Format Pusk. Rko TH 2020

D
BULAN : JANUARI
.....
TAHUN :2017
.....
Harga Nilai
No Nama Obat Satuan Stok Awal Nilai Persediaan Stok Awal Penerimaan
Perolehan Penerimaan
01-01-17
1 2 3 4 5 6 7 8
Tahun 2011
Obat Provinsi 2011
1 Ampisislin injeksi 1000 mg Prov. 2011 vial 3176 0 0
2 Oksitosin injeksi 10 iu / ml - 1 ml Prov. 2011 ampul 1785 0 0
Total Provinsi 2011 (A) 0 0
Obat DAK 2011
3 Antalgin (Metampiron) tablet 500 mg DAK 2011 tablet 137 17700 2424794 0
4 Ciprofloksasin 500 mg DAK 2011 kaplet 265 0 0
5 Difenhidramin Inj IM 10 mg/ml (HCL) DAK 2011 ampul 800 0 0
6 Doksisiklin kapsul 100 mg DAK 2011 Kapsul 230 0 0
7 Fenobarbital tablet 100 mg DAK 2011 tablet 127 0 0
9 Haloperidol tablet 5 mg DAK 2011 tablet 122 0 0
10 Kloramfenikol kapsul 250 mg DAK 2011 Kapsul 246 0 0
11 Klorpromazin HCL tablet salut 100 mg DAK 2011 tablet 115 0 0
12 Klorpromazin tablet salut 25 mg DAK 2011 tablet 36 0 0

13 Parasetamol 100 mg DAK 2011 tablet 38 0 0
14 Prednison tablet 5 mg DAK 2011 tablet 57 0 0
15 Triheksifenidil tablet 2 mg DAK 2011 tablet 41 0 0
Total DAK 2011 (B): 2424794 0
Alat kesehatan DAK 2011
16 Catgut/Benang Bedah no 2/0 DAK 2011 set 26295 0 0
17 Handschoon 8 DAK 2011 pasang 4250 0 0
18 Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2011 rol 607 51000 30957000 0
Total Alat kesehatan DAK 2011 (C) : 86022595 0
Obat Gigi DAK 2011
22 Klorfenol kamfer menthol (CHKM) DAK 2011 botol 55000 0 0
23 Mummifying Pasta DAK 2011 botol 176000 0 0
24 Temporary Stopping Fletcher serbuk dan cairan DAK 2011 set 34000 0 0
Total Obat Gigi DAK 2011 (D) : 0 0
I. Total Tahun 2011 (A+B+C+D) : 88447389 0
Tahun 2012
Obat APBD II 2012
25 Alkohol 70% 300 ml APBD II 2012 Botol 8219 0 0
26 Asam tranexamat injeksi 250mg APBD II 2012 Ampul 5280 0 0
27 Colpica tablet APBD II 2012 Tablet 330 0 0
28 Difenhidramin injeksi APBD II 2012 Vial 960 0 0

29 Gaas/kasa steril 16/16 APBD II 2012 Kotak 6600 0 0
30 Hand sanitizer 50 ml APBD II 2012 Botol 7700 0 0
31 Kasa steril 16/16 APBD II 2012 kotak 6600 0 0
32 Licopac APBD II 2012 tablet 642 0 0
33 Plester rol kain 1.25cm x 5m APBD II 2012 Rol 3703 60 222156 0
34 Povidone iodine 10% 15ml APBD II 2012 Botol 2420 0 0
35 Voltaren gel APBD II 2012 Tube 49000 0 0
Total obat APBD II 2012 (A) : 222156 0
Obat DAK 2012
36 Albendazol tablet 400 mg DAK 2012 tablet 407 0 0
37 Allopurinol tablet 100 mg DAK 2012 tablet 132 0 0
38 Alprazolam tablet 0,5 mg DAK 2012 tablet 585 0 0
39 Ambroxol sirup 15 mg/5 ml DAK 2012 Botol 3300 0 0
40 Ambroxol tablet 30 mg DAK 2012 tablet 125 0 0
41 Aminofilin tablet 200 mg DAK 2012 tablet 113 0 0
42 Aminoflin injeksi 24 mg/ml DAK 2012 Ampul 3000 0 0
43 Amitriptilin tablet salut 25 mg (HCl) DAK 2012 tablet 120 0 0
44 Amoksisilin kaplet 500 mg DAK 2012 kaplet 370 0 0
45 Amoksisilin sirup kering 125 mg/5 ml DAK 2012 Botol 3700 0 0
46 Antalgin (Metampiron) injeksi 250 mg/ml DAK 2012 ampul 1333 0 0
48 Antasid DOEN I tablet kunyah kombinasi DAK 2012 tablet 162 0 0
49 Antasid DOEN II suspensi kombinasi DAK 2012 botol 3850 0 0
50 Anti Bakteri DOEN salep kulit DAK 2012 tube 2517 0 0

51 Antifungi DOEN DAK 2012 pot 1719 816 1402500 0
52 Antihemoroid DOEN Kombinasi (supositoria) DAK 2012 supp 2000 0 0
53 Antimigren DAK 2012 tablet 123 0 0
54 Aqua pro injeksi steril 20 ml DAK 2012 vial 5500 0 0
55 Asam Ascorbat (Vit. C) tablet 50 mg DAK 2012 tablet 32 0 0
56 Asam Asetil Salisilat (Asetosal) 100 mg DAK 2012 tablet 96 0 0
57 Asam Folat tablet 1 mg DAK 2012 tablet 68 0 0
58 Asam Mefenamat kaplet 500 mg DAK 2012 kaplet 176 0 0
59 Asiklovir krim 5% DAK 2012 tube 3000 0 0
60 Asiklovir tablet 200 mg DAK 2012 tablet 388 0 0
61 Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2012 Ampul 1265 0 0
62 Atropin sulfat tetes mata 0,5% DAK 2012 Botol 2801 0 0
63 Betahistin Mesilat tablet 6 mg DAK 2012 tablet 924 0 0
64 Betametason krim 0,1% DAK 2012 tube 1866 0 0
65 Cetirizine Sirup 5 mg/5ml DAK 2012 botol 10450 0 0
66 Clobazam tablet 10 mg DAK 2012 tablet 950 0 0
67 Deksametason injeksi 5 mg/ml DAK 2012 ampul 2002 0 0
68 Deksametason tablet 0,5 mg DAK 2012 tablet 87 0 0
69 Dekstran 70 laurat infus 6% steril DAK 2012 botol 35526 260 9236760 0
70 Dekstrometorfan sirup 10 mg/5 ml (HBr) DAK 2012 botol 2865 0 0
71 Dekstrometorfan tablet 15 mg (HBr) DAK 2012 tablet 110 0 0
72 Diazepam injeksi 5 mg/ml DAK 2012 ampul 2368 30 71043 0
73 Diazepam tablet 5 mg DAK 2012 tablet 48 0 0
74 Dietilkarbamazin Sitrat 100 mg DAK 2012 tablet 98 0 0

75 Digoksin tablet 0,25 mg DAK 2012 tablet 143 0 0
76 Diltiazem HCl tablet 30 mg DAK 2012 tablet 152 0 0
77 Dimenhidrinat tablet 50 mg DAK 2012 tablet 96 0 0
78 Doksisiklin tablet 100 mg DAK 2012 kapsul 253 0 0
79 Domperidon suspensi 5 mg/5 ml DAK 2012 Botol 12650 0 0
80 Domperidon tablet 10 mg DAK 2012 tablet 404 0 0
81 Efedrin tablet 25 mg DAK 2012 tablet 51 0 0
82 Ephinefrin (Adrenalin) injeksi 0,1% (sbg HCl) DAK 2012 ampul 1240 0 0
83 Erytromisin kaplet 500 mg DAK 2012 kaplet 930 0 0
84 Erytromisin sirup kering 200 mg/5 ml DAK 2012 Botol 8100 0 0
85 Etakridin (Rivanol) larutan 0,1% DAK 2012 Botol 1800 0 0
86 Fenilbutason tablet 200 mg DAK 2012 tablet 81 0 0
87 Fenitoin kapsul 100 mg DAK 2012 kapsul 80 0 0
88 Fenitoin Natrium injeksi 50 mg/ml DAK 2012 ampul 48368 0 0
91 Fenol Gliserol tetes telinga 10% DAK 2012 Botol 1008 0 0
92 Fitomenadion (Vit. K1) injeksi 10 mg/ml DAK 2012 ampul 1740 0 0
93 Fitomenadion (Vit. K1) tablet 10 mg DAK 2012 tablet 681 0 0
94 Furosemid injeksi 10 mg/ml DAK 2012 ampul 2060 0 0
95 Furosemid tablet 40 mg DAK 2012 tablet 101 0 0
96 Garam Oralit I serbuk kombinasi DAK 2012 bungkus 380 0 0
97 Gentamicin salep kulit 0,1% DAK 2012 tube 1837 0 0
98 Gentamicin Sulfat tetes mata 0,3% DAK 2012 botol 3300 0 0

99 Gentamisin injeksi 40 mg/ ml DAK 2012 ampul 3696 0 0
100 Gentian Violet larutan 1% DAK 2012 Botol 450 0 0
101 Glibenklamid tablet 5 mg DAK 2012 tablet 72 0 0
102 Glimepiride tablet 1 mg DAK 2012 tablet 760 0 0
103 Gliquidon tablet 30 mg DAK 2012 tablet 645 0 0
104 Gliseril Guayakolat tablet 100 mg DAK 2012 tablet 28 0 0
105 Glukosa larutan infu 10% steril DAK 2012 Botol 5727 40 229080 0
106 Glukosa larutan infus 40% steril DAK 2012 ampul 1452 0 0
107 Glukosa larutan infus 5% steril DAK 2012 Botol 5060 0 0
108 Haloperidol tablet 0,5 mg DAK 2012 tablet 60 0 0
110 Hidroklortiazid tablet 25 mg DAK 2012 tablet 36 0 0
111 Hidrokortison krim 2,5% DAK 2012 tube 2979 0 0
112 Ibuprufen tablet 400 mg DAK 2012 tablet 205 0 0
113 Iodiol kapsul lunak DAK 2012 kapsul 930 0 0
114 Isosorbid Dinitrat tablet sublingual 5 mg DAK 2012 tablet 97 0 0
115 Kalsium Laktat (Kalk) tablet 500 mg DAK 2012 tablet 52 0 0
116 Kaptopril tablet 12,5 mg DAK 2012 tablet 90 0 0
117 Kaptopril tablet 25 mg DAK 2012 tablet 138 0 0
118 Karbamazepin tablet 200 mg DAK 2012 tablet 246 0 0
119 Ketokonazol tablet 200 mg DAK 2012 tablet 410 0 0
120 Ketoprofen injeksi 100 mg DAK 2012 ampul 5650 0 0
121 Ketoprofen tablet 100 mg DAK 2012 tablet 1350 0 0
122 Ketorolac injeksi 30 mg DAK 2012 ampul 13365 0 0

123 Kloramfenikol kapsul 250 mg DAK 2012 kapsul 267 0 0
124 Kloramfenikol salep mata 1% DAK 2012 tube 1563 0 0
125 Kloramfenikol suspensi 125 mg/5 ml DAK 2012 Botol 4500 0 0
126 Kloramfenikol tetes telinga 3% DAK 2012 Botol 1600 0 0
127 Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2012 tablet 24 0 0
128 Kodein tablet 10 mg DAK 2012 tablet 427 0 0
129 Kotrimoksazol DOEN I (dewasa) komb 480 mg DAK 2012 tablet 165 0 0
130 Kotrimoksazol DOEN II (pediatrik) komb 120 mg DAK 2012 tablet 76 0 0
131 Kotrimoksazol suspensi kombinasi 240 mg/5 ml DAK 2012 Botol 3960 0 0
132 Lidokain Injeksi 2% DAK 2012 ampul 1010 0 0
133 Loratadin tablet 10 mg DAK 2012 tablet 333 0 0
134 Magnesium Sulfat inj (IV) 20% DAK 2012 vial 1540 182 280244 0
136 Magnesium sulfat serbuk 30 gram DAK 2012 bungkus 1027 0 0
137 Meloksikam DAK 2012 supp 6600 0 0
138 Meloksikam DAK 2012 tablet 1199 0 0
139 Menadion (Vit. K3) injeksi 10 mg/ml DAK 2012 ampul 1450 0 0
140 Metformin HCl tablet 500 mg DAK 2012 tablet 182 0 0
141 Metilergometrin Maleat injeksi 0,200 mg DAK 2012 ampul 1490 0 0
142 Metilergometrin Maleat tablet 0,125 mg DAK 2012 tablet 121 2000 242000 0
143 Metilprednisolon Injeksi 500 mg DAK 2012 vial 83025 0 0
144 Metilprednisolon tablet 4 mg DAK 2012 tablet 441 0 0
145 Metoklopramid sirup 5 mg/ml DAK 2012 botol 2100 0 0
146 Metoklopramid tablet 10 mg DAK 2012 tablet 110 0 0

147 Metronidazol Infus 500 mg/100ml DAK 2012 botol 29500 0 0
148 Metronidazol tablet 500 mg DAK 2012 tablet 220 0 0
149 Mikonazol krim/salep 2% (Nitrat) DAK 2012 tube 3000 0 0
150 Natrium Bikarbonat tablet 500 mg DAK 2012 tablet 14 0 0
151 Natrium Diklofenak tablet 25 mg DAK 2012 tablet 168 0 0
153 Natrium Klorida larutan infus 0,9% DAK 2012 Botol 4900 0 0
154 Nifedipin tablet 10 mg DAK 2012 tablet 129 0 0
155 Nistatin vaginal tablet 100.000 iu/g DAK 2012 tablet 370 0 0
156 Obat Batuk Hitam (O.B.H) sirup DAK 2012 Botol 1429 0 0
157 Oksitetrasiklin salep kulit 3% DAK 2012 tube 1651 0 0
158 Oksitetrasiklin salep mata 1% DAK 2012 tube 1920 0 0
159 Oksitosin injeksi 10 iu/ml DAK 2012 ampul 1785 0 0
160 Omeprazol capsul 20 mg DAK 2012 kapsul 408 0 0
161 Papaverin injeksi 40 mg/ml DAK 2012 ampul 530 0 0
162 Papaverin tablet 40 mg DAK 2012 tablet 100 0 0
163 Parasetamol drops DAK 2012 Botol 5280 0 0
164 Parasetamol sirup 120 mg/5 ml DAK 2012 Botol 2300 0 0
165 Parasetamol tablet 100 mg DAK 2012 tablet 42 38600 1617340 0
166 Parasetamol tablet 500 mg DAK 2012 tablet 105 0 0
167 Piracetam injeksi 3 gram/15 ml DAK 2012 ampul 17105 0 0
168 Piracetam tabet 1200 mg DAK 2012 tablet 1294 0 0
169 Piracetam tablet 400 mg DAK 2012 tablet 451 0 0
170 Pirantel tablet score (base) 125 mg DAK 2012 tablet 320 0 0
171 Piridoksin (Vit. B6) tablet 10 mg (HCl) DAK 2012 tablet 17 0 0
172 Piroksikam tablet 10 mg DAK 2012 tablet 84 0 0
174 Povidon Iodin larutan 10% 300ml DAK 2012 Botol 14500 0 0
176 Povidon Iodin larutan 10% 60 DAK 2012 Botol 3500 0 0
178 Propanolol tablet 10 mg (HCl) DAK 2012 tablet 77 0 0
180 Propiltiourasil tablet 100 mg DAK 2012 tablet 300 0 0
181 Ranitidin injeksi 25 mg/2 ml DAK 2012 ampul 2570 0 0
182 Ranitidin tablet 150 mg DAK 2012 tablet 220 0 0
183 Retinol (Vit. A) kapsul lunak 200.000 iu DAK 2012 kapsul 462 0 0
184 Ringer Laktat larutan infus steril DAK 2012 botol 5200 0 0
185 Salbutamol tablet 2 mg (sebagai sulfat) DAK 2012 tablet 84 0 0
187 Salisil Bedak 2% DAK 2012 kotak 1430 0 0
188 Sefadroksil capsul 500 mg DAK 2012 kapsul 840 0 0
189 Sefadroksil sirup kering 125 mg/5 ml DAK 2012 botol 8200 0 0
190 Sefixime capsul 100 mg DAK 2012 kapsul 2395 0 0
191 Sefixime sirup 100 mg/5 ml DAK 2012 botol 30250 0 0
192 Sefotaxim injeksi 1 gram DAK 2012 vial 6930 0 0
193 Seftriakson Injeksi 1 gram DAK 2012 vial 8594 0 0
194 Sianokobalamin (Vit. B12) injeksi 500 mcg DAK 2012 ampul 1037 0 0
195 Simetidin tablet 200 mg DAK 2012 tablet 115 0 0
196 Simvastatin tablet 10 mg DAK 2012 tablet 513 0 0
197 Siprofloksazin tablet 500 mg DAK 2012 tablet 260 0 0
198 Spironolacton100 mg DAK 2012 tablet 1055 0 0
199 Spironolakton tablet 25 mg DAK 2012 tablet 346 0 0
200 Tetrakain HCl tetes mata 0,5% DAK 2012 Botol 3396 0 0
201 Tetrasiklin capsul 500 mg DAK 2012 kapsul 257 0 0
202 Tiamfenikol capsul 500 mg DAK 2012 kapsul 616 0 0
203 Tiamin (Vit. B1) tablet 50 mg (HCl/Nitrat) DAK 2012 tablet 38 0 0
204 Tiamin (Vit. B1) injeksi 100 mg/ml DAK 2012 ampul 767 0 0
205 Tramadol capsul 50 mg DAK 2012 kapsul 330 0 0
206 Vitamin B Kompleks tablet DAK 2012 tablet 22 0 0
207 Zink tablet 20 mg DAK 2012 tablet 475 0 0
Total Obat DAK 2012 (B) : 15809766 0
Alat Kesehatan DAK 2012
208 Abocath / IV Catheter no. 20 G DAK 2012 pcs 7780 0 0
211 Alat Suntik sekali pakai 1 ml (syringe pump) DAK 2012 set 1090 0 0
212 Alat Suntik sekali pakai 2,5 ml (syringe pump) DAK 2012 set 1030 0 0
214 Catgut/Benang Bedah No. 2/0 dengan jarum DAK 2012 set 26667 0 0
216 Foley Catheter no 18 DAK 2012 pcs 8400 0 0

219 Handschoon (Sarung tangan) no. 7,5 DAK 2012 pasang 4240 0 0
220 Handschoon (Sarung tangan) no. 8 DAK 2012 pasang 4240 0 0
221 Infusion set anak DAK 2012 set 4000 0 0
222 Infusion set dewasa DAK 2012 set 3500 0 0
223 Kapas Pembalut Adsorben 250 gram DAK 2012 bungkus 7500 1147 8602500 0
224 Kasa Hidrofil 36 m x 80 cm DAK 2012 rol 55200 292 16118400 0
225 Kasa Hidrofil steril 16 x 16 (isi 16 lembar) DAK 2012 kotak 8500 1585 13472500 0
226 Masker DAK 2012 pcs 1125 0 0
227 Plester 5 yard x 2 inchi DAK 2012 rol 23108 0 0
228 Silk (Benang Bedah Sutra) no. 3/0 DAK 2012 set 6983 0 0
229 Urine Bag DAK 2012 pcs 4000 0 0
230 Wing Needle No. 21 G DAK 2012 pcs 5770 0 0
Total Alat Kesehatan DAK 2012 (C): 38193400 0
Obat Gigi DAK 2012
234 Devitalisasi pasta (non arsen) DAK 2012 Botol 390000 0 0
235 Etil Klorida spray DAK 2012 Botol 105000 0 0
236 Eugenol cairan DAK 2012 Botol 45833 0 0
237 Glass Ionomer Cement ART DAK 2012 set 395000 0 0
238 Kalsium Hidroksida Pasta DAK 2012 set 242000 0 0

239 Klorfenol Kamfer Mentol (CHKM) DAK 2012 Botol 55000 0 0
240 Mummifying Pasta DAK 2012 Botol 176000 0 0
241 Semen Seng Fosfat serbuk & cairan DAK 2012 set 93500 0 0
242 Temporary Stoping Fletcher DAK 2012 Botol 34000 2 68000 0
II. Total Tahun 2012 (A+B+C+D) : 54293322 0
Tahun 2013
Obat APBD II 2013
243 Abocath / IV Catheter no 20 G APBD II 2013 Set 7750 0 0
246 Asam Tranexamat inj 250 mg APBD II 2013 Ampul 5325 0 0
247 Asam Tranexamat tablet 500mg APBD II 2013 Tablet 1518 0 0
248 Bioplacenton APBD II 2013 Tube 15950 0 0
249 Combiven nebulizer APBD II 2013 Ampul 14960 0 0
250 Counterpain 15 g APBD II 2013 Tube 19250 0 0
251 Dulcolax strip @4 tablet APBD II 2013 Strip 5280 0 0
252 Dumin 125 mg rectal APBD II 2013 Tube 14056 0 0
253 Elastis bandage 7,4cm x 4,5m APBD II 2013 Pcs 51244 0 0
254 Etil Klorida Semprot APBD II 2013 Botol 105000 0 0
255 GIC Serbuk dan Cairan ( Fuji IX ART ) APBD II 2013 Set 395000 0 0
256 GIC Serbuk dan Cairan ( Fuji IX GP 1-1 ) APBD II 2013 Set 395000 0 0
257 Gliseril Guayakolat ablet 100mg APBD II 2013 Tablet 50 0 0
258 H2O2 3% 100ml APBD II 2013 Botol 4831 0 0

259 Hand sanitizer 100ml APBD II 2013 Botol 5856 0 0
260 Hansaplast sachet @100 sachet APBD II 2013 Kotak 33000 0 0
261 Hanschoon ( sarung tangan ) L APBD II 2013 Pasang 4250 0 0
262 Hanschoon (sarung tangan) M APBD II 2013 Pasang 4250 0 0
263 Hypafix 10cm x 5 m APBD II 2013 Rol 105197 0 0
264 Jarum Kulit APBD II 2013 Set/12 27500 0 0
265 Jarum Otot APBD II 2013 Set/12 27500 0 0
266 Kalsium Laktat (Kalk) tablet 500 mg APBD II 2013 Tablet 98 0 0
267 Masker Bedah APBD II 2013 Pcs 525 0 0
268 Minyak Kayu Putih 60 ml APBD II 2013 Botol 10450 0 0
269 Minyak Telon 60 ml APBD II 2013 Botol 11000 0 0
270 Obat Diare (Selediar) APBD II 2013 Tablet 311 0 0
271 Obat Flu Kombinasi (Demacolin) APBD II 2013 Tablet 321 0 0
272 Oxygen Tabung (Oxycan) APBD II 2013 Tabung 48125 0 0
273 Pipet pasteur LAB 2013 Pcs 2500 29 72500 0
274 Piridoksin (Vit B6) tablet 10 mg APBD II 2013 Tablet 43 0 0
275 Pisau Oprasi No.15 APBD II 2013 Pcs 1870 0 0
276 Plester 5cm x 4.5m APBD II 2013 Rol 18600 63 1171800 0
277 Prenatin-plus APBD II 2013 Tablet 806 0 0
278 Scabicid cream APBD II 2013 Tube 11245 0 0
279 Selcom C APBD II 2013 Tablet 418 0 0
280 Semen Zeng Fosfat Serbuk dan Cairan APBD II 2013 Set 93500 0 0
281 Serum Anti Bisa Ular inj 5 ml APBD II 2013 Vial 471700 0 0
282 Serum Anti Tetanus 1.5000 iu/amp APBD II 2013 Ampul 126300 0 0
283 Silk (Benang Bedah Sutra) APBD II 2013 Set 6980 0 0
284 Stesolid rectal APBD II 2013 Tube 31625 0 0
285 Urine Bag Steril APBD II 2013 Set 4000 0 0
286 Ventolin nebulizer APBD II 2013 Ampul 11713 0 0
287 Vitamin B Kompleks tablet APBD II 2013 Tablet 50 0 0
288 Voltaren Gel 20 g APBD II 2013 Tube 59589 0 0
289 Wing Needle no 21 G APBD II 2013 Set 4650 0 0
Total Obat APBD II 2013 (A) : 1244300 0
Obat DAK 2013
293 Aluporinol tablet 100 mg DAK 3013 tablet 104 0 0
294 Ambroxol sirup 15 mg/ml DAK 3013 botol 2475 0 0
297 Amoksisilin sirup kering 125 mg/ 5 ml DAK 3013 botol 2277 0 0
298 Antasida DOEN II suspensi DAK 3013 botol 1866 0 0
299 Anti Bakteri DOEN salep kombinasi DAK 3013 tube 2491 0 0
300 Aqua pro injeksi steril, bebas pirogen DAK 3013 vial 5300 0 0
301 Asam Asetilsalisilat Tablet 100 mg (asetasol) DAK 3013 tablet 100 0 0
302 Asam Askorbat (Vit C) tablet 250 mg DAK 3013 tablet 135 0 0
304 Asam Mefenamat kapsul/kaplet 500 mg DAK 3013 kaplet 100 0 0

305 Asiklovir krim 5 % DAK 3013 tube 2152 0 0
307 Asiklovir tablet 200 mg DAK 3013 tablet 239 1500 358500 0
308 Betametason krim 0,1 % (sebagai valerat) DAK 3013 tube 1525 0 0
309 Cetirizin sirup 5 mg/5 ml DAK 3013 botol 7837 0 0
311 Dekstrometorfan sirup 10 mg/5ml (HBr) DAK 3013 botol 1379 0 0
312 Digoksin tablet 10 mg DAK 3013 tablet 91 0 0
314 Epinefrin (adrenalin) injeksi 0,1 (sebagai HCl) DAK 3013 ampul 1500 0 0
315 Eritromisin kapsul / kaplet 500 mg DAK 3013 kaplet 864 13100 11321675 0
316 Eritromisin sirup 200 mg/5 ml DAK 3013 botol 7220 1776 12822720 0
317 Fenol Gliserol tetes telinga 10% DAK 3013 botol 1008 0 0
318 Furosemid injeksi i.v / im 10 mg/ml DAK 3013 ampul 1751 625 1094375 0
320 Garam oralit I serbuk DAK 3013 sachet 292 0 0
321 Gentamisin salep kulit 0,1 % DAK 3013 tube 1469 0 0
322 Gentamisin sulfat tetes mata 0,3 % DAK 3013 botol 2904 0 0
323 Gentian Violet larutan 1 % DAK 3013 botol 900 0 0
324 Glibenklamida tablet 5 mg DAK 3013 tablet 54 0 0
325 Glukosa larutan infus 5% steril DAK 3013 botol 5313 0 0
326 Griseofulvin tablet 125 mg DAK 3013 tablet 194 5900 1144600 0
327 Hidrokortison krim 2,5 % DAK 3013 tube 2399 0 0
328 Ibuprofen tablet 400 mg DAK 3013 tablet 146 0 0

329 Isosorbid Dinitrat tablet sublinguai 5 mg DAK 3013 tablet 92 800 73600 0
333 Kloramfenikol suspensi 125 mg / 5 ml DAK 3013 botol 3800 0 0
334 Kloramfenikol tetes telinga 3 % DAK 3013 botol 1599 0 0
335 Klorfeniramina Maleat (CTM) tablet 4 mg DAK 3013 tablet 21 0 0
336 Kotrimoksazol Suspensi komb 5 ml DAK 3013 botol 2035 0 0
337 Kotrimosazol DOEN I (dewasa) DAK 3013 tablet 140 0 0
338 Lidokain Inj.2%(HCI)+Epinefrin 1:80.000 - 2 ml DAK 3013 ampul 1295 0 0
339 Lidokain injeksi 2% DAK 3013 ampul 900 0 0
340 Metampiron Injeksi 250 mg DAK 3013 ampul 1300 0 0
341 Metformin HCI tablet 500 mg DAK 3013 DAK 3013 tablet 105 0 0
342 Metoklopramide tablet 10 mg DAK 3013 tablet 89 0 0
343 Mikonazol krim/salep 2 % (Nitrat ) DAK 3013 tube 3000 0 0
345 Natrium Klorida larutan infuse 0.9 % DAK 3013 botol 4900 0 0
347 Nistatin vaginal tablet 100.000IU/g DAK 3013 ovula 407 0 0
348 Obat Batuk Hitam (OBH) cairan DAK 3013 botol 1259 0 0
349 Oksitetrasiklin HCL salep mata 1 % DAK 3013 tube 1600 0 0

353 Parasetamol sirup 120 mg/5ml DAK 3013 botol 1319 0 0
354 Piroksikam kapsul/kaplet/tablet 20 mg DAK 3013 tablet 92 0 0
355 Povidon lodida larutan 10 % 300 ml DAK 3013 botol 14000 0 0
356 Proltiourasil tablet 100 mg DAK 3013 tablet 264 46700 12328800 0
357 Propanolol tablet 40 mg (HCI) DAK 3013 tablet 108 2500 270000 0
358 Ranitidin injeksi 25 mg/2ml DAK 3013 ampul 1928 0 0
360 Retinol (Vitamin A ) 100.000 IU kapsul lunak DAK 3013 kapsul 242 0 0
361 Ringer laktat larutan infus DAK 3013 botol 5200 0 0
362 Salbutamol tablet 4 mg (sebagai Sulfat) DAK 3013 tablet 82 0 0
363 Salisil bedak 2 % DAK 3013 kotak 1120 0 0
364 Sefadroksil kapsul / kaplet 500 mg DAK 3013 kapsul 521 0 0
365 Sefadroksil sirup kering 125 mg/5ml DAK 3013 botol 5248 0 0
366 Sefotaksim injeksi 1 g DAK 3013 vial 6860 0 0
367 Seftriakson injeksi 1 g DAK 3013 vial 8100 0 0
368 Sianokobalamin(Vit .B12) inj.500 mcg DAK 3013 ampul 916 0 0
370 Tetrasiklin kapsul/kaplet 500 mg DAK 3013 tablet 206 0 0
371 Tiamfenikol kapsul /kaplet 500mg DAK 3013 tablet 431 0 0
372 Tiamin (Vit B1) Injeksi 100 mg/ml DAK 3013 ampul 690 0 0
373 Zinc tablet 20 mg DAK 3013 tablet 455 0 0
Total Obat DAK 2013 (B) : 39414270 0
Obat SILVA 2013

2475
374 Ambroxol sirup 15 mg/ml SILVA 2013 botol 0 0
86
375 Ambroxol tablet 30 mg SILVA 2013 tablet 0 0
botol 1866
376 Antasida DOEN II suspense SILVA 2013 0 0
2152
377 Asiklovir krim 5 % SILVA 2013 tube 200 430400 0
340
378 Asiklovir tablet 400 mg SILVA 2013 tablet 0 0
239
1525
380 Betametason krim 0,1% (sebagai Valerat) SILVA 2013 tube 0 0
1379
381 Dekstrometorfan 10 mg/5 ml (HBr) SILVA 2013 botol 0 0
92
382 Dekstrometorfan tablet 15 mg (HBr) SILVA 2013 tablet 10000 920000 0
1500
383 Dexametason i.v 5 mg/ml SILVA 2013 ampul 0 0
1500
384 Epinefrin (Adrenalin) injeksi 0,1% SILVA 2013 ampul 0 0
1751
385 Furosemid injeksi i.v / im 10 mg/ml SILVA 2013 ampul 600 1050600 0
tablet 85
386 Furosemid tablet 40 mg SILVA 2013 0 0
1469
387 Gentamisin salep kulit 0,1 %SILVA 2013 tube 0 0
2399
388 Hidrokortison krim 2,5 % SILVA 2013 tube 0 0
44
389 Isoniazid tablet 100 mg SILVA 2013 tablet 0 0
92
390 Isosorbid Dinitrat tablet sublingual 5 mg SILVA 2013 tablet 3700 340400 0
63
391 Kaptopril tablet 12,5 mg SILVA 2013 tablet 0 0
88
3800
393 Kloramfenikol suspense 125 mg / 5 ml SILVA 2013 botol 0 0
21
394 Klorfeniranima Maleat (CTM) SILVA 2013 tablet 0 0
140
395 Kotrimoksazol DOEN I (dewasa) SILVA 2013 tablet 0 0
105
396 Metformin HCI tablet 500 mg SILVA 2013 tablet 0 0
3000
397 Mikonazol krim/salep 2 % (Nitrat ) SILVA 2013 tube 4992 14976000 0
4900
398 Natrium Klorida larutan infuse 0,9 % SILVA 2013 botol 0 0
112
399 Nifedipin tablet 10 mg SILVA 2013 tablet 0 0
1600
400 Oksitetrasiklin HCL salep mata 1 % SILVA 2013 tube 0 0
1529
401 Oksitetrasiklin salep kulit 3% SILVA 2013 tube 0 0
119
402 Papaverin tablet 40 mg SILVA 2013 tablet 0 0
52
403 Prednison tablet 5 mg SILVA 2013 tablet 0 0
264
404 Proltiourasil tablet 100 mg SILVA 2013 tablet 1200 316800 0
1928
405 Ranitidine injeksi 25 mg/2 ml SILVA 2013 ampul 0 0
242
406 Retinol (Vitamin A ) 100.000 IU kapsul lunak SILVA 2013 kapsul 0 0
5200
407 Ringer Laktat larutan infus SILVA 2013 botol 0 0
521
408 Sefadroksil kapsul / kaplet 500 mg SILVA 2013 kapsul 0 0
6860
409 Sefotaksim injeksi 1 g SILVA 2013 vial 0 0
916
410 Sianokobalamin(Vit .B12) inj.500 mcg SILVA 2013 ampul 0 0
111
411 Simetidin tablet 200 mg SILVA 2013 tablet 0 0
206
412 Tetrasiklin kapsul/kaplet 500 mg SILVA 2013 tablet 0 0
455
413 Zinc tablet 20 mg SILVA 2013 tablet 0 0
Total Obat SILVA 2013 (C): 18034200 0
III. Total Obat Tahun 2013 (A+B+C) : 58692770 0
Tahun 2014
Obat Provinsi 2014 0
414 Box slide Prov. 2014 kotak 36000 0 0
415 Garam Oralit I serbuk kombinasi Prov. 2014 sachet 38 0 0
416 Kaca Sediaan Prosted Prov. 2014 kotak 19500 5 97500 0
417 Kombipak Anak Prov. 2014 paket 214898 0 0
418 Obat Antituberkulosis FDC Anak Prov. 2014 paket 214990 0 0

419 Obat Antituberkulosis FDC Kategori I & III Prov. 2014 paket 0 0
420 Obat Antituberkulosis FDC Kategori I Prov. 2014 paket 360001 0 0
421 Obat Antituberkulosis FDC Kategori II Prov. 2014 paket 1200000 0 0
422 Obat Antituberkulosis Kategori I kombipac Prov. 2014 paket 236000 7 1652000 0
423 Obat Antituberkulosis Sisipan Prov. 2014 paket 159898 24 3837552 0
424 Obat Kusta Anak MB Prov. 2014 blister 36 0 0
425 Obat Kusta Anak PB Prov. 2014 blister 3 0 0
426 Obat Kusta Dewasa MB Prov. 2014 blister 20906 0 0
427 Obat Kusta Dewasa PB Prov. 2014 blister 5 0 0
428 Oseltamivir Prov. 2014 tablet 12972 100 1297200 0
429 Pot Dahak Prov. 2014 pcs 1750 2000 3500000 0
430 Prednison prov. 2014 tablet 63 0 0
431 Reagen TB Zielh Neelsen (ZN) Prov. 2014 paket 276500 40 11060000 0
Total Obat Provinsi 2014 (A) : 21444252 0
Obat Perubahan 2014
432 Abocath / IV Catheter no. 18 G APBD II PERUB. 2014 pcs 8075 0 0
436 Alat suntik sekali pakai 3 ml APBD II PERUB. 2014 set 1100 0 0
437 Aqua Pro Injeksi APBD II PERUB. 2014 botol 4000 0 0
438 Catgut/Benang Bedah No. 3/0 dengan jarum APBD II PERUB. 2014 set 24583 0 0
439 Combivent nebules APBD II PERUB. 2014 Ampul 24740 0 0
440 Diazepam rectal (Trazep) APBD II PERUB. 2014 Ampul 27440 0 0

441 Elastis bandage 7,4cm x 4,5m APBD II PERUB. 2014 Pcs 59400 0 0
442 Etil Klorida spray APBD II PERUB. 2014 botol 115000 0 0
443 Foley Catheter no 20 APBD II PERUB. 2014 pcs 16925 0 0
445 Handschoon (Sarung tangan) no. 7,5 APBD II PERUB. 2014 pasang 4420 0 0
446 Infusion set dewasa, set/kantong APBD II PERUB. 2014 set 5500 0 0
447 Klorfeniramin Maleat 4 mg APBD II PERUB. 2014 Tablet 20 0 0
448 Masker APBD II PERUB. 2014 pcs 1125 0 0
449 OBH Syrup 60 ml APBD II PERUB. 2014 botol 5250 0 0
450 Scabimite cream 10g APBD II PERUB. 2014 Tube 43500 0 0
451 Serum Anti Bisa Ular inj 5 ml APBD II PERUB. 2014 Vial 536560 0 0
452 Serum anti tetanus 1.500 iu/amp APBD II PERUB. 2014 Ampul 163065 0 0
453 Ventolin nebules APBD II PERUB. 2014 Ampul 21900 0 0
454 Wing Needle No. 23 G APBD II PERUB. 2014 pcs 5770 0 0
Total Obat Perubahan 2014 (B) : 0 0
Obat APBD II 2014
455 Abocath / IV Catheter no. 18 G APBD II 2014 Set 7787 0 0
456 Abocath / IV Catheter no. 20 G APBD II 2014 pcs 7790 0 0
459 Alat suntik sekali pakai 2,5 ml APBD II 2014 set 1030 0 0
460 Combivent nebules APBD II 2014 Ampul 24740 0 0
461 Counterpain 15 gram APBD II 2014 Tube 25300 0 0
462 Devitalisasi pasta (non arsen) APBD II 2014 botol 405600 0 0

463 Dulcolax strip @4tablet APBD II 2014 Strip 4650 0 0
464 Elastis bandage 7,4cm x 4,5m APBD II 2014 Rol 59400 0 0
465 Etil Klorida spray APBD II 2014 botol 115000 0 0
466 Foley Catheter no 20 APBD II 2014 pcs 10400 0 0
468 Glass Ionomer Cement ART APBD II 2014 set 395000 0 0
469 Handschoon (Sarung tangan) no. 7,5 APBD II 2014 pasang 4420 0 0
470 Handschoon (Sarung tangan) no. 8 APBD II 2014 pasang 4420 0 0
472 Infusion set dewasa, set/kantong APBD II 2014 set 5500 0 0
473 Klorfeniramin Maleat 4 mg APBD II 2014 Tablet 16 0 0
474 Masker APBD II 2014 pcs 1125 0 0
475 Minyak kayu putih 30ml APBD II 2014 Botol 7500 0 0
476 OBH Syrup 60 ml APBD II 2014 botol 5250 0 0
478 Stesolid rectal APBD II 2014 Ampul 27440 0 0
479 Stik Hb Meter Urit APBD II 2014 pcs 19320 0 0
480 Tabung Reaksi 12 mm APBD II 2014 Tabung 7500 5 37500 0
481 Thrombopob gel 20 g APBD II 2014 Tube 57600 0 0
482 Ventolin nebules APBD II 2014 Ampul 21900 0 0
483 Wing Needle No. 23 G APBD II 2014 pcs 5770 0 0
Total Obat APBD II 2014 (C) : 37500 0
Obat DAK 2014
484 Alopurinol 100 mg DAK 2014 Tablet 86 0 0

485 Aminofilin injeksi 24 mg/ml DAK 2014 Ampul 3818 690 2634420 0
486 Amitriptilin tablet salut 25 mg (HCl) DAK 2014 Tablet 112 1300 145600 0
487 Amoksisilin 500 mg DAK 2014 Kaplet 261 0 0
488 Amoksisilin sirup kering 125 mg/ 5 ml DAK 2014 Botol 2445 0 0
489 Antasida DOEN I tablet kunyah DAK 2014 Tablet 72 0 0
490 Antimigren: Ergotamin Tartrat + Kofein DAK 2014 Tablet 135 0 0
491 Asam Askorbat (Vitamin C) tablet 50 mg DAK 2014 Tablet 95 35000 3325000 0
492 Asam Folat 1 mg DAK 2014 Tablet 48 0 0
493 Asam Mefenamat 500 mg DAK 2014 Kaplet 112 0 0
494 Asiklovir 200 mg DAK 2014 Tablet 237 4200 995400 0
495 Bisoprolol tablet 5 mg DAK 2014 Tablet 645 0 0
496 Deksametason injeksi 5 mg/ml DAK 2014 Ampul 1400 0 0
497 Deksametason tablet 0,5 mg DAK 2014 Tablet 62 0 0
498 Difenhidramin injeksi 10 mg/ml (HCl) DAK 2014 Ampul 1050 0 0
499 Diltiazem HCl tablet 30 mg DAK 2014 Tablet 134 500 67000 0
500 Dimenhidrinat tablet 50 mg DAK 2014 Tablet 104 0 0
501 Domperidon 5 mg/5 ml DAK 2014 Botol 3333 0 0
502 Fenitoin 100 mg DAK 2014 Kapsul 133 0 0
503 Furosemid tablet 40 mg DAK 2014 Tablet 75 0 0
504 Gentamisin tetes mata 0,3% DAK 2014 Botol 3194 0 0
505 Glibenklamid tablet 5 mg DAK 2014 Tablet 56 0 0
506 Glikuidon tab 30 mg DAK 2014 Tablet 950 0 0
507 Glimepiride tablet 1 mg DAK 2014 Tablet 265 0 0
508 Glukosa larutan infus 5 % steril DAK 2014 Botol 5200 0 0

509 Ibuprofen tablet 400 mg DAK 2014 Tablet 150 0 0
510 Kaptopril tablet scored 12,5 mg DAK 2014 Tablet 62 321000 19902000 0
511 Ketokonazol tablet 200 mg DAK 2014 Tablet 300 0 0
512 Ketorolac injeksi 30 mg/ml DAK 2014 Ampul 2300 0 0
513 Klobazam tab 10 mg DAK 2014 Tablet 900 0 0
514 Kloramfenikol salep mata 1% DAK 2014 Tube 1600 0 0
515 Klorpromazin injeksi 25 mg/ml (HCl) DAK 2014 Ampul 1100 0 0
516 Kotrimoksazol Suspensi komb DAK 2014 Botol 2167 0 0
517 Loperamid tablet 2 mg DAK 2014 Tablet 89 0 0
518 Loratadin tablet 10 mg DAK 2014 Tablet 154 439350 67659900 0
519 Metilprednisolon tablet 4 mg DAK 2014 Tablet 205 0 0
520 Metronidazol tablet 500 mg DAK 2014 Tablet 154 0 0
521 NaCl 0,9% DAK 2014 Botol 4700 0 0
522 Natrium Diklofenak tablet 50 mg DAK 2014 Tablet 176 0 0
523 Omeprazol kapsul/kaplet 20 mg DAK 2014 Kapsul 211 0 0
524 Parasetamol sirup 120 mg / 5 ml DAK 2014 Botol 1438 0 0
525 Parasetamol tablet 500 mg DAK 2014 Tablet 79 0 0
526 Pirantel suspensi 125 mg/5 ml DAK 2014 Botol 8360 0 0
527 Ranitidin injeksi 25 mg/2 ml DAK 2014 Ampul 1140 0 0
528 Ranitidin tablet 150 mg DAK 2014 Tablet 120 0 0
529 Retinol (Vit A) kapsul 100.000 iu DAK 2014 Kapsul 260 0 0
530 Ringer Laktat larutan infus DAK 2014 Botol 5200 0 0
531 Salbutamol tablet 4 mg DAK 2014 Tablet 89 0 0
532 Salisil Bedak 2% DAK 2014 Kotak 1250 0 0

533 Sefadroksil 500 mg DAK 2014 Kapsul 509 0 0
534 Sefadroksil sir kering 250 mg/5 Ml DAK 2014 Botol 5940 0 0
535 Sefiksim 100 mg DAK 2014 Kapsul 859 0 0
536 Sefiksim sirup kering 100 mg/ 5 ml DAK 2014 Botol 8800 0 0
537 Sianokobalamin injeksi 500 mcg DAK 2014 Ampul 1077 0 0
538 Simvastatin scored tablet 10 mg DAK 2014 Kaplet 169 0 0
539 Spironolakton tablet 100 mg DAK 2014 Tablet 900 0 0
541 Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2014 Tablet 34 0 0
Total Obat DAK 2014 (D) : 94729320 0
Obat Silva Tahun 2014
542 Parasetamol sirup 120 mg / 5 ml SILVA 2014 botol 1438 67664 97300832 0
543 Glibenklamid tablet 5 mg SILVA 2014 tablet 56 0 0
544 Kotrimoksazol Suspensi SILVA 2014 botol 2167 1250 2708750 0
Total Obat Silva Tahun 2014 (E) : 100009582 0
IV. Total Obat Tahun 2014 (A+B+C+D+E) : 216220654 0
Tahun 2015
Obat Provinsi Tahun 2015
545 Domperidon tablet 10 mg PROV 2015 tablet 167 0 0
546 EUTHYROX 100 mg (Na. Thiroxin) PROV 2015 tablet 1390 0 0
547 Fitomenadion (Vit K) inj 10 mg/ml PROV 2015 vial 1566 0 0
548 Gentamisin injeksi 40 mg/ml PROV 2015 ampul 3104 0 0
549 Isoniazid tablet 100 mg PROV 2015 Tablet 44 0 0
550 Klorpromazin tablet 100 mg PROV 2015 tablet 149 0 0

551 Mikropipet tips ukuran 61(standard 50-1000µl)effendorf PROV 2015 pcs 980 0 0
552 Parasetamol tablet 500 mg PROV 2015 tablet 79 0 0
553 Salbutamol tablet 4 mg PROV 2015 tablet 89 0 0
554 Albendazol tablet 400 mg PROV 2015 tablet 380 0 0
555 Ampisislin injeksi 1000 mg PROV 2015 vial 4200 0 0
556 Depo inj/Suntikan KB 3 bln PROV 2015 vial 0 0
557 Diazepam injeksi 5 mg/ml - 2 ml PROV 2015 vial 2344 0 0
558 Diazepam tablet 5 mg PROV 2015 botol 16200 0 0
559 Fenobarbital inj PROV 2015 vial 1800 0 0
560 Fenobarbital tablet 30 mg PROV 2015 tablet 56 0 0
561 Flashback Needle (BD vacuntainer) PROV 2015 pcs 2902 100 290200 0
562 Garam Oralit PROV 2015 sase 288 0 0
563 Haloperidol tablet 1,5 mg PROV 2015 tablet 69 0 0
564 Haloperidol tablet 5 mg PROV 2015 tablet 96 0 0
565 Hidrokortison sk 2,5% PROV 2015 tube 2884 0 0
566 Magnesium Sulfat inj (IV) 20% PROV 2015 vial 5500 0 0
568 Mikropipet tips ukuran 60 (standard 2-200µl)effendorf PROV 2015 pcs 980 100 98000 0
569 Obat Kusta Dewasa MB PROV 2015 tablet 20906 10 209060 0
570 Obat TB FDC Katagori I PROV 2015 paket 360001 64 23040032 0
571 Obat TB FDC Katagori II PROV 2015 paket 1200000 0 0
572 Obat TB FDC Kategori Anak PROV 2015 paket 214990 4 859960 0
573 Oksitetrasiklin salep mata 1% PROV 2015 tube 1600 0 0
574 Prokain Benzyl Penisilin inj PROV 2015 vial 8880 330 2930400 0
575 Retinol (Vitamin A) 100.000 iu Prov. 2015 kapsul 255 0 0
577 Tablet Tambah Darah/Sulfas Ferrosus Prov. 2015 tablet 27 0 0
578 Zink 20 mg tablet PROV 2015 tablet 473 0 0
Total Obat Provinsi Tahun 2015 (A) : 27427652 0
Obat HIV 2015
579 (ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015 btl@60tab 205740 533 109659420 0
580 Efavirenz (EFV) 600 mg Hiv. 2015 btl@30tab 191250 156 29835000 0
581 Lamivudine (3TC) 150 mg Hiv. 2015 btl@60tab 76020 91 6917820 0
582 Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015 btl@120tab 736203 30 22086090 0
583 Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015 btl@60tab 156780 453 71021340 0
584 Tenofovir (TDF) 300 mg Hiv. 2015 btl@30tab 31950 210 6709500 0
585 Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015 btl@30tab 354530 157 55661210 0
Total Obat HIV 2015 (B) : 301890380 0
Obat DAK 2015

86
586 Alopurinol tablet/kapsul/kaplet 100 mg DAK 2015 Tablet 0 0
2445
587 Amoksisilin sirup kering 125 mg/ 5 ml DAK 2015 Botol 0 0
588 Antasida DOEN I tablet kunyah DAK 2015 Tablet 0 0

2112
589 Antasida DOEN II suspensi DAK 2015 Botol 0 0
116
590 Asam Asetilsalisilat (asetosal) tablet 100 mg DAK 2015 Tablet 0 0
159
591 Asam Askorbat (Vitamin C) tablet 250 mg DAK 2015 Tablet 0 0
336
592 Asiklovir tablet/kapsul/kaplet 400 mg DAK 2015 Tablet 0 0
1400
593 Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2015 Ampul 800 1120000 0
62
594 Deksametason tablet 0,5 mg DAK 2015 Tablet 0 0
1050
595 Difenhidramin inj. 10 mg/ml - 1 ml DAK 2015 Ampul 0 0
104
596 Dimenhidrinat tablet 50 mg DAK 2015 Tablet 0 0
3333
597 Domperidon suspensi 5 mg/5 ml DAK 2015 Botol 0 0
167
598 Domperidon tablet 10 mg DAK 2015 Tablet 0 0
75
599 Furosemid tablet 40 mg DAK 2015 Tablet 0 0
600 Gentamisin tetes mata 0,3% DAK 2015 Botol 0 0

56
601 Glibenklamid tablet 5 mg DAK 2015 Tablet 0 0
5700
59
603 Haloperidol tablet 0,5 mg DAK 2015 Tablet 0 0
604 Hidrokortison krim 2,5 % DAK 2015 Tube 0 0

150
605 Ibuprufen tablet 400 mg DAK 2015 Tablet 0 0
70
606 Kalsium Laktat (Kalk) tablet 500 mg DAK 2015 Tablet 0 0
84
607 Kaptopril tablet scored 25 mg DAK 2015 Tablet 0 0
608 Kloramfenikol salep mata 1% DAK 2015 Tube 0 0

Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg 5990
609 (Combivent Nebulle) DAK 2015 Ampul 0 0
138
610 Kotrimoksazol DOEN I komb 480 mg DAK 2015 Tablet 0 0
611 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml DAK 2015 Ampul 0 0
113
612 Metformin HCl tablet 500 mg DAK 2015 Tablet 0 0
2600
613 Metoklopramid sirup 5 mg/ml DAK 2015 Botol 0 0
110
614 Nifedipin tablet 10 mg DAK 2015 Tablet 0 0
211
615 Omeprazol capsul 20 mg DAK 2015 Kapsul 0 0
79
616 Parasetamol tablet 500 mg DAK 2015 Tablet 0 0
1140
617 Ranitidin injeksi 25 mg/2 ml DAK 2015 Ampul 0 0
618 Ringer Laktat larutan infus steril DAK 2015 Botol 5200 0 0
619 Salbutamol nebules (Ventolin nebules) DAK 2015 Ampul 6600 0 0
59
620 Salbutamol tablet 2 mg DAK 2015 Tablet 0 0

4896
622 Sefadroksil sirup 125 mg/5 ml DAK 2015 Botol 0 0
1077
623 Sianokobalamin (Vit B12) inj 500 mcg DAK 2015 Ampul 0 0
624 Siprofloksasin tablet 500 mg DAK 2015 Tablet 0 0

107
625 Vitamin B kompleks tablet DAK 2015 Tablet 0 0
Total Obat DAK 2015 (C) : 1690000 0
Obat Jiwa DAK 2015
626 Alprazolam tablet/kapsul/kaplet 0,5 mg DAK 2015 Tablet 0 0

233
627 Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015 Tablet 4800 1118400 0
628 Diazepam larutan rektal 5 mg/2,5 Ml DAK 2015 Tube 0 0
629 Diazepam tablet 2 mg DAK 2015 Tablet 0 0

20250
630 Fenitoin injeksi 50 mg/ml DAK 2015 Ampul 0 0
631 Fenitoin kapsul/kaplet 100 mg DAK 2015 Kapsul 0 0

55000
632 Flufenazin injeksi i.m. 25 mg/ml DAK 2015 Ampul 570 31350000 0
59
69
96
635 Haloperidol tablet 5 mg DAK 2015 Tablet 0 0
900
1100
637 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2015 Ampul 0 0
638 Klorpromazin tablet salut 100 mg (HCl) DAK 2015 Tablet 0 0

1550
639 Klozapin Tablet 25 mg DAK 2015 Tablet 0 0
500
640 Kodein 10 mg DAK 2015 Tablet 800 400000 0
1341
641 Lorazepam tablet 2 mg DAK 2015 Tablet 0 0
642 Olanzapin tab 10 mg DAK 2015 Tablet 0 0

1008
643 Risperidon tablet 2 mg DAK 2015 Tablet 4600 4636800 0
3300
644 Sertralin tab 50 mg DAK 2015 Tablet 5700 18810000 0
405
645 Trifluoperazin tablet 5 mg DAK 2015 Tablet 2300 931500 0
Total Obat Jiwa DAK 2015 (D) : 61026700 0

8355
646 Abocath / IV Catheter no 18 G DAK 2015 Set 0 0
8355
8355
8355
957
650 Alat Suntik sekali pakai 3 ml DAK 2015 Set 0 0
1348
134000
652 Catgut/Benang Bedah no 3/0 DAK 2015 Pcs 0 0
653 Foley Cathether no 18 DAK 2015 Pcs 8000 0 0

6595
655 Hanschoon (Sarung tangan) M DAK 2015 Set 0 0
6595
656 Hanschoon (Sarung tangan) L DAK 2015 Set 0 0
5445
657 Infusion set dewasa DAK 2015 Set 0 0
8000
658 ONEMED - UROCARE Folley Catheter 2 way No. 18 DAK 2015 Set 0 0
330
659 ONEMED Surgical Mask - 3 ply Earloop DAK 2015 Pcs 0 0
3000
660 ONEMED Urine Bag Standard Steril 2 Lt (T Valve) DAK 2015 Set 0 0
27830
661 Pembalut Elastis Ukuran 7,5 cm X 4,55 m DAK 2015 Pcs 1 27830 0
51305
662 Pharmafix 10 x 5cm DAK 2015 Rol 0 0
325
663 SAFEGLOVE Examination Glove DAK 2015 Set 0 0
3056
664 Silk 2/0 + jarum 1/2 GT 35 mm DAK 2015 Pcs 396 1210002 0
750
665 STERA 5 cc x 22G x 1 1/4" DAK 2015 Set 1500 1125000 0
3800
666 STERA I.V Catheter No. 18 G x 32 mm DAK 2015 Set 0 0
3800
667 STERA I.V Catheter No. 20 G x 1 1/4 " DAK 2015 Set 0 0
3800
668 STERA I.V Catheter No. 22 G x 1 " DAK 2015 Set 0 0
3800
669 STERA I.V Catheter No. 24 G x 3/4 " DAK 2015 Set 0 0
3200
670 STERA Infusion Set Dewasa (20 drops/ml) DAK 2015 Set 0 0
330
671 Surgical Mask - Plus 3 Ply Plus Earloop DAK 2015 Pcs 0 0
3000
672 Urine Bag Standard Steril 2 Lt (T Valve) DAK 2015 Set 0 0
Total Alat Kesehatan DAK 2015 (E) : 2362832 0
Lab. APBD II 2015
673 Combur Test (Stik urinalisis 10 parameter) LAB. APBD II 2015 Tube (100 tes 691250 0 0
674 Pipet LED Westergreen LAB. APBD II 2015 Set 69600 0 0
675 Stik Glukosa & Protein LAB. APBD II 2015 Pcs 5900 335 1976500 0
Total Lab. APBD II 2015 (F) : 1976500 0
Obat Jiwa APBD II 2015
676 Phenobarbital 30 mg Tablet APBD II 2015 botol 121 0 0
677 Stesolid 5 mg (Diazepam Tablet) APBD II 2015 tablet 2512 8900 22356800 0
678 Stesolid 10 mg injeksi APBD II 2015 ampul 38242 1487 56865854 0
679 Trifluoperazin tablet 2 mg (STELOSI) APBD II 2015 botol 993 2700 2681100 0
680 Trihexpenidil 2 mg (HEXIMER 2 mg) APBD II 2015 botol 510 100000 51000000 0
Total Obat Jiwa APBD II 2015 (G) : 132903754 0
Obat APBD II 2015

681 Asam Tranexamat tablet 500mg APBD II 2015 tablet 1625 0 0
682 Heparin komb. Gel (thrombopob gel 20 g) APBD II 2015 tube 79076 0 0
683 Jarum Kulit APBD II 2015 set/12 27500 0 0
684 Jarum Otot APBD II 2015 set/12 27500 0 0
685 Komb B complek + vit c 500 mg (selcom) APBD II 2015 tablet 583 0 0
686 Minyak kayu putih 60 ml APBD II 2015 botol 20000 0 0
687 Minyak telon 60 ml APBD II 2015 botol 17500 0 0
688 Obat diare kombinasi APBD II 2015 tablet 473 0 0
689 Oksigen tabung (Oxycan) APBD II 2015 tabung 48030 9 432270 0
690 Parasetamol Rectal (Dumin 125 mg rectal) APBD II 2015 tube 16559 0 0
691 Pisau Operasi APBD II 2015 pcs 1553 0 0
692 Serum anti bisa ular injeksi 5 ml APBD II 2015 vial 702400 0 0
693 Serum anti tetanus 1.500 iu/amp APBD II 2015 ampul 201700 0 0
694 Voltaren cream (Diklofenak Dietilammon) APBD II 2015 tube 8821 49 432229 0
695 Wing Needle no 21 G APBD II 2015 ktk@100pcs 4025 0 0
Total Obat APBD II 2015 (H) : 864499 0
Obat Gigi APBD II 2015
696 Etil Klorida Semprot APBD II 2015 botol 128500 0 0
697 GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2015 set@2botol 1009125 0 0
698 Eugenol cairan APBD II 2015 botol 85698 0 0
699 Kalsium Hidroksida Pasta APBD II 2015 tube 428490 0 0
700 Mumifying pasta APBD II 2015 botol 482051 0 0
Total Obat Gigi APBD II 2015 (I) : 0 0
V. Total Obat Tahun 2015 (A+B+C+D+E+F+G+H+I) : 530142317 0

Tahun 2016
705 Isoniazid tablet 100 mg PROV 2016 kapsul 44 1000 44000 0
707 Mikropipet tips ukuran 61(standard 50-1000µl)effendorf PROV 2016 Pcs 980 100 98000 0
713 Diazepam injeksi 5 mg/ml - 2 ml PROV 2016 vial 2344 240 562560 0
714 Diazepam tablet 5 mg PROV 2016 botol 16200 2 32400 0
717 Flashback Needle (BD vacuntainer) PROV 2016 Pcs 2902 0 0
718 Garam Oralit PROV 2016 sachet 288 800 230400 0
720 Haloperidol tablet 5 mg PROV 2016 tablet 96 5100 489600 0
722 Magnesium Sulfat inj (IV) 20% PROV 2016 vial 5500 245 1347500 0
724 Mikropipet tips ukuran 60 (standard 2-200µl)effendorf PROV 2016 pcs 980 0 0
726 Obat TB FDC Katagori I PROV 2016 paket 360001 0 0
727 Obat TB FDC Katagori II PROV 2016 paket 1200000 31 37200000 0
730 Prokain Benzyl Penisilin inj PROV 2016 vial 8880 0 0
731 Retinol (Vitamin A ) 100.000 IU kapsul lunak Prov. 2016 kapsul 260 9400 2444000 0
733 Tablet Tambah Darah/Sulfas Ferrosus Prov. 2016 tablet 27 45000 1228500 0
Obat DAK 2016

Vial
735 Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2016 2030 1450 2943500 0
Pcs
736 Alat Suntik Sekali Pakai (TP) 1 cc DAK 2016 647 0 0
Pcs
Pcs
738 Alat Suntik Sekali Pakai (TP) 5 cc DAK 2016 776 6000 4657980 0
739 Alopurinol tablet 100 mg DAK 2016 Tablet 0 0

86
740 Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2016 Kaplet 38497500 0

261 147500
Botol
741 Amoksisilin sirup kering 125 mg/5 ml DAK 2016 0 0
2090
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg
742 Magnesium Hidroksida 200 mg DAK 2016 Tablet 3137200 0
62 50600
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 Botol
743 ml, Magnesium Hidroksida 200 mg/ 5 ml. DAK 2016 12150000 0
2025 6000
Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg
744 lidokain 10 mg seng oksida 120 mg DAK 2016 Supp 5237400 0
3045 1720
Tablet
745 Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2016 116 5000 580000 0
Tablet
746 Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2016 159 68800 10939200 0
Tablet
747 Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2016 84 0 0
748 Asam Folat tablet/kapsul/kaplet 1 mg DAK 2016 Tablet 48 0 0

Kaplet
749 Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2016 106 0 0
750 Asiklovir tablet/kapsul/kaplet 200 mg DAK 2016 Tablet 237 2600 616200 0
751 Atapulgit tablet 600 mg DAK 2016 Tablet 190 0 0
752 Bisoprolol (tablet 5 mg) DAK 2016 Tablet 645 0 0

Ampul
753 Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2016 1518 3000 4554000 0
Tablet
754 Deksametason tablet 0,5 mg DAK 2016 44 141500 6226000 0
755 Digoksin 0,25 mg DAK 2016 Tablet 97 3200 310400 0

Tablet
756 Dimenhidrinat tablet/kapsul/kaplet 50 mg DAK 2016 104 0 0
Tablet
757 Doksisiklin 100 mg DAK 2016 270 5000 1350000 0
758 Domperidon suspensi/sirup 5 mg/5 ml DAK 2016 Botol 3000 1800 5400000 0
Tablet
759 Domperidon tablet/kapsul/kaplet 10 mg DAK 2016 118 4500 531000 0
Botol
760 Eugenol cairan DAK 2016 18100 24 434400 0
761 Gentamicin tetes mata 0,3% DAK 2016 Botol 4000 2232 8928000 0
Tablet
762 Gliquidon tablet 30 mg DAK 2016 1000 0 0
763 Glukosa larutan infus 5% steril DAK 2016 Botol 6900 1220 8418000 0
764 Hidroklortiazid tablet 25 mg DAK 2016 Tablet 149 0 0
765 Hidrokortison krim 2,5 % DAK 2016 Tube 2798 1584 4432032 0
766 Ibuprofen 400 mg Tablet DAK 2016 Tablet 127 0 0
Tablet
767 Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg DAK 2016 63 0 0
768 Kaptopril tablet/kaplet scored 25 mg DAK 2016 Tablet 68 90000 6120000 0

Ampul
769 Ketorolak inj 30 mg/ml DAK 2016 1290 0 0

1600 252
771 Kloramfenikol suspensi 125 mg/ 5 ml DAK 2016 Botol 3955 0 0
772 Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2016 Tablet 51 115900 5910900 0
Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg trimetoprim 160 mg
773 DAK 2016 Kaplet 462000 0
308 1500
774 Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 ml DAK 2016 Ampul 1845 2995 5525775 0
Ampul
775 Lidokain Injeksi 2% (HCL) DAK 2016 839 0 0
Tablet
776 Loperamid tablet 2 mg DAK 2016 89 0 0
Tablet
777 Metformin HCl tablet 500 mg DAK 2016 113 0 0
Tablet
778 Metilprednisolon tablet 4 mg DAK 2016 205 0 0
Botol
779 Metoklopramide sirup 5 mg/ 5 ml DAK 2016 2580 0 0
780 Metronidazol kaptab 500 mg DAK 2016 Tablet 133 0 0
781 Natrium diklofenak tablet/kapsul/kaplet 25 mg DAK 2016 Tablet 145 0 0

Tablet
782 Natrium diklofenak tablet/kapsul/kaplet 50 mg DAK 2016 159 117700 18714300 0
783 Nifedipin tablet 10 mg DAK 2016 Tablet 110 37000 4070000 0
784 Omeprazol kapsul/kaplet 20 mg DAK 2016 Kapsul 160 6900 1104000 0

Pcs
785 Onemed - Urocare Folley Catheter 2 way No. 18 DAK 2016 8000 0 0
Pcs
Pcs
Pcs
788 Onemed Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2016 3722 72 268000 0
Pcs
Botol
790 Onemed Povidone Iodine 300 ml DAK 2016 18000 19 342000 0
Botol
Pcs
792 Onemed Silk 2/0 + jarum 1/2 GT 35 mm DAK 2016 3056 1440 4400000 0
Pcs
793 Onemed Surgical Mask Earloop DAK 2016 330 36700 12111000 0
Pcs
794 Onemed Urine Bag Standard Steril 2 Lt (T Valve) DAK 2016 3000 40 120000 0
Tablet
795 Parasetamol tablet/kapsul/kaplet 500 mg DAK 2016 56 0 0
Tablet
796 Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2016 118 21800 2572400 0
797 Propanolol tablet 10 mg (HCL) DAK 2016 Tablet 70 9100 637000 0

Tablet
799 Ranitidin tablet 150 mg DAK 2016 120 0 0
Botol
800 Ringer Laktat DAK 2016 7150 24284 173630600 0
Pasang
801 Safeglove PP Steril no 7,5 DAK 2016 4180 9000 37620000 0
Pasang
802 Safeglove PP Steril no 8 DAK 2016 0 0
4180
Ampul
803 Salbutamol cairan ih 0,1% DAK 2016 6600 10 66000 0
Tablet
804 Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2016 89 4900 436100 0
Pot
805 Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2016 2429 160 388640 0
Kapsul
806 Sefadroksil kapsul/kaplet 500 mg DAK 2016 516 0 0
Vial
807 Sefotaksim serb inj 1.000 mg DAK 2016 4500 760 3420000 0
Botol
808 Setirizin sirup 5 mg/5 ml DAK 2016 7999 94 751906 0
Ampul
809 Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2016 1098 1900 2086200 0
810 Simvastatin scored tablet 10 mg DAK 2016 Tablet 169 1500 253500 0
811 Siprofloksasin tab scored 500 mg DAK 2016 Tablet 281 56000 15736000 0
812 Spironolakton tablet 25 mg DAK 2016 Tablet 630000 0

315 2000
Pcs
813 Stera Infusion Set Anak (60 drops/ml) DAK 2016 0 0
3500
Pcs
814 Stera Infusion Set Dewasa (20 drops/ml) DAK 2016 800000 0
3200 250
Pcs
815 Terumo Surflo IV Catheter SR+OX1832C3 (IV Cateter No 18) DAK 2016 0 0
8355
Pcs
816 Terumo Surflo IV Catheter SR+OX2032C3 (IV Cateter No 20) DAK 2016 8355 0 0
Pcs
Pcs
818 Terumo Surflo IV Catheter SR+OX2419C3 (IV Cateter No 24) DAK 2016 8355 100 835500 0
Kapsul
819 Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2016 310 800 248000 0
Tablet
820 Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2016 34 0 0
Tablet
821 Vitamin B kompleks tablet DAK 2016 115 192800 22172000 0
Tablet
822 Prednison kaplet 5 mg 96 16700 1603200 0
Total Obat DAK 2016 (B) : 446799133 0
Laboratorium APBD II 2016
822 Cell Pack LAB APBD II 2016 Botol 3051180 8 24409440 0
823 Cleaner (Cell Clean) LAB APBD II 2016 Botol 2066378 8 16531024 0
824 Combur Test LAB APBD II 2016 Botol 725000 5 3625000 0
825 Kontrol LAB APBD II 2016 Botol 1635645 5 8178225 0
826 Reagen Gol Darah LAB APBD II 2016 Set 700000 0 0
827 Stromatolyser LAB APBD II 2016 Botol 2020838 8 16166704 0
828 Widal Test LAB APBD II 2016 Set 750000 4 3000000 0
829 Oil Emersi botol 590000 2 1180000 0
830 Parafilm buah 590000 1 590000 0
831 Glukosa buah 5 0 0
832 Asam Urat buah 8 0 0

833 Widal Test buah 8 0 0
834
835
836
Total Laboratorium APBD II 2016 (C) : 73680393 0
Obat APBD II 2016
829 Ambroksol sirup 15 mg/5 ml APBD II 2016 Botol 4187 0 0
830 Ambroksol tablet 30 mg APBD II 2016 Tablet 163 0 0
831 Counterpain crm 15 g APBD II 2016 Tube 24000 0 0
832 Diklofenak dietilammon Crm (Voltaren crm) APBD II 2016 Tube 17000 150 2550000 0
833 Gentamicin salep kulit 0,1% APBD II 2016 Tube 3453 250 863250 0
834 Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2016 Tube 59000 31 1829000 0
837 Kloramfenikol tetes telinga 3% APBD II 2016 Botol 9295 0 0
838 Komb B complek + vit c 500mg (selcom) APBD II 2016 Tablet 562 200 112400 0
839 Minyak kayu putih 60 ml APBD II 2016 Botol 17000 79 1343000 0
840 Minyak Telon 60 ml APBD II 2016 Botol 15000 100 1500000 0
841 Natrium Klorida larutan infus 0,9% APBD II 2016 Botol 8862 0 0
842 Obat Batuk Hitam (O.B.H) sirup APBD II 2016 Botol 4819 0 0
843 Obat Flu kombinasi (Demacolin) APBD II 2016 Tablet 429 200 85800 0
844 Oksigen tabung (Oxycan) APBD II 2016 Tabung 48050 37 1777850 0
845 Pisau Operasi APBD II 2016 Pcs 1553 0 0
846 Serum anti bisa ular injeksi 5ml APBD II 2016 Vial 702400 38 26691200 0
847 Serum anti tetanus 1.500 iu/amp APBD II 2016 Ampul 201700 615 124045500 0
Total Obat APBD II 2016 (D) : 160798000 0
848 Cavitron APBD II 2016 Botol 135000 0 0 0
849 Devitalisasi pasta APBD II 2016 Botol 750420 1 750420 0
850 Etil Klorida semprot APBD II 2016 Botol 153000 10 1530000 0
851 GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2016 Set 1009125 3 3027375 0
852 Kalsium Hidroksida pasta APBD II 2016 Tube 432000 5 2160000 0
853 Monoklorkamfer Mentol cairan (CHKM) APBD II 2016 Botol 126000 29 3654000 0
854 Mumifying pasta APBD II 2016 Botol 882000 4 3528000 0
855 Semen Zeng Fosfat serbuk & cairan APBD II 2016 Set 225000 0 0
856 Spongostan APBD II 2016 Botol 702000 4 2808000 0
857 TKF (Tricresol Formaldehid) APBD II 2016 Botol 115200 4 460800 0
Total Obat Gigi APBD II 2016 (E) : 17918595 0
858 Alprazolam tablet 0,5 mg JIWA APBD II 2016 Tablet 176 0 0
859 Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016 Tablet 112 1000 112000 0
860 Clobazam tablet 10 mg JIWA APBD II 2016 Tablet 900 25000 22500000 0
861 Diazepam injeksi 5 mg/ml - 2 ml JIWA APBD II 2016 Ampul 4180 605 2528900 0
862 Diazepam tablet 2 mg JIWA APBD II 2016 Tablet 45 20500 922500 0
864 Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016 Ampul 11525 40 461000 0
865 Fenitoin kapsul 100 mg JIWA APBD II 2016 Kapsul 133 23800 3165400 0
866 Fenobarbital inj JIWA APBD II 2016 Ampul 1800 390 702000 0
867 Fenobarbital tablet 30 mg JIWA APBD II 2016 Tablet 135 0 0
869 Haloperidol tablet 0,5 mg JIWA APBD II 2016 Tablet 59 38500 2271500 0
871 Haloperidol tablet 5 mg JIWA APBD II 2016 Tablet 96 0 0
872 Karbamazepin tablet 200 mg JIWA APBD II 2016 Tablet 245 0 0
873 Klorpromazin tablet 25 mg JIWA APBD II 2016 Tablet 68 23900 1625200 0
874 Klorpromazin tablet 100 mg JIWA APBD II 2016 Tablet 149 0 0

875 Lorazepam tablet 2 mg JIWA APBD II 2016 Tablet 1341 9100 12203100 0
876 Triheksilfenidil tablet 2 mg JIWA APBD II 2016 Tablet 510 48000 24480000 0
Total Obat Jiwa APBD II 2016 (F) : 79432600 0
Obat HIV 2016
877 (ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2016 btl@60tab 205740 0 0
878 Efavirenz (EFV) 600 mg Hiv. 2016 btl@30tab 191250 0 0
879 Lamivudine (3TC) 150 mg Hiv. 2016 btl@60tab 76020 0 0
880 Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2016 btl@120tab 736203 0 0
881 Nevirapine (NVP) 200 mg Zidovudine Hiv. 2016 btl@60tab 156780 0 0
882 Tenofovir (TDF) 300 mg Hiv. 2016 btl@30tab 31950 0 0
883 Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2016 btl@30tab 354530 0 0
884 Zidovudine 100 mg Hiv. 2016 btl@60tab 205740 5 1028700 0
Total Obat HIV 2016 (G) : 1028700 0
VI. Total Obat Tahun 2016 (A+B+C+D+E+F+G) : 848906413 0
Lain-lain
885 0 0
886 0 0
887 0 0
888 0 0
889 0 0
890 0 0
891 0 0
892 0 0
893 0 0
894 0 0
895 0 0
896 0 0
897 0 0
898 0 0
899 0 0
900 0 0
901 0 0
902 0 0
903 0 0
Total Obat Lain-lain (VII) : 0 0
Total Obat Gudang Farmasi I+II+III+IV+V+VI+VII : 1796702864 0
Mengetahui, Kepala Bidang Pelayanan K

Kepala Dinas Kesehatan Dinas Kesehatan Kab. Jem
Kabupaten Jembrana
( Dr. Putu Suasta, M. Kes. ) (Dr. AA.Ketut Oka Sedana,

NIP. 19600429 198703 1 010 NIP. 19700322 200212 1
LAPORAN OBAT GUDANG FARMASI
DINAS KESEHATAN KABUPATEN JEMBRANA
Distribusi Hilang/
Pusk. 1 Pusk. 2 Pusk. 1 Pusk. 2 Pusk. 1 Pusk. 2 Pusk. 1 Pusk. 2 Pusk. 1 Pusk. 2 Lain-lain Total Rusak/
Nilai Distribusi Expired
Pekutatan Pekutatan Mendoyo Mendoyo Jembrana Jembrana Negara Negara Melaya Melaya Jumlah Ket Distribusi
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
0 0
0 0
17700 exp 17700 2424794
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2424794
0 0
0 0
0 0 0
0 0
500 500 151750
0 0
151750
0 0
0 0
0 0
2576544
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 17700
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 10 20 150000
10 10 552000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
702000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
702000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
29 29 72500
0 0
0 0
6 6 111600
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
184100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
300 300 259275
48 120 120 288 2079360
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
200 200 38800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
200 500 700 184800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2562235
0 0
0 0
0 0
200 200 430400
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
96 96 96 96 384 1152000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1582400
4328735
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 3
0 0
3 3 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 5 37500
0 0
0 0
0 0
37500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
7000 7000 665000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
6000 6000 12000 744000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1409000
504 504 504 504 504 504 504 504 504 4536 6522768
0 0
0 0
6522768
7969268
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
6 6 125436
3 5 4 10 1 23 8280012
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
8405448
119 RS 119 24483060
39 RS 39 7458750
30 RS 30 2280600
4 RS 4 2944812
106 RS 106 16618680
28 RS 28 894600
45 45 15953850
70634352
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 100 200 280000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
280000
0 0
0 0
0 0
0 0
0 0
0 0
10 10 550000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 100 50000

0 0
0 0
200 200 201600
0 0
0 0
801600
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1 27830
0 0
0 0
72 72 220000
500 500 375000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
622830
0 0
0 0
335 335 1976500
1976500
0 0
200 300 500 1000 2512000
0 0
0 0
0 0
2512000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
9 9 432270
0 0
0 0
0 0
0 0
1 1 8821
0 0
441091
0 0
0 0
0 0
0 0
0 0
85673821
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
500 500 144000
0 0
300 300 500 1100 105600
0 0
0 0
0 0
0 0
0 0
0 0
3 3 3600000
1 1 214990
0 0
0 0
1000 600 0 600 500 600 500 3800 988000
2000 2000 1600 4000 5000 5000 1000 8000 Rs 28600 13127400
3000 3000 3000 3000 3000 3000 3000 3000 3000 3000 30000 819000
0 0
18998990
200 200 406000
0 0
0 0
200 500 700 543431
0 0
10000 10000 12000 12000 10000 10000 64000 16704000
0 0
2000 2000 7200 7200 3000 21400 1326800

200 200 0 200 300 900 1822500
200 200 609000
500 300 800 92800
1000 1000 2000 3000 7000 1113000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5000 5000 5000 5000 3000 10000 10000 43000 1892000
0 0
0 0
500 200 500 1200 324000
100 100 100 100 200 600 1800000
0 0
0 0
96 48 96 96 96 96 528 2112000
0 0
20 20 138000
0 0
144 144 144 144 144 144 144 1008 2820384

0 0
0 0
2000 5000 2000 5000 5000 3000 2000 3000 27000 1836000
0 0
24 48 72 115200
0 0
3000 5000 5000 5000 5000 10000 5000 38000 1938000
0 0
300 90 120 300 300 1110 2047950
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2800 2800 5600 2800 2800 2800 19600 3116400
1000 1000 3000 5000 550000
300 300 300 300 300 300 1800 288000
0 0
0 0
0 0
72 72 268000
48 24 72 402000
0 5 5 90000
10 5 15 55500
0 0
500 1000 1000 500 500 3500 1155000
10 10 30000
0 0
300 1000 1300 153400
0 0
0 0
0 0
200 20 20 40 100 300 300 980 7007000
200 600 1000 1000 800 3600 15048000
0 0
10 10 66000
1000 1000 2000 178000
0 0
0 0
100 100 200 400 1800000
50 50 399950
200 200 200 400 200 1200 1317600
0 0
1000 2000 3000 1000 3000 3000 5000 3000 21000 5901000
0 0
0 0
50 100 150 480000
0 0
0 0
0 0
0 0
200 200 62000
0 0
6800 6800 6800 6800 6800 6800 6800 47600 5474000
1000 1000 1000 3000 288000
81482915
1 1 1 3 9153540
1 1 1 3 6199134
5 5 3625000
5 5 8178225
0 0
1 1 1 3 6062514
0 0
0 0
0 0
0 0
0 0
1 1 2 4 0
0 0
33218413
0 0
0 0
0 0
0 0
20 20 69060
1 1 59000
0 0
0 0
0 0
0 0
5 5 85000
5 5 75000
0 0
0 0
0 0
9 24 P3K 33 1585650
0 0
10 2 4 4 20 14048000
20 10 20 20 10 0 30 30 140 28238000
44159710
0 0
0 0
0 0
0 0
0 0
4 4 8 1008000
0 0
0 0
4 4 2808000
0 0
3816000
0 0
0 0
0 0
5 5 20900
0 0
0 0
5 5 20 30 345750
100 500 600 79800
0 0
0 0
0 0
0 0 0
500 500 1000 69000
0 0
0 0
1000 1000 1000 3000 204000
0 0
100 100 134100
1000 1000 510000
1363550
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
183039578
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
284289946
ala Bidang Pelayanan Kesehatan Kepala Seksi Farmasi

nas Kesehatan Kab. Jembrana Dinas Kesehatan Kab. Jembrana
AA.Ketut Oka Sedana, M.Kes.) ( Widiyatno, S. Si., Apt )

NIP. 19700322 200212 1 001 NIP. 19720206 200604 1 004
Nilai Obat
Stok Akhir 31-
Hilang/ Rusak/ Retur Nilai Retur Nilai Stok Akhir Keterang-an
01-2017
Expired
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2637300 0 1509487619
Yang melaporkan
Rissang Bagus Sigit P, S.farm., Apt.

D
BULAN : FEBRUARI
.....
TAHUN :2017
.....
Harga Nilai
01-02-17
1 2 3 4 5 6 7 8
Tahun 2011
Obat Provinsi 2011
1 Ampisislin injeksi 1000 mg Prov. 2011 vial 3176 0 0 0
2 Oksitosin injeksi 10 iu / ml - 1 ml Prov. 2011 ampul 1785 0 0 0
Obat DAK 2011
4 Ciprofloksasin 500 mg DAK 2011 kaplet 265 0 0 0
5 Difenhidramin Inj IM 10 mg/ml (HCL) DAK 2011 ampul 800 0 0 0
6 Doksisiklin kapsul 100 mg DAK 2011 Kapsul 230 0 0 0
7 Fenobarbital tablet 100 mg DAK 2011 tablet 127 0 0 0
9 Haloperidol tablet 5 mg DAK 2011 tablet 122 0 0 0
10 Kloramfenikol kapsul 250 mg DAK 2011 Kapsul 246 0 0 0
11 Klorpromazin HCL tablet salut 100 mg DAK 2011 tablet 115 0 0 0
12 Klorpromazin tablet salut 25 mg DAK 2011 tablet 36 0 0 0

13 Parasetamol 100 mg DAK 2011 tablet 38 0 0 0
14 Prednison tablet 5 mg DAK 2011 tablet 57 0 0 0
15 Triheksifenidil tablet 2 mg DAK 2011 tablet 41 0 0 0
Total DAK 2011 (B): 0 0
16 Catgut/Benang Bedah no 2/0 DAK 2011 set 26295 0 0 0
17 Handschoon 8 DAK 2011 pasang 4250 0 0 0
Obat Gigi DAK 2011
22 Klorfenol kamfer menthol (CHKM) DAK 2011 botol 55000 0 0 0
23 Mummifying Pasta DAK 2011 botol 176000 0 0 0
24 Temporary Stopping Fletcher serbuk dan cairan DAK 2011 set 34000 0 0 0
Tahun 2012
Obat APBD II 2012
25 Alkohol 70% 300 ml APBD II 2012 Botol 8219 0 0 0
26 Asam tranexamat injeksi 250mg APBD II 2012 Ampul 5280 0 0 0
27 Colpica tablet APBD II 2012 Tablet 330 0 0 0
28 Difenhidramin injeksi APBD II 2012 Vial 960 0 0 0

29 Gaas/kasa steril 16/16 APBD II 2012 Kotak 6600 0 0 0
30 Hand sanitizer 50 ml APBD II 2012 Botol 7700 0 0 0
31 Kasa steril 16/16 APBD II 2012 kotak 6600 0 0 0
32 Licopac APBD II 2012 tablet 642 0 0 0
34 Povidone iodine 10% 15ml APBD II 2012 Botol 2420 0 0 0
35 Voltaren gel APBD II 2012 Tube 49000 0 0 0
Obat DAK 2012
36 Albendazol tablet 400 mg DAK 2012 tablet 407 0 0 0
37 Allopurinol tablet 100 mg DAK 2012 tablet 132 0 0 0
38 Alprazolam tablet 0,5 mg DAK 2012 tablet 585 0 0 0
39 Ambroxol sirup 15 mg/5 ml DAK 2012 Botol 3300 0 0 0
40 Ambroxol tablet 30 mg DAK 2012 tablet 125 0 0 0
41 Aminofilin tablet 200 mg DAK 2012 tablet 113 0 0 0
42 Aminoflin injeksi 24 mg/ml DAK 2012 Ampul 3000 0 0 0
43 Amitriptilin tablet salut 25 mg (HCl) DAK 2012 tablet 120 0 0 0
44 Amoksisilin kaplet 500 mg DAK 2012 kaplet 370 0 0 0
45 Amoksisilin sirup kering 125 mg/5 ml DAK 2012 Botol 3700 0 0 0
46 Antalgin (Metampiron) injeksi 250 mg/ml DAK 2012 ampul 1333 0 0 0
48 Antasid DOEN I tablet kunyah kombinasi DAK 2012 tablet 162 0 0 0
49 Antasid DOEN II suspensi kombinasi DAK 2012 botol 3850 0 0 0
50 Anti Bakteri DOEN salep kulit DAK 2012 tube 2517 0 0 0

52 Antihemoroid DOEN Kombinasi (supositoria) DAK 2012 supp 2000 0 0 0
53 Antimigren DAK 2012 tablet 123 0 0 0
54 Aqua pro injeksi steril 20 ml DAK 2012 vial 5500 0 0 0
55 Asam Ascorbat (Vit. C) tablet 50 mg DAK 2012 tablet 32 0 0 0
56 Asam Asetil Salisilat (Asetosal) 100 mg DAK 2012 tablet 96 0 0 0
57 Asam Folat tablet 1 mg DAK 2012 tablet 68 0 0 0
58 Asam Mefenamat kaplet 500 mg DAK 2012 kaplet 176 0 0 0
59 Asiklovir krim 5% DAK 2012 tube 3000 0 0 0
61 Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2012 Ampul 1265 0 0 0
62 Atropin sulfat tetes mata 0,5% DAK 2012 Botol 2801 0 0 0
63 Betahistin Mesilat tablet 6 mg DAK 2012 tablet 924 0 0 0
64 Betametason krim 0,1% DAK 2012 tube 1866 0 0 0
65 Cetirizine Sirup 5 mg/5ml DAK 2012 botol 10450 0 0 0
66 Clobazam tablet 10 mg DAK 2012 tablet 950 0 0 0
67 Deksametason injeksi 5 mg/ml DAK 2012 ampul 2002 0 0 0
68 Deksametason tablet 0,5 mg DAK 2012 tablet 87 0 0 0
70 Dekstrometorfan sirup 10 mg/5 ml (HBr) DAK 2012 botol 2865 0 0 0
71 Dekstrometorfan tablet 15 mg (HBr) DAK 2012 tablet 110 0 0 0
73 Diazepam tablet 5 mg DAK 2012 tablet 48 0 0 0
74 Dietilkarbamazin Sitrat 100 mg DAK 2012 tablet 98 0 0 0

75 Digoksin tablet 0,25 mg DAK 2012 tablet 143 0 0 0
76 Diltiazem HCl tablet 30 mg DAK 2012 tablet 152 0 0 0
77 Dimenhidrinat tablet 50 mg DAK 2012 tablet 96 0 0 0
78 Doksisiklin tablet 100 mg DAK 2012 kapsul 253 0 0 0
79 Domperidon suspensi 5 mg/5 ml DAK 2012 Botol 12650 0 0 0
80 Domperidon tablet 10 mg DAK 2012 tablet 404 0 0 0
81 Efedrin tablet 25 mg DAK 2012 tablet 51 0 0 0
82 Ephinefrin (Adrenalin) injeksi 0,1% (sbg HCl) DAK 2012 ampul 1240 0 0 0
83 Erytromisin kaplet 500 mg DAK 2012 kaplet 930 0 0 0
84 Erytromisin sirup kering 200 mg/5 ml DAK 2012 Botol 8100 0 0 0
85 Etakridin (Rivanol) larutan 0,1% DAK 2012 Botol 1800 0 0 0
86 Fenilbutason tablet 200 mg DAK 2012 tablet 81 0 0 0
87 Fenitoin kapsul 100 mg DAK 2012 kapsul 80 0 0 0
88 Fenitoin Natrium injeksi 50 mg/ml DAK 2012 ampul 48368 0 0 0
91 Fenol Gliserol tetes telinga 10% DAK 2012 Botol 1008 0 0 0
92 Fitomenadion (Vit. K1) injeksi 10 mg/ml DAK 2012 ampul 1740 0 0 0
93 Fitomenadion (Vit. K1) tablet 10 mg DAK 2012 tablet 681 0 0 0
94 Furosemid injeksi 10 mg/ml DAK 2012 ampul 2060 0 0 0
95 Furosemid tablet 40 mg DAK 2012 tablet 101 0 0 0
96 Garam Oralit I serbuk kombinasi DAK 2012 bungkus 380 0 0 0
97 Gentamicin salep kulit 0,1% DAK 2012 tube 1837 0 0 0
98 Gentamicin Sulfat tetes mata 0,3% DAK 2012 botol 3300 0 0 0

99 Gentamisin injeksi 40 mg/ ml DAK 2012 ampul 3696 0 0 0
100 Gentian Violet larutan 1% DAK 2012 Botol 450 0 0 0
101 Glibenklamid tablet 5 mg DAK 2012 tablet 72 0 0 0
102 Glimepiride tablet 1 mg DAK 2012 tablet 760 0 0 0
103 Gliquidon tablet 30 mg DAK 2012 tablet 645 0 0 0
104 Gliseril Guayakolat tablet 100 mg DAK 2012 tablet 28 0 0 0
106 Glukosa larutan infus 40% steril DAK 2012 ampul 1452 0 0 0
108 Haloperidol tablet 0,5 mg DAK 2012 tablet 60 0 0 0
110 Hidroklortiazid tablet 25 mg DAK 2012 tablet 36 0 0 0
111 Hidrokortison krim 2,5% DAK 2012 tube 2979 0 0 0
112 Ibuprufen tablet 400 mg DAK 2012 tablet 205 0 0 0
113 Iodiol kapsul lunak DAK 2012 kapsul 930 0 0 0
114 Isosorbid Dinitrat tablet sublingual 5 mg DAK 2012 tablet 97 0 0 0
115 Kalsium Laktat (Kalk) tablet 500 mg DAK 2012 tablet 52 0 0 0
116 Kaptopril tablet 12,5 mg DAK 2012 tablet 90 0 0 0
117 Kaptopril tablet 25 mg DAK 2012 tablet 138 0 0 0
118 Karbamazepin tablet 200 mg DAK 2012 tablet 246 0 0 0
119 Ketokonazol tablet 200 mg DAK 2012 tablet 410 0 0 0
120 Ketoprofen injeksi 100 mg DAK 2012 ampul 5650 0 0 0
121 Ketoprofen tablet 100 mg DAK 2012 tablet 1350 0 0 0
122 Ketorolac injeksi 30 mg DAK 2012 ampul 13365 0 0 0

123 Kloramfenikol kapsul 250 mg DAK 2012 kapsul 267 0 0 0
124 Kloramfenikol salep mata 1% DAK 2012 tube 1563 0 0 0
125 Kloramfenikol suspensi 125 mg/5 ml DAK 2012 Botol 4500 0 0 0
126 Kloramfenikol tetes telinga 3% DAK 2012 Botol 1600 0 0 0
127 Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2012 tablet 24 0 0 0
128 Kodein tablet 10 mg DAK 2012 tablet 427 0 0 0
129 Kotrimoksazol DOEN I (dewasa) komb 480 mg DAK 2012 tablet 165 0 0 0
130 Kotrimoksazol DOEN II (pediatrik) komb 120 mg DAK 2012 tablet 76 0 0 0
131 Kotrimoksazol suspensi kombinasi 240 mg/5 ml DAK 2012 Botol 3960 0 0 0
132 Lidokain Injeksi 2% DAK 2012 ampul 1010 0 0 0
133 Loratadin tablet 10 mg DAK 2012 tablet 333 0 0 0
136 Magnesium sulfat serbuk 30 gram DAK 2012 bungkus 1027 0 0 0
137 Meloksikam DAK 2012 supp 6600 0 0 0
138 Meloksikam DAK 2012 tablet 1199 0 0 0
139 Menadion (Vit. K3) injeksi 10 mg/ml DAK 2012 ampul 1450 0 0 0
140 Metformin HCl tablet 500 mg DAK 2012 tablet 182 0 0 0
141 Metilergometrin Maleat injeksi 0,200 mg DAK 2012 ampul 1490 0 0 0
143 Metilprednisolon Injeksi 500 mg DAK 2012 vial 83025 0 0 0
144 Metilprednisolon tablet 4 mg DAK 2012 tablet 441 0 0 0
145 Metoklopramid sirup 5 mg/ml DAK 2012 botol 2100 0 0 0
146 Metoklopramid tablet 10 mg DAK 2012 tablet 110 0 0 0

147 Metronidazol Infus 500 mg/100ml DAK 2012 botol 29500 0 0 0
148 Metronidazol tablet 500 mg DAK 2012 tablet 220 0 0 0
149 Mikonazol krim/salep 2% (Nitrat) DAK 2012 tube 3000 0 0 0
150 Natrium Bikarbonat tablet 500 mg DAK 2012 tablet 14 0 0 0
151 Natrium Diklofenak tablet 25 mg DAK 2012 tablet 168 0 0 0
153 Natrium Klorida larutan infus 0,9% DAK 2012 Botol 4900 0 0 0
154 Nifedipin tablet 10 mg DAK 2012 tablet 129 0 0 0
155 Nistatin vaginal tablet 100.000 iu/g DAK 2012 tablet 370 0 0 0
156 Obat Batuk Hitam (O.B.H) sirup DAK 2012 Botol 1429 0 0 0
157 Oksitetrasiklin salep kulit 3% DAK 2012 tube 1651 0 0 0
158 Oksitetrasiklin salep mata 1% DAK 2012 tube 1920 0 0 0
159 Oksitosin injeksi 10 iu/ml DAK 2012 ampul 1785 0 0 0
160 Omeprazol capsul 20 mg DAK 2012 kapsul 408 0 0 0
161 Papaverin injeksi 40 mg/ml DAK 2012 ampul 530 0 0 0
162 Papaverin tablet 40 mg DAK 2012 tablet 100 0 0 0
163 Parasetamol drops DAK 2012 Botol 5280 0 0 0
164 Parasetamol sirup 120 mg/5 ml DAK 2012 Botol 2300 0 0 0
167 Piracetam injeksi 3 gram/15 ml DAK 2012 ampul 17105 0 0 0
168 Piracetam tabet 1200 mg DAK 2012 tablet 1294 0 0 0
169 Piracetam tablet 400 mg DAK 2012 tablet 451 0 0 0
170 Pirantel tablet score (base) 125 mg DAK 2012 tablet 320 0 0 0
171 Piridoksin (Vit. B6) tablet 10 mg (HCl) DAK 2012 tablet 17 0 0 0
172 Piroksikam tablet 10 mg DAK 2012 tablet 84 0 0 0
174 Povidon Iodin larutan 10% 300ml DAK 2012 Botol 14500 0 0 0
176 Povidon Iodin larutan 10% 60 DAK 2012 Botol 3500 0 0 0
178 Propanolol tablet 10 mg (HCl) DAK 2012 tablet 77 0 0 0
180 Propiltiourasil tablet 100 mg DAK 2012 tablet 300 0 0 0
181 Ranitidin injeksi 25 mg/2 ml DAK 2012 ampul 2570 0 0 0
182 Ranitidin tablet 150 mg DAK 2012 tablet 220 0 0 0
183 Retinol (Vit. A) kapsul lunak 200.000 iu DAK 2012 kapsul 462 0 0 0
184 Ringer Laktat larutan infus steril DAK 2012 botol 5200 0 0 0
185 Salbutamol tablet 2 mg (sebagai sulfat) DAK 2012 tablet 84 0 0 0
187 Salisil Bedak 2% DAK 2012 kotak 1430 0 0 0
188 Sefadroksil capsul 500 mg DAK 2012 kapsul 840 0 0 0
189 Sefadroksil sirup kering 125 mg/5 ml DAK 2012 botol 8200 0 0 0
190 Sefixime capsul 100 mg DAK 2012 kapsul 2395 0 0 0
191 Sefixime sirup 100 mg/5 ml DAK 2012 botol 30250 0 0 0
192 Sefotaxim injeksi 1 gram DAK 2012 vial 6930 0 0 0
193 Seftriakson Injeksi 1 gram DAK 2012 vial 8594 0 0 0
194 Sianokobalamin (Vit. B12) injeksi 500 mcg DAK 2012 ampul 1037 0 0 0
195 Simetidin tablet 200 mg DAK 2012 tablet 115 0 0 0
196 Simvastatin tablet 10 mg DAK 2012 tablet 513 0 0 0
197 Siprofloksazin tablet 500 mg DAK 2012 tablet 260 0 0 0
198 Spironolacton100 mg DAK 2012 tablet 1055 0 0 0
199 Spironolakton tablet 25 mg DAK 2012 tablet 346 0 0 0
200 Tetrakain HCl tetes mata 0,5% DAK 2012 Botol 3396 0 0 0
201 Tetrasiklin capsul 500 mg DAK 2012 kapsul 257 0 0 0
202 Tiamfenikol capsul 500 mg DAK 2012 kapsul 616 0 0 0
203 Tiamin (Vit. B1) tablet 50 mg (HCl/Nitrat) DAK 2012 tablet 38 0 0 0
204 Tiamin (Vit. B1) injeksi 100 mg/ml DAK 2012 ampul 767 0 0 0
205 Tramadol capsul 50 mg DAK 2012 kapsul 330 0 0 0
206 Vitamin B Kompleks tablet DAK 2012 tablet 22 0 0 0
207 Zink tablet 20 mg DAK 2012 tablet 475 0 0 0
Total Obat DAK 2012 (B) : 13172466 0
208 Abocath / IV Catheter no. 20 G DAK 2012 pcs 7780 0 0 0
211 Alat Suntik sekali pakai 1 ml (syringe pump) DAK 2012 set 1090 0 0 0
212 Alat Suntik sekali pakai 2,5 ml (syringe pump) DAK 2012 set 1030 0 0 0
214 Catgut/Benang Bedah No. 2/0 dengan jarum DAK 2012 set 26667 0 0 0
216 Foley Catheter no 18 DAK 2012 pcs 8400 0 0 0

219 Handschoon (Sarung tangan) no. 7,5 DAK 2012 pasang 4240 0 0 0
220 Handschoon (Sarung tangan) no. 8 DAK 2012 pasang 4240 0 0 0
221 Infusion set anak DAK 2012 set 4000 0 0 0
222 Infusion set dewasa DAK 2012 set 3500 0 0 0
226 Masker DAK 2012 pcs 1125 0 0 0
227 Plester 5 yard x 2 inchi DAK 2012 rol 23108 0 0 0
228 Silk (Benang Bedah Sutra) no. 3/0 DAK 2012 set 6983 0 0 0
229 Urine Bag DAK 2012 pcs 4000 0 0 0
230 Wing Needle No. 21 G DAK 2012 pcs 5770 0 0 0
Obat Gigi DAK 2012
234 Devitalisasi pasta (non arsen) DAK 2012 Botol 390000 0 0 0
235 Etil Klorida spray DAK 2012 Botol 105000 0 0 0
236 Eugenol cairan DAK 2012 Botol 45833 0 0 0
237 Glass Ionomer Cement ART DAK 2012 set 395000 0 0 0
238 Kalsium Hidroksida Pasta DAK 2012 set 242000 0 0 0

239 Klorfenol Kamfer Mentol (CHKM) DAK 2012 Botol 55000 0 0 0
240 Mummifying Pasta DAK 2012 Botol 176000 0 0 0
241 Semen Seng Fosfat serbuk & cairan DAK 2012 set 93500 0 0 0
Tahun 2013
Obat APBD II 2013
243 Abocath / IV Catheter no 20 G APBD II 2013 Set 7750 0 0 0
246 Asam Tranexamat inj 250 mg APBD II 2013 Ampul 5325 0 0 0
247 Asam Tranexamat tablet 500mg APBD II 2013 Tablet 1518 0 0 0
248 Bioplacenton APBD II 2013 Tube 15950 0 0 0
249 Combiven nebulizer APBD II 2013 Ampul 14960 0 0 0
250 Counterpain 15 g APBD II 2013 Tube 19250 0 0 0
251 Dulcolax strip @4 tablet APBD II 2013 Strip 5280 0 0 0
252 Dumin 125 mg rectal APBD II 2013 Tube 14056 0 0 0
253 Elastis bandage 7,4cm x 4,5m APBD II 2013 Pcs 51244 0 0 0
254 Etil Klorida Semprot APBD II 2013 Botol 105000 0 0 0
255 GIC Serbuk dan Cairan ( Fuji IX ART ) APBD II 2013 Set 395000 0 0 0
256 GIC Serbuk dan Cairan ( Fuji IX GP 1-1 ) APBD II 2013 Set 395000 0 0 0
257 Gliseril Guayakolat ablet 100mg APBD II 2013 Tablet 50 0 0 0
258 H2O2 3% 100ml APBD II 2013 Botol 4831 0 0 0

259 Hand sanitizer 100ml APBD II 2013 Botol 5856 0 0 0
260 Hansaplast sachet @100 sachet APBD II 2013 Kotak 33000 0 0 0
261 Hanschoon ( sarung tangan ) L APBD II 2013 Pasang 4250 0 0 0
262 Hanschoon (sarung tangan) M APBD II 2013 Pasang 4250 0 0 0
263 Hypafix 10cm x 5 m APBD II 2013 Rol 105197 0 0 0
264 Jarum Kulit APBD II 2013 Set/12 27500 0 0 0
265 Jarum Otot APBD II 2013 Set/12 27500 0 0 0
266 Kalsium Laktat (Kalk) tablet 500 mg APBD II 2013 Tablet 98 0 0 0
267 Masker Bedah APBD II 2013 Pcs 525 0 0 0
268 Minyak Kayu Putih 60 ml APBD II 2013 Botol 10450 0 0 0
270 Obat Diare (Selediar) APBD II 2013 Tablet 311 0 0 0
271 Obat Flu Kombinasi (Demacolin) APBD II 2013 Tablet 321 0 0 0
272 Oxygen Tabung (Oxycan) APBD II 2013 Tabung 48125 0 0 0
274 Piridoksin (Vit B6) tablet 10 mg APBD II 2013 Tablet 43 0 0 0
275 Pisau Oprasi No.15 APBD II 2013 Pcs 1870 0 0 0
277 Prenatin-plus APBD II 2013 Tablet 806 0 0 0
278 Scabicid cream APBD II 2013 Tube 11245 0 0 0
279 Selcom C APBD II 2013 Tablet 418 0 0 0
280 Semen Zeng Fosfat Serbuk dan Cairan APBD II 2013 Set 93500 0 0 0
281 Serum Anti Bisa Ular inj 5 ml APBD II 2013 Vial 471700 0 0 0
282 Serum Anti Tetanus 1.5000 iu/amp APBD II 2013 Ampul 126300 0 0 0
283 Silk (Benang Bedah Sutra) APBD II 2013 Set 6980 0 0 0
284 Stesolid rectal APBD II 2013 Tube 31625 0 0 0
285 Urine Bag Steril APBD II 2013 Set 4000 0 0 0
286 Ventolin nebulizer APBD II 2013 Ampul 11713 0 0 0
287 Vitamin B Kompleks tablet APBD II 2013 Tablet 50 0 0 0
288 Voltaren Gel 20 g APBD II 2013 Tube 59589 0 0 0
289 Wing Needle no 21 G APBD II 2013 Set 4650 0 0 0
Obat DAK 2013
293 Aluporinol tablet 100 mg DAK 3013 tablet 104 0 0 0
294 Ambroxol sirup 15 mg/ml DAK 3013 botol 2475 0 0 0
297 Amoksisilin sirup kering 125 mg/ 5 ml DAK 3013 botol 2277 0 0 0
298 Antasida DOEN II suspensi DAK 3013 botol 1866 0 0 0
299 Anti Bakteri DOEN salep kombinasi DAK 3013 tube 2491 0 0 0
300 Aqua pro injeksi steril, bebas pirogen DAK 3013 vial 5300 0 0 0
301 Asam Asetilsalisilat Tablet 100 mg (asetasol) DAK 3013 tablet 100 0 0 0
302 Asam Askorbat (Vit C) tablet 250 mg DAK 3013 tablet 135 0 0 0
304 Asam Mefenamat kapsul/kaplet 500 mg DAK 3013 kaplet 100 0 0 0

305 Asiklovir krim 5 % DAK 3013 tube 2152 0 0 0
308 Betametason krim 0,1 % (sebagai valerat) DAK 3013 tube 1525 0 0 0
309 Cetirizin sirup 5 mg/5 ml DAK 3013 botol 7837 0 0 0
311 Dekstrometorfan sirup 10 mg/5ml (HBr) DAK 3013 botol 1379 0 0 0
312 Digoksin tablet 10 mg DAK 3013 tablet 91 0 0 0
314 Epinefrin (adrenalin) injeksi 0,1 (sebagai HCl) DAK 3013 ampul 1500 0 0 0
317 Fenol Gliserol tetes telinga 10% DAK 3013 botol 1008 0 0 0
320 Garam oralit I serbuk DAK 3013 sachet 292 0 0 0
321 Gentamisin salep kulit 0,1 % DAK 3013 tube 1469 0 0 0
322 Gentamisin sulfat tetes mata 0,3 % DAK 3013 botol 2904 0 0 0
323 Gentian Violet larutan 1 % DAK 3013 botol 900 0 0 0
324 Glibenklamida tablet 5 mg DAK 3013 tablet 54 0 0 0
325 Glukosa larutan infus 5% steril DAK 3013 botol 5313 0 0 0
327 Hidrokortison krim 2,5 % DAK 3013 tube 2399 0 0 0
328 Ibuprofen tablet 400 mg DAK 3013 tablet 146 0 0 0

333 Kloramfenikol suspensi 125 mg / 5 ml DAK 3013 botol 3800 0 0 0
334 Kloramfenikol tetes telinga 3 % DAK 3013 botol 1599 0 0 0
335 Klorfeniramina Maleat (CTM) tablet 4 mg DAK 3013 tablet 21 0 0 0
336 Kotrimoksazol Suspensi komb 5 ml DAK 3013 botol 2035 0 0 0
337 Kotrimosazol DOEN I (dewasa) DAK 3013 tablet 140 0 0 0
338 Lidokain Inj.2%(HCI)+Epinefrin 1:80.000 - 2 ml DAK 3013 ampul 1295 0 0 0
339 Lidokain injeksi 2% DAK 3013 ampul 900 0 0 0
340 Metampiron Injeksi 250 mg DAK 3013 ampul 1300 0 0 0
341 Metformin HCI tablet 500 mg DAK 3013 DAK 3013 tablet 105 0 0 0
342 Metoklopramide tablet 10 mg DAK 3013 tablet 89 0 0 0
343 Mikonazol krim/salep 2 % (Nitrat ) DAK 3013 tube 3000 0 0 0
345 Natrium Klorida larutan infuse 0.9 % DAK 3013 botol 4900 0 0 0
347 Nistatin vaginal tablet 100.000IU/g DAK 3013 ovula 407 0 0 0
348 Obat Batuk Hitam (OBH) cairan DAK 3013 botol 1259 0 0 0
349 Oksitetrasiklin HCL salep mata 1 % DAK 3013 tube 1600 0 0 0

353 Parasetamol sirup 120 mg/5ml DAK 3013 botol 1319 0 0 0
354 Piroksikam kapsul/kaplet/tablet 20 mg DAK 3013 tablet 92 0 0 0
355 Povidon lodida larutan 10 % 300 ml DAK 3013 botol 14000 0 0 0
358 Ranitidin injeksi 25 mg/2ml DAK 3013 ampul 1928 0 0 0
360 Retinol (Vitamin A ) 100.000 IU kapsul lunak DAK 3013 kapsul 242 0 0 0
361 Ringer laktat larutan infus DAK 3013 botol 5200 0 0 0
362 Salbutamol tablet 4 mg (sebagai Sulfat) DAK 3013 tablet 82 0 0 0
363 Salisil bedak 2 % DAK 3013 kotak 1120 0 0 0
364 Sefadroksil kapsul / kaplet 500 mg DAK 3013 kapsul 521 0 0 0
365 Sefadroksil sirup kering 125 mg/5ml DAK 3013 botol 5248 0 0 0
366 Sefotaksim injeksi 1 g DAK 3013 vial 6860 0 0 0
367 Seftriakson injeksi 1 g DAK 3013 vial 8100 0 0 0
368 Sianokobalamin(Vit .B12) inj.500 mcg DAK 3013 ampul 916 0 0 0
370 Tetrasiklin kapsul/kaplet 500 mg DAK 3013 tablet 206 0 0 0
371 Tiamfenikol kapsul /kaplet 500mg DAK 3013 tablet 431 0 0 0
372 Tiamin (Vit B1) Injeksi 100 mg/ml DAK 3013 ampul 690 0 0 0
373 Zinc tablet 20 mg DAK 3013 tablet 455 0 0 0
Total Obat DAK 2013 (B) : 36852035 0
Obat SILVA 2013

2475
374 Ambroxol sirup 15 mg/ml SILVA 2013 botol 0 0 0
86
375 Ambroxol tablet 30 mg SILVA 2013 tablet 0 0 0
botol 1866
376 Antasida DOEN II suspense SILVA 2013 0 0 0
2152
340
378 Asiklovir tablet 400 mg SILVA 2013 tablet 0 0 0
239
1525
380 Betametason krim 0,1% (sebagai Valerat) SILVA 2013 tube 0 0 0
1379
381 Dekstrometorfan 10 mg/5 ml (HBr) SILVA 2013 botol 0 0 0
92
1500
383 Dexametason i.v 5 mg/ml SILVA 2013 ampul 0 0 0
1500
384 Epinefrin (Adrenalin) injeksi 0,1% SILVA 2013 ampul 0 0 0
1751
tablet 85
386 Furosemid tablet 40 mg SILVA 2013 0 0 0
1469
387 Gentamisin salep kulit 0,1 %SILVA 2013 tube 0 0 0
2399
388 Hidrokortison krim 2,5 % SILVA 2013 tube 0 0 0
44
389 Isoniazid tablet 100 mg SILVA 2013 tablet 0 0 0
92
63
391 Kaptopril tablet 12,5 mg SILVA 2013 tablet 0 0 0
88
3800
393 Kloramfenikol suspense 125 mg / 5 ml SILVA 2013 botol 0 0 0
21
394 Klorfeniranima Maleat (CTM) SILVA 2013 tablet 0 0 0
140
395 Kotrimoksazol DOEN I (dewasa) SILVA 2013 tablet 0 0 0
105
396 Metformin HCI tablet 500 mg SILVA 2013 tablet 0 0 0
3000
4900
398 Natrium Klorida larutan infuse 0,9 % SILVA 2013 botol 0 0 0
112
399 Nifedipin tablet 10 mg SILVA 2013 tablet 0 0 0
1600
400 Oksitetrasiklin HCL salep mata 1 % SILVA 2013 tube 0 0 0
1529
401 Oksitetrasiklin salep kulit 3% SILVA 2013 tube 0 0 0
119
402 Papaverin tablet 40 mg SILVA 2013 tablet 0 0 0
52
403 Prednison tablet 5 mg SILVA 2013 tablet 0 0 0
264
1928
405 Ranitidine injeksi 25 mg/2 ml SILVA 2013 ampul 0 0 0
242
406 Retinol (Vitamin A ) 100.000 IU kapsul lunak SILVA 2013 kapsul 0 0 0
5200
407 Ringer Laktat larutan infus SILVA 2013 botol 0 0 0
521
408 Sefadroksil kapsul / kaplet 500 mg SILVA 2013 kapsul 0 0 0
6860
409 Sefotaksim injeksi 1 g SILVA 2013 vial 0 0 0
916
410 Sianokobalamin(Vit .B12) inj.500 mcg SILVA 2013 ampul 0 0 0
111
411 Simetidin tablet 200 mg SILVA 2013 tablet 0 0 0
206
412 Tetrasiklin kapsul/kaplet 500 mg SILVA 2013 tablet 0 0 0
455
413 Zinc tablet 20 mg SILVA 2013 tablet 0 0 0
Tahun 2014
414 Box slide Prov. 2014 kotak 36000 0 0 0
415 Garam Oralit I serbuk kombinasi Prov. 2014 sachet 38 0 0 0
417 Kombipak Anak Prov. 2014 paket 214898 0 0 0
418 Obat Antituberkulosis FDC Anak Prov. 2014 paket 214990 0 0 0

419 Obat Antituberkulosis FDC Kategori I & III Prov. 2014 paket 0 0 0
420 Obat Antituberkulosis FDC Kategori I Prov. 2014 paket 360001 0 0 0
421 Obat Antituberkulosis FDC Kategori II Prov. 2014 paket 1200000 0 0 0
426 Obat Kusta Dewasa MB Prov. 2014 blister 20906 0 0 0
430 Prednison prov. 2014 tablet 63 0 0 0
Obat Perubahan 2014
432 Abocath / IV Catheter no. 18 G APBD II PERUB. 2014 pcs 8075 0 0 0
436 Alat suntik sekali pakai 3 ml APBD II PERUB. 2014 set 1100 0 0 0
437 Aqua Pro Injeksi APBD II PERUB. 2014 botol 4000 0 0 0
438 Catgut/Benang Bedah No. 3/0 dengan jarum APBD II PERUB. 2014 set 24583 0 0 0
439 Combivent nebules APBD II PERUB. 2014 Ampul 24740 0 0 0
440 Diazepam rectal (Trazep) APBD II PERUB. 2014 Ampul 27440 0 0 0

441 Elastis bandage 7,4cm x 4,5m APBD II PERUB. 2014 Pcs 59400 0 0 0
442 Etil Klorida spray APBD II PERUB. 2014 botol 115000 0 0 0
443 Foley Catheter no 20 APBD II PERUB. 2014 pcs 16925 0 0 0
445 Handschoon (Sarung tangan) no. 7,5 APBD II PERUB. 2014 pasang 4420 0 0 0
446 Infusion set dewasa, set/kantong APBD II PERUB. 2014 set 5500 0 0 0
447 Klorfeniramin Maleat 4 mg APBD II PERUB. 2014 Tablet 20 0 0 0
448 Masker APBD II PERUB. 2014 pcs 1125 0 0 0
449 OBH Syrup 60 ml APBD II PERUB. 2014 botol 5250 0 0 0
450 Scabimite cream 10g APBD II PERUB. 2014 Tube 43500 0 0 0
451 Serum Anti Bisa Ular inj 5 ml APBD II PERUB. 2014 Vial 536560 0 0 0
452 Serum anti tetanus 1.500 iu/amp APBD II PERUB. 2014 Ampul 163065 0 0 0
453 Ventolin nebules APBD II PERUB. 2014 Ampul 21900 0 0 0
454 Wing Needle No. 23 G APBD II PERUB. 2014 pcs 5770 0 0 0
Obat APBD II 2014
455 Abocath / IV Catheter no. 18 G APBD II 2014 Set 7787 0 0 0
456 Abocath / IV Catheter no. 20 G APBD II 2014 pcs 7790 0 0 0
459 Alat suntik sekali pakai 2,5 ml APBD II 2014 set 1030 0 0 0
460 Combivent nebules APBD II 2014 Ampul 24740 0 0 0
461 Counterpain 15 gram APBD II 2014 Tube 25300 0 0 0
462 Devitalisasi pasta (non arsen) APBD II 2014 botol 405600 0 0 0

463 Dulcolax strip @4tablet APBD II 2014 Strip 4650 0 0 0
464 Elastis bandage 7,4cm x 4,5m APBD II 2014 Rol 59400 0 0 0
465 Etil Klorida spray APBD II 2014 botol 115000 0 0 0
466 Foley Catheter no 20 APBD II 2014 pcs 10400 0 0 0
468 Glass Ionomer Cement ART APBD II 2014 set 395000 0 0 0
469 Handschoon (Sarung tangan) no. 7,5 APBD II 2014 pasang 4420 0 0 0
470 Handschoon (Sarung tangan) no. 8 APBD II 2014 pasang 4420 0 0 0
472 Infusion set dewasa, set/kantong APBD II 2014 set 5500 0 0 0
473 Klorfeniramin Maleat 4 mg APBD II 2014 Tablet 16 0 0 0
474 Masker APBD II 2014 pcs 1125 0 0 0
475 Minyak kayu putih 30ml APBD II 2014 Botol 7500 0 0 0
476 OBH Syrup 60 ml APBD II 2014 botol 5250 0 0 0
478 Stesolid rectal APBD II 2014 Ampul 27440 0 0 0
479 Stik Hb Meter Urit APBD II 2014 pcs 19320 0 0 0
481 Thrombopob gel 20 g APBD II 2014 Tube 57600 0 0 0
482 Ventolin nebules APBD II 2014 Ampul 21900 0 0 0
483 Wing Needle No. 23 G APBD II 2014 pcs 5770 0 0 0
Obat DAK 2014
484 Alopurinol 100 mg DAK 2014 Tablet 86 0 0 0

487 Amoksisilin 500 mg DAK 2014 Kaplet 261 0 0 0
488 Amoksisilin sirup kering 125 mg/ 5 ml DAK 2014 Botol 2445 0 0 0
489 Antasida DOEN I tablet kunyah DAK 2014 Tablet 72 0 0 0
490 Antimigren: Ergotamin Tartrat + Kofein DAK 2014 Tablet 135 0 0 0
492 Asam Folat 1 mg DAK 2014 Tablet 48 0 0 0
493 Asam Mefenamat 500 mg DAK 2014 Kaplet 112 0 0 0
495 Bisoprolol tablet 5 mg DAK 2014 Tablet 645 0 0 0
496 Deksametason injeksi 5 mg/ml DAK 2014 Ampul 1400 0 0 0
497 Deksametason tablet 0,5 mg DAK 2014 Tablet 62 0 0 0
498 Difenhidramin injeksi 10 mg/ml (HCl) DAK 2014 Ampul 1050 0 0 0
500 Dimenhidrinat tablet 50 mg DAK 2014 Tablet 104 0 0 0
501 Domperidon 5 mg/5 ml DAK 2014 Botol 3333 0 0 0
502 Fenitoin 100 mg DAK 2014 Kapsul 133 0 0 0
503 Furosemid tablet 40 mg DAK 2014 Tablet 75 0 0 0
504 Gentamisin tetes mata 0,3% DAK 2014 Botol 3194 0 0 0
505 Glibenklamid tablet 5 mg DAK 2014 Tablet 56 0 0 0
506 Glikuidon tab 30 mg DAK 2014 Tablet 950 0 0 0
507 Glimepiride tablet 1 mg DAK 2014 Tablet 265 0 0 0
508 Glukosa larutan infus 5 % steril DAK 2014 Botol 5200 0 0 0

509 Ibuprofen tablet 400 mg DAK 2014 Tablet 150 0 0 0
511 Ketokonazol tablet 200 mg DAK 2014 Tablet 300 0 0 0
512 Ketorolac injeksi 30 mg/ml DAK 2014 Ampul 2300 0 0 0
513 Klobazam tab 10 mg DAK 2014 Tablet 900 0 0 0
514 Kloramfenikol salep mata 1% DAK 2014 Tube 1600 0 0 0
515 Klorpromazin injeksi 25 mg/ml (HCl) DAK 2014 Ampul 1100 0 0 0
516 Kotrimoksazol Suspensi komb DAK 2014 Botol 2167 0 0 0
517 Loperamid tablet 2 mg DAK 2014 Tablet 89 0 0 0
519 Metilprednisolon tablet 4 mg DAK 2014 Tablet 205 0 0 0
520 Metronidazol tablet 500 mg DAK 2014 Tablet 154 0 0 0
521 NaCl 0,9% DAK 2014 Botol 4700 0 0 0
522 Natrium Diklofenak tablet 50 mg DAK 2014 Tablet 176 0 0 0
524 Parasetamol sirup 120 mg / 5 ml DAK 2014 Botol 1438 0 0 0
525 Parasetamol tablet 500 mg DAK 2014 Tablet 79 0 0 0
526 Pirantel suspensi 125 mg/5 ml DAK 2014 Botol 8360 0 0 0
527 Ranitidin injeksi 25 mg/2 ml DAK 2014 Ampul 1140 0 0 0
528 Ranitidin tablet 150 mg DAK 2014 Tablet 120 0 0 0
529 Retinol (Vit A) kapsul 100.000 iu DAK 2014 Kapsul 260 0 0 0
530 Ringer Laktat larutan infus DAK 2014 Botol 5200 0 0 0
531 Salbutamol tablet 4 mg DAK 2014 Tablet 89 0 0 0
532 Salisil Bedak 2% DAK 2014 Kotak 1250 0 0 0

533 Sefadroksil 500 mg DAK 2014 Kapsul 509 0 0 0
534 Sefadroksil sir kering 250 mg/5 Ml DAK 2014 Botol 5940 0 0 0
535 Sefiksim 100 mg DAK 2014 Kapsul 859 0 0 0
536 Sefiksim sirup kering 100 mg/ 5 ml DAK 2014 Botol 8800 0 0 0
537 Sianokobalamin injeksi 500 mcg DAK 2014 Ampul 1077 0 0 0
538 Simvastatin scored tablet 10 mg DAK 2014 Kaplet 169 0 0 0
539 Spironolakton tablet 100 mg DAK 2014 Tablet 900 0 0 0
541 Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2014 Tablet 34 0 0 0
Total Obat DAK 2014 (D) : 93320320 0
543 Glibenklamid tablet 5 mg SILVA 2014 tablet 56 0 0 0
Tahun 2015
545 Domperidon tablet 10 mg PROV 2015 tablet 167 0 0 0
546 EUTHYROX 100 mg (Na. Thiroxin) PROV 2015 tablet 1390 0 0 0
547 Fitomenadion (Vit K) inj 10 mg/ml PROV 2015 vial 1566 0 0 0
548 Gentamisin injeksi 40 mg/ml PROV 2015 ampul 3104 0 0 0
549 Isoniazid tablet 100 mg PROV 2015 Tablet 44 0 0 0
550 Klorpromazin tablet 100 mg PROV 2015 tablet 149 0 0 0

551 Mikropipet tips ukuran 61(standard 50-1000µl)effendorf PROV 2015 pcs 980 0 0 0
552 Parasetamol tablet 500 mg PROV 2015 tablet 79 0 0 0
553 Salbutamol tablet 4 mg PROV 2015 tablet 89 0 0 0
554 Albendazol tablet 400 mg PROV 2015 tablet 380 0 0 0
555 Ampisislin injeksi 1000 mg PROV 2015 vial 4200 0 0 0
556 Depo inj/Suntikan KB 3 bln PROV 2015 vial 0 0 0
559 Fenobarbital inj PROV 2015 vial 1800 0 0 0
560 Fenobarbital tablet 30 mg PROV 2015 tablet 56 0 0 0
562 Garam Oralit PROV 2015 sase 288 0 0 0
563 Haloperidol tablet 1,5 mg PROV 2015 tablet 69 0 0 0
565 Hidrokortison sk 2,5% PROV 2015 tube 2884 0 0 0
573 Oksitetrasiklin salep mata 1% PROV 2015 tube 1600 0 0 0
575 Retinol (Vitamin A) 100.000 iu Prov. 2015 kapsul 255 0 0 0
578 Zink 20 mg tablet PROV 2015 tablet 473 0 0 0
Obat HIV 2015
580 Efavirenz (EFV) 600 mg Hiv. 2015 btl@30tab 191250 117 22376250 124 23715000
581 Lamivudine (3TC) 150 mg Hiv. 2015 btl@60tab 76020 61 4637220 56 4257120
583 Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015 btl@60tab 156780 347 54402660 555 87012900
585 Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015 btl@30tab 354530 112 39707360 186 65942580
Total Obat HIV 2015 (B) : 231256028 180927600
Obat DAK 2015

86
586 Alopurinol tablet/kapsul/kaplet 100 mg DAK 2015 Tablet 0 0 0
2445

2112
589 Antasida DOEN II suspensi DAK 2015 Botol 0 0 0
116
590 Asam Asetilsalisilat (asetosal) tablet 100 mg DAK 2015 Tablet 0 0 0
159
591 Asam Askorbat (Vitamin C) tablet 250 mg DAK 2015 Tablet 0 0 0
336
592 Asiklovir tablet/kapsul/kaplet 400 mg DAK 2015 Tablet 0 0 0
1400
62
1050
595 Difenhidramin inj. 10 mg/ml - 1 ml DAK 2015 Ampul 0 0 0
104
3333
167
598 Domperidon tablet 10 mg DAK 2015 Tablet 0 0 0
75

56
5700
59
603 Haloperidol tablet 0,5 mg DAK 2015 Tablet 0 0 0
604 Hidrokortison krim 2,5 % DAK 2015 Tube 0 0 0

150
605 Ibuprufen tablet 400 mg DAK 2015 Tablet 0 0 0
70
606 Kalsium Laktat (Kalk) tablet 500 mg DAK 2015 Tablet 0 0 0
84
607 Kaptopril tablet scored 25 mg DAK 2015 Tablet 0 0 0

0
138
610 Kotrimoksazol DOEN I komb 480 mg DAK 2015 Tablet 0 0 0
611 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml DAK 2015 Ampul 0 0 0
113
612 Metformin HCl tablet 500 mg DAK 2015 Tablet 0 0 0
2600
613 Metoklopramid sirup 5 mg/ml DAK 2015 Botol 0 0 0
110
614 Nifedipin tablet 10 mg DAK 2015 Tablet 0 0 0
211
615 Omeprazol capsul 20 mg DAK 2015 Kapsul 0 0 0
79
1140
618 Ringer Laktat larutan infus steril DAK 2015 Botol 5200 0 0 0
619 Salbutamol nebules (Ventolin nebules) DAK 2015 Ampul 6600 0 0 0
59

4896
622 Sefadroksil sirup 125 mg/5 ml DAK 2015 Botol 0 0 0
1077
623 Sianokobalamin (Vit B12) inj 500 mcg DAK 2015 Ampul 0 0 0
624 Siprofloksasin tablet 500 mg DAK 2015 Tablet 0 0 0

107
625 Vitamin B kompleks tablet DAK 2015 Tablet 0 0 0
Total Obat DAK 2015 (C) : 1410000 0
Obat Jiwa DAK 2015
626 Alprazolam tablet/kapsul/kaplet 0,5 mg DAK 2015 Tablet 0 0 0

233
628 Diazepam larutan rektal 5 mg/2,5 Ml DAK 2015 Tube 0 0 0
629 Diazepam tablet 2 mg DAK 2015 Tablet 0 0 0

20250
630 Fenitoin injeksi 50 mg/ml DAK 2015 Ampul 0 0 0
631 Fenitoin kapsul/kaplet 100 mg DAK 2015 Kapsul 0 0 0

55000
59
69
96
635 Haloperidol tablet 5 mg DAK 2015 Tablet 0 0 0
900
1100
637 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2015 Ampul 0 0 0
638 Klorpromazin tablet salut 100 mg (HCl) DAK 2015 Tablet 0 0 0

1550
639 Klozapin Tablet 25 mg DAK 2015 Tablet 0 0 0
500
1341
641 Lorazepam tablet 2 mg DAK 2015 Tablet 0 0 0
642 Olanzapin tab 10 mg DAK 2015 Tablet 0 0 0

1008
3300
405

8355
646 Abocath / IV Catheter no 18 G DAK 2015 Set 0 0 0
8355
8355
8355
957
650 Alat Suntik sekali pakai 3 ml DAK 2015 Set 0 0 0
1348
134000
652 Catgut/Benang Bedah no 3/0 DAK 2015 Pcs 0 0 0
653 Foley Cathether no 18 DAK 2015 Pcs 8000 0 0 0

6595
655 Hanschoon (Sarung tangan) M DAK 2015 Set 0 0 0
6595
656 Hanschoon (Sarung tangan) L DAK 2015 Set 0 0 0
5445
657 Infusion set dewasa DAK 2015 Set 0 0 0
8000
658 ONEMED - UROCARE Folley Catheter 2 way No. 18 DAK 2015 Set 0 0 0
330
659 ONEMED Surgical Mask - 3 ply Earloop DAK 2015 Pcs 0 0 0
3000
660 ONEMED Urine Bag Standard Steril 2 Lt (T Valve) DAK 2015 Set 0 0 0
27830
51305
662 Pharmafix 10 x 5cm DAK 2015 Rol 0 0 0
325
663 SAFEGLOVE Examination Glove DAK 2015 Set 0 0 0
3056
750
3800
666 STERA I.V Catheter No. 18 G x 32 mm DAK 2015 Set 0 0 0
3800
667 STERA I.V Catheter No. 20 G x 1 1/4 " DAK 2015 Set 0 0 0
3800
668 STERA I.V Catheter No. 22 G x 1 " DAK 2015 Set 0 0 0
3800
669 STERA I.V Catheter No. 24 G x 3/4 " DAK 2015 Set 0 0 0
3200
670 STERA Infusion Set Dewasa (20 drops/ml) DAK 2015 Set 0 0 0
330
671 Surgical Mask - Plus 3 Ply Plus Earloop DAK 2015 Pcs 0 0 0
3000
672 Urine Bag Standard Steril 2 Lt (T Valve) DAK 2015 Set 0 0 0
Lab. APBD II 2015
673 Combur Test (Stik urinalisis 10 parameter) LAB. APBD II 2015 Tube (100 tes 691250 0 0 0
674 Pipet LED Westergreen LAB. APBD II 2015 Set 69600 0 0 0
676 Phenobarbital 30 mg Tablet APBD II 2015 botol 121 0 0 0
Obat APBD II 2015

681 Asam Tranexamat tablet 500mg APBD II 2015 tablet 1625 0 0 0
682 Heparin komb. Gel (thrombopob gel 20 g) APBD II 2015 tube 79076 0 0 0
683 Jarum Kulit APBD II 2015 set/12 27500 0 0 0
684 Jarum Otot APBD II 2015 set/12 27500 0 0 0
685 Komb B complek + vit c 500 mg (selcom) APBD II 2015 tablet 583 0 0 0
686 Minyak kayu putih 60 ml APBD II 2015 botol 20000 0 0 0
687 Minyak telon 60 ml APBD II 2015 botol 17500 0 0 0
688 Obat diare kombinasi APBD II 2015 tablet 473 0 0 0
690 Parasetamol Rectal (Dumin 125 mg rectal) APBD II 2015 tube 16559 0 0 0
691 Pisau Operasi APBD II 2015 pcs 1553 0 0 0
692 Serum anti bisa ular injeksi 5 ml APBD II 2015 vial 702400 0 0 0
693 Serum anti tetanus 1.500 iu/amp APBD II 2015 ampul 201700 0 0 0
695 Wing Needle no 21 G APBD II 2015 ktk@100pcs 4025 0 0 0
696 Etil Klorida Semprot APBD II 2015 botol 128500 0 0 0
697 GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2015 set@2botol 1009125 0 0 0
698 Eugenol cairan APBD II 2015 botol 85698 0 0 0
699 Kalsium Hidroksida Pasta APBD II 2015 tube 428490 0 0 0
700 Mumifying pasta APBD II 2015 botol 482051 0 0 0

Tahun 2016
717 Flashback Needle (BD vacuntainer) PROV 2016 Pcs 2902 0 0 0
Obat DAK 2016

Vial
Pcs
Pcs
Pcs

86 0

261 83500
Botol
2090 0
62 29200
2025 5100
3045 1520
Tablet
Tablet
Tablet
747 Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2016 84 0 0 0
748 Asam Folat tablet/kapsul/kaplet 1 mg DAK 2016 Tablet 48 0 0 0

Kaplet
749 Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2016 106 0 0 0
751 Atapulgit tablet 600 mg DAK 2016 Tablet 190 0 0 0
752 Bisoprolol (tablet 5 mg) DAK 2016 Tablet 645 0 0 0

Ampul
Tablet

Tablet
756 Dimenhidrinat tablet/kapsul/kaplet 50 mg DAK 2016 104 0 0 0
Tablet
Tablet
Botol
Tablet
762 Gliquidon tablet 30 mg DAK 2016 1000 0 0 0
764 Hidroklortiazid tablet 25 mg DAK 2016 Tablet 149 0 0 0
766 Ibuprofen 400 mg Tablet DAK 2016 Tablet 127 0 0 0
Tablet
767 Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg DAK 2016 63 0 0 0

Ampul
769 Ketorolak inj 30 mg/ml DAK 2016 1290 0 0 0

1600 180
771 Kloramfenikol suspensi 125 mg/ 5 ml DAK 2016 Botol 3955 0 0 0
773 DAK 2016 Kaplet 462000 0
308 1500
Ampul
775 Lidokain Injeksi 2% (HCL) DAK 2016 839 0 0 0
Tablet
776 Loperamid tablet 2 mg DAK 2016 89 0 0 0
Tablet
777 Metformin HCl tablet 500 mg DAK 2016 113 0 0 0
Tablet
778 Metilprednisolon tablet 4 mg DAK 2016 205 0 0 0
Botol
779 Metoklopramide sirup 5 mg/ 5 ml DAK 2016 2580 0 0 0
780 Metronidazol kaptab 500 mg DAK 2016 Tablet 133 0 0 0
781 Natrium diklofenak tablet/kapsul/kaplet 25 mg DAK 2016 Tablet 145 0 0 0

Tablet

Pcs
785 Onemed - Urocare Folley Catheter 2 way No. 18 DAK 2016 8000 0 0 0
Pcs
Pcs
Pcs
Pcs
Botol
Botol
Pcs
Pcs
Pcs
Tablet
795 Parasetamol tablet/kapsul/kaplet 500 mg DAK 2016 56 0 0 0
Tablet

Tablet
799 Ranitidin tablet 150 mg DAK 2016 120 0 0 0
Botol
Pasang
Pasang
4180 0
Ampul
Tablet
Pot
Kapsul
806 Sefadroksil kapsul/kaplet 500 mg DAK 2016 516 0 0 0
Vial
Botol
Ampul

315 2000
Pcs
3500 0
Pcs
3200 100
Pcs
8355 0
Pcs
Pcs
Pcs
Kapsul
Tablet
820 Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2016 34 0 0 0
Tablet
Tablet
Total Obat DAK 2016 (B) : 365028218 0
826 Reagen Gol Darah LAB APBD II 2016 Set 700000 0 0 0
829 Oil Emersi botol 590000 2 1180000 0
830 Parafilm buah 590000 1 590000 0

834 0
835
836
Obat APBD II 2016
829 Ambroksol sirup 15 mg/5 ml APBD II 2016 Botol 4187 0 0 0
830 Ambroksol tablet 30 mg APBD II 2016 Tablet 163 0 0 0
831 Counterpain crm 15 g APBD II 2016 Tube 24000 0 0 0
837 Kloramfenikol tetes telinga 3% APBD II 2016 Botol 9295 0 0 0
841 Natrium Klorida larutan infus 0,9% APBD II 2016 Botol 8862 0 0 0
842 Obat Batuk Hitam (O.B.H) sirup APBD II 2016 Botol 4819 0 0 0
845 Pisau Operasi APBD II 2016 Pcs 1553 0 0 0
855 Semen Zeng Fosfat serbuk & cairan APBD II 2016 Set 225000 0 0 0
858 Alprazolam tablet 0,5 mg JIWA APBD II 2016 Tablet 176 0 0 0
867 Fenobarbital tablet 30 mg JIWA APBD II 2016 Tablet 135 0 0 0
871 Haloperidol tablet 5 mg JIWA APBD II 2016 Tablet 96 0 0 0
872 Karbamazepin tablet 200 mg JIWA APBD II 2016 Tablet 245 0 0 0

Total Obat Jiwa APBD II 2016 (F) : 0 78069050 0
Obat HIV 2016 0

Total Obat HIV 2016 (G) : 1028700 0
Lain-lain
885 0 0 0
886 0 0 0
887 0 0 0
888 0 0 0
889 0 0 0
890 0 0 0
891 0 0 0
892 0 0 0
893 0 0 0
894 0 0 0
895 0 0 0
896 0 0 0
897 0 0 0
898 0 0 0
899 0 0 0
900 0 0 0
901 0 0 0
902 0 0 0
903 0 0 0
Total Obat Lain-lain (VII) : 0 0 0
Total Obat Gudang Farmasi I+II+III+IV+V+VI+VII : 1509487619 180927600

Kabupaten Jembrana

NIP. 19600429 198703 1 010 NIP. 19700322 200212 1
Distribusi Hilang/
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
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0 0 0
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0 0
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0 0
0 0
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0 0
0 0
0 0
24 24 88862
0 0
0 0
88862
0 0
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0 0
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0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
24 24 41250
0 0
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0 0
0 0
0 0
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0 0
0 0
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0 0
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0 0
0 0
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0 0
0 0
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0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
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0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1000 600 1000 600 6000 9200 385480
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
426730
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 10 5 5 30 225000
7 25 32 1766400
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1991400
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2506992
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
9 24 33 613800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
613800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
200 500 300 500 1500 358500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2000 500 2500 2160625
240 240 1732800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
200 200 38800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
200 200 52800
200 200 21600
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
4365125
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
96 96 192 576000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
576000
5554925
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 1 6 1416000
0 0
0 0
0 0
0 0
0 0
0 0
2000 P2PL 2000 3500000
0 0
0 0
4916000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
7000 7000 665000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
6000 6000 372000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1037000
504 504 504 504 2016 2899008
0 0
50 100 150 325050
3224058
9177058
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 3 3 5 1 15 5400008
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5400008
0 0
40 RS 40 7650000
21 RS 21 1596420
0 0
144 RS 144 22576320
25 RS 25 798750
49 RS 49 17371970
49993460
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 10 550000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
300 100 200 200 800 806400
0 0
300 300 121500
1477900
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
200 500 500 200 1400 3516800
0 0
0 0
1000 2000 1000 4000 2040000
5556800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 8 3 5 21 185241
0 0
185241
0 0
0 0
0 0
0 0
0 0
62613409
0 0
0 0
0 0
0 0
500 500 22000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
300 300 86400
0 0
500 500 1000 96000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 1000 1000 260000
1000 4000 5000 2295000
3000 3000 3000 9000 245700
0 0
3005100
50 240 120 240 650 1319500
0 0
0 0
200 500 300 1000 776330
0 0
10000 5000 10000 10000 10000 45000 11745000
0 0
3000 2000 3000 8000 496000

300 300 600 1215000
20 20 60900
0 0
1000 1000 159000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5000 5000 3000 2000 5000 5000 25000 1100000
500 500 48500
0 0
1000 1000 270000
200 100 300 900000
1500 1500 177000
0 0
96 72 96 96 360 1440000
0 0
20 100 100 220 1518000
0 0
48 48 144 48 288 805824

0 0
0 0
5000 1000 6000 408000
0 0
24 24 48 96 153600
0 0
2000 5000 5000 5000 5000 22000 1122000
200 1300 1500 462000
390 120 120 630 1162350
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1000 2800 3800 604200
500 1000 1000 5000 7500 825000
300 300 300 300 1200 192000
0 0
0 0
0 0
0 0
0 0
4 4 72000
0 0
36 36 110000
500 1000 1500 500 1000 4500 1485000
0 0
0 0
100 1000 400 1500 177000
0 0
0 0
0 0
200 40 500 200 300 300 1540 11011000
600 400 1000 400 200 1000 600 4200 17556000
0 0
0 0
1000 1000 89000
48 48 116592
0 0
100 100 200 900000
0 0
100 100 200 100 100 600 658800
0 0
3000 1000 2000 6000 1686000
0 0
0 0
100 100 320000
0 0
0 0
0 0
0 0
0 0
0 0
6800 6800 6800 6800 6800 6800 6800 47600 5474000
0 0
66615596
1 1 3051180
1 1 2066378
0 0
0 0
0 0
1 1 2020838
0 0
0 0
0 0
0 0
0 0
1 1 2 0
0 0
7138396
0 0
0 0
0 0
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181757611


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Nilai Obat
Stok Akhir 31-
02-2017
Expired
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Yang melaporkan

BULAN : MARET
.....
TAHUN :2017
.....
Harga
Perolehan
01-03-17
1 2 3 4 5 6 7
Tahun 2011
Obat Provinsi 2011
1 Ampisislin injeksi 1000 mg Prov. 2011 vial 3176 0 0
2 Oksitosin injeksi 10 iu / ml - 1 ml Prov. 2011 ampul 1785 0 0
Total Provinsi 2011 (A) 0
Obat DAK 2011
3 Antalgin (Metampiron) tablet 500 mg DAK 2011 tablet 137 0 0
4 Ciprofloksasin 500 mg DAK 2011 kaplet 265 0 0
5 Difenhidramin Inj IM 10 mg/ml (HCL) DAK 2011 ampul 800 0 0
6 Doksisiklin kapsul 100 mg DAK 2011 Kapsul 230 0 0
9 Haloperidol tablet 5 mg DAK 2011 tablet 122 0 0
10 Kloramfenikol kapsul 250 mg DAK 2011 Kapsul 246 0 0
11 Klorpromazin HCL tablet salut 100 mg DAK 2011 tablet 115 0 0
12 Klorpromazin tablet salut 25 mg DAK 2011 tablet 36 0 0

13 Parasetamol 100 mg DAK 2011 tablet 38 0 0
15 Triheksifenidil tablet 2 mg DAK 2011 tablet 41 0 0
Total DAK 2011 (B): 0
16 Catgut/Benang Bedah no 2/0 DAK 2011 set 26295 0 0
17 Handschoon 8 DAK 2011 pasang 4250 0 0
18 Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2011 rol 607 51000 30957000
Total Alat kesehatan DAK 2011 (C) : 85870845
Obat Gigi DAK 2011
22 Klorfenol kamfer menthol (CHKM) DAK 2011 botol 55000 0 0
23 Mummifying Pasta DAK 2011 botol 176000 0 0
24 Temporary Stopping Fletcher serbuk dan cairan DAK 2011 set 34000 0 0
Total Obat Gigi DAK 2011 (D) : 0
I. Total Tahun 2011 (A+B+C+D) : 85870845
Tahun 2012
Obat APBD II 2012
25 Alkohol 70% 300 ml APBD II 2012 Botol 8219 0 0
26 Asam tranexamat injeksi 250mg APBD II 2012 Ampul 5280 0 0
27 Colpica tablet APBD II 2012 Tablet 330 0 0
28 Difenhidramin injeksi APBD II 2012 Vial 960 0 0

29 Gaas/kasa steril 16/16 APBD II 2012 Kotak 6600 0 0
30 Hand sanitizer 50 ml APBD II 2012 Botol 7700 0 0
31 Kasa steril 16/16 APBD II 2012 kotak 6600 0 0
32 Licopac APBD II 2012 tablet 642 0 0
33 Plester rol kain 1.25cm x 5m APBD II 2012 Rol 3703 36 133294
34 Povidone iodine 10% 15ml APBD II 2012 Botol 2420 0 0
35 Voltaren gel APBD II 2012 Tube 49000 0 0
Total obat APBD II 2012 (A) : 133294
Obat DAK 2012
36 Albendazol tablet 400 mg DAK 2012 tablet 407 0 0
37 Allopurinol tablet 100 mg DAK 2012 tablet 132 0 0
38 Alprazolam tablet 0,5 mg DAK 2012 tablet 585 0 0
39 Ambroxol sirup 15 mg/5 ml DAK 2012 Botol 3300 0 0
41 Aminofilin tablet 200 mg DAK 2012 tablet 113 0 0
42 Aminoflin injeksi 24 mg/ml DAK 2012 Ampul 3000 0 0
43 Amitriptilin tablet salut 25 mg (HCl) DAK 2012 tablet 120 0 0
45 Amoksisilin sirup kering 125 mg/5 ml DAK 2012 Botol 3700 0 0
46 Antalgin (Metampiron) injeksi 250 mg/ml DAK 2012 ampul 1333 0 0
47 Antalgin (Metampiron) tablet 500 mg DAK 2012 tablet 149 0 0
48 Antasid DOEN I tablet kunyah kombinasi DAK 2012 tablet 162 0 0
49 Antasid DOEN II suspensi kombinasi DAK 2012 botol 3850 0 0
50 Anti Bakteri DOEN salep kulit DAK 2012 tube 2517 0 0

51 Antifungi DOEN DAK 2012 pot 1719 792 1361250
52 Antihemoroid DOEN Kombinasi (supositoria) DAK 2012 supp 2000 0 0
53 Antimigren DAK 2012 tablet 123 0 0
54 Aqua pro injeksi steril 20 ml DAK 2012 vial 5500 0 0
55 Asam Ascorbat (Vit. C) tablet 50 mg DAK 2012 tablet 32 0 0
56 Asam Asetil Salisilat (Asetosal) 100 mg DAK 2012 tablet 96 0 0
58 Asam Mefenamat kaplet 500 mg DAK 2012 kaplet 176 0 0
59 Asiklovir krim 5% DAK 2012 tube 3000 0 0
61 Atropin (Sulfat) injeksi 0,25 mg/ml DAK 2012 Ampul 1265 0 0
62 Atropin sulfat tetes mata 0,5% DAK 2012 Botol 2801 0 0
63 Betahistin Mesilat tablet 6 mg DAK 2012 tablet 924 0 0
64 Betametason krim 0,1% DAK 2012 tube 1866 0 0
65 Cetirizine Sirup 5 mg/5ml DAK 2012 botol 10450 0 0
66 Clobazam tablet 10 mg DAK 2012 tablet 950 0 0
67 Deksametason injeksi 5 mg/ml DAK 2012 ampul 2002 0 0
69 Dekstran 70 laurat infus 6% steril DAK 2012 botol 35526 260 9236760
70 Dekstrometorfan sirup 10 mg/5 ml (HBr) DAK 2012 botol 2865 0 0
71 Dekstrometorfan tablet 15 mg (HBr) DAK 2012 tablet 110 0 0
72 Diazepam injeksi 5 mg/ml DAK 2012 ampul 2368 30 71043
73 Diazepam tablet 5 mg DAK 2012 tablet 48 0 0
74 Dietilkarbamazin Sitrat 100 mg DAK 2012 tablet 98 0 0

75 Digoksin tablet 0,25 mg DAK 2012 tablet 143 0 0
76 Diltiazem HCl tablet 30 mg DAK 2012 tablet 152 0 0
77 Dimenhidrinat tablet 50 mg DAK 2012 tablet 96 0 0
78 Doksisiklin tablet 100 mg DAK 2012 kapsul 253 0 0
81 Efedrin tablet 25 mg DAK 2012 tablet 51 0 0
82 Ephinefrin (Adrenalin) injeksi 0,1% (sbg HCl) DAK 2012 ampul 1240 0 0
83 Erytromisin kaplet 500 mg DAK 2012 kaplet 930 0 0
84 Erytromisin sirup kering 200 mg/5 ml DAK 2012 Botol 8100 0 0
85 Etakridin (Rivanol) larutan 0,1% DAK 2012 Botol 1800 0 0
86 Fenilbutason tablet 200 mg DAK 2012 tablet 81 0 0
87 Fenitoin kapsul 100 mg DAK 2012 kapsul 80 0 0
88 Fenitoin Natrium injeksi 50 mg/ml DAK 2012 ampul 48368 0 0
91 Fenol Gliserol tetes telinga 10% DAK 2012 Botol 1008 0 0
92 Fitomenadion (Vit. K1) injeksi 10 mg/ml DAK 2012 ampul 1740 0 0
93 Fitomenadion (Vit. K1) tablet 10 mg DAK 2012 tablet 681 0 0
94 Furosemid injeksi 10 mg/ml DAK 2012 ampul 2060 0 0
96 Garam Oralit I serbuk kombinasi DAK 2012 bungkus 380 0 0
97 Gentamicin salep kulit 0,1% DAK 2012 tube 1837 0 0
98 Gentamicin Sulfat tetes mata 0,3% DAK 2012 botol 3300 0 0

99 Gentamisin injeksi 40 mg/ ml DAK 2012 ampul 3696 0 0
100 Gentian Violet larutan 1% DAK 2012 Botol 450 0 0
101 Glibenklamid tablet 5 mg DAK 2012 tablet 72 0 0
102 Glimepiride tablet 1 mg DAK 2012 tablet 760 0 0
103 Gliquidon tablet 30 mg DAK 2012 tablet 645 0 0
104 Gliseril Guayakolat tablet 100 mg DAK 2012 tablet 28 0 0
105 Glukosa larutan infu 10% steril DAK 2012 Botol 5727 40 229080
106 Glukosa larutan infus 40% steril DAK 2012 ampul 1452 0 0
110 Hidroklortiazid tablet 25 mg DAK 2012 tablet 36 0 0
111 Hidrokortison krim 2,5% DAK 2012 tube 2979 0 0
112 Ibuprufen tablet 400 mg DAK 2012 tablet 205 0 0
113 Iodiol kapsul lunak DAK 2012 kapsul 930 0 0
114 Isosorbid Dinitrat tablet sublingual 5 mg DAK 2012 tablet 97 0 0
115 Kalsium Laktat (Kalk) tablet 500 mg DAK 2012 tablet 52 0 0
119 Ketokonazol tablet 200 mg DAK 2012 tablet 410 0 0
120 Ketoprofen injeksi 100 mg DAK 2012 ampul 5650 0 0
121 Ketoprofen tablet 100 mg DAK 2012 tablet 1350 0 0
122 Ketorolac injeksi 30 mg DAK 2012 ampul 13365 0 0

123 Kloramfenikol kapsul 250 mg DAK 2012 kapsul 267 0 0
124 Kloramfenikol salep mata 1% DAK 2012 tube 1563 0 0
125 Kloramfenikol suspensi 125 mg/5 ml DAK 2012 Botol 4500 0 0
126 Kloramfenikol tetes telinga 3% DAK 2012 Botol 1600 0 0
127 Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2012 tablet 24 0 0
128 Kodein tablet 10 mg DAK 2012 tablet 427 0 0
129 Kotrimoksazol DOEN I (dewasa) komb 480 mg DAK 2012 tablet 165 0 0
130 Kotrimoksazol DOEN II (pediatrik) komb 120 mg DAK 2012 tablet 76 0 0
131 Kotrimoksazol suspensi kombinasi 240 mg/5 ml DAK 2012 Botol 3960 0 0
132 Lidokain Injeksi 2% DAK 2012 ampul 1010 0 0
133 Loratadin tablet 10 mg DAK 2012 tablet 333 0 0
134 Magnesium Sulfat inj (IV) 20% DAK 2012 vial 1540 182 280244
135 Magnesium Sulfat inj (IV) 40% DAK 2012 vial 1948 48 93499
136 Magnesium sulfat serbuk 30 gram DAK 2012 bungkus 1027 0 0
137 Meloksikam DAK 2012 supp 6600 0 0
138 Meloksikam DAK 2012 tablet 1199 0 0
139 Menadion (Vit. K3) injeksi 10 mg/ml DAK 2012 ampul 1450 0 0
140 Metformin HCl tablet 500 mg DAK 2012 tablet 182 0 0
141 Metilergometrin Maleat injeksi 0,200 mg DAK 2012 ampul 1490 0 0
142 Metilergometrin Maleat tablet 0,125 mg DAK 2012 tablet 121 2000 242000
143 Metilprednisolon Injeksi 500 mg DAK 2012 vial 83025 0 0
144 Metilprednisolon tablet 4 mg DAK 2012 tablet 441 0 0
145 Metoklopramid sirup 5 mg/ml DAK 2012 botol 2100 0 0
146 Metoklopramid tablet 10 mg DAK 2012 tablet 110 0 0

147 Metronidazol Infus 500 mg/100ml DAK 2012 botol 29500 0 0
148 Metronidazol tablet 500 mg DAK 2012 tablet 220 0 0
149 Mikonazol krim/salep 2% (Nitrat) DAK 2012 tube 3000 0 0
150 Natrium Bikarbonat tablet 500 mg DAK 2012 tablet 14 0 0
153 Natrium Klorida larutan infus 0,9% DAK 2012 Botol 4900 0 0
155 Nistatin vaginal tablet 100.000 iu/g DAK 2012 tablet 370 0 0
156 Obat Batuk Hitam (O.B.H) sirup DAK 2012 Botol 1429 0 0
158 Oksitetrasiklin salep mata 1% DAK 2012 tube 1920 0 0
159 Oksitosin injeksi 10 iu/ml DAK 2012 ampul 1785 0 0
160 Omeprazol capsul 20 mg DAK 2012 kapsul 408 0 0
163 Parasetamol drops DAK 2012 Botol 5280 0 0
164 Parasetamol sirup 120 mg/5 ml DAK 2012 Botol 2300 0 0
167 Piracetam injeksi 3 gram/15 ml DAK 2012 ampul 17105 0 0
168 Piracetam tabet 1200 mg DAK 2012 tablet 1294 0 0
169 Piracetam tablet 400 mg DAK 2012 tablet 451 0 0
170 Pirantel tablet score (base) 125 mg DAK 2012 tablet 320 0 0
171 Piridoksin (Vit. B6) tablet 10 mg (HCl) DAK 2012 tablet 17 0 0
176 Povidon Iodin larutan 10% 60 DAK 2012 Botol 3500 0 0
180 Propiltiourasil tablet 100 mg DAK 2012 tablet 300 0 0
181 Ranitidin injeksi 25 mg/2 ml DAK 2012 ampul 2570 0 0
183 Retinol (Vit. A) kapsul lunak 200.000 iu DAK 2012 kapsul 462 0 0
184 Ringer Laktat larutan infus steril DAK 2012 botol 5200 0 0
187 Salisil Bedak 2% DAK 2012 kotak 1430 0 0
188 Sefadroksil capsul 500 mg DAK 2012 kapsul 840 0 0
189 Sefadroksil sirup kering 125 mg/5 ml DAK 2012 botol 8200 0 0
190 Sefixime capsul 100 mg DAK 2012 kapsul 2395 0 0
191 Sefixime sirup 100 mg/5 ml DAK 2012 botol 30250 0 0
192 Sefotaxim injeksi 1 gram DAK 2012 vial 6930 0 0
193 Seftriakson Injeksi 1 gram DAK 2012 vial 8594 0 0
194 Sianokobalamin (Vit. B12) injeksi 500 mcg DAK 2012 ampul 1037 0 0
196 Simvastatin tablet 10 mg DAK 2012 tablet 513 0 0
197 Siprofloksazin tablet 500 mg DAK 2012 tablet 260 0 0
198 Spironolacton100 mg DAK 2012 tablet 1055 0 0
199 Spironolakton tablet 25 mg DAK 2012 tablet 346 0 0
200 Tetrakain HCl tetes mata 0,5% DAK 2012 Botol 3396 0 0
201 Tetrasiklin capsul 500 mg DAK 2012 kapsul 257 0 0
202 Tiamfenikol capsul 500 mg DAK 2012 kapsul 616 0 0
203 Tiamin (Vit. B1) tablet 50 mg (HCl/Nitrat) DAK 2012 tablet 38 0 0
204 Tiamin (Vit. B1) injeksi 100 mg/ml DAK 2012 ampul 767 0 0
205 Tramadol capsul 50 mg DAK 2012 kapsul 330 0 0
206 Vitamin B Kompleks tablet DAK 2012 tablet 22 0 0
207 Zink tablet 20 mg DAK 2012 tablet 475 0 0
Total Obat DAK 2012 (B) : 12745736
212 Alat Suntik sekali pakai 2,5 ml (syringe pump) DAK 2012 set 1030 0 0

219 Handschoon (Sarung tangan) no. 7,5 DAK 2012 pasang 4240 0 0
220 Handschoon (Sarung tangan) no. 8 DAK 2012 pasang 4240 0 0
221 Infusion set anak DAK 2012 set 4000 0 0
222 Infusion set dewasa DAK 2012 set 3500 0 0
223 Kapas Pembalut Adsorben 250 gram DAK 2012 bungkus 7500 1097 8227500
224 Kasa Hidrofil 36 m x 80 cm DAK 2012 rol 55200 250 13800000
225 Kasa Hidrofil steril 16 x 16 (isi 16 lembar) DAK 2012 kotak 8500 1585 13472500
226 Masker DAK 2012 pcs 1125 0 0
227 Plester 5 yard x 2 inchi DAK 2012 rol 23108 0 0
228 Silk (Benang Bedah Sutra) no. 3/0 DAK 2012 set 6983 0 0
229 Urine Bag DAK 2012 pcs 4000 0 0
Total Alat Kesehatan DAK 2012 (C): 35500000
Obat Gigi DAK 2012
234 Devitalisasi pasta (non arsen) DAK 2012 Botol 390000 0 0
235 Etil Klorida spray DAK 2012 Botol 105000 0 0
236 Eugenol cairan DAK 2012 Botol 45833 0 0
237 Glass Ionomer Cement ART DAK 2012 set 395000 0 0
238 Kalsium Hidroksida Pasta DAK 2012 set 242000 0 0

239 Klorfenol Kamfer Mentol (CHKM) DAK 2012 Botol 55000 0 0
240 Mummifying Pasta DAK 2012 Botol 176000 0 0
241 Semen Seng Fosfat serbuk & cairan DAK 2012 set 93500 0 0
242 Temporary Stoping Fletcher DAK 2012 Botol 34000 2 68000
Total Obat Gigi DAK 2012 (D) : 68000
II. Total Tahun 2012 (A+B+C+D) : 48447029
Tahun 2013
Obat APBD II 2013
246 Asam Tranexamat inj 250 mg APBD II 2013 Ampul 5325 0 0
247 Asam Tranexamat tablet 500mg APBD II 2013 Tablet 1518 0 0
248 Bioplacenton APBD II 2013 Tube 15950 0 0
249 Combiven nebulizer APBD II 2013 Ampul 14960 0 0
250 Counterpain 15 g APBD II 2013 Tube 19250 0 0
251 Dulcolax strip @4 tablet APBD II 2013 Strip 5280 0 0
252 Dumin 125 mg rectal APBD II 2013 Tube 14056 0 0
253 Elastis bandage 7,4cm x 4,5m APBD II 2013 Pcs 51244 0 0
254 Etil Klorida Semprot APBD II 2013 Botol 105000 0 0
255 GIC Serbuk dan Cairan ( Fuji IX ART ) APBD II 2013 Set 395000 0 0
256 GIC Serbuk dan Cairan ( Fuji IX GP 1-1 ) APBD II 2013 Set 395000 0 0
257 Gliseril Guayakolat ablet 100mg APBD II 2013 Tablet 50 0 0
258 H2O2 3% 100ml APBD II 2013 Botol 4831 0 0

259 Hand sanitizer 100ml APBD II 2013 Botol 5856 0 0
261 Hanschoon ( sarung tangan ) L APBD II 2013 Pasang 4250 0 0
262 Hanschoon (sarung tangan) M APBD II 2013 Pasang 4250 0 0
263 Hypafix 10cm x 5 m APBD II 2013 Rol 105197 0 0
266 Kalsium Laktat (Kalk) tablet 500 mg APBD II 2013 Tablet 98 0 0
267 Masker Bedah APBD II 2013 Pcs 525 0 0
268 Minyak Kayu Putih 60 ml APBD II 2013 Botol 10450 0 0
270 Obat Diare (Selediar) APBD II 2013 Tablet 311 0 0
271 Obat Flu Kombinasi (Demacolin) APBD II 2013 Tablet 321 0 0
272 Oxygen Tabung (Oxycan) APBD II 2013 Tabung 48125 0 0
273 Pipet pasteur LAB 2013 Pcs 2500 0 0
274 Piridoksin (Vit B6) tablet 10 mg APBD II 2013 Tablet 43 0 0
275 Pisau Oprasi No.15 APBD II 2013 Pcs 1870 0 0
276 Plester 5cm x 4.5m APBD II 2013 Rol 18600 24 446400
277 Prenatin-plus APBD II 2013 Tablet 806 0 0
279 Selcom C APBD II 2013 Tablet 418 0 0
280 Semen Zeng Fosfat Serbuk dan Cairan APBD II 2013 Set 93500 0 0
281 Serum Anti Bisa Ular inj 5 ml APBD II 2013 Vial 471700 0 0
282 Serum Anti Tetanus 1.5000 iu/amp APBD II 2013 Ampul 126300 0 0
283 Silk (Benang Bedah Sutra) APBD II 2013 Set 6980 0 0
284 Stesolid rectal APBD II 2013 Tube 31625 0 0
285 Urine Bag Steril APBD II 2013 Set 4000 0 0
286 Ventolin nebulizer APBD II 2013 Ampul 11713 0 0
287 Vitamin B Kompleks tablet APBD II 2013 Tablet 50 0 0
288 Voltaren Gel 20 g APBD II 2013 Tube 59589 0 0
Total Obat APBD II 2013 (A) : 446400
Obat DAK 2013
293 Aluporinol tablet 100 mg DAK 3013 tablet 104 0 0
294 Ambroxol sirup 15 mg/ml DAK 3013 botol 2475 0 0
297 Amoksisilin sirup kering 125 mg/ 5 ml DAK 3013 botol 2277 0 0
298 Antasida DOEN II suspensi DAK 3013 botol 1866 0 0
299 Anti Bakteri DOEN salep kombinasi DAK 3013 tube 2491 0 0
300 Aqua pro injeksi steril, bebas pirogen DAK 3013 vial 5300 0 0
301 Asam Asetilsalisilat Tablet 100 mg (asetasol) DAK 3013 tablet 100 0 0
302 Asam Askorbat (Vit C) tablet 250 mg DAK 3013 tablet 135 0 0
304 Asam Mefenamat kapsul/kaplet 500 mg DAK 3013 kaplet 100 0 0

305 Asiklovir krim 5 % DAK 3013 tube 2152 0 0
308 Betametason krim 0,1 % (sebagai valerat) DAK 3013 tube 1525 0 0
309 Cetirizin sirup 5 mg/5 ml DAK 3013 botol 7837 0 0
311 Dekstrometorfan sirup 10 mg/5ml (HBr) DAK 3013 botol 1379 0 0
312 Digoksin tablet 10 mg DAK 3013 tablet 91 0 0
314 Epinefrin (adrenalin) injeksi 0,1 (sebagai HCl) DAK 3013 ampul 1500 0 0
315 Eritromisin kapsul / kaplet 500 mg DAK 3013 kaplet 864 10300 8901775
316 Eritromisin sirup 200 mg/5 ml DAK 3013 botol 7220 1248 9010560
317 Fenol Gliserol tetes telinga 10% DAK 3013 botol 1008 0 0
318 Furosemid injeksi i.v / im 10 mg/ml DAK 3013 ampul 1751 625 1094375
320 Garam oralit I serbuk DAK 3013 sachet 292 0 0
321 Gentamisin salep kulit 0,1 % DAK 3013 tube 1469 0 0
322 Gentamisin sulfat tetes mata 0,3 % DAK 3013 botol 2904 0 0
323 Gentian Violet larutan 1 % DAK 3013 botol 900 0 0
324 Glibenklamida tablet 5 mg DAK 3013 tablet 54 0 0
325 Glukosa larutan infus 5% steril DAK 3013 botol 5313 0 0
326 Griseofulvin tablet 125 mg DAK 3013 tablet 194 5500 1067000
327 Hidrokortison krim 2,5 % DAK 3013 tube 2399 0 0
328 Ibuprofen tablet 400 mg DAK 3013 tablet 146 0 0

329 Isosorbid Dinitrat tablet sublinguai 5 mg DAK 3013 tablet 92 800 73600
333 Kloramfenikol suspensi 125 mg / 5 ml DAK 3013 botol 3800 0 0
334 Kloramfenikol tetes telinga 3 % DAK 3013 botol 1599 0 0
335 Klorfeniramina Maleat (CTM) tablet 4 mg DAK 3013 tablet 21 0 0
336 Kotrimoksazol Suspensi komb 5 ml DAK 3013 botol 2035 0 0
337 Kotrimosazol DOEN I (dewasa) DAK 3013 tablet 140 0 0
338 Lidokain Inj.2%(HCI)+Epinefrin 1:80.000 - 2 ml DAK 3013 ampul 1295 0 0
339 Lidokain injeksi 2% DAK 3013 ampul 900 0 0
340 Metampiron Injeksi 250 mg DAK 3013 ampul 1300 0 0
341 Metformin HCI tablet 500 mg DAK 3013 DAK 3013 tablet 105 0 0
342 Metoklopramide tablet 10 mg DAK 3013 tablet 89 0 0
343 Mikonazol krim/salep 2 % (Nitrat ) DAK 3013 tube 3000 0 0
345 Natrium Klorida larutan infuse 0.9 % DAK 3013 botol 4900 0 0
347 Nistatin vaginal tablet 100.000IU/g DAK 3013 ovula 407 0 0
348 Obat Batuk Hitam (OBH) cairan DAK 3013 botol 1259 0 0
349 Oksitetrasiklin HCL salep mata 1 % DAK 3013 tube 1600 0 0

353 Parasetamol sirup 120 mg/5ml DAK 3013 botol 1319 0 0
354 Piroksikam kapsul/kaplet/tablet 20 mg DAK 3013 tablet 92 0 0
355 Povidon lodida larutan 10 % 300 ml DAK 3013 botol 14000 0 0
356 Proltiourasil tablet 100 mg DAK 3013 tablet 264 45800 12091200
357 Propanolol tablet 40 mg (HCI) DAK 3013 tablet 108 2300 248400
358 Ranitidin injeksi 25 mg/2ml DAK 3013 ampul 1928 0 0
360 Retinol (Vitamin A ) 100.000 IU kapsul lunak DAK 3013 kapsul 242 0 0
361 Ringer laktat larutan infus DAK 3013 botol 5200 0 0
362 Salbutamol tablet 4 mg (sebagai Sulfat) DAK 3013 tablet 82 0 0
363 Salisil bedak 2 % DAK 3013 kotak 1120 0 0
364 Sefadroksil kapsul / kaplet 500 mg DAK 3013 kapsul 521 0 0
365 Sefadroksil sirup kering 125 mg/5ml DAK 3013 botol 5248 0 0
366 Sefotaksim injeksi 1 g DAK 3013 vial 6860 0 0
367 Seftriakson injeksi 1 g DAK 3013 vial 8100 0 0
368 Sianokobalamin(Vit .B12) inj.500 mcg DAK 3013 ampul 916 0 0
370 Tetrasiklin kapsul/kaplet 500 mg DAK 3013 tablet 206 0 0
371 Tiamfenikol kapsul /kaplet 500mg DAK 3013 tablet 431 0 0
372 Tiamin (Vit B1) Injeksi 100 mg/ml DAK 3013 ampul 690 0 0
373 Zinc tablet 20 mg DAK 3013 tablet 455 0 0
Total Obat DAK 2013 (B) : 32486910
Obat SILVA 2013

2475
374 Ambroxol sirup 15 mg/ml SILVA 2013 botol 0 0
86
375 Ambroxol tablet 30 mg SILVA 2013 tablet 0 0
botol 1866
376 Antasida DOEN II suspense SILVA 2013 0 0
2152
377 Asiklovir krim 5 % SILVA 2013 tube 0 0
340
239
1525
380 Betametason krim 0,1% (sebagai Valerat) SILVA 2013 tube 0 0
1379
381 Dekstrometorfan 10 mg/5 ml (HBr) SILVA 2013 botol 0 0
92
382 Dekstrometorfan tablet 15 mg (HBr) SILVA 2013 tablet 10000 920000
1500
383 Dexametason i.v 5 mg/ml SILVA 2013 ampul 0 0
1500
384 Epinefrin (Adrenalin) injeksi 0,1% SILVA 2013 ampul 0 0
1751
385 Furosemid injeksi i.v / im 10 mg/ml SILVA 2013 ampul 600 1050600
tablet 85
386 Furosemid tablet 40 mg SILVA 2013 0 0
1469
387 Gentamisin salep kulit 0,1 %SILVA 2013 tube 0 0
2399
388 Hidrokortison krim 2,5 % SILVA 2013 tube 0 0
44
389 Isoniazid tablet 100 mg SILVA 2013 tablet 0 0
92
390 Isosorbid Dinitrat tablet sublingual 5 mg SILVA 2013 tablet 3700 340400
63
88
3800
393 Kloramfenikol suspense 125 mg / 5 ml SILVA 2013 botol 0 0
21
394 Klorfeniranima Maleat (CTM) SILVA 2013 tablet 0 0
140
395 Kotrimoksazol DOEN I (dewasa) SILVA 2013 tablet 0 0
105
396 Metformin HCI tablet 500 mg SILVA 2013 tablet 0 0
3000
397 Mikonazol krim/salep 2 % (Nitrat ) SILVA 2013 tube 4416 13248000
4900
398 Natrium Klorida larutan infuse 0,9 % SILVA 2013 botol 0 0
112
399 Nifedipin tablet 10 mg SILVA 2013 tablet 0 0
1600
400 Oksitetrasiklin HCL salep mata 1 % SILVA 2013 tube 0 0
1529
401 Oksitetrasiklin salep kulit 3% SILVA 2013 tube 0 0
119
402 Papaverin tablet 40 mg SILVA 2013 tablet 0 0
52
403 Prednison tablet 5 mg SILVA 2013 tablet 0 0
264
404 Proltiourasil tablet 100 mg SILVA 2013 tablet 1200 316800
1928
405 Ranitidine injeksi 25 mg/2 ml SILVA 2013 ampul 0 0
242
406 Retinol (Vitamin A ) 100.000 IU kapsul lunak SILVA 2013 kapsul 0 0
5200
407 Ringer Laktat larutan infus SILVA 2013 botol 0 0
521
408 Sefadroksil kapsul / kaplet 500 mg SILVA 2013 kapsul 0 0
6860
409 Sefotaksim injeksi 1 g SILVA 2013 vial 0 0
916
410 Sianokobalamin(Vit .B12) inj.500 mcg SILVA 2013 ampul 0 0
111
411 Simetidin tablet 200 mg SILVA 2013 tablet 0 0
206
412 Tetrasiklin kapsul/kaplet 500 mg SILVA 2013 tablet 0 0
455
413 Zinc tablet 20 mg SILVA 2013 tablet 0 0
Total Obat SILVA 2013 (C): 15875800
III. Total Obat Tahun 2013 (A+B+C) : 48809110
Tahun 2014
414 Box slide Prov. 2014 kotak 36000 0 0
415 Garam Oralit I serbuk kombinasi Prov. 2014 sachet 38 0 0
416 Kaca Sediaan Prosted Prov. 2014 kotak 19500 5 97500
417 Kombipak Anak Prov. 2014 paket 214898 0 0
418 Obat Antituberkulosis FDC Anak Prov. 2014 paket 214990 0 0

419 Obat Antituberkulosis FDC Kategori I & III Prov. 2014 paket 0 0
420 Obat Antituberkulosis FDC Kategori I Prov. 2014 paket 360001 0 0
421 Obat Antituberkulosis FDC Kategori II Prov. 2014 paket 1200000 0 0
422 Obat Antituberkulosis Kategori I kombipac Prov. 2014 paket 236000 1 236000
423 Obat Antituberkulosis Sisipan Prov. 2014 paket 159898 24 3837552
424 Obat Kusta Anak MB Prov. 2014 blister 36 0
425 Obat Kusta Anak PB Prov. 2014 blister 0 0
426 Obat Kusta Dewasa MB Prov. 2014 blister 20906 0 0
427 Obat Kusta Dewasa PB Prov. 2014 blister 2 0
428 Oseltamivir Prov. 2014 tablet 12972 100 1297200
429 Pot Dahak Prov. 2014 pcs 1750 0 0
430 Prednison prov. 2014 tablet 63 0 0
431 Reagen TB Zielh Neelsen (ZN) Prov. 2014 paket 276500 40 11060000
Total Obat Provinsi 2014 (A) : 16528252
Obat Perubahan 2014
436 Alat suntik sekali pakai 3 ml APBD II PERUB. 2014 set 1100 0 0
437 Aqua Pro Injeksi APBD II PERUB. 2014 botol 4000 0 0
438 Catgut/Benang Bedah No. 3/0 dengan jarum APBD II PERUB. 2014 set 24583 0 0
439 Combivent nebules APBD II PERUB. 2014 Ampul 24740 0 0
440 Diazepam rectal (Trazep) APBD II PERUB. 2014 Ampul 27440 0 0

441 Elastis bandage 7,4cm x 4,5m APBD II PERUB. 2014 Pcs 59400 0 0
442 Etil Klorida spray APBD II PERUB. 2014 botol 115000 0 0
445 Handschoon (Sarung tangan) no. 7,5 APBD II PERUB. 2014 pasang 4420 0 0
446 Infusion set dewasa, set/kantong APBD II PERUB. 2014 set 5500 0 0
447 Klorfeniramin Maleat 4 mg APBD II PERUB. 2014 Tablet 20 0 0
448 Masker APBD II PERUB. 2014 pcs 1125 0 0
449 OBH Syrup 60 ml APBD II PERUB. 2014 botol 5250 0 0
450 Scabimite cream 10g APBD II PERUB. 2014 Tube 43500 0 0
451 Serum Anti Bisa Ular inj 5 ml APBD II PERUB. 2014 Vial 536560 0 0
452 Serum anti tetanus 1.500 iu/amp APBD II PERUB. 2014 Ampul 163065 0 0
453 Ventolin nebules APBD II PERUB. 2014 Ampul 21900 0 0
454 Wing Needle No. 23 G APBD II PERUB. 2014 pcs 5770 0 0
Total Obat Perubahan 2014 (B) : 0
Obat APBD II 2014
455 Abocath / IV Catheter no. 18 G APBD II 2014 Set 7787 0 0
459 Alat suntik sekali pakai 2,5 ml APBD II 2014 set 1030 0 0
460 Combivent nebules APBD II 2014 Ampul 24740 0 0
461 Counterpain 15 gram APBD II 2014 Tube 25300 0 0
462 Devitalisasi pasta (non arsen) APBD II 2014 botol 405600 0 0

463 Dulcolax strip @4tablet APBD II 2014 Strip 4650 0 0
464 Elastis bandage 7,4cm x 4,5m APBD II 2014 Rol 59400 0 0
465 Etil Klorida spray APBD II 2014 botol 115000 0 0
468 Glass Ionomer Cement ART APBD II 2014 set 395000 0 0
469 Handschoon (Sarung tangan) no. 7,5 APBD II 2014 pasang 4420 0 0
470 Handschoon (Sarung tangan) no. 8 APBD II 2014 pasang 4420 0 0
472 Infusion set dewasa, set/kantong APBD II 2014 set 5500 0 0
473 Klorfeniramin Maleat 4 mg APBD II 2014 Tablet 16 0 0
474 Masker APBD II 2014 pcs 1125 0 0
475 Minyak kayu putih 30ml APBD II 2014 Botol 7500 0 0
476 OBH Syrup 60 ml APBD II 2014 botol 5250 0 0
478 Stesolid rectal APBD II 2014 Ampul 27440 0 0
479 Stik Hb Meter Urit APBD II 2014 pcs 19320 0 0
480 Tabung Reaksi 12 mm APBD II 2014 Tabung 7500 0 0
481 Thrombopob gel 20 g APBD II 2014 Tube 57600 0 0
482 Ventolin nebules APBD II 2014 Ampul 21900 0 0
483 Wing Needle No. 23 G APBD II 2014 pcs 5770 0 0
Total Obat APBD II 2014 (C) : 0
Obat DAK 2014
484 Alopurinol 100 mg DAK 2014 Tablet 86 0 0

485 Aminofilin injeksi 24 mg/ml DAK 2014 Ampul 3818 690 2634420
486 Amitriptilin tablet salut 25 mg (HCl) DAK 2014 Tablet 112 1300 145600
487 Amoksisilin 500 mg DAK 2014 Kaplet 261 0 0
490 Antimigren: Ergotamin Tartrat + Kofein DAK 2014 Tablet 135 0 0
492 Asam Folat 1 mg DAK 2014 Tablet 48 0 0
493 Asam Mefenamat 500 mg DAK 2014 Kaplet 112 0 0
494 Asiklovir 200 mg DAK 2014 Tablet 237 4200 995400
495 Bisoprolol tablet 5 mg DAK 2014 Tablet 645 0 0
496 Deksametason injeksi 5 mg/ml DAK 2014 Ampul 1400 0 0
498 Difenhidramin injeksi 10 mg/ml (HCl) DAK 2014 Ampul 1050 0 0
499 Diltiazem HCl tablet 30 mg DAK 2014 Tablet 134 500 67000
501 Domperidon 5 mg/5 ml DAK 2014 Botol 3333 0 0
502 Fenitoin 100 mg DAK 2014 Kapsul 133 0 0
506 Glikuidon tab 30 mg DAK 2014 Tablet 950 0 0
507 Glimepiride tablet 1 mg DAK 2014 Tablet 265 0 0
508 Glukosa larutan infus 5 % steril DAK 2014 Botol 5200 0 0

509 Ibuprofen tablet 400 mg DAK 2014 Tablet 150 0 0
510 Kaptopril tablet scored 12,5 mg DAK 2014 Tablet 62 303000 18786000
511 Ketokonazol tablet 200 mg DAK 2014 Tablet 300 0 0
512 Ketorolac injeksi 30 mg/ml DAK 2014 Ampul 2300 0 0
515 Klorpromazin injeksi 25 mg/ml (HCl) DAK 2014 Ampul 1100 0 0
516 Kotrimoksazol Suspensi komb DAK 2014 Botol 2167 0 0
517 Loperamid tablet 2 mg DAK 2014 Tablet 89 0 0
518 Loratadin tablet 10 mg DAK 2014 Tablet 154 439350 67659900
519 Metilprednisolon tablet 4 mg DAK 2014 Tablet 205 0 0
520 Metronidazol tablet 500 mg DAK 2014 Tablet 154 0 0
521 NaCl 0,9% DAK 2014 Botol 4700 0 0
522 Natrium Diklofenak tablet 50 mg DAK 2014 Tablet 176 0 0
524 Parasetamol sirup 120 mg / 5 ml DAK 2014 Botol 1438 0 0
526 Pirantel suspensi 125 mg/5 ml DAK 2014 Botol 8360 0 0
528 Ranitidin tablet 150 mg DAK 2014 Tablet 120 0 0
529 Retinol (Vit A) kapsul 100.000 iu DAK 2014 Kapsul 260 0 0
530 Ringer Laktat larutan infus DAK 2014 Botol 5200 0 0
532 Salisil Bedak 2% DAK 2014 Kotak 1250 0 0

533 Sefadroksil 500 mg DAK 2014 Kapsul 509 0 0
534 Sefadroksil sir kering 250 mg/5 Ml DAK 2014 Botol 5940 0 0
535 Sefiksim 100 mg DAK 2014 Kapsul 859 0 0
536 Sefiksim sirup kering 100 mg/ 5 ml DAK 2014 Botol 8800 0 0
537 Sianokobalamin injeksi 500 mcg DAK 2014 Ampul 1077 0 0
538 Simvastatin scored tablet 10 mg DAK 2014 Kaplet 169 0 0
541 Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2014 Tablet 34 0 0
Total Obat DAK 2014 (D) : 92283320
542 Parasetamol sirup 120 mg / 5 ml SILVA 2014 botol 1438 61112 87879056
543 Glibenklamid tablet 5 mg SILVA 2014 tablet 56 0 0
544 Kotrimoksazol Suspensi SILVA 2014 botol 2167 1100 2383700
Total Obat Silva Tahun 2014 (E) : 90262756
IV. Total Obat Tahun 2014 (A+B+C+D+E) : 199074328
Tahun 2015
549 Isoniazid tablet 100 mg PROV 2015 Tablet 44 0 0

551 Mikropipet tips ukuran 61(standard 50-1000µl)effendorf PROV 2015 pcs 980 0 0
561 Flashback Needle (BD vacuntainer) PROV 2015 pcs 2902 100 290200
562 Garam Oralit PROV 2015 sase 288 0 0
569 Obat Kusta Dewasa MB PROV 2015 tablet 20906 4 83624
572 Obat TB FDC Kategori Anak PROV 2015 paket 214990 4 859960
Total Obat Provinsi Tahun 2015 (A) : 13622197
Obat HIV 2015
Total Obat HIV 2015 (B) : 362190168
Obat DAK 2015

86
586 Alopurinol tablet/kapsul/kaplet 100 mg DAK 2015 Tablet 0 0
2445
587 Amoksisilin sirup kering 125 mg/ 5 ml DAK 2015 Botol 0 0
588 Antasida DOEN I tablet kunyah DAK 2015 Tablet 0 0

2112
589 Antasida DOEN II suspensi DAK 2015 Botol 0 0
116
590 Asam Asetilsalisilat (asetosal) tablet 100 mg DAK 2015 Tablet 0 0
159
591 Asam Askorbat (Vitamin C) tablet 250 mg DAK 2015 Tablet 0 0
336
592 Asiklovir tablet/kapsul/kaplet 400 mg DAK 2015 Tablet 0 0
1400
593 Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2015 Ampul 600 840000
62
594 Deksametason tablet 0,5 mg DAK 2015 Tablet 0 0
1050
595 Difenhidramin inj. 10 mg/ml - 1 ml DAK 2015 Ampul 0 0
104
596 Dimenhidrinat tablet 50 mg DAK 2015 Tablet 0 0
3333
597 Domperidon suspensi 5 mg/5 ml DAK 2015 Botol 0 0
167
598 Domperidon tablet 10 mg DAK 2015 Tablet 0 0
75
599 Furosemid tablet 40 mg DAK 2015 Tablet 0 0
600 Gentamisin tetes mata 0,3% DAK 2015 Botol 0 0

56
601 Glibenklamid tablet 5 mg DAK 2015 Tablet 0 0
5700
602 Glukosa larutan infus 10% steril DAK 2015 Botol 100 570000
59
604 Hidrokortison krim 2,5 % DAK 2015 Tube 0 0

150
605 Ibuprufen tablet 400 mg DAK 2015 Tablet 0 0
70
606 Kalsium Laktat (Kalk) tablet 500 mg DAK 2015 Tablet 0 0
84
607 Kaptopril tablet scored 25 mg DAK 2015 Tablet 0 0

609 (Combivent Nebulle) DAK 2015 Ampul 0
0
138
610 Kotrimoksazol DOEN I komb 480 mg DAK 2015 Tablet 0 0
611 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml DAK 2015 Ampul 0 0
113
612 Metformin HCl tablet 500 mg DAK 2015 Tablet 0 0
2600
613 Metoklopramid sirup 5 mg/ml DAK 2015 Botol 0 0
110
614 Nifedipin tablet 10 mg DAK 2015 Tablet 0 0
211
615 Omeprazol capsul 20 mg DAK 2015 Kapsul 0 0
79
616 Parasetamol tablet 500 mg DAK 2015 Tablet 0 0
1140
617 Ranitidin injeksi 25 mg/2 ml DAK 2015 Ampul 0 0
618 Ringer Laktat larutan infus steril DAK 2015 Botol 5200 0 0
619 Salbutamol nebules (Ventolin nebules) DAK 2015 Ampul 6600 0 0
59

4896
622 Sefadroksil sirup 125 mg/5 ml DAK 2015 Botol 0 0
1077
623 Sianokobalamin (Vit B12) inj 500 mcg DAK 2015 Ampul 0 0
624 Siprofloksasin tablet 500 mg DAK 2015 Tablet 0 0

107
625 Vitamin B kompleks tablet DAK 2015 Tablet 0 0
Total Obat DAK 2015 (C) : 1410000
Obat Jiwa DAK 2015
626 Alprazolam tablet/kapsul/kaplet 0,5 mg DAK 2015 Tablet 0 0

233
627 Alprazolam tablet/kapsul/kaplet 1 mg DAK 2015 Tablet 4800 1118400
628 Diazepam larutan rektal 5 mg/2,5 Ml DAK 2015 Tube 0 0
629 Diazepam tablet 2 mg DAK 2015 Tablet 0 0

20250
630 Fenitoin injeksi 50 mg/ml DAK 2015 Ampul 0 0
631 Fenitoin kapsul/kaplet 100 mg DAK 2015 Kapsul 0 0

55000
632 Flufenazin injeksi i.m. 25 mg/ml DAK 2015 Ampul 550 30250000
59
69
96
635 Haloperidol tablet 5 mg DAK 2015 Tablet 0 0
900
636 Klobazam tab 10 mg DAK 2015 Tablet 4200 3780000
1100
637 Klorpromazin injeksi i.m. 25 mg/ml (HCl) DAK 2015 Ampul 0 0
638 Klorpromazin tablet salut 100 mg (HCl) DAK 2015 Tablet 0 0

1550
639 Klozapin Tablet 25 mg DAK 2015 Tablet 0 0
500
640 Kodein 10 mg DAK 2015 Tablet 700 350000
1341
641 Lorazepam tablet 2 mg DAK 2015 Tablet 0 0
642 Olanzapin tab 10 mg DAK 2015 Tablet 0 0

1008
643 Risperidon tablet 2 mg DAK 2015 Tablet 3600 3628800
3300
644 Sertralin tab 50 mg DAK 2015 Tablet 5700 18810000
405
645 Trifluoperazin tablet 5 mg DAK 2015 Tablet 2000 810000
Total Obat Jiwa DAK 2015 (D) : 58747200

8355
8355
8355
8355
957
1348
134000
652 Catgut/Benang Bedah no 3/0 DAK 2015 Pcs 0 0

6595
655 Hanschoon (Sarung tangan) M DAK 2015 Set 0 0
6595
656 Hanschoon (Sarung tangan) L DAK 2015 Set 0 0
5445
657 Infusion set dewasa DAK 2015 Set 0 0
8000
658 ONEMED - UROCARE Folley Catheter 2 way No. 18 DAK 2015 Set 0 0
330
659 ONEMED Surgical Mask - 3 ply Earloop DAK 2015 Pcs 0 0
3000
660 ONEMED Urine Bag Standard Steril 2 Lt (T Valve) DAK 2015 Set 0 0
27830
661 Pembalut Elastis Ukuran 7,5 cm X 4,55 m DAK 2015 Pcs 0 0
51305
662 Pharmafix 10 x 5cm DAK 2015 Rol 0 0
325
663 SAFEGLOVE Examination Glove DAK 2015 Set 0 0
3056
664 Silk 2/0 + jarum 1/2 GT 35 mm DAK 2015 Pcs 324 990001
750
665 STERA 5 cc x 22G x 1 1/4" DAK 2015 Set 1000 750000
3800
666 STERA I.V Catheter No. 18 G x 32 mm DAK 2015 Set 0 0
3800
667 STERA I.V Catheter No. 20 G x 1 1/4 " DAK 2015 Set 0 0
3800
668 STERA I.V Catheter No. 22 G x 1 " DAK 2015 Set 0 0
3800
669 STERA I.V Catheter No. 24 G x 3/4 " DAK 2015 Set 0 0
3200
670 STERA Infusion Set Dewasa (20 drops/ml) DAK 2015 Set 0 0
330
671 Surgical Mask - Plus 3 Ply Plus Earloop DAK 2015 Pcs 0 0
3000
672 Urine Bag Standard Steril 2 Lt (T Valve) DAK 2015 Set 0 0
Total Alat Kesehatan DAK 2015 (E) : 1740001
Lab. APBD II 2015
673 Combur Test (Stik urinalisis 10 parameter) LAB. APBD II 2015 Tube (100 tes 691250 0 0
674 Pipet LED Westergreen LAB. APBD II 2015 Set 69600 0 0
675 Stik Glukosa & Protein LAB. APBD II 2015 Pcs 5900 0 0
Total Lab. APBD II 2015 (F) : 0
676 Phenobarbital 30 mg Tablet APBD II 2015 botol 121 0 0
677 Stesolid 5 mg (Diazepam Tablet) APBD II 2015 tablet 2512 6500 16328000
678 Stesolid 10 mg injeksi APBD II 2015 ampul 38242 1487 56865854
679 Trifluoperazin tablet 2 mg (STELOSI) APBD II 2015 botol 993 2700 2681100
680 Trihexpenidil 2 mg (HEXIMER 2 mg) APBD II 2015 botol 510 96000 48960000
Total Obat Jiwa APBD II 2015 (G) : 124834954
Obat APBD II 2015

681 Asam Tranexamat tablet 500mg APBD II 2015 tablet 1625 0 0
682 Heparin komb. Gel (thrombopob gel 20 g) APBD II 2015 tube 79076 0 0
683 Jarum Kulit APBD II 2015 set/12 27500 0 0
684 Jarum Otot APBD II 2015 set/12 27500 0 0
685 Komb B complek + vit c 500 mg (selcom) APBD II 2015 tablet 583 0 0
686 Minyak kayu putih 60 ml APBD II 2015 botol 20000 0 0
687 Minyak telon 60 ml APBD II 2015 botol 17500 0 0
688 Obat diare kombinasi APBD II 2015 tablet 473 0 0
689 Oksigen tabung (Oxycan) APBD II 2015 tabung 48030 0 0
690 Parasetamol Rectal (Dumin 125 mg rectal) APBD II 2015 tube 16559 0 0
691 Pisau Operasi APBD II 2015 pcs 1553 0 0
692 Serum anti bisa ular injeksi 5 ml APBD II 2015 vial 702400 0 0
693 Serum anti tetanus 1.500 iu/amp APBD II 2015 ampul 201700 0 0
694 Voltaren cream (Diklofenak Dietilammon) APBD II 2015 tube 8821 27 238167
695 Wing Needle no 21 G APBD II 2015 ktk@100pcs 4025 0 0
Total Obat APBD II 2015 (H) : 238167
696 Etil Klorida Semprot APBD II 2015 botol 128500 0 0
697 GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2015 set@2botol 1009125 0 0
698 Eugenol cairan APBD II 2015 botol 85698 0 0
699 Kalsium Hidroksida Pasta APBD II 2015 tube 428490 0 0
700 Mumifying pasta APBD II 2015 botol 482051 0 0
Total Obat Gigi APBD II 2015 (I) : 0
V. Total Obat Tahun 2015 (A+B+C+D+E+F+G+H+I) : 562782687

Tahun 2016
705 Isoniazid tablet 100 mg PROV 2016 kapsul 44 500 22000
707 Mikropipet tips ukuran 61(standard 50-1000µl)effendorf PROV 2016 Pcs 980 100 98000
717 Flashback Needle (BD vacuntainer) PROV 2016 Pcs 2902 0 0
718 Garam Oralit PROV 2016 sachet 288 0 0
725 Obat Kusta Dewasa MB PROV 2016 tablet 9770 12 117240
728 Obat TB FDC Kategori Anak PROV 2016 paket 214990 1 214990
731 Retinol (Vitamin A ) 100.000 IU kapsul lunak Prov. 2016 kapsul 260 4600 1196000
732 Retinol (Vitamin A ) 200.000 IU kapsul lunak Prov. 2016 kapsul 459 20900 9593100
Obat DAK 2016

Vial
735 Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2016 2030 600 1218000
Pcs
Pcs
Pcs
739 Alopurinol tablet 100 mg DAK 2016 Tablet 0

86 0
740 Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2016 Kaplet 10048500

261 38500
Botol
741 Amoksisilin sirup kering 125 mg/5 ml DAK 2016 0
2090 0
742 Magnesium Hidroksida 200 mg DAK 2016 Tablet 1314400
62 21200
743 ml, Magnesium Hidroksida 200 mg/ 5 ml. DAK 2016 9112500
2025 4500
744 lidokain 10 mg seng oksida 120 mg DAK 2016 Supp 4567500
3045 1500
Tablet
745 Asam Asetilsalisilat (Asetosal) tab 100 mg DAK 2016 116 4200 487200
Tablet
746 Asam Askorbat (Vitamin C) tablet/kapsul/kaplet 250 mg DAK 2016 159 60800 9667200
Tablet
747 Asam Folat tablet/kapsul/kaplet 0,4 mg DAK 2016 84 0 0
748 Asam Folat tablet/kapsul/kaplet 1 mg DAK 2016 Tablet 48 0 0

Kaplet
749 Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2016 106 0 0
751 Atapulgit tablet 600 mg DAK 2016 Tablet 190 0 0
752 Bisoprolol (tablet 5 mg) DAK 2016 Tablet 645 0 0

Ampul
753 Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2016 1518 3000 4554000
Tablet
754 Deksametason tablet 0,5 mg DAK 2016 44 73500 3234000
755 Digoksin 0,25 mg DAK 2016 Tablet 97 2700 261900

Tablet
756 Dimenhidrinat tablet/kapsul/kaplet 50 mg DAK 2016 104 0 0
Tablet
757 Doksisiklin 100 mg DAK 2016 270 2800 756000
758 Domperidon suspensi/sirup 5 mg/5 ml DAK 2016 Botol 3000 900 2700000
Tablet
759 Domperidon tablet/kapsul/kaplet 10 mg DAK 2016 118 3000 354000
Botol
760 Eugenol cairan DAK 2016 18100 24 434400
761 Gentamicin tetes mata 0,3% DAK 2016 Botol 4000 1344 5376000
Tablet
762 Gliquidon tablet 30 mg DAK 2016 1000 0 0
764 Hidroklortiazid tablet 25 mg DAK 2016 Tablet 149 0 0
766 Ibuprofen 400 mg Tablet DAK 2016 Tablet 127 0 0
Tablet
767 Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg DAK 2016 63 0 0
768 Kaptopril tablet/kaplet scored 25 mg DAK 2016 Tablet 68 57000 3876000

Ampul
769 Ketorolak inj 30 mg/ml DAK 2016 1290 0 0
770 Kloramfenikol salep mata 1% DAK 2016 Tube 134400

1600 84
771 Kloramfenikol suspensi 125 mg/ 5 ml DAK 2016 Botol 3955 0 0
772 Klorfeniramin Maleat (CTM) tablet 4 mg DAK 2016 Tablet 51 55900 2850900
773 DAK 2016 Kaplet 0
308 0
774 Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 ml DAK 2016 Ampul 1845 1255 2315475
Ampul
775 Lidokain Injeksi 2% (HCL) DAK 2016 839 0 0
Tablet
776 Loperamid tablet 2 mg DAK 2016 89 0 0
Tablet
777 Metformin HCl tablet 500 mg DAK 2016 113 0 0
Tablet
778 Metilprednisolon tablet 4 mg DAK 2016 205 0 0
Botol
779 Metoklopramide sirup 5 mg/ 5 ml DAK 2016 2580 0 0
780 Metronidazol kaptab 500 mg DAK 2016 Tablet 133 0 0
781 Natrium diklofenak tablet/kapsul/kaplet 25 mg DAK 2016 Tablet 145 0 0

Tablet
782 Natrium diklofenak tablet/kapsul/kaplet 50 mg DAK 2016 159 94300 14993700

Pcs
Pcs
Pcs
Pcs
788 Onemed Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2016 3722 0 0
Pcs
789 Onemed Catgut Chromic 3/0 + jarum 1/2 GT 35 mm DAK 2016 5583 480 2680000
Botol
790 Onemed Povidone Iodine 300 ml DAK 2016 18000 10 180000
Botol
791 Onemed Povidone Iodine 60 ml DAK 2016 3700 238 880600
Pcs
792 Onemed Silk 2/0 + jarum 1/2 GT 35 mm DAK 2016 3056 1404 4290000
Pcs
793 Onemed Surgical Mask Earloop DAK 2016 330 28700 9471000
Pcs
794 Onemed Urine Bag Standard Steril 2 Lt (T Valve) DAK 2016 3000 30 90000
Tablet
795 Parasetamol tablet/kapsul/kaplet 500 mg DAK 2016 56 0 0
Tablet
796 Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) DAK 2016 118 19000 2242000
797 Propanolol tablet 10 mg (HCL) DAK 2016 Tablet 70 9100 637000

Tablet
799 Ranitidin tablet 150 mg DAK 2016 120 0 0
Botol
800 Ringer Laktat DAK 2016 7150 21764 155612600
Pasang
801 Safeglove PP Steril no 7,5 DAK 2016 4180 1200 5016000
Pasang
802 Safeglove PP Steril no 8 DAK 2016 0
4180 0
Ampul
803 Salbutamol cairan ih 0,1% DAK 2016 6600 0 0
Tablet
804 Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2016 89 1900 169100
Pot
805 Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2016 2429 112 272048
Kapsul
806 Sefadroksil kapsul/kaplet 500 mg DAK 2016 516 0 0
Vial
807 Sefotaksim serb inj 1.000 mg DAK 2016 4500 160 720000
Botol
808 Setirizin sirup 5 mg/5 ml DAK 2016 7999 44 351956
Ampul
809 Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2016 1098 100 109800
810 Simvastatin scored tablet 10 mg DAK 2016 Tablet 169 1500 253500
811 Siprofloksasin tab scored 500 mg DAK 2016 Tablet 281 29000 8149000
812 Spironolakton tablet 25 mg DAK 2016 Tablet 630000

315 2000
Pcs
813 Stera Infusion Set Anak (60 drops/ml) DAK 2016 0
3500 0
Pcs
814 Stera Infusion Set Dewasa (20 drops/ml) DAK 2016 0
3200 0
Pcs
815 Terumo Surflo IV Catheter SR+OX1832C3 (IV Cateter No 18) DAK 2016 0
8355 0
Pcs
Pcs
Pcs
Kapsul
819 Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2016 310 600 186000
Tablet
820 Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) DAK 2016 34 0 0
Tablet
821 Vitamin B kompleks tablet DAK 2016 115 97600 11224000
Tablet
822 Prednison kaplet 5 mg 96 13700 1315200
Total Obat DAK 2016 (B) : 298412622
824 Combur Test LAB APBD II 2016 Botol 725000 0 0
826 Reagen Gol Darah LAB APBD II 2016 Set 700000 0 0
828 Widal Test LAB APBD II 2016 Set 750000 4 3000000
829 Oil Emersi botol 590000 2 1180000
830 Parafilm buah 590000 1 590000
831 Glukosa buah 5 0
832 Asam Urat buah 8 0

833 Widal Test buah 2 0
834 0
835
836
Total Laboratorium APBD II 2016 (C) : 33323584
Obat APBD II 2016
829 Ambroksol sirup 15 mg/5 ml APBD II 2016 Botol 4187 0 0
830 Ambroksol tablet 30 mg APBD II 2016 Tablet 163 0 0
831 Counterpain crm 15 g APBD II 2016 Tube 24000 0 0
832 Diklofenak dietilammon Crm (Voltaren crm) APBD II 2016 Tube 17000 150 2550000
833 Gentamicin salep kulit 0,1% APBD II 2016 Tube 3453 50 172650
834 Heparin komb. Gel (Thrombopob gel 20 g) APBD II 2016 Tube 59000 27 1593000
837 Kloramfenikol tetes telinga 3% APBD II 2016 Botol 9295 0 0
838 Komb B complek + vit c 500mg (selcom) APBD II 2016 Tablet 562 100 56200
839 Minyak kayu putih 60 ml APBD II 2016 Botol 17000 48 816000
841 Natrium Klorida larutan infus 0,9% APBD II 2016 Botol 8862 0 0
842 Obat Batuk Hitam (O.B.H) sirup APBD II 2016 Botol 4819 0 0
843 Obat Flu kombinasi (Demacolin) APBD II 2016 Tablet 429 0 0
844 Oksigen tabung (Oxycan) APBD II 2016 Tabung 48050 4 192200
845 Pisau Operasi APBD II 2016 Pcs 1553 0 0
846 Serum anti bisa ular injeksi 5ml APBD II 2016 Vial 702400 12 8428800
847 Serum anti tetanus 1.500 iu/amp APBD II 2016 Ampul 201700 395 79671500
Total Obat APBD II 2016 (D) : 94650350
848 Cavitron APBD II 2016 Botol 135000 0 0
849 Devitalisasi pasta APBD II 2016 Botol 750420 0 0
850 Etil Klorida semprot APBD II 2016 Botol 153000 10 1530000
851 GIC Serbuk dan Cairan (Fuji IX ART) APBD II 2016 Set 1009125 1 1009125
852 Kalsium Hidroksida pasta APBD II 2016 Tube 432000 5 2160000
853 Monoklorkamfer Mentol cairan (CHKM) APBD II 2016 Botol 126000 21 2646000
854 Mumifying pasta APBD II 2016 Botol 882000 4 3528000
855 Semen Zeng Fosfat serbuk & cairan APBD II 2016 Set 225000 0 0
856 Spongostan APBD II 2016 Botol 702000 0 0
857 TKF (Tricresol Formaldehid) APBD II 2016 Botol 115200 4 460800
Total Obat Gigi APBD II 2016 (E) : 11333925
858 Alprazolam tablet 0,5 mg JIWA APBD II 2016 Tablet 176 0 0
859 Amitriptilin tablet salut 25 mg (HCl) JIWA APBD II 2016 Tablet 112 1000 112000
860 Clobazam tablet 10 mg JIWA APBD II 2016 Tablet 900 25000 22500000
861 Diazepam injeksi 5 mg/ml - 2 ml JIWA APBD II 2016 Ampul 4180 600 2508000
862 Diazepam tablet 2 mg JIWA APBD II 2016 Tablet 45 20000 900000
863 Diazepam tablet 5 mg JIWA APBD II 2016 Tablet 163 10000 1630000
864 Diazepam larutan rektal 5 mg/2,5 mL JIWA APBD II 2016 Ampul 11525 5 57625
865 Fenitoin kapsul 100 mg JIWA APBD II 2016 Kapsul 133 21900 2912700
866 Fenobarbital inj JIWA APBD II 2016 Ampul 1800 390 702000
869 Haloperidol tablet 0,5 mg JIWA APBD II 2016 Tablet 59 38500 2271500
870 Haloperidol tablet 1,5 mg JIWA APBD II 2016 Tablet 69 97500 6727500
871 Haloperidol tablet 5 mg JIWA APBD II 2016 Tablet 96 0 0
872 Karbamazepin tablet 200 mg JIWA APBD II 2016 Tablet 245 0 0

875 Lorazepam tablet 2 mg JIWA APBD II 2016 Tablet 1341 9000 12069000
876 Triheksilfenidil tablet 2 mg JIWA APBD II 2016 Tablet 510 47000 23970000
Obat HIV 2016 0

884 Zidovudine 100 mg Hiv. 2016 btl@60tab 205740 5 1028700
Total Obat HIV 2016 (G) : 1028700
VI. Total Obat Tahun 2016 (A+B+C+D+E+F+G) : 563673608
Tahun 2017

Obat DAK 2017

ALAT KESEHATAN PAKAI HABIS
AXIMED Nonwoven Fixation/ 5 cm x 10 m DAK 2017 Roll 0 200
48,235.00
Onemed Catgut Chromic 2/0 + jarum 1/2 GT 35 mm DAK 2017 Box 0 960
140,700.00
140,700.00
Onemed Povidone Iodine 300 ml DAK 2017 Botol 0 600
19,800.00
Onemed Povidone Iodine 60 ml DAK 2017 Botol 0
4,070.00
Onemed Silk 2/0 + jarum 1/2 GT 35 mm DAK 2017 Box 0 972
115,500.00
Onemed Surgical Mask Earloop DAK 2017 Box 0 25000
17,325.00
Onemed Urine Bag Steril (T Valve) DAK 2017 Pcs 0 400
3,150.00
REMEDI 2 Ways, Folley Catheter-10ml/Cc - No.18 Fr DAK 2017 Pcs 0 500
10,212.00
10,212.00
10,212.00
Safeglove PP no 7 (Sterile / Pre Powder) DAK 2017 Pasang 0 15000
4,389.00
Safeglove PP no 7,5 (Sterile / Pre Powder) DAK 2017 Pasang 0 30000
4,389.00
4,389.00
Surflo Winged Infusion Set - SV*21CLK (Wing Needle 21 G) DAK 2017 Pcs 0 100
5,643.00
5,643.00
5,643.00
Terumo Surflo IV Catheter SR+OX1832C3 (IV Cateter No 18) DAK 2017 Pcs 0 600
8,355.00
8,355.00
8,355.00
8,355.00
TP Disposable Syringe 1 cc DAK 2017 Pcs 0 4000
679.29
685.14
815.15
TP Infusion Set Adult 20 Drops/Ml With Y Type, Airvent, Luer Lock DAK 20Pcs 0
6,380.00
TP Infusion Set Pediatric 60 Drops/Ml With Y Type, Airvent, Luer Lock DAKPcs 0
6,765.00
Jumlah Alat Kesehatan Pakai Habis (A)
OBAT-OBATAN GENERIK
Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2017 Vial 0
2,000.00
Alopurinol 100 mg DAK 2017 tablet 0
90.00
Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2017 kaplet 0
232.00
Amoksisilin sirup kering 125 mg/ 5 ml DAK 2017 Botol 0 2899
2,090.00
Magnesium Hidroksida 200 mg DAK 2017 tablet 0
62.00
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 botol
ml, Magnesium Hidroksida 200 mg/ 5 ml. DAK 2017 0
2,025.00
Asam Asetilsalisilat (Asetosal) tablet 100 mg DAK 2017 Tablet 0
130.00
Asam Askorbat (Vitamin C) 250 mg DAK 2017 Tablet 0
125.00
Asam Askorbat (Vitamin C) tablet 50 mg DAK 2017 tablet 0 19500
39.00
Asam Folat Tablet 0,4 mg DAK 2017 Tablet 0
63.00
Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2017 Kaplet 0
106.00
Asiklovir tablet/kapsul/kaplet 200 mg DAK 2017 tablet 0 3000
249.00
Asiklovir tablet/kapsul/kaplet 400 mg DAK 2017 tablet 0
349.00
Attapulgite 600 mg tablet DAK 2017 Tablet 0 20000
145.00
Bedak Salisil serbuk 2% DAK 2017 Kotak 0
1,025.00
Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2017 Ampul 0
1,518.00
Deksametason tablet 0,5 mg DAK 2017 tablet 0
44.00
Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) DAK 2017 Ampul 0 3000
1,176.00
Digoksin 0,25 mg DAK 2017 Tablet 0 7000
105.00
Doksisiklin tablet/kapsul/kaplet 100 mg DAK 2017 Tablet 0 2000
269.00
Domperidon suspensi/sirup 5 mg/5 ml DAK 2017 Botol 0 1500
3,000.00
Domperidon tablet/kapsul/kaplet 10 mg DAK 2017 Tablet 0 10000
118.00
Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) DAK 2017 ampul 0 1020
2,204.00
Eritromisin sirup kering 200 mg/ 5 ml DAK 2017 botol 0
6,700.00
Eugenol cairan DAK 2017 Botol 0
18,100.00
Fitomenadion (Vit.K1) tablet/kaplet salut gula 10 mg DAK 2017 tablet 0 1500
691.00
Gentamisin tetes mata 0,3% DAK 2017 botol 0
4,000.00
Glukosa larutan infus 5% steril DAK 2017 Botol 0 60
6,900.00
Glukosa larutan infus 10% DAK 2017 Botol 0 100
7,500.00
Haloperidol Tablet 0,5 mg DAK 2017 Tablet 0
59.00
Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017 Tablet 0
75.00
Hidroklorotiazid tab 25 mg DAK 2017 Tablet 0 20000
149.00
Hidrokortison krim 2,5 % DAK 2017 Tube 0
2,650.00
Ibuprofen 400 mg Tablet DAK 2017 Tablet 0 300000
127.00
Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg DAK 2017 Tablet 0 10000
63.00
Kaptopril tablet/kaplet scored 25 mg DAK 2017 tablet 0 150400
68.00
Karbamazepin tablet/kapsul/kaplet 200 mg DAK 2017 tablet 0 11800
270.00
Kloramfenikol kapsul 500 mg DAK 2017 Kapsul 0
1,007.00
Kloramfenikol salep mata 1% DAK 2017 Tube 0
1,798.00
Klorfeniramina Maleat (CTM) tablet/kapsul/kaplet 4 mg DAK 2017 Tablet 0 250000
42.00
Kotrimoksazol (Dewasa ) kombinasi tiap 5 ml Suspensi :Sulfametoksazol 200 botol
mg + Trimetoprim 40 mg DAK 2017 0
2,140.00
Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 mg+ trimetoprim
80 mg DAK 2017 Tablet 0 80000
151.00
DAK 2017 Kaplet 0
308.00
Lidokain Injeksi 2% (HCL) DAK 2017 Ampul 0 15000
860.00
Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL DAK 2017 Ampul 0
1,845.00
Magnesium sulfat injeksi 40% DAK 2017 vial 0
3,650.00
Metformin HCI tablet 500 mg DAK 2017 tablet 0
100.00
Metilergometrin inj 0,2 mg/ml DAK 2017 ampul 0 600
2,684.00
Metilprednisolon tablet/kapsul/kaplet 4 mg DAK 2017 Tablet 0
194.00
Metoklopramid 10 mg DAK 2017 tablet 0
90.00
Metoklopramide sirup 5 mg/ 5 ml DAK 2017 Botol 0 3000
2,580.00
Metronidazol kaptab 500 mg DAK 2017 Tablet 0
133.00
Nacl 0,9% DAK 2017 Botol 0 7000
6,410.00
Natrium diklofenak tablet/kapsul/kaplet 50 mg DAK 2017 tablet 0 100000
159.00
Nifedipin tablet 10 mg DAK 2017 tablet 0 40000
110.00
Nistatin vaginal tablet 100.000 IU/ g DAK 2017 ovula 0 2200
523.00
Oksitosin inj 10 IU/ml DAK 2017 ampul 0 1000
1,900.00
Parasetamol tablet/kapsul/kaplet 500 mg DAK 2017 Tablet 0
56.00
Phtomenadion (VIT K) inj i.m. 2 mg/ml DAK 2017 vial 0 300
3,550.00
Ranitidin injeksi 25 mg/ml DAK 2017 Ampul 0
1,390.00
Ranitidin tablet 150 mg DAK 2017 tablet 0 200000
105.00
Ringer Laktat DAK 2017 Botol 0 5000
7,150.00
Salbutamol 2 mg (sebagai Sulfat) DAK 2017 Tablet 0 44800
66.00
Salbutamol cairan ih 0,1% DAK 2017 Ampul 0 1000
4,000.00
Salbutamol tablet 4 mg (sebagai Sulfat) DAK 2017 Tablet 0 100000
83.00
Salep 2-4, Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2017 Pot 0
2,429.00
Sefadroksil kapsul/kaplet 500 mg DAK 2017 Kapsul 0
516.00
Sefadroksil Sirup Kering 125 mg/5ml DAK 2017 botol 0
4,485.00
Sefotaksim serb inj 1.000 mg DAK 2017 vial 0 7000
4,500.00
Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2017 Ampul 0
1,098.00
Simvastatin 10 mg DAK 2017 Tablet 0 20100
131.00
Siprofloksasin tab scored 500 mg DAK 2017 kaplet 0 50000
281.00
Spironolactone 25 mg DAK 2017 Tablet 0
294.00
Tetrasiklin tablet/kapsul/kaplet 500 mg DAK 2017 Kapsul 0 5000
310.00
Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/ Nitrat) DAK 2017
Tablet 0 50000
86.00
Vitamin B kompleks tablet DAK 2017 Tablet 0
43.00
Total Obat DAK 2017 (B) : 0
Reagen DL (Hematologi)
1 Cell Pack APBD II 2017 Botol 0
2 Cleaner (Cell Clean) APBD II 2017 Botol 0
3 Stromatolyser APBD II 2017 Botol 0
4 Kontrol APBD II 2017 set 0
Lain-Lain
19 Pot Faeces APBD II 2017 Pcs 0
20 Pot Urine APBD II 2017 Pcs 0
21 Reagen Gol Darah APBD II 2017 Set 0
33 Widal Test APBD II 2017 Set 0
Total Laboratorium APBD II 2017 (C) : 0
Obat APBD II 2017
Alkohol 70% 300 ml APBD 2017 Botol 0
Asam Tranexamat inj 250 mg APBD 2017 Ampul 0
Asam Tranexamat tablet 500 mg APBD 2017 Tablet 0
Combivent nebules APBD 2017 Ampul 0
Counterpain crm 15 g APBD 2017 Tube 0
Dulcolax strip @4 tablet APBD 2017 Strip 0
Elastis bandage 7,4cm x 4,5m APBD 2017 Rol 0

Etil Klorida Spray APBD 2017 Botol 0
H2O2 3% 100ml APBD 2017 Botol 0
Hand sanitizer 50 ml APBD 2017 Botol 0
Hansaplast sachet @100 sachet APBD 2017 Kotak 0
Heparin komb. Gel (Thrombopob gel 20 g) APBD 2017 Tube 0
Komb B complek + vit c 500mg (Selcom C) APBD 2017 Tablet 0
Minyak kayu putih 60 ml APBD 2017 Botol 0
Minyak Telon 60 ml APBD 2017 Botol 0
Obat Flu kombinasi (Demacolin) APBD 2017 Tablet 0
Oksigen tabung (Oxycan) APBD 2017 Tabung 0
Scabimite cream 10g APBD 2017 Tube 0
Total Obat APBD II 2017 (D) : 0
Cavitron APBD 2017 Botol 0
Devitalisasi pasta (non arsen) APBD 2017 Botol 0
Glass Ionomer Cement Serbuk dan Cairan APBD 2017 Set 0
Kalsium Hidroksida pasta APBD 2017 Tube 0
Mummifying Pasta APBD 2017 Botol 0

Semen Zeng Fosfat serbuk & cairan APBD 2017 Set 0
Spongostan APBD 2017 Botol 0
Temporary Stopping Fletcher serbuk dan cairan APBD 2017 Set 0
TKF (Tricresol Formaldehid) APBD 2017 Botol 0
Total Obat Gigi APBD II 2017 (E) : 0
Diazepam larutan rektal 5 mg/2,5 ml APBD 2017 Tube 0
Fenobarbital 50 mg Tablet APBD 2017 botol 0
Flufenazin injeksi i.m. 25 mg/ml APBD 2017 Ampul 0
Haloperidol tablet 5 mg APBD 2017 Tablet 0
Karbamazepin tablet 200 mg APBD 2017 Tablet 0
Klorpromazin tablet salut 100 mg (HCl) APBD 2017 Tablet 0
Klozapin Tablet 25 mg APBD 2017 Tablet 0
Trifluoperazin tablet 5 mg APBD 2017 Tablet 0
Obat HIV 2017

Total Obat HIV 2017 (G) : 0
VII. Total Obat Tahun 2017 (A+B+C+D+E+F+G) : 0
Lain-lain
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Total Obat Lain-lain (VIII) : 0 0
Total Obat Gudang Farmasi I+II+III+IV+V+VI+VII+VIII : 1508657608
Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Jembrana
( Dr. Putu Suasta, M. Kes. )

NIP. 19600429 198703 1 010
Distribusi
Nilai Penerimaan Pusk. 1 Pusk. 2 Pusk. 1 Pusk. 2 Pusk. 1 Pusk. 2 Pusk. 1 Pusk. 2 Pusk. 1 Pusk. 2 Lain-lain Total
8 9 10 11 12 13 14 15 16 17 18 19 20 21
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 36 36
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 48 48 96
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 10 10
0 10 10 20
0 0
0 0
0 0
0 0
0 0
0 0
0 200 200
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 6000 6000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3 10 13
0 0
0 10 10
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 6 6 12 24
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 500 500
0 240 96 336
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 500 500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 168 48 96 312
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 504 504 504 504 2016
0 0
0 100 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 5 4 2 5 6 22
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 145 RSUD 145
0 37 37
0 32 RSUD 32
0 0 RSUD 0
0 0 RSUD 0
0 35 RSUD 35
0 0 RSUD 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100 100 100 300
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 500 500
0 0
0 0
0 0
0 0
0 5 10 15
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 200 200
0 0
0 0
0 500 500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 72 72 144
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 500 500 1000
0 0
0 100 100
0 1000 1000 2000
0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3 3 6
0 0
0 0
0 0
0 0
0 0
0 0
0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 500 500 500 500 2000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3000 3000
0 0
0 50 30 80
0 0
0 0
0 500 500 1000
0 0
0 10000 10000 20000
0 0
0 3000 3000
0 300 100 500 200 200 1300
0 0
0 100 500 600
0 2000 3000 5000
0 0
0 0
0 0
0 0
0 0
0 0
0 200 200 400
0 5000 5000
0 0
0 0
0 0
0 200 200 400
0 200 1000 1200
0 4 4
0 96 96 96 96 96 480
0 0
0 0
0 0
0 48 96 96 240
0 0
0 0
0 2000 3000 5000 2000 12000
0 0
0 24 24
0 0
0 3000 5000 5000 13000
0 0
0 120 150 300 90 300 90 1050
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 2800 5600 2800 5600 8400 1000 5600 31800
0 500 1000 500 2000
0 300 300 600 300 300 300 2100
0 0
0 0
0 0
0 0
0 48 48
0 3 3
0 48 48 96
0 0
0 500 1000 1000 500 1000 500 1000 500 6000
0 20 20
0 0
0 2000 2000
0 0
0 0
0 0
0 200 300 100 100 300 1000
0 600 400 1000
0 0
0 0
0 0
0 24 24
0 0
0 160 160
0 44 44
0 0
0 500 500
0 3000 3000 1000 1000 1000 9000
0 1000 1000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 6800 6800 13600
0 0
42716520 1 1 1 3
28929292 1 1 2
0 0
16356450 1 1 1 3 6
0 0
28291732 1 1 2
0 1 2 3
0 0
0 0
0 0
0 0
0 2 2
116293994
0 0
0 0
0 0
0 0
0 0 30 20 50
0 0
0 0
0 0
0 0
0 0
0 3 3 2 P3K 8
0 3 3 3 P3K 9
0 0
0 0
0 0
0 0
0 0
0 4 2 6
0 10 20 20 20 30 30 20 150
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 1 1
0 0
0 0
0 0
0 10 10 20
0 0
0 0
0 0
0 500 500 500 1500
0 90 90
0 0
0 0
0 500 500 1000
0 500 500 1000
0 0
0 0
0 1000 500 1000 2500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
116293994
0
9647000 0
135072000 0
135072000 0
11880000 0
0 0
112266000 0
433125000 0
1260000 0
5106000 0
1021200 0
1021200 0
65835000 0
131670000 0
43890000 0
564300 0
564300 0
1128600 0
5013000 0
8355000 0
8355000 0
5013000 100 100
2717148 500 100 600
27405420 500 500 800 1800
4075733 0
0 0
0 0
0 0
0 0
0 0
6058910 0
0 0
0 0
0 0
0 0
760500 0
0 0
0 0
747000 0
0 0
2900000 0
0 0
0 0
0 0
3528000 0
735000 0
538000 0
4500000 0
1180000 0
2248080 0
0 0
0 0
1036500 0
0 0
414000 0
750000 0
0 0
0 0
2980000 0
0 0
38100000 0
630000 0
10227200 0
3186000 0
0 0
0 0
10500000 0
0 0
12080000 0
0 0
12900000 0
0 0
0 0
0 0
1610400 0
0 0
0 0
7740000 0
0 0
44870000 0
15900000 0
4400000 0
1150600 0
1900000 0
0 0
1065000 0
0 0
21000000 0
35750000 0
2956800 1000 1000
4000000 40 20 40 40 140
8300000 0
0 0
0 0
0 0
31500000 0
0 0
2633100 0
14050000 0
0 0
1550000 0
4300000 0
0 0
1470731991
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
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0 0
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0
0
1470731991
0 0
0 0
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116293994
Kepala Bidang Pelayanan Kesehatan Kepala Seksi Farmasi

Dinas Kesehatan Kab. Jembrana Dinas Kesehatan Kab. Jembrana
(Dr. AA.Ketut Oka Sedana, M.Kes.) ( Widiyatno, S. Si., Apt )

NIP. 19700322 200212 1 001 NIP. 19720206 200604 1 004
Hilang/ Nilai Obat
Stok Akhir 31-
Rusak/ Hilang/ Rusak/ Retur Nilai Retur Nilai Stok Akhir Keterang-an
Nilai Distribusi 03-2017
Expired Expired
22 23 24 25 26 27
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 51000 30957000
0 0 0 55000 33383900
0 0 0 36440 11059540
0 0 0 34500 10470405
0 0 0 85870845
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 85870845
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
133294 0 0 0 0
0 0 0 0 0
0 0 0 0 0
133294 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
165000 0 0 696 1196250
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 260 9236760
0 0 0 0 0
0 0 0 0 0
0 0 0 30 71043
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 40 229080
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
15398 0 0 172 264846
38958 0 0 28 54541
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
24200 0 0 1800 217800
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
251400 0 0 23400 980460
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
494956 0 0 12250780
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
97500 0 0 1084 8130000
0 0 0 250 13800000
85000 0 0 1575 13387500
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
182500 0 0 35317500
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 2 68000
0 0 0 68000
810750 0 0 47636280
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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446400 0 0 0 0
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446400 0 0 0
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0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
432125 0 0 9800 8469650
2425920 0 0 912 6584640
0 0 0 0 0
0 0 0 625 1094375
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
97000 0 0 5000 970000
0 0 0 0 0
0 0 0 0 0
0 0 0 800 73600
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 45800 12091200
0 0 0 2300 248400
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2955045 0 0 29531865
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 10000 920000
0 0 0 0 0
0 0 0 0 0
0 0 0 600 1050600
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 3700 340400
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
936000 0 0 4104 12312000
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 1200 316800
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
936000 0 0 14939800
4337445 0 0 44471665
0 0 0 0 0
0 0 0 0 0
0 0 0 5 97500
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 1 236000
0 0 0 24 3837552
0 0 0 36 0
0 0 0 0 0
0 0 0 0 0
0 0 0 2 0
0 0 0 100 1297200
0 0 0 0 0
0 0 0 0 0
0 0 0 40 11060000
0 0 0 16528252
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 690 2634420
11200 0 0 1200 134400
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 21000 1995000
0 0 0 0 0
0 0 0 0 0
0 0 0 4200 995400
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 500 67000
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 303000 18786000
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 439350 67659900
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
11200 0 0 92272120
2899008 0 0 59096 84980048
0 0 0 0 0
216700 0 0 1000 2167000
3115708 0 0 87147048
3126908 0 0 195947420
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 100 290200
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 100 98000
0 0 0 4 83624
7920011 0 0 4 1440002
0 0 0 0 0
0 0 0 4 859960
0 0 0 0 0
0 0 0 330 2930400
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
7920011 0 0 5702186
29832300 0 0 269 55344060
7076250 0 0 164 31365000
2432640 0 0 64 4865280
0 0 0 26 19141278
0 0 0 758 118839240
1118250 0 0 122 3897900
0 0 0 249 88277970
40459440 0 0 321730728
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
420000 0 0 300 420000
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 100 570000
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
420000 0 0 990000
0 0 0 0 0
116500 0 0 4300 1001900
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
825000 0 0 535 29425000
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 4200 3780000
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
100000 0 0 500 250000

0 0 0 0 0
0 0 0 0 0
504000 0 0 3100 3124800
0 0 0 5700 18810000
0 0 0 2000 810000
1545500 0 0 57201700
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
440001 0 0 180 550001
0 0 0 1000 750000
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
440001 0 0 1300001
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
2512000 0 0 5500 13816000
0 0 0 1487 56865854
99300 0 0 2600 2581800
1020000 0 0 94000 47940000
3631300 0 0 121203654
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
52926 0 0 21 185241
0 0 0 0 0
52926 0 0 185241
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
54469178 0 0 508313510
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 500 22000
0 0 0 0 0
0 0 0 100 98000
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 240 562560
0 0 0 2 32400
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
192000 0 0 1000 96000
0 0 0 0 0
0 0 0 245 1347500
0 0 0 3 9312
0 0 0 0 0
0 0 0 12 117240
0 0 0 0 0
0 0 0 28 33600000
0 0 0 1 214990
0 0 0 0 0
0 0 0 0 0
0 0 0 4600 1196000
0 0 0 20900 9593100
81900 0 0 3000 81900
0 0 0 0 0
273900 0 0 46971002
162400 0 0 520 1055600
0 0 0 0 0
0 0 0 0 0
776330 0 0 3300 2561889
0 0 0 0 0
5220000 0 0 18500 4828500
0 0 0 0 0
186000 0 0 18200 1128400

2632500 0 0 3200 6480000
0 0 0 1500 4567500
69600 0 0 3600 417600
795000 0 0 55800 8872200
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 2600 616200
0 0 0 0 0
0 0 0 0 0
607200 0 0 2600 3946800
220000 0 0 68500 3014000
0 0 0 2700 261900
0 0 0 0 0
0 0 0 2800 756000
1200000 0 0 500 1500000
141600 0 0 1800 212400
72400 0 0 20 362000
1920000 0 0 864 3456000
0 0 0 0 0
0 0 0 980 6762000
0 0 0 0 0
671520 0 0 48 134304
0 0 0 0 0
0 0 0 0 0
816000 0 0 45000 3060000
0 0 0 0 0
38400 0 0 60 96000
0 0 0 0 0
663000 0 0 42900 2187900
0 0 0 0 0
1937250 0 0 205 378225
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
5056200 0 0 62500 9937500
220000 0 0 22500 2475000
336000 0 0 1800 288000
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
268000 0 0 432 2412000
54000 0 0 7 126000
355200 0 0 142 525400
0 0 0 1404 4290000
1980000 0 0 22700 7491000
60000 0 0 10 30000
0 0 0 0 0
236000 0 0 17000 2006000
0 0 0 9100 637000
0 0 0 0 0
0 0 0 0 0
7150000 0 0 20764 148462600
4180000 0 0 200 836000
0 0 0 0 0
0 0 0 0 0
0 0 0 1900 169100
58296 0 0 88 213752
0 0 0 0 0
720000 0 0 0 0
351956 0 0 0 0
0 0 0 100 109800
84500 0 0 1000 169000
2529000 0 0 20000 5620000
315000 0 0 1000 315000

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 100 835500
0 0 0 600 186000
0 0 0 0 0
1564000 0 0 84000 9660000
0 0 0 13700 1315200
43647352 0 0 254765270
9153540 0 0 15 45767700
4132756 0 0 16 33062048
0 0 0 0 0
9813870 0 0 4 6542580
0 0 0 0 0
4041676 0 0 16 32333408
2250000 0 0 1 750000
0 0 0 2 1180000
0 0 0 1 590000
0 0 0 5 0
0 0 0 8 0
0 0 0 0 0
0 0 0 0
29391842 0 0 120225736
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 150 2550000
172650 0 0 0 0
0 0 0 27 1593000
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 100 56200
136000 0 0 40 680000
135000 0 0 69 1035000
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 4 192200
0 0 0 0 0
4214400 0 0 6 4214400
30255000 0 0 245 49416500
34913050 0 0 59737300
0 0 0 0 0
0 0 0 0 0
0 0 0 10 1530000
0 0 0 1 1009125
0 0 0 5 2160000
0 0 0 21 2646000
0 0 0 4 3528000
0 0 0 0 0
0 0 0 0 0
115200 0 0 3 345600
115200 0 0 11218725
0 0 0 0 0
0 0 0 1000 112000
0 0 0 25000 22500000
83600 0 0 580 2424400
0 0 0 20000 900000
0 0 0 10000 1630000
0 0 0 5 57625
199500 0 0 20400 2713200
162000 0 0 300 540000

0 0 0 0 0
0 0 0 0 0
59000 0 0 37500 2212500
69000 0 0 96500 6658500
0 0 0 0 0
0 0 0 0 0
170000 0 0 16900 1149200
0 0 0 0 0
0 0 0 9000 12069000
0 0 0 47000 23970000
743100 0 0 0 76936425
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 5 1028700
0 0 0 1028700
109084444 0 0 570883158
0 0 0 0 0
0 0 0 0
0 0 0 200 9647000
0 0 0 960 135072000
0 0 0 960 135072000
0 0 0 600 11880000
0 0 0 0 0
0 0 0 972 112266000
0 0 0 25000 433125000
0 0 0 400 1260000
0 0 0 500 5106000
0 0 0 100 1021200
0 0 0 100 1021200
0 0 0 15000 65835000
0 0 0 30000 131670000
0 0 0 10000 43890000
0 0 0 100 564300
0 0 0 100 564300
0 0 0 200 1128600
0 0 0 600 5013000
0 0 0 1000 8355000
0 0 0 1000 8355000
835500 0 0 500 4177500
407572 0 0 3400 2309576
1233244 0 0 38200 26172176
0 0 0 5000 4075733
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 2899 6058910
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 19500 760500
0 0 0 0 0
0 0 0 0 0
0 0 0 3000 747000
0 0 0 0 0
0 0 0 20000 2900000
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 3000 3528000
0 0 0 7000 735000
0 0 0 2000 538000
0 0 0 1500 4500000
0 0 0 10000 1180000
0 0 0 1020 2248080
0 0 0 0 0
0 0 0 0 0
0 0 0 1500 1036500
0 0 0 0 0
0 0 0 60 414000
0 0 0 100 750000
0 0 0 0 0
0 0 0 0 0
0 0 0 20000 2980000
0 0 0 0 0
0 0 0 300000 38100000
0 0 0 10000 630000
0 0 0 150400 10227200
0 0 0 11800 3186000
0 0 0 0 0
0 0 0 0 0
0 0 0 250000 10500000
0 0 0 0 0
0 0 0 80000 12080000
0 0 0 0 0
0 0 0 15000 12900000
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 600 1610400
0 0 0 0 0
0 0 0 0 0
0 0 0 3000 7740000
0 0 0 0 0
0 0 0 7000 44870000
0 0 0 100000 15900000
0 0 0 40000 4400000
0 0 0 2200 1150600
0 0 0 1000 1900000
0 0 0 0 0
0 0 0 300 1065000
0 0 0 0 0
0 0 0 200000 21000000
0 0 0 5000 35750000
66000 0 0 43800 2890800
560000 0 0 860 3440000
0 0 0 100000 8300000
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 7000 31500000
0 0 0 0 0
0 0 0 20100 2633100
0 0 0 50000 14050000
0 0 0 0 0
0 0 0 5000 1550000
0 0 0 50000 4300000
0 0 0 0 0
3102316 0 0 1467629674
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0
3102316 0 0 1467629674
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
171828724 0 0 2920752552
Yang melaporkan

D
BULAN : APRIL
.....
TAHUN :2017
.....
Harga Nilai
01-04-17
1 2 3 4 5 6 7 8
Tahun 2011
Obat Provinsi 2011
Obat DAK 2011

Total DAK 2011 (B): 0 0
Obat Gigi DAK 2011
Tahun 2012
Obat APBD II 2012

Obat DAK 2012





Total Obat DAK 2012 (B) : 12250780 0

226 Masker DAK 2012 pcs 1125 0 0 0
229 Urine Bag DAK 2012 pcs 4000 0 0 0
Obat Gigi DAK 2012

Tahun 2013
Obat APBD II 2013

Obat DAK 2013



Total Obat DAK 2013 (B) : 29531865 0
Obat SILVA 2013

2475
86
botol 1866
2152
340
239
1525
1379
92
1500
1500
1751
tablet 85
1469
2399
44
92
63
88
3800
21
140
105
3000
4900
112
1600
1529
119
52
264
1928
242
5200
521
6860
916
111
206
455
Tahun 2014

Obat Perubahan 2014

Obat APBD II 2014

Obat DAK 2014


521 NaCl 0,9% DAK 2014 Botol 4700 0 0 0

Total Obat DAK 2014 (D) : 92272120 0
Tahun 2015

Obat HIV 2015
Total Obat HIV 2015 (B) : 321730728 0
Obat DAK 2015

86
2445

2112
116
159
336
1400
62
1050
104
3333
167
75

56
5700
59

150
70
84

0
138
113
2600
110
211
79
1140
59

4896
1077

107
Total Obat DAK 2015 (C) : 990000 0
Obat Jiwa DAK 2015

233

20250

55000
59
69
96
900
1100

1550
500
1341

1008
3300
405

8355
8355
8355
8355
957
1348
134000

6595
6595
5445
8000
330
3000
27830
51305
325
3056
750
3800
3800
3800
3800
3200
330
3000
Lab. APBD II 2015
Obat APBD II 2015


Tahun 2016
713 Diazepam injeksi 5 mg/ml - 2 ml PROV 2016 vial 2344 240 562560 40 93760
Obat DAK 2016

Vial
Pcs
Pcs
Pcs

86 0

261 18500
Botol
2090 0
62 18200
2025 3200
3045 1500
Tablet
Tablet
Tablet

Kaplet

Ampul
Tablet

Tablet
Tablet
Tablet
Botol
Tablet

Tablet

Ampul

1600 60
773 DAK 2016 Kaplet 0 0
308 0
Ampul
Tablet
Tablet
Tablet
Botol

Tablet

Pcs
Pcs
Pcs
Pcs
Pcs
Botol
Botol
Pcs
Pcs
Pcs
Tablet
Tablet

Tablet
Botol
Pasang
Pasang
4180 0
Ampul
Tablet
Pot
Kapsul
Vial
Botol
Ampul

315 1000
Pcs
3500 0
Pcs
3200 0
Pcs
8355 0
Pcs
Pcs
Pcs
Kapsul
Tablet
Tablet
Tablet
Total Obat DAK 2016 (B) : 254765270 0
829 Oil Emersi botol 590000 2 1180000 0
830 Parafilm buah 590000 1 590000 0

834 0
835
836
Obat APBD II 2016

Obat HIV 2016 0

Total Obat HIV 2016 (G) : 1028700 0
Tahun 2017

885 Diazepam injeksi 5 mg/ml - 2 ml PROV 2017 ampul 2368 0 0
887 Fenobarbital inj mg/ml PROV 2017 Ampul 1980 0 290 574200
888 Glukonas Kalsikus Injeksi 10 % PROV 2017 Ampul 7800 0 40 312000
890 Magnesium Sulfat inj (IV) 40% PROV 2017 Vial 3650 0 11 40150
891 Metilergometrin Maleat Injeksi PROV 2017 Ampul 2684 0 60 161040
892 Oxytocin Injeksi PROV 2017 Ampul 1900 0 100 190000
893 Fitomenadion (Vit K) inj PROV 2017 Ampul 4250 0 30 127500
894 Obat Anti Tuberculosis FDC Katagori 1 Paket 359990 0 64 23039360
Obat DAK 2017

48,235.00 200
140,700.00 960
140,700.00 960
19,800.00 600
4,070.00 0
115,500.00 972
17,325.00 25000
3,150.00 400
10,212.00 500
10,212.00 100
10,212.00 100
4,389.00 15000
4,389.00 30000
4,389.00 10000
5,643.00 100
5,643.00 100
5,643.00 200
8,355.00 600
8,355.00 1000
8,355.00 1000
8,355.00 500
679.29 3400
685.14 38200
815.15 5000
TP Infusion Set Adult 20 Drops/Ml With Y Type, Airvent, Luer Lock DAK 20Pcs 0 1500 9570000
6,380.00 0
TP Infusion Set Pediatric 60 Drops/Ml With Y Type, Airvent, Luer Lock DAKPcs 0 800 5412000
6,765.00 0
OBAT-OBATAN GENERIK
Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2017 Vial 0 0
2,000.00 0
Alopurinol 100 mg DAK 2017 tablet 0 15000 1350000
90.00 0
Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2017 kaplet 0 245000 56840000
232.00 0
Amoksisilin sirup kering 125 mg/ 5 ml DAK 2017 Botol 6058910 12101 25291090
2,090.00 2899
Magnesium Hidroksida 200 mg DAK 2017 tablet 0 50000 3100000
62.00 0
ml, Magnesium Hidroksida 200 mg/ 5 ml. DAK 2017 0 0
2,025.00 0
Asam Asetilsalisilat (Asetosal) tablet 100 mg DAK 2017 Tablet 0 2000 260000
130.00 0
Asam Askorbat (Vitamin C) 250 mg DAK 2017 Tablet 0 0
125.00 0
39.00 19500
Asam Folat Tablet 0,4 mg DAK 2017 Tablet 0 0
63.00 0
Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2017 Kaplet 0 0
106.00 0
249.00 3000
349.00 0
145.00 20000
Bedak Salisil serbuk 2% DAK 2017 Kotak 0 0
1,025.00 0
Deksametason injeksi i.v./i.m. 5 mg/ml DAK 2017 Ampul 0 0
1,518.00 0
Deksametason tablet 0,5 mg DAK 2017 tablet 0 0
44.00 0
1,176.00 3000
105.00 7000
269.00 2000
3,000.00 1500
118.00 10000
2,204.00 1020
Eritromisin sirup kering 200 mg/ 5 ml DAK 2017 botol 0 600 4020000
6,700.00 0
Eugenol cairan DAK 2017 Botol 0 15 271500
18,100.00 0
691.00 1500
Gentamisin tetes mata 0,3% DAK 2017 botol 0 4000 16000000
4,000.00 0
6,900.00 60
7,500.00 100
Haloperidol Tablet 0,5 mg DAK 2017 Tablet 0 8700 513300
59.00 0
Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017 Tablet 0 0
75.00 0
149.00 20000
Hidrokortison krim 2,5 % DAK 2017 Tube 0 4000 10600000
2,650.00 0
127.00 300000
63.00 10000
68.00 150400
270.00 11800
Kloramfenikol kapsul 500 mg DAK 2017 Kapsul 0 30000 30210000
1,007.00 0
Kloramfenikol salep mata 1% DAK 2017 Tube 0 0
1,798.00 0
42.00 250000
mg + Trimetoprim 40 mg DAK 2017 0 0
2,140.00 0
80 mg DAK 2017 Tablet 12080000 0
151.00 80000
DAK 2017 Kaplet 0 0
308.00 0
860.00 15000
Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL DAK 2017 Ampul 0 10050 18542250
1,845.00 0
Magnesium sulfat injeksi 40% DAK 2017 vial 0 0
3,650.00 0
Metformin HCI tablet 500 mg DAK 2017 tablet 0 0
100.00 0
2,684.00 600
Metilprednisolon tablet/kapsul/kaplet 4 mg DAK 2017 Tablet 0 40000 7760000
194.00 0
Metoklopramid 10 mg DAK 2017 tablet 0 40000 3600000
90.00 0
2,580.00 3000
Metronidazol kaptab 500 mg DAK 2017 Tablet 0 30000 3990000
133.00 0
Nacl 0,9% DAK 2017 Botol 44870000 0
6,410.00 7000
159.00 100000
110.00 40000
523.00 2200
1,900.00 1000
Parasetamol tablet/kapsul/kaplet 500 mg DAK 2017 Tablet 0 0
56.00 0
3,550.00 300
Ranitidin injeksi 25 mg/ml DAK 2017 Ampul 0 10000 13900000
1,390.00 0
105.00 200000
7,150.00 5000
Salbutamol 2 mg (sebagai Sulfat) DAK 2017 Tablet 2890800 25200 1663200
66.00 43800
4,000.00 860
83.00 100000
Salep 2-4, Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2017 Pot 0 290 704410
2,429.00 0
Sefadroksil kapsul/kaplet 500 mg DAK 2017 Kapsul 0 100000 51600000
516.00 0
Sefadroksil Sirup Kering 125 mg/5ml DAK 2017 botol 0 0
4,485.00 0
4,500.00 7000
Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2017 Ampul 0 8000 8784000
1,098.00 0
131.00 20100
281.00 50000
Spironolactone 25 mg DAK 2017 Tablet 0 1000 294000
294.00 0
310.00 5000
Tablet 4300000 0
86.00 50000
Vitamin B kompleks tablet DAK 2017 Tablet 0 0
43.00 0
Total Obat DAK 2017 (B) : 1467629674 274275750
1 Cell Pack APBD II 2017 Botol 2300000 0 0 0
2 Cleaner (Cell Clean) APBD II 2017 Botol 2139000 0 0 0
3 Stromatolyser APBD II 2017 Botol 2092000 0 0 0
4 Kontrol APBD II 2017 set 1693000 0 0 0
Lain-Lain
19 Pot Faeces APBD II 2017 Pcs 6500 0 0 0
20 Pot Urine APBD II 2017 Pcs 6000 0 0 0
21 Reagen Gol Darah APBD II 2017 Set 660000 0 0 0
33 Widal Test APBD II 2017 Set 750000 0 0 0
Obat APBD II 2017
Alkohol 70% 300 ml APBD 2017 Botol 14500 0 0 0
Asam Tranexamat inj 250 mg APBD 2017 Ampul 8800 0 0 0
Asam Tranexamat tablet 500 mg APBD 2017 Tablet 2450 0 0 0
Combivent nebules APBD 2017 Ampul 21700 0 0 0

Counterpain crm 15 g APBD 2017 Tube 41400 0 0 0
Dulcolax strip @4 tablet APBD 2017 Strip 8090 0 0 0
Elastis bandage 7,4cm x 4,5m APBD 2017 Rol 83800 0 0 0
Etil Klorida Spray APBD 2017 Botol 153000 0 0 0
H2O2 3% 100ml APBD 2017 Botol 10100 0 0 0
Hand sanitizer 50 ml APBD 2017 Botol 19000 0 0 0
Hansaplast sachet @100 sachet APBD 2017 Kotak 42000 0 0 0
Heparin komb. Gel (Thrombopob gel 20 g) APBD 2017 Tube 59000 0 0 0
Komb B complek + vit c 500mg (Selcom C) APBD 2017 Tablet 560 0 0 0
Minyak kayu putih 60 ml APBD 2017 Botol 27300 0 0 0
Minyak Telon 60 ml APBD 2017 Botol 23800 0 0 0
Obat Flu kombinasi (Demacolin) APBD 2017 Tablet 400 0 0 0
Oksigen tabung (Oxycan) APBD 2017 Tabung 58000 0 0 0
Scabimite cream 10g APBD 2017 Tube 58200 0 0 0
0 0 0
Cavitron APBD 2017 Botol 135000 0 0 0
Devitalisasi pasta (non arsen) APBD 2017 Botol 750000 0 0 0

Glass Ionomer Cement Serbuk dan Cairan APBD 2017 Set 1009000 0 0 0
Kalsium Hidroksida pasta APBD 2017 Tube 432000 0 0 0
Mummifying Pasta APBD 2017 Botol 882000 0 0 0
Semen Zeng Fosfat serbuk & cairan APBD 2017 Set 658000 0 0 0
Spongostan APBD 2017 Botol 702000 0 0 0
Temporary Stopping Fletcher serbuk dan cairan APBD 2017 Set 658000 0 0 0
TKF (Tricresol Formaldehid) APBD 2017 Botol 135000 0 0 0
Diazepam larutan rektal 5 mg/2,5 ml APBD 2017 Tube 37890 0 0 0
Fenobarbital 50 mg Tablet APBD 2017 botol 0 0 0
Flufenazin injeksi i.m. 25 mg/ml APBD 2017 Ampul 115790 0 0 0
Haloperidol tablet 5 mg APBD 2017 Tablet 2990 0 0 0
Karbamazepin tablet 200 mg APBD 2017 Tablet 3155 0 0 0
Klorpromazin tablet salut 100 mg (HCl) APBD 2017 Tablet 785 0 0 0
Klozapin Tablet 25 mg APBD 2017 Tablet 7015 0 0 0
Trifluoperazin tablet 5 mg APBD 2017 Tablet 875 0 0 0

Obat HIV 2017 0
Total Obat HIV 2017 (G) : 0 0
VII. Total Obat Tahun 2017 (A+B+C+D+E+F+G) : 1467629674 297442610
Lain-lain
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
Total Obat Lain-lain (VIII) : 0 0 0
Total Obat Gudang Farmasi I+II+III+IV+V+VI+VII+VIII : 2920752552 93760

Kabupaten Jembrana

NIP. 19600429 198703 1 010 NIP. 19700322 200212 1
Distribusi Hilang/
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
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0 0
0 0
0 0
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0 0
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250 250 151745
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500 60 560 169954
321699
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321699
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443123
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10 5 10 25 187500
5 10 25 40 2208000
50 15 65 552500
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2948000
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3391123
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1000 500 1500 1296375
240 240 1732800
0 0
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500 300 500 1300 252200
0 0
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500 500 1000 108000
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3389375
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3389375
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40 40 11060000
11060000
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300 500 1000 600 2400 568800
0 0
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568800
504 504 504 504 504 2520 3623760
0 0
200 100 300 650100
4273860
15902660
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
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0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 100 290200
0 0
0 0
0 0
0 0
0 0
0 0
100 100 98000
0 0
2 2 4 1440002
0 0
4 4 859960
0 0
0 0
0 0
0 0
0 0
0 0
2688162
224 224 46085760
0 0
41 41 3116820
11 11 8098233
212 212 33237360
33 33 1054350
68 68 24108040
115700563
0 0
0 0
0 0
0 0
0 0
0 0
0 0
300 300 420000
0 0
0 0
0 0
0 0
0 0
0 0
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20 20 114000
0 0
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534000
0 0
200 500 700 163100
0 0
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0 0
0 0
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500 200 700 630000
0 0
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200 200 81000
874100
0 0
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108 108 330000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
330000
0 0
0 0
0 0
0 0
500 500 1000 2512000
30 25 20 30 105 4015410
0 0
1000 2000 4000 2000 1000 1000 1000 12000 6120000
12647410
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
13 8 21 185241
0 0
185241
0 0
0 0
0 0
0 0
0 0
132959476
0 0
0 0
0 0
0 0
500 500 22000
0 0
0 0
0 0
0 0
0 0
0 0
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0 0
0 0
0 0
0 0
0 0
0 0
0 0
1000 1000 96000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1 214990
0 0
0 0
0 0
0 0
3000 3000 81900
0 0
414890
100 100 203000
0 0
0 0
200 400 500 1100 853963
0 0
10000 5000 15000 3915000
0 0
6000 3000 100 9100 564200

200 200 400 810000
50 50 152250
500 500 58000
500 500 79500
0 0
0 0
0 0
0 0
0 0
0 0
300 100 200 100 400 1100 1669800
3000 3000 132000
500 500 48500
0 0
0 0
50 350 100 500 1500000
500 1300 1800 212400
3 3 54300
48 96 48 96 96 96 480 1920000
0 0
40 40 276000
0 0
48 48 134304
0 0
0 0
5000 3000 2000 3000 13000 884000
0 0
0 0
0 0
5000 5000 255000
0 0
85 120 205 378225
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2800 2800 8400 2800 2800 5600 2800 5600 33600 5342400
3000 3000 330000
300 1200 300 1800 288000
0 0
0 0
0 0
0 0
24 96 24 144 804000
7 7 126000
48 24 2 74 273800
108 108 216 660000
500 1000 500 1000 1000 100 4100 1353000
0 0
0 0
1000 1000 118000
0 0
0 0
0 0
100 200 400 2 702 5019300
200 200 836000
0 0
0 0
1900 1900 169100
24 48 72 174888
0 0
0 0
0 0
100 100 109800
1000 1000 169000
5000 2000 4000 3000 3000 17000 4777000
500 500 157500

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
9400 9400 9400 28200 3243000
300 300 28800
38051230
4 1 1 1 1 2 1 2 2 15 45767700
4 1 1 1 1 2 1 3 2 16 33062048
0 0
1 1 1 1 4 6542580
0 0
5 2 1 1 1 1 2 2 15 30312570
0 0
2 2 1180000
1 1 590000
0 0
0 0
0 0
0 0
117454898
0 0
0 0
0 0
0 0
0 0
3 2 5 295000
0 0
0 0
0 0
100 100 56200
2 3 4 9 153000
2 5 4 11 165000
0 0
0 0
0 0
0 0
0 0
2 4 6 4214400
50 60 20 50 25 30 235 47399500
52283100
0 0
0 0
10 10 1530000
1 1 1009125
0 0
1 1 126000
0 0
0 0
0 0
0 0
2665125
0 0
0 0
0 0
25 25 104500
0 0
0 0
5 5 57625
500 700 800 2000 266000
0 0
0 0
0 0
0 0
300 1000 1300 89700
0 0
0 0
1000 2000 0 400 3400 231200
0 0
1000 1000 1341000
0 0
2090025
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
212959268
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 6 11 3959890
3959890
0 0
24 24 48 6753600
0 0
0 0
0 0
0 0
0 0
50 50 157500
100 10 10 20 40 60 10 20 270 2757240
60 10 10 20 100 1021200
80 10 10 100 1021200
0 0
1000 1000 1600 200 3800 16678200
400 400 1755600
0 0
10 20 30 169290
40 10 50 282150
50 50 50 150 1253250
100 50 50 100 300 2506500
50 100 50 100 50 100 450 3759750
50 50 50 50 200 1671000
1000 300 1300 883073
2500 500 1500 500 2500 500 1500 9500 6508787
0 0
650 50 100 100 200 100 1200 7656000
50 50 50 100 0 250 1691250
0 0
0 0
0 0
336 240 144 240 499 480 192 432 96 2659 5557310
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1000 1000 1000 1000 4000 580000
0 0
0 0
0 0
150 60 30 210 30 90 90 660 776160
0 0
0 0
0 0
0 0
60 120 30 210 462840
0 0
0 0
500 500 345500
0 0
0 0
0 0
0 0
0 0
1000 1000 149000
0 0
15000 5000 5000 5000 10000 7000 5000 7900 5000 5000 100 70000 8890000
1000 1000 2000 2000 1000 1000 2000 10000 630000
0 0
1000 500 1500 1000 1000 1000 600 1500 8100 2187000
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368923602


NIP. 19700322 200212 1 001 NIP. 19720206 200604 1 004
Nilai Obat
Stok Akhir 31-
04-2017
Expired
24 25 26 27
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Yang melaporkan

D
BULAN : MEI
.....
TAHUN :2017
.....
Harga Nilai
01-05-17
1 2 3 4 5 6 7 8
Tahun 2011
Obat Provinsi 2011
Obat DAK 2011

Total DAK 2011 (B): 0 0
Obat Gigi DAK 2011
Tahun 2012
Obat APBD II 2012

Obat DAK 2012





Total Obat DAK 2012 (B) : 11807657 0

226 Masker DAK 2012 pcs 1125 0 0 0
229 Urine Bag DAK 2012 pcs 4000 0 0 0
Obat Gigi DAK 2012

Tahun 2013
Obat APBD II 2013

Obat DAK 2013



Total Obat DAK 2013 (B) : 26142490 0
Obat SILVA 2013

2475
86
botol 1866
2152
340
239
1525
1379
92
1500
1500
1751
tablet 85
1469
2399
44
92
63
88
3800
21
140
105
3000
4900
112
1600
1529
119
52
264
1928
242
5200
521
6860
916
111
206
455
Tahun 2014

Obat Perubahan 2014

Obat APBD II 2014

Obat DAK 2014


521 NaCl 0,9% DAK 2014 Botol 4700 0 0 0

Total Obat DAK 2014 (D) : 91703320 0
Tahun 2015

Obat HIV 2015
579 (ZDV)+Lamivudine (3TC) 300/150 mg Hiv. 2015 btl@60tab 205740 45 9258300 1299 267256260
581 Lamivudine (3TC) 150 mg Hiv. 2015 btl@60tab 76020 23 1748460 223 16952460
582 Lopinavir/ritonavir (LPV/r) 200/50 mg Hiv. 2015 btl@120tab 736203 15 11043045 47 34601541
583 Nevirapine (NVP) 200 mg Zidovudine Hiv. 2015 btl@60tab 156780 546 85601880 726 113822280
584 Tenofovir (TDF) 300 mg Hiv. 2015 btl@30tab 31950 89 2843550 84 2683800
585 Tenofovir+Lamivudine+Efavirenz(300/300/600 mg) Hiv. 2015 btl@30tab 354530 181 64169930 227 80478310
Total Obat HIV 2015 (B) : 206030165 515794651
Obat DAK 2015

86
2445

2112
116
159
336
1400
62
1050
104
3333
167
75

56
5700
59

150
70
84

0
138
113
2600
110
211
79
1140
59

4896
1077

107
Total Obat DAK 2015 (C) : 456000 0
Obat Jiwa DAK 2015

233

20250

55000
59
69
96
900
1100

1550
500
1341

1008
3300
405

8355
8355
8355
8355
957
1348
134000

6595
6595
5445
8000
330
3000
27830
51305
325
3056
750
3800
3800
3800
3800
3200
330
3000
Lab. APBD II 2015
Obat APBD II 2015


Tahun 2016
Obat DAK 2016

Vial
Pcs
Pcs
Pcs

86 0

261 3500
Botol
2090 0
62 9100
2025 2800
3045 1450
Tablet
Tablet
Tablet

Kaplet

Ampul
Tablet

Tablet
Tablet

Tablet
Botol
Tablet

Tablet

Ampul

1600 60
773 DAK 2016 Kaplet 0 0
308 0
Ampul
Tablet
Tablet
Tablet
Botol

Tablet

Pcs
Pcs
Pcs
Pcs
Pcs
Botol
Botol
Pcs
Pcs
Pcs
Tablet
Tablet

Tablet
Botol
Pasang
Pasang
4180 0
Ampul
Tablet
Pot
Kapsul
Vial
Botol
Ampul

315 500
Pcs
3500 0
Pcs
3200 0
Pcs
8355 0
Pcs
Pcs
Pcs
Kapsul
Tablet
Tablet
Tablet
Total Obat DAK 2016 (B) : 216685240 0
829 Oil Emersi botol 590000 0 0 0
830 Parafilm buah 590000 0 0 0

834 0
835
836
Obat APBD II 2016

Obat HIV 2016 0

Total Obat HIV 2016 (G) : 1028700 0
Tahun 2017

885 Diazepam injeksi 5 mg/ml - 2 ml PROV 2017 ampul 2368 0 0 0
894 Obat Anti Tuberculosis FDC Katagori 1 PROV 2017 Paket 359990 53 19079470 0
895 Tablet Tambah Darah/Sulfas Ferrosus PROV 2017 367 0 23400 8587800
Obat DAK 2017

48,235.00 200
140,700.00 912
140,700.00 960
19,800.00 600
4,070.00 0
115,500.00 972
17,325.00 25000
3,150.00 350
10,212.00 230
10,212.00 0
10,212.00 0
4,389.00 15000
4,389.00 26200
4,389.00 9600
5,643.00 100
5,643.00 70
5,643.00 150
8,355.00 450
8,355.00 700
8,355.00 550
8,355.00 300
679.29 2100
685.14 28700
815.15 5000
TP Infusion Set Adult 20 Drops/Ml With Y Type, Airvent, Luer Lock DAK 20Pcs 1914000 0
6,380.00 300
TP Infusion Set Pediatric 60 Drops/Ml With Y Type, Airvent, Luer Lock DAKPcs 3720750 0
6,765.00 550
OBAT-OBATAN GENERIK
Air Untuk Injeksi (Aqua pro Injeks) 20 ml DAK 2017 Vial 0 1000 2000000
2,000.00 0
Alopurinol 100 mg DAK 2017 tablet 1350000 0
90.00 15000
Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2017 kaplet 56840000 205000 47560000
232.00 245000
2,090.00 12341
Magnesium Hidroksida 200 mg DAK 2017 tablet 3100000 0
62.00 50000
2,025.00 0
Asam Asetilsalisilat (Asetosal) tablet 100 mg DAK 2017 Tablet 260000 0
130.00 2000
125.00 0
39.00 19500
Asam Folat Tablet 0,4 mg DAK 2017 Tablet 0 5000 315000
63.00 0
Asam Mefenamat tablet/kapsul/kaplet 500 mg DAK 2017 Kaplet 0 400000 42400000
106.00 0
249.00 3000
349.00 0
145.00 16000
1,025.00 0
1,518.00 0
Deksametason tablet 0,5 mg DAK 2017 tablet 0 150000 6600000
44.00 0
1,176.00 2340
105.00 7000
269.00 2000
3,000.00 1500
118.00 10000
2,204.00 810
Eritromisin sirup kering 200 mg/ 5 ml DAK 2017 botol 4020000 0
6,700.00 600
Eugenol cairan DAK 2017 Botol 271500 0
18,100.00 15
691.00 1000
Gentamisin tetes mata 0,3% DAK 2017 botol 16000000 0
4,000.00 4000
6,900.00 60
7,500.00 100
Haloperidol Tablet 0,5 mg DAK 2017 Tablet 513300 0
59.00 8700
Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017 Tablet 0 0
75.00 0
149.00 19000
Hidrokortison krim 2,5 % DAK 2017 Tube 10600000 0
2,650.00 4000
127.00 230000
63.00 0
68.00 150400
Karbamazepin tablet/kapsul/kaplet 200 mg DAK 2017 tablet 999000 8200 2214000
270.00 3700
Kloramfenikol kapsul 500 mg DAK 2017 Kapsul 22657500 0
1,007.00 22500
1,798.00 0
42.00 250000
2,140.00 0
80 mg DAK 2017 Tablet 11249500 0
151.00 74500
DAK 2017 Kaplet 0 0
308.00 0
860.00 15000
Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL DAK 2017 Ampul 16863300 0
1,845.00 9140
Magnesium sulfat injeksi 40% DAK 2017 vial 0 30 109500
3,650.00 0
100.00 0
2,684.00 300
Metilprednisolon tablet/kapsul/kaplet 4 mg DAK 2017 Tablet 7760000 0
194.00 40000
Metoklopramid 10 mg DAK 2017 tablet 3600000 0
90.00 40000
2,580.00 3000
Metronidazol kaptab 500 mg DAK 2017 Tablet 3524500 0
133.00 26500
Nacl 0,9% DAK 2017 Botol 35896000 0
6,410.00 5600
159.00 100000
110.00 40000
523.00 2000
1,900.00 540
56.00 0
3,550.00 240
Ranitidin injeksi 25 mg/ml DAK 2017 Ampul 13900000 0
1,390.00 10000
105.00 156700
7,150.00 5000
66.00 66000
4,000.00 580
83.00 90000
Salep 2-4, Kombinasi : Asam Salisilat 2% + Belerang endap 4% DAK 2017 Pot 704410 0
2,429.00 290
Sefadroksil kapsul/kaplet 500 mg DAK 2017 Kapsul 43860000 0
516.00 85000
4,485.00 0
4,500.00 5260
Sianokobalamin (vitamin B12) injeksi 500 mcg DAK 2017 Ampul 8784000 0
1,098.00 8000
131.00 19800
281.00 46900
Spironolactone 25 mg DAK 2017 Tablet 294000 0
294.00 1000
310.00 5000
Tablet 4300000 0
86.00 50000
43.00 0
Total Obat DAK 2017 (B) : 1621128874 101198500
Lain-Lain
Obat APBD II 2017
Alkohol 70% 300 ml APBD 2017 Botol 14500 0 0 1000 14500000
Asam Tranexamat inj 250 mg APBD 2017 Ampul 8800 0 0 500 4400000
Combivent nebules APBD 2017 Ampul 21700 0 0 500 10850000

Counterpain crm 15 g APBD 2017 Tube 41400 0 0 30 1242000
Dulcolax strip @4 tablet APBD 2017 Strip 8090 0 0 400 3236000
Elastis bandage 7,4cm x 4,5m APBD 2017 Rol 83800 0 0 50 4190000
Etil Klorida Spray APBD 2017 Botol 153000 0 0 200 30600000
H2O2 3% 100ml APBD 2017 Botol 10100 0 0 0
Heparin komb. Gel (Thrombopob gel 20 g) APBD 2017 Tube 59000 0 0 50 2950000
Komb B complek + vit c 500mg (Selcom C) APBD 2017 Tablet 560 0 0 4200 2352000
Minyak kayu putih 60 ml APBD 2017 Botol 27300 0 0 99 2702700
Minyak Telon 60 ml APBD 2017 Botol 23800 0 0 100 2380000
Obat Flu kombinasi (Demacolin) APBD 2017 Tablet 400 0 0 4100 1640000
Oksigen tabung (Oxycan) APBD 2017 Tabung 58000 0 0 200 11600000
Scabimite cream 10g APBD 2017 Tube 58200 0 0 100 5820000
0 0 0
Cavitron APBD 2017 Botol 135000 0 0 30 4050000
Devitalisasi pasta (non arsen) APBD 2017 Botol 750000 0 0 10 7500000

Kalsium Hidroksida pasta APBD 2017 Tube 432000 0 0 5 2160000
Mummifying Pasta APBD 2017 Botol 882000 0 0 6 5292000
Semen Zeng Fosfat serbuk & cairan APBD 2017 Set 658000 0 0 40 26320000
Spongostan APBD 2017 Botol 702000 0 0 10 7020000
TKF (Tricresol Formaldehid) APBD 2017 Botol 135000 0 0 10 1350000
Multifix P+L 0 0 5 0
Diazepam larutan rektal 5 mg/2,5 ml APBD 2017 Tube 37890 0 0 100 3789000
Flufenazin injeksi i.m. 25 mg/ml APBD 2017 Ampul 115790 0 0 0
Haloperidol tablet 5 mg APBD 2017 Tablet 2990 0 0 0
Karbamazepin tablet 200 mg APBD 2017 Tablet 3155 0 0 8000 25240000
Klorpromazin tablet salut 100 mg (HCl) APBD 2017 Tablet 785 0 0 9000 7065000
Klozapin Tablet 25 mg APBD 2017 Tablet 7015 0 0 9500 66642500
Trifluoperazin tablet 5 mg APBD 2017 Tablet 875 0 0 900 787500

Obat HIV 2017 0
Lain-lain
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

Kabupaten Jembrana

NIP. 19600429 198703 1 010 NIP. 19700322 200212 1
Distribusi Hilang/
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 172
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1000 1000 41900
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
41900
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 10 10 5 2 47 352500
25 10 10 50 95 5244000
30 30 255000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5851500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5893400
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
240 240 1732800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1000 1000 264000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1996800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 4104
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1996800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
600 600 142200
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5000 6000 11000 682000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
824200
1008 0 1008 2016 2899008
0 0
100 300 400 866800
3765808
4590008
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 100 888000

0 0
0 0
0 0
0 0
888000
214 214 44028360
48 48 9180000
38 38 2888760
9 9 6625827
0 0
31 31 990450
43 43 15244790
78958187
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 20 114000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
114000
0 0
0 0
0 0
0 0
0 0
0 0
0 0 535
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
500 500 202500
202500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
72 72 220000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
220000
0 0
0 0
0 0
0 0
200 200 502400
0 0
0 0
1000 1000 2000 1000 1000 1000 7000 3570000
4072400
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
84455087
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
30 30 70320
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
6 6 58620
0 0
1 1 2 2400000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2528940
0 0
0 0
0 0
500 1700 2200 1707926
0 0
0 0
0 0
0 0
100 200 300 200 800 1620000
100 200 300 913500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
200 100 300 455400
5000 2000 4000 5000 400 16400 721600
200 200 19400
0 0
0 0
0 0
0 0
0 0
96 96 96 288 1152000
0 0
20 20 138000
0 0
0 0
0 0
0 0
3000 3000 5000 3000 14000 952000
0 0
60 60 96000
0 0
2000 2000 4000 10000 1000 5000 10000 34000 1734000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2800 2800 5600 2800 14000 2226000
1000 1000 2000 220000
0 0
0 0
0 0
0 0
0 0
96 96 536000
0 0
10 24 34 125800
108 180 288 880000
1000 1000 300 500 1500 1100 1000 6400 2112000
0 0
0 0
2000 2000 236000
0 0
0 0
0 0
300 40 400 500 400 1640 11726000
0 0
0 0
0 0
0 0
16 16 38864
0 0
0 0
0 0
0 0
0 0
0 0
500 500 157500

0 0
0 0
0 0
0 0
0 0
0 0
600 600 186000
0 0
9400 9400 9400 9400 9400 6800 53800 6187000
2000 1000 3000 288000
34140990
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 30 35 595000
0 0
3 19 22 1298000
0 0
0 0
0 0
0 0
5 7 12 204000
5 6 11 165000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2262000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 2 230400
230400
0 0
0 0
0 0
10 10 41800
500 500 22500
300 500 800 130400
0 0
1000 1000 133000
0 0
0 0
0 0
0 0
1000 2000 3000 207000
0 0
0 0
1000 1000 2000 136000
0 0
0 0
0 0
670700
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
39833030
0 0
0 0
30 30 59400
0 0
10 10 10 10 40 220000
0 0
0 0
100 100 190000
30 30 127500
5 5 5 15 5399850
2160 2160 2160 4320 2160 4320 17280 6341760
12338510
10 10 10 10 5 20 5 10 10 10 2 102 4919970
0 0
0 0
0 0
0 0
0 0
0 0
20 50 20 50 20 160 504000
20 20 40 80 816960
0 0
0 0
1000 1000 2000 8778000
1000 2000 2000 5000 21945000
1000 1000 4389000
0 0
0 0
10 10 56430
100 200 300 2506500
100 100 200 1671000
50 100 100 250 2088750
50 50 100 835500
500 500 339644
500 1000 500 1000 1800 4800 3288650
700 700 570603
100 200 300 1914000
100 100 200 1353000
0 0
500 500 1000 1000 1000 4000 360000
5000 8800 200 14000 3248000
240 768 240 480 144 1872 3912480
0 0
0 0
0 0
0 0
0 0
0 0
9600 9600 9600 28800 3052800
0 0
0 0
1000 1000 1000 1000 2000 200 6200 899000
0 0
0 0
0 0
30 30 35280
0 0
0 0
200 100 300 900000
0 0
30 30 30 30 120 264480
0 0
0 0
100 100 69100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5000 5000 5000 15000 1905000
0 0
0 0
300 1000 500 1000 1000 3800 1026000
1000 1000 2000 2014000
0 0
0 0
0 0
1000 1000 1000 3000 453000
0 0
100 100 86000

120 90 300 510 940950
1 6 10 17 62050
0 0
0 0
300 1000 4500 200 6000 1164000
200 1000 1200 108000
240 240 619200
1000 300 500 500 5000 500 1000 8800 1170400
100 100 641000
0 0
0 0
100 100 100 100 100 500 261500
100 100 190000
0 0
60 100 30 30 220 781000
200 200 100 300 100 900 1251000
1000 1000 5000 7000 735000
0 0
1000 1000 2000 4000 264000
100 40 40 20 100 40 40 380 1520000
1000 500 2000 1000 7000 7000 18500 1535500
48 48 116592
2000 1000 2000 2000 7000 3612000
0 0
540 270 320 1130 5085000
100 100 109800
300 210 510 66810
1000 5000 6000 1686000
0 0
500 500 155000
2000 2000 172000
0 0
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136768325


NIP. 19700322 200212 1 001 NIP. 19720206 200604 1 004
Nilai Obat
Stok Akhir 31-
05-2017
Expired
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42001846 0 3300456001
Yang melaporkan

D
BULAN : JUNI
.....
TAHUN :2017
.....
Harga Nilai
01-06-17
1 2 3 4 5 6 7 8
Tahun 2011
Obat Provinsi 2011
Obat DAK 2011

Total DAK 2011 (B): 0 0
Obat Gigi DAK 2011
Tahun 2012
Obat APBD II 2012

Obat DAK 2012





Total Obat DAK 2012 (B) : 11500911 0

226 Masker DAK 2012 pcs 1125 0 0 0
229 Urine Bag DAK 2012 pcs 4000 0 0 0
Obat Gigi DAK 2012

Tahun 2013
Obat APBD II 2013

Obat DAK 2013



Total Obat DAK 2013 (B) : 24145690 0
Obat SILVA 2013

2475
86
botol 1866
2152
340
239
1525
1379
92
1500
1500
1751
tablet 85
1469
2399
44
92
63
88
3800
21
140
105
3000
4900
112
1600
1529
119
52
264
1928
242
5200
521
6860
916
111
206
455
Tahun 2014

Obat Perubahan 2014

Obat APBD II 2014

Obat DAK 2014


521 NaCl 0,9% DAK 2014 Botol 4700 0 0 0

Total Obat DAK 2014 (D) : 90879120 0
Tahun 2015

Obat HIV 2015
Total Obat HIV 2015 (B) : 642866629 0
Obat DAK 2015

86
2445

2112
116
159
336
1400
62
1050
104
3333
167
75

56
5700
59

150
70
84

0
138
113
2600
110
211
79
1140
59

4896
1077

107
Total Obat DAK 2015 (C) : 342000 0
Obat Jiwa DAK 2015

233

20250

55000
59
69
96
900
1100

1550
500
1341

1008
3300
405

8355
8355
8355
8355
957
1348
134000

6595
6595
5445
8000
330
3000
27830
51305
325
3056
750
3800
3800
3800
3800
3200
330
3000
Lab. APBD II 2015
Obat APBD II 2015


Tahun 2016
Obat DAK 2016

Vial
Pcs
Pcs
Pcs

86 0

261 3500
Botol
2090 0
62 9100
2025 2000
3045 1150
Tablet
Tablet
Tablet

Kaplet

Ampul
Tablet

Tablet
Tablet

Tablet
Botol
Tablet

Tablet

Ampul

1600 0
773 DAK 2016 Kaplet 0 0
308 0
Ampul
Tablet
Tablet
Tablet
Botol

Tablet

Pcs
Pcs
Pcs
Pcs
Pcs
Botol
Botol
Pcs
Pcs
Pcs
Tablet
Tablet

Tablet
Botol
Pasang
Pasang
4180 0
Ampul
Tablet
Pot
Kapsul
Vial
Botol
Ampul

315 0
Pcs
3500 0
Pcs
3200 0
Pcs
8355 0
Pcs
Pcs
Pcs
Kapsul
Tablet
Tablet
Tablet
Total Obat DAK 2016 (B) : 182256250 0

834 0
835
836
Obat APBD II 2016

Obat HIV 2016 0

Total Obat HIV 2016 (G) : 1028700 0
Tahun 2017

Obat DAK 2017

48,235.00 98
140,700.00 912
140,700.00 960
19,800.00 600
4,070.00 0
115,500.00 972
17,325.00 25000
3,150.00 190
10,212.00 150
10,212.00 0
10,212.00 0
4,389.00 13000
4,389.00 21200
4,389.00 8600
5,643.00 100
5,643.00 70
5,643.00 140
8,355.00 150
8,355.00 500
8,355.00 300
8,355.00 200
679.29 1600
685.14 23900
815.15 4300
6,380.00 0
6,765.00 350
OBAT-OBATAN GENERIK
2,000.00 1000
90.00 11000
Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2017 kaplet 101152000 0
232.00 436000
2,090.00 10469
62.00 50000
ml, Magnesium Hidroksida 200 mg/ 5 ml. DAK 2017 0 5000 10125000
2,025.00 0
130.00 2000
125.00 0
Asam Askorbat (Vitamin C) tablet 50 mg DAK 2017 tablet 760500 10500 409500
39.00 19500
63.00 5000
106.00 371200
249.00 3000
Asiklovir tablet/kapsul/kaplet 400 mg DAK 2017 tablet 0 10000 3490000
349.00 0
145.00 9800
Bedak Salisil serbuk 2% DAK 2017 Kotak 0 3000 3075000
1,025.00 0
1,518.00 0
44.00 150000
1,176.00 2310
105.00 7000
269.00 2000
3,000.00 1200
118.00 10000
2,204.00 690
6,700.00 600
18,100.00 15
691.00 900
4,000.00 4000
6,900.00 60
7,500.00 100
59.00 8700
Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017 Tablet 0 10300 772500
75.00 0
149.00 19000
2,650.00 4000
127.00 215000
63.00 0
68.00 150400
270.00 8100
1,007.00 20500
1,798.00 0
42.00 250000
mg + Trimetoprim 40 mg DAK 2017 0 5000 10700000
2,140.00 0
80 mg DAK 2017 Tablet 10796500 0
151.00 71500
DAK 2017 Kaplet 0 0
308.00 0
860.00 14900
1,845.00 8630
3,650.00 13
100.00 0
2,684.00 300
194.00 34000
90.00 38800
2,580.00 2760
133.00 17700
Nacl 0,9% DAK 2017 Botol 35255000 0
6,410.00 5500
159.00 100000
110.00 40000
523.00 1500
1,900.00 440
56.00 0
3,550.00 20
1,390.00 9100
105.00 149700
7,150.00 5000
66.00 62000
4,000.00 200
83.00 71500
2,429.00 242
516.00 78000
Sefadroksil Sirup Kering 125 mg/5ml DAK 2017 botol 0 4000 17940000
4,485.00 0
4,500.00 4130
1,098.00 7900
131.00 19290
281.00 40900
294.00 1000
310.00 4500
Tablet 4128000 0
86.00 48000
Vitamin B kompleks tablet DAK 2017 Tablet 0 150000 6450000
43.00 0
Total Obat DAK 2017 (B) : 1625878426 52962000
4 Kontrol APBD II 2017 set 1693000 0 0 14 23702000
Lain-Lain
Obat APBD II 2017

H2O2 3% 100ml APBD 2017 Botol 10100 0 0 0
0 0 0

Multifix P+L 5 0 0
Diazepam larutan rektal 5 mg/2,5 ml APBD 2017 Tube 37890.00 100 3789000 0
Flufenazin injeksi i.m. 25 mg/ml APBD 2017 Ampul 115790.00 0 0 0
Haloperidol tablet 5 mg APBD 2017 Tablet 2990.00 0 0 0
Karbamazepin tablet 200 mg APBD 2017 Tablet 3155.00 8000 25240000 0
Klorpromazin tablet salut 100 mg (HCl) APBD 2017 Tablet 785.00 7000 5495000 0
Klozapin Tablet 25 mg APBD 2017 Tablet 7015.00 8600 60329000 0
Trifluoperazin tablet 5 mg APBD 2017 Tablet 875.00 900 787500 0

Obat HIV 2017 0
Lain-lain
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

Kabupaten Jembrana

NIP. 19600429 198703 1 010 NIP. 19700322 200212 1
Distribusi Hilang/
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
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0 0
0 0
0 0
0 0
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900 250 900 500 2550 1547799
0 0
450 450 136571
1684370
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10 4 14 105000
5 25 10 40 2208000
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2313000
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1000 1000 194000
0 0
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500 500 132000
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326000
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326000
0 0
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10 10 38180
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
500 700 1200 284400
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1000 5000 6000 6000 18000 1116000
0 0
0 0
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0 0
0 0
0 0
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0 0
0 0
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1438580
504 504 1008 1449504
0 0
0 0 0
1449504
2888084
0 0
0 0
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7 7 5153421
0 0
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108 108 38289240
43442661
0 0
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300 0 300 302400
0 0
100 100 40500
342900
0 0
0 0
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0 0
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300 300 600 1507200
130 20 50 200 7648400
0 0
1000 1000 510000
9665600
0 0
0 0
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53451161
0 0
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0 0
0 0
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10 10 23440
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 1 4 7 8400000
0 0
0 0
0 0
500 500 130000
2000 2000 918000
0 0
0 0
9471440
220 30 100 350 710500
0 0
0 0
0 0
0 0
3000 3000 783000
0 0
3000 2000 3100 1000 9100 564200

200 200 100 200 300 1000 2025000
20 100 120 365400
0 0
4800 4800 6300 4800 4800 25500 4054500
0 0
0 0
0 0
500 500 1000 237000
0 0
0 0
100 300 200 100 700 1062600
2000 3000 5000 5000 5000 20000 880000
1300 1300 126100
0 0
300 500 1000 1800 486000
0 0
0 0
0 5 1 6 108600
96 96 384000
0 0
20 40 60 414000
0 0
0 0
0 0
0 0
5000 5000 5000 3000 18000 1224000
0 0
0 0
0 0
2000 1900 3900 198900
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2800 2800 2800 5600 14000 2226000
500 1000 1000 2500 275000
0 0
0 0
0 0
0 0
0 0
24 24 72 48 24 192 1072000
0 0
10 24 34 125800
72 72 220000
1000 300 1000 500 1000 1000 4800 1584000
10 10 30000
0 0
0 0
200 200 14000
0 0
0 0
300 400 60 200 100 300 300 1660 11869000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3000 3000 843000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2000 2000 230000
0 0
32112600
0 0
0 0
0 0
0 0
0 0
1 1 2020838
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2020838
0 0
0 0
0 0
5 5 85000
0 0
0 0
0 0
0 0
0 0
0 0
3 3 5 11 187000
3 5 8 120000
0 0
0 0
0 0
4 4 192200
0 0
0 0
10 10 2017000
2601200
0 0
0 0
0 0
0 0
0 0
0 0
1 1 882000
0 0
0 0
1 1 115200
997200
0 0
0 0
0 0
0 0
1000 1000 45000
300 300 48900
0 0
400 1000 1400 186200
30 30 54000
0 0
0 0
1000 1000 59000
1200 1000 5000 7200 496800
0 0
0 0
1000 500 1000 1000 2000 5500 374000
0 0
200 200 268200
0 0
1532100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
48735378
0 0
0 0
0 0
0 0
10 10 10 10 20 60 330000
4 4 14600
5 5 13420
0 0
0 0
4 3 9 1 17 6119830
900 900 330300
6808150
10 10 10 30 1447050
24 96 24 144 20260800
48 48 6753600
0 0
0 0
0 0
0 0
50 10 50 30 30 20 190 598500
20 40 30 30 20 140 1429680
0 0
0 0
600 400 1000 2000 8778000
1000 1600 1000 1000 4600 20189400
0 0
10 10 56430
0 0
20 20 112860
50 50 50 150 1253250
50 150 50 50 100 400 3342000
50 50 100 50 50 300 2506500
50 50 50 50 200 1671000
0 0
1800 3600 1300 1800 8500 5823652
1000 1000 815147
0 0
0 0
0 0
300 500 500 1000 500 1500 4300 387000
5000 1000 5000 5000 16000 3712000
144 480 384 480 144 1632 3410880
6000 6000 372000
0 0
0 0
0 0
500 2000 500 3000 117000
300 3000 500 500 4300 270900
9600 9600 9600 9600 19200 9600 9600 9600 86400 9158400
0 0
0 0
1000 1000 1000 3000 435000
100 100 102500
0 0
0 0
120 60 180 211680
0 0
0 0
100 100 200 600000
300 1000 1300 153400
30 30 60 120 264480
0 0
0 0
300 200 500 345500
96 72 168 672000
0 0
0 0
0 0
0 0
0 0
96 240 336 890400
5000 5000 10500 20500 2603500
0 0
5000 2000 6000 10000 23000 1564000
1000 400 1400 378000
300 3900 2000 6200 6243400
0 0
2000 12400 14400 604800
0 0
500 200 1500 1000 1000 4200 634200
0 0
500 200 700 602000

300 90 120 510 940950
1 1 5 5 12 43800
0 0
100 100 268400
200 200 38800
1000 2000 1000 2000 6000 540000
240 120 240 240 840 2167200
3000 500 3500 465500
100 20 100 20 100 100 40 100 100 680 4358800
0 0
0 0
100 100 52300
5 100 0 10 115 218500
0 0
20 20 71000
200 500 30 200 200 200 200 1530 2126700
3000 5000 5000 13000 1365000
0 0
1000 1000 2000 132000
20 20 40 40 40 40 200 800000
1000 7000 1000 4000 13000 1079000
48 24 120 192 466368
1000 1000 5000 2000 9000 4644000
360 360 300 1020 4574700
270 270 540 2430000
100 100 300 500 549000
300 150 300 300 300 1350 176850
3000 3000 843000
100 100 29400
0 0
500 2000 2000 1000 1000 3000 9500 817000
4200 3000 7200 309600

138278776
0 0
0 0
0 0
1 1 1 1 1 1 6 10158000
0 0
0 0
0 0
0 0
10158000
36 10 36 36 118 1711000
0 0
0 0
50 20 40 110 2387000
3 2 3 3 11 455400
160 160 1294400
0 0
5 5 5 5 15 5 10 15 10 75 11475000
0 0
0 0
0 0
5 3 8 472000
200 200 112000
0 0
0 0
300 100 200 500 500 500 200 2300 920000
0 0
10 10 10 10 5 45 2619000
0 0
21445800
2 5 1 8 1080000
1 1 1 3 2250000
0 0
1 1 2 864000
0 0
1 1 658000
0 0
0 0
0 0
1 1 0
4852000
5 10 10 5 30 10 10 80 3031200
0 0
0 0
0 0
0 0
200 500 1000 1800 3000 500 7000 5495000
500 500 500 250 1000 1500 4250 29813750
0 0
38339950
0
219882676
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
109397993


NIP. 19700322 200212 1 001 NIP. 19720206 200604 1 004
Nilai Obat
Stok Akhir 31-
06-2017
Expired
24 25 26 27
0 0 0 0
0 0 0 0
0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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0 0 51000 30957000
0 0 52200 31684356
0 0 36440 11059540
0 0 33490 10163880
0 0 83864776
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0 0 83864776
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0 0 648 1113750
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0 0 260 9236760
0 0 0 0
0 0 0 0
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0 0 0 0
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0 0 28 54541
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0 0 1300 157300
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0 0 1300 140400
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0 0 0 0
0 0 0 0
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0 0 0 0
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0 0 10000 920000
0 0 0 0
0 0 0 0
0 0 600 1050600
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0 0 0 0
0 0 3700 340400
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0 0 26447490
0 0 0 0
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0 0 36 0
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0 0 0
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0 0 680 2596240
0 0 1200 134400
0 0 0 0
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0 0 0 0
0 0 21000 1995000
0 0 0 0
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0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 500 67000
0 0 0 0
0 0 0 0
0 0 0 0
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0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 274000 16988000
0 0 0 0
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0 0 0 0
0 0 0 0
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0 0 439350 67659900
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0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 89440540
0 0 53552 77007776
0 0 0 0
0 0 300 650100
0 0 77657876
0 0 172566668
0 0 0 0
0 0 0 0
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0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 4 83624
0 0 0 0
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0 0 0 0
0 0 0 0
0 0 230 2042400
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 2126024
0 0 1130 232486200
0 0 116 22185000
0 0 208 15812160
0 0 46 33865338
0 0 1272 199424160
0 0 142 4536900
0 0 257 91114210
0 0 599423968
0 0 0 0
0 0 0 0
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0 0 60 342000
0 0 0 0
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0 0 0 0
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0 0 0 0
0 0 0 0
0 0 342000
0 0 0 0
0 0 3600 838800
0 0 0 0
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0 0 0 0
0 0 0 0
0 0 0 0
0 0 3500 3150000
0 0 0 0
0 0 0 0
0 0 0 0
0 0 500 250000
0 0 0 0
0 0 0 0
0 0 2800 2822400
0 0 5700 18810000
0 0 1200 486000
0 0 26357200
0 0 0 0
0 0 0 0
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0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 1000 750000
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 750000
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0
0 0 0 0
0 0 3700 9294400
0 0 1182 45202044
0 0 2600 2581800
0 0 74000 37740000
0 0 94818244
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0
0 0 723817436
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 100 98000
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 240 562560
0 0 2 32400
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 245 1347500
0 0 3 9312
0 0 0 0
0 0 6 58620
0 0 0 0
0 0 19 22800000
0 0 0 0
0 0 0 0
0 0 0 0
0 0 4100 1066000
0 0 18900 8675100
0 0 0 0
0 0 0 0
0 0 34649492
0 0 70 142100
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 500 130500
0 0 0 0
0 0 0 0
0 0 1000 2025000
0 0 1030 3136350
0 0 3100 359600
0 0 29800 4738200
0 0 0 0
0 0 0 0
0 0 0 0
0 0 1600 379200
0 0 0 0
0 0 0 0
0 0 500 759000
0 0 29100 1280400
0 0 700 67900
0 0 0 0
0 0 1000 270000
0 0 0 0
0 0 0 0
0 0 11 199100
0 0 0 0
0 0 0 0
0 0 860 5934000
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 900 143100
0 0 15000 1650000
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 828 2530000
0 0 7400 2442000
0 0 0 0
0 0 0 0
0 0 14000 1652000
0 0 8900 623000
0 0 0 0
0 0 0 0
0 0 16762 119848300
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 100 835500
0 0 0 0
0 0 0 0
0 0 0 0
0 0 10400 998400
0 0 150143650
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 1 750000
0 0 0 0
0 0 0 0
0 0 5 0
0 0 8 0
0 0 0 0
0 0 0
0 0 750000
0 0 0 0
0 0 0 0
0 0 0 0
0 0 110 1870000
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 8 136000
0 0 39 585000
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 2591000
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 5 2160000
0 0 20 2520000
0 0 3 2646000
0 0 0 0
0 0 0 0
0 0 0 0
0 0 7326000
0 0 0 0
0 0 1000 112000
0 0 25000 22500000
0 0 545 2278100
0 0 18500 832500
0 0 8900 1450700
0 0 0 0
0 0 16000 2128000
0 0 270 486000
0 0 0 0
0 0 0 0
0 0 36500 2153500
0 0 85000 5865000
0 0 0 0
0 0 0 0
0 0 6000 408000
0 0 0 0
0 0 7800 10459800
0 0 47000 23970000
0 0 0 72643600
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 5 1028700
0 0 1028700
0 0 269132442
0 0 0 0
0 0 500 472000
0 0 260 514800
0 0 40 312000
0 0 10 55000
0 0 7 25550
0 0 55 147620
0 0 0 0
0 0 0 0
0 0 21 7559790
0 0 5220 1915740
0 0 9475530
0 0 68 3279980
0 0 768 108057600
0 0 912 128318400
0 0 600 11880000
0 0 0 0
0 0 972 112266000
0 0 25000 433125000
0 0 0 0
0 0 10 102120
0 0 0 0
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0 0 11000 48279000
0 0 16600 72857400
0 0 8600 37745400
0 0 90 507870
0 0 70 395010
0 0 120 677160
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0 0 100 835500
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0 0 0 0
0 0 1600 1086859
0 0 15400 10551087
0 0 3300 2689983
0 0 0 0
0 0 350 2367750
0 0 1000 2000000
0 0 6700 603000
0 0 420000 97440000
0 0 8837 18469330
0 0 44000 2728000
0 0 5000 10125000
0 0 2000 260000
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0 0 27000 1053000
0 0 700 44100
0 0 284800 30188800
0 0 3000 747000
0 0 10000 3490000
0 0 6800 986000
0 0 2900 2972500
0 0 0 0
0 0 150000 6600000
0 0 2130 2504880
0 0 7000 735000
0 0 2000 538000
0 0 1000 3000000
0 0 8700 1026600
0 0 570 1256280
0 0 600 4020000
0 0 15 271500
0 0 400 276400
0 0 3832 15328000
0 0 60 414000
0 0 100 750000
0 0 8700 513300
0 0 10300 772500
0 0 19000 2831000
0 0 3664 9709600
0 0 194500 24701500
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0 0 127400 8663200
0 0 6700 1809000
0 0 14300 14400100
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0 0 235600 9895200
0 0 5000 10700000
0 0 67300 10162300
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0 0 14200 12212000
0 0 8120 14981400
0 0 1 3650
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0 0 200 536800
0 0 33800 6557200
0 0 32800 2952000
0 0 1920 4953600
0 0 14200 1888600
0 0 4820 30896200
0 0 100000 15900000
0 0 40000 4400000
0 0 1400 732200
0 0 325 617500
0 0 0 0
0 0 0 0
0 0 7570 10522300
0 0 136700 14353500
0 0 5000 35750000
0 0 60000 3960000
0 0 0 0
0 0 58500 4855500
0 0 50 121450
0 0 69000 35604000
0 0 2980 13365300
0 0 3590 16155000
0 0 7400 8125200
0 0 17940 2350140
0 0 37900 10649900
0 0 900 264600
0 0 4500 1395000
0 0 38500 3311000
0 0 142800 6140400
0 0 1540561649
0 0 0 0
0 0 0 0
0 0 0 0
0 0 8 13544000
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 13544000
0 0 774 11223000
0 0 500 4400000
0 0 0 0
0 0 390 8463000
0 0 4 165600
0 0 240 1941600
0 0 50 4190000
0 0 95 14535000
0 0 0 0
0 0 0 0
0 0 0 0
0 0 42 2478000
0 0 3400 1904000
0 0 99 2702700
0 0 100 2380000
0 0 1400 560000
0 0 188 10904000
0 0 55 3201000
0 0 0 0
0 0 69047900
0 0 17 2295000
0 0 5 3750000
0 0 0 0
0 0 3 1296000
0 0 6 5292000
0 0 39 25662000
0 0 10 7020000
0 0 0 0
0 0 10 1350000
0 0 4 0
0 0 46665000
0 0 20 757800
0 0 0 0
0 0 0 0
0 0 0 0
0 0 8000 25240000
0 0 0 0
0 0 4350 30515250
0 0 900 787500
0 0 0 57300550
0
0 0 0
0 0 1736594629
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 3048197353
Yang melaporkan

D
BULAN : JULI
.....
TAHUN :2017
.....
Harga Nilai
01-07-17
1 2 3 4 5 6 7 8
Tahun 2011
Obat Provinsi 2011
Obat DAK 2011

Total DAK 2011 (B): 0 0
Obat Gigi DAK 2011
Tahun 2012
Obat APBD II 2012

Obat DAK 2012





Total Obat DAK 2012 (B) : 11500911 0

226 Masker DAK 2012 pcs 1125 0 0 0
229 Urine Bag DAK 2012 pcs 4000 0 0 0
Obat Gigi DAK 2012

Tahun 2013
Obat APBD II 2013

Obat DAK 2013



Total Obat DAK 2013 (B) : 23819690 0
Obat SILVA 2013

2475
86
botol 1866
2152
340
239
1525
1379
92
1500
1500
1751
tablet 85
1469
2399
44
92
63
88
3800
21
140
105
3000
4900
112
1600
1529
119
52
264
1928
242
5200
521
6860
916
111
206
455
Tahun 2014

Obat Perubahan 2014

Obat APBD II 2014

Obat DAK 2014


521 NaCl 0,9% DAK 2014 Botol 4700 0 0 0

Total Obat DAK 2014 (D) : 89440540 0
Tahun 2015

Obat HIV 2015
Total Obat HIV 2015 (B) : 599423968 0
Obat DAK 2015

86
2445

2112
116
159
336
1400
62
1050
104
3333
167
75

56
5700
59

150
70
84

0
138
113
2600
110
211
79
1140
59

4896
1077

107
Total Obat DAK 2015 (C) : 342000 0
Obat Jiwa DAK 2015

233

20250

55000
59
69
96
900
1100

1550
500
1341

1008
3300
405

8355
8355
8355
8355
957
1348
134000

6595
6595
5445
8000
330
3000
27830
51305
325
3056
750
3800
3800
3800
3800
3200
330
3000
Lab. APBD II 2015
Obat APBD II 2015


Tahun 2016
Obat DAK 2016

Vial
Pcs
Pcs
Pcs

86 0

261 500
Botol
2090 0
62 0
2025 1000
3045 1030
Tablet
Tablet
Tablet

Kaplet

Ampul
Tablet

Tablet
Tablet

Tablet
Botol

Tablet

Tablet

Ampul

1600 0

773 DAK 2016 Kaplet 0 0
308 0
Ampul
Tablet
Tablet
Tablet
Botol

Tablet

Pcs
Pcs
Pcs
Pcs
Pcs
Botol
Botol
Pcs
Pcs
Pcs
Tablet
Tablet

Tablet
Botol
Pasang
Pasang
4180 0
Ampul
Tablet
Pot
Kapsul
Vial
Botol
Ampul

315 0
Pcs
3500 0
Pcs
3200 0
Pcs
8355 0
Pcs
Pcs
Pcs
Kapsul
Tablet
Tablet
Tablet
Total Obat DAK 2016 (B) : 150143650 0

834 0
835
836
Obat APBD II 2016
874 Klorpromazin tablet 100 mg JIWA APBD II 2016 Tablet 149 0 0 1000 149000
Obat HIV 2016 0

Total Obat HIV 2016 (G) : 1028700 0
Tahun 2017

Obat DAK 2017

48,235.00 68
140,700.00 768
140,700.00 912
19,800.00 600
4,070.00 0
115,500.00 972
17,325.00 25000
3,150.00 0
10,212.00 10
10,212.00 0
10,212.00 0
4,389.00 11000
4,389.00 16600
4,389.00 8600
5,643.00 90
5,643.00 70
5,643.00 120
8,355.00 0
8,355.00 100
8,355.00 0
8,355.00 0
679.29 1600
685.14 15400
815.15 3300
6,380.00 0
6,765.00 350
OBAT-OBATAN GENERIK
2,000.00 1000
90.00 6700
Amoksisilin kapsul/kaplet/tablet scored 500 mg DAK 2017 kaplet 97440000 0
232.00 420000
2,090.00 8837
62.00 44000
2,025.00 5000
130.00 2000
Asam Askorbat (Vitamin C) 250 mg DAK 2017 Tablet 0 40000 5000000
125.00 0
39.00 27000
63.00 700
106.00 284800
249.00 3000
349.00 10000
145.00 6800
1,025.00 2900
parasetamol tablet/kapsul/kaplet 500 mg DAK 2017 Ampul 0 1500 2277000
1,518.00 0
44.00 150000
1,176.00 2130
105.00 7000
269.00 2000
3,000.00 1000
118.00 8700
2,204.00 570
6,700.00 600
18,100.00 15
691.00 400
4,000.00 3832
6,900.00 60
7,500.00 100
59.00 8700
Haloperidol tablet/kapsul/kaplet 5 mg DAK 2017 Tablet 772500 32100 2407500
75.00 10300
149.00 19000
2,650.00 3664
127.00 194500
63.00 0
68.00 127400
270.00 6700
1,007.00 14300
Kloramfenikol salep mata 1% DAK 2017 Tube 0 1000 1798000
1,798.00 0
42.00 235600
2,140.00 5000
80 mg DAK 2017 Tablet 10162300 0
151.00 67300
DAK 2017 Kaplet 0 40000 12320000
308.00 0
860.00 14200
1,845.00 8120
3,650.00 1
Metformin HCI tablet 500 mg DAK 2017 tablet 0 200000 20000000
100.00 0
2,684.00 200
194.00 33800
90.00 32800
2,580.00 1920
133.00 14200
Nacl 0,9% DAK 2017 Botol 30896200 0
6,410.00 4820
159.00 100000
110.00 40000
523.00 1400
1,900.00 325
56.00 0
3,550.00 0
1,390.00 7570
105.00 136700
7,150.00 5000
66.00 60000
4,000.00 0
83.00 58500
2,429.00 50
516.00 69000
4,485.00 2980
4,500.00 3590
1,098.00 7400
131.00 17940
281.00 37900
294.00 900
310.00 4500
Tablet 3311000 0
86.00 38500
43.00 142800
Total Obat DAK 2017 (B) : 1540561649 43802500
Lain-Lain
Obat APBD II 2017
Asam Tranexamat tablet 500 mg APBD 2017 Tablet 2450 0 0 5000 12250000

H2O2 3% 100ml APBD 2017 Botol 10100 0 0 0
Hand sanitizer 50 ml APBD 2017 Botol 19000 0 0 100 1900000
Hansaplast sachet @100 sachet APBD 2017 Kotak 42000 0 0 5000 210000000
0 0 0

Multifix P+L 4 0 0
Diazepam larutan rektal 5 mg/2,5 ml APBD 2017 Tube 37890.00 20 757800 0
Flufenazin injeksi i.m. 25 mg/ml APBD 2017 Ampul 115790.00 0 0 100 11579000
Haloperidol tablet 5 mg APBD 2017 Tablet 2990.00 0 0 0
Karbamazepin tablet 200 mg APBD 2017 Tablet 3155.00 8000 25240000 0
Klorpromazin tablet salut 100 mg (HCl) APBD 2017 Tablet 785.00 0 0 0
Klozapin Tablet 25 mg APBD 2017 Tablet 7015.00 4350 30515250 0
Trifluoperazin tablet 5 mg APBD 2017 Tablet 875.00 900 787500 0

Obat HIV 2017 0
Lain-lain
0 0 0
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0 0 0
0 0 0
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0 0 0
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0 0 0
0 0 0

Kabupaten Jembrana

NIP. 19600429 198703 1 010 NIP. 19700322 200212 1
Distribusi Hilang/
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NIP. 19700322 200212 1 001 NIP. 19720206 200604 1 004
Nilai Obat
Stok Akhir 31-
07-2017
Expired
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18810000 0 600939595
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1561200 0 245754792
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0
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57364776 0 2992928429
Yang melaporkan

RENCANA KEBUTUHAN OBAT TAHUN 2020
JUMLAH
SISA STOK SISA STOK PEMAKAIAN PREDIKSI
PEMAKAIN OBAT
NO NAMA OBAT SATUAN OBAT PER 31 PER 30 RATA2 PER SISA STOK
DARI JAN sd
DES. 2017 SEPT. 2018 BULAN 31 DES 2018
SEPT 2018
a b c d e f g = f/9 h=e-(3*g)
Obat Generik
1 Air Untuk Injeksi (Aqua pro Injeks) 20 ml Vial
2 Albendazol Syr 200 mg / 5ml botol
3 Albendazol tablet 400 mg Tablet
4 Allopurinol tablet 100 mg tablet
6 Ambroxol sirup 15 mg/5 ml botol
7 Ambroxol tablet 30 mg tablet
8 Amoksisilin kaplet 500 mg kaplet
9 Amoksisilin sirup kering 125 mg/ 5 ml Botol
10 Ampisislin injeksi 1000 mg vial
11 Antalgin (Metampiron) injeksi 250 mg/ml ampul
12 Antalgin (Metampiron) tablet 500 mg tablet
13 Antasida DOEN I tablet kunyah kombinasi tablet
14 Antasida DOEN II suspensi kombinasi botol
15 Anti Bakteri DOEN salep kulit kombinasi tube
16 Antifungi DOEN salep kulit pot
17 Antihemoroid DOEN Kombinasi (supositoria) supp
18 Antimigren: Ergotamin Tartrat + Kofein Tablet
19 Asam Asetilsalisilat (Asetosal) tablet 100 mg Tablet
20 Asam Askorbat (Vitamin C) tablet 100 mg Tablet
22 Asam Askorbat (Vitamin C) tablet 50 mg tablet
23 Asam Folat tablet 1 mg tablet
24 Asam Folat tablet/kapsul/kaplet 0,4 mg Tablet
25 Asam Mefenamat tablet/kapsul/kaplet 500 mg Kaplet
26 Asiklovir krim 5 % tube
27 Asiklovir tablet 400 mg tablet
29 Atapulgit tablet 600 mg Tablet
30 Atropin (Sulfat) injeksi 0,25 mg/ml Ampul
31 Atropin sulfat tetes mata 0,5% Botol
32 Betahistin Mesilat tablet 6 mg tablet
33 Betametason krim 0,1 % (sebagai valerat) tube
34 Bisoprolol tablet 5 mg Tablet
35 Deksametason injeksi i.v./i.m. 5 mg/ml Ampul
36 Deksametason tablet 0,5 mg tablet
37 Dietilkarbamazin Sitrat 100 mg tablet
38 Difenhidramin inj. 10 mg/ml - 1 ml Ampul
39 Digoksin tablet 0,25 mg Tablet
40 Diltiazem HCl tablet 30 mg tablet
41 Dimenhidrinat tablet 50 mg Tablet
42 Doksisiklin tablet 100 mg Tablet
43 Domperidon suspensi/sirup 5 mg/5 ml Botol
44 Domperidon tablet/kapsul/kaplet 10 mg Tablet
45 Efedrin tablet 25 mg tablet
46 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) ampul
47 Eritromisin kapsul / kaplet 500 mg kaplet
48 Eritromisin sirup 200 mg/5 ml botol
49 Etakridin (Rivanol) larutan 0,1% Botol
50 Fenilbutason tablet 200 mg tablet
51 Fenol Gliserol tetes telinga 10% botol
52 Fitomenadion (Vit K) inj 10 mg/ml vial
53 Fitomenadion (Vit. K1) tablet 10 mg tablet
54 Furosemid injeksi i.v / im 10 mg/ml ampul
55 Furosemid tablet 40 mg Tablet
56 Garam Oralit I serbuk sachet
57 Gentamisin injeksi 40 mg/ ml ampul
58 Gentamisin Salep Kulit 0,1 % tube
59 Gentamisin Sulfat Salep Mata 0,3 % tube
60 Gentamisin Sulfat Tetes Mata 0,3 % botol
61 Gentian Violet larutan 1 % botol
62 Glibenklamid tablet 5 mg Tablet
63 Glimepiride tablet 1 mg tablet
64 Gliquidon tablet 30 mg Tablet
65 Gliseril Guayakolat tablet 100 mg tablet
66 Glukosa larutan infus 5% steril Botol
68 Glukosa larutan infus 40% steril ampul
69 Griseofulvin tablet 125 mg tablet
70 Hidroklortiazid tablet 25 mg Tablet
71 Hidrokortison krim 2,5 % Tube
72 Hiosina butilbromida Injeksi Ampul
73 Ibuprofen Syrup 100 mg Botol
74 Ibuprofen tablet 200 mg Tablet
76 Isoniasid tablet 100 mg tablet
77 Isosorbid Dinitrat tablet sublingual 5 mg tablet
78 Kalsium Glukonat Injeksi 200 mg Ampul
79 Kalsium Laktat (Kalk) tablet 500 mg Tablet
80 Kaptopril tablet 12,5 mg tablet
81 Kaptopril tablet 25 mg tablet
82 Ketokonazol tablet 200 mg tablet
83 Ketoprofen injeksi 100 mg ampul
84 Ketoprofen Supp 100 mg Suppo
85 Ketoprofen tablet 100 mg tablet
86 Ketorolak injeksi 30 mg/ml Ampul
87 Kloramfenikol Injeksi 1000 mg / vial vial
88 Kloramfenikol kapsul 250 mg Kapsul
90 Kloramfenikol salep mata 1% Tube
91 Kloramfenikol suspensi 125 mg / 5 ml botol
92 Kloramfenikol tetes telinga 3 % botol
93 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet
Kombinasi : Ipratropium bromida inhalasi 0,5 mg
94 Salbutamol 2,5 mg (Combivent Nebulle) Ampul
95 Kotrimoksazol DOEN I komb 480 mg Tablet

96 Kotrimoksazol DOEN II (pediatrik) komb 120 mg tablet
Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg
97 trimetoprim 160 mg Kaplet
98 Kotrimoksazol Suspensi kombinasi 240 mg/5 ml botol

99 Lidokain Injeksi 2% (HCL) Ampul
100 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml Ampul
101 Loperamid tablet 2 mg Tablet
102 Loratadin tablet 10 mg tablet
103 Magnesium Sulfat inj (IV) 20% vial
105 Magnesium sulfat serbuk 30 gram bungkus
106 Mebendazol Syr 100 mg / 5ml botol
107 Mebendazol tablet 500 mg tablet
108 Meloksikam suppositoria supp
109 Meloksikam tablet 15 mg tablet
110 Menadion (Vit. K3) injeksi 10 mg/ml ampul
111 Metformin HCI tablet 500 mg tablet
112 Metilergometrin Maleat injeksi 0,200 mg ampul
113 Metilergometrin Maleat tablet 0,125 mg tablet
114 Metilprednisolon Injeksi 500 mg vial
115 Metilprednisolon tablet 4 mg Tablet
116 Metoklopramide sirup 5 mg/ 5 ml Botol
117 Metoklopramide tablet 10 mg tablet
118 Metronidazol Infus 500 mg/100ml botol
119 Metronidazol kaptab 500 mg Tablet
120 Metronidazol Syr 125 mg / 5ml Botol
121 Mikonazol krim/salep 2 % (Nitrat ) tube
122 Na. Thiroxin tablet 100 mcg tablet
123 n-asetil sistein tablet 200 mg Tablet
124 Natrium Bikarbonat tablet 500 mg tablet
125 Natrium Diklofenak tablet 25 mg tablet
127 Natrium Klorida larutan infuse 0.9 % botol
128 Nifedipin tablet 10 mg tablet
129 Nistatin vaginal tablet 100.000IU/g ovula
130 Obat Batuk Hitam (OBH) cairan botol
131 Oksitetrasiklin HCL salep mata 1 % tube
132 Oksitetrasiklin salep kulit 3% tube
133 Oksitetrasiklin salep mata 1% tube
134 Oksitosin injeksi 10 iu / ml - 1 ml ampul
135 Omeprazol kapsul/kaplet 20 mg Kapsul
136 Papaverin injeksi 40 mg/ml ampul
137 Papaverin tablet 40 mg tablet
138 Parasetamol drops Botol
139 Parasetamol sirup 120 mg/5ml botol
140 Parasetamol tablet 100 mg tablet
141 Parasetamol tablet 500 mg Tablet
142 Pirantel suspensi 125 mg/5 ml Botol
143 Pirantel tablet score (base) 125 mg tablet
145 Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) Tablet
146 Piroksikam kapsul/kaplet/tablet 20 mg tablet
147 Piroksikam tablet 10 mg tablet
148 Povidon Iodin larutan 10% 15ml Botol
150 Povidon Iodin larutan 10% 60 Botol
151 Povidon lodida larutan 10 % 300 ml botol
152 Prednison tablet 5 mg tablet
153 Propanolol tablet 10 mg (HCL) Tablet
154 Propanolol tablet 40 mg (HCI) tablet
155 Propiltiourasil tablet 100 mg tablet
156 Ranitidin injeksi 25 mg/2 ml Ampul
157 Ranitidin tablet 150 mg tablet
158 Retinol (Vitamin A ) kapsul lunak 100.000 IU kapsul
159 Retinol (Vitamin A) kapsul lunak 200.000 iu kapsul
160 Ringer Laktat larutan infus steril Botol
161 Salbutamol cairan ih 0,1% (Ventolin nebulle) Ampul
162 Salbutamol MDI (Ventolin inhaler) PCS
163 Salbutamol tablet 2 mg (sebagai sulfat) Tablet
164 Salbutamol tablet 4 mg (sebagai Sulfat) Tablet
Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang Pot
165 endap
166 Salisil Bedak 2% Kotak
167 Sefadroksil kapsul/kaplet 500 mg Kapsul
168 Sefadroksil sirup kering 125 mg/5ml botol
169 Sefixime capsul 100 mg kapsul
170 Sefixime sirup 100 mg/5 ml botol
171 Sefotaksim injeksi 1 g vial
172 Seftriakson injeksi 1 g vial
173 Setirizin sirup 5 mg/5 ml Botol
174 Setirizin tablet tablet
175 Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul
176 Simetidin tablet 200 mg tablet
177 Simvastatin scored tablet 10 mg Tablet
178 Siprofloksasin 500 mg kaplet
179 Spironolakton tablet 100 mg Tablet
181 Tablet Tambah Darah/Sulfas Ferrosus tablet
182 Tetrakain HCl tetes mata 0,5% Botol
183 Tetrasiklin tablet/kapsul/kaplet 500 mg Kapsul
184 Tiamfenikol kapsul /kaplet 500mg tablet
185 Tiamin (Vitamin B1) Injeksi 100 mg/ml ampul
186 Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) Tablet
187 Tramadol capsul 50 mg kapsul
188 Vitamin B kompleks tablet Tablet
189 Zink tablet 20 mg tablet
Lain-Lain
1
2
3
4
5
6
7
8
9
Alat kesehatan
1 Abocath / IV Catheter no 18 G Set
5 Alat Suntik sekali pakai 1 ml (syringe pump) set
6 Alat Suntik sekali pakai 3 ml (syringe pump) Set
8 Catgut/Benang Bedah No. 2/0 dengan jarum set
10 Elastis bandage 7,4cm x 4,5m Pcs
11 Foley Catheter no 18 pcs
14 Handschoon (Sarung tangan) no. 7 pasang
15 Handschoon (Sarung tangan) no. 7,5 pasang
16 Handschoon (Sarung tangan) no. 8 Pasang
17 Hypafix 10cm x 5 m Rol
18 Infusion set anak set
19 Infusion set dewasa Set
20 Jarum Kulit Set/12
21 Jarum Otot Set/12
22 Kapas Pembalut Adsorben 250 gram bungkus
23 Kasa Hidrofil 36 m x 80 cm rol
24 Kasa Hidrofil steril 16 x 16 (isi 16 lembar) Kotak
25 Kasa Pembalut Hidrofil 4 m x 10 cm Rol
27 Masker Bedah Pcs
28 Plester 5 yard x 2 inchi Rol
29 Silk (benang bedah) 2/0 + jarum 1/2 GT 35 mm Pcs
30 Urine Bag Standard Steril Set
31 Wing Needle no 21 G Set
Lain-Lain
1
2
3
4
5
6
7
8
9
10
Obat Gigi
1 Cavitron Botol
2 Devitalisasi pasta (non arsen) Botol
3 Etil Klorida semprot Botol
4 Eugenol cairan Botol
5 Glass Ionomer Cement Serbuk dan Cairan Set
6 Kalsium Hidroksida pasta Tube
7 Monoklorkamfer Mentol cairan (CHKM) Botol
8 Mummifying Pasta Botol
9 Semen Zeng Fosfat serbuk & cairan Set
10 Spongostan Botol
11 Temporary Stopping Fletcher serbuk dan cairan Set
12 TKF (Tricresol Formaldehid) Botol
Lain-Lain
1
2
3
4
5
6
7
8
9
Obat APBD (P3K, SUPLEMEN)
1 Alkohol 70% 300 ml Botol
2 Asam Tranexamat inj 250 mg Ampul
3 Asam Tranexamat tablet 500 mg Tablet
4 Counterpain crm 15 g Tube
5 Dulcolax strip @4 tablet Strip
6 Dumin 125 mg rectal Tube
7 Elastis bandage 7,4cm x 4,5m Rol
8 Etil Klorida Spray Botol
9 H2O2 3% 100ml Botol
10 Hand sanitizer 100 ml Botol
12 Hansaplast sachet @100 sachet Kotak
13 Heparin komb. Gel (Thrombopob gel 20 g) Tube
14 Komb B complek + vit c 500mg (Selcom C) Tablet
15 Minyak kayu putih 60 ml Botol
16 Minyak Telon 60 ml Botol
17 Multivitamin (Prenatin-plus) Tablet
18 Obat Flu kombinasi (Demacolin) Tablet
19 Oksigen tabung (Oxycan) Tabung
20 Parasetamol Rectal (Dumin 125 mg rectal) Tube
21 Plester rol kain 1.25cm x 5m Rol
22 Scabimite cream 10g Tube
23 Serum Anti Bisa Ular inj 5 ml Vial
24 Serum Anti Tetanus 1.500 iu/ampul Ampul
25 Voltaren gel 10 g Tube
Lain-Lain
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Laboratorium
1 Cell Pack Botol
2 Cleaner (Cell Clean) Botol
3 Stromatolyser Botol
4 Kontrol Botol
Reagen Kimia Klinik
1 ASAM URAT Botol
2 BUN Botol
3 CHOLESTEROL Botol
4 CREATININ Botol
5 GULA DARAH Botol
6 SGOT Botol
7 SGPT Botol
8 TRIGLISERIDA Botol
Lain-Lain
1 Asam Sulfo Salisilat 20% Botol
2 Blood Lancet Pcs
3 Cat Wright Botol
4 Combur Test (Stik urinalisis 10 parameter) Pcs
5 Corong Pcs
6 Cover Glass Pcs
7 Kertas Saring Pcs
8 Larutan Drabkins Botol
9 Larutan EDTA 10% Botol
10 Larutan Eosin 2% Botol
11 Larutan Hayem Botol
12 Larutan HCl Botol
13 Larutan Rees Ecker Botol
14 Larutan Turk Botol
15 Na Sitrat 3.8% Botol
16 Obyek Glass Pcs
17 Pipet LED Westergreen Set
18 Pipet Pasteur Pcs
19 Pot Faeces Pcs
20 Pot Urine Pcs
21 Reagen Gol Darah Set
22 Stik Glukosa & Protein Biji
23 Stik Gula Darah Benecheck Glukosa Tube
24 Stik Gula Darah Bio Sensor Ktk
25 Stik Gula Darah Super Sensor Ktk
26 Stik Hb Meter Urit Pcs
27 Stik PP Test Biji
28 Tabung EDTA Pcs
29 Tabung Reaksi 10ml Set
33 Widal Test Set
Lain-Lain
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Obat Jiwa
1 Alprazolam tablet/kapsul/kaplet 0,5 mg Tablet
2 Alprazolam tablet/kapsul/kaplet 1 mg Tablet
3 Amitriptilin tablet salut 25 mg (HCl) Tablet
4 Diazepam injeksi 5 mg/ml - 2 ml Ampul
5 Diazepam larutan rektal 10 mg/2,5 ml Tube
7 Diazepam tablet 2 mg Tablet
8 Diazepam Tablet 5 mg Tablet
9 Fenitoin injeksi 50 mg/ml Ampul
10 Fenitoin kapsul/kaplet 100 mg Kapsul
12 Fenobarbital 30 mg Tablet botol
13 Fenobarbital injeksi Ampul
14 Fenobarbital tablet 100 mg Tablet
15 Flufenazin injeksi i.m. 25 mg/ml Ampul
16 Haloperidol Injeksi Ampul
17 Haloperidol tablet 0,5 mg Tablet
19 Haloperidol tablet 5 mg Tablet
20 Karbamazepin Syr 100 mg/ 5ml Botol
21 Karbamazepin tablet 200 mg Tablet
22 Klobazam tab 10 mg Tablet
23 Klorpromazin injeksi i.m. 25 mg/ml (HCl) Ampul
24 Klorpromazin tablet 25 mg Tablet
25 Klorpromazin tablet salut 100 mg (HCl) Tablet
26 Klozapin Tablet 25 mg Tablet
27 Kodein 10 mg Tablet
28 Lorazepam tablet 2 mg Tablet
29 Olanzapin tab 10 mg Tablet
30 Risperidon tablet 2 mg Tablet
31 Sertralin tab 50 mg Tablet
32 Trifluoperazin tablet 2 mg Botol
33 Trifluoperazin tablet 5 mg Tablet
34 Trihexpenidil Tablet 2 mg Botol
35 Valproat Syr 250 mg / 5ml Botol
36 Valproat tablet selaput enterik 250 mg Tablet
Lain-lain
1
2
3
4
5
6
7
8
Ketentuan berkenaan dengan Rencana Kebutuhan Obat (RKO) Puskesmas 2020:
1. Mohon untuk tidak merubah format apapun (menambah/mengurangi kolom maupun baris).
2. Bila ada penambahan item obat, ditambahkan sesuai format yang tersedia.
3. Kolom 4 adalah sisa stok per 31 Desember 2018 asumsi.
4. Kolom 7 adalah usulan obat puskesmas th 2020 berdasarkan metode konsumsi dengan mempertimbangkan metode morbiditas
(berdasarkan kebutuhan riil puskesmas selama 1 tahun, buffer stok 6 bulan dan metode morbiditas).
5 Puskesmas harus sudah mengirim RKO 2020 ke Dinas Kesehatan paling lambat tgl 30 Oktober 2018, baik hard copy maupun soft copy.
6 Hard copy RKO 2020 Puskesmas harus sudah ditandatangani oleh Pengelola Obat Puskesmas (atau Tim Perencanaan Obat Puskesmas) dan Kepala Pusk.
7 Soft copy RKO 2020 masing-masing puskesmas dikirim ke Dinas Kesehatan atau via email: ifkjembrana@yahoo.com.
Mengetahui, Yang membuat perencanaan,

Kepala Puskesmas Pengelola Obat Puskesmas/Tim Perencanaan Obat Puskesmas
( ................................................ ) ( ......................................................................... )
NIP.................................................
BRANA
N 2020
JUMLAH RENCANA USULAN

STOK WAKTU
KEBUTUHAN KEBUTUHAN OBAT TH KETERSEDIAAN
PENGAMAN TUNGGU
OBAT TH 2020 OBAT TH 2020 2020
i=0,1*12*g j=6*g k=12*g + i +j l=k-h m n=m/g

bat Puskesmas) dan Kepala Pusk.
DINAS K
RENCA
JUMLAH
SISA STOK
PEMAKAIN OBAT
NO NAMA OBAT SATUAN OBAT PER 31
DARI JAN sd DES
DES. 2017
2018
a b c d e
Obat Generik
1 Air Untuk Injeksi (Aqua pro Injeks) 20 ml Vial
2 Albendazol Syr 200 mg / 5ml botol
3 Albendazol tablet 400 mg Tablet
6 Ambroxol sirup 15 mg/5 ml botol
7 Ambroxol tablet 30 mg tablet
8 Amoksisilin kaplet 500 mg kaplet
9 Amoksisilin sirup kering 125 mg/ 5 ml Botol
10 Ampisislin injeksi 1000 mg vial
11 Antalgin (Metampiron) injeksi 250 mg/ml ampul
12 Antalgin (Metampiron) tablet 500 mg tablet
13 Antasida DOEN I tablet kunyah kombinasi tablet
14 Antasida DOEN II suspensi kombinasi botol
15 Anti Bakteri DOEN salep kulit kombinasi tube
16 Antifungi DOEN salep kulit pot
17 Antihemoroid DOEN Kombinasi (supositoria) supp
18 Antimigren: Ergotamin Tartrat + Kofein Tablet
19 Asam Asetilsalisilat (Asetosal) tablet 100 mg Tablet
22 Asam Askorbat (Vitamin C) tablet 50 mg tablet
23 Asam Folat tablet 1 mg tablet
24 Asam Folat tablet/kapsul/kaplet 0,4 mg Tablet
25 Asam Mefenamat tablet/kapsul/kaplet 500 mg Kaplet
26 Asiklovir krim 5 % tube
29 Atapulgit tablet 600 mg Tablet
30 Atropin (Sulfat) injeksi 0,25 mg/ml Ampul
31 Atropin sulfat tetes mata 0,5% Botol
32 Betahistin Mesilat tablet 6 mg tablet
33 Betametason krim 0,1 % (sebagai valerat) tube
34 Bisoprolol tablet 5 mg Tablet
35 Deksametason injeksi i.v./i.m. 5 mg/ml Ampul
36 Deksametason tablet 0,5 mg tablet
37 Dietilkarbamazin Sitrat 100 mg tablet
38 Difenhidramin inj. 10 mg/ml - 1 ml Ampul
39 Digoksin tablet 0,25 mg Tablet
40 Diltiazem HCl tablet 30 mg tablet
41 Dimenhidrinat tablet 50 mg Tablet
42 Doksisiklin tablet 100 mg Tablet
43 Domperidon suspensi/sirup 5 mg/5 ml Botol
44 Domperidon tablet/kapsul/kaplet 10 mg Tablet
45 Efedrin tablet 25 mg tablet
46 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) ampul
47 Eritromisin kapsul / kaplet 500 mg kaplet
48 Eritromisin sirup 200 mg/5 ml botol
49 Etakridin (Rivanol) larutan 0,1% Botol
50 Fenilbutason tablet 200 mg tablet
51 Fenol Gliserol tetes telinga 10% botol
52 Fitomenadion (Vit K) inj 10 mg/ml vial
53 Fitomenadion (Vit. K1) tablet 10 mg tablet
54 Furosemid injeksi i.v / im 10 mg/ml ampul
55 Furosemid tablet 40 mg Tablet
56 Garam Oralit I serbuk sachet
57 Gentamisin injeksi 40 mg/ ml ampul
58 Gentamisin Salep Kulit 0,1 % tube
59 Gentamisin Sulfat Salep Mata 0,3 % tube
60 Gentamisin Sulfat Tetes Mata 0,3 % botol
61 Gentian Violet larutan 1 % botol
62 Glibenklamid tablet 5 mg Tablet
63 Glimepiride tablet 1 mg tablet
64 Gliquidon tablet 30 mg Tablet
65 Gliseril Guayakolat tablet 100 mg tablet
68 Glukosa larutan infus 40% steril ampul
69 Griseofulvin tablet 125 mg tablet
70 Hidroklortiazid tablet 25 mg Tablet
71 Hidrokortison krim 2,5 % Tube
72 Hiosina butilbromida Injeksi Ampul
73 Ibuprofen Syrup 100 mg Botol
76 Isoniasid tablet 100 mg tablet
77 Isosorbid Dinitrat tablet sublingual 5 mg tablet
78 Kalsium Glukonat Injeksi 200 mg Ampul
79 Kalsium Laktat (Kalk) tablet 500 mg Tablet
80 Kaptopril tablet 12,5 mg tablet
81 Kaptopril tablet 25 mg tablet
82 Ketokonazol tablet 200 mg tablet
83 Ketoprofen injeksi 100 mg ampul
84 Ketoprofen Supp 100 mg Suppo
85 Ketoprofen tablet 100 mg tablet
86 Ketorolak injeksi 30 mg/ml Ampul
87 Kloramfenikol Injeksi 1000 mg / vial vial
90 Kloramfenikol salep mata 1% Tube
91 Kloramfenikol suspensi 125 mg / 5 ml botol
92 Kloramfenikol tetes telinga 3 % botol
93 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet
Kombinasi : Ipratropium bromida inhalasi 0,5 mg
94 Salbutamol 2,5 mg (Combivent Nebulle) Ampul
95 Kotrimoksazol DOEN I komb 480 mg Tablet

96 Kotrimoksazol DOEN II (pediatrik) komb 120 mg tablet
Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg
97 trimetoprim 160 mg Kaplet
98 Kotrimoksazol Suspensi kombinasi 240 mg/5 ml botol

99 Lidokain Injeksi 2% (HCL) Ampul
100 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml Ampul
101 Loperamid tablet 2 mg Tablet
102 Loratadin tablet 10 mg tablet
105 Magnesium sulfat serbuk 30 gram bungkus
106 Mebendazol Syr 100 mg / 5ml botol
107 Mebendazol tablet 500 mg tablet
108 Meloksikam suppositoria supp
109 Meloksikam tablet 15 mg tablet
110 Menadion (Vit. K3) injeksi 10 mg/ml ampul
111 Metformin HCI tablet 500 mg tablet
112 Metilergometrin Maleat injeksi 0,200 mg ampul
113 Metilergometrin Maleat tablet 0,125 mg tablet
114 Metilprednisolon Injeksi 500 mg vial
115 Metilprednisolon tablet 4 mg Tablet
116 Metoklopramide sirup 5 mg/ 5 ml Botol
117 Metoklopramide tablet 10 mg tablet
118 Metronidazol Infus 500 mg/100ml botol
119 Metronidazol kaptab 500 mg Tablet
120 Metronidazol Syr 125 mg / 5ml Botol
121 Mikonazol krim/salep 2 % (Nitrat ) tube
122 Na. Thiroxin tablet 100 mcg tablet
123 n-asetil sistein tablet 200 mg Tablet
124 Natrium Bikarbonat tablet 500 mg tablet
127 Natrium Klorida larutan infuse 0.9 % botol
128 Nifedipin tablet 10 mg tablet
129 Nistatin vaginal tablet 100.000IU/g ovula
130 Obat Batuk Hitam (OBH) cairan botol
131 Oksitetrasiklin HCL salep mata 1 % tube
132 Oksitetrasiklin salep kulit 3% tube
133 Oksitetrasiklin salep mata 1% tube
134 Oksitosin injeksi 10 iu / ml - 1 ml ampul
135 Omeprazol kapsul/kaplet 20 mg Kapsul
136 Papaverin injeksi 40 mg/ml ampul
137 Papaverin tablet 40 mg tablet
138 Parasetamol drops Botol
139 Parasetamol sirup 120 mg/5ml botol
140 Parasetamol tablet 100 mg tablet
141 Parasetamol tablet 500 mg Tablet
142 Pirantel suspensi 125 mg/5 ml Botol
Tablet
145 Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl)
146 Piroksikam kapsul/kaplet/tablet 20 mg tablet
147 Piroksikam tablet 10 mg tablet
150 Povidon Iodin larutan 10% 60 Botol
151 Povidon lodida larutan 10 % 300 ml botol
152 Prednison tablet 5 mg tablet
153 Propanolol tablet 10 mg (HCL) Tablet
154 Propanolol tablet 40 mg (HCI) tablet
155 Propiltiourasil tablet 100 mg tablet
156 Ranitidin injeksi 25 mg/2 ml Ampul
157 Ranitidin tablet 150 mg tablet
158 Retinol (Vitamin A ) kapsul lunak 100.000 IU kapsul
159 Retinol (Vitamin A) kapsul lunak 200.000 iu kapsul
160 Ringer Laktat larutan infus steril Botol
161 Salbutamol cairan ih 0,1% (Ventolin nebulle) Ampul
162 Salbutamol MDI (Ventolin inhaler) PCS
163 Salbutamol tablet 2 mg (sebagai sulfat) Tablet
164 Salbutamol tablet 4 mg (sebagai Sulfat) Tablet
Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang Pot
165 endap
166 Salisil Bedak 2% Kotak
167 Sefadroksil kapsul/kaplet 500 mg Kapsul
168 Sefadroksil sirup kering 125 mg/5ml botol
169 Sefixime capsul 100 mg kapsul
170 Sefixime sirup 100 mg/5 ml botol
171 Sefotaksim injeksi 1 g vial
172 Seftriakson injeksi 1 g vial
173 Setirizin sirup 5 mg/5 ml Botol
174 Setirizin tablet tablet
175 Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul
176 Simetidin tablet 200 mg tablet
177 Simvastatin scored tablet 10 mg Tablet
178 Siprofloksasin 500 mg kaplet
181 Tablet Tambah Darah/Sulfas Ferrosus tablet
182 Tetrakain HCl tetes mata 0,5% Botol
183 Tetrasiklin tablet/kapsul/kaplet 500 mg Kapsul
184 Tiamfenikol kapsul /kaplet 500mg tablet
185 Tiamin (Vitamin B1) Injeksi 100 mg/ml ampul
186 Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) Tablet
187 Tramadol capsul 50 mg kapsul
188 Vitamin B kompleks tablet Tablet
189 Zink tablet 20 mg tablet
Lain-Lain
1
2
3
4
5
6
7
8
9
Alat kesehatan
6 Alat Suntik sekali pakai 3 ml (syringe pump) Set
10 Elastis bandage 7,4cm x 4,5m Pcs
14 Handschoon (Sarung tangan) no. 7 pasang
15 Handschoon (Sarung tangan) no. 7,5 pasang
16 Handschoon (Sarung tangan) no. 8 Pasang
17 Hypafix 10cm x 5 m Rol
18 Infusion set anak set
19 Infusion set dewasa Set
20 Jarum Kulit Set/12
21 Jarum Otot Set/12
22 Kapas Pembalut Adsorben 250 gram bungkus
23 Kasa Hidrofil 36 m x 80 cm rol
24 Kasa Hidrofil steril 16 x 16 (isi 16 lembar) Kotak
27 Masker Bedah Pcs
28 Plester 5 yard x 2 inchi Rol
29 Silk (benang bedah) 2/0 + jarum 1/2 GT 35 mm Pcs
30 Urine Bag Standard Steril Set
Lain-Lain
1
2
3
4
5
6
7
8
9
10
Obat Gigi
1 Cavitron Botol
2 Devitalisasi pasta (non arsen) Botol
3 Etil Klorida semprot Botol
4 Eugenol cairan Botol
5 Glass Ionomer Cement Serbuk dan Cairan Set
6 Kalsium Hidroksida pasta Tube
7 Monoklorkamfer Mentol cairan (CHKM) Botol
8 Mummifying Pasta Botol
9 Semen Zeng Fosfat serbuk & cairan Set
10 Spongostan Botol
11 Temporary Stopping Fletcher serbuk dan cairan Set
12 TKF (Tricresol Formaldehid) Botol
Lain-Lain
1
2
3
4
5
6
7
8
9
Obat APBD (P3K, SUPLEMEN)
1 Alkohol 70% 300 ml Botol
2 Asam Tranexamat inj 250 mg Ampul
3 Asam Tranexamat tablet 500 mg Tablet
4 Counterpain crm 15 g Tube
5 Dulcolax strip @4 tablet Strip
6 Dumin 125 mg rectal Tube
7 Elastis bandage 7,4cm x 4,5m Rol
8 Etil Klorida Spray Botol
9 H2O2 3% 100ml Botol
12 Hansaplast sachet @100 sachet Kotak
13 Heparin komb. Gel (Thrombopob gel 20 g) Tube
14 Komb B complek + vit c 500mg (Selcom C) Tablet
15 Minyak kayu putih 60 ml Botol
16 Minyak Telon 60 ml Botol
17 Multivitamin (Prenatin-plus) Tablet
18 Obat Flu kombinasi (Demacolin) Tablet
19 Oksigen tabung (Oxycan) Tabung
20 Parasetamol Rectal (Dumin 125 mg rectal) Tube
21 Plester rol kain 1.25cm x 5m Rol
22 Scabimite cream 10g Tube
23 Serum Anti Bisa Ular inj 5 ml Vial
24 Serum Anti Tetanus 1.500 iu/ampul Ampul
25 Voltaren gel 10 g Tube
Lain-Lain
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Laboratorium
1 Cell Pack Botol
2 Cleaner (Cell Clean) Botol
3 Stromatolyser Botol
4 Kontrol Botol
Reagen Kimia Klinik
1 ASAM URAT Botol
2 BUN Botol
3 CHOLESTEROL Botol
4 CREATININ Botol
5 GULA DARAH Botol
6 SGOT Botol
7 SGPT Botol
8 TRIGLISERIDA Botol
Lain-Lain
1 Asam Sulfo Salisilat 20% Botol
2 Blood Lancet Pcs
3 Cat Wright Botol
4 Combur Test (Stik urinalisis 10 parameter) Pcs
5 Corong Pcs
6 Cover Glass Pcs
7 Kertas Saring Pcs
8 Larutan Drabkins Botol
9 Larutan EDTA 10% Botol
10 Larutan Eosin 2% Botol
11 Larutan Hayem Botol
12 Larutan HCl Botol
13 Larutan Rees Ecker Botol
14 Larutan Turk Botol
15 Na Sitrat 3.8% Botol
16 Obyek Glass Pcs
17 Pipet LED Westergreen Set
18 Pipet Pasteur Pcs
19 Pot Faeces Pcs
20 Pot Urine Pcs
21 Reagen Gol Darah Set
22 Stik Glukosa & Protein Biji
23 Stik Gula Darah Benecheck Glukosa Tube
24 Stik Gula Darah Bio Sensor Ktk
25 Stik Gula Darah Super Sensor Ktk
26 Stik Hb Meter Urit Pcs
27 Stik PP Test Biji
28 Tabung EDTA Pcs
33 Widal Test Set
Lain-Lain
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Obat Jiwa
1 Alprazolam tablet/kapsul/kaplet 0,5 mg Tablet
2 Alprazolam tablet/kapsul/kaplet 1 mg Tablet
3 Amitriptilin tablet salut 25 mg (HCl) Tablet
4 Diazepam injeksi 5 mg/ml - 2 ml Ampul
7 Diazepam tablet 2 mg Tablet
8 Diazepam Tablet 5 mg Tablet
9 Fenitoin injeksi 50 mg/ml Ampul
12 Fenobarbital 30 mg Tablet botol
13 Fenobarbital injeksi Ampul
14 Fenobarbital tablet 100 mg Tablet
15 Flufenazin injeksi i.m. 25 mg/ml Ampul
16 Haloperidol Injeksi Ampul
19 Haloperidol tablet 5 mg Tablet
20 Karbamazepin Syr 100 mg/ 5ml Botol
21 Karbamazepin tablet 200 mg Tablet
22 Klobazam tab 10 mg Tablet
23 Klorpromazin injeksi i.m. 25 mg/ml (HCl) Ampul
24 Klorpromazin tablet 25 mg Tablet
25 Klorpromazin tablet salut 100 mg (HCl) Tablet
26 Klozapin Tablet 25 mg Tablet
27 Kodein 10 mg Tablet
28 Lorazepam tablet 2 mg Tablet
29 Olanzapin tab 10 mg Tablet
30 Risperidon tablet 2 mg Tablet
31 Sertralin tab 50 mg Tablet
32 Trifluoperazin tablet 2 mg Botol
33 Trifluoperazin tablet 5 mg Tablet
34 Trihexpenidil Tablet 2 mg Botol
35 Valproat Syr 250 mg / 5ml Botol
36 Valproat tablet selaput enterik 250 mg Tablet
Lain-lain
1
2
3
4
5
6
7
8
Ketentuan berkenaan dengan Rencana Kebutuhan Obat (RKO) Puskesmas 2020:
1. Mohon untuk tidak merubah format apapun (menambah/mengurangi kolom maupun baris).
2. Bila ada penambahan item obat, ditambahkan sesuai format yang tersedia.
3. Kolom 4 adalah sisa stok per 31 Desember 2018 asumsi.
4. Kolom 7 adalah usulan obat puskesmas th 2020 berdasarkan metode konsumsi dengan mempertimbangkan m
(berdasarkan kebutuhan riil puskesmas selama 1 tahun, buffer stok 6 bulan dan metode morbiditas).
5 Puskesmas harus sudah mengirim RKO 2020 ke Dinas Kesehatan paling lambat tgl 30 Oktober 2018, baik ha
6 Hard copy RKO 2020 Puskesmas harus sudah ditandatangani oleh Pengelola Obat Puskesmas (atau Tim Pe
7 Soft copy RKO 2020 masing-masing puskesmas dikirim ke Dinas Kesehatan atau via email: ifkjembrana@yah
Mengetahui, Yang membuat perencanaan,

Kepala Puskesmas Pengelola Obat Puskesmas/Tim Perencanaan Oba
( ................................................ ) ( ..................................................................
NIP.................................................
RENCANA KEBUTUHAN OBAT TAHUN 2020
SISA STOK PEMAKAIAN JUMLAH PREDIKSI PREDIKSI

STOK WAKTU
PER 31 DES. RATA2 PER KEBUTUHAN PENERIMAAN PEMAKAIAN
PENGAMAN TUNGGU
2018 BULAN OBAT TH 2020 TH 2019 TH 2019
f g h=0,1*12*g i=6*g j=12*g + h +i k l=12*g
mempertimbangkan metode morbiditas
morbiditas).
Oktober 2018, baik hard copy maupun soft copy.
kesmas (atau Tim Perencanaan Obat Puskesmas) dan Kepala Pusk.
mail: ifkjembrana@yahoo.com.
uat perencanaan,
im Perencanaan Obat Puskesmas
....................................... )
PREDIKSI SISA RENCANA USULAN
STOK PER 31 KEBUTUHAN OBAT TH KETERSEDIAAN
DES TH 2019 OBAT TH 2020 2020
m=f+k-l n=j-m o p=o+m/g

Format Pusk. Rko TH 2020

Diunggah oleh

Informasi Dokumen

Judul Asli

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D

Obat Provinsi 2011

1 Ampisislin injeksi 1000 mg Prov. 2011 vial 3176 0 0

2 Oksitosin injeksi 10 iu / ml - 1 ml Prov. 2011 ampul 1785 0 0

Total Provinsi 2011 (A) 0 0

Obat DAK 2011

4 Ciprofloksasin 500 mg DAK 2011 kaplet 265 0 0

5 Difenhidramin Inj IM 10 mg/ml (HCL) DAK 2011 ampul 800 0 0

6 Doksisiklin kapsul 100 mg DAK 2011 Kapsul 230 0 0

7 Fenobarbital tablet 100 mg DAK 2011 tablet 127 0 0

8 Fenobarbital tablet 30 mg DAK 2011 tablet 46 0 0

9 Haloperidol tablet 5 mg DAK 2011 tablet 122 0 0

10 Kloramfenikol kapsul 250 mg DAK 2011 Kapsul 246 0 0

11 Klorpromazin HCL tablet salut 100 mg DAK 2011 tablet 115 0 0

12 Klorpromazin tablet salut 25 mg DAK 2011 tablet 36 0 0

14 Prednison tablet 5 mg DAK 2011 tablet 57 0 0

15 Triheksifenidil tablet 2 mg DAK 2011 tablet 41 0 0

Total DAK 2011 (B): 2424794 0

Alat kesehatan DAK 2011

16 Catgut/Benang Bedah no 2/0 DAK 2011 set 26295 0 0

17 Handschoon 8 DAK 2011 pasang 4250 0 0

18 Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2011 rol 607 51000 30957000 0

19 Kasa Pembalut Hidrofil 4 m x 10 cm DAK 2011 rol 607 55000 33383900 0

20 Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2011 rol 304 36940 11211290 0

21 Kasa Pembalut Hidrofil 4 m x 5 cm DAK 2011 rol 303 34500 10470405 0

Total Alat kesehatan DAK 2011 (C) : 86022595 0

Obat Gigi DAK 2011

22 Klorfenol kamfer menthol (CHKM) DAK 2011 botol 55000 0 0

23 Mummifying Pasta DAK 2011 botol 176000 0 0

Total Obat Gigi DAK 2011 (D) : 0 0

I. Total Tahun 2011 (A+B+C+D) : 88447389 0

Obat APBD II 2012

25 Alkohol 70% 300 ml APBD II 2012 Botol 8219 0 0

26 Asam tranexamat injeksi 250mg APBD II 2012 Ampul 5280 0 0

27 Colpica tablet APBD II 2012 Tablet 330 0 0

28 Difenhidramin injeksi APBD II 2012 Vial 960 0 0

30 Hand sanitizer 50 ml APBD II 2012 Botol 7700 0 0

31 Kasa steril 16/16 APBD II 2012 kotak 6600 0 0

32 Licopac APBD II 2012 tablet 642 0 0

33 Plester rol kain 1.25cm x 5m APBD II 2012 Rol 3703 60 222156 0

34 Povidone iodine 10% 15ml APBD II 2012 Botol 2420 0 0

35 Voltaren gel APBD II 2012 Tube 49000 0 0

Total obat APBD II 2012 (A) : 222156 0

Obat DAK 2012

36 Albendazol tablet 400 mg DAK 2012 tablet 407 0 0

37 Allopurinol tablet 100 mg DAK 2012 tablet 132 0 0

38 Alprazolam tablet 0,5 mg DAK 2012 tablet 585 0 0

39 Ambroxol sirup 15 mg/5 ml DAK 2012 Botol 3300 0 0

40 Ambroxol tablet 30 mg DAK 2012 tablet 125 0 0

41 Aminofilin tablet 200 mg DAK 2012 tablet 113 0 0

42 Aminoflin injeksi 24 mg/ml DAK 2012 Ampul 3000 0 0

43 Amitriptilin tablet salut 25 mg (HCl) DAK 2012 tablet 120 0 0

44 Amoksisilin kaplet 500 mg DAK 2012 kaplet 370 0 0

45 Amoksisilin sirup kering 125 mg/5 ml DAK 2012 Botol 3700 0 0

46 Antalgin (Metampiron) injeksi 250 mg/ml DAK 2012 ampul 1333 0 0

48 Antasid DOEN I tablet kunyah kombinasi DAK 2012 tablet 162 0 0

49 Antasid DOEN II suspensi kombinasi DAK 2012 botol 3850 0 0

50 Anti Bakteri DOEN salep kulit DAK 2012 tube 2517 0 0

52 Antihemoroid DOEN Kombinasi (supositoria) DAK 2012 supp 2000 0 0

53 Antimigren DAK 2012 tablet 123 0 0

54 Aqua pro injeksi steril 20 ml DAK 2012 vial 5500 0 0

55 Asam Ascorbat (Vit. C) tablet 50 mg DAK 2012 tablet 32 0 0

56 Asam Asetil Salisilat (Asetosal) 100 mg DAK 2012 tablet 96 0 0