PEMERINTAH KABUPATEN BANGLI

DINAS KESEHATAN
Telp. (0366) 91043, Fax. 0366-93030
www.dikes.banglikab.go.id email : dikes@banglikab.go.id

LAMPIRAN STOK OPNAM OBAT UMUM SUMBER DANA DAK dan BUFFER STOK PROPINSI DI
UPT GUDANG FARMASI GUNUNGBAU
PER 31 JANUARI 2020

NO NAMA OBAT SATUAN SALDO 31 DES 2019

HARGA JUMLAH TOTAL
1 2 3 16 17 18
1 Alopurinol tablet 100 mg tablet 90 -
2 Aminofilin tablet 200 mg tablet 139 -
3 Aminofilina injeksi 24 mg/ml - 10 ml ampul 2,789 -
4 Amitriptilin HCl tablet salut 25 mg tablet - -
5 Amoksisilin kapsul 250 mg Kapsul 275 -
6 Amoksisilin kaplet 500 mg kaplet 190 - -
7 Amoksisilin sirup kering 125 mg/5ml botol 1,881 - -
8 Antalgin (Metampiron) tablet 500 mg tablet 116 - -
9 Antalgin (Metampiron) injeksi 250 mg ampul 1,333 - -
Antasida DOEN tab,kombinasi: Mg-Hidroksida
10 tablet 58 20 1,160
200 mg + Al. Hidroksida. 200 mg

Anti Bakteri DOEN salep kombinasi: Basitrasin

11 tube 3,035 - -
500 IU/g + Polimiksin 10.000 IU/g

Antihemoroid DOEN kombinasi : Bismut

12 supp 3,045 - -
Subgalat 150 mg + Heksaklorofen 250 mg
Antifungi DOEN Kombinasi: Asam Benzoat 6% +
13 pot 1,154 - -
Asam Salisilat 3%
Antimigren: Ergotamin Tartrat 1 mg + Kofein 50
14 tablet -
mg
Antiparkinson DOEN tablet kombinasi:
15 tablet -
Karbidopa 25 mg + Levodopa 250 mg
16 Aqua pro Injeksi steril, bebas pirogen botol 2,030 -

17 Asam Askorbat (Vit C) tablet 50 mg tablet 105 20 2,100

18 Asam Asetilsalisilat tablet 100 mg ( Asetosal ) tablet 96 -

19 Asam Asetilsalisilat tablet 500 mg ( Asetosal ) tablet 143 -

20 Atropin Sulfat tablet 0,5 mg tablet 60 -

21 Atropin Sulfat tetes mata 0,5% botol 13,500 -
Atropin injeksi l.m/lv/s.k. 0,25 mg/mL - 1 mL
22 ampul 1,265 -
(sulfat)
23 Betametason krim 0.1% tube 3,350 - -
24 Deksametason Injeksi I.v. 5 mg/ml ampul 1,567 2 3,134
25 Deksametason tablet 0,5 mg tablet 32 50 1,600
26 Dekstran 70-larutan infus 6 % steril botol - -
27 Dekstrometorfan sirup 10 mg/5 ml (HBr) botol 1,378 - -
28 Dekstrometorfan tablet 15 mg (HBr) tablet 92 - -
29 Diazepam Injeksi 5mg/ml ampul 1,735 - -
30 Diazepam tablet 2 mg tablet 45 - -
31 Diazepam tablet 5 mg tablet 40 - -
32 Difenhidramin Injeksi I.M. 10 mg/ml (HCL) ampul 1,095 - -
33 Digoksin tablet 0,25 mg tablet 104 - -
34 Efedrin tablet 25 mg (HCL) tablet 21 - -
35 Ekstrak Belladon tablet 10 mg tablet - -

36 Epinefrin (Adrenalin) injeksi 0,1% (sebagai HCL) ampul 1,408 - -

37 Etakridin larutan 0,1 % botol - -

38 Fenitoin Natriun Injeksi 50 mg/ml ampul - -

39 Fenobarbital injeksi I.m/I.v 50 mg/ml - 1 ml ampul - -

40 Fenobarbital tablet 30 mg tablet 171 100 17,100

41 Fenoksimetil Penisilina tablet 250 mg tablet - -
42 Fenoksimetil Penisilina tablet 500 mg tablet - -
43 Fenol Gliserol tetes telinga 10% botol 2,590 - -

44 Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 ml ampul 4,167 - -

45 Fitomenadion (Vit.K1) tablet salut gula 10 mg tablet 710 40 28,400

46 Furosemid tablet 40 mg tablet 77 50 3,850

47 Gameksan losion 1% botol - -
Garam Oralit I serbuk Kombinasi : Natrium 0,70
48 g ,Kalium klorida 0,30 g, Tribatrium Sitrt saset 257 10 2,570
dihidrat 0,58 g
49 Gentian Violet larutan 1 % (jkn ) botol 450 - -
50 Glibenklamid tablet 5 mg tablet 119 100 11,900
51 Gliseril Guayakolat tablet 100 mg tablet 38 - -
52 Gliserin botol - -
53 Glukosa larutan infus 5% botol 5,200 - -
54 Glukosa larutan infus 10 % botol 5,700 - -

55 Glukosa larutan infus 40% steril (Produk lokal) botol 988 - -

56 Griseofulvin tablet 125 mg, micronized tablet 210 - -

57 Haloperidol tablet 0,5 mg tablet - -
58 Haloperidol tablet 1,5 mg tablet 83 - -
59 Haloperidol tablet 5 mg tablet 122 - -
60 Hidroklorotiazida tablet 25 mg tablet 149 - -
61 Hidrokortison krim 2,5 % tube 2,475 2 4,950
62 Ibuprofen tablet 200 mg tablet 92 - -
63 Ibuprofen tablet 400 mg tablet 150 - -
64 Isosorbid Dinitrat tablet sublingual 5 mg tablet 90 - -
65 Kalsium laktat (Kalk) tablet 500 ml tablet 56 - -
66 Kaptopril tablet 12,5 mg tablet 59 50 2,950
67 Kaptopril tablet 25 mg tablet 75 - -
68 Karbamazepim tablet 200 mg tablet 245 - -
69 Ketamin injeksi 10 mg/ml ampul - -
70 Klofasimin Kapsul 100 ml mikrozine kapsul - -
71 Kloramfenikol kapsul 250 mg kapsul 181 - -
72 Kloramfenikol tetes telinga 3 % botol 1,599 - -
73 Klorfeniramin Maleat (CTM) tablet 4 mg tablet 22 30 660
74 Klorpromazin injeksi i.m 5 mg/ml (HCL) ampul - -
75 Klorpromazin injeksi i.m 25 mg/ml (HCL) ampul 817 - -
76 Klorpromazin tablet salut 25 mg (HCL) tablet - -
77 Klorpromazin HCl tablet salut 100 mg tablet 149 - -
Anti Malaria DOEN ( kombinasi Pirimetamin 25
78 tablet - -
ml +sulfadoksin 500 ml
Kotrimosazol Suspensi Kombinasi
79 :Sulfametoksazol 200 mg + Trimetoprim 40 mg/ botol 2,167 - -
5 ml

Kotrimosazol DOEN I (dewasa) Kombinasi :

80 tablet 129 - -
Sulfametoksazol 400 mg, Trimetoprim 80 mg

Kotrimosazol DOEN II (pediatrik) Kombinasi :

81 tablet 76 - -
Sulfametoksazol 100 mg, Trimetoprim 20 mg

82 Kuinin Dihidroklorida injeksi 25% - 2 ml ampul - -

83 Kuinin (kina) tablet 200 mg tablet - -
Lidokain injeksi 2% (HCL) + Epinefrin 1 : 80.000-
84 2 ml ampul 1,210 3 3,630

85 Magnesium sulfat inj (IV)20%-25ml ampul 3,328 - -

86 Magnesium sulfat inj (IV) 40%-25ml ampul 3,796 - -
87 Magnesium sulfat serbuk 30 gram bks - -
88 Mebendazol sirup 100 ml/5ml botol 2,727 - -
89 Mebendazol tablet 100 mg tablet 141 - -
Metilergometrin Maleat (Metilergometrin)
90 tablet 154 60 9,240
tablet salut 0,125 mg
91 Metilergometrin Maleat inj 0,200 mg-1 ml ampul 2,849 1 2,849
92 Metronidazol tablet 250 mg tablet 105 - -
93 Natrium Bikarbonat tablet 500 mg tablet - -
94 Natrium Fluoresein tetes mata 2% botol - -
95 Natrium Klorida larutan infus 0,9 % botol 6,410 - -
96 Natrium Thiosulfat injeksi I.v. 25 % ampul - -
97 Nistatin tablet salut 500.000 IU/g tablet 790 20 15,800
98 Nistatin Vaginal tablet salut 100.000 IU/g tablet 560 10 5,600
99 Obat Batuk Hitam ( O.B.H. ) cairan 100 ml botol 2,500 - -
100 Obat Batuk Hitam ( O.B.H. ) cairan 200 ml botol 2,849 - -
101 Oksitetrasiklin HCl salep mata 1 % tube 2,500 - -

102 Oksitetrasiklin HCl injeksi i.m. 50 mg/ml-10 ml vial 3,100 - -

103 Oksitosin injeksi 10 IU/ml - 1 ml ampul 1,900 3 5,700

104 Parasetamol sirup 120 mg/5 ml botol 1,010 10 10,100
105 Parasetamol tablet 100 mg botol - -
106 Parasetamol tablet 500 mg tablet 49 20 980
107 Pilokarpin tetes mata 2 % (HCL/Nitrat) botol - -
108 Piridoksin HCl (Vit.B6) tablet 10 mg tablet - -
109 Povidon Iodida 10 % 30 ml botol 2,163 - -
110 Povidon Iodida 10 % 300 ml botol 19,800 - -
111 Prednison tablet 5 mg tablet 76 - -
112 Primakoin tablet 15 ml tablet - -
113 Propiltiourasil tablet 100 mg tablet 300 - -
114 Propranolol HCl tablet 40 mg tablet 82 - -
115 Reserpin tablet 0,10 mg tablet 75 - -
116 Reserpin tablet 0,25 mg tablet 88 - -
117 Ringer Laktat larutan infus botol 7,150 2 14,300
Salep 2-4 , Kombinasi: Asam Salisilat 2% +
118 pot 2,621 - -
Belerang Endap 4%
119 Salisil Bedak 2 % bks 1,250 - -
Serum Anti Bisa Ular Pilivalen Injeksi 5 ml (ABU
120 ampul - -
I)
Serum Anti Bisa Ular Pilivalen Injeksi 50 ml
121 ampul - -
(ABU II)
Serum Anti Difteri Injeksi 20.000 IU/Vial
122 ampul - -
( A.D.S )
Serum Anti Tetanus Injeksi 1.500 IU/ampul
123 ampul 62,700 - -
(A.T.S)
Serum Anti Tetanus Injeksi 20.000 IU/Vial
124 ampul - -
(A.T.S)

125 Sianokobalamin (Vit.B12) injeksi 500 mcg-ml ampul 1,087 - -

126 Sulfasetamida Natrium tetes mata 15 % botol 3,445 - -

127 Tetrakain HCl tetes mata 0,5% botol - -
128 Tetrasiklin HCl kapsul 250 mg kapsul 167 - -
129 Tetrasiklin HCl kapsul 500 mg kapsul 310 - -
130 Tiamin HCl (Vit.B1) injeksi 100 mg/ml-1 ml ampul 457 - -

131 Tiamin HCl / Mononitrat (Vit.B1) tablet 50 mg tablet 86 30 2,580

132 Tiopental Natrium serbuk Injeksi 1000 mg/amp ampul - -

133 Triheksifenidil tablet 2 mg tablet - -

134 Vaksin Rabies Vero ampul - -
135 Vitamin B Kompleks tablet tablet 115 - -
- -
VAKSIN - -
136 BCG Ampul - -
137 TT Ampul - -
138 DT Ampul - -
139 CAMPAK 10 Dosis Ampul - -
140 POLIO 10 Dosis Ampul - -
141 DPT-HB Ampul - -
142 DPT-HB/HIB Ampul - -
143 HEPATITIS B 0,5 ml ADS Ampul - -
144 POLIO 20 Dosis Ampul - -
145 CAMPAK 20 Dosis Ampul - -
146 TD Ampul - -
147 VAR APBD II Ampul - -
148 VAR APBD I Ampul - -
149 VAR RABIPUR PUSAT vial - -
150 SAR vial - -
151 Vaksin Polio IPV vial - -
ALAT KESEHATAN - -
1 Alat suntik sekali pakai 1 ml pcs 872 - -
2 Alat suntik sekali pakai 2,5 ml/3 ml pcs 866 - -
3 Alat suntik sekali pakai 5 ml pcs 974 - -
Catgut / Benang Bedah No. 2/0 dengan jarum
4 pcs 1,941 - -
bedah
Catgut / Benang Bedah No. 3/0 dengan jarum
5 pcs 1,996 - -
bedah
6 Infusion set anak set 5,100 - -
7 Infusion set dewasa set 5,040 3 15,120
8 IV Catheter No. 20 G pcs 6,380 - -
9 IV Catheter No. 22 G pcs 6,380 - -
10 IV Catheter No. 24 G pcs 6,380 3 19,140
11 Kapas Pembalut / Absorben 250 gram bks 14,070 - -
12 Kasa Kompres 40/40 steril bks 1,600 - -
13 Kasa Pembalut 2 m x 80 cm bks 9,000 - -
14 Kasa Pembalut Hidrofil 4 m x 3 cm bks 710 - -
15 Kasa Pembalut Hidrofil 4 m x 15 cm bks 3,821 - -
16 Pembalut Gips pcs - -
17 Plester 5 yards x 2 inch pcs 23,625 - -
Silk (Benang Bedah Sutera) No. 3/0 dengan
18 3,849 - -
jarum bedah pcs
19 Wing Needle No. 21 G pcs 5,770 - -
20 Wing Needle No. 23 G pcs 5,770 - -
21 Wing Needle No. 25 G pcs 5,770 - -
22 Wing Needle No. 27 G pcs 5,498 - -
- -
OBAT KLB - -

1 Asam Mefenamat tablet salut selaput 500 mg kaplet 100 - -

2 Doksisiklin kapsul 100 mg kapsul 268 - -

3 Eritromisin kapsul 500 mg kapsul 730 - -
4 Eritromisin sirup 200 mg/5 ml botol 6,150 - -
5 Kaptopril 12,5 mg tablet 63 - -
6 Kaptopril 25 mg tablet 138 - -
7 Klindamisin kapsul 150 mg kapsul 510 - -
8 Nifedipin 10 mg tablet 110 - -
9 Piroksikam tablet 20 mg tablet 105 - -
10 Sefadroksil kapsul 500 mg kapsul 840 - -
11 Sefotaksim Injeksi 1 gr vial - -
12 Seftriakson injeksi 1 gr vial - -
13 Simetidin tablet 200 mg tablet 105 - -
14 Tramadol injeksi 50 mg/ml ampul 6,402 - -
15 Tramadol kapsul 50 mg kapsul 330.00 - -
- -
BAHAN HABIS PAKAI & ALAT NON MEDIK - -
1 Folley Catheter No.14 pcs - -

2 Folley Catheter No.16 pcs - -

11,550
3 Folley Catheter No.18 pcs 11,550.00 - -

4 Jarum jahit (bedah) No.9 (kulit) bungkus - -

27,500
5 Jarum jahit (bedah) No.10 (kulit) bungkus 27,500.00 - -
6 Jarum jahit (bedah) No.11 (kulit) bungkus - -

7 Jarum jahit (bedah) No.12 (kulit) bungkus - -

8 Jarum jahit (bedah) No.13 (kulit) bungkus 27,500.00 - -

9 Jarum jahit (bedah) No.14 (kulit) bungkus 27,500 - -

10 Jarum otot besar pcs - -

11 Jarum otot kecil pcs - -

12 Masker pcs 416 - -

13 Sarung Tangan Steril 6,5 psg 7,980 - -

14 Sarung Tangan Steril 7 psg 7,600 - -

15 Sarung Tangan Steril 7,5 psg 7,980 - -

16 Urine Bag pcs 4,620 - -

- -
OBAT PROGRAM - -
MALARIA - -
1 ACT (Artesunate + Amodiaquin tablet - -
2 Arthemeter injeksi 1 ml : 80 mg ampul - -
3 Artesunate Injeksi vial 60 mg ampul 33,792 - -
4 Primakuin tablet 15 mg tablet 224 - -
5 Kina Tablet 200 mg tablet - -
6 Kina Injeksi 25% - 2ml ampul - -
7 Doxicyklin 100 mg kapsul - -
ACT (Dehidro Artemisin + Piperaquine)(D-
8 tablet 2,160 - -
ARTEPP)
- -
FILARIASIS - -
9 DEC 100 mg (Tablet) tablet - -
10 Parcetamol 500 mg (Tablet) tablet - -
11 Abendazol 400 mg tablet - -
12 Antasida Doen tablet - -
13 Piridoksin(Vit.B6) 10 mg HCL tablet - -
14 Loratadin 10 mg (tablet) tablet - -
15 Amoksisilin kaplet 500 mg (kapsul) kapsul - -
16 Gentamicin Salep kulit 0,1% (tube) tube - -
- -
SCHISTOSOIASIS & F BUSKI - -
17 Prazikuartel 500 mg tablet - -
- -
PES - -
18 Tetrasiklin HCL 250 mg kapsul - -
19 Parasetamol tab 500 mg tablet - -
20 Vit. B Kompleks tab tablet - -
- -
ANTRAKS - -
21 Prokain Benzil Penisilin 3juta IU/Vial Inj vial - -
22 Anti Bakteri Doen Salep tube - -
23 Amoksisilin Kaplet 500 mg kaplet - -
- -
TAENIASIS CYSTICERKOSIS NEURO C. - -
24 Prazikuantel tablet 600 mg tablet - -
25 Magnesium Sulfat Serbuk 30 gram bks - -
26 Albendazol tablet 400 mg tablet - -
27 Prednison tablet 5 mg tablet - -
28 Antasida Doen Tab Kombinasi tablet - -
29 Fenobarbital tab 100 mg tablet - -
- -
DIARE - -
30 Garam Oralit 200 ml air saset 257.00 - -
31 Zinc Tab 20 mg tablet 475.00 - -
- -
KECACINGAN - -
32 Albendazol tablet 400 mg tablet 296 - -
- -
KUSTA - -
33 Prednison tab 5 mg tablet - -
34 Rifampicin kapsul 300 mg kapsul - -
35 Rifampicin kapsul 600 mg kapsul - -
36 Lamprene 100 mg tablet - -
- -
FRAMBUSIA - -
37 Benzatin Benzil Penisilin 1.2 juta IU/Vial vial - -
38 Adrenalin Injeksi ampul - -
39 Aquades 20 cc botol - -
40 Disposible syringe 5ml pcs - -
- -
TB PARU (OAT FDC ) - -
41 Obat Anti Tuberculosis 1 paket 389,344 - -
42 Obat Anti Tuberculosis 2 paket 1,297,894 - -
43 Obat Anti Tuberculosis sisipan paket - -
- -
OAT Kombipak - -
44 Katagori 1 paket - -
45 Obat Anti Tuberculosis Anak paket - -
- -
ISPA - -
Kotrimoksasol tablet kombinasi : sulfa
46 - -
meloksazol 400 mg + Trimetorpin 80 mg tablet
47 Kotrimoksasol suspensi botol - -
48 Parasetamol tablet. 500 mg tablet - -
49 Parasetamol 100 mg tablet - -
- -
FLU BURUNG - -
50 Oseltamivir tablet 12,969 - -
- -
KESEHATAN ANAK - -
51 Fitomenadion ( Vit K ) 10 mg tablet - -
52 Natrium Tiroksin ( tab ) tablet - -
53 Ampisilin serbuk injeksi i.m/i.v 1000 mg/ml ampul - -

54 Gentamisin injeksi 80 mg/ml ampul - -

55 Prokain Benzil Penisilin G Injeksi 3 Jt IU/vial - -

ampul
56 Fenobarbital injeksi i.m/i.v 50 mg/ml ampul 1,980 - -
57 Diazepam injeksi 5 mg/ml ampul 2,368 - -
58 Oxytetrasiklin Salep Mata 1 % ( HCL ) tube - -
59 Abendasol 400 mg tablet - -
- -
KESEHATAN IBU - -
60 Dextran 70 % botol - -
61 Transfusi set set - -
62 IV Chateter No. 16 pcs - -
63 Magnesium Sulfat 20 % - 25 ml botol 5,500 - -
64 Magnesium Sulfat 40 % - 25 ml botol 3,650 - -
65 Glukonas Calsicus 10 % - 10 ml botol 7,800 - -
66 Ampisilin injeksi I.M/ I.V 1000 mg/ml ampul - -
67 Nipedipin 10 mg tablet - -
68 Oksitosin injeksi 10 IU/ml - 1 ml ampul 1,900 - -
69 Metilergometrin Maleat Inj 0,2 mg - 1 ml ampul 2,684 - -
70 Metilergometrin Maleat tablet 0,125 mg tablet - -
71 Amoksisilin kaplet 500 mg kaplet - -

72 Epinefrin ( Adrenalin )injeksi 0,1 % ( sbg HCL) ampul - -

73 Gentamisin injeksi 80 mg/ 2 ml ampul - -

74 Metronidazole 500 mg infus / 100 ml botol - -
75 Cutgut Chromic No 1 atraumatik ( sachet ) pcs - -

76 Cutgut Chromic No 2/0 atau 3/0, atraumatik pcs - -

77 IV Chateter No. 18 pcs - -

78 Urine Bag pcs - -
79 Alat Suntik 2,5 ml pcs - -
80 Alat Suntik 5 ml pcs - -
81 Alat Suntik 20 ml pcs - -

82 Urine strip untuk pemeriksaan Protein dan Gula pcs - -

83 Rapid test untuk sipilis pcs - -

Kontrasepsi injeksi Progesteron Depo ( 3 bln,
84 ampul - -
1ml)
85 Kontrasepsi pil kombinasi ( micordiol) tablet - -
86 Implan KB ( isi 2 ) pcs - -
- -
GIZI - -
Retinol ( vitamin A ) 100.000 IU Kapsul Lunak
87 kapsul 284 - -
Bayi ( 6 - 11 bln )
Retinol ( vitamin A ) 200.000 IU Kapsul Lunak
88 kapsul 505 - -
Balita ( 11- 59 bln )
Retinol ( vitamin A ) 200.000 IU Kapsul Lunak
89 459 - -
Ibu Nifas kapsul
90 Ferro Sulfat 300 mg tablet 350 - -
91 Mineral Mix saset 2,727 - -
92 Taburia kotak 34,400 - -
- -
OBAT GIGI - -
1 Devitalisasi pasta (non Arsen) botol 390,000 - -
2 Etil klorida spray botol 105,000 - -
3 Eugenol cairan botol 45,833 - -
4 Galss Ionomer cement ART set 395,000 - -
5 Kalsium Hidroksida Pasta tube 121,000 - -
6 Klorfenol Kamfer Menthol (CHKM) botol 55,000 - -
7 Mummifying Pasta botol 176,000 - -
8 Semen seng posfat serbuk & cairan set 93,500 - -

9 Temporary Stopping fletcher serbuk & cairan set 17,000 - -

- -
TAMBAHAN OBAT PROGRAM 2015 - -
1 Biuveriuk test 41,500 - -
2 Clavamox botol - -
3 FDC Anak paket 195,445 - -
4 Giemsa Cat botol 115,000 - -
5 HCl botol - -
6 Intec one ( Reagen II) test 17,585 - -
7 IV Catheter 22 G pcs - -
8 IV Catheter 24 G pcs - -
9 Kotak kaca isi 2 (kecil) kotak - -
10 Kotak kaca isi besar kotak - -
11 MDT Combi blister 28,424 - -
12 Oncoprode (Reagen III) test - -
13 Parasetamol tablet - -
14 Pot dahak pot 1,750 - -
15 Reagen TB/Zieh Nelsen paket 258,200 - -
16 Slide frosted pcs 20,747 - -
17 Sound timer pcs - -
18 Sulfadiazine tablet 330 - -
19 Tissue lensa lembar - -
20 Ringer laktat botol - -
21 Minyak emersi botol 309,600 - -
22 Izoniasid 100 mg (INH) tablet 145 - -
- -
TAMBAHAN OBAT PROGRAM 2016 - -
1 BD Vacuntainer needle pcs 2,902 - -
2 Blood lancet kotak 14,566 - -
3 Cryotube tube 2,000 - -
4 Mikropipet biru tube 250 - -
5 Mikropipet kuning tube 175 - -
6 Mikropipet ukuran 61 pcs 1,614 - -
2 Parafilm pcs 599,500 - -
8 SD Bio Line (Reagen I) test 11,975 - -
9 Swab desinfectan pcs 1,985 - -
10 Tuberkulin PPD RT-23 vial 925,000 - -
11 Masker N-95 pcs 19,500 - -
12 BD Vacuntainer serum pcs 5,000 - -
- -
 TAMBAHAN - -
1 Alkohol 70% 1000 ml botol 26,250 - -
2 Albendazol syr botol 3,850 - -
3 Alkohol 70% 100 ml botol 2,500 - -
4 Alkohol 70% 300 ml botol 11,000 - -
5 Alkohol 95% 1000 ml botol 62,500 - -
6 Alkohol swab pcs 210 - -
7 Ambroxol sirup 15 mg/5 ml botol 3,300 - -
8 Ambroxol tab 30 mg tablet 125 - -
9 Amlodipin 10 mg tablet 148 100 14,800
10 Amlodipin 5 mg tablet 73 100 7,300
11 Amoksisilin + as Klavulanat 625 mg tab tablet 4,840 - -
12 Antasida DOEN II Suspensi.Komb botol 2,025 - -
13 Apron pack 50,000 - -
14 Asam askorbat 250 mg tablet 159 - -
15 Asam folat tablet 1 mg tablet 70 100 7,000
16 Asam mefenamat 250 mg tablet 121 - -
17 Aseptan Gel 500 cc+dispenser botol 22,000 - -
18 Asiklovir krim 5% tube 2,152 - -
19 Asiklovir tablet 200 mg tablet 249 - -
20 Asiklovir tablet 400 mg tablet 365 - -
21 Attapulgit (Pularek) tab 600 mg tablet 152 - -
22 Azitromisin tab 250 mg tablet 3,333 - -
23 Bayclin 1000 ml botol 15,000 - -
24 Berotec MDI botol 72,900 - -
25 Berotec solution botol 117,500 - -
26 Betahistin mesilat tab 6 mg tablet 110 - -
27 Bioplacenton tube 15,400 - -
28 Bisakodil (stolax) supp 10 mg supp 5,900 - -
29 Bisoprolol 5 mg tablet 645 - -
30 Boraks Gliserin botol 2,600 - -
31 Bromheksin tab 8 mg tablet 39 - -
32 Burnazin 35 gram tube 20,700 - -
33 Buscopan injeksi vial 24,200 - -
34 Cendo lyteers botol 15,750.00 - -
35 Cetirizine syr 5 mg/ml botol 2,850 - -
36 Cetirizine tab 10 mg tablet 90 - -
37 Chlorotule lembar 25,000 - -
38 Cito brush pcs 1,500 - -
39 Coldrexin syrup botol 5,150 - -
40 Colfin syrup botol 7,700 - -
41 Colfin tab tablet 575 - -
42 Curcuma syrup botol 10,300 - -
43 Decadryil syrup botol 13,900 - -
44 Demacolin syrup botol 10,000 - -
45 Desoksimetason krim 0,25% tube 10,400 - -
46 Diltiazem HCl tablet 30 mg tablet 152 - -
47 Dimenhidrinat tab 50 mg tablet 105 - -
48 Domperidon suspensi 5 mg/5ml botol 3,000 - -
49 Domperidon tab 10 mg tablet 95 - -
50 Dulcolac tab tablet 1,073 - -
51 Dulcolactol syr botol 47,850 - -
52 Eritromisin kaps 250 mg kapsul 566 - -
53 Erlamicetin plus (tetes mata) botol 11,660 - -
54 Famotidin tablet 226 - -
55 Fenilbutason tab 200 mg tablet 72 - -
56 Fenitoin kapsul 100 mg tablet 133 - -
57 Flagystatin supp 23,355 - -
58 Flukonazol 150 mg tablet 22,000 - -
59 Folley Catheter pcs - -
60 Gelang pasien dewasa pcs 1,350 - -
61 Gelang pasien anak pcs 1,350 - -
62 Gentamisin sulfat tetes mata 0,3% botol 4,232 - -
63 Gentamsin salep kulit 0,1% botol 1,469 - -
64 Hanscoon Nonsteril L psg 970 - -
65 Hanscoon Nonsteril M psg - -
66 Hanscoon steril 7,5 psg 6,930 - -
67 Hanscoon steril 8 psg 4,246 - -
68 Hidrogen Peroksida (H2O2) psg 4,500 - -
69 Hidrokortison krim 1 % tube 2,799.00 - -
70 Hipavix 5x5 cm rol 68,700 - -
71 Hufavit kalk botol 5,720 - -
72 Ibuprofen suspensi 100 mg/5ml botol 2,475 5 12,375
73 Ibuprofen suspensi 200 mg/5ml botol 4,500 - -
74 Iodiol kapsul lunak kapsul - -
75 Irbesartan 150 mg tablet 1,425 - -
76 Jarum hecting set 49,500 - -
77 Jarum jahit (bedah) no.10 (otot) bungkus 27,500 - -
78 Jarum jahit (bedah) no.13 (otot) bungkus 27,500 - -
79 Jarum jahit (bedah) no.14 (otot) bungkus 27,500 - -
80 Jarum jahit (bedah) no.9(otot) bungkus 27,500 - -
81 Jelly dopler 250 ml botol 27,500 - -
82 Kaltofren supp supp 12,870 - -
83 Kapas 500 gram bks 20,000 - -
84 Kapas lidi pcs 140 - -
85 Kaptopril tab 50 mg tablet 224 - -
86 Kasa Hidrofil 40 x 80 rol 125,000 - -

87 Kasa Hidrofil steril uk. 16 x 16 (isi 16 lembar) kotak 6,248 - -

88 Kasa Hidrofil steril uk. 18 x 22 (isi 12 lembar) kotak 7,500 - -

89 Kasa Hidrofil uk. 36 m x 80 cm rol 97,175 - -

90 Kasa Pembalut Elastis 3 inchi rol 55,200 - -
91 Kasa Pembalut Elastis 4 inchi rol 22,000 - -
92 Kasa Pembalut Elastis 6 inchi rol 25,000 - -
93 Kasa Pembalut Hidrofil 4 m x 10 cm rol 35,000 - -
94 Kasa Pembalut Hidrofil 4 m x 5 cm rol 1,500 - -
95 Kendaron (amiodaron) tab tablet 750 - -
96 Kertas perkamen bks 28,750 - -
97 Ketac Molar set - -
98 Ketokonazol krim 2% tube 2,596 - -
99 Ketokonazol tab 200 mg tablet 280 50 14,000
100 Ketoprofen supp (Protofen) supp 2,722 - -
101 Ketoprofen tab 100 mg tablet 135 - -
102 Klindamisin kaps 300 mg kapsul 753 - -
103 klip Besar (13x18,7)cm pcs 120 - -
104 Klip Kecil (5x8) cm pcs 70 - -
105 Klip Tanggung (7x10) cm pcs 90 - -
106 Kloramfenikol salep mata 1% tube 1,810 - -
107 Kloramfenikol suspesi 125 mg/5 ml botol 3,955 - -

108 Kloramfenikol tetes mata 0,5% (Decacetin TM) botol 3,250 - -

109 Klorpromazin inj.i.m 25mg/ml ampul 817 - -

110 Lanzoprasole kapsul 303 - -

111 Larutan Hidrogen Peroksida (H2O2) 3% 100 ml botol 4,750 - -

112 Laxadine emulsi 60 ml botol 12,450 - -

113 Lefofloxacin tablet 528 - -
114 Levopar tablet 1,500 - -
115 Lidokain injeksi 2% ampul 1,113 - -
116 Livron B-Plek tablet 242 - -
117 Loperamid tablet 89 - -
118 Loratadin tablet 123 - -
119 Lubricating jelly tube 27,500 - -
120 Lysol botol 45,100 - -
121 Masker karet pcs 540 - -
122 Masker N 95 pcs 8,500 - -
123 Meloxicam tab 15 mg tablet 1,199 - -
124 Meloxicam tab 7,5 mg tablet 692 - -
125 Metformin HCl tab 500 mg tablet 96 - -
126 Metilprednisolon tablet 16 mg tablet 637 - -
127 Metilprednisolon tablet 4 mg tablet 134 50 6,700
128 Metilprednisolon tablet 8 mg tablet 309 - -
129 Metoklopramide syr 5mg/5ml botol 2,100 - -
130 Metoklopramide tab 10 mg tablet 95 - -
131 Metronidazol 500 mg tablet 113 - -
132 Miconazol krim/salep 2% (nitrat) tube 3,414 - -
133 Natrium diklofenak tab 25 mg tablet 128.00 - -
134 Natrium Diklofenak 50 tablet 115.00 - -
135 New Diaform tablet 158 - -
136 Noretisteron tab 5 mg (Primolut N) tablet 2,618 - -
137 Nurse cap pcs 600 - -
138 Obat Batuk Hitam 200 ml botol - -
139 Ofloksasin tab 200 mg tablet 440 - -
140 Ofloksasin tab 400 mg tablet 873 - -
141 Oksitetrasiklin HCl salep kulit 3% tube 1,675 - -
142 Omeprazole kaps 20 mg kapsul 130 - -
143 Onescrub 500 cc+dispenser botol 62,500 - -
144 Papaverin injeksi 40 mg/ml ampul 530 - -
145 Papaverin tablet 40 mg tablet 93 - -
146 Paraformaldehide tab tablet - -
147 Parasetamol drops botol 5,200 - -
148 Pembalut Gips 3 inchi rol 15,000 - -
149 Pembalut Gips 4 inchi rol 17,500 - -
150 Pembalut Gips 6 inchi rol 42,000 - -
151 Phenobarbital 100 mg tablet 127 - -
152 Piracetam 400 mg tablet 451 - -
153 Pirantel tab score (base) 125 mg tablet 290 - -
154 Piroksikam 10 mg tablet 75 - -
155 PK (Kalium Permanganat) botol 6,500 - -
156 Plester 5x5 cm rol 21,500 - -
157 Plester kain 1,25 cm rol 4,583.30 - -
158 Plester kain 2,5 cm rol 17,500 - -
159 Plester kain 7,5 cm rol 25,750 - -
160 Povidon iodin 10 % 1000 ml botol 3,500 - -
161 Povidon iodin 60 ml botol 3,300 - -
162 PP tes pcs 1,997 - -
163 Ranitidin tab 150 mg tablet 120 - -
164 Reagen Gol. Darah set 530,000 - -
165 Recovit syr botol 8,250 - -
166 Rivanol 300 cc botol 2,550 - -
167 Sabun cair cuci alat galon 840,000 - -
168 Salbutamol 2 mg tablet 78 - -
169 Salbutamol 4 mg tablet 83 - -
170 Sarung tangan cuci alat/industri L pasang 10,000 - -
171 Sarung tangan cuci alat/industri M pasang 10,000 - -
172 Sarung tangan cuci alat/industri S pasang 10,000 - -
173 Scabicid cr tube 13,200 - -
174 Scabimite cr 10 gram tube 11,475 - -
175 Sefadroksil kaps 250 mg kapsul 445 - -
176 Sefadroksil kaps 500mg kapsul 450 - -
177 Sefadroksil syr kering 125mg/ml botol 3,926 - -
178 Sefadroksil syr kering 250 mg/5 ml botol 5,255 - -
179 Sefixim syr kering 100mg /5ml botol 6,150 - -
180 Sendok syr pcs 485 - -
181 Sianokobalami (vit B12) tab 50 mcg tablet 51 - -
182 Simvastatin 20 mg tablet 252 - -
183 Simvastatin tab 10 mg tablet 513 - -
184 Siprofloksasin 250 tablet 250 - -
185 Siprofloksasin 500 mg kotak 281 - -
186 Slide frosted kotak 15,000 - -
187 Sofratule lembar 19,700 - -
188 Spiritus botol 30,000 - -
189 Spironolakton tab 100 mg tablet 900 - -
190 Spongostan pcs 9,350 - -
191 Tensocrepe 7,5 cm rol 71,500 - -
192 Termometer pcs 9,900 - -
193 Tetagam botol 176,800 - -
194 Tiamfenikol 500 mg kapsul 580 - -
195 Tisu towel rol 4,350 - -
196 Trikresol Formalin (TKF) botol 52,250 - -
197 Underpad (perlak sekali pakai)60x90 pcs 8,007 - -
198 Urotractin 400 mg tablet 1,815 - -
Ventolin inhaler (Salbutamol inh/aerosol 100
199 botol 63,750 - -
mcg/dosis)
200 Zinc tablet 20 mg tablet 524 - -
201 Zincpro drops botol 6,281 5 31,405
202 Zircum Kid syrup (Zinc sir 20mg/5ml) botol 2,972 - -
203 HCl 0,1% botol 22,500 - -
- -
TAMBAHAN TH 2015 - -
1 Albendazole tab 400 mg tablet 392 - -
2 Amiodaron 200 mg (kendaron) tablet 1,200 - -
3 Asam salisilat 80 mg (miniaspi) tablet 148 - -
4 Asam traneksamat inj 50 mg/ml ampul 2,950 - -
Betametason tetes mata 1 mg/ml (Betam
5 botol 25,106 - -
Opthal)
6 Bisakodil supp 5 mg (Dulcolax infant) supp 4,990 - -
Budesonid-formoterol ih 160/4,5 mcg
7 botol 117,600 - -
(symbicort)
8 Diazepam lar rektal (stesolid) tube 16,748 - -

9 Ofloksasin tetes telinga 3% (Tarivid Otic Sol) botol 48,500 - -

Oksimetazolin tetes hidung 0,025% (iliadin

10 botol 27,550 - -
drops)
Oksimetazolin tetes hidung 0,050% (iliadin
11 botol 29,000 - -
spray)

12 Salbutamol cairan ih 0,1% (ventolin nebules) botol 4,000 - -

13 Teofilin tab 150 mg (bronsolvan) tablet 250 - -

- -
TAMBAHAN (BAHAN MEDIS HABIS PAKAI) - -
BMHP TH 2015
1 Bioplacenton Tulle 10x10 pcs 10,400 - -
2 Film IV Dressiong 67 P pcs 2,200 - -
3 Film IV Dressiong 67 S pcs 2,200 - -
4 Infus set , IV, Wing Needle, Pediatric set set 4,400 - -
5 Infus set , IV, Wing Needle, Y tipe set 7,590 - -
6 IV CATH WP,WITH WINGS &PORT N0.20 pcs 7,000 - -
7 IV CATH WP,WITH WINGS &PORT N0.22 pcs 7,000 - -
8 IV CATH WP,WITH WINGS &PORT N0.24 pcs 7,000 - -
9 Nasal oxygen L pcs 6,600 - -
10 Nasal oxygen S pcs 6,600 - -
- -
TAMBAHAN TH 2016 - -
1 Amoksisilin sirup kering 250 mg/5ml botol 3,984 - -
2 Glimepiride 2 mg tablet 207 - -
3 Karbogliserin tetes telinga 10% botol 2,500 - -
4 Kloramfenikol salep kulit 2% (Bufacetin) tube 3,008 - -
5 Kodein 10 mg tablet 550 - -
6 Lidocain HCl 20 mg/g (xylocaine jelly) tube 40,000 - -
7 Metronidazole ovula (vagizol) ovula 4,100 - -
8 Metronidazole syr 125mg/5ml botol 3,800 - -
9 Piridoksin (vit B6)25 mg tablet 60 - -

Tablet tambah darah (ferro fumarat setara dgn

10 tablet 350 - -
Fe elemen 60 mg dan asam folat 0,40 mg)

- -
TAMBAHAN (BAHAN MEDIS HABIS PAKAI) - -
BMHP TH 2016
1 E-Care surgical tape 1" ktk 98,000 - -
2 Infusiont Set-Y type with injection port pcs 4,975 - -
- -
TAMBAHAN TH 2017 - -
1 Gentamisin salep mata (Genoint) tube 2,960 - -
2 Ondansetron inj 2mg/ml (4 mg/2 ml) ampul 1,070 - -
3 Sefiksim kapsul 200 mg kapsul 2,218 - -
- -
TAMBAHAN (BAHAN MEDIS HABIS PAKAI) - -
BMHP TH 2017
1 Arm Sling L pcs 16,632 - -
2 Arm Sling M pcs 16,632 - -
3 Arm Sling S pcs 16,632 - -
4 benecheck plus total cholesterol test strip 23,374 - -
5 benecheck plus uric test strip 5,162 - -
6 Blood lancet pcs 153 - -
7 Cuticell clasic 10x10 cm pcs 5,198 - -
8 Gol. Darah (anti A) vial 70,740 - -
9 Gol. Darah (anti AB) vial 95,050 - -
10 Gol. Darah (anti B) vial 70,740 - -
11 Gol. Darah (anti D) vial 116,610 - -
12 Hand scrub botol 94,500 - -
13 Hand rub botol 96,000 - -
14 Hemoglobin strip test test 8,042 - -
15 Hipavik uk 5 x10 cm (nonwofen fixation) roll 46,043 - -
16 Obgyn glove psg 20,328 - -
17 On call plus strip strip 3,102 - -
18 Safety box dus 16,501 - -
19 Scalpel blades#10 pcs 3,060 - -
20 Scalpel blades#15 pcs 3,060 - -
21 Scalpel blades#20 pcs 3,060 - -
22 Silk black 2/0 pcs 2,002 - -
23 Spalk kayu pcs 64,680 - -
24 Syringe/spuit 20 cc pcs 1,026 - -
25 Umbilical cord klem pcs 1,365 - -
- -
TAMBAHAN OBAT KIA 2017 - -
1 Euthyrox 100 ug (natrium tiroksin) tablet 944 - -
2 Fitomenadion inj ampul 4,250 - -
TAMBAHAN TH 2015 TABLET - -
1 Albendazole tab 400 mg tablet 392 - -
2 Amiodaron 200 mg (kendaron) tablet 1,200 - -
3 Asam salisilat 80 mg (miniaspi) tablet 148 - -
4 Asam traneksamat inj 50 mg/ml ampul 2,950 - -
Betametason tetes mata 1 mg/ml (Betam
5 25,106 - -
Opthal) botol
6 Bisakodil supp 5 mg (Dulcolax infant) supp 4,990 - -
Budesonid-formoterol ih 160/4,5 mcg
7 117,600 - -
(symbicort) botol
8 Diazepam lar rektal (stesolid) tube 16,748 - -

9 Ofloksasin tetes telinga 3% (Tarivid Otic Sol) 48,500 - -

botol
 Oksimetazolin tetes hidung 0,025% (iliadin
10 27,550 - -
drops) botol
Oksimetazolin tetes hidung 0,050% (iliadin
11 29,000 - -
spray) botol
12 Salbutamol cairan ih 0,1% (ventolin nebules) 4,000 - -
botol
13 Teofilin tab 150 mg (bronsolvan) tablet 250 - -
- -
TAMBAHAN (BAHAN MEDIS HABIS PAKAI) - -
BMHP TH 2015
1 Bioplacenton Tulle 10x10 pcs 10,400 - -
2 Film IV Dressiong 67 P pcs 2,200 - -
3 Film IV Dressiong 67 S pcs 2,200 - -
4 Infus set , IV, Wing Needle, Pediatric set set 4,400 - -
5 Infus set , IV, Wing Needle, Y tipe set 7,590 - -
6 IV CATH WP,WITH WINGS &PORT N0.20 pcs 7,000 - -
7 IV CATH WP,WITH WINGS &PORT N0.22 pcs 7,000 - -
8 IV CATH WP,WITH WINGS &PORT N0.24 pcs 7,000 - -
9 Nasal oxygen L pcs 6,600 - -
10 Nasal oxygen S pcs 6,600 - -
- -
TAMBAHAN TH 2016 - -
1 Amoksisilin sirup kering 250 mg/5ml botol 3,984 - -
2 Glimepiride 2 mg tablet 207 - -
3 Karbogliserin tetes telinga 10% botol 2,500 - -
4 Kloramfenikol salep kulit 2% (Bufacetin) tube 3,008 - -
tube - -
5 Kodein 10 mg tablet 550 - -
6 Lidocain HCl 20 mg/g (xylocaine jelly) tube 40,000 - -
7 Metronidazole ovula (vagizol) ovula 4,100 - -
ovula - -
8 Metronidazole syr 125mg/5ml botol 388 - -
botol - -
9 Piridoksin (vit B6)25 mg tablet 60 - -

Tablet tambah darah (ferro fumarat setara dgn

10 tablet 350 - -
Fe elemen 60 mg dan asam folat 0,40 mg)

- -
TAMBAHAN (BAHAN MEDIS HABIS PAKAI) - -
BMHP TH 2016
1 E-Care surgical tape 1" ktk 98,000 - -

2 Infusiont Set-Y type with injection 4,975 - -

port/INFUSET DEWASA pcs
pcs - -
- -
TAMBAHAN TH 2017 - -
1 Gentamisin salep mata (Genoint) tube 2,960 - -
2 Ondansetron inj 2mg/ml (4 mg/2 ml) ampul 1,070 - -
3 Sefiksim kapsul 200 mg kapsul 2,218 - -
- -
TAMBAHAN (BAHAN MEDIS HABIS PAKAI) - -
BMHP TH 2017
1 Arm Sling L pcs 16,632 - -
2 Arm Sling M pcs 16,632 - -
3 Arm Sling S pcs 16,632 - -
4 benecheck plus total cholesterol test strip 23,374 - -
5 benecheck plus uric test strip 5,162 - -
6 Blood lancet pcs 153 - -
Cuticell clasic 10x10 cm pcs 5198 - -
7 Gol. Darah (anti A) pcs 70,740 - -
Gol. Darah (anti AB) pcs 95,050 - -
8 Gol. Darah (anti B) vial 70,740 - -
Gol. Darah (anti D) vial 116,610 - -
9 Hand scrub vial 94,500 - -
Hand rub 96,000 - -
10 Hemoglobin strip test vial 8,042 - -
- -
11 - -
12 - -
- -
13 - -
14 - -
- -
15 Hipavik uk 5 x10 cm (nonwofen fixation) roll 46,043 - -
16 Obgyn glove psg 20,328 - -
17 On call plus strip/BeneChek (glucose test) kotak 3,102 - -
18 Safety box dus 16,501 - -
19 Scalpel blades#10 pcs 3,060 - -
20 Scalpel blades#15 pcs 3,060 - -
21 Scalpel blades#20 pcs 3,060 - -
22 Silk black 2/0 pcs 2,002 - -
pcs - -
23 Spalk kayu pcs 64,680 - -
24 Syringe/spuit 20 cc pcs 1,026 - -
25 Umbilical cord klem pcs 1,365 - -
- -
- -
TAMBAHAN OBAT KIA 2017 - -
1 Euthyrox 100 ug (natrium tiroksin) tablet 944 - -
2 Fitomenadion inj ampul 4,250 - -
- -
TAMBAHAN TH 2018 - -
1. Klozapin tab 25 mg tablet 1,121 - -
2. Risperidon 2 mg tablet 273 - -
3. Bisakodil tab 5 mg tablet 300 - -
4 N-asetil sistein 200 mg tablet 350 - -
5 Parasetamol infus botol - -
6 Salbulin (salbutamol aerosol 100 mcg/dosis) kotak 29,400 - -
7 Xylocain spray botol 177,216 - -
- -
TAMBAHAN (BAHAN MEDIS HABIS PAKAI) - -
BMHP TH 2018
1 Acon urinalisys 100 test test 2,200 - -
Acon urinalisys 100 test test - -
2 Cell Clean (CL-50) botol 1,197,900 - -
3 Cell pack (PK-30L) kotak 1,768,800 - -
4 Stromatolyzer-WH botol 1,171,500 - -
5 Control (Eightcheck-L,N,H) seri 948,200 - -
6 Thermal Paper roll 38,500 - -
7 Feeding tube pcs 8,085 - -
8 IV Cath with wings No.18 pcs 7,350 - -
IV Cath with wings No.18 pcs - -
9 Levin tube 125 No.16 (selang NGT) pcs 8,663 - -
10 BD tube edta 13x75 3.0 pcs 169,092 - -
11 BD tube edta 13x100 6.0 pcs 171,171 - -
12 Kasa Hidrofile 3yard x15 cm roll 1,645 - -
13 Kasa Hidrofile 3 yard x5 cm roll @10 1,461 - -
14 Kasa Hidrofile 30 yard x 80 cm roll - -
TAMBAHAN OBAT PROGRAM TH 2018 - -
1 Tip ukuran 60 pcs 2,688 - -
2 SB Biosensor Spphilis Ab / Sepilis test test 27,200 - -
3 Albendazole syr 10 ml botol 4,000 - -
4 Cateridge TCM pcs 154,438 - -
Cateridge TCM pcs - -
TAMBAHAN TH 2019 - -
1 Nifedipin 20 mg (adalat oros) tablet - -
2 Dulcolac 10 mg SUPP Supp - -
- -
TAMBAHAN (BAHAN MEDIS HABIS PAKAI) - -
BMHP TH 2019
1 USG gel 250 onemed / Ultra sonik gel botol - -
2 my jelly 82 gram botol - -
-
TAMBAHAN PROGRAM HIV TH 2019 - -
1 Focus RPR Syfilis test - -
- -
TAMBAHAN OBAT KIA TH 2019 - -
1 Lidocain camp inj ampul - -
TOTAL - 278,993

Mengetahui, Bangli,31 Desember 2019

Kepala Dinas Kesehatan Kab.Bangli Kasubag TU UPT GF Dikes Bangli

dr. I Nengah Nadi, M.Kes I Wayan Budiarta, S.Sos

NIP.196112311989111015 NIP.196712311991031102