STOK OPNAME OBAT PUSKESMAS

PENDALIAN IV KOTO
SUMBER DANA APBD ROKAN HULU
PER 30 Juni 2019

SISA STOK TGGL

KODE NAMA OBAT SATUAN No BATCH
30 Juni 2019 KADALUARSA

1 Air Raksa Dental Use Botol

2 Alat Suntik Sekali Pakai 0.05 ml Botol
3 Alat Suntik Sekali Pakai 1 ml Set 154 50116 Mei-21
4 Alat Suntik Sekali Pakai 2,5 ml Set 200 1071588 Jun-20
5 Alat Suntik Sekali Pakai 3 ml Set 165 10317 Jan-22
6 Alat Suntik Sekali Pakai 5 ml Set 330 1101488 Sep-19
7 Alat suntik Sekali Pakai 10 ml Set 55 40517 Apr-22
8 Alat suntik Sekali Pakai 20 ml Set
9 Albendazole tablet 400 mg Tablet 240 C80586B Feb-21
10 Albion tablet Tablet
11 Alcohol + CHG 0,5% Swab Kotak 16 180120 Des-22
12 Alkacide 1 L -2 Alkacid 10 Botol 1 6S41N3067630 Okt-19
13 Allopurinol tablet 100 mg Tablet
14 Alprazolam tablet 0,5 mg Tablet
15 Ambroksol sirup 15 mg/ml Botol 52 1711-32-184 Nov-19
16 Ambroksol tablet 30 mg Tablet 2100 1710-23-146 Okt-20
17 Aminofilin injeksi 24 mg/ml - 10 ml Ampul 30 95307033-2 Jun-19
18 Aminofilin tablet 200 mg Tablet 300 17CH010 Agu-20
19 Amitriptilin HCl tablet 25 mg Tablet 400 1503004 Mar-19
20 Amlodipine tablet 10 mg Tablet
21 Amlodipine tablet 5 mg Tablet
22 Amoksisilin kaplet 500 mg Tablet 5500 HJ 018454 Sep-21
23 Amoksisilin kapsul 250 mg Tablet 2300 1611-06-51 Nov-20
24 Amoksisilin serbuk injeksi 1000 mg/ml Vial
25 Amoksisilin sirup kering 125 mg/5 ml Botol
26 Ampisilin ijeksi 1000 mg Ampul
27 Ampisilin kaplet 500 mg Tablet
28 Ampisilin sirup kering 125 mg / 5 ml Botol
29 Antalgin (Metampyron) tablet 500 mg Tablet 1500 1511-04-310 Nov-19
30 Antalgin injeksi 250 mg / ml - 2 ml Ampul
31 Antasida Doen suspensi Botol 103 FJ2441 Okt-21
32 Antasida Doen tablet kombinasi Tablet 4900 KG1279 Mei-20
33 Antibakteri Doen Kombinasi / Bacitrasin Tube 108 1806007 Jun-22
34 Antifungi Doen Kombinasi Tube
35 Antihaemoroid Doen Kombinasi Supp
36 Antimigrain Doen Kombinasi Tablet
37 Aqua proinjeksi steril, bebas pirogen Botol 30 82E48A Mei-21
38 Articulating Paper Set
39 Asam Askorbat (Vitamin C) tablet 250 mg Tablet 4400 C70244B Feb-20
40 Asam Askorbat (Vitamin C) tablet 50 mg Tablet 5750 H7007BI Sep-20
41 Asam Folat Tablet 500 17TH067 Agu-20
42 Asam Mefenamat kapsul 250 mg Kapsul
43 Asam Mefenamat tablet 500 mg Tablet 5400 25829711 25829711
44 Asam Sulfosalisilat 20 % Botol
45 Asam Traneksamat injeksi Ampul
46 Asam Valproat 250mg/5ml Botol
47 Asering (Asetat Ringer) Botol
48 Asetosal tablet 100 mg Tablet
49 Asetosal tablet 500 mg Tablet
50 Asiklovir krim Tube 120 L74120J Des-22
51 Asiklovir tablet 200 mg Tablet 900 6303004 Apr-21
52 Asiklovir tablet 400 mg Tablet 400 16304014 Mei-21
53 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml Ampul
54 Atropin Sulfat tablet 0,5 mg Tablet
55 Atropin Sulfat Tetes Mata 0,5 % Botol
 SISA STOK TGGL
KODE NAMA OBAT SATUAN No BATCH
30 Juni 2019 KADALUARSA

56 Attapulgit Tablet 500 SH0091 Agu-21

57 Baby Cough Syr Botol 4 310193 Agu-21
58 Becefort Syr Botol
59 Becefort Tablet Tablet
60 Becom C kaplet Tablet
61 Bekarbon tablet 500 mg Tablet
62 Beneuron Tablet
63 Benzatin Benzil Penisilin 1,2 juta iu/ vial Vial
64 Benzatin Benzil Penisilin 2,4 juta iu/ vial Vial
65 Betahistin Mesilat 6 mg tablet Tablet
66 Betametason 1 mg + Neomisin sulfat Tube
67 Betametason krim 0,1 % Tube 44 E81037T Mei-21
68 Bionemi Tablet
69 Bioplasenton krim Tube
70 Bioron Tablet
71 Bismecon Jelly Tube
72 Bisoprolol tablet 5 mg Tablet 500 HTBSPB73006 Mei-20
73 Bisturi Set
74 Bivalex krim Tube 15 B01AY03 Mei-20
75 Blood Lancet Set 200 9091688 Agu-21
76 Calostrum Syr Botol
77 Calsidol Sirup Botol
78 Captopril tablet 12,5 mg Tablet 2800 H81472B Jul-23
79 Captopril tablet 25 mg Tablet 2100 95324045 Okt-21
80 Cat Gut / Benang Bedah No. 2/0 - 3/0 Set 224 1606130 Jun-21
81 Catgut chromic 2/0 75 C 30 M R Set 48 30102014 Sep-19
82 Catgut chromic 2/0 75 C 37 M C Set 48 SS313-16 Sep-21
83 Catgut chromic 3/0 75 C 22 M R Set 48 20042015 Mar-20
84 Catgut chromic 3/0 75 C 37 M R Set 48 QQ136-16 Agu-21
85 Caviplex drop Botol
86 Cefadroksil kapsul 500 mg Kapsul 2650 HH038130 Agu-21
87 Cefadroksil sirup kering 125 mg/ml Botol
88 Cefadroxil Syrup 250 mg/ml Botol 54 DS08002AH Agu-20
89 Cefiksim kapsul 100 mg Kapsul 340 981990J Jul-20
90 Cefiksim syr kering100 mg/ml Botol 27 HG358083 Jul-19
91 Cefotaksim injeksi 1000 mg Ampul 17
92 Cendo Xitrol tetes mata Botol
93 Ceftriakson injeksi Ampul 10 222534 Okt-19
94 Cetrizin Sirup 5 mg/ ml Botol 19 S08013AH Agu-20
95 Cetrizin tablet 10 mg Tablet
96 Cimetidin tablet 200 mg Tablet
97 Ciprofloksasin infus Botol
98 Ciprofloksasin tablet 500 mg Tablet 3100 170536108 Mei-20
99 Ciprofloksasin tetes telinga Botol
100 Clindamisin tablet 150 mg Tablet
101 Clindamisin tablet 300 mg Tablet 200 KPL 26445 Okt-19
102 Clobetasol krim 0,05 % Tube
103 Co-Amoksiklav tablet 625 mg Tablet
104 Dasabion kapsul Kapsul
105 Deksametason injeksi 5 mg/ml - 1 ml Ampul 80 PIG 65445 Jun-19
106 Deksametason tablet 0,5 mg Tablet 1900 00717E0540 Mei-20
107 Dekstran 70 - larutan infus 6 % steril Botol
108 Dekstrometorfan HBr sirup 10 mg / 5 ml Botol
109 Dekstrometorfan tablet 15 mg Tablet
110 Delecto HBS Ag ( Anti Gen) Set 50 22051788 Apr-20
111 Dentin Conditioner Set
112 Devitalisasi pasta (non arsen) Set
113 Dexocort 0.25% Krim (Desoksimetason 0.25 %) Tube
114 Dextrofen Syr ( DMP + Dex-CTM + Phenylephrine Hcl) Botol
115 Diamond Bur Low Speed Set
116 Diazepam injeksi 5 mg Ampul 8 F8K569 Okt-21
117 Diazepam tablet 2 mg Tablet
 SISA STOK TGGL
KODE NAMA OBAT SATUAN No BATCH
30 Juni 2019 KADALUARSA

118 Diazepam tablet 5 mg Tablet

119 Dietilkarbamzin Sitrat tablet 100 mg Tablet 1000 1608005 Sep-21
120 Difenhidramin HCl injeksi 10 mg/ml - 1 ml Ampul
121 Digoksin tablet 0,25 mg Tablet 200 A7828LT Des-20
122 Diltiazem tablet Tablet
123 Dimenhidrinat tablet 50 mg Tablet
124 Doksisiklin kapsul 100 mg Kapsul 300 1308005 Okt-17
125 Domperidon suspensi 5 mg/ml Botol
126 Domperidon tablet Tablet
127 Efedrin HCl tablet 25 mg Tablet
128 Ekstrak Belladone tablet 10 mg Tablet
129 Endometasone N Set
130 Epinefrin HCl/bitatrat (Adrenalin) injeksi 0,1 % - 1 ml Ampul 20 97LC0094 Mar-20
131 Eritromisin kapsul 250 mg Kapsul
132 Eritromisin kapsul 500 mg Kapsul
133 Eritromisin sirup Botol
134 Erpha Livita Baby Drop Botol
135 Erya Forte 500 mg Tablet
136 Etakridin (Rivanol) larutan 0,1 % Botol 16 12061788 Mei-20
137 Etambutol HCl tablet 250 mg Tablet
138 Etambutol HCl tablet 500 mg Tablet
139 Etanol 70 % Botol
140 Etanol 70 %(1000 ml) Botol 23 25041788 Mar-21
141 Ethiperan Injeksi Ampul
142 Etil Klorida semprot Botol
143 Eugenol cairan Botol
144 Famotidin tablet 20 mg Tablet
145 Famotidin tablet 40 mg Tablet
146 Feeding Tube No. 3,5 (35 cm) Set
147 Feeding Tube No. 5 (100 cm) Set
148 Feeding Tube No. 8 (100 cm) Set
149 Fenitoin Natrium injeksi 50 mg/ml Ampul
150 Fenitoin Natrium kapsul 100 mg Kapsul
151 Fenitoin Natrium kapsul 30 mg Kapsul
152 Fenobarbital injeksi 50 mg/ml - 2 ml Ampul
153 Fenobarbital tablet 100 mg Tablet
154 Fenobarbital tablet 30 mg Tablet 500 E81096B Apr-23
155 Fenoksimetil Penisilina tablet 250 mg Tablet
156 Fenoksimetil Penisilina tablet 500 mg Tablet
157 Fenol Gliserol tetes telinga 10 % Botol 17 18LF007 Jun-20
158 Ferriz Baby Drop Botol
159 FG Troches Tablet
160 Film IV Dress 67 P Box
161 Film IV Dress 67 S Box
162 Film IV Dress 78 P Box
163 Fitomenadion ( Vit k 1 ) injeksi 10 mg/ml - 1 ml Ampul 70 6478066 Nov-19
164 Fitomenadion ( Vit k 1 ) tablet salut 10 mg Tablet 1850 638103 Jan-20
165 Flucadek tablet Tablet
166 Fluconazole 150 mg Tablet
167 Flucort N cream Tube
168 Fluoksetin (foransi 10 mg) Tablet
169 Folley Cateter 2 Way 30 cc No. 14 Set
170 Folley Cateter 2 Way 30 cc No. 16 Set 9 1612022025 Nov-21
171 Folley Cateter 2 Way 30 cc No. 18 Set 9 1411021811 Okt-19
172 Fundifar Tablet
173 Furosemida injeksi 10 mg Ampul
174 Furosemida tablet 40 mg Tablet 1900 A0414HT Sep-20
175 Garam Oralit untuk 200 ml air Sachet
176 Genoint Salep Mata (Gentamisin 0.1 % Salep Mata) Tube 7 1411021811 Okt-19
177 Gentamicin Injeksi 40 mg/ml Ampul
178 Gentamisin salep kulit 0,1 % Tube
179 Gentamisin sulfat tetes mata 0,3 % Botol 11 S23043 Apr-22
 SISA STOK TGGL
KODE NAMA OBAT SATUAN No BATCH
30 Juni 2019 KADALUARSA

180 Gentian Violet larutan 1 % Botol 25 S24043 Apr-22

181 Geriavita Tablet
182 Glass Ionomer Cement Set
183 Glibenklamid tablet 5 mg Tablet 1700 1610079 Nov-21
184 Glimepirid 1 mg Tablet
185 Gliseril Guaiakolat tablet 100 mg Tablet 3100 180508155 Mei-22
186 Gliserin Botol
187 Glukonas Kalsikus Injeksi 10 % Ampul
188 Glukosa larutan infus 10 % steril Botol 40 270113 Des-19
189 Glukosa larutan infus 40 % steril Botol
190 Glukosa larutan infus 5 % steril Botol 36 270326 Feb-20
191 Grahabion tablet Tablet
192 Gralysin syr Botol
193 Griseofulvin tablet 125 mg Tablet 950 1509014 Nov-20
194 Griseofulvin tablet 250 mg (Micostop 250 mg) Tablet
195 Gutta Perca Set
196 Haloperidol Decanoat Inj 50 mg/ml Ampul 10 6009 Okt-19
197 Halloperidol 5mg Tablet
198 Haloperidol tab 2 mg Tablet
199 Haloperidol tablet 1,5 mg Tablet 2030 1705116 Mei-20
200 Haloperidol tablet 0,5 mg Tablet 2033 170308 E Mar-20
201 Hand Rub 500 ml Botol 10 5061788 Mei-20
202 Hcg Pregnancy Test Set 241 16026002 Jan-22
203 Hemafort Tablet 800 K60345B Okt-21
204 Hidroklorotiazida (HCT) tablet 25 mg Tablet 700 E81173T Mei-22
205 Hidrokortison krim 2,5 % Tube 156 6027008 Apr-22
206 Hustab Tablet 1710 6028037 Okt-21
207 Hustab Syr Botol
208 Hyascine-N- Butil Bromida Tablet
209 Hyoscine Butil Bromida inj Ampul
210 Ibuprofen Suspensi 100 mg/ 5 ml Botol 47 S10050AH Okt-20
211 Ibuprofen Suspensi 200 mg/ 5 ml Botol
212 Ibuprofen tablet 200 mg Tablet
213 Ibuprofen tablet 400 mg Tablet 300 B 1911921 Sep-21
214 ID Band Red ( Adult) Set
215 ID Band Red ( Child) Set
216 Imerson Oil Botol
217 Immustrum syr Botol
218 Infusion set anak Set 204 2021588 Jan-20
219 Infusion set dewasa Set 57 1031688 Feb-21
220 INH Anak Tablet
221 Interzinc Syrup Botol
222 Intunal Forte Tablet
223 Isoniazida tablet 300 mg Tablet
224 Isosorbit Dinitrat tablet subligual 5 mg Tablet 300 A2358JV Okt-22
225 Isotic Clearens Botol
226 Isotic Neolyson Botol
227 IV cateter No. 16 Set
228 IV cateter No. 18 Set 66 40882/0802 Des-19
229 IV Cateter No. 20 Set 97 170620 Mei-22
230 IV cateter No. 22 Set 75 40851/0782 Des-19
231 IV Cateter No. 24 Set 112 71222/1054 Jan-23
232 Jarum Extirsipasi Set
233 Jarum File Set
234 Jarum jahit bedah (steri) no 9 s/d 14 Set 24 MD1082876
235 Kaca Objek ( Objek Glass) Set
236 KA-EN 1B Botol
237 KA-EN 3A Botol
238 KA-EN 3B Botol
239 Kalium diklofenak tablet 25 mg Tablet
240 Kalium diklofenak tablet 50 mg Tablet 350 HTDPSA82013 Apr-20
241 Kalium Permanganat serbuk Botol
 SISA STOK TGGL
KODE NAMA OBAT SATUAN No BATCH
30 Juni 2019 KADALUARSA

242 Kalsium Hidroksi Pasta Set

243 Kalsium Laktat (Kalak) tablet Tablet 2700 171395 Jul-19
244 Kapas Berlemak 500 gram Rol 1
245 Kapas Pembalut / Absorben 250 gram Rol 7 1091688 Okt-21
246 Karbamazepain tablet 200 mg Tablet
247 Kasa 10 x 80 cm Rol
248 Kasa 40 x 80 Rol 3 03288MX N/A
249 Kasa 5 x 80 cm Rol
250 Kasa Gulung 36 x 80 Rol
251 Kasa kompres 40/40 steril Set 30 15121488 Nov-19
252 Kasa Pembalut 2 m x 80 cm Rol
253 Kasa pembalut hidrofil 4 m x 15 cm Rol
254 Kasa pembalut hidrofil 4 m x 3 cm Rol
255 Kasa Pembalut Hidrofil 4 x 10 Rol
256 Kasa Steril 16 x 16 (Kasa Kotak) Kotak
257 Ketoknazole Krim 2 % Tube 40 D80852T Apr-22
258 Ketoknazole tablet 200 mg Tablet
259 Ketoprofen Suppositoria 100mg ( Fetik Supp) Supp 20 R003G067 Agu-19
260 Ketoprofen Tablet 100 mg Tablet
261 Klopidogrel 75 mg Tablet 530 4860558 Jul-19
262 Kloramfekort krim Tube
263 Kloramfenikol kapsul 500 mg Kapsul
264 Kloramfenikol kapsul 250 mg Kapsul 300 85325003 Feb-20
265 Kloramfenikol salep mata 1 % Tube 31 D81072W Apr-21
266 Kloramfenikol suspensi Botol
267 Kloramfenikol tetes mata 0,5 % Botol
268 Kloramfenikol Tetes telinga 3 % Botol 10 653018 Des-19
269 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet 3700 160864152 Agu-20
270 Klorfeson krim Tube
271 Klorokuin Fosfat tablet 150 mg Tablet
272 Klorokuin tablet 250 mg Tablet
273 Klorpromazin HCl inj. 25 mg/ml - 2 ml Ampul
274 Klorpromazin HCl inj. 5 mg/ml - 2 ml Ampul
275 Klorpromazin HCl tablet salut 100 mg Tablet 1370 170595 Apr-19
276 Klorpromazin HCl tablet salut 25 mg Tablet
277 Klorpropamid tablet 100 mg Tablet
278 Klozapin 25 mg Tablet 900 170957 Mei-21
279 Kodein HCl tablet 10 mg Tablet
280 Kombinasi Pirimetamin 25 mg + Sulfadoksin 500 mg Tablet
281 Kontrasepsi Injeksi Depoprogestin/Suntik KB 3 Bln Tablet
282 Kotrimoksazol dewasa tablet Tablet 05215 E 0090 Mei-19
283 Kotrimoksazol pediatrik tablet Tablet
284 Kotrimoksazol Forte Kombinasi 800 mg/160 mg Tablet
285 Kotrimoksazol suspensi Botol 26 2708014 Agu-19
286 Kuinin (Kina) tablet 200 mg Tablet 180 A70025B Des-21
287 Kuinin Dihidroklorida injeksi 25 % - 2 ml Ampul
288 Lansoprazol kapsul 30 mg Kapsul 230 18LP1027 Jul-22
289 Larutan Anisol Botol
290 Larutan Asam Klorida 0,1 N Botol
291 Larutan Benedict Botol
292 Larutan EDTA 10 % Botol
293 Larutan Eosin 2 % Botol
294 Larutan Etanol Asam Botol
295 Larutan Giemsa Stain Botol
296 Larutan Hayem Botol
297 Larutan Iodium 1 % Botol
298 Larutan Karbol Fuksin Botol
299 Larutan Metilen Biru Botol
300 Larutan Na Citrat 3,13 % Botol
301 Larutan Rees Ecker Botol
302 Larutan Turk Botol
303 Larutan Xylol Botol
 SISA STOK TGGL
KODE NAMA OBAT SATUAN No BATCH
30 Juni 2019 KADALUARSA

304 Laxadine Emulsi 30 ml Botol 10 E 1702 Mei-20

305 Laxana tablet Tablet
306 Laxarec supp Supp
307 Leukoplast 1622 H ( plaster 2,5 cm x 4,5 M) Set
308 Leukoplast 1625 H ( plaster 7,5 cm x 4,5 M) Set
309 Levofloksasin 0,5% tetes mata ( Optiflox) Botol
310 Levofloksasin kapsul 500 mg Kapsul 500 13318D0020 Apr-21
311 Lexapram 5mg/5 ml syrup Botol
312 Lexavit kaplet Kaplet
313 Lidokain (Pehakain) injeksi 2% Ampul
314 Lidokain injeksi 2 % Ampul
315 Lidokain Kompositum injeksi Ampul 87 171F003 Jun-21
316 Linkomisin kapsul 250 mg Kapsul
317 Linkomisin kapsul 500 mg Kapsul
318 Lisol Botol 3 30061888 Mei-21
319 Livron B Plex Tablet 300 16172014 Mar-20
320 Loperamida 2 mg tablet Tablet 700 70312 Des-19
321 Loratadine tablet 10 mg Tablet 800 TPF 406496 Mei-19
322 Lorazepam 2 mg Tablet
323 Lyscavit Syrup Botol 23 ML 1031 Des-20
324 Lytamin Sirup Botol
325 Magnesium Sulfat inj (IV) 20% - 25 ml Ampul
326 Magnesium Sulfat inj (IV) 40% - 25 ml Ampul
327 Magnesium Sulfat serbuk 30 gram Sachet
328 Masker Set 2350 16101787
329 Masker N 95 Set
330 Masker Oxygen ( Dewasa) Set 3 OMA 160802 Agu-21
331 Masker Oxygen (Anak) Set 5 OMC 161002 Okt-21
332 Mebendazol tablet 100 mg Tube
333 Mebendazole 500 mg (Vermox) Tablet
334 Melavita Cream ( Asam Retinoat 0.1 %) Tube
335 Meloxicam kapsul 15 mg Tablet
336 Meloxicam kapsul 7,5 mg Kapsul
337 Merviton Tablet Tablet
338 Metampiron 500 mg, Diazepam 2 mg Tablet
339 Metanol Botol
340 Metformin kapsul 500 mg Tablet
341 Metil Prednisolon tablet 4 mg Tablet 4500 MOZAAG035 Agu-21
342 Metilergometrin Maleat injeksi 0,200 mg - 1 ml Ampul 85 97LC0054
343 Metilergometrin Maleat tablet salut 0,125 mg Tablet 1700 DE1082J Apr-20
344 Metilprednisolon 8 mg tablet Tablet
345 Metoklopramide injeksi 5 mg/ml Ampul
346 Metoklopramide sirup 5 mg/ml Botol
347 Metoklopramide tablet 10 mg Tablet 580 I 141043 B Sep-19
348 Metronidazol infus Botol
349 Metronidazol tablet 250 mg Tablet 500 BK 91271 Nov-21
350 Metronidazol tablet 500 mg Tablet 400 B 1912630 Sep-21
351 Metronidazole 500 mg Supp ( Vagizol Ovula) Supp 24 G71575W Jul-21
352 Miconazol krim 2 % Tube
353 Mixing Pad Tablet
354 Molagit tablet Tablet
355 Monoklorkamfer Mentol cairan (CHKM) Set
356 Mucohexin tab Tablet
357 Muliavit Syr Botol
358 Mummifying pasta Set
359 Mycorine Powder ( Miconazole 2 %) Botol 13 H1602 Agu-21
360 Nasal Canula (Selang Oksigen) Anak Set 2 1071588
361 Nasal Canula Bayi Set 1 3011488
362 Nasal Canula Dewasa Set 3 3041788
363 Natrium Bikarbonat tablet 500 mg Tablet 700 1708111 Agu-21
364 Natrium Diklofenat tablet 25 mg Tablet 1450 16364021 Jun-23
365 Natrium Diklofenat tablet 50 mg Tablet 1900 16365039 Jun-21
 SISA STOK TGGL
KODE NAMA OBAT SATUAN No BATCH
30 Juni 2019 KADALUARSA

366 Natrium Klorida larutan infus steril 0,9 % Botol

367 Natrium Tiosulfat injeksi 25 % - 2ml Ampul
368 Natrium Tiroksin 100 ug Tablet
369 Neocenta Gel Tube 10 811007/24950 Jul-21
370 Neurosanbe Plus kaplet Kaplet
371 Neurovit E tablet Ampul
372 Nice Care Under Pad Set
373 Nipedipin tablet 10 mg Tablet 1800 BN47H4191 Jun-21
374 Nistatin 100.000 iu/ g tablet vagina Tablet 500 85372010 Agu-19
375 Nistatin 500.000 iu tablet salut Tablet 100 16371003 Apr-21
376 Nocandis drop Botol
377 Nodiar tablet Tablet
378 Noza Tablet 700 16046012 Agu-22
379 Obat Anti Tuberkuloisi Kategori Anak paket
380 Obat Anti Tuberkulosis Kategori 1 paket 1 G82154J Mar-21
381 Obat Anti Tuberkulosis Kategori 1 (Kombipak) paket
382 Obat Anti Tuberkulosis Kategori 2 paket
383 Obat Anti Tuberkulosis Kategori 2 (Kombipak) paket
384 Obat Anti Tuberkulosis Kategori Sisipan paket
385 Obat Batuk Hitam (OBH) cairan Botol 78 31107601 Okt-19
386 Obat Batuk Hitam (OBH) Plus cairan Botol
387 Ofloksasin tablet 200 mg Tablet
388 Ofloxacin tablet 400 mg Tablet 200 1710027 Okt-19
389 Oksitetrasiklin HCl injeksi i.m 50 mg/ml - 10 ml Ampul
390 Oksitetrasiklin HCl salap 3 % Tube 89 D81009W Apr-21
391 Oksitetrasiklin HCl salap mata 1 % Tube
392 Oksitosin injeksi 10 iu/ml - 1ml Ampul 44 97LE0095 Mei-20
393 Omedeson 0,5 mg tablet Tablet
394 Omeprazol kapsul 20 mg Kapsul 1530 18100753 Okt-20
395 Orphen Tablet Tablet
396 Oxfezin syr Botol
397 Oxycan Botol
398 Parasetamol Drop Botol 13 1810085 Okt-20
399 Parasetamol sirup 120 mg/5 ml Botol 92 A81626 Agu-20
400 Parasetamol tablet 100 mg Tablet
401 Parasetamol tablet 500 mg Tablet 2600 A81775 Agu-20
402 Pehavral Tablet
403 Pembalut Gips Set
404 Perfenazin HCl tablet 4 mg Tablet
405 Pethidin HCl injeksi 50 mg / ml - 2 ml Ampul
406 Pharmaton Formula Kapsul
407 Pil KB Kombinasi- Bliss 28 Tab Tablet
408 Pilokarpin HCl/Nitrat tetes mata 2 % Botol
409 Piracetam injeksi 1 g/5 ml Ampul
410 Piracetam injeksi 3 g/5 ml Ampul
411 Piracetam sirup Botol
412 Piracetam tablet 400 mg Tablet
413 Piracetam tablet 800 mg Tablet 200 CPCMA80036 Mar-20
414 Pirantel tablet 125 mg Tablet 100 1710042 Okt-19
415 Pirazinamida tablet 500 mg Tablet
416 Piridoksin HCl tablet 10 mg Tablet 300 F70903B Mei-20
417 Piridoksin HCl tablet 25 mg Tablet
418 Piroksikam kapsul 10 mg Kapsul
419 Piroksikam kapsul 20 mg Kapsul 1800 A0645LU Des-21
420 Plester 5 yard x 2 inch Rol
421 Povidon Iodida larutan 10 % - 30 ml Botol 39 15121688 Nov-19
422 Povidon Iodida larutan 10 % - 300 ml Botol 13 10041888 Mar-21
423 Povidone Iodine 10 % 60 ml Botol
424 Prednison tablet 5 mg Tablet 4200 1808065 Agu-20
425 Primakuin tablet 15 mg Tablet
426 Pritavit Kapsul
427 Prokain Benzil Penisilin 3 juta iu/vial injeksi Vial
428 Prolysin Syrup Plus Botol
429 Propanolo HCl tablet 40 mg Ampul
430 Propect tab/Ambroksol Tablet
431 Propitiourasil tablet 100 mg Tablet 500 BN49E0054 Apr-22
 SISA STOK TGGL
KODE NAMA OBAT SATUAN No BATCH
30 Juni 2019 KADALUARSA

432 Rabies Immune Globulin (Human) 150 iu/ml Vial

433 Ranitidin injeksi 25 mg/ml Ampul 149 97MF0028 Jun-21
434 Ranitidin tablet 150 mg Tablet
435 Reagen Golongan Darah Anti A Botol
436 Reagen Golongan Darah Anti B Botol
437 Reserpin tablet 0,10 mg Tablet
438 Reserpin tablet 0,25 mg Tablet
439 Retinol (Vitamin A) kapsul 100.000 iu Kapsul
440 Retinol (Vitamin A) kapsul 200.000 iu Kapsul
441 Rifampisin kapsul 300 mg Kapsul
442 Rifampisin kapsul 450 mg Kapsul
443 Rifampisin kapsul 600 mg Kapsul
444 Ringer laktat larutan infus steril Botol 236 F182103 Sep-20
445 Risperidone 2 mg Tablet
446 Risperidone 1 mg Tablet
447 Safety Box kotak
448 Salbutamol tablet 2 mg Tablet
449 Salbutamol tablet 4 mg Tablet 1500 YE351G Mei-22
450 Salep 2 - 4 kombinasi Tablet
451 Salisil Bedak 2 % Kotak 23 D42802 Mei-21
452 Sammoxin 500 mg tablet Tablet
453 Sanbe Kids Botol
454 Sangatonik kapsul Kapsul
455 Sarung Tangan Obgyn Steril Psg
456 Scabicid krim Tube
457 Scabimite krim Tube
458 Selcom - C kaplet Kaplet
459 Selvi Plex Tablet 2700 64674 Nov-20
460 Semen Seng Fosfat serbuk dan cairan Set
461 Serum anti bisa ular polivalen injeksi 50 mg (ABU) Ampul
462 Serum anti tetanus inj. 1.500 iu/ampul (a.t.s ) Ampul
463 Serum anti tetanus inj. 20.000 iu/ampul (a.t.s ) Ampul
464 Sianokobalamin (Vitamin B12) injeksi 500 mcg/ml Ampul
465 Sianokobalamin (Vitamin B12) tab 50 mcg Tablet
466 Silk (benang bedah sutera) no. 3/0 Set 64 31122014 Nov-19
467 Silver Amalgam serbuk 65 - 75 % Set
468 Simvastatin tablet 10 mg Tablet
469 Simvastatin tablet 20 mg Tablet
470 Simvastatin tablet 5 mg Tablet
471 Soft U Derm Hydro Urea Krim 10% Tube
472 Solvita Plus Syrup Botol
473 Spiramisin tablet 500 mg Tablet
474 Stesolid Suppositoria 10 mg Supp
475 Stesolid Suppositoria 5 mg Supp
476 Stomach tube FG 16 Set
477 Stomach tube FG 18 Set
478 Sulfadimidin tablet 500 mg Tablet
479 Sulfametoksazol 800 mg + Trimetoprim 160 mg Tablet
480 Supra Flu tablet Tablet
481 Suprabion tablet Tablet
482 Surgcal Gloves Non Steril L/ Handscoen Non Steril L Psg 50 68143 88194 Mar-23
483 Surgcal Gloves Non Steril M/Handscoen Non Steril M Psg
484 Surgical Glove Steril No 6,5 Psg
485 Surgical Gloves Non-Steril No 7 Psg
486 Surgical Gloves Non-Steril No 7,5 Psg
487 Surgical Gloves Steril No 7 Psg 83 3072170 Agu-22
488 Surgical Gloves Steril No 7,5 Psg 198 2757275 Mar-21
489 Surgical Tape 2.5 cm x 910 cm Psg
490 Surgical Tape 5 cm x 10 M (AXIMED) Pcs
491 Surgical Tape 1.25 cm x 10 M (AXIMED) Pcs
492 Tablet Tambah Darah Kombinasi Tablet 24435 H719XXB Agu-19
493 Tambalan Sementara Set
494 Tamiflu Tablet
495 Tarivid Otic Solution (Ofloxacin Tetes Telinga) Botol
496 Temporary stopping Fletcher serbuk dan cairan Set
497 Tetrakain HCl tetes mata Botol
498 Tetrasiklin HCl kapsul 250 mg Kapsul 500
499 Tetrasiklin HCl kapsul 500 mg Kapsul
500 Thiamphenicol kapsul 250 mg Kapsul
501 Thiamphenicol kapsul 500 mg Kapsul
 SISA STOK TGGL
KODE NAMA OBAT SATUAN No BATCH
30 Juni 2019 KADALUARSA

502 Thramed Kapsul Kapsul

503 Tiamin HCl (Vit B 1) inj. 100 mg/ml - 1 ml Ampul
504 Tiamin HCl monohidrat (Vit B 1) tablet 50 mg Tablet 4800 1705-20-151 Mei-21
505 Tramadol injeksi 50 mg / ml Ampul 150 470034 Apr-20
506 Tramadol tablet 50 mg Tablet
507 Trifastan 500 mg tablet Tablet
508 Trifluoperazin 5 mg Tablet
509 Triheksifenidil Hidroklorida tablet 2 mg Tablet 1180 1708052 Agu-19
510 Trikresol Formali (TKF) cairan Set
511 Ulsidek 500 mg (Sucralfat) Tablet
512 Umbilical Cord Clamp Set 92 UCC170102 Jan-22
513 Urine Bag non steril Set 9 9111688 Okt-22
514 Vitalex kapsul Kapsul
515 Vitamin B komplek tablet Tablet 1800 18TF041 Jun-21
516 Wing Needle Set 100 15022015 Jan-20
517 Yodium kapsul Kapsul
518 Zink Dispersible Tablet 2500 G82025J Jul-20
519 Mineral Mix Sachet

Mengetahui / Menyetujui Pendalian, 30 Juni 2019

Kepala Puskesmas Pendalian IV Koto Penanggung Jawab Obat PKM

(WANA IRWANA, SKM) (MASRUHIN,S.Farm,Apt)

NIP. 19690315 199101 1 0001 NRPK. 04.6.0501877