PEMERINTAH KABUPATEN BERAU

DINAS KESEHATAN
UPT PUSKESMAS TELUK BAYUR
Jl. Kandang Muntik RT 007 Kode Pos 77316 Teluk Bayur
No. Telp ( 081347438282) Email : puskesmas.telukbayur@yahoo.com

DAFTAR OBAT KADALUWARSA UPT PUSKESMAS TELUK BAYUR

APBN/PROGRAM
NOMOR HARGA PER TOTAL HARGA SUMBER TANGGAL
NO. NAMA OBAT SATUAN NOMOR BATCH JUMLAH
REGISTRASI SATUAN (Rp) (Rp) ANGGARAN KADALUARSA
1 DIETHYLCARBAMAZINE TABLET 1606077 10000 Prog. Filariasis 01/06/18
1607140 20227 Prog. Filariasis 01/07/17
1607143 500 Prog. Filariasis 01/07/17
1608001 10000 Prog. Filariasis 01/08/18
2 D-ARTEPP TABLET S0150807 36 Prog. Malaria 16/08/17
3 DHP FRIMAL Tablet 170503 DKI1340100217A1 45 Prog. Malaria 01/05/19
4 Rifampicin 150 mg Kotak MD 2861 GKL061242241741 1 Prog. TB 01/11/17
5 Rifampicin 150 mg Kotak ID1787J GKL061242241741 1 Prog. TB 01/08/17
6 Rifampicin 150 mg Kotak ED0693J GKL061242241741 1 Prog. TB 01/05/17
7 Rifampicin 150 mg Ampul AE001J GKL0612422509A1 78 Prog. TB 01/01/18
8 Ethambutol 400 mg Kotak ED084J GKL0712506617C1 1 Prog. TB 01/03/17
9 Rifampicin 75 mg Kotak 75480011 GKL1019927681A1 1 Prog. TB 01/05/16
10 Ethambutol 400 mg Tablet 1310006 GKL0720904717A1 28 Prog. TB 01/10/16
11 Rifampicin 150 mg Tablet LD2437J GKL0612422417A1 119 Prog. TB 01/10/17
12 Rifampicin 150 mg Kotak MD28601 GKL0612422417A1 168 Prog. TB 01/11/17
13 Isoniazid Tab BP Tablet A405178 460 Prog. TB 01/09/19
14 Lodomer Injeksi Ampul 460054 DKL0233304143A1 48 Prog. Keswa 01/04/19
15 Alprazolam 1 mg Tablet 170476 GPL1333310510B1 100 Prog. Keswa 01/04/19
16 Alprazolam 0,5 mg Tablet 160783 GPL1333310510A1 100 Prog. Keswa 01/08/18
17 Haloperidol 5 mg Tablet A2024 GPL9832707010C1 250 Prog. Keswa 01/08/18
18 Triheksifenidil 2 mg Tablet 160575 GKL1433312417A1 950 Prog. Keswa 01/06/18
19 Chlorpromazine 100 mg Tablet 170693 GKL1433312117A1 550 Prog. Keswa 01/05/18
20 Sikzonoate Ampul 5EA02052 DKI1034100143A1 45 Prog. Keswa 01/02/18
21 OAT KAT. II/FDC KOTAK SS13736 1 10/1/2018
 PEMERINTAH KABUPATEN BERAU
DINAS KESEHATAN
UPT PUSKESMAS TELUK BAYUR
Jl. Kandang Muntik RT 007 Kode Pos 77316 Teluk Bayur
No. Telp ( 081347438282) Email : puskesmas.telukbayur@yahoo.com

DAFTAR OBAT KADALUWARSA UPT PUSKESMAS TELUK BAYUR

APBD II

NOMOR HARGA PER TOTAL HARGA SUMBER TANGGAL

NO. NAMA OBAT SATUAN NOMOR REGISTRASI JUMLAH
BATCH SATUAN (Rp) (Rp) ANGGARAN KADALUARSA

1 FUTROLIT BUNGKUS PG3106B 2 22/07/2017

2 GLUKOSA 5% BOTOL 48 01/09/2017
3 GLUKOSA 10% BOTOL 220509 3 01/04/2017
BOTOL 231219 12 01/11/2018
4 NATRIUM KLORIDA 0.9% BOTOL 321004 13 01/09/2017
2140501 2 01/04/2017
330719 4 01/06/2018
5 DISPOSABLE INFUSION SET SET 112012 4 01/10/2017
6 DISPOSABLE SYRINGE 5 ml PCS 1021388 15 01/10/2017
7 PARACETAMOL DROP 100mg/ml BOTOL 1510048 6 01/07/2017
8 COTRIMOXAZOLE SUSP BOTOL 2504020 9 01/04/2018
9 ANTASIDA DOEN SUSP BOTOL 1404-11181 44 01/04/2018
10 CHLORAMPHENICOL 1% TUBE 025106W 4 01/02/2018
11 OTSU SALIN 3 BOTOL 45F73 1 04/06/2018
12 EXTRACT BELLADONA TABLET 800 01/11/2016
13 DIGOXIN TABLET A1602 AR 100 01/01/2018
14 WHITEFIELD POT 72145A 10 01/08/2017
15 RIVANOL BOTOL 1091488 3 01/08/2017
16 POVIDON IODIDA BOTOL B18413 2 01/02/2017
POVIDON IODIDA BOTOL B48502 PKD 20501010542 1 01/05/2018
 POVIDON IODIDA 60 ML BOTOL 81112888 1 01/10/2015
POVIDONE IODIN 10% 30 ML BOTOL E13402 KEMKESRI PKD 20501010542 1 01/05/2017
POVIDONE IODIN 10% 300 ML BOTOL B18413 KEMKESRI PKD 20501010542 1 01/02/2017
17 GRISEOFULVIN TABLET 1207007 60 01/09/2017
18 FUROSEMIDE 40 MG TABLET J141214B 30 01/10/2017
19 GENTAMICIN 40MG/ML INJ AMPUL BFSB021 GKL9620916243B1 15 01/04/2018
20 PHYTOMENADION INJ 2MG/ML AMPUL 95478015 10 01/07/2018
21 SIMVASTATIN 10 MG TABLET J10296502 210 01/09/2017
22 PROPANOLOL 40 MG TABLET 1505122 GKL9817103910A1 700 01/05/2018
23 METHYLERGOMETRIN 0,125 MG TABLET BL0271 GKL9812400417A2 100 01/02/2018
24 ERGOTAMIN CAFFEINE TABLET T151308B1G GKL8912509717A1 100 01/09/2019
25 OTSU MGSO4 20% BOTOL G1644 DKL0318700643A1 5 22/07/2019
26 DISPOSABLE SYRINGE 5 ml PCS CE07081 56 01/11/2017
27 AQUA PRO INJECTION AMPUL G5407008 GKL0119918243A2 100 01/04/2018
28 SURGICAL GLOVES PSG 2 09/05/2017
29 CHLORAMPHENICOL 3% KOTAK 449005 1 01/06/2016
30 ANTALGIN 500 MG TABLET 50 01/09/2019
31 OXYTETRACYCLINE 3% TUBE GKL9420901430A1 4 01/09/2010
32 BETAMETASONE CR TUBE K3051AC 1 01/09/2016
33 DEXAMETASONE 0,5 MG AMPUL PIK75342 D7811525 2 01/09/2016
34 ANTALGIN 1 MG AMPUL BK05X GKL8805800143BL 1
35 EPINEFRIN 1 MG AMPUL 1270717 1 01/10/2016
36 DIPHENHIDRAMIN 10 MG AMPUL 101F024 GAD9613306043A1 4 01/07/2015
37 OXYTOCIN AMPUL AMPUL 15D0404 13 01/05/2018
38 EPINEFRIN AMPUL 753440172 6 01/09/2017
39 BEDAK SALISIL KOTAK A80DDV2400 NA18110400292 5 01/04/2017
40 PHENOBARBITAL 30MG TABLET 1309006 GPL89230901910D1 400 01/10/2018
41 CYANOCOBALAMIN AMPUL D106008 GKL8920907443A1 50 01/06/2018
42 LAXADINE BOTOL H1504 DTL832780093AA1 40 01/08/2018
43 COTRIMOXAZOLE 240 MG BOTOL 2504021 GKL.9817104933A1 132 01/04/2018
44 COTRIMOXAZOLE 480 MG TABLET 171111 GKL1733314110A1 300 01/07/2019
45 ESCAMED NASAL CANNUL PCS Z0140820 SKF1161 5 01/08/2019
46 UROCARE PCS 13-G-13G 2121830 3 01/06/2018
47 ABBOCATH 18G 30295/0216 INFLO11832 37 01/06/2018
14G06A 421830 1 01/12/2018
48 ABBOCATH 24G 17A2404J 2 01/12/2021
1051388 1 01/04/2018
3095215F 1 01/05/2020
49 PREDNISONE TABLET 1709050 54 01/09/2019
50 STOMACH TUBE PCS 110511B 1 01/04/2016
51 METOKLOPRAMIDE 10 MG I141044B GKL99125161OA1 1000 01/09/2019
52 ANTI FUNGI DOEN POT 12056026 GBL9600701730A1 3 01/06/2017
53 DIAZEPAM 2MG TABLET EC1044 GPL891810110A1 55 01/05/2017
54 AMYNIIPHILIN 200 MG TABLET T25496111 GPL9106304210 100 01/09/2017
55 GLUKOSA 5% BOTOL 230720 GKL9230560249CL 1 01/06/2018
56 BIOSAVE ANTIBISA ULAR AMPUL 4700815 GKL11029906543A1 1 01/07/2017
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