RENCANA KEBUTUHAN OBAT WILKER KERTAJATI 2019

USULAN HARGA
NO NAMA OBAT & KEKUATAN KADAR SATUAN AKUMULASI
KEBUTUHAN SATUAN
1 I. 3 4
I.ANTI INFEKSI
1 Amoxicilin 500 mg 500 MG tablet 200 481 96,200
2 Ciprofloxacin 500 mg 500 MG tablet 200 598 119,600
3 Metronidazol 500 MG tablet 100 372 37,200
4 Thiamfenicol 500 MG tablet 100 1,280 128,000
5 Acyclovir 400 mg tablet 100 945 94,500
0
II.OBAT SALURAN NAPAS 0
II.1. Antitusif.Expectoran.Mukolitik. 0
6 fg Troches 300S tablet 100 1,667 166,700
7 OBH Syrup 100 ml Herbal 100 ml botol 10 17,944 179,440
8 Theofilline ( Bronsolvol ) 150 mg 150 mg tablet 100 429 42,900
9 Salbutamol 4 mg tablet 100 130 13,000
10 Ventolin 2.5 mg botol 2 70,856 141,712
11 Combivent botol 2 21,414 42,828
II.2. ANTI ALERGI 0
12 CTM 4 mg 4 mg tablet 100 144 14,400
13 Dexametason 0.5 mg 0.5 mg tablet 50 156 7,800
14 methylprednisolon 8mg 8 mg tablet 50 998 49,900
15 methylprednisolon 4 mg 4 mg tablet 50 573 28,650
II.3. ANTI COMMON COLD, ANTIPIRETIK 0
15 Alpara tablet 200 929 185,800
16 paracetamol 500 mg 500 mg tablet 500 287 143,500
0
III. ANALGETIKA,ANTI INFLAMASI,ANTI RHEUMATIK 0
17 Allopurinol 100mg 100 mg tablet 100 172 17,200
18 Asam mefenamat 500mg 500 mg tablet 100 222 22,200
19 Neuralgin tablet 100 972 97,200
0
IV. ANTI DIARE,SPASMOLITIKUM,ANTACIDE 0
20 Antasida tablet 100 273 27,300
21 Antasida + simetikon strip 10 11,800 118,000
22 Enziplek strip 10 35,750 357,500
23 new diatab tablet 100 725 72,500
24 Omeprazole 20mg 20 mg tablet 100 915 91,500
25 Spasminal tablet 100 829 82,900
0
X. OBAT KARDIOVASKULER 0
X.1 ANTI HIPERTENSI 0
26 Amlodipin 10 mg 10 mg tablet 100 2,201 220,100
27 Captopril 12,5mg 12.5 mg tablet 100 146 14,600
28 Captopril 25mg 25 mg tablet 100 179 17,900
29 Isosorbid Dinitrat 5mg (ISDN) 5 mg tablet 100 160 16,000
30 Simvastatin 10mg 10 mg tablet 100 667 66,700
0
X.2 DIURETIKA 0
31 Furosemide 40 mg 40 mg tablet 100 144 14,400
0
XI. OBAT METABOLISME ENZIM danVITAMIN 0
32 Neurobion Strip 5 21,250 106,250
33 VITALONG C 30 S 30 mg Botol 1 47,190 47,190
0
XII. INFEKSI PADA KULIT 0
34 Acyclovir Zalf 5g 5g Tube 5 4,705 23,525
35 BIOPLACENTON 15 gr 15 g Tube 2 22,165 44,330
36 Minyak Kayu Putih 30ml 30 ml botol 5 10,430 52,150
37 Salicil Talk 10g 10 g pcs 10 17,703 177,030
38 Heparin 20.000 IU Gel 20 gr Tube 2 70,785 141,570
39 Betamethasone valerate 1 mg, neomycin sulfate 5 mg 5 mg Tube 4 17,517 70,068
0
XIII. INFEKSI PADA MATA 0
40 Erlamycetin tetes mata 5 ml Botol 3 20,020 60,060
41 Cendi citrol 5 ml Botol 2 38,967 77,934
0
XIV. OBAT MULUT 0
42 ALBOTHYL 5 ml Botol 2
43 Borax Glycerine 10% (GOM) 10% Botol 5 4,004 20,020
0
 XVI. OBAT-OBAT SUNTIK 0
44 Dextrose 40% 40% Botol 4 2,990 11,960
45 Dextrose 5% 500 ml% Botol 2 13,521 27,042
46 NaCl 0.9% 500 ml 500 ml Botol 3 21,368 64,104
47 Ringer Laktat 500 ml 500 ml Botol 3 9,295 27,885
0
VII. ALAT KESEHATAN dan OBAT LUAR 0
TOTAL 3,679,248

Menyetujui,
Kasie UKLW

dr. Medi Nursasih

NIP. 196605072009121001
 3,679,248
2,739,154
3,127,137
3,641,764
6,920,957
10,324,287
30,432,547
 RENCANA KEBUTUHAN OBAT WILKER CIREBON 2019

USULAN HARGA
NO NAMA OBAT & KEKUATAN KADAR SATUAN AKUMULASI
KEBUTUHAN SATUAN
1 I. 3 4
I.ANTI INFEKSI
1 Amoxicilin 500 mg 500 MG tablet 200 481 96,200
2 Ciprofloxacin 500 mg 500 MG tablet 200 598 119,600
3 Metronidazol 500 MG tablet 100 372 37,200
4 Thiamfenicol 500 MG tablet 100 1,280 128,000
6 Acyclovir 400 mg tablet 100 945 94,500
0
II.OBAT SALURAN NAPAS 0
II.1. Antitusif.Expectoran.Mukolitik. 0
8 OBH Syrup 100 ml Herbal 100 ml botol 10 17,944 179,440
9 Theofilline ( Bronsolvol ) 150 mg 150 mg tablet 100 429 42,900
10 Salbutamol 4 mg tablet 100 130 13,000
11 Ventolin 2.5 mg botol 2 70,856 141,712
12 Combivent botol 2 21,404 42,808
II.2. ANTI ALERGI 0
13 CTM 4 mg 4 mg tablet 100 144 14,400
14 Dexametason 0.5 mg 0.5 mg tablet 50 156 7,800
15 methylprednisolon 8mg 8 mg tablet 50 998 49,900
16 methylprednisolon 4 mg 4 mg tablet 50 573 28,650
II.3. ANTI COMMON COLD, ANTIPIRETIK 0
17 Alpara tablet 200 929 185,800
18 Paratusin syrup 60 ml 60 ml botol 5 35,535 177,675
0
III. ANALGETIKA,ANTI INFLAMASI,ANTI RHEUMATIK 0
19 Allopurinol 100mg 100 mg tablet 100 172 17,200
20 Asam mefenamat 500mg 500 mg tablet 100 222 22,200
21 Neuralgin tablet 100 972 97,200
0
IV. ANTI DIARE,SPASMOLITIKUM,ANTACIDE 0
22 Antasida tablet 100 273 27,300
23 Antasida + simetikon strip 10 11,800 118,000
24 new diatab tablet 100 725 72,500
25 Omeprazole 20mg 20 mg tablet 100 915 91,500
26 Spasminal tablet 100 829 82,900
0
X. OBAT KARDIOVASKULER 0
X.1 ANTI HIPERTENSI 0
27 Amlodipin 10 mg 10 mg tablet 100 2,201 220,100
28 Captopril 12,5mg 12.5 mg tablet 100 146 14,600
29 Captopril 25mg 25 mg tablet 100 179 17,900
30 Isosorbid Dinitrat 5mg (ISDN) 5 mg tablet 100 160 16,000
31 Simvastatin 10mg 10 mg tablet 100 667 66,700
0
X.2 DIURETIKA 0
32 Furosemide 40 mg 40 mg tablet 100 144 14,400
0
XI. OBAT METABOLISME ENZIM danVITAMIN 0
33 Neurobion Strip 5 21,250 106,250
34 VITALONG C 30 S 30 mg Botol 1 1,573 1,573
0
XII. INFEKSI PADA KULIT 0
35 Acyclovir Zalf 5g 5g Tube 5 4,705 23,525
36 BIOPLACENTON 15 gr 15 g Tube 2 22,165 44,330
37 Minyak Kayu Putih 30ml 30 ml botol 5 10,430 52,150
38 Salicil Talk 10g 10 g pcs 10 17,703 177,030
39 Betamethasone valerate 1 mg, neomycin sulfate 5 mg 5 mg Tube 4 17,517 70,068
0
XIII. INFEKSI PADA MATA 0
40 Erlamycetin tetes mata 5 ml Botol 2 20,020 40,040
41 Cendi citrol 5 ml Botol 2 38,967 77,934
0
XIV. OBAT MULUT 0
42 ALBOTHYL 5 ml Botol 2 0
43 Borax Glycerine 10% (GOM) 10% Botol 5 4,004 20,020
0
XVI. OBAT-OBAT SUNTIK 0
44 Dextrose 40% 40% Botol 4 2,990 11,960
45 Dextrose 5% 500 ml% Botol 2 0
46 NaCl 0.9% 500 ml 500 ml Botol 3 21,368 64,104
47 Ringer Laktat 500 ml 500 ml Botol 3 9,295 27,885
0
TOTAL 2,739,154

Menyetujui,
Kasie UKLW

dr. Medi Nursasih

NIP. 196605072009121001
 RENCANA KEBUTUHAN OBAT WILKER KERTAJATI 2019

USULAN HARGA
NO NAMA OBAT & KEKUATAN KADAR SATUAN AKUMULASI
KEBUTUHAN SATUAN
1 I. 3 4
I.ANTI INFEKSI
1 Amoxicilin 500 mg 500 MG tablet 200 481 96,200
2 Ciprofloxacin 500 mg 500 MG tablet 100 598 59,800
3 Metronidazol 500 MG tablet 100 375 37,500
4 Acyclovir 400 mg tablet 200 945 189,000
0
II.OBAT SALURAN NAPAS 0
II.1. Antitusif.Expectoran.Mukolitik. 0
8 OBH Syrup 100 ml Herbal 100 ml botol 10 17,944 179,440
9 Theofilline ( Bronsolvol ) 150 mg 150 mg tablet 100 429 42,900
10 Salbutamol 4 mg tablet 100 130 13,000
11 Ventolin 2.5 mg botol 2 70,856 141,712
12 Combivent botol 2 21,404 42,808
II.2. ANTI ALERGI 0
13 CTM 4 mg 4 mg tablet 100 139 13,900
14 Dexametason 0.5 mg 0.5 mg tablet 50 156 7,800
15 methylprednisolon 8mg 8 mg tablet 50 998 49,900
16 methylprednisolon 4 mg 4 mg tablet 50 573 28,650
II.3. ANTI COMMON COLD, ANTIPIRETIK 0
17 Alpara tablet 100 929 92,900
0
III. ANALGETIKA,ANTI INFLAMASI,ANTI RHEUMATIK 0
18 Allopurinol 100mg 100 mg tablet 100 224 22,400
19 Asam mefenamat 500mg 500 mg tablet 100 222 22,200
20 Neuralgin tablet 100 972 97,200
0
IV. ANTI DIARE,SPASMOLITIKUM,ANTACIDE 0
21 Antasida tablet 100 273 27,300
22 Antasida + simetikon strip 20 11,800 236,000
23 Enziplek strip 10 35,750 357,500
24 new diatab tablet 100 725 72,500
25 Omeprazole 20mg 20 mg tablet 100 915 91,500
26 Spasminal tablet 100 829 82,900
0
X. OBAT KARDIOVASKULER 0
X.1 ANTI HIPERTENSI 0
27 Amlodipin 10 mg 10 mg tablet 100 2,201 220,100
28 Captopril 12,5mg 12.5 mg tablet 100 146 14,600
29 Captopril 25mg 25 mg tablet 100 179 17,900
30 Isosorbid Dinitrat 5mg (ISDN) 5 mg tablet 100 160 16,000
31 Simvastatin 10mg 10 mg tablet 100 667 66,700
0
X.2 DIURETIKA 0
32 Furosemide 40 mg 40 mg tablet 100 144 14,400
0
XI. OBAT METABOLISME ENZIM danVITAMIN 0
33 Neurobion Strip 5 21,250 106,250
34 VITALONG C 30 S 30 mg Botol 1 1,573 1,573
0
XII. INFEKSI PADA KULIT 0
35 Acyclovir Zalf 5g 5g Tube 5 4,705 23,525
36 BIOPLACENTON 15 gr 15 g Tube 2 22,165 44,330
37 Minyak Kayu Putih 30ml 30 ml botol 5 10,430 52,150
38 Salicil Talk 10g 10 g pcs 5 17,703 88,515
39 Heparin 20.000 IU Gel 20 gr Tube 2 70,785 141,570
40 Betamethasone valerate 1 mg, neomycin sulfate 5 mg 5 mg Tube 3 17,517 52,551
0
XIII. INFEKSI PADA MATA 0
41 Erlamycetin tetes mata 5 ml Botol 3 20,020 60,060
42 Cendi citrol 5 ml Botol 2 38,967 77,934
0
XIV. OBAT MULUT 0
43 ALBOTHYL 5 ml Botol 2 0
44 Borax Glycerine 10% (GOM) 10% Botol 5 4,004 20,020
0
XVI. OBAT-OBAT SUNTIK 0
45 Dextrose 40% 40% Botol 4 2,990 11,960
46 Dextrose 5% 500 ml% Botol 2 0
47 NaCl 0.9% 500 ml 500 ml Botol 3 21,368 64,104
48 Ringer Laktat 500 ml 500 ml Botol 3 9,295 27,885
0
TOTAL 3,127,137

Menyetujui,
Kasie UKLW

dr. Medi Nursasih

NIP. 196605072009121001
 RENCANA KEBUTUHAN OBAT WILKER KERTAJATI 2019

USULAN HARGA
NO NAMA OBAT & KEKUATAN KADAR SATUAN AKUMULASI
KEBUTUHAN SATUAN
1 I. 3 4
I.ANTI INFEKSI
1 Amoxicilin 500 mg 500 MG tablet 100 481 48,100
2 Ciprofloxacin 500 mg 500 MG tablet 100 598 59,800
3 Metronidazol 500 MG tablet 100 372 37,200
4 Thiamfenicol 500 MG tablet 100 1,280 128,000
5 Acyclovir 400 mg tablet 200 945 189,000
0
II.OBAT SALURAN NAPAS 0
II.1. Antitusif.Expectoran.Mukolitik. 0
6 fg Troches 300S tablet 50 1,667 83,350
7 OBH Syrup 100 ml Herbal 100 ml botol 10 17,944 179,440
8 Theofilline ( Bronsolvol ) 150 mg 150 mg tablet 100 429 42,900
9 Salbutamol 4 mg tablet 100 130 13,000
10 Ventolin 2.5 mg botol 2 70,856 141,712
11 Combivent botol 2 21,414 42,828
II.2. ANTI ALERGI 0
13 CTM 4 mg 4 mg tablet 100 144 14,400
14 methylprednisolon 8mg 8 mg tablet 50 998 49,900
15 methylprednisolon 4 mg 4 mg tablet 50 573 28,650
16 Dexametason 0.5 mg 0.5 mg tablet 100 156 15,600
II.3. ANTI COMMON COLD, ANTIPIRETIK 0
17 Alpara tablet 100 929 92,900
0
III. ANALGETIKA,ANTI INFLAMASI,ANTI RHEUMATIK 0
18 Allopurinol 100mg 100 mg tablet 100 172 17,200
19 Asam mefenamat 500mg 500 mg tablet 100 222 22,200
20 Neuralgin tablet 100 972 97,200
0
IV. ANTI DIARE,SPASMOLITIKUM,ANTACIDE 0
21 Antasida tablet 100 273 27,300
22 Antasida + simetikon strip 10 11,800 118,000
23 Enziplek strip 10 3,575 35,750
24 new diatab tablet 100 725 72,500
25 Omeprazole 20mg 20 mg tablet 100 915 91,500
26 Spasminal tablet 100 829 82,900
0
X. OBAT KARDIOVASKULER 0
X.1 ANTI HIPERTENSI 0
27 Amlodipin 10 mg 10 mg tablet 100 2,201 220,100
28 Captopril 12,5mg 12.5 mg tablet 100 146 14,600
29 Captopril 25mg 25 mg tablet 100 179 17,900
30 Isosorbid Dinitrat 5mg (ISDN) 5 mg tablet 100 160 16,000
31 Simvastatin 10mg 10 mg tablet 100 667 66,700
0
X.2 DIURETIKA 0
31 Furosemide 40 mg 40 mg tablet 100 144 14,400
0
XI. OBAT METABOLISME ENZIM danVITAMIN 0
32 Neurobion Strip 5 2,125 10,625
33 VITALONG C 30 S 30 mg Botol 1 1,573 1,573
0
XII. INFEKSI PADA KULIT 0
34 Acyclovir Zalf 5g 5g Tube 5 4,705 23,525
35 BIOPLACENTON 15 gr 15 g Tube 2 22,165 44,330
36 Minyak Kayu Putih 30ml 30 ml botol 5 10,430 52,150
37 Salicil Talk 10g 10 g pcs 5 17,703 88,515
38 Heparin 20.000 IU Gel 20 gr Tube 2 70,785 141,570
39 Betamethasone valerate 1 mg, neomycin sulfate 5 mg 5 mg Tube 3 17,517 52,551
0
XIII. INFEKSI PADA MATA 0
40 Erlamycetin tetes mata 5 ml Botol 3 20,020 60,060
41 Cendi citrol 5 ml Botol 2 38,967 77,934
0
XIV. OBAT MULUT 0
42 ALBOTHYL 5 ml Botol 2 0
43 Borax Glycerine 10% (GOM) 10% Botol 5 4,004 20,020
0
XVI. OBAT-OBAT SUNTIK 0
44 Dextrose 40% 40% Botol 4 2,990 11,960
45 Dextrose 5% 500 ml% Botol 2 0
46 NaCl 0.9% 500 ml 500 ml Botol 3 21,368 64,104
47 Ringer Laktat 500 ml 500 ml Botol 3 9,295 27,885
0
VII. ALAT KESEHATAN dan OBAT LUAR 0
48 Alkohol Swabs Dus 5 35,700 178,500
49 Disposible syringe 1 cc Dus 20 9,152 183,040
50 Disposible syringe 10 cc Dus 20 6,864 137,280
51 Disposible syringe 3 cc Dus 1 6,864 6,864
52 Disposible syringe 5cc Dus 1 8,008 8,008
53 Infus set ( prime stop dan air stop ) set 5 18,200 91,000
54 IV Catheter 20 G ( wing with inject port,safety klip ) pcs 5 6,500 32,500
55 IV Catheter 22 G ( wing with inject port,safety klip ) pcs 5 6,500 32,500
56 IV Catheter 24 G pcs 2 6,500 13,000
57 Rivanol 300 ml Botol 2 12,870 25,740
58 Sarung tangan ukuran S Dus 1 58,500 58,500
59 Sarung tangan ukuran M Dus 2 58,500 117,000
63 Calcium Alginate Dres pcs 2 0
TOTAL 3,641,764

Menyetujui,
Kasie UKLW

dr. Medi Nursasih

NIP. 196605072009121001
13,187,303
 DAFTAR KEBUTUHAN OBAT DAN BAHAN HABIS PAKAI DI POLI INDUK
TAHUN 2019

USULAN HARGA TOTAL

NO NAMA OBAT KADAR SATUAN KEBUTUH SATUAN HARGA
AN
1 2 3 4 5 6 7
A. ANTI INFEKSI
1 ciprofloxacin 500 mg 500 mg tablet 500 598 299,000
2 Amoxycillin 500 mg tablet 500 484 242,000
0
B. OBAT KARDIOVASKULER 0
3 amlodipin 10 mg 10 mg tablet 300 2,201 660,300
4 amlodipin 5 mg 5 mg tablet 300 1,248 374,400
5 Captopril 25 mg 25 mg 300 179 53,700
6 captopril 12,5 mg 12,5 mg tablet 500 146 73,000
7 Cedocart 5 mg tablet 100 1,477 147,700
0
C. ANTI ALERGI 0
8 cetirizine 10 mg tablet 200 601 120,200
9 dimenhydrinate 50 mg tablet 100 186 18,600
10 Dexametason 0.5 mg 0.5 mg tablet 100 156 15,600
D. ANTIPIRETIK 0
11 paracetamol 500 mg 500 mg tablet 500 287 143,500
12 Histigo 6 mg 300 888 266,400
0
E. ANALGETIK, ANTI INFLAMASI 0
13 neuralgin tablet 500 972 486,000
14 ibuprofen 200 mg 200 mg tablet 200 151 30,200
15 ibuprofen 400 mg 400 mg 200 194 38,800
16 Na diclofenak 50 mg 300 597 179,100
17 Asam Mefenamat 500 mg 500 222 111,000
0
F. ANTI DIARE, ANTASID, ANTI EMETIK 0
18 ranitidin 200 tablet 200 286 57,200
19 new diatabs 50 strip 50 725 36,250
20 omeprazole 20 mg 150 tablet 150 915 137,250
21 Loperamid hcl 2 mg tablet 200 139 27,800
22 Antacid tablet 400 273 109,200
23 Ranacyd Syrup 10 315 3,150
24 Ramolit Bungkus 100 455 45,500
0
G. ANTITUSIF, EXPECTORAN, MUKOLITIK 0
25 ambroxol 200 tablet 200 201 40,200
26 bromhexin 150 tablet 150 0
27 Alpara tablet 500 929 464,500
28 Demacolin tablet 300 504 151,200
29 OBH Syrup 10 15,730 157,300
0
H. KORTIKOSTEROID 0
30 methylprednisolon 8mg 8 mg tablet 100 998 99,800
31 methylprednisolon 4 mg 4 mg 100 573 57,300
0
I. OBAT METABOLISME ENZIM DAN VITAMIN 0
32 neurodex tablet 100 786 78,600
33 Allopurinol 100 mg 500 224 112,000
34 Simvastatin 20 mg 500 1,334 667,000
35 VITALONG C 30 S 30 mg Botol 3 47,190 141,570
0
J. ANTI DIABETES 0
36 metformin 500 mg 500 mg tablet 100 237 23,700
37 glimepiride 2 mg 2 mg tablet 100 1,863 186,300
0
K. INFEKSI PADA MATA 0
38 cendo xitrol 5 ml botol 5 38,967 194,835
39 Erlamycetin 5 ml 5 20,020 100,100
0
L. OBAT LUAR 0
40 Acyclovir Zalf 5g 5g Tube 5 4,705 23,525
41 gentamycin cream 0.1 % 5g tube 5 2,764 13,820
42 hydrocortison cream 2.50% tube 5 5,002 25,010
43 analgesic cream tube 5 24,596 122,980
44 trombopop gel tube 5 70,785 353,925
45 Mola cream 5 8,222 41,110
0
M. OBAT SUNTIK 0
46 RL 3 botol 3 18,876 56,628
47 Dekstose 40 % 25 ml 5 2,990 14,950
48 Nacl 0.90% 3 21,368 64,104
49 Epineprin 5 10,530 52,650
50 Cortidex 5 400 2,000

TOTAL 6,920,957

Menyetujui,
Kasie UKLW

dr. Medi Nursasih

NIP. 196605072009121001
 DAFTAR KEBUTUHAN OBAT DAN BAHAN HABIS PAKAI DI POLI INDUK
TAHUN 2019

USULAN HARGA TOTAL

NO NAMA OBAT KADAR SATUAN KEBUTUH SATUAN HARGA
AN
1 2 3 4 5 6 7
A. ANTI INFEKSI
1 ciprofloxacin 500 mg 500 mg tablet 1000 598 598,000
2 Amoxycillin 500 mg tablet 1000 484 484,000
0
B. OBAT KARDIOVASKULER 0
3 amlodipin 5 mg 5 mg tablet 1500 1,248 1,872,000
4 Captopril 25 mg 25 mg 500 179 89,500
5 Isosorbid Dinitrat 5mg (ISDN) 5 mg tablet 2000 160 320,000
0
C. ANTI ALERGI 0
6 cetirizine 10 mg tablet 500 601 300,500
7 dimenhydrinate 50 mg tablet 100 186 18,600
8 Dexametason 0.5 mg 0.5 mg tablet 500 156 78,000
9 Methilprednisolon 4 mg tablet 500 573 286,500
D. ANTIPIRETIK 0
10 paracetamol 500 mg 500 mg tablet 500 287 143,500
0
E. ANALGETIK, ANTI INFLAMASI 0
11 neuralgin tablet 500 972 486,000
12 ibuprofen 200 mg 200 mg tablet 200 151 30,200
13 ibuprofen 400 mg 400 mg 200 194 38,800
14 Na diclofenak 50 mg 300 597 179,100
0
F. ANTI DIARE, ANTASID, ANTI EMETIK 0
15 ranitidin 200 tablet 200 286 57,200
16 omeprazole 20 mg 150 tablet 150 915 137,250
17 Loperamid hcl 2 mg tablet 200 139 27,800
18 Antacid tablet 400 273 109,200
19 Ranacyd Syrup 10 315 3,150
0
G. ANTITUSIF, EXPECTORAN, MUKOLITIK 0
20 ambroxol 200 tablet 500 201 100,500
21 Alpara tablet 1000 929 929,000
22 Demacolin tablet 300 504 151,200
0
H. KORTIKOSTEROID 0
23 methylprednisolon 8mg 8 mg tablet 500 998 499,000
0
I. OBAT METABOLISME ENZIM DAN VITAMIN 0
24 neurodex tablet 500 786 393,000
25 Allopurinol 100 mg 500 224 112,000
26 Simvastatin 20 mg 500 1,334 667,000
0
J. ANTI DIABETES 0
27 metformin 500 mg 500 mg tablet 500 237 118,500
28 glimepiride 2 mg 2 mg tablet 300 1,863 558,900
0
K. INFEKSI PADA MATA 0
29 cendo xitrol 5 ml botol 5 38,967 194,835
30 Erlamycetin 5 ml 5 20,020 100,100
0
L. OBAT LUAR 0
31 gentamycin cream 0.1 % 5g tube 5 2,764 13,820
32 hydrocortison cream 2.50% tube 5 5,002 25,010
33 analgesic cream tube 5 24,596 122,980
34 trombopop gel tube 5 70,785 353,925
35 Mola cream 5 8,222 41,110
36 Acyclovir Zalf 5g 5g Tube 5 4,705 23,525
37 BIOPLACENTON 15 gr 15 g Tube 2 22,165 44,330
38 Minyak Kayu Putih 30ml 30 ml botol 5 10,430 52,150
39 Salicil Talk 10g 10 g pcs 10 17,703 177,030
40 Heparin 20.000 IU Gel 20 gr Tube 2 70,785 141,570
41 Betamethasone valerate 1 mg, ne 5 mg Tube 4 17,517 70,068
0
M. OBAT SUNTIK 0
42 RL 3 botol 5 18,876 94,380
43 Dekstose 40 % 25 ml 5 2,990 14,950
44 Nacl 0.90% 3 21,368 64,104
45 Cortidex 5 400 2,000

TOTAL 10,324,287

Menyetujui,
Kasie UKLW

dr. Medi Nursasih

NIP. 196605072009121001