATGUT CHROMIC SMI 2/0 DS 24 MM) Pcs
Benang Bedah SMI(CATGUT CHROMIC SMI 2/0 HR 26 MM) Pcs
Benang Bedah SMI(CATGUT PLAIN SMI 2/0 HR 37 MM) Ra Pcs
Benang Bedah SMI(CATGUT PLAIN SMI 3/0 DS 24 MM) Ra Pcs
Benang Bedah SMI(CATGUT PLAIN SMI 3/0 HR 26 MM) Ra Pcs
Benang Bedah SMI(CATGUT PLAIN SMI 3/0 DS 24 MM) Ra Pcs
Benang Bedah SMI(SILK BLACK 2/0 HR 20 MM) Rajawali Pcs
Benang Bedah SMI(SILK BLACK 3/0 DS 24 MM)Rajawali Pcs
Benang Bedah SMI(SILK BLACK 2/0 DS 24 MM) Rajawali Pcs
Benang Operasi - Catgut Chromic 2/0 + jarum 1/2 GT 3 Pcs
Benang Operasi - Catgut Chromic 3/0 + jarum 1/2 GT 3 Pcs
Benang Operasi - Catgut Plain 2/0 + jarum 1/2 GT 35 m Pcs
Benang Operasi - Catgut Plain 3/0 + jarum 1/2 GT 35 m Pcs
Benang Operasi - Silk 2/0 + jarum 1/2 GT 35 mm(Oneme Pcs
Benang Operasi - Silk 3/0 + jarum 1/2 GT 35 mm(Oneme Pcs
Blade bbraun Aesculap blade/carbon steal scalpel blades Pcs
Folley Catheter 2 way No. 16 Onemed -urocare folley Cat Pcs
Folley Catheter ped No 6 Onemed -urocare folley Cathet Pcs
Folley Catheter ped No 8 Onemed -urocare folley Cathet Pcs
Folley Catheter ped No 10 Onemed -urocare folley Cath Pcs
Infus Set, IV, Wing needle - I.V Catheter No. 22 G x 1"(Ste Pcs
Infus Set, IV, Wing needle - I.V Catheter No. 24 G x 3/4"(S Pcs
Infus Set, IV, Wing needle - Infusion Set Pediatric (60 dr Pcs

Kasa, Verband, Kapas - kasa Hydrofil 36 x 80cm (AHMA Rol
Kasa, Verband, Kapas - kasa Hydrofil 40 x 80cm (ONEM Rol
Kasa, Verband, Kapas - kasa Hydrofil 40 x 80cm ( SUR Rol
Kasa, Verband, Kapas - kasa hydrophil 4 x 3 cm (AHM Rol
Kasa, Verband, Kapas - kasa hydrophil 4 x 3 cm (ONEME Rol
Kasa, Verband, Kapas - kasa sterile (AHMADARIS kasa ste Box 0 0 0 0
Kasa, Verband, Kapas - Kapas Pembalut Hydrofil(AHMA Rol 0 0 0 0
Sarung tangan Steril AXIMED CHIRURGI GLOVES, (SIZE 6 Pcs
Sarung tangan Steril GLOBAL DISPOMEDIKA SG060 70 Pasang
Surgical Mask - FRES AIR SURGICAL MASK EAR LOOP ( Lembar
Infus Set, IV, Wing needle - Infusion Set Dewasa (20 drop Pcs
Kasa, Verband, Kapas - Kasa Hydrophil 2 x 80 cm AHMA Pcs
SABUN NON - MIKROBIAL Bbraun SOFTASKIN 500 ML Botol
SKIN DISINFEKTAN POVIDON IODIN + ALKOHOL Bbrau Botol
IV Catheter Global Dispomedika IV TRO-Vensite Plus 20 Pcs
Mei Juni Total
0 0 -
-
-
-
20 100 300
-
-
-
-
-
-
-
-
-
0 0 300
-
-
-
-
1140 1900 6,000
0 0 -
-
-
-
-
-
-
-
-
0 0 -
-
-
-
-
-
0 0 -
-
-
-
-
-
-
94 50 440
20 0 120
-
0 0 -
-
0 0 -
-
0 0 800
-
-
-
-
-
0 0 -
Mei Juni Total
-
-
30 25 75
90 10 100
-
-
-
-
-
-
-
-
135 55 500
-
-
-
-
-
-
-
-
-
-
-
-
30 0 50
-
-
-
-
-
-
-
-
-
-
0 0 48
-
-
-
167 0 390
3670 1200 6,600
-
-
-
-
1690 1040 6,500
-
-
370 500 1,700
-
-
0 0 48
25 0 50
-
-
-
-
Mei Juni Total
-
-
-
-
-
-
-
2613 0 10,000
-
0 0 -
-
-
-
-
79 221 300
10 17 117
-
-
-
-
-
-
-
-
-
-
-
-
-
-
40 200 400
-
-
-
-
-
-
-
-
-
-
-
-
-
20 0 200
-
-
-
-
-
-
0 0 -
0 0 -
-
-
-
-
-
Mei Juni Total
-
124 0 300
-
-
-
97 66 550
6900 7600 39,500
10 8 48
-
-
-
-
-
-
0 0 -
-
-
-
-
-
-
-
-
864 870 2,100
-
-
-
-
-
-
-
5 2 17
-
-
-
-
-
-
0 0 -
70 100 270
-
970 500 2,400
-
-
-
-
-
-
-
-
-
-
-
-
585 840 2,300
-
-
-
Mei Juni Total
-
-
-
-
-
-
-
-
-
-
0 0 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Mei Juni Total
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
0 0 -
0 0 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Stok awal e katalog
No Nama obat Satuan Januari
Air untuk injeksi (Aqua pro Injeks) 20 ml Vial 20 ml 30

Akarbose tablet/kaplet 100 mg Tablet 0
Albendazol suspensi 200 mg/5 ml Botol 0
Albendazol tablet/kapsul/kaplet 400 mg Tablet 0
Alopurinol tablet/kapsul/kaplet 100 mg Tablet 300
Alopurinol tablet/kapsul/kaplet 300 mg Tablet 0
Alprazolam tablet/kapsul/kaplet 0,25 mg Tablet 0
Alprazolam tablet/kapsul/kaplet 0,5 mg Tablet 0
Alprazolam tablet/kapsul/kaplet 1 mg Tablet 0
Aminofilin injeksi 24 mg/ml Ampul 0
Aminofilin tablet scored 200 mg Tablet 0
Aminofilin tablet/kapsul/kaplet 150 mg Tablet 0
Amitriptilin tablet salut 25 mg (HCl) Tablet 0
Amlodipin tablet 10 mg Tablet 0
Amlodipin tablet 5 mg Tablet 300
Amoksisilin kapsul/kaplet 250 mg Tablet 0
Amoksisilin sirup kering forte 250 mg/5 ml Botol 0
Amoksisilin sirup kering 125 mg/ 5 ml Botol 0
Ampisilin serbuk injeksi i.v. 1000 mg/vial Vial 0
Antasida DOEN I tablet kunyah, kombinasi : Aluminiu Tablet 6000
Antasida DOEN II suspensi, kombinasi : Aluminium H Botol 300
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/ Tube 0
Antihemoroid, kombinasi: bismut subgalat 150 mg heks Suppositoria 0
Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet 0
Asam Asetilsalisilat (asetosal) tablet 100 mg Tablet 0
Asam Asetilsalisilat (asetosal) tablet/kaplet/kapsul 80 Tablet 0
Asam Askorbat (Vitamin C) tablet 250 mg Tablet 0
Asam Askorbat (Vitamin C) tablet 50 mg Tablet 0
Asam Folat tablet/kapsul/kaplet 0,4 mg Tablet 0
Asam Folat tablet/kapsul/kaplet 1 mg Tablet 300
Asam Mefenamat kapsul/kaplet 250 mg Kapsul 0
Asam Mefenamat kapsul/kaplet 500 mg Kaplet 0
Asam pipemidat kapsul 400 mg Kapsul 0
Asam traneksamat injeksi 50 mg/ml Ampul 0
Asiklovir salep mata 3% Tube 0
Asiklovir tablet/kapsul/kaplet 200 mg Tablet 500
Asiklovir tablet/kapsul/kaplet 400 mg Tablet 0
Atapulgit tablet 600 mg Tablet 0
Atenolol tablet/kapsul/kaplet 100 mg Tablet 0
Atropin injeksi i.v./i.m./s.k. 0,25 mg/ml Ampul 0
Atropin Sulfat tablet 0,5 mg Tablet 0
Azitromisin tablet 500 mg Tablet 0
Bedak salisil serbuk 2% Dus @ 50 gram 500
Betametason krim 0,1% (sebagai Valerat) Tube 5 gr 120
Bisakodil suppositoria 10 mg Supp 0
Bisakodil suppositoria 5 mg Supp 30
Bisoprolol tablet 2,5 mg Tablet 0
Bisoprolol tablet 5 mg Tablet 180
Deksametason injeksi i.v./i.m. 5 mg/ml Ampul 0
Deksametason tablet 0,5 mg Tablet 800
Diazepam larutan rektal 5 mg/2,5 mL Tube 0
Diazepam injeksi i.v./i.m 5 mg/ml Ampul 0
Diazepam larutan rektal 10 mg/2,5 mL Tube 0
Diazepam tablet/kapsul/kaplet 2 mg Tablet 0
Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) Ampul 0
Digoksin tablet 0,25 mg Tablet 300
Dimenhidrinat tablet 50 mg Tablet 0
Doksisiklin tablet/kapsul/kaplet 100 mg Kapsul 0
Domperidon suspensi/sirup 5 mg/5 ml Botol 150
Domperidon tablet 10 mg Tablet 200
Dopamin injeksi 40 mg/ml Ampul 0
Efedrin Inj 50 mg/ml Ampul 0
Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml Ampul 0
Eritromisin kapsul/kaplet 250 mg Kapsul 0
Eritromisin kapsul/kaplet 500 mg Kapsul 0
Eritromisin sirup kering 200 mg/ 5 ml Botol @60 ml 0
Etanol 70% cairan btl @ 100 ml 0
Eugenol cairan Botol 10 ml 0
Fenitoin kapsul/kaplet 100 mg Kapsul 500
Fenobarbital injeksi i.m./i.v. 50 mg/ml Ampul 0
Fenobarbital tablet/kapsul/kaplet 100 mg Tablet 0
Fitomenadion (Vit.K1) tablet salut gula 10 mg Tablet 0
Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Ampul 0
Flukonazol tablet/kaplet/kapsul 50 mg Tablet 0
Furosemid tablet 40 mg Tablet 0
Garam Oralit I serbuk, kombinasi : Natrium klorida 0,52 Shacset 0
Gemfibrozil kapsul/kaplet 300 mg Kapsul 0
Gentamisin injeksi 40 mg/ ml Ampul 0
Gentamisin salep mata 0,3% Tube @ 3,5 gr 0
Gentamisin tetes mata 0,3% Botol 0
Glibenklamid tablet 5 mg Tablet 0
Glimepiride tablet 1 mg Tablet 100
Glukosa larutan infus 10 % steril botol @ 500 ml 0
Glukosa larutan infus 5 % steril botol @ 500 ml 0
Griseofulvin tablet 125 mg Tablet 0
Haloperidol tablet 0,5 mg Tablet 0
Haloperidol tablet 5 mg Tablet 0
Haloperidol tablet 1,5 mg Tablet 0
Haloperidol tablet 2 mg Tablet 0
Hidrokortison krim 1% tube @ 5 ml 0
Hidrokortison krim 2,5 % Tube 5 gr 48
Hiosin butilbromid injeksi 20 mg/ml Ampul 0
Ibuprofen sirup 100 mg/5 ml Botol 0
Ibuprofen suspensi 200 mg/5 ml Botol 0
Ibuprofen tablet 200 mg Tablet 1400
Ibuprofen tablet 400 mg Tablet 16100
Irbesartan tab 300 mg Tablet 0
Isosorbid Dinitrat tablet sublingual 5 mg Tablet 0
Isosorbid dinitrat tablet/kaplet/kapsul 10 mg Tablet 0
Kalsium Glukonat injeksi i.v 10% (100 mg/ml) Ampul 0
Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet 9000
Kanamisin inj 1000 mg/ vial vial 0
Kaptopril tablet 50 mg Tablet 0
Kaptopril tablet scored 25 mg Tablet 9000
Kaptopril tablet scored12,5 mg Tablet 0
Karbamazepin tablet 200 mg Tablet 0
Karbogliserin tetes telinga 10% Botol 48
Ketokonazol krim 2% tube 10 gr 150
Ketokonazol krim 2% tube 5 gr 0
Ketokonazol krim 2% Tube 0
Ketokonazol tablet 200 mg Tablet 0
Ketoprofen supositoria 100 mg Supp 0
Ketorolac injeksi 30 mg/ml Ampul 0
Klindamisin kapsul/kaplet 150 mg Kapsul 0
Klindamisin kapsul/kaplet 300 mg Kapsul 0
Klobazam tab 10 mg Tablet 0
Kloramfenikol salep kulit 2% Tube 0
Kloramfenikol salep mata 1 % Tube 0
Kloramfenikol suspensi 125 mg/ 5 ml Botol @ 60 ml 0
Klorfeniramina Maleat (CTM) tablet/kapsul/kaplet 4 mg Tablet 10000
Klorpromazin tablet salut 100 mg (HCl) Tablet 0
Klorpromazin tablet salut 25 mg (HCl) Tablet 100
Kodein tablet 10 mg Tablet 0
Kodein tablet 20 mg Tablet 0
Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg As Tablet 0
Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg As Tablet 0
Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfameto Kaplet 1200
Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg Botol @ 60 ml 150
Kuinin (Kina) tablet 200 mg Tablet 0
Laktulosa sir 3,335 g/5 mL Botol 60 ml 0
Lanzoprazol kapsul/kaplet 30 mg Kapsul 0
Levofloksasin tablet 500 mg Tablet 0
Lidokain injeksi 2% (HCL) Ampul 0
Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml Ampul 0
Lidokain jeli 2% Tube 0
Lidokain semprot 10% Botol 0
Loperamid tablet 2 mg Tablet 0
Loratadin tablet 10 mg Tablet 0
Magnesium sulfat injeksi 20% Ampul 0
Magnesium sulfat injeksi 40% Ampul 0
Metformin HCl tablet 500 mg Tablet 0
Metformin HCl tablet 850 mg Tablet 0
Metildopa tablet salut 250 mg Tablet 600
Metilergometrin Maleat (Metilergometrin) tablet salut Tablet 0
Metilergometrin Maleat injeksi 0,200 mg-1 ml Ampul 0
Metilprednisolon tablet 16 mg Tablet 0
Metoklopramid drop botol 10 mL Botol 0
Metoklopramide sirup 5 mg/ 5 ml Botol 0
Metoklopramide tablet 5 mg Tablet 0
Metronidazol infus 500 mg/100 ml Botol 0
Metronidazol ovula 500 mg Tablet 0
Metronidazol sirup 125 mg/5 Ml Boto 0
Metronidazol supositoria 500 mg Supp 0
Metronidazol tablet 250 mg Tablet 0
Metronidazol tablet 500 mg Tablet 500
Mikonazol krim/salep 2 % (Nitrat) Tube 10 gram 0
Nacl 0,9% Botol 500 ml 0
Natrium Bikarbonat injeksi i.v 8,4% Ampul 0
Natrium Diklofenak tablet 50 mg Tablet 0
Nifedipin tab 20 mg, slow release; oros Tablet 0
Nifedipin tab 30 mg, oros Tablet 0
Nifedipin tablet/kapsul 10 mg Tablet 200
Nistatin vaginal tablet 100.000 IU/ g Tablet 200
Obat Antituberkulosis FDC Kategori 1 Paket 0
Obat Antituberkulosis FDC Kategori Anak Paket 0
Ofloksasin tets telinga 3% Btl @ 5 ml 0
Ofloxacin tablet 200 mg Tablet 0
Oksitosin injeksi 10 IU/ml Ampul 0
Omeprazol injeksi 40 mg/ 10 ml Vial 0
Omeprazol kapsul/kaplet 20 mg Kaplet 300
ondansetron inj 4 mg/ 2 mL Ampul 0
Ondansetron tab 4 mg Tablet 0
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 0
Parasetamol sirup 120 mg / 5 ml Botol 2940
Parasetamol tablet 500 mg Tablet 45000
Parasetamol tetes 60 mg/0,6 mL Botol 330
Permetrin krim 5% Tube @ 10 g 0
Pirantel suspensi 125 mg/5 ml Botol 60 ml 0
Pirantel tablet score (base) 125 mg Tablet 0
Piridoksin (vitamin B6) inj 100 mg/mL Ampul 1 ml 0
Polikresulen cairan Botol 0
Povidon Iodida larutan 10% 1000 ml botol @ 1000 ml 0
Povidon Iodida larutan 10% 60 ml btl 60 ml 0
Pravastatin tablet 20 mg Tablet 0
Prokain Benzilpenisilin serbuk injeksi 3 juta IU/vial Vial @ 3 juta IU 0
Propanolol tablet 10 mg ( HCl ) Tablet 0
Propiltiourasil tablet/kapsul/kaplet 100 mg Tablet 0
Propranolol tablet 40 mg (HCl) Tablet 0
Ranitidin injeksi 25 mg/ml Ampul 0
Ranitidin tablet 150 mg Tablet 6000
Retinol (Vitamin A) 100.000 IU Kasul 0
Retinol (Vitamin A) 200.000 IU kapsul lunak Kapsul 0
Ringer Laktat larutan infus botol 500 ml 80
Risperidon tablet 2 mg Tablet 0
Salbutamol inhalasi/aerosol 100 mcg/dosis Botol 0
Salbutamol tablet 2 mg (sebagai Sulfat) Tablet 0
Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang e Pot @ 30 gram 0
Sefadroksil sirup kering 125 mg/5ml Botol 50
Sefadroksil kapsul/kaplet 250 mg Tablet 0
Sefadroksil kapsul/kaplet 500 mg Kapsul 0
Sefadroksil sir kering 250 mg/5 mL Botol 0
Sefiksim kapsul/kaplet 100 mg Kapsul 0
Sefiksim sirup kering 100 mg/ 5 ml Botol 0
Sefotaksim injeksi 1 g Vial 0
Setirizin sirup 5 mg/5 ml Botol @ 60 ml 50
Setirizin tablet 10 mg Kapsul 300
Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 0
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50 Tablet 6000
Simvastatin scored tablet 10 mg Tablet 0
Simvastatin tablet 20 mg Tablet 0
Siprofloksasin tablet 500 mg (sebagai HCl) Tablet 0
Spironolakton tablet 25 mg Tablet 0
Sukralfat susp 500 mg/5 mL Botol, 100 ml 0
Flutikason propionat nebules 0,5 mg Botol 0
Teofilin tab SR 300 mg Kaplet 0
Teofilin tablet 150 mg Tablet 0
Terbutalin tablet 2,5 mg Tablet 0
Tetrakain HCl tetes mata 0,5% botol 5 ml 0
Tetrasiklin kapsul/kaplet 250 mg Kapsul 0
Tetrasiklin tablet/kapsul/kaplet 500 mg Tablet 0
Vitamin B Kompleks tablet Tablet 9000
Zinc drop 10 mg/mL Botol 0
Zinc sir 10 mg/mL Botol 0
Zinc sir 20 mg/5 Ml Botol 0
Zinc tablet dispersible20 mg Tablet 0
0 0 0
0 0 0
Alat Suntik Sekali Pakai - 1 cc Tuberculin 27G x 1/2" (ni Pcs 0
Alat Suntik Sekali Pakai - 1 cc Tuberculin 27G x 1/2"(ste Pcs 0
Alat Suntik Sekali Pakai - 1 cc Tuberculin 27G x 1/2"(T Pcs 0
Alat Suntik Sekali Pakai - 10 cc x 21G x 1 1/2"(nipro) Pcs 0
Alat Suntik Sekali Pakai - 10 cc x 21G x 1 1/2"(stera) Pcs 0
Alat Suntik Sekali Pakai - 10 cc x 21G x 1 1/2"(terumo) Pcs 0
Alat Suntik Sekali Pakai - 2.5 cc x 23G x 1 1/4"(stera) Pcs 0
Alat Suntik Sekali Pakai - 3 cc x 23G x 1 1/4"(nipro) Pcs 400
Alat Suntik Sekali Pakai - 5 cc x 22G x 1 1/4"(NIPRO) Pcs 0
Benang Bedah SMI(CATGUT CHROMIC SMI 2/0 DS 24 MM Pcs 0
Benang Bedah SMI(CATGUT CHROMIC SMI 2/0 HR 26 MM Pcs 0
Benang Bedah SMI(CATGUT PLAIN SMI 2/0 HR 37 MM) Pcs 0
Benang Bedah SMI(CATGUT PLAIN SMI 3/0 DS 24 MM) R Pcs 0
Benang Bedah SMI(CATGUT PLAIN SMI 3/0 HR 26 MM) Pcs 0
Benang Bedah SMI(CATGUT PLAIN SMI 3/0 DS 24 MM) R Pcs 0
Benang Bedah SMI(SILK BLACK 2/0 HR 20 MM) Rajawal Pcs 0
Benang Bedah SMI(SILK BLACK 3/0 DS 24 MM)Rajawali Pcs 0
Benang Bedah SMI(SILK BLACK 2/0 DS 24 MM) Rajawal Pcs 0
Benang Operasi - Catgut Chromic 2/0 + jarum 1/2 GT Pcs 0
Benang Operasi - Catgut Chromic 3/0 + jarum 1/2 GT Pcs 0
Benang Operasi - Catgut Plain 2/0 + jarum 1/2 GT 35 Pcs 0
Benang Operasi - Catgut Plain 3/0 + jarum 1/2 GT 35 Pcs 0
Benang Operasi - Silk 2/0 + jarum 1/2 GT 35 mm(Onem Pcs 0
Benang Operasi - Silk 3/0 + jarum 1/2 GT 35 mm(Onem Pcs 0
Blade bbraun Aesculap blade/carbon steal scalpel blade Pcs 0
Folley Catheter 2 way No. 16 Onemed -urocare folley Ca Pcs 0
Folley Catheter ped No 6 Onemed -urocare folley Cath Pcs 0
Folley Catheter ped No 8 Onemed -urocare folley Cath Pcs 0
Folley Catheter ped No 10 Onemed -urocare folley Cat Pcs 0
Infus Set, IV, Wing needle - I.V Catheter No. 22 G x 1"(St Pcs 0
Infus Set, IV, Wing needle - I.V Catheter No. 24 G x 3/4" Pcs 0
Infus Set, IV, Wing needle - Infusion Set Pediatric (60 Pcs 0
IV Catheter( NIPRO 28G X 1 - 1/4) Pcs 0
IV Catheter( NIPRO 28G X 2) Pcs 0
IV Catheter( NIPRO 24G X 1- 1/4) Pcs 0
IV Catheter( NIPRO 24G X 3/4) Pcs 0
IV Catheter Jerco 1 (18G) Pcs 0
IV Catheter Jerco 2(22G) Pcs 0
Kasa, Verband, Kapas - kasa Hydrofil 36 x 80cm (AHM Rol 0
Kasa, Verband, Kapas - kasa Hydrofil 40 x 80cm (ON Rol 0
Kasa, Verband, Kapas - kasa Hydrofil 40 x 80cm ( SU Rol 0
Kasa, Verband, Kapas - kasa hydrophil 4 x 3 cm (A Rol 0
Kasa, Verband, Kapas - kasa hydrophil 4 x 3 cm (ONEM Rol 0
Kasa, Verband, Kapas - kasa sterile (AHMADARIS kasa s Box 360
Kasa, Verband, Kapas - Kapas Pembalut Hydrofil(AHM Rol 18
Sarung tangan Steril AXIMED CHIRURGI GLOVES, (SIZE Pcs 0
Sarung tangan Steril GLOBAL DISPOMEDIKA SG060 7 Pasang 0
Surgical Mask - FRES AIR SURGICAL MASK EAR LOOP Lembar 0
Syringe 1 cc Aximed Pcs 0
IV Catheter Aximed (18G) Pcs 0
Infus Set, IV, Wing needle - Infusion Set Dewasa (20 dro Pcs 0
Kasa, Verband, Kapas - Kasa Hydrophil 2 x 80 cm AHM Pcs 0
Antiseptik dan Disinfektan - Lysol 1 liter Onemed Botol 0
SABUN NON - MIKROBIAL Bbraun SOFTASKIN 500 ML Botol 0
SKIN DISINFEKTAN POVIDON IODIN + ALKOHOL Bbra Botol 0
Lubricating Jelly AQUAGEL STERILE JELY 82gr Tube 0
Alat Suntik Sekali Pakai - 20 cc ec stera Pcs 0
IV Catheter Global Dispomedika IV TRO-Vensite Plus 2 Pcs 0
Surgical Mask - With Visor Onemed pcs 0
Benang Bedah SMI SILK BLACK 3/0 DS 24 MM Pcs 0
Obat Kadaluarsa

Antasida DOEN I tablet kunyah, kombinas Tablet
Antasida DOEN II suspensi, kombinasi : Botol
Anti Bakteri DOEN salep kombinasi: Basitr Tube
Antihemoroid, kombinasi: bismut subgalatSuppositoria
Antimigren: Ergotamin Tartrat 1 mg + Kofe Tablet
Asam Asetilsalisilat (asetosal) tablet 100 m Tablet
Asam Asetilsalisilat (asetosal) tablet/kapl Tablet
Difenhidramin injeksi i.v./i.m. 10 mg/ml (H Ampul
Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 Ampul
Fitomenadion (Vit.K1) tablet salut gula 10 Tablet
Fitomenadion (Vitamin K1) injeksi i.m. 2 m Ampul
Garam Oralit I serbuk, kombinasi : Natrium Shacset
Isosorbid dinitrat tablet/kaplet/kapsul 10 Tablet
Kalsium Glukonat injeksi i.v 10% (100 mg/ Ampul
Kalsium Laktat (Kalk) tablet/kapsul/kaple Tablet
Klorfeniramina Maleat (CTM) tablet/kapsul Tablet
Kombinasi tablet salut : Besi (II) sulfat 7 Tablet
Kombinasi tablet salut : Besi (II) sulfat 7H Tablet
Kotrimoksazol DOEN I (dewasa) kombinasi Kaplet
Kotrimoksazol Suspensi komb: Sulfametoks Botol @ 60 ml
Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80 Ampul
Metilergometrin Maleat (Metilergometrin) t Tablet
Metilergometrin Maleat injeksi 0,200 mg-1 Ampul
Parasetamol drop 100 mg/ml btl @15ml (6 Botol
Prokain Benzilpenisilin serbuk injeksi 3 juta
Vial @ 3 juta IU
Salep 2-4 , Kombinasi : Asam Salisilat 2%Pot @ 30 gram
Sianokobalamin (vitamin B12) injeksi 500 Ampul
Sianokobalamin (vitamin B12) tablet/kapsu Tablet
0 0
0 0
Alat Suntik Sekali Pakai - 1 cc Tuberculin 2 Pcs
Alat Suntik Sekali Pakai - 1 cc Tuberculin 2 Pcs
Alat Suntik Sekali Pakai - 1 cc Tuberculin Pcs
Alat Suntik Sekali Pakai - 10 cc x 21G x 1 1 Pcs
Alat Suntik Sekali Pakai - 10 cc x 21G x 1 1/ Pcs
Alat Suntik Sekali Pakai - 10 cc x 21G x 1 Pcs
Alat Suntik Sekali Pakai - 2.5 cc x 23G x 1 1 Pcs
Alat Suntik Sekali Pakai - 3 cc x 23G x 1 1/4 Pcs
Benang Bedah SMI(CATGUT CHROMIC SMI 2 Pcs
Benang Bedah SMI(CATGUT PLAIN SMI 2/0 Pcs
Benang Bedah SMI(SILK BLACK 2/0 HR 20 Pcs
Benang Bedah SMI(SILK BLACK 3/0 DS 24 Pcs
Benang Bedah SMI(SILK BLACK 2/0 DS 24 Pcs
Benang Operasi - Catgut Chromic 2/0 + j Pcs
Benang Operasi - Catgut Chromic 3/0 + j Pcs
Benang Operasi - Catgut Plain 2/0 + jaru Pcs
Benang Operasi - Catgut Plain 3/0 + jaru Pcs
Benang Operasi - Silk 2/0 + jarum 1/2 GT Pcs
Benang Operasi - Silk 3/0 + jarum 1/2 GT Pcs
Blade bbraun Aesculap blade/carbon steal s Pcs
Folley Catheter 2 way No. 16 Onemed -uroca Pcs
Folley Catheter ped No 6 Onemed -urocare Pcs
Folley Catheter ped No 8 Onemed -urocare Pcs
Folley Catheter ped No 10 Onemed -urocar Pcs
Infus Set, IV, Wing needle - I.V Catheter No. Pcs
Infus Set, IV, Wing needle - I.V Catheter No Pcs
Infus Set, IV, Wing needle - Infusion Set Pe Pcs
Kasa, Verband, Kapas - kasa Hydrofil 36 Rol
Kasa, Verband, Kapas - kasa hydrophil Rol
Kasa, Verband, Kapas - kasa hydrophil 4 Rol
Kasa, Verband, Kapas - kasa sterile (AHMA Box
Kasa, Verband, Kapas - Kapas Pembalut H Rol
Sarung tangan Steril AXIMED CHIRURGI GL Pcs
Sarung tangan Steril GLOBAL DISPOMED Pasang
Surgical Mask - FRES AIR SURGICAL MAS Lembar
Infus Set, IV, Wing needle - Infusion Set D Pcs
Kasa, Verband, Kapas - Kasa Hydrophil 2 Pcs
Antiseptik dan Disinfektan - Lysol 1 liter Botol
SABUN NON - MIKROBIAL Bbraun SOFTASK Botol
SKIN DISINFEKTAN POVIDON IODIN + AL Botol
Lubricating Jelly AQUAGEL STERILE JELY 82 Tube
IV Catheter Global Dispomedika IV TRO-Ve Pcs
Benang Bedah SMI SILK BLACK 3/0 DS 24 Pcs
Mei Juni Total
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
No Nama obat Satuan
Harga 14
1 Asam Mefenamat tablet Tablet
2 Aciclovir 400 mg Tablet Tablet
3 Alopurinol tablet 100 mg Tablet
4 Alat suntik 1 ml Pcs
5 Alat suntik 2,5 ml Pcs
8 Azitromisin 500 mg tablet Tablet
9 Amlodipin 10 mg tablet Tablet
10 Aminofilin Tablet 200 mg Tablet
11 Amitriptilina HCl Tablet salut 25 mg Tablet
12 Amoksisilin Kapsul 250 mg Kapsul
13 Amoksisilin Kapsul 500 mg Kapsul
14 Amoksisilin Sirup Kering 125 mg/5 ml Botol
15 Antalgin Tablet 500 mg Tablet
16 Antasida DOEN II Suspensi kombinasi Botol
17 Antasida DOEN Tablet Tablet
18 Anti Bakteri DOEN Salep Kombinasi Pot
19 Antimigren DOEN Kombinasi Tablet
20 Aqua Pro Injeksi Steril 20 ml,bebas pirogen Vial
21 Asam Folat Tablet
22 Asam askorbat (Vit. C) Tablet 50 mg Tablet
23 Betametason Krim 0,1% Tube
24 Cat Gut / Benang bedah no . 2/0 Pcs
25 Cat Gut / Benang bedah no . 3/0 Pcs
26 Cetrizine tablet Tablet
27 Captopril 12,5 mg Tablet
28 Captopril 25 mg Tablet
29 Cefadroksil 500 mg tablet Tablet
30 Cefadroksil Syrup Botol
31 Cefotaksim Injeksi 1 gram Ampul
32 Cefiksim 100 mg kapsul Kapsul
33 Ciprofloksasin 500 mg tablet Tablet
34 Deksametason Tablet 0,5 mg Tablet
35 Dekstrometropan sirup 10 mg/ml-60ml Botol
36 Dekstrometropan tablet 15 mg Tablet
37 Digoksin Tablet 0,25 Tablet
38 Domperidon tablet 10 mg Tablet
39 Epinepri Hcl (Adrenalin) Injeksi 0,1% Ampul
40 Etanol 70% - 1.00 ml Botol
41 Eugenol Cair Botol
42 FDC 1-3 Paket
43 FDC 2 Paket
44 FDC anak Paket
45 FDC Sisipan Paket
46 Fenobarbital tablet 30 mg Tablet
47 Fenotoin Natrium Kapsul 100 mg Kapsul
48 Fenotoin Natrium Kapsul 30 mg Kapsul
49 Fenol griserol tetes telinga Botol
50 Fitomenadion (Vit K1) Injeksi 2 mg/ml Ampul
51 Fitomenadion (Vit. K) Tab Salut Gula 10 mg Tablet
52 Flukonazol tablet Tablet
53 Foley Cateter set
54 Furosemid Tablet 40 mg Tablet
55 Garam Oralit 200 ml air Sachet
56 Gentamisin Injeksi 40 mg/ml Ampul
57 Glibenklamid Tablet 5 mg Tablet
58 Glukosa Larutan Infus 10% Steril - 500 ml Botol
59 Glukosa Larutan Infus 5% Steril - 500 ml Botol
60 Griseofulvin Tablet 125 mg, micronized Tablet
61 Hirokartison krim 2,5 % Tube
62 Haloperidol Tablet 0,5 mg Tablet
63 Ibuprofen Tablet 200 mg Tablet
64 Ibuprofen Tablet 400 mg Tablet
65 Infuset anak set
66 Infuset dewasa set
67 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet
68 IV. Cateter no. 20 Pcs
69 IV. Cateter no. 22 Pcs
70 Kalsium Glukonas Injeksi IV 10 %(100 mg/ml) Ampul
71 Karbamazepin Tablet 200 mg Tablet
72 Ketokonazol 200 mg tablet Tablet
73 Klindamisin Kapsul 150 Mg Kapsul
74 Klindamisin Kapsul 300 Mg Kapsul
75 Kotrimoksazol Suspensi Botol
76 Kotrimoksazol Tablet 480 mg Dewasa Tablet
77 Lidokain injeksi 2 % Ampul
78 Lidokain injeksi 2 % ( HCL ) + Epineprin / 2 ml Ampul
79 Loratadin tablet 10 mg Tablet
80 Metilergometrin Maleat Tab. Salut 0,125 g Tablet
81 Metoclopropamamid tablet 5 mg Tablet
82 Metoclopropamamid tablet 10 mg Tablet
83 Metronindazol tablet 500 mg Tablet
84 Metformin 500 mg tablet Tablet
85 Mineral Mix 8 g Sachet
86 Mikonazol krim 2 % Tube
87 Natrium Diklofenak 25 Mg Tablet Tablet
88 Natrium Diklofenak 50 Mg Tablet Tablet
89 Natrium Klorida Larutan Infus 0,9% Steril Botol
90 Nipedipin 10 mg Tablet
91 Nistatin Tablet Vagina 100.000 IU/g Tablet
92 Oksitetrasiklin hcl 1 % salep kulit Tube
93 Parasetamol drop Botol
94 Parasetamol Sirup 120 mg/5 ml Botol
95 Parasetamol Tablet 500 mg Tablet
96 Polikresulen ( Albotyl ) Botol
97 Povidon Iodida 10% - 30 ml Botol
98 Povidon Iodida 10% - 300 ml Botol
99 Propanolol hcl Tablet 40 mg Tablet
100 Ranitidin Injeksi 25 mg / 2ml Ampul
101 Ranitidine 150 mg Tablet
102 Retinol (Vit. A) kapsul 100.000 IU Kapsul
103 Retinol (Vit. A) kapsul 200.000 IU Kapsul
104 Ringer Laktat Larutan Infus Steril Botol
105 Salep 2 - 4 Pot
106 Salisil Bedak 2% - 50 gram Bungkus
107 Silk no. 3/0 dengan jarum bedah pcs
108 Simvastatin 10 mg (di spek Kotak ) Tablet
109 Simvastatin 20 mg (di spek Kotak ) Tablet
110 Tablet Tambah Darah Kombinasi Tablet
111 Tetrasiklin Kapsul 250 mg Kapsul
112 Tetrasiklin Kapsul 500 mg Kapsul
113 Tiamfenikol Kapsul 500 mg Kapsul
114 Zinc Tablet Tablet
138,900
224,000
10,000
123,120
35,100
2,600
3,013,400
18,000
10,000
500,000
24,825
2,200
14,700
180,800
6,450
11,000
1,016,500
30,000
600
170
6,000
1,239,000
3,500
10,000
300
18,940
160
1,056
10
100
50
18,000
5,010
30,000
5,000
20,000
500
68,700
6,550
130,400
28,500
484,600
766,500
4,000
696
1,000
70,000
75,445
482,300
15,200
80,100
10,000
14,800
49,700
20,300
10,000
30,600
3,300
142,000
6,874,000
2,000
510
15,000
77,400
35,050
112,500
60,000
9,407
40,000
250,000
10,000
260,500
Obat Rusak/ditarik ijin edarnya
No Nama obat Satuan Juli Agustus September

Antasida DOEN I tablet kunyah, kombinasi : Alum Tablet
Antasida DOEN II suspensi, kombinasi : Aluminiu Botol
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 Tube
Antihemoroid, kombinasi: bismut subgalat 150 mg Suppositoria
Asam Asetilsalisilat (asetosal) tablet/kaplet/kapsul Tablet
Garam Oralit I serbuk, kombinasi : Natrium klorida 0 Shacset
Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Tablet
Klorfeniramina Maleat (CTM) tablet/kapsul/kaplet Tablet
Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 m Tablet
Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 m Tablet
Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfam Kaplet
Kotrimoksazol Suspensi komb: Sulfametoksazol 200 Botol @ 60 ml
Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2m Ampul
Metilergometrin Maleat (Metilergometrin) tablet sa Tablet
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6 Botol
Salep 2-4 , Kombinasi : Asam Salisilat 2% + Beleran Pot @ 30 gram
Sianokobalamin (vitamin B12) tablet/kapsul/kaplet Tablet
0 0
0 0
Alat Suntik Sekali Pakai - 1 cc Tuberculin 27G x 1/ Pcs
Alat Suntik Sekali Pakai - 10 cc x 21G x 1 1/2"(nipro Pcs
Alat Suntik Sekali Pakai - 10 cc x 21G x 1 1/2"(teru Pcs
Alat Suntik Sekali Pakai - 2.5 cc x 23G x 1 1/4"(stera Pcs
Alat Suntik Sekali Pakai - 5 cc x 22G x 1 1/4"(NIPRO Pcs
Benang Bedah SMI(CATGUT CHROMIC SMI 2/0 DS 24 Pcs
Benang Bedah SMI(CATGUT PLAIN SMI 2/0 HR 37 M Pcs
Benang Bedah SMI(CATGUT PLAIN SMI 3/0 DS 24 M Pcs
Benang Bedah SMI(CATGUT PLAIN SMI 3/0 HR 26 M Pcs
Benang Bedah SMI(CATGUT PLAIN SMI 3/0 DS 24 M Pcs
Benang Bedah SMI(SILK BLACK 2/0 HR 20 MM) Raja Pcs
Benang Bedah SMI(SILK BLACK 3/0 DS 24 MM)Raja Pcs
Benang Bedah SMI(SILK BLACK 2/0 DS 24 MM) Raja Pcs
Benang Operasi - Catgut Chromic 2/0 + jarum 1/2 Pcs
Benang Operasi - Catgut Chromic 3/0 + jarum 1/2 Pcs
Benang Operasi - Catgut Plain 2/0 + jarum 1/2 GT Pcs
Benang Operasi - Catgut Plain 3/0 + jarum 1/2 GT Pcs
Benang Operasi - Silk 2/0 + jarum 1/2 GT 35 mm(O Pcs
Benang Operasi - Silk 3/0 + jarum 1/2 GT 35 mm(O Pcs
Blade bbraun Aesculap blade/carbon steal scalpel b Pcs
Folley Catheter 2 way No. 16 Onemed -urocare folle Pcs
Folley Catheter ped No 6 Onemed -urocare folley C Pcs
Folley Catheter ped No 8 Onemed -urocare folley C Pcs
Folley Catheter ped No 10 Onemed -urocare folley Pcs
Infus Set, IV, Wing needle - I.V Catheter No. 22 G x 1 Pcs
Infus Set, IV, Wing needle - I.V Catheter No. 24 G x Pcs
Infus Set, IV, Wing needle - Infusion Set Pediatric ( Pcs
Kasa, Verband, Kapas - kasa Hydrofil 36 x 80cm Rol
Kasa, Verband, Kapas - kasa hydrophil 4 x 3 cm Rol
Kasa, Verband, Kapas - kasa hydrophil 4 x 3 cm ( Rol
Kasa, Verband, Kapas - kasa sterile (AHMADARIS kas Box
Kasa, Verband, Kapas - Kapas Pembalut Hydrofil( Rol
Sarung tangan Steril AXIMED CHIRURGI GLOVES, (S Pcs
Surgical Mask - FRES AIR SURGICAL MASK EAR LO Lembar
Infus Set, IV, Wing needle - Infusion Set Dewasa (20 Pcs
Kasa, Verband, Kapas - Kasa Hydrophil 2 x 80 cm Pcs
SABUN NON - MIKROBIAL Bbraun SOFTASKIN 500 Botol
SKIN DISINFEKTAN POVIDON IODIN + ALKOHOL B Botol
IV Catheter Global Dispomedika IV TRO-Vensite Pl Pcs
Oktober November Desember Total
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

Stok Opname JKN PKM Sudah PPN Semester 1 2016

Diunggah oleh

Informasi Dokumen

Judul Asli

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

Stok Opname JKN PKM Sudah PPN Semester 1 2016

Diunggah oleh

Hak Cipta:

Format Tersedia

LAPORAN STOK OPNAME OBAT & BMHP JKN BULAN JULI S/D DESEMBER 2

DINKES KAB. CIREBON (Menggunakan daftar harga sudah

Mengetahui Sumber 31 Desember 2015

HJ. TITITN KARTINI, S.KM FIM HARDI UTOMO, S.Farm, Apt

Air untuk injeksi (Aqua pro Injeks) 20 ml Vial 20 ml

Doksisiklin tablet/kapsul/kaplet 100 mg Kapsul

Klindamisin kapsul/kaplet 150 mg Kapsul

Omeprazol kapsul/kaplet 20 mg Kaplet

IV Catheter( NIPRO 20G X 1) Pcs

Air untuk injeksi (Aqua pro Injeks) 20 ml Vial 20 ml 0 0 0 0

Dimenhidrinat tablet 50 mg Tablet

Ketorolac injeksi 30 mg/ml Ampul

Omeprazol injeksi 40 mg/ 10 ml Vial

Zinc tablet dispersible20 mg Tablet

IV Catheter( NIPRO 28G X 2) Pcs

Air untuk injeksi (Aqua pro Injeks) 20 ml Vial 20 ml 30

Air untuk injeksi (Aqua pro Injeks) 20 ml Vial 20 ml

Air untuk injeksi (Aqua pro Injeks) 20 ml Vial 20 ml

Anda mungkin juga menyukai