Anda di halaman 1dari 5

No Nama Obat Satuan Jumlah Ket

Persediaan Pemakaian Sisa stok


1 Albendazol tablet 400 mg
2 Alopurinol tablet 100 mg
3 Ambroxol tab 30 mg
4 Aminofilin tablet 200 mg
5 Aminofilina injeksi 24 mg/ml - 10 ml
6 Amitriptilin HCl tablet salut 25 mg
7 Amlodipin tablet 5 mg
8 Amoksisilin kaplet 500 mg
9 Amoksisilin sirup kering 125 mg/5ml
10 Amoksisilin sirup kering Forte 250
mg/5ml
11 Ampisilin serbuk injeksi im/iv 1000
mg/ml
12 Antasida DOEN tab:Mg-Hidrok.
200mg+Al. Hidrok. 200 mg
13 Anti Hemoroid DOEN Kombinasi
14 Aqua pro Injeksi steril 25 ml, bebas
pirogen
15 Aquadest steril 500 ml
16 Asam Asetilsalisilat (Asetosal) tablet
80 mg
17 Asam Askorbat (Vit C) tablet 50 mg
18 Asam Mefenamat tablet salut selaput
500 mg
19 Asiklovir tablet 400 mg
20 Atapulgit tablet 600 mg
21 Atropin injeksi im/iv/sk 0,25 mg/ml -
1 ml ( Sulfat )
22 Benzatin Bensil Penisillin 2,4 juta
IU/Vial
23 Betametason krim 0,5 mg/g
24 Deksametason injeksi iv. 5 mg/ml - 1
ml
25 Deksametason tablet 0,5 mg
26 Diazepam injeksi 5 mg/ml - 2 ml
27 Diazepam lar rektal 10mg/ 2,5 ml
(Stesolid)
28 Diazepam tablet 2 mg
29 Difenhidramin inj im.10 mg/ml-1 ml
( HCl )
30 Digoksin tablet 0,25 mg
31 Domperidon tablet 10 mg
32 Epinefrina ( Adrenalina ) Injeksi
0,1% - 1 ml ( HCl )
33 Erytromycin kapsul 500 mg
34 Erytromycin sirup 200 mg/5 ml
35 Etanol 70%
36 Fenitoin Natrium kapsul 100 mg
37 Fenol Gliserol tetes telinga 10%
38 Fitomenadion (Vit.K1) injeksi 2
mg/ml - 1 ml
39 Fitomenadion (Vit.K1) tablet salut
gula 10 mg
40 Fluphenazin Decanoate 25mg/ml
(Sikzonoate Inj)
41 Furosemid injeksi iv/im 10 mg/ml
42 Furosemid tablet 40 mg
43 Garam Oralit untuk 200 ml air
44 Gentamisin injeksi 40 mg/ml (sbg
Sulfat)
45 Glibenklamid tablet 5 mg
46 Gliseril Guayakolat tablet 100 mg
47 Glukosa larutan infus 5 %
48 Haldol Decanoat 50 mg/ml inj
49 Haloperidol 5mg/ml inj
50 Haloperidol tablet 0,5 mg
51 Haloperidol tablet 1,5 mg
52 Hidrokortison krim 2,5 %
53 Ibuprofen tablet 400 mg
54 Isosorbid Dinitrat tablet sublingual 5
mg
55 Kalium Permanganat serbuk
56 Kalsium Glukonat inj 100mg/ml / Ca
Gluconas
57 Kalsium Laktat (Kalk) tablet 500 mg
58 Kaptopril tablet 25 mg
59 Karbamazepin tablet 200 mg
60 Kloramfenikol injeksi 1000 mg
61 Kloramfenikol kapsul 250 mg
62 Kloramfenikol salep mata 1 %
63 Kloramfenikol suspensi 125 mg/5 ml
64 Kloramfenikol tetes mata 1 %
65 Kloramfenikol tetes telinga 3 %
66 Klorfeniramin Maleat (CTM) tablet 4
mg
67 Klorpromazin HCl tablet salut 100
mg(HCl)
68 Klorpromazin tablet salut 25 mg (
HCl )
69 Kodein tablet 10 mg
70 Kotrimoksazol Susp : Sulfa
200mg+Trimetoprim 40mg
71 Kotrimoksazol : Sulfametoksazol
400mg+Trimetoprim 80mg
72 Larutan elektrolit D5 - 1/2 NS
73 Larutan elektrolit D5 - 1/4 NS
74 Lidokain inj: Lidokain HCl 2% +
Epinefrin 1:80.000- 2ml
75 Magnesium Sulfat injeksi (iv) 20 % -
25 ml
76 Magnesium Sulfat injeksi (iv) 40 % -
25 ml
77 Metamizole inj 1 gr / 2 ml
78 Metformin HCl tablet 500 mg
79 Metilergometrin Maleat
(Metilergometrin) salut 0,125 mg
80 Metilergometrin Maleat inj 0,200
mg-1 ml
81 Metronidazol tablet 250 mg
82 Metronidazol tablet 500 mg
83 Mikonazol cream
84 Natrium Diklofenak tablet 50 mg
85 Natrium Klorida larutan infus 0,9 %
steril
86 Nifedipin tablet 10 mg
87 Nistatin tablet salut 500.000 IU/g
88 Nistatin tablet vaginal 100.000 IU/g
89 Obat Batuk Hitam ( O.B.H. ) cairan
90 Oksitosin injeksi 10 IU/ml - 1 ml
91 Omeprazol injeksi 40 mg/ 10 ml
92 Parasetamol sirup 120 mg/5 ml
93 Parasetamol tablet 500 mg
94 Piridoksin (Vit.B6) tablet 10 mg (
HCl )
95 Povidon Iodida 10 %, 300 ml
96 Prednison tablet 5 mg
97 Propanolol tablet 10 mg (HCl)
98 Propranolol tablet 40 mg (HCl)
99 Ranitidin injeksi 25 mg/ml
100 Ranitidin tablet 150 mg
101 Ringer Laktat larutan infus steril
102 Risperidon 2 mg
103 Salbutamol 2,5 mg respulles (Komb
Ipratropium Br 0,5mg + Salbutamol
2,5 mg nebules) Combivent
104 Salbutamol tablet 2 mg ( sebagai
sulfat )
105 Salep 2-4, Kombinasi:As. Salisilat
2%+ Belerang Endap 4%
106 Salisil Bedak 2 %
107 Sefadroksil kapsul 500 mg
108 Serum Anti Tetanus Injeksi 1.500
IU/ampul (A.T.S.)
109 Sianokobalamin (Vit.B12) injeksi
500 mcg - ml
110 Simvastatin tablet 10 mg
111 Siprofloksasin tablet 500 mg (sebagai
HCl)
112 Tiamin (Viamin B1) tablet 50 mg
(HCl / Mononitrat )
113 Trifluoperazine tablet 5 mg
114 Triheksifenidil Hidroklorida tablet 2
mg
115 Vitamin B Kompleks tablet
116 Zinc sirup 10 mg/ml
117 Zinc tablet 20 mg
118 Glimepiride 1 mg
Jumlah
No Nama Alat Kesehatan Satuan Ket
persediaan Pemakaian Sisa stok
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 1 ml
3 Alat Suntik sekali pakai 3 ml
4 Alat Suntik sekali pakai 5 ml
5 Alat Suntik sekali pakai 10 ml
6 Alat Suntik sekali pakai 20 ml
7 Blade Sterile (Mess)
8 Blood Lancet
9 Blood transfusion set
Catgut chromic (Absorbable Suture
10
Sterile)
11 Catgut chromic Rol Lyofil®
12 Catgut Plain
13 Cathejell® Lidocain
14 Dermafix® T 10X12 cm
15 Female Catheter no. 12
16 Female Catheter no. 16
17 Foley Catheter no. 18
18 Foley Catheter no. 20
19 Gel Dopler USG
20 Infus set Anak
21 Infus set Dewasa
22 Iv Catheter no. 16
23 Iv Catheter no. 18
24 Iv Catheter no. 20
25 Iv Catheter no. 22
26 Iv Catheter no. 24
27 Jarum Kulit GT 14
28 Jarum Otot GR 14
29 Kapas Pembalut
30 Kassa Panjang
31 Kassa Steril
32 Masker N95/ R10
Masker rebreathing (Maxiflow
33
Besmed®)
34 Masker ties on
35 Nasal Canula Anak
36 Nasal Canula Dewasa
37 Needle No. 25G x 25 mm
38 Plester (Pharmafix®)
39 Plester Kain (Hansaplast®)
Sarung tangan Latex Powder Free no.
40
L
Sarung tangan Latex Powder Free no.
41
M
Sarung tangan Latex Powder Free no.
42
S
43 Sarung tangan non steril L
44 Sarung tangan non steril M
45 Sarung tangan obgyn
46 Sarung tangan steril
47 Scalvin no. 25 (Wing needle)
Silk 3/0 (Silk Braided Non
48
Absorbable Suture Sterile)
Silk Rol (Silk Black Braided 3/0 2
49
metric 100 m)
50 Stomach tube no.12
51 Stomach tube no.18
52 Under Pad (Soft Pad 60 x 90 cm)
53 Urine Bag
Tanbahan:
Masker Ear Lop
Nasal Canula Bayi
Pembalut Gips
Tes Kehamilan
RDT Combo Card (Tes Malaria) pink
RDT Combo Card (Tes Malaria)
Kuning
Rapid Test DBD