Mutasi Gudang Ipfk 2021

MUTASI GUDANG
KODE PUSKESMAS : 35881301

PUSKESMAS : SUKODONO
KECAMATAN : SUKODONO BULAN
KAB / KODYA : LUMAJANG TAHUN
PROPINSI : JAWA TIMUR
SATUAN STOK PEMBERIAAN

PERSEDIAA
NO. NAMA OBAT TERIMA RUANG
KEMASAN AWAL N PERSA IGD/ DWH KUTO KARANG BONDO SUMBE KEBON SELOK
OBAT
LINAN RANAP LOR RENON SARI YUDO REJO AGUNG BESUKI
1 2 3 4 5 6 8 9 10 11 12 13 14 15
1 Acetosal/Acetylsalicylic Acid Tablet 80 mg (MINIASPI) Tablet 500 500 500

2 Air Untuk Inj Vial @25 ml Vial 297 297 57
3 Alopurinol Tablet 100 mg Tablet 2,700 2,700
4 Alopurinol Tablet 100 mg ( Sampharindo Perdana) Tablet 3,400 3,400 1000 100
5 Ambroxol Tablet 30 mg Tablet - -
6 Aminofilin Inj 24 mg/ml Ampule - -
7 Aminofilina Tablet 200 mg Tablet - -
8 Amlodipin Tablet 10 Mg Tablet 7,100 7,100 3000 100
9 Amoksisilin Kaplet 500 mg Tablet 10,000 10,000 2000 100 100
10 Amoksisilin Syrup Kering 125 mg / 5 ml Botol 400 400 5 5
11 Amoksisilin Kaplet 500 mg Botol 4,700 4,700 4400 300
Amoxiclav 625 mg (Amoksisilin 500 mg, Clavulanat 125 mg) /
12 Kaplet
CLABAT,CAPSINAT - -
13 Ampicilin Serbuk Inj i.v 1.000 mg/vial (Viccilin) Vial

450 450 50
14 Antacida + Simeticon Susp (Berlosid) Botol - -
15 Antacida + Simeticon Tablet Kunyah Aludonna/Magten/Acitral(Promedharjo) Tablet

- -
Antasida Tablet Kunyah Kombinasi : Aluminium Hydroxide 200 mg +

16
Magnesium Hydroxide 200 mg
Tablet 100
5,700 5,700
17 Anti Bakteri Doen Salep Kombinasi ( Indo Farma ) Tube

- -
Antifungi Doen Salep, Kombinasi : Asam Benzoat 6%+Asam Salisilat 3%
18 Pot
(Marin ) - -
Antihemoroid Supp (Bismuth Subgallate 150 mg,Hexachlorophene 2,5 mg,

19 Supp
Lignocaine 10 mg,Zincoxide 20 mg
- -
Antihemoroid Tablet (Extrak Graptophili Folium 80% Citrus Bio 20% )

20 Kapsul
Hemorrogard (Phapros)
90 90
PERSEDIAA
OBAT
21 Asam Ascorbat 250 mg (Tempo Scan Pacific) Tablet
- -
22 Asam Folat 1 mg Beta Caroten 10000 Multi Mineral/ Folamil (Dexa Medica) Tablet
-
23 Asam Folat Tablet 1 mg ( Marin Liza Farmasi ) Tablet

3,800 3,800 100
24 Asam Mefenamat 500 mg ( Mersi ) Tablet 10,000 10,000
25 Asam Pipemidat 400 mg (Urinter )(Interbat ) Kapsul - -
26 Asam Tranexamat 100 mg/@5 ml Injeksi Ampule 10 10
27 Asam Tranexamat Tablet 500 mg (Plasminex) Tablet

- -
28 Asiklovir 5% 5gr Cream Tube 18 18 3 5 5
29 Asiklovir Tab 400 mg ( Phapros ) Tablet 650 650 50
30 Atropin Sulfat Injeksi 0,25 mg/ml Ampule - -
31 Attapulgite Active 600 mg Tab/ New Diatab Tablet

1,900 1,900
32 Attapulgite Active 600 mg Tab/ Papulex Tablet 3,450 3,450
33 Betahistin Mesylat 6 mg Tablet 3,000 3,000 500
34 Betametason Krim 0,1% (Kimia Farma ) Tube 108 108 50 5
35 Bisakodil Suppositoria 10 mg ( Boehringer Ingelheim )/ dulcolax Supp

- -
36 Bisakodil Tablet 5 mg (Etercon Pharma ) Tablet - -
37 Bricasma Respules Terbutalin Cairan IH 2,5 mg/ml (Astra Zeneca ) Biji

- -
38 Bromheksin Tablet 8 mg /bronkis Tablet - -
39 Budesonid Formoterol Inhaler 160/4,5 mcg/Symbicort (Astra Zeneca) Botol

- -
Calcium Plus Vit D3 (Aquamin Setara Elemntal Kalsium 400 mg,Vit D3 200
40
IU /Calnic Plus (Gracia Pharmindo)
Tablet - -
41 Cefadroksil Kapsul 500 mg Kapsul 2,900 2,900
42 Cefadroksil Kapsul 500 mg orange Kapsul - -
43 Citicolin 250 mg / 2 ml Inj /Cercul (Phapros ) Ampule - -
44 Curcumin Plus Cynarin,Sylimarin,Kapsul/ Hepagard (Phapros) Tablet

1,860 1,860 900
45 Deksametason Inj iv/ im 5 mg/ ml (Bernofarm) Ampule 25 25
46 Deksamethason Tab 0,5 mg (Promed ) Tablet 1,300 1,300 1000
47 Desoksimetason Krim 0,25% 15G ( Dexa Medica) Tube

- -
48 Dextromertofan Komb Sy/ Bantif (Interbath) Botol - -
49 Diazepam Enema 5 mg/2,5 ml (Actavis )Stesolid 5 mg Biji

- -
50 Diazepam Inj 5 mg / ml-2 ml /Valisanbe (Sanbe Farma ) Ampule

-
PERSEDIAA
OBAT
51 Diazepam Tablet 2 mg/ Valisanbe Tablet - -
52 Difenhidramin Inj 10 mg/ ml (Phapros ) Ampule 300 300
53 Digoksin Tab 0,25 mg (Yarindo Farmatama ) Tablet - -
54 Dimenhidrinat Tablet 50 mg (Kimia Farma ) Tablet 2,800 2,800
55 Domperidon Tab 10 mg (Dexa Medica ) Tablet 1,550 1,550
56 Domperidon Suspensi 5 mg /5 ml Botol 120 120
57 Epinefrin (Adrenalin) Inj 1 mg/ ml 0,1% (Ethica ) Ampule - -
58 Epinefrin (Adrenalin) Inj 1 mg/ ml 0,1% (Ethica ) Ampule 30 30
59 Erythromycin Syrup Kering 200 mg/5 ml Botol - -
60 Fenobarbital Inj 50 mg/ ml Ampule - -
61 Fenobarbital Tablet 30 mg Tablet - -
62 Fitomenadion (Vit K1)Inj 10 mg/ ml I.M ( Phapros ) Ampule
- -
63 Fitomenadion (Vit K1)Inj 2 mg/ ml I.M (Phapros ) Ampule
155 155 30
64 Fitomenadion Tabet 10 mg (Phapros ) Tablet 80 80
65 Fluconazole Kapsul 150 mg Kapsul - -
66 Furosemid Tablet 40 mg (Sampharindo Perdana ) Tablet

200 200
67 Furosemide Injeksi 10 mg/ ml (Indofarma) Ampule

- -
68 Garam Oralit 200 ml Biji 3,900 3,900
69 Gemfibrozil 300 mg Kapsul Tablet - -
70 Gentamisin Sulfate tetes mata 0,3% ( ERELA) Ampule

215 215
71 Gentamycin Cream 1 % mg/ ml BOTOL 116 116 72 2 2
72 Gentian Violet 1% 10 ml (Cito Ciubrus Farma) Botol

- -
73 Glibenklamid Tablet 5 mg Tablet 4,900 4,900 1000 100 200
74 Gliseril Guaikoulat Tablet 100 mg (kaleng) Tablet 9,100 9,100 100 200
75 Gliseril Guaikoulat Tablet 100 mg Botol

4,600 4,600
76 Glucosa 25G + Sodium Chlorida 2,125 G (Ds1/2Ns) Botol

- -
77 Glukosa Larutan Infus 5% @500ml (Widatra ) Botol

-
78 Glukosa Larutan 40% Steril ( Outsuka ) Botol 18 18 18
Glukosamin Sulphat 2 Kcl 400 Mg,Kondroitin So4 250Mg,Msm 75 Mg

79 Turmeric (Root) 80Ml,Boswelia Serrata Extrac 50Mg,White Tablet
Willow37,5Mg /Ociitin (Gracia Pharmindo)
- -
80 Griseofulvin Tablet 125 mg Tablet - -
81 Hidroklorotiazid (Hct) Tablet 25 mg Tablet - -
82 Hidrokortison Krim 2,5% (Kimia Farma ) Tube 47 47 47
PERSEDIAA
OBAT
83 Hidrokortison Krim 2,5% (Kimia Farma ) Preflied

168 168 1 5 5
84 Hyoscine N- Butylbromide 20 mg Inj/ Gitas (Interbath ) Ampule

150 150 50
85 Ibuprofen Susp 200 mg/5 ml (Indo Farma ) Botol - -
86 Ibuprofen Tablet 400 mg Botol 6,600 6,600
87 Isoniazid Tablet 100 mg + Piridoxina Hcl 5 mg (Suprazid) Tablet

- -
88 Isoniazid Tablet 400 mg + Piridoxina Hcl 5 mg (Suprazid Forte) Tablet

- -
89 Isosorbid Dinitrat Tab Sublingual 5 mg ( Yarindo ) Tablet

100 100
90 Ka-En 1B Inj Larutan @500 ml (Otsuka) Botol - -
91 Ka-En 3A Inj Larutan @500 ml (Otsuka) Botol - -
Kalium Diklofenak Tab 50 mg /Diclofenac Potassium (Guardian
93 Tablet
Pharmatama) - -
94 Kalsium Laktat (Kalk ) Tab 500 mg (Mersi Farma) Tablet 5,000 5,000
95 Kaptopril Tab 25 mg ( Phapros ) Tablet 6,000 6,000 100 100 100
96 Ketokonazol cr Tube 205 205 30
97 Ketokonazol Tablet 200 mg (Novapharin ) Tablet 1,350 1,350
98 Ketorolac Inj 10mg/ml( Bernofarm ) Ampule - -
99 Ketorolak Inj 30 mg/ml (Hexpharm Jaya) Ampule - -
100 Klindamisin Tab 300 mg ( Mersi Farma ) Tablet - -
101 Kloramfenikol 1% Salep Mata/ Reco ( Sanbe ) Tube

- -
Kloramfenikol 3% Tetes Telinga :Kloramfenicol,Lidocain,Proplylenglycol
102
/Colme (Interbath)
Botol - -
103 Kloramfenikol Inj 1G/5 ml /Colcancetine Inj (Sanbe Farma) Vial

- -
104 Klorfeniramina Maleat (Ctm) Tab 4 mg (kaleng) Tablet 4,300 4,300 100 100
105 Klorfeniramina Maleat (Ctm) Tab 4 mg Tablet 4,000 4,000
106 Kolkisin Tab 500Mcg/ L-Cisin ( Lapi Laboratoris ) Tablet

- -
107 Kotrimoksasol Forte / Infantrim Forte Tab 960 mg ( Molex Ayus ) Tablet
2,750 2,750
Kotrimoksazol Kombinasi Tiap 5ml Suspensi : Sulfametoksazol 200mg +

108 Botol
Trimetropin 40 mg ( Holi Farma )
45 45
Krim Analgesik (setiap gram mengandung : Metyl Salisilat 102 mg, Eugenol
109 Tube
13,6 mg; Methol 53,4 mg, Vinishing Cream ad 1 gr/Molakrim
24 24 24
PERSEDIAA
OBAT
Krim Jelly Luka Bakar: Tiap Gram Mengandung Placenta Extract 100
110 Tube
mg,Neomycin Sulfat 5 mg /Centabio (Sanbe Farma)
72 72 18
Lactobasilus Rhamnosus R 11 2M + Laciophillus R-52 /Lacidofil (Dexa
111 Tablet
Medica) - -
Lidocain 2% + Ephinefrin 1:80000 2ml :Lidocain Inj Comp,Inj)/ Pehacain

112 Ampule
(Phapros)
- -
113 Lidokain Injeksi 2% + Epinefrin 1:80.000 - 2 ml (Lucas Djaja) Ampule

150 150 60
114 Lisinopril Tablet 10 mg (Dexa Medica ) Tablet - -
115 Loperamid Tablet 2 mg ( Ifars) Tablet 1,500 1,500
116 Loratadin Tablet 10 mg Tablet 1,150 1,150 500
Lutein 6mg,Bellberry : Mirtl Fructus Ext 80mg Kaps Suplemen

117 Tablet
Mata/Occugard (Phapros)
- -
118 Meloxicam Tab 15 mg (Bernofarm ) Tablet - -
119 Metamizol 500 mg + Diazepam 2 mg/Metaneuron (Phapros) Tablet

- -
120 Metamizol Sodium Inj 500 mg/ml (Santagesik/ Antrain/ Norages) Ampule
2,395 2,395 500
121 Metformin Hcl 500 mg (Tempo Scan Pacific ) Tablet

- -
122 Methylergometrin Maleat Tablet 0,125 mg Tablet 150 150
123 Metilergometrin Inj 0,2 mg/ml (Ethica ) Ampule 50 50
124 Metilprednisolon Tab 8 mg (Bernofarm) Tablet 1,300 1,300
125 Metoklopramide Tablet 10 mg ( Kimia Farma ) Tablet

1,150 1,150 100 100
126 Metoklopramide Tablet 5 mg ( Kimia Farma ) Tablet

- -
127 Metronidasol 125mg/2ml Botol - -
128 Metronidasol 500 mg Tablet (Molazol) Tablet 300 300 300
129 Metronidasol Infus 500 mg/100ml Botol - -
130 Miconazol Cream 2% 10 Gr (Kimia Farma ) Tube - -
131 Minyak Kayu Putih 60 ml /Gajah Botol 4 4
132 Multivitamin B1 100,B6 200,B12 500Mcg Inj (Biocombin) / mersibion Ampule

85 85 20
133 Multivitamin C 750 mg ,Asam Folat+ Mineral / Vitner -Z ( Molex Ayus ) Tablet
- -
Multivitamin Curcuma Syr:L-Lysyin 200mg,Betacaroten 1000 IU vit B1 3

134 Botol
mg, B12 Curcuminoid 2ml /Lytacur( Interbath )
379 379 43 5
PERSEDIAA
OBAT
Multivitamin Neurotopic Plus Atp Tablet:B1 100,B6 200,B12 200Mcg,Vit E

135 Tablet
30mg ,Atp 20mg /Bio Atp (Phapros )
- -
Multivitamin Neurotopic Tablet : B1 100,B6 200,B12 200 mg/Probion

136 Tablet
( Promedraharjo )
- -
Multivitamin Tab Tambah Darah : Oer Tablet Mengandung : Femofomarrat

137 300mg Mgso4 0,4mg,Cuso4 0,4 mg,Vit C 100mg ,Asam Folat 2 Mg,Vit B 12 Tablet
15Mcg,Faktor Intirinsik 25mg /Hemafort ( Phapros )
- -
138 Natrium Clorida 0,9% @500ml(Widatra ) Botol - -
139 Natrium Diklofenak Tab 50 mg (Phapros ) Tablet 500 500 500
140 Natrium Fusidat Krim 20mg/G (Ifars ) Tube - -
141 Nifedipin /Adalat Kapsul 30 mg (Bayer) Kapsul 210 210
142 Nifedipin Tab 10 mg ( Dexa Medica ) Tablet - -
143 Nistatin Vaginal Tab 100.000 IU/G (Phapros ) Tablet 190 190
144 Nyistatis Susp 100000 IU /Nymico (Sanbe Farma ) Botol

- -
Obat Batuk Herbal : Tiap 15 Ml Vitetrifolia Fill 1 Gr,Zingiber Officinalerhiz

145 0,25Mg,Abrusprecatorius Fol 0,25 Mg , Phaleria Macrocarpa Fruct 0,20 Mg / Botol
Herbakof (Dexa Medica )
- -
146 Obat Kumur +Hyaulorinic Acid 1% @ 200ml (Sanorine) Botol

20 20
147 Botol
179 179
148 Oksitosin Inj 10 UI/ml (Ethica) Ampule 400 400
149 Omeprazole Kapsul 20 mg Kapsul - -
150 Ondansetron Hcl Inj 2 mg/ 1ml ( Soho ) Ampule 355 355
151 Ondansetron Hcl Inj 2 mg/ 1ml ( Soho ) Tube 340 340
152 Paracetamol Tablet 500 mg Tablet 14,400 14,400 200 100 300 100 100
153 Paracetamol Supp 125 mg Supp - -
154 Paracetamol Syrup 120 mg/5ml (Mersi Farma) Botol

- -
Parasetamol Komb Tablet Batuk Berdahak:Paraset 400Mg,Bromheksin

155 Tablet
80Mg,Difenhidramin Hcl 25Mg/Hustab ( Phapros )
3,000 3,000 900
PERSEDIAA
OBAT
Parasetamol Komb Tablet Flu: Parasetamol 500Mg,Phenylpropanolamine

156 Tablet
HCl chlorpheniramine maleate ,dextromethorpan Hbr/Alpara ( Molex Ayus )
3,000 3,000
Parasetamol Komb Tablet Flu: Parasetamol 500Mg,Pseudofedrin 30Mg/Noza

157 Tablet
( Molex Ayus )
2,500 2,500
158 Perak Sulfadiazin Krim 1% / Sulfadiazine Silver ( Darya Varia L ) Tube

- -
159 Permetrin crem 5% @10 mg (Scabimite crem ) Tube
150 150 150
160 Piracetam Inj 1gr/5ml /Revolan (Sanbe Farma ) Ampule

20 20
161 Piracetam Tablet 800mg ( Indo Farma + Sanbe Farma ) Tablet

600 600 200
162 Piridoksin Hcl (Vit.B6)Tablet 10 mg Tablet 3,900 3,900 900 100
163 Poliresulen (Albotyl,Apetil) Botol - -
164 Prednison Tab 5 mg (Holi Pharma) Tablet 1,000 1,000 500
165 Propiltiourasil /Ptu 100 mg ( Dexa Medica ) Tablet - -
166 Pseudofedrin 60mg,Tripolidin 2,5mg (Eflin +Tremenza) Tablet

- -
167 Ranitidin Inj Hcl 25 mg/ml ( Quantum Labs ) Ampule 300 300 200
168 Ranitidin Tablet 150 mg (Hexapharm Jaya ) Tablet 2,400 2,400
169 Ringer Acetat Botol @500 ml ( Outsuka ) Botol - -
170 RINGER LACTAT Botol 500 ml( WIDATRA ) Botol 90 90
Salbutamol SO4 3,01 mg + Ipratonium Brom 0,52 mg Nebulizer
171 Nebule
(COMBIVENT) - -
172 Salbutamol Tab 4 mg ( Kimia Farma ) Tablet 2,000 2,000
173 Salep 2-4 Kombinasi : Asam Salisilat 2%+ Belerang Endap 4% (Marin ) Pot
87 87 5 3 5
174 Salisil Bedak Serbuk 2% (Rama Mulia Cosmetic ) Biji
77 77
175 Serum Anti Bisa Ular(S.A.B.U) Cairan Inj im/iv ( Bio Farma ) Vial
- -
176 Serum Antitoxin Diphteria Serum 10000 IU ( Vins ) Vial

- -
177 Setirizin Tab 10 mg ( Phapros) Tablet - 2,000 2,000 1400
178 Simvastatin Tablet 10 mg Tablet 1,260 1,260 60
179 Siprofloksasin Tablet 500 mg Tablet - -
180 Spironolacton 25 mg Tablet Tablet - -
PERSEDIAA
OBAT
181 Sukralfat Susp 500mg/5ml @100 ml ( Meprofarm ) Botol

25 25 25
182 Tetrasiklin Hcl Kapsul 500 mg Kapsul - -
183 Theophyline Tablet 150 mg (Bronsolvan) Tablet - -
184 Thiamin /Vitamin B1 50 mg (Novapharin ) Tablet - -
185 Thiamphenicol / Thiamfilex Kapsul 500mg ( Molex Ayus ) Kapsul

- -
186 Thiamphenicol/ Thiamfilex Susp 125 mg/5 ml ( Molex Ayus ) Botol

- -
187 Tiamin Hcl (Vit B1) Tablet 50 mg Tablet 1,600 1,600 100
188 Vit E400 Vegicap (Proxidan) Tablet - -
Vitamin B Komplek Plus Ekstrak Hati (Substansi Hati Kering 100 mg, Vit B1
HCl 0,25 mg B2 HCl 0,25 mg, B6 HCl 0,25 mg, B12 0,5 mg, Vit. C 12,5 mg,
189 Tablet
Calcium Pantetonat 1,5 mg, Nikotinamida 10 mg, Asam Folat 0,5 mg, FE (II)
Glikonat 7,5 mg, CuSO4 0,65 mg)
- -
190 Vitamin B Kompleks ( Kimia Farma ) Tablet 3,000 3,000
191 Zinc Sulphate syr /Interzinc 10 mg/ml (Interbat ) Botol

150 150 24
192 Zinc Sulphate Tablet Dispersible 20 mg (Kimia Farma ) Tablet

1,000 1,000 1000
BMHP 2017 - -
193 Accu- Chek Safe-T-Pro Uno (Roche) Biji - -
194 Accu- Chek Performa Tes Strip ( Roche ) Biji - -
195 Alat suntik sekali pakai 3 cc (Terumo) Buah

2,800 2,800 30 20
196 Alat Suntik Sekali Pakai 1 ml Tuberculin W N 26Gx 1/2 (Nipro) Pcs
1,995 1,995
197 Alat Suntik Sekali Pakai 3 ml Pcs 3,005 3,005
198 Alat Suntik Sekali Pakai 5 ml (Aximed ) Pcs 2,285 2,285 200 5 5
199 Alat Suntik Sekali Pakai 10 ml ( Aximed) Pcs 683 683 88
200 Alat Suntik Sekali Pakai 20 ml Pcs 199 199
201 Alkohol / etanol 70% Botol 24 24
202 Alkohol Swab Biji 500 500 100 100
203 Askina Calgitrol Ag 10 X 10 cm (B- Braun ) Pcs - -
204 Askina Gel 15 Gr (B- Braun ) Tube - -
205 Askina Scrb 10X 10 Cm (B-Braun ) Pcs - -
206 Aquagel Steril Jelly 82G Botol - -
207 Balutan Tulle Grass 10 X 10 (Zat Aktif : Kalsium Alginate) Pcs

- -
208 Cat Gut Plain No. 3.0 70 C+ Jarum 1/2 25 M (Demetech) / Phsda Pcs
241 241
PERSEDIAA
OBAT
209 Catgut Chromic 3/0 75C + Jarum1/2 22M Demetech Pcs

300 300 72
210 Film Iv Dressing 6 X 7S (Id67S) E - Care Pcs
-
211 Film Iv Leukomed 6 Cm X 8 Cm (Bsn Medical) Pcs

- -
212 Foley Catheter No. 16,18 (Uro Technology / Norta 2 Way) Pair
40 40
213 Gowen Non Woven Onemed (Baju Habis Pakai) Set

9 9
214 Gowen Spunlace Onemed (Baju Bisa Dicuci) Set - -
215 Hand Sanitizer 450ml (Medittol) Botol - -
216 Hand Sanitizer 5 L (Medittol ) Can - -
217 Infusion Set Anak 60 Drops /(Otsuka) Pcs 276 276
218 Infusion Set Dewasa 20 Drops /( Otsuka ) Pcs 310 310 40
219 Iv Cannula 26 G Polywin ( Polymed ) Pcs 30 30
220 Iv Catheter No 16 Sampai 24 (Nipro,Jelco, Terumo,Aximed) Pcs -
Kantong Plastik Bio Hazart (Bahan Plastik Pe, Panjang 80 Cm, Lebar 60 Cm,
221
Tebal 0,33 Mm)
Biji - -
222 Kapas Pembalut /Absorben 250 mg Pcs 35 35 1
223 Kasa 40 Y X 80 Cm (Sna Medika New Drc T Plain) Roll

14 14
224 Kasa Hidrofil Steril 16 Cm X 16 Cm (Surya Husada) Roll

5 5
225 Kasa Pembalut Hidrofil Drc 4 M X 10 Cm Roll - -
226 Kasa Pembalut Hidrofil Drc 4 M X 15 Cm Roll 100 100
227 Larutan Antiseptik Gel 500 Cc Tanpa Air (Onemed) Botol - -
228 Larutan Cuci Tangan/Handscrub + Dispenser 500 Ml Poliwash Botol - -
229 Masker Biji - -
230 Masker N95 Disposibel Biji 31 31
231 Maternity Napkin L (Daya Serap 550 Cc) Biji - -
232 Maternity Napkin Slim L (Daya Serap 430 Cc) Biji

- -
233 Nebulizer With Mask Adult Standart (Stardec) Pcs 5 5
234 Nebulizer With Mask Pediatric Standart (Stardec) Pcs

- -
235 Nelaton Cateter Set - -
236 Nurse Cup (Tutup Kepala) Pcs - -
237 Oxygen Mask Adult Standart (Stardec) Pcs 5 5
238 Oxygen Mask Elongated Adult (Remedi) Pcs 35 35
239 Oxygen Mask Nasal Canula Size L Dan S (Aximed) Pcs
- -
240 Oxygen Mask Pediatric Standart (Stardec) Pcs - -
241 Pembalut Elastis Policrepe Roll - -
242 Plester Roll Kain 2,5 Cm X 4,5 Cm (Leukoplast 1622H) Roll - -
PERSEDIAA
OBAT
243 Polifix 5Cm X 1 Cm ( Sna Medika) Roll - 5 5
244 Povidon Iodine 10% (30 Ml) ( One Med) Botol - -
245 Povidon Iodida 10% (100 Ml) Braunol Botol - -
246 Povidon Iodine 10% (300) Ml (One Med ) Botol 13 13
247 Prontosan Wound Gel X 250 Gram ( B-Braun ) Tube

- -
248 Prontosan Wound Gel X 50 Gram( B-Braun ) Tube - -
249 Prontosan Wound Irigation Solution 350 Ml (B-Braun ) Botol

- -
250 Sarung Tangan Steril Gynecolog Pair - 25 25
251 Sarung Tangan Non Steril No M Dan L Pasang 2,000 2,000 1800 200
252 Sarung Tangan Non Steril No S Biji - -
253 Sarung Tangan Non Steril Pipermint Pcs - -
254 Sarung Tangan Steril No 7 Dan 7,5 Pair 350 350 50
255 Silk Black 3/0Ds 19 Mm (Smi ) Sachet 264 264
256 Softaman 500 ml (B-Braun ) Botol - -
257 Sputum Pot( One Med ) Buah - -
258 Stabimed 1000Ml ( B- Braun ) Botol - -
259 Ultrasound Transmision Gel Sachet - -
260 Umbilical Cord Klem Sterile Nylon Pcs 250 250
261 Urine Drainage Bag, T Valve With Hanger (Aximed) Botol

20 20
OBAT GIGI - -
262 Bahan Tumpatan Sementara (Grey) Flas - -
263 Ethylcloride Spray 100 ml (Sekar Luntur Farma) Kit 30 30 5
264 Mata Boor Diamon High Speed/Sharp Cut, Denteply Set

- -
265 Matrix Band Biji - -
266 Micro Brush Botol - -
267 Mummifying Pasta Tube - -
SUSU - -
268 Pan Enteral Sachet - -
269 Prenagen 200Gr Sachet - -
270 Proten Gold (Vanilla) Sachet - -
REAGEN - -
271 A.Antimonoclonal (Anti A) 10 ml ( Fortress ) Btl - -
272 B.Antimonoclonal (Anti B)ml ( Fortress ) Btl - -
273 Reagen Hb (Hcl 0,1 N) 100ml Btl - -
OBAT PROGRAM TB PARU - -
274 Box Slide Picis - -
275 Catridge Genexpart Tablet - -
276 Isoniazid / Inh 100 Mg (Isoniazid) Tablet - -
277 OAT FDC Kategori Anak kit - -
278 OAT FDC Kategori I kit - -
PERSEDIAA
OBAT
279 OAT FDC Kategori II (prop + dak17) kit - -
280 OAT FDC Kombipak Kategori Anak kit - -
281 OAT FDC Kombipak Kategori I kit - -
282 Pot Dahak Steril Biji - -
283 Reagen Zn Kit - -
284 Slide Biji - -
285 Streptomisin Inj 1gr Ampule - -
OBAT POGRAM KUSTA - -
286 MDT MB Anak Kit - -
287 MDT MB Dewasa Kit - -
288 MDT PB Anak Kit - -
289 MDT PB Dewasa Kit - -
OBAT PROGRAM IMUNISASI - -
290 Alat Suntik Sekali Pakai 0,05 ml Pcs - -
292 Safety Box 2,5 Botol - -
293 Safety Box 5 L Botol 205 205
OBAT PROGRAM HIV - -
294 Descoderm pads (Alkohol Swab) Biji - -
295 Rapid Test Vikia Hiv 1/2 (Biomerieux Enseval Medika Prima ) (Prop+Dak17) Biji
- -
296 Efavirenz 600 mg Tablet - -
297 Isoniazid / INH 300 mg Tab Tablet - -
298 Lamivudine 150 mg Tablet - -
299 Nevirapine 200 mg Tablet - -
300 Reagen (Intec One Stop Anti Hiv(1&2) Ti Line Test Card) Kit
- -
301 Reagen (Oncoprobe / Ir-100C) Kit - -
302 Reagen (Righsin) Kit - -
303 Reagen (Sd) Kit - -
304 Reagen Hiv (Fokus) Kit - -
305 Reagen Hiv (Vikia) Kit - -
306 Reagen Hiv R.P.R Kit - -
307 Reagen Hiv T.P.H.A (Prop+Dak 17) Kit - -
308 Reagen HBsAg Strip (Prop + Dak 17 ) Kit - -
309 Reagen Penghitung Cd 4 Kit - -
310 Tenofovir 300 +Lamivudin 300+ Efaviren 600 (Triple Fdc) Dewasa Tablet
- -
311 Tenofovir 300 mg Tablet - -
312 Zidofudine 300 mg + Lamifudine 150 mg Tablet - -
313 Zidofudine 100 mg (ZDV) Tablet - -
OBAT PROGRAM GIZI - -
314 Mineral Mix Sacht Sachet - -
PERSEDIAA
OBAT
315 Retinol Vit A 100.000 UI (Biru) Tablet - -
316 Retinol Vit A 200.000 UI (Merah) Tablet - -
Tablet Tambah Darah /Komb Ferro Fumarat 60 Mg +As.Folat 0,4 Mg Tab

317 Tablet
(Phapros)
- -
OBAT PROGRAM JIWA - -
318 Alprazolam 0,5 mg (Mersi Farma ) Tablet - -
319 Amitriptilin 25mg ( Indo Farma) Tablet 100 100
320 Clobazam Tab 10 mg (Meprofarm) Tablet - -
321 Clozapine 100 mg Tablet 800 800
322 Depakote Valproat Tab 250 mg ( (Abbott ) Tablet - -
323 Fenitoin Kap 100mg ( Ikapharmindo Putra Mas ) Kapsul

- -
324 Elizac 20 /Fluoksetin Tab 20 mg Tablet - -
325 Haldol Decanoat Inj 50mg/ml Vial - -
326 Haloperidol Tab 5 Mg (Indofarma) Tablet 1,000 3,000 4,000 1000
327 Karbamazepin Tablet 200 mg Tablet - -
328 Tablet
Klorpromazin Tab Salut 100 mg (Hcl) 4,000 4,000 2000
329 Klorpromazin Hcl Inj I.M 25 mg/ml ( Phapros ) Vial

-
330 Lodomer 5 mg/ml Inj Ampule - -
331 Lorazepam Tab 2 mg (Mersi Farma) Tablet - -
332 Risperidon Tab 2 mg ( Dexa Medica ) Tablet 3,000 3,000
333 Flufenazin sikzonoate inj 5 ml Vial - -
334 Trifluoperazine Tablet - -
335 Triheksifenidil Tablet 2 mg ( Holi Farma ) Tablet 2,400 2,400 2000
OBAT KESGA - -
336 Calcii Gluconas Inj Vial - -
337 Gentamycin Inj 40 mg/ml Ampule - -
338 Magnesium Sulfat Inj.(iv) 20% Otsu Ampule - -
OKSIGEN - -
340 Oksigen Medical (Tabung 1 M3) Tampon - -
342 -
343 Acetosal Tablet 100 mg K=100 Tab -
344 Kasa Elastic 25cm X 4,5m Roll -
345 Medical waste (tempat sampah limbah medis) Pcs -
346 Skalpes (Mess) K=100 biji -
347 Antimicrobial Liquid Soap Botol 500ml (VIOREX) botol - -
348 Dual Enzymatic Detergent Galon 5 Ltr (STERIZYME) Galon=5Ltr 4 4
349 Surface Desinfectant 500 ml (STERICIDE) Botol = 500 ml 19 19
350 High Level Desinfectant Galon 5 Ltr (STERALD) Galon=5Ltr -
PERSEDIAA
OBAT
351 Blood Lancet (21Gx1.8 M) -
352 Reagen Syphilis SD Bioline -
353 Reagen HB Ig -
354 Plester Fixomull Stretch 5 cm x 5 cm -
355 Kalsium 500mg+ Vitamin D3 (Calsifar Plus) -
356 Hb Hemoglobim Strip tes -
357 Accutrend Cholesterol Strip -
358 Air untuk irigasi inf 1000ml -
359 Povidon Iodine 10% (60ml) (One Med) 17 17 3
360 Antiseptic handrub 0,5% L 7 7 1
361 ATS -
362 Molaneuron 11800 11,800
363 Papsmear kit -
364 kasa 3 x 15 -
365 iv cath 18 227 227
366 iv cath 20 240 240 10
367 iv cath 22 250 250
368 iv cath 24 89 89
369 colpica -
370 UNDER PAD ipfk -
371 Hemafort -
372 Norinse Antimicrobial 500 ml (Viorex) 38 38
373 Plesterin Bulat Non Woven (One Med) -
374 Media sample container -
375 Asam ascorbat 50 mg kimia farma Tablet 4600 4,600 200 200 100
NG
: JANUARI
: 2021
PEMBERIAAN
JUMLAH STOK
SELOK KLAN URANG TOTAL SISA STOK OPNAME
GONDANG TING GANTUNG
16 17 18 19 20
500 -
57 240
- 2,700
100 100 1,300 2,100
- -
- -
- -
3,100 4,000
200 200 2,600 7,400
5 15 385
4,700 -
- -
50 400
- -
- -
200
300 5,400
- -
- -
- -
- 90
PEMBERIAAN
JUMLAH STOK
- -
- -
100 3,700
- 10,000
- -
- 10
- -
5 18 -
50 600
- -
100 100 1,800

- 3,450
500 2,500
55 53
- -
- -
- -
- -
- -
- -
- 2,900
- -
- -
900 960
- 25
1,000 300
- -
- -
- -
- -
PEMBERIAAN
JUMLAH STOK
- -
- 300
- -
- 2,800
- 1,550
- 120
- -
- 30
- -
- -
- -
- -
30 125
- 80
- -
- 200
- -
100 100 200 3,700
- -
5 5 210
2 78 38
- -
100 1,400 3,500
100 300 700 8,400
- 4,600
- -
- -
18 -
- -
- -
- -
47 -
PEMBERIAAN
JUMLAH STOK
5 16 152
50 100
- -
- 6,600
- -
- -
- 100
- -
- -
- -
- -
- 5,000
300 5,700
30 175
- 1,350
- -
- -
- -
- -
- -
- -
200 200 600 3,700
- 4,000
- -
- 2,750
- 45
24 -
PEMBERIAAN
JUMLAH STOK
18 54
- -
- -
60 90
- -
- 1,500
500 650
- -
- -
- -
500 1,895
- -
- 150
- 50
- 1,300
200 950
- -
- -
300 -
- -
- -
- 4
5 25 60
- -
48 331
PEMBERIAAN
JUMLAH STOK
- -
- -
- -
- -
500 -
- -
- 210
- -
- 190
- -
- -
- 20
- 179
- 400
- -
- 355
- 340
200 200 1,200 13,200
- -
- -
900 2,100
PEMBERIAAN
JUMLAH STOK
- 3,000
- 2,500
- -
150 -
- 20
200 400
200 1,200 2,700
- -
500 500
- -
- -
200 100
- 2,400
- -
- 90
- -
100 100 1,900
13 74
- 77
- -
- -
1,400 600
60 120 1,140
- -
- -
PEMBERIAAN
JUMLAH STOK
25 -
- -
- -
- -
- -
- -
100 200 1,400
- -
- -
- 3,000
24 126
1,000 -
- -
- -
- -
30 30 110 2,690
- 1,995
- 3,005
210 2,075
88 595
- 199
- 24
200 300
- -
- -
- -
- -
- -
- 241
PEMBERIAAN
JUMLAH STOK
72 228
- -
- -
- 40
- 9
- -
- -
- -
- 276
40 270
- 30
- -
1 2 33
- 14
- 5
- -
- 100
- -
- -
- -
- 31
- -
- -
- 5
- -
- -
- -
- 5
- 35
- -
- -
- -
- -
PEMBERIAAN
JUMLAH STOK
- 5
- -
- -
- 13
- -
- -
- -
- 25
2,000 -
- -
- -
50 300
- 264
- -
- -
- -
- -
- 250
- 20
- -
- -
5 25
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
PEMBERIAAN
JUMLAH STOK
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 205
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
PEMBERIAAN
JUMLAH STOK
- -
- -
- -
- -
- -
- 100
- -
- 800
- -
- -
- -
- -
1,000 3,000
- -
2,000 2,000
- -
- -
- -
- 3,000
- -
- -
2,000 400
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 4
- 19
- -
PEMBERIAAN
JUMLAH STOK
- -
- -
- -
- -
- -
- -
- -
- -
1 4 13
1 6
- -
100 100 11,700
- -
- -
- 227
10 230
- 250
- 89
- -
- -
- -
- 38
- -
- -
100 200 200 1,000 3,600
MUTASI GUDANG

KECAMATAN : SUKODONO BULAN : PEBRUARI
KAB / KODYA : LUMAJANG TAHUN : 2021
NO. NAMA OBAT TERIMA PERSEDIAAN RUANG

KEMASAN AWAL OBAT
PERSA IGD/ DWH KUTO KARANG BONDO SUMBE KEBON SELOK SELOK KLAN
LINAN RANAP LOR RENON SARI YUDO REJO AGUNG BESUKI GONDANG TING
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17
1 Acetosal/Acetylsalicylic Acid Tablet 80 mg (MINIASPI) Tablet - -

2 Air Untuk Inj Vial @25 ml Vial 240 240
4 Alopurinol Tablet 100 mg ( Sampharindo Perdana) Tablet 2,100 2,100
8 Amlodipin Tablet 10 Mg Tablet 4,000 4,000 3300 100
9 Amoksisilin Kaplet 500 mg Tablet 7,400 7,400 200 100 100 300 100 100
10 Amoksisilin Syrup Kering 125 mg / 5 ml Botol 385 385 85
11 Amoksisilin Kaplet 500 mg Botol - -
12 Kaplet - -
CLABAT,CAPSINAT
13 Ampicilin Serbuk Inj i.v 1.000 mg/vial (Viccilin) Vial 400 400 110
Antacida + Simeticon Tablet Kunyah
15 Tablet - -
Aludonna/Magten/Acitral(Promedharjo)
Antasida Tablet Kunyah Kombinasi : Aluminium Hydroxide 200
16 Tablet 5,400 5,400 200 100 100 100
mg + Magnesium Hydroxide 200 mg
17 Anti Bakteri Doen Salep Kombinasi ( Indo Farma ) Tube - -
Antifungi Doen Salep, Kombinasi : Asam Benzoat 6%+Asam
18 Pot - -
Salisilat 3% (Marin )
Antihemoroid Supp (Bismuth Subgallate 150
19 Supp - -
mg,Hexachlorophene 2,5 mg, Lignocaine 10 mg,Zincoxide 20 mg
Antihemoroid Tablet (Extrak Graptophili Folium 80% Citrus Bio
20 Kapsul 90 90 90
20% ) Hemorrogard (Phapros)
21 Asam Ascorbat 250 mg (Tempo Scan Pacific) Tablet - -
Asam Folat 1 mg Beta Caroten 10000 Multi Mineral/ Folamil
22 Tablet - -
(Dexa Medica)
23 Asam Folat Tablet 1 mg ( Marin Liza Farmasi ) Tablet 3,700 3,700
24 Asam Mefenamat 500 mg ( Mersi ) Tablet 10,000 10,000
27 Asam Tranexamat Tablet 500 mg (Plasminex) Tablet - -
28 Asiklovir 5% 5gr Cream Tube - -
31 Attapulgite Active 600 mg Tab/ New Diatab Tablet 1,800 1,800 100
33 Betahistin Mesylat 6 mg Tablet 2,500 2,500
34 Betametason Krim 0,1% (Kimia Farma ) Tube 53 53 5

KEMASAN AWAL OBAT PERSA IGD/ DWH KUTO KARANG BONDO SUMBE KEBON SELOK SELOK KLAN
35 Bisakodil Suppositoria 10 mg ( Boehringer Ingelheim )/ dulcolax Supp - -
Bricasma Respules Terbutalin Cairan IH 2,5 mg/ml (Astra Zeneca
37 Biji - -
)
Budesonid Formoterol Inhaler 160/4,5 mcg/Symbicort (Astra
39 Botol - -
Zeneca)
Calcium Plus Vit D3 (Aquamin Setara Elemntal Kalsium 400
40 Tablet - -
mg,Vit D3 200 IU /Calnic Plus (Gracia Pharmindo)
41 Cefadroksil Kapsul 500 mg Kapsul 2,900 2,900 500
44 Curcumin Plus Cynarin,Sylimarin,Kapsul/ Hepagard (Phapros) Tablet 960 960 600
45 Deksametason Inj iv/ im 5 mg/ ml (Bernofarm) Ampule 25 25 25
46 Deksamethason Tab 0,5 mg (Promed ) Tablet 300 300 300
47 Desoksimetason Krim 0,25% 15G ( Dexa Medica) Tube - -
49 Diazepam Enema 5 mg/2,5 ml (Actavis )Stesolid 5 mg Biji - -
50 Diazepam Inj 5 mg / ml-2 ml /Valisanbe (Sanbe Farma ) Ampule - -
58 Epinefrin (Adrenalin) Inj 1 mg/ ml 0,1% (Ethica ) Ampule 30 30
62 Fitomenadion (Vit K1)Inj 10 mg/ ml I.M ( Phapros ) Ampule - -
63 Fitomenadion (Vit K1)Inj 2 mg/ ml I.M (Phapros ) Ampule 125 125
64 Fitomenadion Tabet 10 mg (Phapros ) Tablet 80 80 80
66 Furosemid Tablet 40 mg (Sampharindo Perdana ) Tablet 200 200
67 Furosemide Injeksi 10 mg/ ml (Indofarma) Ampule - -
70 Gentamisin Sulfate tetes mata 0,3% ( ERELA) Ampule 210 210
71 Gentamycin Cream 1 % mg/ ml BOTOL 38 38 24 14
72 Gentian Violet 1% 10 ml (Cito Ciubrus Farma) Botol - -
73 Glibenklamid Tablet 5 mg Tablet 3,500 3,500 100
74 Gliseril Guaikoulat Tablet 100 mg (kaleng) Tablet 8,400 8,400 2000 200 100 300 200 200 100 100
75 Gliseril Guaikoulat Tablet 100 mg Botol 4,600 4,600
76 Glucosa 25G + Sodium Chlorida 2,125 G (Ds1/2Ns) Botol - -
77 Glukosa Larutan Infus 5% @500ml (Widatra ) Botol - -
78 Glukosa Larutan 40% Steril ( Outsuka ) Botol - -

Glukosamin Sulphat 2 Kcl 400 Mg,Kondroitin So4 250Mg,Msm
79 75 Mg Turmeric (Root) 80Ml,Boswelia Serrata Extrac Tablet - -
50Mg,White Willow37,5Mg /Ociitin (Gracia Pharmindo)
82 Hidrokortison Krim 2,5% (Kimia Farma ) Tube - -
83 Hidrokortison Krim 2,5% (Kimia Farma ) Preflied 152 152 24 5 5
84 Hyoscine N- Butylbromide 20 mg Inj/ Gitas (Interbath ) Ampule 100 100 50
85 Ibuprofen Susp 200 mg/5 ml (Indo Farma ) Botol - -
86 Ibuprofen Tablet 400 mg Botol 6,600 6,600 2000
87 Isoniazid Tablet 100 mg + Piridoxina Hcl 5 mg (Suprazid) Tablet - -
88 Isoniazid Tablet 400 mg + Piridoxina Hcl 5 mg (Suprazid Forte) Tablet - -
89 Isosorbid Dinitrat Tab Sublingual 5 mg ( Yarindo ) Tablet 100 100
93 Tablet - -
Pharmatama)
95 Kaptopril Tab 25 mg ( Phapros ) Tablet 5,700 5,700 2000 100 100 100 100
101 Kloramfenikol 1% Salep Mata/ Reco ( Sanbe ) Tube - -
Kloramfenikol 3% Tetes
102 Telinga :Kloramfenicol,Lidocain,Proplylenglycol /Colme Botol - -
(Interbath)
103 Kloramfenikol Inj 1G/5 ml /Colcancetine Inj (Sanbe Farma) Vial - -
104 Klorfeniramina Maleat (Ctm) Tab 4 mg (kaleng) Tablet 3,700 3,700 1200 100 200 200 100 100
105 Klorfeniramina Maleat (Ctm) Tab 4 mg Tablet 4,000 4,000
106 Kolkisin Tab 500Mcg/ L-Cisin ( Lapi Laboratoris ) Tablet - -
107 Kotrimoksasol Forte / Infantrim Forte Tab 960 mg ( Molex Ayus ) Tablet 2,750 2,750
Kotrimoksazol Kombinasi Tiap 5ml Suspensi : Sulfametoksazol
108 Botol 45 45
200mgAnalgesik
Krim + Trimetropin 40gram
(setiap mg ( Holi Farma ) : Metyl Salisilat 102
mengandung
109 mg, Eugenol 13,6 mg; Methol 53,4 mg, Vinishing Cream ad 1 Tube - -
gr/Molakrim
Krim Jelly Luka Bakar: Tiap Gram Mengandung Placenta Extract
110 Tube 54 54
100 mg,Neomycin Sulfat 5 mg /Centabio (Sanbe Farma)
Lactobasilus Rhamnosus R 11 2M + Laciophillus R-52 /Lacidofil
111 Tablet - -
(Dexa Medica)
Lidocain 2% + Ephinefrin 1:80000 2ml :Lidocain Inj Comp,Inj)/
112 Ampule - -
Pehacain (Phapros)
113 Lidokain Injeksi 2% + Epinefrin 1:80.000 - 2 ml (Lucas Djaja) Ampule 90 90 30
116 Loratadin Tablet 10 mg Tablet 650 650 50
117 Tablet - -
119 Metamizol 500 mg + Diazepam 2 mg/Metaneuron (Phapros) Tablet - -
120 Metamizol Sodium Inj 500 mg/ml (Santagesik/ Antrain/ Norages) Ampule 1,895 1,895 840
121 Metformin Hcl 500 mg (Tempo Scan Pacific ) Tablet - -

125 Metoklopramide Tablet 10 mg ( Kimia Farma ) Tablet 950 950
126 Metoklopramide Tablet 5 mg ( Kimia Farma ) Tablet - -
128 Metronidasol 500 mg Tablet (Molazol) Tablet - -
131 Minyak Kayu Putih 60 ml /Gajah Botol 4 4
Multivitamin B1 100,B6 200,B12 500Mcg Inj (Biocombin) /
132 Ampule 60 60 20 10
mersibion
Multivitamin C 750 mg ,Asam Folat+ Mineral / Vitner -Z ( Molex
133 Tablet - -
Ayus )
Multivitamin Curcuma Syr:L-Lysyin 200mg,Betacaroten 1000 IU
134 Botol 331 331 21 10 10 10 10 10 10
vit B1 3 mg, B12 Curcuminoid 2ml /Lytacur( Interbath )
Multivitamin Neurotopic Plus Atp Tablet:B1 100,B6 200,B12
135 Tablet - -
200Mcg,Vit E 30mg ,Atp 20mg /Bio Atp (Phapros )
Multivitamin Neurotopic Tablet : B1 100,B6 200,B12 200
136 Multivitamin Tab Tambah Darah : Oer Tablet Mengandung : Tablet - -
mg/Probion ( Promedraharjo )
Femofomarrat 300mg Mgso4 0,4mg,Cuso4 0,4 mg,Vit C
137 Tablet - -
100mg ,Asam Folat 2 Mg,Vit B 12 15Mcg,Faktor Intirinsik
138 25mg /Hemafort
Natrium Clorida (0,9%
Phapros )
@500ml(Widatra ) Botol - -
139 Natrium Diklofenak Tab 50 mg (Phapros ) Tablet - -
141 Nifedipin /Adalat Kapsul 30 mg (Bayer) Kapsul 210 210 210
143 Nistatin Vaginal Tab 100.000 IU/G (Phapros ) Tablet 190 190 90
144 Nyistatis Susp 100000 IU /Nymico (Sanbe Farma ) Botol - -
Obat Batuk Herbal : Tiap 15 Ml Vitetrifolia Fill 1 Gr,Zingiber
145 Officinalerhiz 0,25Mg,Abrusprecatorius Fol 0,25 Mg , Phaleria Botol - -
Macrocarpa Fruct 0,20 Mg / Herbakof (Dexa Medica )
146 Obat Kumur +Hyaulorinic Acid 1% @ 200ml (Sanorine) Botol 20 20
147 Botol 179 179
148 Oksitosin Inj 10 UI/ml (Ethica) Ampule 400 400 30
150 Ondansetron Hcl Inj 2 mg/ 1ml ( Soho ) Ampule 355 355
152 Paracetamol Tablet 500 mg Tablet 13,200 13,200 1000 300 100 200 100 300
153 Paracetamol Supp 125 mg Supp - -
154 Paracetamol Syrup 120 mg/5ml (Mersi Farma) Botol - -
Parasetamol Komb Tablet Batuk Berdahak:Paraset
155 400Mg,Bromheksin 80Mg,Difenhidramin Hcl 25Mg/Hustab Tablet 2,100 2,100 900
Parasetamol Komb Tablet Flu: Parasetamol
( Phapros )
156 500Mg,Phenylpropanolamine HCl chlorpheniramine Tablet 3,000 3,000
maleate ,dextromethorpan
Parasetamol Komb Tablet Hbr/Alpara ( Molex
Flu: Parasetamol Ayus )
500Mg,Pseudofedrin
157 Tablet 2,500 2,500
30Mg/Noza ( Molex Ayus )
158 Perak Sulfadiazin Krim 1% / Sulfadiazine Silver ( Darya Varia L ) Tube - -
159 Permetrin crem 5% @10 mg (Scabimite crem ) Tube - -
160 Piracetam Inj 1gr/5ml /Revolan (Sanbe Farma ) Ampule 20 20
161 Piracetam Tablet 800mg ( Indo Farma + Sanbe Farma ) Tablet 400 400 200
162 Piridoksin Hcl (Vit.B6)Tablet 10 mg Tablet 2,700 2,700 700
164 Prednison Tab 5 mg (Holi Pharma) Tablet 500 500
166 Pseudofedrin 60mg,Tripolidin 2,5mg (Eflin +Tremenza) Tablet - -

171 Nebule - -
(COMBIVENT)
172 Salbutamol Tab 4 mg ( Kimia Farma ) Tablet 1,900 1,900 100 100
Salep 2-4 Kombinasi : Asam Salisilat 2%+ Belerang Endap 4%
173 Pot 74 74 24
(Marin )
174 Salisil Bedak Serbuk 2% (Rama Mulia Cosmetic ) Biji 77 77
175 Serum Anti Bisa Ular(S.A.B.U) Cairan Inj im/iv ( Bio Farma ) Vial - -
176 Serum Antitoxin Diphteria Serum 10000 IU ( Vins ) Vial - -
177 Setirizin Tab 10 mg ( Phapros) Tablet 600 600
178 Simvastatin Tablet 10 mg Tablet 1,140 1,140 600 30 30 30
181 Sukralfat Susp 500mg/5ml @100 ml ( Meprofarm ) Botol - -
185 Thiamphenicol / Thiamfilex Kapsul 500mg ( Molex Ayus ) Kapsul - -
186 Thiamphenicol/ Thiamfilex Susp 125 mg/5 ml ( Molex Ayus ) Botol - -
Vitamin B Komplek Plus Ekstrak Hati (Substansi Hati Kering 100
mg, Vit B1 HCl 0,25 mg B2 HCl 0,25 mg, B6 HCl 0,25 mg, B12
189 0,5 mg, Vit. C 12,5 mg, Calcium Pantetonat 1,5 mg, Nikotinamida Tablet - -
10 mg, Asam Folat 0,5 mg, FE (II) Glikonat 7,5 mg, CuSO4 0,65
mg)
191 Zinc Sulphate syr /Interzinc 10 mg/ml (Interbat ) Botol 126 126
192 Zinc Sulphate Tablet Dispersible 20 mg (Kimia Farma ) Tablet - -
BMHP 2017 - -
195 Alat suntik sekali pakai 3 cc (Terumo) Buah 2,690 2,690 100 20 30
196 Alat Suntik Sekali Pakai 1 ml Tuberculin W N 26Gx 1/2 (Nipro) Pcs 1,995 1,995
198 Alat Suntik Sekali Pakai 5 ml (Aximed ) Pcs 2,075 2,075
199 Alat Suntik Sekali Pakai 10 ml ( Aximed) Pcs 595 595
202 Alkohol Swab Biji 300 300 100
207 Balutan Tulle Grass 10 X 10 (Zat Aktif : Kalsium Alginate) Pcs - -
208 Cat Gut Plain No. 3.0 70 C+ Jarum 1/2 25 M (Demetech) / Phsda Pcs 241 241
209 Catgut Chromic 3/0 75C + Jarum1/2 22M Demetech Pcs 228 228

210 Film Iv Dressing 6 X 7S (Id67S) E - Care Pcs - -
211 Film Iv Leukomed 6 Cm X 8 Cm (Bsn Medical) Pcs - -
212 Foley Catheter No. 16,18 (Uro Technology / Norta 2 Way) Pair 40 40
213 Gowen Non Woven Onemed (Baju Habis Pakai) Set 9 9
220 Iv Catheter No 16 Sampai 24 (Nipro,Jelco, Terumo,Aximed) Pcs - -
Kantong Plastik Bio Hazart (Bahan Plastik Pe, Panjang 80 Cm,
221 Biji - -
Lebar 60 Cm, Tebal 0,33 Mm)
222 Kapas Pembalut /Absorben 250 mg Pcs 33 33
223 Kasa 40 Y X 80 Cm (Sna Medika New Drc T Plain) Roll 14 14
224 Kasa Hidrofil Steril 16 Cm X 16 Cm (Surya Husada) Roll 5 5
226 Kasa Pembalut Hidrofil Drc 4 M X 15 Cm Roll 100 100 10 10
229 Masker Biji - -
232 Maternity Napkin Slim L (Daya Serap 430 Cc) Biji - -
234 Nebulizer With Mask Pediatric Standart (Stardec) Pcs - -
239 Oxygen Mask Nasal Canula Size L Dan S (Aximed) Pcs - -
242 Plester Roll Kain 2,5 Cm X 4,5 Cm (Leukoplast 1622H) Roll - -
243 Polifix 5Cm X 1 Cm ( Sna Medika) Roll 5 5
247 Prontosan Wound Gel X 250 Gram ( B-Braun ) Tube - -
249 Prontosan Wound Irigation Solution 350 Ml (B-Braun ) Botol - -
250 Sarung Tangan Steril Gynecolog Pair 25 25 20
251 Sarung Tangan Non Steril No M Dan L Pasang - -

254 Sarung Tangan Steril No 7 Dan 7,5 Pair 300 400 700 50
261 Urine Drainage Bag, T Valve With Hanger (Aximed) Botol 20 20 10 10
OBAT GIGI - -
263 Ethylcloride Spray 100 ml (Sekar Luntur Farma) Kit 25 25
264 Mata Boor Diamon High Speed/Sharp Cut, Denteply Set - -
SUSU - -
REAGEN - -
284 Slide Biji - -

295 Rapid Test Vikia Hiv 1/2 (Biomerieux Enseval Medika Prima ) (Prop+Dak17) Biji - -
300 Reagen (Intec One Stop Anti Hiv(1&2) Ti Line Test Card) Kit - -
310 Tenofovir 300 +Lamivudin 300+ Efaviren 600 (Triple Fdc) Dewasa Tablet - -
Tablet Tambah Darah /Komb Ferro Fumarat 60 Mg +As.Folat 0,4
317 Tablet - -
Mg Tab (Phapros)
323 Fenitoin Kap 100mg ( Ikapharmindo Putra Mas ) Kapsul - -
326 Haloperidol Tab 5 Mg (Indofarma) Tablet 3,000 3,000
328 Klorpromazin Tab Salut 100 mg (Hcl) Tablet 2,000 2,000
329 Klorpromazin Hcl Inj I.M 25 mg/ml ( Phapros ) Vial - -

335 Triheksifenidil Tablet 2 mg ( Holi Farma ) Tablet 400 400
OBAT KESGA - -
OKSIGEN - -
342 - -
343 Acetosal Tablet 100 mg K=100 Tab - -
344 Kasa Elastic 25cm X 4,5m Roll - -
345 Medical waste (tempat sampah limbah medis) Pcs - -
346 Skalpes (Mess) K=100 biji - -
350 High Level Desinfectant Galon 5 Ltr (STERALD) Galon=5Ltr - -
351 Blood Lancet (21Gx1.8 M) - -
352 Reagen Syphilis SD Bioline - -
353 Reagen HB Ig - -
354 Plester Fixomull Stretch 5 cm x 5 cm - -
355 Kalsium 500mg+ Vitamin D3 (Calsifar Plus) - -
356 Hb Hemoglobim Strip tes - -
357 Accutrend Cholesterol Strip - -
358 Air untuk irigasi inf 1000ml - -
359 Povidon Iodine 10% (60ml) (One Med) 13 13
360 Antiseptic handrub 0,5% L 6 6
361 ATS - -
362 Molaneuron 11,700 11,700 2000 200 200 200 200 200 200
363 Papsmear kit - -
364 kasa 3 x 15 - -
365 iv cath 18 227 227 50 10
366 iv cath 20 230 230
367 iv cath 22 250 250
368 iv cath 24 89 89
369 colpica - -
370 UNDER PAD ipfk - -
371 Hemafort - -
373 Plesterin Bulat Non Woven (One Med) - -
374 Media sample container - -
375 Asam ascorbat 50 mg kimia farma Tablet 3,600 3,600
NG
PEMBERIAAN
URANG JUMLAH STOK

GANTUNG TOTAL SISA STOK OPNAME
18 19 20
0 -
0 240
0 2,700
100 100 2,000
0 -
0 -
0 -
3400 600
200 1100 6,300
85 300
0 -
0 -
110 290
0 -
0 -
100 600 4,800
0 -
0 -
0 -
90 -
0 -
0 -
0 3,700
0 10,000
0 -
0 10
0 -
0 -
50 550
0 -
100 200 1,600
0 3,450
0 2,500
5 48
PEMBERIAAN
URANG JUMLAH STOK

0 -
0 -
0 -
0 -
0 -
0 -
500 2,400
0 -
0 -
600 360
25 -
300 -
0 -
0 -
0 -
0 -
0 -
30 30 270
0 -
0 2,800
0 1,550
0 120
0 -
0 30
0 -
0 -
0 -
0 -
0 125
80 -
0 -
0 200
0 -
0 3,700
0 -
0 210
38 -
0 -
100 3,400
100 3300 5,100
0 4,600
0 -
0 -
0 -
PEMBERIAAN
URANG JUMLAH STOK

0 -
0 -
0 -
0 -
34 118
50 50
0 -
2000 4,600
0 -
0 -
0 100
0 -
0 -
0 -
0 -
0 5,000
100 2500 3,200
5 170
0 1,350
0 -
0 -
0 -
0 -
0 -
0 -
100 2000 1,700
0 4,000
0 -
0 2,750
0 45
0 -
1 1 53
0 -
0 -
30 60
0 -
0 1,500
50 600
0 -
0 -
0 -
840 1,055
0 -
0 150
PEMBERIAAN
URANG JUMLAH STOK

0 50
0 1,300
0 950
0 -
0 -
0 -
0 -
0 -
0 4
30 30
0 -
10 91 240
0 -
0 -
0 -
0 -
0 -
0 -
210 -
0 -
90 100
0 -
0 -
0 20
0 179
30 370
0 -
0 355
0 340
100 2100 11,100
0 -
0 -
900 1,200
0 3,000
0 2,500
0 -
0 -
0 20
200 200
100 800 1,900
0 -
0 500
0 -
0 -
PEMBERIAAN
URANG JUMLAH STOK

100 -
0 2,400
0 -
0 90
0 -
200 1,700
24 50
0 77
0 -
0 -
0 600
690 450
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
100 200 1,200
0 -
0 -
0 3,000
0 126
0 -
0 -
0 -
0 -
30 180 2,510
0 1,995
0 3,005
0 2,075
0 595
0 199
0 24
100 200
0 -
0 -
0 -
0 -
0 -
0 241
0 228
PEMBERIAAN
URANG JUMLAH STOK

0 -
0 -
0 40
0 9
0 -
0 -
0 -
0 276
20 250
0 30
0 -
0 -
0 33
0 14
0 5
0 -
20 80
0 -
0 -
0 -
0 31
0 -
0 -
0 5
0 -
0 -
0 -
0 5
0 35
0 -
0 -
0 -
0 -
0 5
0 -
0 -
0 13
0 -
0 -
0 -
20 5
0 -
0 -
0 -
PEMBERIAAN
URANG JUMLAH STOK

50 650
0 264
0 -
0 -
0 -
0 -
0 250
20 -
0 -
0 -
0 25
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
PEMBERIAAN
URANG JUMLAH STOK

0 -
0 205
0 -
0 -
0 -
0 -
0 -
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
0 -
0 800
0 -
0 -
0 -
0 -
0 3,000
0 -
0 2,000
0 -
0 -
0 -
0 3,000
PEMBERIAAN
URANG JUMLAH STOK

0 -
0 -
0 400
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 4
0 19
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 13
0 6
0 -
200 3400 8,300
0 -
0 -
60 167
0 230
0 250
0 89
0 -
0 -
0 -
0 38
0 -
0 -
0 3,600
MUTASI GUDANG

KECAMATAN : SUKODONO BULAN : MARET

PERSEDIAA
KEMASAN AWAL N PERSA IGD / DWH KUTO KARANG BONDO SUMBE KEBON SELOK SELOK KLAN
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17
1 Acetosal/Acetylsalicylic Acid Tablet 80 mg (MINIASPI) Tablet - 300 300 300

4 Alopurinol Tablet 100 mg ( Sampharindo Perdana) Tablet 2,000 2000 4,000 100 100
5 Ambroxol Tablet 30 mg Tablet - 1300 1,300 100 100 100 100 100 100 100 100 100
8 Amlodipin Tablet 10 Mg Tablet 600 6000 6,600 4500 300
9 Amoksisilin Kaplet 500 mg Tablet 6,300 13000 19,300 2500 600 400 200 200 100 200 100 200
12
CLABAT,CAPSINAT
Kaplet - -
13 Ampicilin Serbuk Inj i.v 1.000 mg/vial (Viccilin) Vial 290 30 320 100
15
Tablet - -
16
Tablet 4,800 5000 9,800 1200 500 100 200 100 100 200 100
18
Pot - -
19
Supp - -
20
Kapsul - -
22
(Dexa Medica)
Tablet - -
23 Asam Folat Tablet 1 mg ( Marin Liza Farmasi ) Tablet 3,700 2000 5,700 100
24 Asam Mefenamat 500 mg ( Mersi ) Tablet 10,000 6000 16,000 200 400 500 100 100 100 100 100 100 100
29 Asiklovir Tab 400 mg ( Phapros ) Tablet 550 550
31 Attapulgite Active 600 mg Tab/ New Diatab Tablet 1,600 2000 3,600 1400 200 100
33 Betahistin Mesylat 6 mg Tablet 2,500 1000 3,500 100 200
34 Betametason Krim 0,1% (Kimia Farma ) Tube 48 25 73 10 1 3 5 5 5
PERSEDIAA
OBAT
37
)
Biji - -
39
Zeneca)
Botol - -
40
Tablet - -
42 Cefadroksil Kapsul 500 mg orange Kapsul - 500 500
44 Curcumin Plus Cynarin,Sylimarin,Kapsul/ Hepagard (Phapros) Tablet 360 360 180 90 90
45 Deksametason Inj iv/ im 5 mg/ ml (Bernofarm) Ampule - 200 200
46 Deksamethason Tab 0,5 mg (Promed ) Tablet - 2000 2,000 200
52 Difenhidramin Inj 10 mg/ ml (Phapros ) Ampule 270 270 30
54 Dimenhidrinat Tablet 50 mg (Kimia Farma ) Tablet 2,800 2000 4,800 200
55 Domperidon Tab 10 mg (Dexa Medica ) Tablet 1,550 1,550 200 100
56 Domperidon Suspensi 5 mg /5 ml Botol 120 120 10 20 5 5 5 5 5 5 5 5 5
58 Epinefrin (Adrenalin) Inj 1 mg/ ml 0,1% (Ethica ) Ampule 30 30 30
63 Fitomenadion (Vit K1)Inj 2 mg/ ml I.M (Phapros ) Ampule 125 60 185 30
64 Fitomenadion Tabet 10 mg (Phapros ) Tablet - -
66 Furosemid Tablet 40 mg (Sampharindo Perdana ) Tablet 200 400 600 150 50
68 Garam Oralit 200 ml Biji 3,700 3,700 700 100 100 100 100
70 Gentamisin Sulfate tetes mata 0,3% ( ERELA) Ampule 210 24 234 23 10 3 5
71 Gentamycin Cream 1 % mg/ ml BOTOL - 168 168 113 10 5
73 Glibenklamid Tablet 5 mg Tablet 3,400 7000 10,400 1200 200 200 100 100 200
78 Glukosa Larutan 40% Steril ( Outsuka )
Botol - -
81 Hidroklorotiazid (Hct) Tablet 25 mg Tablet - 1000 1,000
PERSEDIAA
OBAT
83 Hidrokortison Krim 2,5% (Kimia Farma ) Preflied 118 96 214 10 3 5 10 5
84 Hyoscine N- Butylbromide 20 mg Inj/ Gitas (Interbath ) Ampule 50 50 50
85 Ibuprofen Susp 200 mg/5 ml (Indo Farma ) Botol - 360 360 36
86 Ibuprofen Tablet 400 mg Botol 4,600 3000 7,600 2700
93
Pharmatama)
Tablet - -
95 Kaptopril Tab 25 mg ( Phapros ) Tablet 3,200 5000 8,200 1200 200 100 100 100 100 100 100 100
96 Ketokonazol cr Tube 170 170 30 3 5 5 5
101 Kloramfenikol 1% Salep Mata/ Reco ( Sanbe )
Tube - -
(Interbath)
104 Klorfeniramina Maleat (Ctm) Tab 4 mg (kaleng) Tablet 1,700 1,700 1700
105 Klorfeniramina Maleat (Ctm) Tab 4 mg Tablet 4,000 7000 11,000 800 300 200 100 200 200 200 200
107 Kotrimoksasol Forte / Infantrim Forte Tab 960 mg ( Molex Ayus ) Tablet 2,750 2,750 100
108
200mgAnalgesik
mengandung
Botol 45 45 15
gr/Molakrim
110
Tube 53 53 3 5 2 1 1 1
111
(Dexa Medica)
Tablet - -
112
Pehacain (Phapros)
Ampule - -
113 Lidokain Injeksi 2% + Epinefrin 1:80.000 - 2 ml (Lucas Djaja) Ampule 60 180 240 30 30
115 Loperamid Tablet 2 mg ( Ifars) Tablet 1,500 1,500 300 100 100
116 Loratadin Tablet 10 mg Tablet 600 600
117
Tablet - -
120 Metamizol Sodium Inj 500 mg/ml (Santagesik/ Antrain/ Norages) Ampule 1,055 1,055 130
121 Metformin Hcl 500 mg (Tempo Scan Pacific ) Tablet - 3000 3,000
123 Metilergometrin Inj 0,2 mg/ml (Ethica ) Ampule 50 50 5 10
128 Metronidasol 500 mg Tablet (Molazol) Tablet - 2000 2,000
PERSEDIAA
OBAT
131 Minyak Kayu Putih 60 ml /Gajah Botol 4 4 4
132
mersibion
Ampule 30 30 20 10
133
Ayus )
Tablet - -
134
Botol 240 240 48
135
Tablet - -
136 Multivitamin Tab Tambah Darah : Oer Tablet Mengandung :
Tablet - -
137
Tablet - -
138 25mg /Hemafort
Phapros )
139 Natrium Diklofenak Tab 50 mg (Phapros ) Tablet - 19600 19,600 15600
141 Nifedipin /Adalat Kapsul 30 mg (Bayer) Kapsul - -
144 Nyistatis Susp 100000 IU /Nymico (Sanbe Farma )
Botol - -
147 Botol 179 179 35 24 10 10 10 5 10 10 5 10
150 Ondansetron Hcl Inj 2 mg/ 1ml ( Soho ) Ampule 355 355 300 55
152 Paracetamol Tablet 500 mg Tablet 11,100 2000 13,100 3700 500 200 200 200 100 300 200 300 200
153 Paracetamol Supp 125 mg Supp - 100 100 20
154 Paracetamol Syrup 120 mg/5ml (Mersi Farma)
Botol - -
155 400Mg,Bromheksin 80Mg,Difenhidramin Hcl 25Mg/Hustab
Tablet 1,200 1500 2,700 600 300
( Phapros )
156 500Mg,Phenylpropanolamine HCl chlorpheniramine Tablet 3,000 3450 6,450 1050
Parasetamol Hbr/Alpara
Komb Tablet Flu: ( Molex
Parasetamol Ayus )
500Mg,Pseudofedrin
157
Tablet 2,500 2000 4,500 300
159 Permetrin crem 5% @10 mg (Scabimite crem ) Tube - 60 60 3
160 Piracetam Inj 1gr/5ml /Revolan (Sanbe Farma ) Ampule 20 20 20
161 Piracetam Tablet 800mg ( Indo Farma + Sanbe Farma ) Tablet 200 200
162 Piridoksin Hcl (Vit.B6)Tablet 10 mg Tablet 1,900 1500 3,400 100 100 100
164 Prednison Tab 5 mg (Holi Pharma) Tablet 500 1000 1,500 300 100 100
167 Ranitidin Inj Hcl 25 mg/ml ( Quantum Labs ) Ampule - 400 400 100
168 Ranitidin Tablet 150 mg (Hexapharm Jaya ) Tablet 2,400 2,400 1000
171
(COMBIVENT)
Nebule - -
172 Salbutamol Tab 4 mg ( Kimia Farma ) Tablet 1,700 1,700 100 100
173
(Marin )
Pot 50 288 338 235 4 3 5
174 Salisil Bedak Serbuk 2% (Rama Mulia Cosmetic ) Biji 77 30 107 5 5
PERSEDIAA
OBAT
177 Setirizin Tab 10 mg ( Phapros) Tablet 600 1500 2,100 400
178 Simvastatin Tablet 10 mg Tablet 450 3000 3,450 90 90 90
185 Thiamphenicol / Thiamfilex Kapsul 500mg ( Molex Ayus ) Kapsul - 1000 1,000 100
187 Tiamin Hcl (Vit B1) Tablet 50 mg Tablet 1,200 2000 3,200 600 100 100 100 100
188 Vit E400 Vegicap (Proxidan)
Tablet - -
190 Vitamin B Kompleks ( Kimia Farma )
mg)
Tablet 3,000 3,000
191 Zinc Sulphate syr /Interzinc 10 mg/ml (Interbat ) Botol 126 126 20 10 10 10 10 10 10 10 10 10 10
192 Zinc Sulphate Tablet Dispersible 20 mg (Kimia Farma ) Tablet - 2000 2,000 1000
BMHP 2017 - -
195 Alat suntik sekali pakai 3 cc (Terumo) Buah 2,510 2,510 700 100 30 30
198 Alat Suntik Sekali Pakai 5 ml (Aximed ) Pcs 2,075 2,075 75
200 Alat Suntik Sekali Pakai 20 ml Pcs 199 199 49
202 Alkohol Swab Biji 200 300 500 300 200
208 Cat Gut Plain No. 3.0 70 C+ Jarum 1/2 25 M (Demetech) / Phsda Pcs 241 241
209 Catgut Chromic 3/0 75C + Jarum1/2 22M Demetech Pcs 228 6 234 60
212 Foley Catheter No. 16,18 (Uro Technology / Norta 2 Way) Pair 40 20 60
218 Infusion Set Dewasa 20 Drops /( Otsuka ) Pcs 250 300 550 100 20
PERSEDIAA
OBAT
221
Biji - -
222 Kapas Pembalut /Absorben 250 mg Pcs 33 33 1 5 2
226 Kasa Pembalut Hidrofil Drc 4 M X 15 Cm Roll 80 100 180 10
229 Masker Biji - -
239 Oxygen Mask Nasal Canula Size L Dan S (Aximed) Pcs - 50 50
242 Plester Roll Kain 2,5 Cm X 4,5 Cm (Leukoplast 1622H) Roll - 20 20
251 Sarung Tangan Non Steril No M Dan L Pasang - 3,200 3,200 2000 200 100 100 100 100 100 100 100 100 100
254 Sarung Tangan Steril No 7 Dan 7,5 Pair 650 650
260 Umbilical Cord Klem Sterile Nylon Pcs 250 20 270 50
261 Urine Drainage Bag, T Valve With Hanger (Aximed) Botol - 20 20
OBAT GIGI - -
PERSEDIAA
OBAT
SUSU - -
REAGEN - -
284 Slide Biji - -
PERSEDIAA
OBAT
317
Mg Tab (Phapros)
Tablet - -
326 Haloperidol Tab 5 Mg (Indofarma) Tablet 3,000 3,000 6,000 1000
328 Klorpromazin Tab Salut 100 mg (Hcl) Tablet 2,000 5,000 7,000
335 Triheksifenidil Tablet 2 mg ( Holi Farma ) Tablet 400 200 600 600
OBAT KESGA - -
OKSIGEN - -
342 - -
PERSEDIAA
OBAT
350 High Level Desinfectant Galon 5 Ltr (STERALD) Galon=5Ltr 0 0
351 Blood Lancet (21Gx1.8 M) 0 0
352 Reagen Syphilis SD Bioline 0 0
353 Reagen HB Ig 0 0
354 Plester Fixomull Stretch 5 cm x 5 cm 0 0
355 Kalsium 500mg+ Vitamin D3 (Calsifar Plus) 0 0
356 Hb Hemoglobim Strip tes 0 0
357 Accutrend Cholesterol Strip 0 0
358 Air untuk irigasi inf 1000ml 0 0
359 Povidon Iodine 10% (60ml) (One Med) 13 13 5
361 ATS 0 0
362 Molaneuron 8300 2000 10300 1100
363 Papsmear kit 0 0
364 kasa 3 x 15 0 0
365 iv cath 18 167 200 367 37
366 iv cath 20 230 100 330
367 iv cath 22 250 100 350 50
368 iv cath 24 89 89 50
369 colpica 0 0
370 UNDER PAD ipfk 0 0
371 Hemafort 0 0
373 Plesterin Bulat Non Woven (One Med) 0 0
374 Media sample container 0 0
375 Asam ascorbat 50 mg kimia farma Tablet 3600 3000 6600 1900 200 200 100 100 100
ANG
PEMBERIAAN
JUMLAH STOK
URANG TOTAL SISA STOK OPNAME
GANTUNG
18 19 20
300 -
120 120
- 2,700
100 300 3,700
100 1,000 300
- -
- -
4,800 1,800
200 4,700 14,600
10 290
- -
- -
100 220
- -
- -
200 2,700 7,100
- -
- -
- -
- -
- -
- -
100 5,600
100 1,900 14,100
- -
- 10
- -
- -
- 550
- -
100 1,800 1,800
- 3,450
300 3,200
5 34 39
- -
- -
PEMBERIAAN
JUMLAH STOK
GANTUNG
- -
- -
- -
- -
- 2,400
- 500
- -
360 -
- 200
200 1,800
- -
- -
- -
- -
- -
10 40 230
- -
200 4,600
300 1,250
5 80 40
- -
30 -
- -
- -
- -
- -
30 155
- -
- -
200 400
- -
100 1,200 2,500
- -
10 51 183
128 40
- -
2,000 8,400
200 1,900 3,200
- 4,600
- -
- -
- -
- -
- -
- 1,000
- -
PEMBERIAAN
JUMLAH STOK
GANTUNG
33 181
50 -
36 324
2,700 4,900
- -
- -
- 100
- -
- -
- -
- -
- 5,000
100 2,200 6,000
48 122
- 1,350
- -
- -
- -
- -
- -
- -
1,700 -
300 2,500 8,500
- -
100 2,650
15 30
- -
1 14 39
- -
- -
60 180
- -
500 1,000
- 600
- -
- -
- -
130 925
- 3,000
- 150
15 35
- 1,300
- 950
- -
- -
- 2,000
PEMBERIAAN
JUMLAH STOK
GANTUNG
- -
- -
4 -
30 -
- -
48 192
- -
- -
- -
- -
15,600 4,000
- -
- -
- -
20 20 180
- -
- -
- 20
10 139 40
42 328
- -
355 -
- 340
400 6,300 6,800
20 80
- -
900 1,800
1,050 5,400
300 4,200
- -
3 57
20 -
- 200
200 500 2,900
- -
500 1,000
- -
- -
100 300
1,000 1,400
- -
- 90
- -
100 300 1,400
247 91
10 97
PEMBERIAAN
JUMLAH STOK
GANTUNG
- -
- -
400 1,700
270 3,180
- -
- -
- -
- -
- -
- -
100 900
- -
200 1,200 2,000
- -
- -
- 3,000
6 126 -
1,000 1,000
- -
- -
- -
35 895 1,615
- 1,995
- 3,005
75 2,000
- 595
49 150
- 24
500 -
- -
- -
- -
- -
- -
- 241
60 174
- -
- -
- 60
- 9
- -
- -
- -
- 276
120 430
- 30
PEMBERIAAN
JUMLAH STOK
GANTUNG
- -
- -
8 25
- 14
- 5
- -
10 170
- -
- -
- -
- 31
- -
- -
- 5
- -
- -
- -
- 5
- 35
- 50
- -
- -
- 20
- 5
- -
- -
- 13
- -
- -
- -
5 -
100 3,200 -
- -
- -
- 650
- 264
- -
- -
- -
- -
50 220
- 20
- -
- -
- 25
- -
PEMBERIAAN
JUMLAH STOK
GANTUNG
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 205
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
PEMBERIAAN
JUMLAH STOK
GANTUNG
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 100
- -
- 800
- -
- -
- -
- -
1,000 5,000
- -
- 7,000
- -
- -
- -
- 3,000
- -
- -
600 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
PEMBERIAAN
JUMLAH STOK
GANTUNG
- -
- 4
- 19
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
5 8
0 6
0 -
1100 9,200
0 -
0 -
37 330
0 330
50 300
50 39
0 -
0 -
0 -
0 38
0 -
0 -
200 2800 3,800
MUTASI GUDANG

KECAMATAN : SUKODONO BULAN : APRIL

PERSEDIAA
KEMASAN AWAL N PERSA IGD/ DWH KUTO KARANG BONDO SUMBE KEBON SELOK SELOK KLAN
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17

5 Ambroxol Tablet 30 mg Tablet 300 300
8 Amlodipin Tablet 10 Mg Tablet 1,800 1,800 1800
9 Amoksisilin Kaplet 500 mg Tablet 14,600 14,600 1000 100 200 100 100 200 100 100
12
CLABAT,CAPSINAT
Kaplet - -
15
Tablet - -
16
Tablet 7,100 7,100 100 100 200 100
18
Pot - -
19
Supp - -
20
Kapsul - -
22
(Dexa Medica)
Tablet - -
23 Asam Folat Tablet 1 mg ( Marin Liza Farmasi ) Tablet 5,600 5,600 100
24 Asam Mefenamat 500 mg ( Mersi ) Tablet 14,100 14,100 1000 100 100 100 100 100 100
31 Attapulgite Active 600 mg Tab/ New Diatab Tablet 1,800 1,800
PERSEDIAA
OBAT
37
)
Biji - -
39
Zeneca)
Botol - -
40
Tablet - -
42 Cefadroksil Kapsul 500 mg orange Kapsul 500 500
44 Curcumin Plus Cynarin,Sylimarin,Kapsul/ Hepagard (Phapros) Tablet - -
46 Deksamethason Tab 0,5 mg (Promed ) Tablet 1,800 1,800 1000
54 Dimenhidrinat Tablet 50 mg (Kimia Farma ) Tablet 4,600 4,600 500
68 Garam Oralit 200 ml Biji 2,500 2,500 100 100 100
71 Gentamycin Cream 1 % mg/ ml BOTOL 40 40
73 Glibenklamid Tablet 5 mg Tablet 8,400 8,400
78 Glukosa Larutan 40% Steril ( Outsuka ) Botol - -
PERSEDIAA
OBAT
81 Hidroklorotiazid (Hct) Tablet 25 mg Tablet 1,000 1,000 100 100 100 100 100
84 Hyoscine N- Butylbromide 20 mg Inj/ Gitas (Interbath ) Ampule - -
85 Ibuprofen Susp 200 mg/5 ml (Indo Farma ) Botol 324 324
86 Ibuprofen Tablet 400 mg Botol 4,900 4,900
93
Pharmatama)
Tablet - -
95 Kaptopril Tab 25 mg ( Phapros ) Tablet 6,000 6,000 100 100 100 100 100 100 100
96 Ketokonazol cr Tube 122 122 3 5
Tube - -
(Interbath)
104 Klorfeniramina Maleat (Ctm) Tab 4 mg (kaleng) Tablet - -
105 Klorfeniramina Maleat (Ctm) Tab 4 mg Tablet 8,500 8,500 200 100 100 200
108
200mgAnalgesik
mengandung
Botol 30 30
gr/Molakrim
110
Tube 39 39
111
(Dexa Medica)
Tablet - -
112
Pehacain (Phapros)
Ampule - -
113 Lidokain Injeksi 2% + Epinefrin 1:80.000 - 2 ml (Lucas Djaja) Ampule 180 180
117
Tablet - -
120 Metamizol Sodium Inj 500 mg/ml (Santagesik/ Antrain/ Norages) Ampule 925 925 255 170
121 Metformin Hcl 500 mg (Tempo Scan Pacific ) Tablet 3,000 3,000
PERSEDIAA
OBAT
128 Metronidasol 500 mg Tablet (Molazol) Tablet 2,000 2,000 500
131 Minyak Kayu Putih 60 ml /Gajah Botol - -
132
mersibion
Ampule - -
133
Ayus )
Tablet - -
134
Botol 192 192 48
135
Tablet - -
Tablet - -
137
Tablet - -
138 25mg /Hemafort
Phapros )
139 Natrium Diklofenak Tab 50 mg (Phapros ) Tablet 4,000 4,000
Botol - -
146 Obat Kumur +Hyaulorinic Acid 1% @ 200ml (Sanorine) Botol 20 20 5
147 Botol 40 40 20 15 5
150 Ondansetron Hcl Inj 2 mg/ 1ml ( Soho ) Ampule - -
151 Ondansetron Hcl Inj 2 mg/ 1ml ( Soho ) Tube 340 340 50
152 Paracetamol Tablet 500 mg Tablet 6,800 6,800 200 100 200 200 300 200 100
153 Paracetamol Supp 125 mg Supp 80 80
Botol - -
Tablet 1,800 1,800 600
( Phapros )
500Mg,Pseudofedrin
157
Tablet 4,200 4,200
159 Permetrin crem 5% @10 mg (Scabimite crem ) Tube 57 57 30
160 Piracetam Inj 1gr/5ml /Revolan (Sanbe Farma ) Ampule - -
162 Piridoksin Hcl (Vit.B6)Tablet 10 mg Tablet 2,900 2,900 200 100 100 100
164 Prednison Tab 5 mg (Holi Pharma) Tablet 1,000 1,000 100 100 100 100
PERSEDIAA
OBAT
171
(COMBIVENT)
Nebule - -
173
(Marin )
Pot 91 91 5 5 5
174 Salisil Bedak Serbuk 2% (Rama Mulia Cosmetic ) Biji 97 97 5 5
177 Setirizin Tab 10 mg ( Phapros) Tablet 1,700 1,700
178 Simvastatin Tablet 10 mg Tablet 3,180 3,180 300 120 60 120
185 Thiamphenicol / Thiamfilex Kapsul 500mg ( Molex Ayus ) Kapsul 900 900
187 Tiamin Hcl (Vit B1) Tablet 50 mg Tablet 2,000 2,000 100 100
Tablet - -
mg)
Tablet 3,000 3,000
191 Zinc Sulphate syr /Interzinc 10 mg/ml (Interbat ) Botol - -
192 Zinc Sulphate Tablet Dispersible 20 mg (Kimia Farma ) Tablet 1,000 1,000 100 200 100
BMHP 2017 - -
195 Alat suntik sekali pakai 3 cc (Terumo) Buah 1,615 1,615 400 100 30 30 20
201 Alkohol / etanol 70% Botol 24 24 6 1 1
202 Alkohol Swab Biji - -
208 Cat Gut Plain No. 3.0 70 C+ Jarum 1/2 25 M (Demetech) / Phsda Pcs 241 241 11
209 Catgut Chromic 3/0 75C + Jarum1/2 22M Demetech Pcs 174 174 12
PERSEDIAA
OBAT
218 Infusion Set Dewasa 20 Drops /( Otsuka ) Pcs 430 430 100 20
221
Biji - -
223 Kasa 40 Y X 80 Cm (Sna Medika New Drc T Plain) Roll 14 14 1
229 Masker Biji - -
239 Oxygen Mask Nasal Canula Size L Dan S (Aximed) Pcs 50 50
242 Plester Roll Kain 2,5 Cm X 4,5 Cm (Leukoplast 1622H) Roll 20 20
251 Sarung Tangan Non Steril No M Dan L Pasang - 700 700 700
PERSEDIAA
OBAT
254 Sarung Tangan Steril No 7 Dan 7,5 Pair 650 400 1,050
260 Umbilical Cord Klem Sterile Nylon Pcs 220 220 50
261 Urine Drainage Bag, T Valve With Hanger (Aximed) Botol 20 20
OBAT GIGI - -
SUSU - -
REAGEN - -
284 Slide Biji - -
PERSEDIAA
OBAT
317
Mg Tab (Phapros)
Tablet - -
326 Haloperidol Tab 5 Mg (Indofarma) Tablet 5,000 5,000 1000
328 Klorpromazin Tab Salut 100 mg (Hcl) Tablet 7,000 7,000 1000
PERSEDIAA
OBAT
335 Triheksifenidil Tablet 2 mg ( Holi Farma ) Tablet - -
OBAT KESGA - -
OKSIGEN - -
342 - -
361 ATS - -
362 Molaneuron 9,200 9,200 1000
364 kasa 3 x 15 - -
365 iv cath 18 330 330 20
366 iv cath 20 330 330 50
367 iv cath 22 300 300 50
368 iv cath 24 39 39 30
369 colpica - -
371 Hemafort - -
375 Asam ascorbat 50 mg kimia farma Tablet 3,800 3,800 100 200 100 100 200
376 Multivitamin, Vit E 50 mg, Lutein 3 mg, Lycopen 8 mg, Vit Kapsul - -
377 Multivitamin + pelancar ASI (NULACVIT) Tablet - -
378 APD set (Rania) Set 8 8
PERSEDIAA
OBAT
379 Bleach liquid 20 L Galon - -
380 Cover All (Solida) Pcs 39 39
381 Reagen zeil Nelseen Kit - -
382 Gown Reuse (Hijau) Pcs - -
383 Sepatu boot Pasang 1 1
384 Oseltamivir 75 mg kapsul - -
ANG
PEMBERIAAN
JUMLAH STOK
GANTUNG
18 19 20
- -
- 120
- 2,700
- 3,700
- 300
- -
- -
1,800 -
1,900 12,700
10 280
- -
- -
100 120
- -
- -
500 6,600
- -
- -
- -
- -
- -
- -
100 5,500
1,600 12,500
- -
- 10
- -
- -
- 550
- -
- 1,800
- 3,450
- 3,200
25 14
PEMBERIAAN
JUMLAH STOK
GANTUNG
- -
- -
- -
- -
- -
- -
- 2,400
- 500
- -
- -
- 200
1,000 800
- -
- -
- -
- -
- -
- 230
- -
500 4,100
- 1,250
- 40
- -
- -
- -
- -
- -
- -
- 155
- -
- -
- 400
- -
300 2,200
- -
- 183
- 40
- -
- 8,400
1,300 1,900
- 4,600
- -
- -
- -
PEMBERIAAN
JUMLAH STOK
GANTUNG
- -
- -
500 500
- -
15 166
- -
- 324
- 4,900
- -
- -
- 100
- -
- -
- -
- -
- 5,000
700 5,300
8 114
- 1,350
- -
- -
- -
- -
- -
- -
- -
600 7,900
- -
- 2,650
- 30
- -
- 39
- -
- -
- 180
- -
- 1,000
- 600
- -
- -
- -
425 500
- 3,000
- 150
PEMBERIAAN
JUMLAH STOK
GANTUNG
- 35
- 1,300
- 950
- -
- -
500 1,500
- -
- -
- -
- -
- -
48 144
- -
- -
- -
- -
- 4,000
- -
- -
- -
- 180
- -
- -
5 15
40 -
40 288
- -
- -
50 290
1,300 5,500
- 80
- -
600 1,200
- 5,400
- 4,200
- -
30 27
- -
- 200
500 2,400
- -
400 600
- -
- -
PEMBERIAAN
JUMLAH STOK
GANTUNG
200 100
- 1,400
- -
- 90
- -
- 1,400
15 76
10 87
- -
- -
- 1,700
600 2,580
- -
- -
- -
- -
- -
- -
- 900
- -
200 1,800
- -
- -
- 3,000
- -
400 600
- -
- -
- -
580 1,035
- 1,995
- 3,005
- 2,000
- 595
- 150
8 16
- -
- -
- -
- -
- -
- -
11 230
12 162
PEMBERIAAN
JUMLAH STOK
GANTUNG
- -
- -
- 60
- 9
- -
- -
- -
- 276
120 310
- 30
- -
- -
- 25
1 13
- 5
- -
- 170
- -
- -
- -
- 31
- -
- -
- 5
- -
- -
- -
- 5
- 35
- 50
- -
- -
- 20
- 5
- -
- -
- 13
- -
- -
- -
- 10
700 -
- -
- -
PEMBERIAAN
JUMLAH STOK
GANTUNG
- 1,050
- 264
- -
- -
- -
- -
50 170
- 20
- -
- -
- 25
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
PEMBERIAAN
JUMLAH STOK
GANTUNG
- -
- 205
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 100
- -
- 800
- -
- -
- -
- -
1,000 4,000
- -
1,000 6,000
- -
- -
- -
- 3,000
PEMBERIAAN
JUMLAH STOK
GANTUNG
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 4
- 19
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 8
- 6
- -
1,000 8,200
- -
- -
20 310
50 280
50 250
30 9
- -
- -
- -
- 38
- -
- -
700 3,100
- -
- -
- 8
PEMBERIAAN
JUMLAH STOK
GANTUNG
- -
- 39
- -
- -
- 1
- -
MUTASI GUDANG

KECAMATAN : SUKODONO BULAN : MEI

PERSEDIAA
KEMASAN AWAL N PERSA IGD DWH KUTO KARANG BONDO SUMBE KEBON SELOK SELOK KLAN
OBAT
LINAN R.INAP LOR RENON SARI YUDO REJO AGUNG BESUKI GONDANG TING
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17

5 Ambroxol Tablet 30 mg Tablet 300 300
8 Amlodipin Tablet 10 Mg Tablet - -
9 Amoksisilin Kaplet 500 mg Tablet 12,700 12,700 1000 400 500 100 100 100 200 100 100
12
CLABAT,CAPSINAT
Kaplet - -
15
Tablet - -
16
Tablet 6,600 6,600 100 100 100 100 100
18
Pot - -
19
Supp - -
20
Kapsul - -
22
(Dexa Medica)
Tablet - -
23 Asam Folat Tablet 1 mg ( Marin Liza Farmasi ) Tablet 5,500 5,500 100 100
24 Asam Mefenamat 500 mg ( Mersi ) Tablet 12,500 12,500 1000 300 100 100 100 100 100 100 100 100
31 Attapulgite Active 600 mg Tab/ New Diatab Tablet 1,800 1,800 100 100 100
34 Betametason Krim 0,1% (Kimia Farma ) Tube 14 14
37
)
Biji - -
PERSEDIAA
OBAT
39
Zeneca)
Botol - -
40
Tablet - -
42 Cefadroksil Kapsul 500 mg orange Kapsul 500 500
45 Deksametason Inj iv/ im 5 mg/ ml (Bernofarm) Ampule 200 200 40 10
46 Deksamethason Tab 0,5 mg (Promed ) Tablet 800 800
56 Domperidon Suspensi 5 mg /5 ml Botol 40 40 10
63 Fitomenadion (Vit K1)Inj 2 mg/ ml I.M (Phapros ) Ampule 155 155 30
68 Garam Oralit 200 ml Biji 2,200 2,200 100 100 100
70 Gentamisin Sulfate tetes mata 0,3% ( ERELA) Ampule 183 183 3 2
71 Gentamycin Cream 1 % mg/ ml BOTOL 40 40 24 10 3 3
Botol - -
81 Hidroklorotiazid (Hct) Tablet 25 mg Tablet 500 500
PERSEDIAA
OBAT
86 Ibuprofen Tablet 400 mg Botol 4,900 4,900 1000
93
Pharmatama)
Tablet - -
95 Kaptopril Tab 25 mg ( Phapros ) Tablet 5,300 5,300 100 100 100 100
Tube - -
(Interbath)
105 Klorfeniramina Maleat (Ctm) Tab 4 mg Tablet 7,900 7,900 200 100 200 100 100 200
108
200mgAnalgesik
mengandung
Botol 30 30 15
gr/Molakrim
110
Tube 39 39 2 1
111
(Dexa Medica)
Tablet - -
112
Pehacain (Phapros)
Ampule - -
113 Lidokain Injeksi 2% + Epinefrin 1:80.000 - 2 ml (Lucas Djaja) Ampule 180 180 30 10 3
117
Tablet - -
120 Metamizol Sodium Inj 500 mg/ml (Santagesik/ Antrain/ Norages) Ampule 500 500
121 Metformin Hcl 500 mg (Tempo Scan Pacific ) Tablet 3,000 3,000
123 Metilergometrin Inj 0,2 mg/ml (Ethica ) Ampule 35 35 10
125 Metoklopramide Tablet 10 mg ( Kimia Farma ) Tablet 950 950 300
128 Metronidasol 500 mg Tablet (Molazol) Tablet 1,500 1,500
PERSEDIAA
OBAT
132
mersibion
Ampule - -
133
Ayus )
Tablet - -
134
Botol 144 144 24
135
Tablet - -
136
Tablet - -
Multivitamin Tab Tambah Darah : Oer Tablet Mengandung :

137 Tablet
25mg /Hemafort ( Phapros )
- -
138 Natrium Clorida 0,9% @500ml(Widatra ) Botol - -
Botol - -
147 Botol - -
152 Paracetamol Tablet 500 mg Tablet 5,500 5,500 200 200 100 100 200 200 300 200
Botol - -
Tablet 1,200 1,200
( Phapros )
500Mg,Pseudofedrin
157
Tablet 4,200 4,200
159 Permetrin crem 5% @10 mg (Scabimite crem ) Tube 27 27
162 Piridoksin Hcl (Vit.B6)Tablet 10 mg Tablet 2,400 2,400 100 100
167 Ranitidin Inj Hcl 25 mg/ml ( Quantum Labs ) Ampule 100 100
170 RINGER LACTAT Botol 500 ml( WIDATRA ) Botol 90 90 40
171
(COMBIVENT)
Nebule - -
173
(Marin )
Pot 76 76 5
174 Salisil Bedak Serbuk 2% (Rama Mulia Cosmetic ) Biji 87 87 10 2 5
PERSEDIAA
OBAT
177 Setirizin Tab 10 mg ( Phapros) Tablet 1,700 1,700 1000
178 Simvastatin Tablet 10 mg Tablet 2,580 2,580
185 Thiamphenicol / Thiamfilex Kapsul 500mg ( Molex Ayus ) Kapsul 900 900 500
187 Tiamin Hcl (Vit B1) Tablet 50 mg Tablet 1,800 1,800 100 100
Tablet - -
mg)
Tablet 3,000 3,000
192 Zinc Sulphate Tablet Dispersible 20 mg (Kimia Farma ) Tablet 600 600 100 100 100 100 100
BMHP 2017 - -
195 Alat suntik sekali pakai 3 cc (Terumo) Buah 1,035 1,035 400 100 20 10 20 20
197 Alat Suntik Sekali Pakai 3 ml Pcs 3,005 2,000 5,005
198 Alat Suntik Sekali Pakai 5 ml (Aximed ) Pcs 2,000 2,000 5 5
199 Alat Suntik Sekali Pakai 10 ml ( Aximed) Pcs 595 595 3
201 Alkohol / etanol 70% Botol 16 16 1 1 1 1
Cat Gut Plain No. 3.0 70 C+ Jarum 1/2 25 M (Demetech) /
208
Phsda
Pcs 230 230 24 3
209 Catgut Chromic 3/0 75C + Jarum1/2 22M Demetech Pcs 162 162
PERSEDIAA
OBAT
221
Biji - -
223 Kasa 40 Y X 80 Cm (Sna Medika New Drc T Plain) Roll 13 13 1
226 Kasa Pembalut Hidrofil Drc 4 M X 15 Cm Roll 170 170 20
229 Masker Biji - -
239 Oxygen Mask Nasal Canula Size L Dan S (Aximed) Pcs 50 50 20
254 Sarung Tangan Steril No 7 Dan 7,5 Pair 1,050 1,050 50
255 Silk Black 3/0Ds 19 Mm (Smi ) Sachet 264 264 60
261 Urine Drainage Bag, T Valve With Hanger (Aximed) Botol 20 20 20
OBAT GIGI - -
PERSEDIAA
OBAT
SUSU - -
REAGEN - -
284 Slide Biji - -
PERSEDIAA
OBAT
317 Tablet
Mg Tab (Phapros) - -
OBAT KESGA - -
OKSIGEN - -
342 - -
PERSEDIAA
OBAT
361 ATS - -
362 Molaneuron 8,200 8,200 1000 200
364 kasa 3 x 15 - -
365 iv cath 18 310 310 40
366 iv cath 20 280 280 50
367 iv cath 22 250 250
368 iv cath 24 9 9
369 colpica - -
371 Hemafort - -
375 Asam ascorbat 50 mg kimia farma Tablet 3,100 3,100 300 100 100
376 Multivitamin, Vit E 50 mg, Lutein 3 mg, Lycopen 8 mg, Vit Kapsul - - asa
385 Rapid Test (Farmahusada Pcs - -
386 Apron Pcs 115 115
387 Cover All Re Use (Usaha Karya) Pcs 5 5
388 Cover All Re Use (Rania) Pcs 7 7
389 Gown Reuse (Biru) Pcs 4 4
390 Handsanitizer (Takusi) II Liter - -
391 Masker (Cobra I) Pcs - -
392 Masker (Cobra II) Pcs - -
393 Masker KN95 (Farmahusada) Pcs 12 12
NG
PEMBERIAAN
JUMLAH JUMLAH STOK
URANG TOTAL STOK OPNAME
GANTUNG
18 19 20
- -
- 120
- 2,700
- 3,700
- 300
- -
- -
- -
2,600 10,100
10 270
- -
- -
20 100
- -
- -
500 6,100
- -
- -
- -
- -
- -
- -
200 5,300
2,100 10,400
- -
- 10
- -
- -
300 250
- -
300 1,500
- 3,450
200 3,000
- 14
- -
- -
- -
PEMBERIAAN
JUMLAH JUMLAH STOK
GANTUNG
- -
- -
- -
- 2,400
- 500
- -
- -
50 150
- 800
- -
- -
- -
- -
- -
16 214
- -
300 3,800
- 1,250
10 30
- -
- -
- -
- -
- -
- -
30 125
- -
- -
- 400
- -
300 1,900
- -
5 178
40 -
- -
400 8,000
1,000 900
- 4,600
- -
- -
- -
- -
- -
- 500
- -
13 153
- -
PEMBERIAAN
JUMLAH JUMLAH STOK
GANTUNG
- 324
1,000 3,900
- -
- -
- 100
- -
- -
- -
- -
- 5,000
400 4,900
2 112
- 1,350
- -
- -
- -
- -
- -
- -
- -
900 7,000
- -
- 2,650
15 15
- -
3 36
- -
- -
43 137
- -
- 1,000
- 600
- -
- -
- -
- 500
- 3,000
- 150
10 25
- 1,300
300 650
- -
- -
- 1,500
- -
- -
- -
PEMBERIAAN
JUMLAH JUMLAH STOK
GANTUNG
- -
- -
24 120
- -
- -
- -
- -
- 4,000
- -
- -
- -
- 180
- -
- -
- 15
- -
80 208
- -
- -
50 240
1,500 4,000
- 80
- -
- 1,200
- 5,400
- 4,200
- -
- 27
- -
- 200
200 2,200
- -
- 600
- -
- -
- 100
- 1,400
- -
40 50
- -
- 1,400
5 71
17 70
PEMBERIAAN
JUMLAH JUMLAH STOK
GANTUNG
- -
- -
1,000 700
- 2,580
- -
- -
- -
- -
- -
- -
500 400
- -
200 1,600
- -
- -
- 3,000
- -
500 100
- -
- -
- -
570 465
- 1,995
- 5,005
10 1,990
3 592
- 150
4 12
- -
- -
- -
- -
- -
- -
27 203
- 162
- -
- -
- 60
- 9
- -
- -
- -
- 276
20 290
- 30
- -
PEMBERIAAN
JUMLAH JUMLAH STOK
GANTUNG
- -
1 24
1 12
- 5
- -
20 150
- -
- -
- -
- 31
- -
- -
- 5
- -
- -
- -
- 5
- 35
20 30
- -
- -
- 20
- 5
- -
- -
- 13
- -
- -
- -
10 -
- -
- -
- -
50 1,000
60 204
- -
- -
- -
- -
- 170
20 -
- -
- -
- 25
- -
- -
- -
PEMBERIAAN
JUMLAH JUMLAH STOK
GANTUNG
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 205
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
PEMBERIAAN
JUMLAH JUMLAH STOK
GANTUNG
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 100
- -
- 800
- -
- -
- -
- -
1,000 3,000
- -
1,000 5,000
- -
- -
- -
- 3,000
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 4
- 19
PEMBERIAAN
JUMLAH JUMLAH STOK
GANTUNG
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 8
- 6
- -
1,200 7,000
- -
- -
40 270
50 230
- 250
- 9
- -
- -
- -
- 38
- -
- -
500 2,600
- -
- -
- 8
- -
- 39
- -
- -
- 1
- -
- -
- 115
- 5
- 7
- 4
- -
- -
- -
- 12
KECAMATAN : SUKODONO BULAN : JUNI

PERSEDIAA
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17
1 Acetosal/Acetylsalicylic Acid Tablet 80 mg (MINIASPI) Tablet - 200 200 200

2 Air Untuk Inj Vial @25 ml Vial 120 60 180 20 100
4 Alopurinol Tablet 100 mg ( Sampharindo Perdana) Tablet 3,700 1,500 5,200 500
5 Ambroxol Tablet 30 mg Tablet 300 300 300
8 Amlodipin Tablet 10 Mg Tablet - 16,200 16,200 5400
9 Amoksisilin Kaplet 500 mg Tablet 10,100 10,000 20,100 1000 500 500 200 200 100 200
12
CLABAT,CAPSINAT
Kaplet - -
15
Tablet - -
Antasida Tablet Kunyah Kombinasi : Aluminium Hydroxide
16
200 mg + Magnesium Hydroxide 200 mg
Tablet 6,100 5,000 11,100 100 200 100 100
18
Salisilat 3% (Marin
Antihemoroid Supp )(Bismuth Subgallate 150
Pot - -
19 mg,Hexachlorophene 2,5 mg, Lignocaine 10 mg,Zincoxide 20 Supp - -
mg
Antihemoroid Tablet (Extrak Graptophili Folium 80% Citrus
20
Bio 20% ) Hemorrogard (Phapros)
Kapsul - -
22
(Dexa Medica)
Tablet - -
23 Asam Folat Tablet 1 mg ( Marin Liza Farmasi ) Tablet 5,300 1,500 6,800
24 Asam Mefenamat 500 mg ( Mersi ) Tablet 10,400 13,000 23,400 3000 200 400 100 100 100 100
29 Asiklovir Tab 400 mg ( Phapros ) Tablet 250 300 550 250
33 Betahistin Mesylat 6 mg Tablet 3,000 200 3,200
Bisakodil Suppositoria 10 mg ( Boehringer Ingelheim )/
35
dulcolax
Supp - -
Bricasma Respules Terbutalin Cairan IH 2,5 mg/ml (Astra
37
Zeneca )
Biji - -
PERSEDIAA
OBAT
39
Zeneca)
Botol - -
40
Tablet - -
42 Cefadroksil Kapsul 500 mg orange Kapsul 500 500 500
45 Deksametason Inj iv/ im 5 mg/ ml (Bernofarm) Ampule 150 200 350 200
46 Deksamethason Tab 0,5 mg (Promed ) Tablet 800 2,000 2,800 800
52 Difenhidramin Inj 10 mg/ ml (Phapros ) Ampule 214 214 30 10 5
55 Domperidon Tab 10 mg (Dexa Medica ) Tablet 1,250 1,250 1250
56 Domperidon Suspensi 5 mg /5 ml Botol 30 30 30
66 Furosemid Tablet 40 mg (Sampharindo Perdana ) Tablet 400 400 800 50
68 Garam Oralit 200 ml Biji 1,900 3,600 5,500 100 100 100
70 Gentamisin Sulfate tetes mata 0,3% ( ERELA) Ampule 178 178 24 24 5
71 Gentamycin Cream 1 % mg/ ml BOTOL - 120 120 24 12
73 Glibenklamid Tablet 5 mg Tablet 8,000 8,000 2000 200 100 100
74 Gliseril Guaikoulat Tablet 100 mg (kaleng) Tablet 900 900 200 200 100 100 100
77 Glukosa Larutan Infus 5% @500ml (Widatra ) Botol - 20 20
78 Glukosa Larutan
Glukosamin 40%2 Steril
Sulphat ( Outsuka
Kcl 400 )
Mg,Kondroitin So4 Botol - 30 30
250Mg,Msm 75 Mg Turmeric (Root) 80Ml,Boswelia Serrata
79
Extrac 50Mg,White Willow37,5Mg /Ociitin (Gracia
Tablet - -
80 Pharmindo)
Griseofulvin Tablet 125 mg Tablet - -
81 Hidroklorotiazid (Hct) Tablet 25 mg Tablet 500 500 500
83 Hidrokortison Krim 2,5% (Kimia Farma ) Preflied 153 96 249 48 5 10
PERSEDIAA
OBAT
85 Ibuprofen Susp 200 mg/5 ml (Indo Farma ) Botol 324 360 684 360 5 5 5 5 5 5 5
86 Ibuprofen Tablet 400 mg Botol 3,900 3,000 6,900 300 200 200 200 100 100
Isoniazid Tablet 400 mg + Piridoxina Hcl 5 mg (Suprazid
88
Forte)
Tablet - -
Kalium Diklofenak Tab 50 mg /Diclofenac Potassium
93
(Guardian Pharmatama)
Tablet - -
95 Kaptopril Tab 25 mg ( Phapros ) Tablet 4,900 4,000 8,900 100 200 200 100 200
96 Ketokonazol cr Tube 112 112
97 Ketokonazol Tablet 200 mg (Novapharin ) Tablet 1,350 500 1,850 1850
Tube - -
(Interbath)
105 Klorfeniramina Maleat (Ctm) Tab 4 mg Tablet 7,000 14,000 21,000 200 300 100 100
Kotrimoksasol Forte / Infantrim Forte Tab 960 mg ( Molex
107
Ayus )
Tablet 2,650 2,650
Kotrimoksazol Kombinasi Tiap 5ml Suspensi :
108
Sulfametoksazol
Krim 200mg gram
Analgesik (setiap + Trimetropin 40 mg
mengandung ( HoliSalisilat
: Metyl Farma )
Botol 15 15
109 102 mg, Eugenol 13,6 mg; Methol 53,4 mg, Vinishing Cream
Krim Jelly Luka Bakar: Tiap Gram Mengandung Placenta
Tube - -
ad 1 gr/Molakrim
110 Extract 100 mg,Neomycin Sulfat 5 mg /Centabio (Sanbe Tube 36 36 6 1
Farma)
Lactobasilus Rhamnosus R 11 2M + Laciophillus R-52
111
/Lacidofil (Dexa Medica)
Tablet - -
Lidocain 2% + Ephinefrin 1:80000 2ml :Lidocain Inj
112
Comp,Inj)/ Pehacain (Phapros)
Ampule - -
113 Lidokain Injeksi 2% + Epinefrin 1:80.000 - 2 ml (Lucas Djaja) Ampule 137 300 437 20 40 2
115 Loperamid Tablet 2 mg ( Ifars) Tablet 1,000 1,000 200 100
117
Tablet - -
Metamizol Sodium Inj 500 mg/ml (Santagesik/ Antrain/
120
Norages)
Ampule 500 500 255
121 Metformin Hcl 500 mg (Tempo Scan Pacific ) Tablet 3,000 5,000 8,000 1000
123 Metilergometrin Inj 0,2 mg/ml (Ethica ) Ampule 25 25 25
PERSEDIAA
OBAT
132
mersibion
Ampule - -
Multivitamin C 750 mg ,Asam Folat+ Mineral / Vitner -Z
133
( Molex Ayus )
Tablet - -
Multivitamin Curcuma Syr:L-Lysyin 200mg,Betacaroten 1000
134
IU vit B1 3 mg, B12 Curcuminoid 2ml /Lytacur( Interbath )
Botol 120 48 168 72
135
Tablet - -
Tablet - -
137
Tablet - -
138 25mg
Natrium/Hemafort
Clorida (0,9%
Phapros )
@500ml(Widatra ) Botol - 40 40
139 Natrium Diklofenak Tab 50 mg (Phapros ) Tablet 4,000 2,800 6,800 1000
Botol - -
146 Obat Kumur +Hyaulorinic Acid 1% @ 200ml (Sanorine) Botol 15 15 5
147 Botol - -
152 Paracetamol Tablet 500 mg Tablet 4,000 5,000 9,000 300 200 100 300 200 400
Botol - -
Tablet 1,200 1,500 2,700 600
( Phapros )
Komb Tablet Flu: ( Molex Ayus )
Parasetamol
157
500Mg,Pseudofedrin 30Mg/Noza ( Molex Ayus )
Tablet 4,200 4,200
Perak Sulfadiazin Krim 1% / Sulfadiazine Silver ( Darya Varia
158
L)
Tube - -
159 Permetrin crem 5% @10 mg (Scabimite crem ) Tube 27 60 87 27
162 Piridoksin Hcl (Vit.B6)Tablet 10 mg Tablet 2,200 3,000 5,200 100 200 100
164 Prednison Tab 5 mg (Holi Pharma) Tablet 600 1,000 1,600 100
167 Ranitidin Inj Hcl 25 mg/ml ( Quantum Labs ) Ampule 100 400 500 200
169 Ringer Acetat Botol @500 ml ( Outsuka ) Botol - 200 200
170 RINGER LACTAT Botol 500 ml( WIDATRA ) Botol 50 1,000 1,050 20
Salbutamol SO4 3,01 mg + Ipratonium Brom 0,52 mg
171
Nebulizer (COMBIVENT)
Nebule - -
172 Salbutamol Tab 4 mg ( Kimia Farma ) Tablet 1,400 2,000 3,400
173
(Marin )
Pot 71 48 119 3 5
174 Salisil Bedak Serbuk 2% (Rama Mulia Cosmetic ) Biji 70 50 120 20 5 10 5
PERSEDIAA
OBAT
177 Setirizin Tab 10 mg ( Phapros) Tablet 700 700
178 Simvastatin Tablet 10 mg Tablet 2,580 2,580 660 30 90
185 Thiamphenicol / Thiamfilex Kapsul 500mg ( Molex Ayus ) Kapsul 400 400
187 Tiamin Hcl (Vit B1) Tablet 50 mg Tablet 1,600 1,600 100 200 100 100
Vitamin B Komplek Plus Ekstrak Hati (Substansi Hati Kering
100 mg, Vit B1 HCl 0,25 mg B2 HCl 0,25 mg, B6 HCl 0,25
Tablet - -
189 mg, B12 0,5 mg, Vit. C 12,5 mg, Calcium Pantetonat 1,5 mg, Tablet - -
Nikotinamida 10 mg, Asam Folat 0,5 mg, FE (II) Glikonat 7,5
mg, CuSO4 0,65 mg)
Tablet 3,000 5,000 8,000
192 Zinc Sulphate Tablet Dispersible 20 mg (Kimia Farma ) Tablet 100 3,000 3,100 100
BMHP 2017 - -
195 Alat suntik sekali pakai 3 cc (Terumo) Buah 465 465 400 10 20
Alat Suntik Sekali Pakai 1 ml Tuberculin W N 26Gx 1/2
196
(Nipro)
Pcs 1,995 1,995
201 Alkohol / etanol 70% Botol 12 12 5
208
Phsda
Pcs 203 203
209 Catgut Chromic 3/0 75C + Jarum1/2 22M Demetech Pcs 162 162 48
212 Foley Catheter No. 16,18 (Uro Technology / Norta 2 Way) Pair 60 60 10
217 Infusion Set Anak 60 Drops /(Otsuka) Pcs 276 100 376
PERSEDIAA
OBAT
221
Biji - -
224 Kasa Hidrofil Steril 16 Cm X 16 Cm (Surya Husada) Roll 5 5 5
226 Kasa Pembalut Hidrofil Drc 4 M X 15 Cm Roll 150 150 50
229 Masker Biji - -
230 Masker N95 Disposibel Biji 31 31 8
243 Polifix 5Cm X 1 Cm ( Sna Medika) Roll 5 10 15
250 Sarung Tangan Steril Gynecolog Pair - -
254 Sarung Tangan Steril No 7 Dan 7,5 Pair 1,000 400 1,400 50
261 Urine Drainage Bag, T Valve With Hanger (Aximed) Botol - -
OBAT GIGI - -
PERSEDIAA
OBAT
SUSU - -
REAGEN - -
284 Slide Biji - -
PERSEDIAA
OBAT
Tablet Tambah Darah /Komb Ferro Fumarat 60 Mg +As.Folat
317
0,4 Mg Tab (Phapros)
Tablet - -
319 Amitriptilin 25mg ( Indo Farma) Tablet 100 100 100
326 Haloperidol Tab 5 Mg (Indofarma) Tablet 3,000 5,000 8,000
328 Klorpromazin Tab Salut 100 mg (Hcl) Tablet 5,000 5,000 10,000 1000
OBAT KESGA - -
OKSIGEN - -
342 - -
PERSEDIAA
OBAT
350 High Level Desinfectant Galon 5 Ltr (STERALD) Galon=5Ltr - 0
351 Blood Lancet (21Gx1.8 M) - 0
352 Reagen Syphilis SD Bioline - 0
353 Reagen HB Ig - 0
354 Plester Fixomull Stretch 5 cm x 5 cm - 0
355 Kalsium 500mg+ Vitamin D3 (Calsifar Plus) - 0
356 Hb Hemoglobim Strip tes - 0
357 Accutrend Cholesterol Strip - 0
358 Air untuk irigasi inf 1000ml - 0
361 ATS - 0
362 Molaneuron 7,000 5000 12000 5700 200 100 200 200
363 Papsmear kit - 0
364 kasa 3 x 15 - 0
365 iv cath 18 270 270 40
366 iv cath 20 230 200 430 20
367 iv cath 22 250 250 50
368 iv cath 24 9 100 109
369 colpica - 0
370 UNDER PAD ipfk - 0
371 Hemafort - 0
372 Norinse Antimicrobial 500 ml (Viorex) 38 38 13
373 Plesterin Bulat Non Woven (One Med) - 0
374 Media sample container - 0
375 Asam ascorbat 50 mg kimia farma Tablet 2,600 10000 12600 1000 200 300 100
376 Multivitamin, Vit E 50 mg, Lutein 3 mg, Lycopen 8 mg, Kapsul - 0
377 Multivitamin + pelancar ASI (NULACVIT) Tablet - 0
379 Bleach liquid 20 L Galon - 0
381 Reagen zeil Nelseen Kit - 0
382 Gown Reuse (Hijau) Pcs - 0
384 Oseltamivir 75 mg kapsul - 0
385 Rapid Test (Farmahusada Pcs - 0
386 Apron Pcs 115 115 15 20
390 Handsanitizer (Takusi) II Liter - 0
391 Masker (Cobra I) Pcs - 0
392 Masker (Cobra II) Pcs - 0
394 Multivitami Becefort Pcs 1,000 2000 3000
PEMBERIAAN JUMLAH SISA Stok
TOTAL
URANG STOK Opname
GANTUNG
18 19 20
200 -
120 60
- 2,700
500 4,700
300 -
- -
- -
5,400 10,800
200 2,900 17,200
10 20 250
- -
- -
- 400
- -
- -
500 10,600
- -
- -
- -
- -
- -
- -
- 6,800
200 4,200 19,200
- -
- 10
- -
- -
250 300
- -
100 1,400
- 3,450
- 3,200
14 -
- -
- -
- -
TOTAL
URANG STOK Opname
GANTUNG
- -
- -
- -
- 2,400
500 -
- -
- -
200 150
800 2,000
- -
- -
- -
- -
- -
45 169
- -
100 3,700
1,250 -
30 -
- -
- -
- -
- -
- -
- -
- 185
- -
- -
50 100 700
- -
300 5,200
- -
53 125
36 84
- -
2,400 5,600
200 900 -
- 4,600
- -
- 20
- 30
- -
- -
500 -
- -
5 68 181
TOTAL
URANG STOK Opname
GANTUNG
- -
5 400 284
200 1,300 5,600
- -
- -
- 100
- -
- -
- -
- -
- 5,000
100 900 8,000
- 112
1,850 -
- -
- -
- -
- -
- -
- -
- -
200 900 20,100
- -
- 2,650
- 15
- -
7 29
- -
- -
62 375
- -
300 700
- 600
- -
- -
- -
255 245
1,000 7,000
- 150
25 -
- 1,300
- 650
- -
- -
500 1,000
- -
TOTAL
URANG STOK Opname
GANTUNG
- -
- -
- -
- -
72 96
- -
- -
- -
- 40
1,000 5,800
- -
- -
- -
- 180
- -
- -
5 10
- -
20 188
- -
- -
100 140
200 1,700 7,300
- 80
- -
600 2,100
- 5,400
- 4,200
- -
27 60
- -
- 200
400 4,800
- -
100 200 1,400
- -
- -
200 300
- 1,400
- 200
20 1,030
- -
- 3,400
8 111
40 80
- -
TOTAL
URANG STOK Opname
GANTUNG
- -
- 700
780 1,800
- -
- -
- -
- -
- -
- -
- 400
- -
100 600 1,000
- -
- -
- 8,000
- -
100 3,000
- -
- -
- -
430 35
- 1,995
- 5,005
25 1,965
- 592
- 150
1 6 6
- -
- -
- -
- -
- -
- -
- 203
48 114
- -
- -
10 50
- 9
- -
- -
- -
- 376
110 680
- 30
- -
TOTAL
URANG STOK Opname
GANTUNG
- -
2 22
- 12
5 -
- -
50 100
- -
- -
- -
8 23
- -
- -
- 5
- -
- -
- -
- 5
- 35
- 30
- -
- -
- 20
- 15
- -
- -
- 13
- -
- -
- -
- -
- -
- -
- -
50 1,350
- 204
- -
- -
- -
- -
- 220
- -
- -
- -
- 25
- -
- -
TOTAL
URANG STOK Opname
GANTUNG
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 205
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
TOTAL
URANG STOK Opname
GANTUNG
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
100 -
- -
- 800
- -
- -
- -
- -
- 8,000
- -
1,000 9,000
- -
- -
- -
- 3,000
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
TOTAL
URANG STOK Opname
GANTUNG
- 4
- 19
- -
- -
- -
- -
- -
- -
- -
- -
- -
1 1 7
- 6
- -
200 6,600 5,400
- -
- -
40 230
20 410
50 200
- 109
- -
- -
- -
13 25
- -
- -
1,600 11,000
- -
- -
- 8
- -
- 39
- -
- -
- 1
- -
- -
35 80
- 5
- 7
- 4
- -
- -
- -
- 12
- 3,000
MUTASI GUDANG

KECAMATAN : SUKODONO BULAN : JULI

PERSEDIAA
KEMASAN AWAL N UGD PERSA DWH KUTO KARANG BONDO SUMBE KEBON SELOK SELOK KLAN
OBAT
RO LINAN LOR RENON SARI YUDO REJO AGUNG BESUKI GONDANG TING
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17
1 Acetosal/Acetylsalicylic Acid Tablet 80 mg (MINIASPI) Tablet

- -
4 Alopurinol Tablet 100 mg ( Sampharindo Perdana) Tablet

4,700 4,700
8 Amlodipin Tablet 10 Mg Tablet 10,800 10,800
9 Amoksisilin Kaplet 500 mg Tablet 17,200 17,200 200 300 200 200 200
10 Amoksisilin Syrup Kering 125 mg / 5 ml Botol 250 250 50 5 5
12 Kaplet
CLABAT,CAPSINAT - -
13 Ampicilin Serbuk Inj i.v 1.000 mg/vial (Viccilin) Vial 400 400
15 Tablet
Aludonna/Magten/Acitral(Promedharjo) - -

16
Tablet 1000 500 100 100 200
10,600 10,600
18 Pot
Salisilat 3% (Marin ) - -

19 Supp
- -
20 Kapsul
20% ) Hemorrogard (Phapros) - -
22 Tablet
(Dexa Medica) - -
24 Asam Mefenamat 500 mg ( Mersi ) Tablet 19,200 19,200 500 100 100 100
PERSEDIAA
OBAT
31 Attapulgite Active 600 mg Tab/ New Diatab Tablet 1,400 1,400
32 Attapulgite Active 600 mg Tab/ Papulex Tablet 3,450 3,450 50
34 Betametason Krim 0,1% (Kimia Farma ) Tube - -

- -
Bricasma Respules Terbutalin Cairan IH 2,5 mg/ml (Astra
37 Biji
Zeneca ) - -
39 Botol
Zeneca) - -

40 Tablet
- -

- -
46 Deksamethason Tab 0,5 mg (Promed ) Tablet 2,000 2,000 1000 200

- -

- -
55 Domperidon Tab 10 mg (Dexa Medica ) Tablet - -
56 Domperidon Suspensi 5 mg /5 ml Botol - -
58 Epinefrin (Adrenalin) Inj 1 mg/ ml 0,1% (Ethica ) Ampule

- -
66 Furosemid Tablet 40 mg (Sampharindo Perdana ) Tablet 700 700 200
PERSEDIAA
OBAT
70 Gentamisin Sulfate tetes mata 0,3% ( ERELA) Ampule 125 125 5 3
71 Gentamycin Cream 1 % mg/ ml BOTOL 84 84 12 3
74 Gliseril Guaikoulat Tablet 100 mg (kaleng) Tablet - -
75 Gliseril Guaikoulat Tablet 100 mg Botol 4,600 4,600 1000 200 200 100 200
77 Glukosa Larutan Infus 5% @500ml (Widatra ) Botol 20 20
78 Glukosa Larutan 40% Steril ( Outsuka ) Botol 30 30

79 75 Mg Turmeric (Root) 80Ml,Boswelia Serrata Extrac Tablet
- -
83 Hidrokortison Krim 2,5% (Kimia Farma ) Preflied 181 181

- -
85 Ibuprofen Susp 200 mg/5 ml (Indo Farma ) Botol 284 284 155 5
86 Ibuprofen Tablet 400 mg Botol 5,600 5,600 1000 200 200

- -

- -
93 Tablet
Pharmatama) - -
95 Kaptopril Tab 25 mg ( Phapros ) Tablet 8,000 8,000 1000 100 200 200
97 Ketokonazol Tablet 200 mg (Novapharin ) Tablet - -
102 Telinga :Kloramfenicol,Lidocain,Proplylenglycol /Colme Botol
(Interbath) - -

- -
PERSEDIAA
OBAT
Kotrimoksasol Forte / Infantrim Forte Tab 960 mg ( Molex
107 Tablet
Ayus ) 2,650 2,650

108 Botol
200mg + Trimetropin 40 mg ( Holi Farma )
Krim Analgesik (setiap gram mengandung : Metyl Salisilat 102
15 15
gr/Molakrim

110 Tube
29 29 2 1
111 Tablet
(Dexa Medica) - -

112 Ampule
Pehacain (Phapros)
- -

375 375 120
115 Loperamid Tablet 2 mg ( Ifars) Tablet 700 700

117 Tablet
- -

- -
245 245 85
121 Metformin Hcl 500 mg (Tempo Scan Pacific ) Tablet 7,000 7,000 1000 100
123 Metilergometrin Inj 0,2 mg/ml (Ethica ) Ampule - -
125 Metoklopramide Tablet 10 mg ( Kimia Farma ) Tablet 650 650 100
132 Ampule
mersibion - -
Multivitamin C 750 mg ,Asam Folat+ Mineral / Vitner -Z
133 Tablet
( Molex Ayus ) - -

134 Botol
96 96

135 Tablet
- -
PERSEDIAA
OBAT
136 Tablet
mg/Probion ( Promedraharjo ) - -

137 Tablet
100mg ,Asam Folat 2 Mg,Vit B 12 15Mcg,Faktor Intirinsik 25mg
/Hemafort ( Phapros )
- -
138 Natrium Clorida 0,9% @500ml(Widatra ) Botol 40 40

145 Officinalerhiz 0,25Mg,Abrusprecatorius Fol 0,25 Mg , Phaleria Botol
- -

10 10 10
147 Botol
- -
152 Paracetamol Tablet 500 mg Tablet 7,300 7,300 200 200 300

155 400Mg,Bromheksin 80Mg,Difenhidramin Hcl 25Mg/Hustab Tablet
( Phapros )
2,100 2,100

156 500Mg,Phenylpropanolamine HCl chlorpheniramine Tablet
maleate ,dextromethorpan Hbr/Alpara ( Molex Ayus )
5,400 5,400
Parasetamol Komb Tablet Flu: Parasetamol 500Mg,Pseudofedrin

157 Tablet
4,200 4,200 1000
Perak Sulfadiazin Krim 1% / Sulfadiazine Silver ( Darya Varia
158 Tube
L) - -

200 200
162 Piridoksin Hcl (Vit.B6)Tablet 10 mg Tablet 4,800 4,800
PERSEDIAA
OBAT
164 Prednison Tab 5 mg (Holi Pharma) Tablet 1,400 1,400 100 50

- -
169 Ringer Acetat Botol @500 ml ( Outsuka ) Botol 200 200
170 RINGER LACTAT Botol 500 ml( WIDATRA ) Botol 1,030 1,030
171 Nebule
(COMBIVENT) - -
173 Pot
(Marin ) 111 111 24
174 Salisil Bedak Serbuk 2% (Rama Mulia Cosmetic ) Biji 80 80 3
- -
177 Setirizin Tab 10 mg ( Phapros) Tablet 700 700 700
178 Simvastatin Tablet 10 mg Tablet 1,800 1,800 30 120

400 1,000 1,400

- -

189 0,5 mg, Vit. C 12,5 mg, Calcium Pantetonat 1,5 mg, Tablet
Nikotinamida 10 mg, Asam Folat 0,5 mg, FE (II) Glikonat 7,5
mg, CuSO4 0,65 mg)
- -
192 Zinc Sulphate Tablet Dispersible 20 mg (Kimia Farma ) Tablet 3,000 3,000 1900 100 100 100
BMHP 2017 - -
195 Alat suntik sekali pakai 3 cc (Terumo) Buah 35 35 35
196 Alat Suntik Sekali Pakai 1 ml Tuberculin W N 26Gx 1/2 (Nipro) Pcs 1,995 1,995 95
197 Alat Suntik Sekali Pakai 3 ml Pcs 5,005 5,005 505 200
PERSEDIAA
OBAT
201 Alkohol / etanol 70% Botol 6 6 5 1
202 Alkohol Swab Biji - 700 700 700
208 Pcs
Phsda 203 203

114 114 54
213 Gowen Non Woven Onemed (Baju Habis Pakai) Set 9 9 9
220 Iv Catheter No 16 Sampai 24 (Nipro,Jelco, Terumo,Aximed) Pcs

- -
221
Biji - -
224 Kasa Hidrofil Steril 16 Cm X 16 Cm (Surya Husada) Roll - -
227 Larutan Antiseptik Gel 500 Cc Tanpa Air (Onemed) Botol

- -
228 Larutan Cuci Tangan/Handscrub + Dispenser 500 Ml Poliwash Botol

- -
229 Masker Biji - -
239 Oxygen Mask Nasal Canula Size L Dan S (Aximed) Pcs 30 30 10
PERSEDIAA
OBAT
242 Plester Roll Kain 2,5 Cm X 4,5 Cm (Leukoplast 1622H) Roll

20 20
246 Povidon Iodine 10% (300) Ml (One Med ) Botol 13 13 3 2
250 Sarung Tangan Steril Gynecolog Pair - -
254 Sarung Tangan Steril No 7 Dan 7,5 Pair 1,350 1,350

- -
OBAT GIGI - -
264 Mata Boor Diamon High Speed/Sharp Cut, Denteply Set

- -
SUSU - -
REAGEN - -
PERSEDIAA
OBAT
284 Slide Biji - -

317 Tablet
Mg Tab (Phapros)
- -
319 Amitriptilin 25mg ( Indo Farma) Tablet - 100 100 100
PERSEDIAA
OBAT
332 Risperidon Tab 2 mg ( Dexa Medica ) Tablet 3,000 3,000 200
OBAT KESGA - -
OKSIGEN - -
342 - -
348 Dual Enzymatic Detergent Galon 5 Ltr (STERIZYME) Galon=5Ltr 4 4 4
349 Surface Desinfectant 500 ml (STERICIDE) Botol = 500 ml 19 19 19
361 ATS - -
362 Molaneuron 5,400 5,400 500 200 200 100
364 kasa 3 x 15 - -
365 iv cath 18 230 230 30
366 iv cath 20 410 410
367 iv cath 22 200 200
368 iv cath 24 109 109
PERSEDIAA
OBAT
369 colpica - -
371 Hemafort - -
372 Norinse Antimicrobial 500 ml (Viorex) 25 25 25
375 Asam ascorbat 50 mg kimia farma Tablet 11,000 11,000 300 100
376 Multivitamin, Vit E 50 mg, Lutein 3 mg, Lycopen 8 mg, Vi Kapsul - -
386 Apron Pcs 80 80
394 Multivitami Becefort Pcs 3,000 3,000 1000
395 Cover All Re Use (Rajawali) Pcs 4 4
396 Face shield (Cobra Dental) Pcs 5 5
397 Kacamata Google Pcs 5 5
398 Masker Bedah Sensi (Farmahusada) 1 box =40 pcs - -

DANG
TOTAL
URANG STOK Opname
GANTUNG
18 19 20
- -
- 60
- 2,700
- 4,700
- -
- -
- -
- 10,800
1,100 16,100
60 190
- -
- -
- 400
- -
- -
1,900 8,700
- -
- -
- -
- -
- -
- -
- 6,800
800 18,400
- -
- 10
- -
- -
TOTAL
URANG STOK Opname
GANTUNG
- 300
- -
- 1,400
50 3,400
500 2,700
- -
- -
- -
- -
- -
- -
- -
500 1,900
- -
- -
- -
- 150
1,200 800
- -
- -
- -
- -
- -
- 169
- -
- 3,700
- -
- -
- -
- -
- -
- -
- -
- -
30 155
- -
- -
200 500
- -
TOTAL
URANG STOK Opname
GANTUNG
- 5,200
- -
8 117
15 69
- -
1,000 4,600
- -
1,700 2,900
- -
- 20
- 30
- -
- -
- -
- -
- 181
- -
160 124
1,400 4,200
- -
- -
- 100
- -
- -
- -
- -
- 5,000
1,500 6,500
28 84
- -
- -
- -
- -
- -
- -
- -
- -
1,600 18,500
- -
TOTAL
URANG STOK Opname
GANTUNG
- 2,650
- 15
- -
3 26
- -
- -
120 255
- -
- 700
- 600
- -
- -
- -
85 160
1,100 5,900
- 150
- -
- 1,300
100 550
- -
- -
- 1,000
- -
- -
- -
- -
- -
- 96
- -
TOTAL
URANG STOK Opname
GANTUNG
- -
- -
- 40
- 5,800
- -
- -
- -
80 100
- -
- -
10 -
- -
- 188
- -
- -
- 140
700 6,600
- 80
- -
- 2,100
- 5,400
1,000 3,200
- -
20 40
- -
- 200
- 4,800
TOTAL
URANG STOK Opname
GANTUNG
- -
150 1,250
- -
- -
- 300
- 1,400
- 200
- 1,030
- -
- 3,400
24 87
3 77
- -
- -
700 -
150 1,650
- -
- -
- -
- -
- -
- -
- 1,400
- -
100 900
- -
- -
- 8,000
- -
2,200 800
- -
- -
- -
35 -
95 1,900
705 4,300
105 1,860
TOTAL
URANG STOK Opname
GANTUNG
- 592
- 150
6 -
700 -
- -
- -
- -
- -
- -
- 203
54 60
- -
- -
- 50
9 -
- -
- -
- -
- 376
40 640
- 30
- -
- -
1 21
- 12
- -
- -
- 100
- -
- -
- -
- 23
- -
- -
- 5
- -
- -
- -
- 5
- 35
10 20
- -
- -
TOTAL
URANG STOK Opname
GANTUNG
- 20
- 15
- -
- -
5 8
- -
- -
- -
- -
- -
- -
- -
- 1,350
- 204
- -
- -
- -
- -
40 180
- -
- -
- -
- 25
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
TOTAL
URANG STOK Opname
GANTUNG
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 205
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
100 -
- -
- 800
TOTAL
URANG STOK Opname
GANTUNG
- -
- -
- -
- -
1,000 7,000
- -
1,000 8,000
- -
- -
- -
200 2,800
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
4 -
19 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 7
- 6
- -
1,000 4,400
- -
- -
30 200
- 410
- 200
- 109
TOTAL
URANG STOK Opname
GANTUNG
- -
- -
- -
25 -
- -
- -
400 10,600
- -
- -
- 8
- -
- 39
- -
- -
- 1
- -
- -
- 80
- 5
- 7
- 4
- -
- -
- -
- 12
1,000 2,000
- 4
- 5
- 5
- -
MUTASI GUDANG

KECAMATAN : SUKODONO BULAN : AGUSTUS

PERSEDIAA
NO. NAMA OBAT TERIMA RUANG UGD
KEMASAN AWAL N PERSA DWH KUTO KARANG BONDO SUMBE KEBON SELOK SELOK KLAN URANG
OBAT
RO LINAN LOR RENON SARI YUDO REJO AGUNG BESUKI GONDANG TING GANTUNG
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17 18

- -

4,700 4,700
9 Amoksisilin Kaplet 500 mg Tablet 16,100 16,100 500 200 100 300
12 Kaplet
CLABAT,CAPSINAT - -
15 Tablet

16
Tablet 200
8,700 8,700 200 300
18 Pot

19 Supp
- -
20 Kapsul
20% ) Hemorrogard (Phapros) - -
22 Tablet
(Dexa Medica) - -
24 Asam Mefenamat 500 mg ( Mersi ) Tablet 18,400 18,400 200 200 200 200 100
PERSEDIAA
OBAT
32 Attapulgite Active 600 mg Tab/ Papulex Tablet 3,400 3,400 50

- -
37 Biji
) - -
39 Botol
Zeneca) - -

40 Tablet
- -

- -

- -
52 Difenhidramin Inj 10 mg/ ml (Phapros ) Ampule 169 169 30 5

- -
63 Fitomenadion (Vit K1)Inj 2 mg/ ml I.M (Phapros ) Ampule 155 155 60 5
PERSEDIAA
OBAT
68 Garam Oralit 200 ml Biji 5,200 5,200 100 100
71 Gentamycin Cream 1 % mg/ ml BOTOL 69 69 21
73 Glibenklamid Tablet 5 mg Tablet 4,600 4,600 100 100
75 Gliseril Guaikoulat Tablet 100 mg Botol 2,900 2,900 500 100 100 200
78 Glukosa Larutan 40% Steril ( Outsuka ) Botol 30 30

79 75 Mg Turmeric (Root) 80Ml,Boswelia Serrata Extrac Tablet
- -
83 Hidrokortison Krim 2,5% (Kimia Farma ) Preflied 181 181 10 5

- -

- -

- -
93 Tablet
Pharmatama) - -
95 Kaptopril Tab 25 mg ( Phapros ) Tablet 6,500 6,500 100 200
(Interbath) - -
PERSEDIAA
OBAT

- -
105 Klorfeniramina Maleat (Ctm) Tab 4 mg Tablet 18,500 18,500 200 300 500
2,650 2,650

108 Botol
15 15 5 5

109 mg, Eugenol 13,6 mg; Methol 53,4 mg, Vinishing Cream ad 1 Tube
gr/Molakrim
- -

110 Tube
26 26 1
111 Tablet
(Dexa Medica) - -
112 Ampule
Pehacain (Phapros) - -

255 255 30 2 5 5
115 Loperamid Tablet 2 mg ( Ifars) Tablet 700 700 500 100
117
Tablet - -

- -
160 160
121 Metformin Hcl 500 mg (Tempo Scan Pacific ) Tablet 5,900 5,900 1000 100
132 Ampule
mersibion - -
133 Tablet
Ayus ) - -
PERSEDIAA
OBAT

134 Botol
96 96 48

135 Tablet
- -
136 Tablet

137 Tablet
- -
139 Natrium Diklofenak Tab 50 mg (Phapros ) Tablet 5,800 5,800 1000

145 Officinalerhiz 0,25Mg,Abrusprecatorius Fol 0,25 Mg , Phaleria Botol
- -

- -
147 Botol - -
152 Paracetamol Tablet 500 mg Tablet 6,600 6,600 1000 300 100 300 200 300

( Phapros )
2,100 2,100 600

maleate ,dextromethorpan Hbr/Alpara ( Molex Ayus )
5,400 5,400
157 Tablet
30Mg/Noza ( Molex Ayus ) 3,200 3,200 500

- -
159 Permetrin crem 5% @10 mg (Scabimite crem ) Tube 40 40
PERSEDIAA
OBAT

200 200
162 Piridoksin Hcl (Vit.B6)Tablet 10 mg Tablet 4,800 4,800 1000 100 100
164 Prednison Tab 5 mg (Holi Pharma) Tablet 1,250 1,250 500 100

- -
171 Nebule
(COMBIVENT) - -
173 Pot
(Marin ) 87 87 5
- -
177 Setirizin Tab 10 mg ( Phapros) Tablet - -
178 Simvastatin Tablet 10 mg Tablet 1,650 1,650 1650

1,400 1,400

- -
187 Tiamin Hcl (Vit B1) Tablet 50 mg Tablet 900 900 100

189 0,5 mg, Vit. C 12,5 mg, Calcium Pantetonat 1,5 mg, Nikotinamida Tablet
mg)
- -
192 Zinc Sulphate Tablet Dispersible 20 mg (Kimia Farma ) Tablet 800 800 200 100
BMHP 2017 - -
PERSEDIAA
OBAT
195 Alat suntik sekali pakai 3 cc (Terumo) Buah - -
1,900 1,900
197 Alat Suntik Sekali Pakai 3 ml Pcs 4,300 4,300 10 20
201 Alkohol / etanol 70% Botol - -
208 Cat Gut Plain No. 3.0 70 C+ Jarum 1/2 25 M (Demetech) / Phsda Pcs
203 203

60 60 12
213 Gowen Non Woven Onemed (Baju Habis Pakai) Set - -

- -
221 Biji
Lebar 60 Cm, Tebal 0,33 Mm) - -
223 Kasa 40 Y X 80 Cm (Sna Medika New Drc T Plain) Roll 12 12 6 2

- -

- -
229 Masker Biji - 1,000 1,000
PERSEDIAA
OBAT
242 Plester Roll Kain 2,5 Cm X 4,5 Cm (Leukoplast 1622H) Roll

20 20
251 Sarung Tangan Non Steril No M Dan L Pasang - 1,000 1,000
254 Sarung Tangan Steril No 7 Dan 7,5 Pair 1,350 1,350 50

- -
OBAT GIGI - -
SUSU - -
REAGEN - -
PERSEDIAA
OBAT
284 Slide Biji - -
PERSEDIAA
OBAT
317
Mg Tab (Phapros)
Tablet - -
319 Amitriptilin 25mg ( Indo Farma) Tablet - -
335 Triheksifenidil Tablet 2 mg ( Holi Farma ) Tablet - 300 300 300
OBAT KESGA - -
OKSIGEN - -
342 - -
348 Dual Enzymatic Detergent Galon 5 Ltr (STERIZYME) Galon=5Ltr - -
349 Surface Desinfectant 500 ml (STERICIDE) Botol = 500 ml - -
PERSEDIAA
OBAT
361 ATS - -
362 Molaneuron 4,400 4,400 2000 200 100 200 200
364 kasa 3 x 15 - -
365 iv cath 18 200 200 40
366 iv cath 20 410 410 50
367 iv cath 22 200 200
368 iv cath 24 109 109
369 colpica - -
371 Hemafort - -
372 Norinse Antimicrobial 500 ml (Viorex) - -
375 Asam ascorbat 50 mg kimia farma Tablet 10,600 10,600 1000 200 300
386 Apron Pcs 80 80 30
394 Multivitami Becefort Pcs 2,000 2,000 2000
398 Masker Bedah Sensi (Farmahusada) 1 box =40 pcs - -
399 Masker earloop (Kasa Husada) 1 box = 50 pcs - -

400 Albendazol suspensi 200mg/5ml Botol - -
401 Tambah Darah Drop (Ferriz Drop) Botol - -
402 Tambah Darah Drop (Ferriz Syrup) Botol - -
NG
JUMLAH SISA Stok
TOTAL
STOK Opname
GANTUNG
19 20
- -
- 60
- 2,700
- 4,700
- -
- -
- -
- 10,800
1,100 15,000
10 180
- -
- -
50 350
- -
- -
700 8,000
- -
- -
- -
- -
- -
- -
1,100 5,700
900 17,500
- -
- 10
JUMLAH SISA Stok
TOTAL
STOK Opname
GANTUNG
- -
- -
- 300
- -
200 1,200
50 3,350
- 2,700
- -
- -
- -
- -
- -
- -
- -
1,000 900
- -
- -
- -
5 145
- 800
- -
- -
- -
- -
- -
35 134
- -
- 3,700
- -
- -
- -
- -
- -
- -
- -
- -
65 90
- -
- -
JUMLAH SISA Stok
TOTAL
STOK Opname
GANTUNG
- 500
- -
200 5,000
- -
34 83
21 48
- -
200 4,400
- -
900 2,000
- -
- 20
- 30
- -
- -
- -
- -
15 166
- -
- 124
300 3,900
- -
- -
- 100
- -
- -
- -
- -
- 5,000
300 6,200
- 84
- -
- -
- -
- -
- -
- -
JUMLAH SISA Stok
TOTAL
STOK Opname
GANTUNG
- -
- -
1,000 17,500
- -
- 2,650
10 5
- -
1 25
- -
- -
42 213
- -
600 100
- 600
- -
- -
- -
- 160
1,100 4,800
- 150
- -
- 1,300
- 550
- -
- -
- 1,000
- -
- -
- -
- -
- -
JUMLAH SISA Stok
TOTAL
STOK Opname
GANTUNG
48 48
- -
- -
- -
- 40
1,000 4,800
- -
- -
- -
- 100
- -
- -
- -
- -
60 128
- -
- -
50 90
2,200 4,400
- 80
- -
600 1,500
- 5,400
500 2,700
- -
- 40
JUMLAH SISA Stok
TOTAL
STOK Opname
GANTUNG
- -
- 200
1,200 3,600
- -
600 650
- -
- -
100 200
- 1,400
- 200
- 1,030
- -
- 3,400
5 82
10 67
- -
- -
- -
1,650 -
- -
- -
- -
- -
- -
- -
- 1,400
- -
100 800
- -
- -
- 8,000
- -
300 500
- -
- -
JUMLAH SISA Stok
TOTAL
STOK Opname
GANTUNG
- -
- -
- 1,900
30 4,270
- 1,860
- 592
- 150
- -
- -
- -
- -
- -
- -
- -
- 203
12 48
- -
- -
- 50
- -
- -
- -
- -
- 376
10 630
- 30
- -
- -
1 20
8 4
- -
- -
- 100
- -
- -
- 1,000
- 23
- -
- -
JUMLAH SISA Stok
TOTAL
STOK Opname
GANTUNG
- 5
- -
- -
- -
- 5
- 35
- 20
- -
- -
- 20
- 15
- -
- -
2 6
- -
- -
- -
- 4
- 1,000
- -
- -
50 1,300
5 199
- -
- -
- -
- -
20 160
- -
- -
- -
- 25
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
JUMLAH SISA Stok
TOTAL
STOK Opname
GANTUNG
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 205
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
JUMLAH SISA Stok
TOTAL
STOK Opname
GANTUNG
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 800
- -
- -
- -
- -
1,000 6,000
- -
500 7,500
- -
- -
- -
- 2,800
- -
- -
300 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
JUMLAH SISA Stok
TOTAL
STOK Opname
GANTUNG
- -
- -
- -
- 7
- 6
- -
2,700 1,700
- -
- -
40 160
50 360
- 200
- 109
- -
- -
- -
- -
- -
- -
1,500 9,100
- -
- -
- 8
- -
- 39
- -
- -
- 1
- -
- -
30 50
- 5
- 7
- 4
- -
- -
- -
- 12
2,000 -
- 4
- 5
- 5
- -
- -
- -
- -
- -
MUTASI GUDANG

KECAMATAN : SUKODONO BULAN : SEPTEMBER

PERSEDIAA
NO. NAMA OBAT TERIMA RUANG UGD / RI
KEMASAN AWAL N PERSA DWH KUTO KARANG BONDO SUMBE KEBON SELOK SELOK KLAN
OBAT
LINAN LOR RENON SARI YUDO REJO AGUNG BESUKI GONDANG TING
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17

- -

4,700 4,700
8 Amlodipin Tablet 10 Mg Tablet 10,800 10,800 5400
9 Amoksisilin Kaplet 500 mg Tablet 15,000 15,000 200 200 100 100
10 Amoksisilin Syrup Kering 125 mg / 5 ml Botol 180 180 20 5 10
12 Kaplet
CLABAT,CAPSINAT - -
15 Tablet

16
Tablet 100 100 100
8,000 8,000
18 Pot

19 Supp
- -
20 Kapsul
- -
22 Tablet
(Dexa Medica) - -
24 Asam Mefenamat 500 mg ( Mersi ) Tablet 17,500 17,500 500 200 200
PERSEDIAA
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17

- -
37 Biji
) - -
39 Botol
Zeneca) - -

40 Tablet
- -
41 Cefadroksil Kapsul 500 mg Kapsul 900 900

- -

- -

- -

- -
PERSEDIAA
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17
68 Garam Oralit 200 ml Biji 5,000 5,000 100
73 Glibenklamid Tablet 5 mg Tablet 4,400 3,000 7,400 1000 100 100 100
75 Gliseril Guaikoulat Tablet 100 mg Botol 2,000 2,000 200 200 200
Botol 30 30
83 Hidrokortison Krim 2,5% (Kimia Farma ) Preflied 166 166 3 5 5 5

- -
85 Ibuprofen Susp 200 mg/5 ml (Indo Farma ) Botol 124 124 10
86 Ibuprofen Tablet 400 mg Botol 3,900 3,900 100 100 100 100

- -

- -
93 Tablet
Pharmatama) - -
95 Kaptopril Tab 25 mg ( Phapros ) Tablet 6,200 6,200 1000 100 100 100 100
(Interbath) - -
PERSEDIAA
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17

- -
2,650 2,650 550

108 Botol
5 5

gr/Molakrim
- -
110 Tube
100 mg,Neomycin Sulfat 5 mg /Centabio (Sanbe Farma) 25 25 2
111 Tablet
(Dexa Medica) - -
112 Ampule

213 213 30
117 Tablet
- -

- -
160 160 85
121 Metformin Hcl 500 mg (Tempo Scan Pacific ) Tablet 4,800 4,800 2000 100 100
124 Metilprednisolon Tab 8 mg (Bernofarm) Tablet 1,300 1,300 800
132 Ampule
mersibion - -
133 Tablet
Ayus ) - -
PERSEDIAA
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17

134 Botol
48 48

135 Tablet
- -
136 Tablet

137 Tablet
- -
Botol - -
146 Obat Kumur +Hyaulorinic Acid 1% @ 200ml (Sanorine) Botol - -
147 Botol - -
152 Paracetamol Tablet 500 mg Tablet 4,400 4,400 300 100 200 200 300
Botol - -
Tablet 1,500 1,500
( Phapros )
500Mg,Pseudofedrin
157
Tablet 2,700 2,700
160 Piracetam Inj 1gr/5ml /Revolan (Sanbe Farma ) Ampule 30 30 30
162 Piridoksin Hcl (Vit.B6)Tablet 10 mg Tablet 3,600 3,600 100

- -
PERSEDIAA
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17
171 Nebule
(COMBIVENT) - -
173
(Marin )
Pot 82 82 5 5
- -
178 Simvastatin Tablet 10 mg Tablet - -

1,400 1,400

- -
187 Tiamin Hcl (Vit B1) Tablet 50 mg Tablet 800 800

mg)
- -
192 Zinc Sulphate Tablet Dispersible 20 mg (Kimia Farma ) Tablet 500 500 100 100 100
BMHP 2017 - -
197 Alat Suntik Sekali Pakai 3 ml Pcs 4,270 4,270 30
198 Alat Suntik Sekali Pakai 5 ml (Aximed ) Pcs 1,860 200 2,060 200
201 Alkohol / etanol 70% Botol - -
202 Alkohol Swab Biji - 10,000 10,000 3000
PERSEDIAA
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17
208 Pcs
Phsda 203 203

48 48
218 Infusion Set Dewasa 20 Drops /( Otsuka ) Pcs 630 630

- -

221 Biji
- -

- -

- -
229 Masker Biji 1,000 3,000 4,000
230 Masker N95 Disposibel Biji 23 23 5
PERSEDIAA
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17
250 Sarung Tangan Steril Gynecolog Pair 4 4
251 Sarung Tangan Non Steril No M Dan L Pasang 1,000 7,800 8,800

- -
OBAT GIGI - -
SUSU - -
REAGEN - -
PERSEDIAA
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17
284 Slide Biji - -
290 Alat Suntik Sekali Pakai 0,05 ml Pcs - 200 200
291 Alat Suntik Sekali Pakai 0,5 ml Pcs - 4,800 4,800
317
Mg Tab (Phapros)
Tablet - -
PERSEDIAA
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17
326 Haloperidol Tab 5 Mg (Indofarma) Tablet 6,000 6,000
328 Klorpromazin Tab Salut 100 mg (Hcl) Tablet 7,500 7,500
332 Risperidon Tab 2 mg ( Dexa Medica ) Tablet 2,800 2,800 500
OBAT KESGA - -
OKSIGEN - -
342 - -
361 ATS - -
362 Molaneuron 1,700 1,700 800 200 200 200 100
364 kasa 3 x 15 - -
365 iv cath 18 160 160
PERSEDIAA
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17
366 iv cath 20 360 360
367 iv cath 22 200 200 50
368 iv cath 24 109 109
369 colpica - -
371 Hemafort - -
375 Asam ascorbat 50 mg kimia farma Tablet 9,100 9,100 200 100
386 Apron Pcs 50 50
394 Multivitami Becefort Pcs - -
1 box =40
398 Masker Bedah Sensi (Farmahusada) pcs - -
1 box = 50
399 Masker earloop (Kasa Husada) pcs - -
403 Masker General Care (Marcotila) Pcs - -
DANG
TOTAL
URANG STOK Opname
GANTUNG
18 19 20
- -
- 60
- 2,700
- 4,700
- -
- -
- -
5,400 5,400
200 800 14,200
5 40 140
- -
- -
- 350
- -
- -
200
500 7,500
- -
- -
- -
- -
- -
- -
200 5,500
100 1,000 16,500
- -
- 10
TOTAL
URANG STOK Opname
GANTUNG
18 19 20
- -
- -
- 300
- -
100 1,100
- 3,350
100 2,600
- -
- -
- -
- -
- -
- -
- -
- 900
- -
- -
- -
- 145
- 800
- -
- -
- -
- -
- -
5 129
- -
- 3,700
- -
- -
- -
- -
- -
- -
- -
- -
- 90
TOTAL
URANG STOK Opname
GANTUNG
18 19 20
- -
- -
- 500
- -
100 4,900
- -
16 67
12 36
- -
1,300 6,100
- -
200 800 1,200
- -
- 20
- 30
- -
- -
- -
- -
5 23 143
- -
10 114
400 3,500
- -
- -
- 100
- -
- -
- -
- -
- 5,000
100 1,500 4,700
8 76
- -
- -
- -
- -
- -
- -
TOTAL
URANG STOK Opname
GANTUNG
18 19 20
- -
- -
200 1,000 16,500
- -
550 2,100
- 5
- -
2 23
- -
- -
30 183
- -
- 100
- 600
- -
- -
- -
85 75
2,200 2,600
- 150
- -
800 500
- 550
- -
- -
- 1,000
- -
- -
- -
- -
- -
TOTAL
URANG STOK Opname
GANTUNG
18 19 20
- 48
- -
- -
- -
- 40
- 4,800
- -
- -
- -
- 100
- -
- -
- -
- -
- 128
- -
- -
50 40
300 1,400 3,000
- 80
- -
- 1,500
- 5,400
- 2,700
- -
5 35
30 -
- 200
100 3,500
- -
100 100 550
- -
- -
- 200
- 1,400
- 200
TOTAL
URANG STOK Opname
GANTUNG
18 19 20
- 1,030
- -
- 3,400
5 15 67
10 57
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 1,400
- -
200 200 600
- -
- -
- 8,000
- -
100 400 100
- -
- -
- -
- -
- 1,900
20 50 4,220
200 1,860
- 592
- 150
- -
3,000 7,000
- -
- -
TOTAL
URANG STOK Opname
GANTUNG
18 19 20
- -
- -
- -
- 203
- 48
- -
- -
- 50
- -
- -
- -
- -
- 376
- 630
- 30
- -
- -
- 20
- 4
- -
- -
- 100
- -
- -
- 4,000
5 18
- -
- -
- 5
- -
- -
- -
- 5
- 35
- 20
- -
- -
- 20
- 15
TOTAL
URANG STOK Opname
GANTUNG
18 19 20
- -
- -
- 6
- -
- -
- -
- 4
- 8,800
- -
- -
- 1,300
- 199
- -
- -
- -
- -
- 160
- -
- -
- -
- 25
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
TOTAL
URANG STOK Opname
GANTUNG
18 19 20
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 200
- 4,800
- -
- 205
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 800
TOTAL
URANG STOK Opname
GANTUNG
18 19 20
- -
- -
- -
- -
- 6,000
- -
- 7,500
- -
- -
- -
500 2,300
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 7
- 6
- -
200 1,700 -
- -
- -
- 160
TOTAL
URANG STOK Opname
GANTUNG
18 19 20
- 360
50 150
- 109
- -
- -
- -
- -
- -
- -
300 8,800
- -
- -
- 8
- -
- 39
- -
- -
- 1
- -
- -
- 50
- 5
- 7
- 4
- -
- -
- -
- 12
- -
- 4
- 5
- 5
- -
- -
- -
- -
- -
- -
MUTASI GUDANG

KECAMATAN : SUKODONO BULAN : SEPTEMBER

PERSEDIAA
KEMASAN AWAL N VAKS PERSA DWH KUTO KARANG BONDO SUMBE KEBON SELOK SELOK
OBAT
COV LINAN LOR RENON SARI YUDO REJO AGUNG BESUKI GONDANG
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16

- -

4,700 4,700
9 Amoksisilin Kaplet 500 mg Tablet 14,200 14,200 1000 500 100
12 Kaplet
CLABAT,CAPSINAT - -
15 Tablet

16
Tablet 300
7,500 7,500
18 Pot

19 Supp
- -
20 Kapsul
- -
22 Tablet
(Dexa Medica) - -
24 Asam Mefenamat 500 mg ( Mersi ) Tablet 16,500 16,500 1000
PERSEDIAA
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16

- -
37 Biji
) - -
39 Botol
Zeneca) - -

40 Tablet
- -
41 Cefadroksil Kapsul 500 mg Kapsul 900 900

- -
46 Deksamethason Tab 0,5 mg (Promed ) Tablet 800 800 200

- -

- -

- -
PERSEDIAA
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16
75 Gliseril Guaikoulat Tablet 100 mg Botol 1,200 1,200 100
Botol 30 30
83 Hidrokortison Krim 2,5% (Kimia Farma ) Preflied 143 143 24

- -

- -

- -
93 Tablet
Pharmatama) - -
95 Kaptopril Tab 25 mg ( Phapros ) Tablet 4,700 4,700 100 200
(Interbath) - -
PERSEDIAA
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16

- -
105 Klorfeniramina Maleat (Ctm) Tab 4 mg Tablet 16,500 16,500 500 500
2,100 2,100

108 Botol
5 5 5

gr/Molakrim
- -
110 Tube
100 mg,Neomycin Sulfat 5 mg /Centabio (Sanbe Farma) 23 23 8 5
111 Tablet
(Dexa Medica) - -
112 Ampule

183 183 30 30
116 Loratadin Tablet 10 mg Tablet 600 600 300
117 Tablet
- -

- -
75 75 75
121 Metformin Hcl 500 mg (Tempo Scan Pacific ) Tablet 2,600 2,600 1000
124 Metilprednisolon Tab 8 mg (Bernofarm) Tablet 500 500
132 Ampule
mersibion - -
133 Tablet
Ayus ) - -
PERSEDIAA
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16

134 Botol
48 48 48

135 Tablet
- -
136 Tablet

137 Tablet
- -
Botol - -
146 Obat Kumur +Hyaulorinic Acid 1% @ 200ml (Sanorine) Botol - -
147 Botol - -
152 Paracetamol Tablet 500 mg Tablet 3,000 3,000 200 300
( Phapros )
1,500 1,500
maleate ,dextromethorpan Hbr/Alpara ( Molex Ayus ) 5,400 5,400 450
157 Tablet
30Mg/Noza ( Molex Ayus ) 2,700 2,700
- -
162 Piridoksin Hcl (Vit.B6)Tablet 10 mg Tablet 3,500 3,500

- -
PERSEDIAA
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16
170 RINGER LACTAT Botol 500 ml( WIDATRA ) Botol 1,030 1,030 40
171 Nebule
(COMBIVENT) - -
173
(Marin )
Pot 67 67
174 Salisil Bedak Serbuk 2% (Rama Mulia Cosmetic ) Biji 57 57
- -
178 Simvastatin Tablet 10 mg Tablet - -

1,400 1,400

- -
187 Tiamin Hcl (Vit B1) Tablet 50 mg Tablet 600 600

mg)
- -
190 Vitamin B Kompleks ( Kimia Farma ) Tablet 8,000 8,000 2000 200
192 Zinc Sulphate Tablet Dispersible 20 mg (Kimia Farma ) Tablet 100 100 100
BMHP 2017 - -
1,900 1,900
197 Alat Suntik Sekali Pakai 3 ml Pcs 4,220 4,220 400
201 Alkohol / etanol 70% Botol - 2 2 2
PERSEDIAA
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16
202 Alkohol Swab Biji 7,000 10,000 17,000 4000
208 Pcs
Phsda 203 203

48 48 12
Infusion Set Anak 60 Drops /(Otsuka) Pcs 376 376

- -

221 Biji
- -
222 Kapas Pembalut /Absorben 250 mg Pcs 20 10 30 5

- -

- -
229 Masker Biji 4,000 3,000 7,000 50 100
PERSEDIAA
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16
250 Sarung Tangan Steril Gynecolog Pair 4 4
251 Sarung Tangan Non Steril No M Dan L Pasang 8,800 6,000 14,800

- -
OBAT GIGI - -
263 Ethylcloride Spray 100 ml (Sekar Luntur Farma) Kit 25 25 5
SUSU - -
REAGEN - -
278 OAT FDC Kategori I kit - 20 20
OAT FDC Kategori I KDT dosis harian paket 10 10
PERSEDIAA
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16
281 OAT FDC Kombipak Kategori I kit - 1 1
284 Slide Biji - -
290 Alat Suntik Sekali Pakai 0,05 ml Pcs 200 200
291 Alat Suntik Sekali Pakai 0,5 ml Pcs 4,800 4,800 9,600 4800
317
Mg Tab (Phapros)
Tablet - -
PERSEDIAA
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16
OBAT KESGA - -
OKSIGEN - -
342 - -
PERSEDIAA
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16
361 ATS - -
362 Molaneuron - -
364 kasa 3 x 15 - -
365 iv cath 18 160 160
366 iv cath 20 360 360 20
367 iv cath 22 150 150
368 iv cath 24 109 109
369 colpica - -
371 Hemafort - -
375 Asam ascorbat 50 mg kimia farma Tablet 8,800 8,800 300
386 Apron Pcs 50 50 20
394 Multivitami Becefort Pcs - -
1 box =40
398 Masker Bedah Sensi (Farmahusada) pcs - -
1 box = 50
399 Masker earloop (Kasa Husada) pcs - -
403 Masker General Care (Marcotila) Pcs - -
DANG
: SEPTEMBER
TOTAL
KLAN URANG STOK Opname
TING GANTUNG
17 18 19 20 24
- -
60 -
- 2,700 2700
- 4,700 4700
- -
- -
- -
- 5,400 5400
1,600 12,600 12600
40 100
- -
- -
- 350
- -
- -
300 7,200 7200

- -
- -
- -
- -
- -
- -
- 5,500 5500
1,000 15,500 15500
- -
- 10 10
TOTAL
TING GANTUNG
17 18 19 20 24
- -
- -
- 300 300
- -
200 900 900
- 3,350 3350
100 2,500 2500
- -
- -
- -
- -
- -
- -
- -
- 900 900
- -
- -
- -
16 129 129
200 600 600
- -
- -
- -
- -
- -
- 129 129
- -
- 3,700 3700
- -
- -
- -
- -
- -
- -
- -
- -
- 90 90
TOTAL
TING GANTUNG
17 18 19 20 24
- -
- -
- 500 500
- -
- 4,900 4900
- -
- 67 67
12 24 24
- -
1,000 5,100 5100
- -
100 1,100 900
- -
- 20 20
- 30 12
- -
- -
- -
- -
24 119 119
- -
- 114 114
1,200 2,300 2600
- - 500
- -
- 100 100
- -
- -
- -
- -
- 5,000 5000
300 4,400 4400
- 76 76
- -
- -
- -
- -
- -
- -
TOTAL
TING GANTUNG
17 18 19 20 24
- -
- -
1,000 15,500 15500
- -
- 2,100 2100
5 -
- -
13 10 10
- -
- -
60 123 123
- -
- 100 100
300 300 300
- -
- -
- -
75 -
1,000 1,600 1600
- 150 150
- -
- 500 500
- 550 550
- -
- -
500 500 500
- -
- -
- -
- -
- -
TOTAL
TING GANTUNG
17 18 19 20 24
48 -
- -
- -
- -
- 40
- 4,800 4800
- -
- -
- -
- 100 100
- -
- -
- -
- -
- 128
- -
- -
40 -
500 2,500 2500
- 80 80
- -
- 1,500 900
450 4,950 4950
- 2,700 2700
- -
35 - 0
- -
- 200 200
- 3,500 3500
- -
- 550 550
- -
- -
TOTAL
TING GANTUNG
17 18 19 20 24
100 100 100
- 1,400 1400
- 200
40 990
- -
- 3,400 4800
- 67 67
- 57 57
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 1,400 1400
- -
- 600 600
- -
- -
2,200 5,800 5800
- -
100 -
- -
- -
- -
- -
- 1,900 1900
400 3,820 3,815
- 1,860 1860
- 592 592
- 150 150
2 -
TOTAL
TING GANTUNG
17 18 19 20 24
4,000 13,000 13000
- -
- -
- -
- - 1
- -
- 203 203
12 36 36
- - 300
- -
- 50 50
- -
- -
- -
- -
- 376 376
130 500 500
- 30 30
- -
- -
5 25 25
- 4 4
- -
- -
- 100 100
- -
- -
150 6,850 6000
- 18 18
- -
- -
- 5 5
- -
- -
- -
- 5 40
- 35
- 20 20
- -
TOTAL
TING GANTUNG
17 18 19 20 24
- -
- 20 20
- 15 15
- -
- -
4 2 2
- -
- -
- -
- 4 4
- 14,800 14800
- -
- -
- 1,300 1300
36 163 163
- -
- -
- -
- -
- 160 160
- -
- -
- -
5 20 20
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 20 20
- 10 10
TOTAL
TING GANTUNG
17 18 19 20 24
- -
- -
- 1 1
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 200
4,800 4,800 4800
- -
- 205
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
TOTAL
TING GANTUNG
17 18 19 20 24
- -
- -
- -
- 800 800
- -
- -
- -
- -
1,000 5,000 5000
- -
1,000 6,500 6500
- -
- -
- -
- 2,300 1800
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 7 7
- 6 7
TOTAL
TING GANTUNG
17 18 19 20 24
- -
- -
- -
- -
- 160 160
20 340 340
- 150 150
- 109 109
- -
- -
- -
- -
- -
- -
300 8,500 8500
- -
- -
- 8 8
- -
- 39 39
- -
- -
- 1 1
- -
- -
20 30 30
- 5 5
- 7 7
- 4 4
- -
- -
- -
- 12 12
- -
- 4 4
- 5 5
- 5 5
- -
- -
- -
- -
- -
- -
MUTASI GUDANG

KECAMATAN : SUKODONO BULAN : NOPEMBER
SATUAN STOK PEMBERIAAN JUMLAH SISA Stok

PERSEDIAA
NO. NAMA OBAT TERIMA RUANG TOTAL
KEMASAN AWAL N PERSA DWH KUTO KARANG BONDO SUMBE KEBON SELOK SELOK KLAN URANG STOK Opname
OBAT
LINAN LOR RENON SARI YUDO REJO AGUNG BESUKI GONDANG TING GANTUNG
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17 18 19 20
1 Acetosal/Acetylsalicylic Acid Tablet 80 mg (MINIASPI) Tablet #REF! #REF! - #REF!

2 Air Untuk Inj Vial @25 ml Vial #REF! #REF! - #REF!
3 Alopurinol Tablet 100 mg Tablet #REF! #REF! - #REF!
4 Alopurinol Tablet 100 mg ( Sampharindo Perdana) Tablet #REF! #REF! - #REF!
5 Ambroxol Tablet 30 mg Tablet #REF! #REF! - #REF!
6 Aminofilin Inj 24 mg/ml Ampule #REF! #REF! - #REF!
7 Aminofilina Tablet 200 mg Tablet #REF! #REF! - #REF!
8 Amlodipin Tablet 10 Mg Tablet #REF! #REF! - #REF!
9 Amoksisilin Kaplet 500 mg Tablet #REF! #REF! - #REF!
10 Amoksisilin Syrup Kering 125 mg / 5 ml Botol #REF! #REF! - #REF!
11 Amoksisilin Kaplet 500 mg Botol #REF! #REF! - #REF!
12
CLABAT,CAPSINAT
Kaplet #REF! #REF! - #REF!
13 Ampicilin Serbuk Inj i.v 1.000 mg/vial (Viccilin) Vial #REF! #REF! - #REF!
14 Antacida + Simeticon Susp (Berlosid) Botol #REF! #REF! - #REF!
15
Tablet #REF! #REF! - #REF!
16
17 Anti Bakteri Doen Salep Kombinasi ( Indo Farma ) Tube #REF! #REF! - #REF!
18
Pot #REF! #REF! - #REF!
19
Supp #REF! #REF! - #REF!
20
Kapsul #REF! #REF! - #REF!
21 Asam Ascorbat 250 mg (Tempo Scan Pacific) Tablet #REF! #REF! - #REF!
22
(Dexa Medica)
23 Asam Folat Tablet 1 mg ( Marin Liza Farmasi ) Tablet #REF! #REF! - #REF!
24 Asam Mefenamat 500 mg ( Mersi ) Tablet #REF! #REF! - #REF!
25 Asam Pipemidat 400 mg (Urinter )(Interbat ) Kapsul #REF! #REF! - #REF!
26 Asam Tranexamat 100 mg/@5 ml Injeksi Ampule #REF! #REF! - #REF!
27 Asam Tranexamat Tablet 500 mg (Plasminex) Tablet #REF! #REF! - #REF!
28 Asiklovir 5% 5gr Cream Tube #REF! #REF! - #REF!
29 Asiklovir Tab 400 mg ( Phapros ) Tablet #REF! #REF! - #REF!
30 Atropin Sulfat Injeksi 0,25 mg/ml Ampule #REF! #REF! - #REF!
31 Attapulgite Active 600 mg Tab/ New Diatab Tablet #REF! #REF! - #REF!
32 Attapulgite Active 600 mg Tab/ Papulex Tablet #REF! #REF! - #REF!
33 Betahistin Mesylat 6 mg Tablet #REF! #REF! - #REF!
34 Betametason Krim 0,1% (Kimia Farma ) Tube #REF! #REF! - #REF!
35 Bisakodil Suppositoria 10 mg ( Boehringer Ingelheim )/ dulcolax Supp #REF! #REF! - #REF!
PERSEDIAA
OBAT
36 Bisakodil Tablet 5 mg (Etercon Pharma ) Tablet #REF! #REF! - #REF!
37
)
Biji #REF! #REF! - #REF!
38 Bromheksin Tablet 8 mg /bronkis Tablet #REF! #REF! - #REF!
39
Zeneca)
Botol #REF! #REF! - #REF!
40
41 Cefadroksil Kapsul 500 mg Kapsul #REF! #REF! - #REF!
42 Cefadroksil Kapsul 500 mg orange Kapsul #REF! #REF! - #REF!
43 Citicolin 250 mg / 2 ml Inj /Cercul (Phapros ) Ampule #REF! #REF! - #REF!
44 Curcumin Plus Cynarin,Sylimarin,Kapsul/ Hepagard (Phapros) Tablet #REF! #REF! - #REF!
45 Deksametason Inj iv/ im 5 mg/ ml (Bernofarm) Ampule #REF! #REF! - #REF!
46 Deksamethason Tab 0,5 mg (Promed ) Tablet #REF! #REF! - #REF!
47 Desoksimetason Krim 0,25% 15G ( Dexa Medica) Tube #REF! #REF! - #REF!
48 Dextromertofan Komb Sy/ Bantif (Interbath) Botol #REF! #REF! - #REF!
49 Diazepam Enema 5 mg/2,5 ml (Actavis )Stesolid 5 mg Biji #REF! #REF! - #REF!
50 Diazepam Inj 5 mg / ml-2 ml /Valisanbe (Sanbe Farma ) Ampule #REF! #REF! - #REF!
51 Diazepam Tablet 2 mg/ Valisanbe Tablet #REF! #REF! - #REF!
52 Difenhidramin Inj 10 mg/ ml (Phapros ) Ampule #REF! #REF! - #REF!
53 Digoksin Tab 0,25 mg (Yarindo Farmatama ) Tablet #REF! #REF! - #REF!
54 Dimenhidrinat Tablet 50 mg (Kimia Farma ) Tablet #REF! #REF! - #REF!
55 Domperidon Tab 10 mg (Dexa Medica ) Tablet #REF! #REF! - #REF!
56 Domperidon Suspensi 5 mg /5 ml Botol #REF! #REF! - #REF!
57 Epinefrin (Adrenalin) Inj 1 mg/ ml 0,1% (Ethica ) Ampule #REF! #REF! - #REF!
58 Epinefrin (Adrenalin) Inj 1 mg/ ml 0,1% (Ethica ) Ampule #REF! #REF! - #REF!
59 Erythromycin Syrup Kering 200 mg/5 ml Botol #REF! #REF! - #REF!
60 Fenobarbital Inj 50 mg/ ml Ampule #REF! #REF! - #REF!
61 Fenobarbital Tablet 30 mg Tablet #REF! #REF! - #REF!
62 Fitomenadion (Vit K1)Inj 10 mg/ ml I.M ( Phapros ) Ampule #REF! #REF! - #REF!
63 Fitomenadion (Vit K1)Inj 2 mg/ ml I.M (Phapros ) Ampule #REF! #REF! - #REF!
64 Fitomenadion Tabet 10 mg (Phapros ) Tablet #REF! #REF! - #REF!
65 Fluconazole Kapsul 150 mg Kapsul #REF! #REF! - #REF!
66 Furosemid Tablet 40 mg (Sampharindo Perdana ) Tablet #REF! #REF! - #REF!
67 Furosemide Injeksi 10 mg/ ml (Indofarma) Ampule #REF! #REF! - #REF!
68 Garam Oralit 200 ml Biji #REF! #REF! - #REF!
69 Gemfibrozil 300 mg Kapsul Tablet #REF! #REF! - #REF!
70 Gentamisin Sulfate tetes mata 0,3% ( ERELA) Ampule #REF! #REF! - #REF!
71 Gentamycin Cream 1 % mg/ ml BOTOL #REF! #REF! - #REF!
72 Gentian Violet 1% 10 ml (Cito Ciubrus Farma) Botol #REF! #REF! - #REF!
73 Glibenklamid Tablet 5 mg Tablet #REF! #REF! - #REF!
74 Gliseril Guaikoulat Tablet 100 mg (kaleng) Tablet #REF! #REF! - #REF!
75 Gliseril Guaikoulat Tablet 100 mg Botol #REF! #REF! - #REF!
76 Glucosa 25G + Sodium Chlorida 2,125 G (Ds1/2Ns) Botol #REF! #REF! - #REF!
77 Glukosa Larutan Infus 5% @500ml (Widatra ) Botol #REF! #REF! - #REF!
79 75 Mg Turmeric (Root) 80Ml,Boswelia Serrata Extrac Tablet #REF! #REF! - #REF!
80 Griseofulvin Tablet 125 mg Tablet #REF! #REF! - #REF!
PERSEDIAA
OBAT
81 Hidroklorotiazid (Hct) Tablet 25 mg Tablet #REF! #REF! - #REF!
82 Hidrokortison Krim 2,5% (Kimia Farma ) Tube #REF! #REF! - #REF!
83 Hidrokortison Krim 2,5% (Kimia Farma ) Preflied #REF! #REF! - #REF!
84 Hyoscine N- Butylbromide 20 mg Inj/ Gitas (Interbath ) Ampule #REF! #REF! - #REF!
85 Ibuprofen Susp 200 mg/5 ml (Indo Farma ) Botol #REF! #REF! - #REF!
86 Ibuprofen Tablet 400 mg Botol #REF! #REF! - #REF!
87 Isoniazid Tablet 100 mg + Piridoxina Hcl 5 mg (Suprazid) Tablet #REF! #REF! - #REF!
88 Isoniazid Tablet 400 mg + Piridoxina Hcl 5 mg (Suprazid Forte) Tablet #REF! #REF! - #REF!
89 Isosorbid Dinitrat Tab Sublingual 5 mg ( Yarindo ) Tablet #REF! #REF! - #REF!
90 Ka-En 1B Inj Larutan @500 ml (Otsuka) Botol #REF! #REF! - #REF!
91 Ka-En 3A Inj Larutan @500 ml (Otsuka) Botol #REF! #REF! - #REF!
92 Ka-En 3B Inj Larutan @500 ml (Otsuka) Botol #REF! #REF! - #REF!
93
Pharmatama)
94 Kalsium Laktat (Kalk ) Tab 500 mg (Mersi Farma) Tablet #REF! #REF! - #REF!
95 Kaptopril Tab 25 mg ( Phapros ) Tablet #REF! #REF! - #REF!
96 Ketokonazol cr Tube #REF! #REF! - #REF!
97 Ketokonazol Tablet 200 mg (Novapharin ) Tablet #REF! #REF! - #REF!
98 Ketorolac Inj 10mg/ml( Bernofarm ) Ampule #REF! #REF! - #REF!
99 Ketorolak Inj 30 mg/ml (Hexpharm Jaya) Ampule #REF! #REF! - #REF!
100 Klindamisin Tab 300 mg ( Mersi Farma ) Tablet #REF! #REF! - #REF!
Tube #REF! #REF! - #REF!
102 Telinga :Kloramfenicol,Lidocain,Proplylenglycol /Colme Botol #REF! #REF! - #REF!
(Interbath)
103 Kloramfenikol Inj 1G/5 ml /Colcancetine Inj (Sanbe Farma) Vial #REF! #REF! - #REF!
104 Klorfeniramina Maleat (Ctm) Tab 4 mg (kaleng) Tablet #REF! #REF! - #REF!
105 Klorfeniramina Maleat (Ctm) Tab 4 mg Tablet #REF! #REF! - #REF!
106 Kolkisin Tab 500Mcg/ L-Cisin ( Lapi Laboratoris ) Tablet #REF! #REF! - #REF!
107 Kotrimoksasol Forte / Infantrim Forte Tab 960 mg ( Molex Ayus ) Tablet #REF! #REF! - #REF!
108
200mgAnalgesik
mengandung
109 mg, Eugenol 13,6 mg; Methol 53,4 mg, Vinishing Cream ad 1 Tube #REF! #REF! - #REF!
gr/Molakrim
110
Tube #REF! #REF! - #REF!
111
(Dexa Medica)
112
Pehacain (Phapros)
Ampule #REF! #REF! - #REF!
113 Lidokain Injeksi 2% + Epinefrin 1:80.000 - 2 ml (Lucas Djaja) Ampule #REF! #REF! - #REF!
114 Lisinopril Tablet 10 mg (Dexa Medica ) Tablet #REF! #REF! - #REF!
115 Loperamid Tablet 2 mg ( Ifars) Tablet #REF! #REF! - #REF!
116 Loratadin Tablet 10 mg Tablet #REF! #REF! - #REF!
117
118 Meloxicam Tab 15 mg (Bernofarm ) Tablet #REF! #REF! - #REF!
119 Metamizol 500 mg + Diazepam 2 mg/Metaneuron (Phapros) Tablet #REF! #REF! - #REF!
120 Metamizol Sodium Inj 500 mg/ml (Santagesik/ Antrain/ Norages) Ampule #REF! #REF! - #REF!
121 Metformin Hcl 500 mg (Tempo Scan Pacific ) Tablet #REF! #REF! - #REF!
122 Methylergometrin Maleat Tablet 0,125 mg Tablet #REF! #REF! - #REF!
123 Metilergometrin Inj 0,2 mg/ml (Ethica ) Ampule #REF! #REF! - #REF!
124 Metilprednisolon Tab 8 mg (Bernofarm) Tablet #REF! #REF! - #REF!
125 Metoklopramide Tablet 10 mg ( Kimia Farma ) Tablet #REF! #REF! - #REF!
PERSEDIAA
OBAT
126 Metoklopramide Tablet 5 mg ( Kimia Farma ) Tablet #REF! #REF! - #REF!
127 Metronidasol 125mg/2ml Botol #REF! #REF! - #REF!
128 Metronidasol 500 mg Tablet (Molazol) Tablet #REF! #REF! - #REF!
129 Metronidasol Infus 500 mg/100ml Botol #REF! #REF! - #REF!
130 Miconazol Cream 2% 10 Gr (Kimia Farma ) Tube #REF! #REF! - #REF!
131 Minyak Kayu Putih 60 ml /Gajah Botol #REF! #REF! - #REF!
132
mersibion
Ampule #REF! #REF! - #REF!
133
Ayus )
134
135
137
138 25mg /Hemafort
Phapros )
@500ml(Widatra ) Botol #REF! #REF! - #REF!
139 Natrium Diklofenak Tab 50 mg (Phapros ) Tablet #REF! #REF! - #REF!
140 Natrium Fusidat Krim 20mg/G (Ifars ) Tube #REF! #REF! - #REF!
141 Nifedipin /Adalat Kapsul 30 mg (Bayer) Kapsul #REF! #REF! - #REF!
142 Nifedipin Tab 10 mg ( Dexa Medica ) Tablet #REF! #REF! - #REF!
143 Nistatin Vaginal Tab 100.000 IU/G (Phapros ) Tablet #REF! #REF! - #REF!
145 Officinalerhiz 0,25Mg,Abrusprecatorius Fol 0,25 Mg , Phaleria Botol #REF! #REF! - #REF!
146 Obat Kumur +Hyaulorinic Acid 1% @ 200ml (Sanorine) Botol #REF! #REF! - #REF!
147 Botol #REF! #REF! - #REF!
148 Oksitosin Inj 10 UI/ml (Ethica) Ampule #REF! #REF! - #REF!
149 Omeprazole Kapsul 20 mg Kapsul #REF! #REF! - #REF!
150 Ondansetron Hcl Inj 2 mg/ 1ml ( Soho ) Ampule #REF! #REF! - #REF!
151 Ondansetron Hcl Inj 2 mg/ 1ml ( Soho ) Tube #REF! #REF! - #REF!
152 Paracetamol Tablet 500 mg Tablet #REF! #REF! - #REF!
153 Paracetamol Supp 125 mg Supp #REF! #REF! - #REF!
( Phapros )
156 500Mg,Phenylpropanolamine HCl chlorpheniramine Tablet #REF! #REF! - #REF!
500Mg,Pseudofedrin
157
158 Perak Sulfadiazin Krim 1% / Sulfadiazine Silver ( Darya Varia L ) Tube #REF! #REF! - #REF!
159 Permetrin crem 5% @10 mg (Scabimite crem ) Tube #REF! #REF! - #REF!
160 Piracetam Inj 1gr/5ml /Revolan (Sanbe Farma ) Ampule #REF! #REF! - #REF!
161 Piracetam Tablet 800mg ( Indo Farma + Sanbe Farma ) Tablet #REF! #REF! - #REF!
162 Piridoksin Hcl (Vit.B6)Tablet 10 mg Tablet #REF! #REF! - #REF!
163 Poliresulen (Albotyl,Apetil) Botol #REF! #REF! - #REF!
164 Prednison Tab 5 mg (Holi Pharma) Tablet #REF! #REF! - #REF!
165 Propiltiourasil /Ptu 100 mg ( Dexa Medica ) Tablet #REF! #REF! - #REF!
166 Pseudofedrin 60mg,Tripolidin 2,5mg (Eflin +Tremenza) Tablet #REF! #REF! - #REF!
167 Ranitidin Inj Hcl 25 mg/ml ( Quantum Labs ) Ampule #REF! #REF! - #REF!
168 Ranitidin Tablet 150 mg (Hexapharm Jaya ) Tablet #REF! #REF! - #REF!
169 Ringer Acetat Botol @500 ml ( Outsuka ) Botol #REF! #REF! - #REF!
170 RINGER LACTAT Botol 500 ml( WIDATRA ) Botol #REF! #REF! - #REF!
PERSEDIAA
OBAT
171
(COMBIVENT)
Nebule #REF! #REF! - #REF!
172 Salbutamol Tab 4 mg ( Kimia Farma ) Tablet #REF! #REF! - #REF!
173
(Marin )
Pot #REF! #REF! - #REF!
174 Salisil Bedak Serbuk 2% (Rama Mulia Cosmetic ) Biji #REF! #REF! - #REF!
175 Serum Anti Bisa Ular(S.A.B.U) Cairan Inj im/iv ( Bio Farma ) Vial #REF! #REF! - #REF!
176 Serum Antitoxin Diphteria Serum 10000 IU ( Vins ) Vial #REF! #REF! - #REF!
177 Setirizin Tab 10 mg ( Phapros) Tablet #REF! #REF! - #REF!
178 Simvastatin Tablet 10 mg Tablet #REF! #REF! - #REF!
179 Siprofloksasin Tablet 500 mg Tablet #REF! #REF! - #REF!
180 Spironolacton 25 mg Tablet Tablet #REF! #REF! - #REF!
181 Sukralfat Susp 500mg/5ml @100 ml ( Meprofarm ) Botol #REF! #REF! - #REF!
182 Tetrasiklin Hcl Kapsul 500 mg Kapsul #REF! #REF! - #REF!
183 Theophyline Tablet 150 mg (Bronsolvan) Tablet #REF! #REF! - #REF!
184 Thiamin /Vitamin B1 50 mg (Novapharin ) Tablet #REF! #REF! - #REF!
185 Thiamphenicol / Thiamfilex Kapsul 500mg ( Molex Ayus ) Kapsul #REF! #REF! - #REF!
186 Thiamphenicol/ Thiamfilex Susp 125 mg/5 ml ( Molex Ayus ) Botol #REF! #REF! - #REF!
187 Tiamin Hcl (Vit B1) Tablet 50 mg Tablet #REF! #REF! - #REF!
189 0,5 mg, Vit. C 12,5 mg, Calcium Pantetonat 1,5 mg, Nikotinamida Tablet #REF! #REF! - #REF!
mg)
191 Zinc Sulphate syr /Interzinc 10 mg/ml (Interbat ) Botol #REF! #REF! - #REF!
192 Zinc Sulphate Tablet Dispersible 20 mg (Kimia Farma ) Tablet #REF! #REF! - #REF!
BMHP 2017 #REF! #REF! - #REF!
193 Accu- Chek Safe-T-Pro Uno (Roche) Biji #REF! #REF! - #REF!
194 Accu- Chek Performa Tes Strip ( Roche ) Biji #REF! #REF! - #REF!
195 Alat suntik sekali pakai 3 cc (Terumo) Buah #REF! #REF! - #REF!
196 Alat Suntik Sekali Pakai 1 ml Tuberculin W N 26Gx 1/2 (Nipro) Pcs #REF! #REF! - #REF!
197 Alat Suntik Sekali Pakai 3 ml Pcs #REF! #REF! - #REF!
198 Alat Suntik Sekali Pakai 5 ml (Aximed ) Pcs #REF! #REF! - #REF!
199 Alat Suntik Sekali Pakai 10 ml ( Aximed) Pcs #REF! #REF! - #REF!
200 Alat Suntik Sekali Pakai 20 ml Pcs #REF! #REF! - #REF!
201 Alkohol / etanol 70% Botol #REF! #REF! - #REF!
202 Alkohol Swab Biji #REF! #REF! - #REF!
203 Askina Calgitrol Ag 10 X 10 cm (B- Braun ) Pcs #REF! #REF! - #REF!
204 Askina Gel 15 Gr (B- Braun ) Tube #REF! #REF! - #REF!
205 Askina Scrb 10X 10 Cm (B-Braun ) Pcs #REF! #REF! - #REF!
206 Aquagel Steril Jelly 82G Botol #REF! #REF! - #REF!
207 Balutan Tulle Grass 10 X 10 (Zat Aktif : Kalsium Alginate) Pcs #REF! #REF! - #REF!
208
Phsda
Pcs #REF! #REF! - #REF!
209 Catgut Chromic 3/0 75C + Jarum1/2 22M Demetech Pcs #REF! #REF! - #REF!
210 Film Iv Dressing 6 X 7S (Id67S) E - Care Pcs #REF! #REF! - #REF!
211 Film Iv Leukomed 6 Cm X 8 Cm (Bsn Medical) Pcs #REF! #REF! - #REF!
212 Foley Catheter No. 16,18 (Uro Technology / Norta 2 Way) Pair #REF! #REF! - #REF!
213 Gowen Non Woven Onemed (Baju Habis Pakai) Set #REF! #REF! - #REF!
214 Gowen Spunlace Onemed (Baju Bisa Dicuci) Set #REF! #REF! - #REF!
PERSEDIAA
OBAT
215 Hand Sanitizer 450ml (Medittol) Botol #REF! #REF! - #REF!
216 Hand Sanitizer 5 L (Medittol ) Can #REF! #REF! - #REF!
217 Infusion Set Anak 60 Drops /(Otsuka) Pcs #REF! #REF! - #REF!
218 Infusion Set Dewasa 20 Drops /( Otsuka ) Pcs #REF! #REF! - #REF!
219 Iv Cannula 26 G Polywin ( Polymed ) Pcs #REF! #REF! - #REF!
220 Iv Catheter No 16 Sampai 24 (Nipro,Jelco, Terumo,Aximed) Pcs #REF! #REF! - #REF!
221
Biji #REF! #REF! - #REF!
222 Kapas Pembalut /Absorben 250 mg Pcs #REF! #REF! - #REF!
223 Kasa 40 Y X 80 Cm (Sna Medika New Drc T Plain) Roll #REF! #REF! - #REF!
224 Kasa Hidrofil Steril 16 Cm X 16 Cm (Surya Husada) Roll #REF! #REF! - #REF!
225 Kasa Pembalut Hidrofil Drc 4 M X 10 Cm Roll #REF! #REF! - #REF!
226 Kasa Pembalut Hidrofil Drc 4 M X 15 Cm Roll #REF! #REF! - #REF!
227 Larutan Antiseptik Gel 500 Cc Tanpa Air (Onemed) Botol #REF! #REF! - #REF!
228 Larutan Cuci Tangan/Handscrub + Dispenser 500 Ml Poliwash Botol #REF! #REF! - #REF!
229 Masker Biji #REF! #REF! - #REF!
230 Masker N95 Disposibel Biji #REF! #REF! - #REF!
231 Maternity Napkin L (Daya Serap 550 Cc) Biji #REF! #REF! - #REF!
232 Maternity Napkin Slim L (Daya Serap 430 Cc) Biji #REF! #REF! - #REF!
233 Nebulizer With Mask Adult Standart (Stardec) Pcs #REF! #REF! - #REF!
234 Nebulizer With Mask Pediatric Standart (Stardec) Pcs #REF! #REF! - #REF!
235 Nelaton Cateter Set #REF! #REF! - #REF!
236 Nurse Cup (Tutup Kepala) Pcs #REF! #REF! - #REF!
237 Oxygen Mask Adult Standart (Stardec) Pcs #REF! #REF! - #REF!
238 Oxygen Mask Elongated Adult (Remedi) Pcs #REF! #REF! - #REF!
239 Oxygen Mask Nasal Canula Size L Dan S (Aximed) Pcs #REF! #REF! - #REF!
240 Oxygen Mask Pediatric Standart (Stardec) Pcs #REF! #REF! - #REF!
241 Pembalut Elastis Policrepe Roll #REF! #REF! - #REF!
242 Plester Roll Kain 2,5 Cm X 4,5 Cm (Leukoplast 1622H) Roll #REF! #REF! - #REF!
243 Polifix 5Cm X 1 Cm ( Sna Medika) Roll #REF! #REF! - #REF!
244 Povidon Iodine 10% (30 Ml) ( One Med) Botol #REF! #REF! - #REF!
245 Povidon Iodida 10% (100 Ml) Braunol Botol #REF! #REF! - #REF!
246 Povidon Iodine 10% (300) Ml (One Med ) Botol #REF! #REF! - #REF!
247 Prontosan Wound Gel X 250 Gram ( B-Braun ) Tube #REF! #REF! - #REF!
248 Prontosan Wound Gel X 50 Gram( B-Braun ) Tube #REF! #REF! - #REF!
249 Prontosan Wound Irigation Solution 350 Ml (B-Braun ) Botol #REF! #REF! - #REF!
250 Sarung Tangan Steril Gynecolog Pair #REF! #REF! - #REF!
251 Sarung Tangan Non Steril No M Dan L Pasang #REF! #REF! - #REF!
252 Sarung Tangan Non Steril No S Biji #REF! #REF! - #REF!
253 Sarung Tangan Non Steril Pipermint Pcs #REF! #REF! - #REF!
254 Sarung Tangan Steril No 7 Dan 7,5 Pair #REF! #REF! - #REF!
255 Silk Black 3/0Ds 19 Mm (Smi ) Sachet #REF! #REF! - #REF!
256 Softaman 500 ml (B-Braun ) Botol #REF! #REF! - #REF!
257 Sputum Pot( One Med ) Buah #REF! #REF! - #REF!
258 Stabimed 1000Ml ( B- Braun ) Botol #REF! #REF! - #REF!
259 Ultrasound Transmision Gel Sachet #REF! #REF! - #REF!
PERSEDIAA
OBAT
260 Umbilical Cord Klem Sterile Nylon Pcs #REF! #REF! - #REF!
261 Urine Drainage Bag, T Valve With Hanger (Aximed) Botol #REF! #REF! - #REF!
OBAT GIGI #REF! #REF! - #REF!
262 Bahan Tumpatan Sementara (Grey) Flas #REF! #REF! - #REF!
263 Ethylcloride Spray 100 ml (Sekar Luntur Farma) Kit #REF! #REF! - #REF!
264 Mata Boor Diamon High Speed/Sharp Cut, Denteply Set #REF! #REF! - #REF!
265 Matrix Band Biji #REF! #REF! - #REF!
266 Micro Brush Botol #REF! #REF! - #REF!
267 Mummifying Pasta Tube #REF! #REF! - #REF!
SUSU #REF! #REF! - #REF!
268 Pan Enteral Sachet #REF! #REF! - #REF!
269 Prenagen 200Gr Sachet #REF! #REF! - #REF!
270 Proten Gold (Vanilla) Sachet #REF! #REF! - #REF!
REAGEN #REF! #REF! - #REF!
271 A.Antimonoclonal (Anti A) 10 ml ( Fortress ) Btl #REF! #REF! - #REF!
272 B.Antimonoclonal (Anti B)ml ( Fortress ) Btl #REF! #REF! - #REF!
273 Reagen Hb (Hcl 0,1 N) 100ml Btl #REF! #REF! - #REF!
OBAT PROGRAM TB PARU #REF! #REF! - #REF!
274 Box Slide Picis #REF! #REF! - #REF!
275 Catridge Genexpart Tablet #REF! #REF! - #REF!
276 Isoniazid / Inh 100 Mg (Isoniazid) Tablet #REF! #REF! - #REF!
277 OAT FDC Kategori Anak kit #REF! #REF! - #REF!
278 OAT FDC Kategori I kit #REF! #REF! - #REF!
279 OAT FDC Kategori II (prop + dak17) kit #REF! #REF! - #REF!
280 OAT FDC Kombipak Kategori Anak kit #REF! #REF! - #REF!
281 OAT FDC Kombipak Kategori I kit #REF! #REF! - #REF!
282 Pot Dahak Steril Biji #REF! #REF! - #REF!
283 Reagen Zn Kit #REF! #REF! - #REF!
284 Slide Biji #REF! #REF! - #REF!
285 Streptomisin Inj 1gr Ampule #REF! #REF! - #REF!
OBAT POGRAM KUSTA #REF! #REF! - #REF!
286 MDT MB Anak Kit #REF! #REF! - #REF!
287 MDT MB Dewasa Kit #REF! #REF! - #REF!
288 MDT PB Anak Kit #REF! #REF! - #REF!
289 MDT PB Dewasa Kit #REF! #REF! - #REF!
OBAT PROGRAM IMUNISASI #REF! #REF! - #REF!
290 Alat Suntik Sekali Pakai 0,05 ml Pcs #REF! #REF! - #REF!
291 Alat Suntik Sekali Pakai 0,5 ml Pcs #REF! #REF! - #REF!
292 Safety Box 2,5 Botol #REF! #REF! - #REF!
293 Safety Box 5 L Botol #REF! #REF! - #REF!
OBAT PROGRAM HIV #REF! #REF! - #REF!
294 Descoderm pads (Alkohol Swab) Biji #REF! #REF! - #REF!
295 Rapid Test Vikia Hiv 1/2 (Biomerieux Enseval Medika Prima ) (Prop+Dak17) Biji #REF! #REF! - #REF!
296 Efavirenz 600 mg Tablet #REF! #REF! - #REF!
297 Isoniazid / INH 300 mg Tab Tablet #REF! #REF! - #REF!
PERSEDIAA
OBAT
298 Lamivudine 150 mg Tablet #REF! #REF! - #REF!
299 Nevirapine 200 mg Tablet #REF! #REF! - #REF!
300 Reagen (Intec One Stop Anti Hiv(1&2) Ti Line Test Card) Kit #REF! #REF! - #REF!
301 Reagen (Oncoprobe / Ir-100C) Kit #REF! #REF! - #REF!
302 Reagen (Righsin) Kit #REF! #REF! - #REF!
303 Reagen (Sd) Kit #REF! #REF! - #REF!
304 Reagen Hiv (Fokus) Kit #REF! #REF! - #REF!
305 Reagen Hiv (Vikia) Kit #REF! #REF! - #REF!
306 Reagen Hiv R.P.R Kit #REF! #REF! - #REF!
307 Reagen Hiv T.P.H.A (Prop+Dak 17) Kit #REF! #REF! - #REF!
308 Reagen HBsAg Strip (Prop + Dak 17 ) Kit #REF! #REF! - #REF!
309 Reagen Penghitung Cd 4 Kit #REF! #REF! - #REF!
310 Tenofovir 300 +Lamivudin 300+ Efaviren 600 (Triple Fdc) Dewasa Tablet #REF! #REF! - #REF!
311 Tenofovir 300 mg Tablet #REF! #REF! - #REF!
312 Zidofudine 300 mg + Lamifudine 150 mg Tablet #REF! #REF! - #REF!
313 Zidofudine 100 mg (ZDV) Tablet #REF! #REF! - #REF!
OBAT PROGRAM GIZI #REF! #REF! - #REF!
314 Mineral Mix Sacht Sachet #REF! #REF! - #REF!
315 Retinol Vit A 100.000 UI (Biru) Tablet #REF! #REF! - #REF!
316 Retinol Vit A 200.000 UI (Merah) Tablet #REF! #REF! - #REF!
317
Mg Tab (Phapros)
OBAT PROGRAM JIWA #REF! #REF! - #REF!
318 Alprazolam 0,5 mg (Mersi Farma ) Tablet #REF! #REF! - #REF!
319 Amitriptilin 25mg ( Indo Farma) Tablet #REF! #REF! - #REF!
320 Clobazam Tab 10 mg (Meprofarm) Tablet #REF! #REF! - #REF!
321 Clozapine 100 mg Tablet #REF! #REF! - #REF!
322 Depakote Valproat Tab 250 mg ( (Abbott ) Tablet #REF! #REF! - #REF!
323 Fenitoin Kap 100mg ( Ikapharmindo Putra Mas ) Kapsul #REF! #REF! - #REF!
324 Elizac 20 /Fluoksetin Tab 20 mg Tablet #REF! #REF! - #REF!
325 Haldol Decanoat Inj 50mg/ml Vial #REF! #REF! - #REF!
326 Haloperidol Tab 5 Mg (Indofarma) Tablet #REF! #REF! - #REF!
327 Karbamazepin Tablet 200 mg Tablet #REF! #REF! - #REF!
328 Klorpromazin Tab Salut 100 mg (Hcl) Tablet #REF! #REF! - #REF!
329 Klorpromazin Hcl Inj I.M 25 mg/ml ( Phapros ) Vial #REF! #REF! - #REF!
330 Lodomer 5 mg/ml Inj Ampule #REF! #REF! - #REF!
331 Lorazepam Tab 2 mg (Mersi Farma) Tablet #REF! #REF! - #REF!
332 Risperidon Tab 2 mg ( Dexa Medica ) Tablet #REF! #REF! - #REF!
333 Flufenazin sikzonoate inj 5 ml Vial #REF! #REF! - #REF!
334 Trifluoperazine Tablet #REF! #REF! - #REF!
335 Triheksifenidil Tablet 2 mg ( Holi Farma ) Tablet #REF! #REF! - #REF!
OBAT KESGA #REF! #REF! - #REF!
336 Calcii Gluconas Inj Vial #REF! #REF! - #REF!
337 Gentamycin Inj 40 mg/ml Ampule #REF! #REF! - #REF!
338 Magnesium Sulfat Inj.(iv) 20% Otsu Ampule #REF! #REF! - #REF!
339 Magnesium Sulfat Inj.(iv) 40% Otsu Ampule #REF! #REF! - #REF!
PERSEDIAA
OBAT
OKSIGEN #REF! #REF! - #REF!
340 Oksigen Medical (Tabung 1 M3) Tampon #REF! #REF! - #REF!
341 Oksigen Medical (Tabung 6 M3) Tampon #REF! #REF! - #REF!
342 #REF! #REF! - #REF!
343 Acetosal Tablet 100 mg K=100 Tab #REF! #REF! - #REF!
344 Kasa Elastic 25cm X 4,5m Roll #REF! #REF! - #REF!
345 Medical waste (tempat sampah limbah medis) Pcs #REF! #REF! - #REF!
346 Skalpes (Mess) K=100 biji #REF! #REF! - #REF!
347 Antimicrobial Liquid Soap Botol 500ml (VIOREX) botol #REF! #REF! - #REF!
348 Dual Enzymatic Detergent Galon 5 Ltr (STERIZYME) Galon=5Ltr #REF! #REF! - #REF!
349 Surface Desinfectant 500 ml (STERICIDE) Botol = 500 ml #REF! #REF! - #REF!
350 High Level Desinfectant Galon 5 Ltr (STERALD) Galon=5Ltr #REF! #REF! - #REF!
351 Blood Lancet (21Gx1.8 M) #REF! #REF! - #REF!
352 Reagen Syphilis SD Bioline #REF! #REF! - #REF!
353 Reagen HB Ig #REF! #REF! - #REF!
354 Plester Fixomull Stretch 5 cm x 5 cm #REF! #REF! - #REF!
355 Kalsium 500mg+ Vitamin D3 (Calsifar Plus) #REF! #REF! - #REF!
356 Hb Hemoglobim Strip tes #REF! #REF! - #REF!
357 Accutrend Cholesterol Strip #REF! #REF! - #REF!
358 Air untuk irigasi inf 1000ml #REF! #REF! - #REF!
359 Povidon Iodine 10% (60ml) (One Med) #REF! #REF! - #REF!
360 Antiseptic handrub 0,5% L #REF! #REF! - #REF!
361 ATS #REF! #REF! - #REF!
362 Molaneuron #REF! #REF! - #REF!
363 Papsmear kit #REF! #REF! - #REF!
364 kasa 3 x 15 #REF! #REF! - #REF!
365 iv cath 18 #REF! #REF! - #REF!
369 colpica #REF! #REF! - #REF!
370 UNDER PAD ipfk #REF! #REF! - #REF!
KECAMATAN : SUKODONO BULAN : DESEMBER

PERSEDIAA
OBAT
1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17 18
-
1 Acetosal/Acetylsalicylic Acid Tablet 80 mg (MINIASPI) Tablet #REF! #REF!
2 Air Untuk Inj Vial @25 ml Vial #REF! #REF!
3 Alopurinol Tablet 100 mg Tablet #REF! #REF!
4 Alopurinol Tablet 100 mg ( Sampharindo Perdana) Tablet #REF! #REF!
5 Ambroxol Tablet 30 mg Tablet #REF! #REF!
6 Aminofilin Inj 24 mg/ml Ampule #REF! #REF!
7 Aminofilina Tablet 200 mg Tablet #REF! #REF!
8 Amlodipin Tablet 10 Mg Tablet #REF! #REF!
9 Amoksisilin Kaplet 500 mg Tablet #REF! #REF!
10 Amoksisilin Syrup Kering 125 mg / 5 ml Botol #REF! #REF!
11 Amoksisilin Kaplet 500 mg Botol #REF! #REF!
12
CLABAT,CAPSINAT
Kaplet #REF! #REF!
13 Ampicilin Serbuk Inj i.v 1.000 mg/vial (Viccilin) Vial #REF! #REF!
14 Antacida + Simeticon Susp (Berlosid) Botol #REF! #REF!
15
Tablet #REF! #REF!
16
Tablet #REF! #REF!
17 Anti Bakteri Doen Salep Kombinasi ( Indo Farma ) Tube #REF! #REF!
18
Pot #REF! #REF!
19
Supp #REF! #REF!
20
Kapsul #REF! #REF!
21 Asam Ascorbat 250 mg (Tempo Scan Pacific) Tablet #REF! #REF!
22
(Dexa Medica)
Tablet #REF! #REF!
23 Asam Folat Tablet 1 mg ( Marin Liza Farmasi ) Tablet #REF! #REF!
24 Asam Mefenamat 500 mg ( Mersi ) Tablet #REF! #REF!
25 Asam Pipemidat 400 mg (Urinter )(Interbat ) Kapsul #REF! #REF!
26 Asam Tranexamat 100 mg/@5 ml Injeksi Ampule #REF! #REF!
27 Asam Tranexamat Tablet 500 mg (Plasminex) Tablet #REF! #REF!
28 Asiklovir 5% 5gr Cream Tube #REF! #REF!
29 Asiklovir Tab 400 mg ( Phapros ) Tablet #REF! #REF!
30 Atropin Sulfat Injeksi 0,25 mg/ml Ampule #REF! #REF!
31 Attapulgite Active 600 mg Tab/ New Diatab Tablet #REF! #REF!
32 Attapulgite Active 600 mg Tab/ Papulex Tablet #REF! #REF!
33 Betahistin Mesylat 6 mg Tablet #REF! #REF!
34 Betametason Krim 0,1% (Kimia Farma ) Tube #REF! #REF!
35 Bisakodil Suppositoria 10 mg ( Boehringer Ingelheim )/ dulcolax Supp #REF! #REF!
PERSEDIAA
OBAT
36 Bisakodil Tablet 5 mg (Etercon Pharma ) Tablet #REF! #REF!
37
)
Biji #REF! #REF!
38 Bromheksin Tablet 8 mg /bronkis Tablet #REF! #REF!
39
Zeneca)
Botol #REF! #REF!
40
Tablet #REF! #REF!
41 Cefadroksil Kapsul 500 mg Kapsul #REF! #REF!
42 Cefadroksil Kapsul 500 mg orange Kapsul #REF! #REF!
43 Citicolin 250 mg / 2 ml Inj /Cercul (Phapros ) Ampule #REF! #REF!
44 Curcumin Plus Cynarin,Sylimarin,Kapsul/ Hepagard (Phapros) Tablet #REF! #REF!
45 Deksametason Inj iv/ im 5 mg/ ml (Bernofarm) Ampule #REF! #REF!
46 Deksamethason Tab 0,5 mg (Promed ) Tablet #REF! #REF!
47 Desoksimetason Krim 0,25% 15G ( Dexa Medica) Tube #REF! #REF!
48 Dextromertofan Komb Sy/ Bantif (Interbath) Botol #REF! #REF!
49 Diazepam Enema 5 mg/2,5 ml (Actavis )Stesolid 5 mg Biji #REF! #REF!
50 Diazepam Inj 5 mg / ml-2 ml /Valisanbe (Sanbe Farma ) Ampule #REF! #REF!
51 Diazepam Tablet 2 mg/ Valisanbe Tablet #REF! #REF!
52 Difenhidramin Inj 10 mg/ ml (Phapros ) Ampule #REF! #REF!
53 Digoksin Tab 0,25 mg (Yarindo Farmatama ) Tablet #REF! #REF!
54 Dimenhidrinat Tablet 50 mg (Kimia Farma ) Tablet #REF! #REF!
55 Domperidon Tab 10 mg (Dexa Medica ) Tablet #REF! #REF!
56 Domperidon Suspensi 5 mg /5 ml Botol #REF! #REF!
57 Epinefrin (Adrenalin) Inj 1 mg/ ml 0,1% (Ethica ) Ampule #REF! #REF!
58 Epinefrin (Adrenalin) Inj 1 mg/ ml 0,1% (Ethica ) Ampule #REF! #REF!
59 Erythromycin Syrup Kering 200 mg/5 ml Botol #REF! #REF!
60 Fenobarbital Inj 50 mg/ ml Ampule #REF! #REF!
61 Fenobarbital Tablet 30 mg Tablet #REF! #REF!
62 Fitomenadion (Vit K1)Inj 10 mg/ ml I.M ( Phapros ) Ampule #REF! #REF!
63 Fitomenadion (Vit K1)Inj 2 mg/ ml I.M (Phapros ) Ampule #REF! #REF!
64 Fitomenadion Tabet 10 mg (Phapros ) Tablet #REF! #REF!
65 Fluconazole Kapsul 150 mg Kapsul #REF! #REF!
66 Furosemid Tablet 40 mg (Sampharindo Perdana ) Tablet #REF! #REF!
67 Furosemide Injeksi 10 mg/ ml (Indofarma) Ampule #REF! #REF!
68 Garam Oralit 200 ml Biji #REF! #REF!
69 Gemfibrozil 300 mg Kapsul Tablet #REF! #REF!
70 Gentamisin Sulfate tetes mata 0,3% ( ERELA) Ampule #REF! #REF!
71 Gentamycin Cream 1 % mg/ ml BOTOL #REF! #REF!
72 Gentian Violet 1% 10 ml (Cito Ciubrus Farma) Botol #REF! #REF!
73 Glibenklamid Tablet 5 mg Tablet #REF! #REF!
74 Gliseril Guaikoulat Tablet 100 mg (kaleng) Tablet #REF! #REF!
75 Gliseril Guaikoulat Tablet 100 mg Botol #REF! #REF!
76 Glucosa 25G + Sodium Chlorida 2,125 G (Ds1/2Ns) Botol #REF! #REF!
77 Glukosa Larutan Infus 5% @500ml (Widatra ) Botol #REF! #REF!
Botol #REF! #REF!
79 75 Mg Turmeric (Root) 80Ml,Boswelia Serrata Extrac Tablet #REF! #REF!
PERSEDIAA
OBAT
80 Griseofulvin Tablet 125 mg Tablet #REF! #REF!
81 Hidroklorotiazid (Hct) Tablet 25 mg Tablet #REF! #REF!
82 Hidrokortison Krim 2,5% (Kimia Farma ) Tube #REF! #REF!
83 Hidrokortison Krim 2,5% (Kimia Farma ) Preflied #REF! #REF!
84 Hyoscine N- Butylbromide 20 mg Inj/ Gitas (Interbath ) Ampule #REF! #REF!
85 Ibuprofen Susp 200 mg/5 ml (Indo Farma ) Botol #REF! #REF!
86 Ibuprofen Tablet 400 mg Botol #REF! #REF!
87 Isoniazid Tablet 100 mg + Piridoxina Hcl 5 mg (Suprazid) Tablet #REF! #REF!
88 Isoniazid Tablet 400 mg + Piridoxina Hcl 5 mg (Suprazid Forte) Tablet #REF! #REF!
89 Isosorbid Dinitrat Tab Sublingual 5 mg ( Yarindo ) Tablet #REF! #REF!
90 Ka-En 1B Inj Larutan @500 ml (Otsuka) Botol #REF! #REF!
91 Ka-En 3A Inj Larutan @500 ml (Otsuka) Botol #REF! #REF!
92 Ka-En 3B Inj Larutan @500 ml (Otsuka) Botol #REF! #REF!
93
Pharmatama)
Tablet #REF! #REF!
94 Kalsium Laktat (Kalk ) Tab 500 mg (Mersi Farma) Tablet #REF! #REF!
95 Kaptopril Tab 25 mg ( Phapros ) Tablet #REF! #REF!
96 Ketokonazol cr Tube #REF! #REF!
97 Ketokonazol Tablet 200 mg (Novapharin ) Tablet #REF! #REF!
98 Ketorolac Inj 10mg/ml( Bernofarm ) Ampule #REF! #REF!
99 Ketorolak Inj 30 mg/ml (Hexpharm Jaya) Ampule #REF! #REF!
100 Klindamisin Tab 300 mg ( Mersi Farma ) Tablet #REF! #REF!
Tube #REF! #REF!
102 Telinga :Kloramfenicol,Lidocain,Proplylenglycol /Colme Botol #REF! #REF!
(Interbath)
103 Kloramfenikol Inj 1G/5 ml /Colcancetine Inj (Sanbe Farma) Vial #REF! #REF!
104 Klorfeniramina Maleat (Ctm) Tab 4 mg (kaleng) Tablet #REF! #REF!
105 Klorfeniramina Maleat (Ctm) Tab 4 mg Tablet #REF! #REF!
106 Kolkisin Tab 500Mcg/ L-Cisin ( Lapi Laboratoris ) Tablet #REF! #REF!
107 Kotrimoksasol Forte / Infantrim Forte Tab 960 mg ( Molex Ayus ) Tablet #REF! #REF!
108
200mgAnalgesik
mengandung
Botol #REF! #REF!
109 mg, Eugenol 13,6 mg; Methol 53,4 mg, Vinishing Cream ad 1 Tube #REF! #REF!
gr/Molakrim
110
Tube #REF! #REF!
111
(Dexa Medica)
Tablet #REF! #REF!
112
Pehacain (Phapros)
Ampule #REF! #REF!
113 Lidokain Injeksi 2% + Epinefrin 1:80.000 - 2 ml (Lucas Djaja) Ampule #REF! #REF!
114 Lisinopril Tablet 10 mg (Dexa Medica ) Tablet #REF! #REF!
115 Loperamid Tablet 2 mg ( Ifars) Tablet #REF! #REF!
116 Loratadin Tablet 10 mg Tablet #REF! #REF!
117
Tablet #REF! #REF!
118 Meloxicam Tab 15 mg (Bernofarm ) Tablet #REF! #REF!
119 Metamizol 500 mg + Diazepam 2 mg/Metaneuron (Phapros) Tablet #REF! #REF!
120 Metamizol Sodium Inj 500 mg/ml (Santagesik/ Antrain/ Norages) Ampule #REF! #REF!
121 Metformin Hcl 500 mg (Tempo Scan Pacific ) Tablet #REF! #REF!
122 Methylergometrin Maleat Tablet 0,125 mg Tablet #REF! #REF!
123 Metilergometrin Inj 0,2 mg/ml (Ethica ) Ampule #REF! #REF!
PERSEDIAA
OBAT
124 Metilprednisolon Tab 8 mg (Bernofarm) Tablet #REF! #REF!
125 Metoklopramide Tablet 10 mg ( Kimia Farma ) Tablet #REF! #REF!
126 Metoklopramide Tablet 5 mg ( Kimia Farma ) Tablet #REF! #REF!
127 Metronidasol 125mg/2ml Botol #REF! #REF!
128 Metronidasol 500 mg Tablet (Molazol) Tablet #REF! #REF!
129 Metronidasol Infus 500 mg/100ml Botol #REF! #REF!
130 Miconazol Cream 2% 10 Gr (Kimia Farma ) Tube #REF! #REF!
131 Minyak Kayu Putih 60 ml /Gajah Botol #REF! #REF!
132
mersibion
Ampule #REF! #REF!
133
Ayus )
Tablet #REF! #REF!
134
Botol #REF! #REF!
135
Tablet #REF! #REF!
Tablet #REF! #REF!
137
Tablet #REF! #REF!
138 25mg /Hemafort
Phapros )
@500ml(Widatra ) Botol #REF! #REF!
139 Natrium Diklofenak Tab 50 mg (Phapros ) Tablet #REF! #REF!
140 Natrium Fusidat Krim 20mg/G (Ifars ) Tube #REF! #REF!
141 Nifedipin /Adalat Kapsul 30 mg (Bayer) Kapsul #REF! #REF!
142 Nifedipin Tab 10 mg ( Dexa Medica ) Tablet #REF! #REF!
143 Nistatin Vaginal Tab 100.000 IU/G (Phapros ) Tablet #REF! #REF!
Botol #REF! #REF!
145 Officinalerhiz 0,25Mg,Abrusprecatorius Fol 0,25 Mg , Phaleria Botol #REF! #REF!
146 Obat Kumur +Hyaulorinic Acid 1% @ 200ml (Sanorine) Botol #REF! #REF!
147 Botol #REF! #REF!
148 Oksitosin Inj 10 UI/ml (Ethica) Ampule #REF! #REF!
149 Omeprazole Kapsul 20 mg Kapsul #REF! #REF!
150 Ondansetron Hcl Inj 2 mg/ 1ml ( Soho ) Ampule #REF! #REF!
151 Ondansetron Hcl Inj 2 mg/ 1ml ( Soho ) Tube #REF! #REF!
152 Paracetamol Tablet 500 mg Tablet #REF! #REF!
153 Paracetamol Supp 125 mg Supp #REF! #REF!
Botol #REF! #REF!
Tablet #REF! #REF!
( Phapros )
156 500Mg,Phenylpropanolamine HCl chlorpheniramine Tablet #REF! #REF!
Komb Tablet Flu: ( Molex
Parasetamol Ayus )
500Mg,Pseudofedrin
157
Tablet #REF! #REF!
158 Perak Sulfadiazin Krim 1% / Sulfadiazine Silver ( Darya Varia L ) Tube #REF! #REF!
159 Permetrin crem 5% @10 mg (Scabimite crem ) Tube #REF! #REF!
160 Piracetam Inj 1gr/5ml /Revolan (Sanbe Farma ) Ampule #REF! #REF!
161 Piracetam Tablet 800mg ( Indo Farma + Sanbe Farma ) Tablet #REF! #REF!
162 Piridoksin Hcl (Vit.B6)Tablet 10 mg Tablet #REF! #REF!
163 Poliresulen (Albotyl,Apetil) Botol #REF! #REF!
164 Prednison Tab 5 mg (Holi Pharma) Tablet #REF! #REF!
165 Propiltiourasil /Ptu 100 mg ( Dexa Medica ) Tablet #REF! #REF!
166 Pseudofedrin 60mg,Tripolidin 2,5mg (Eflin +Tremenza) Tablet #REF! #REF!
167 Ranitidin Inj Hcl 25 mg/ml ( Quantum Labs ) Ampule #REF! #REF!
PERSEDIAA
OBAT
168 Ranitidin Tablet 150 mg (Hexapharm Jaya ) Tablet #REF! #REF!
169 Ringer Acetat Botol @500 ml ( Outsuka ) Botol #REF! #REF!
170 RINGER LACTAT Botol 500 ml( WIDATRA ) Botol #REF! #REF!
171
(COMBIVENT)
Nebule #REF! #REF!
172 Salbutamol Tab 4 mg ( Kimia Farma ) Tablet #REF! #REF!
173
(Marin )
Pot #REF! #REF!
174 Salisil Bedak Serbuk 2% (Rama Mulia Cosmetic ) Biji #REF! #REF!
175 Serum Anti Bisa Ular(S.A.B.U) Cairan Inj im/iv ( Bio Farma ) Vial #REF! #REF!
176 Serum Antitoxin Diphteria Serum 10000 IU ( Vins ) Vial #REF! #REF!
177 Setirizin Tab 10 mg ( Phapros) Tablet #REF! #REF!
178 Simvastatin Tablet 10 mg Tablet #REF! #REF!
179 Siprofloksasin Tablet 500 mg Tablet #REF! #REF!
180 Spironolacton 25 mg Tablet Tablet #REF! #REF!
181 Sukralfat Susp 500mg/5ml @100 ml ( Meprofarm ) Botol #REF! #REF!
182 Tetrasiklin Hcl Kapsul 500 mg Kapsul #REF! #REF!
183 Theophyline Tablet 150 mg (Bronsolvan) Tablet #REF! #REF!
184 Thiamin /Vitamin B1 50 mg (Novapharin ) Tablet #REF! #REF!
185 Thiamphenicol / Thiamfilex Kapsul 500mg ( Molex Ayus ) Kapsul #REF! #REF!
186 Thiamphenicol/ Thiamfilex Susp 125 mg/5 ml ( Molex Ayus ) Botol #REF! #REF!
187 Tiamin Hcl (Vit B1) Tablet 50 mg Tablet #REF! #REF!
Tablet #REF! #REF!
189 0,5 mg, Vit. C 12,5 mg, Calcium Pantetonat 1,5 mg, Nikotinamida Tablet #REF! #REF!
mg)
Tablet #REF! #REF!
191 Zinc Sulphate syr /Interzinc 10 mg/ml (Interbat ) Botol #REF! #REF!
192 Zinc Sulphate Tablet Dispersible 20 mg (Kimia Farma ) Tablet #REF! #REF!
BMHP 2017 #REF! #REF!
193 Accu- Chek Safe-T-Pro Uno (Roche) Biji #REF! #REF!
194 Accu- Chek Performa Tes Strip ( Roche ) Biji #REF! #REF!
195 Alat suntik sekali pakai 3 cc (Terumo) Buah #REF! #REF!
196 Alat Suntik Sekali Pakai 1 ml Tuberculin W N 26Gx 1/2 (Nipro) Pcs #REF! #REF!
197 Alat Suntik Sekali Pakai 3 ml Pcs #REF! #REF!
198 Alat Suntik Sekali Pakai 5 ml (Aximed ) Pcs #REF! #REF!
199 Alat Suntik Sekali Pakai 10 ml ( Aximed) Pcs #REF! #REF!
200 Alat Suntik Sekali Pakai 20 ml Pcs #REF! #REF!
201 Alkohol / etanol 70% Botol #REF! #REF!
202 Alkohol Swab Biji #REF! #REF!
203 Askina Calgitrol Ag 10 X 10 cm (B- Braun ) Pcs #REF! #REF!
204 Askina Gel 15 Gr (B- Braun ) Tube #REF! #REF!
205 Askina Scrb 10X 10 Cm (B-Braun ) Pcs #REF! #REF!
206 Aquagel Steril Jelly 82G Botol #REF! #REF!
207 Balutan Tulle Grass 10 X 10 (Zat Aktif : Kalsium Alginate) Pcs #REF! #REF!
208
Phsda
Pcs #REF! #REF!
209 Catgut Chromic 3/0 75C + Jarum1/2 22M Demetech Pcs #REF! #REF!
210 Film Iv Dressing 6 X 7S (Id67S) E - Care Pcs #REF! #REF!
PERSEDIAA
OBAT
211 Film Iv Leukomed 6 Cm X 8 Cm (Bsn Medical) Pcs #REF! #REF!
212 Foley Catheter No. 16,18 (Uro Technology / Norta 2 Way) Pair #REF! #REF!
213 Gowen Non Woven Onemed (Baju Habis Pakai) Set #REF! #REF!
214 Gowen Spunlace Onemed (Baju Bisa Dicuci) Set #REF! #REF!
215 Hand Sanitizer 450ml (Medittol) Botol #REF! #REF!
216 Hand Sanitizer 5 L (Medittol ) Can #REF! #REF!
217 Infusion Set Anak 60 Drops /(Otsuka) Pcs #REF! #REF!
218 Infusion Set Dewasa 20 Drops /( Otsuka ) Pcs #REF! #REF!
219 Iv Cannula 26 G Polywin ( Polymed ) Pcs #REF! #REF!
220 Iv Catheter No 16 Sampai 24 (Nipro,Jelco, Terumo,Aximed) Pcs #REF! #REF!
221
Biji #REF! #REF!
222 Kapas Pembalut /Absorben 250 mg Pcs #REF! #REF!
223 Kasa 40 Y X 80 Cm (Sna Medika New Drc T Plain) Roll #REF! #REF!
224 Kasa Hidrofil Steril 16 Cm X 16 Cm (Surya Husada) Roll #REF! #REF!
225 Kasa Pembalut Hidrofil Drc 4 M X 10 Cm Roll #REF! #REF!
226 Kasa Pembalut Hidrofil Drc 4 M X 15 Cm Roll #REF! #REF!
227 Larutan Antiseptik Gel 500 Cc Tanpa Air (Onemed) Botol #REF! #REF!
228 Larutan Cuci Tangan/Handscrub + Dispenser 500 Ml Poliwash Botol #REF! #REF!
229 Masker Biji #REF! #REF!
230 Masker N95 Disposibel Biji #REF! #REF!
231 Maternity Napkin L (Daya Serap 550 Cc) Biji #REF! #REF!
232 Maternity Napkin Slim L (Daya Serap 430 Cc) Biji #REF! #REF!
233 Nebulizer With Mask Adult Standart (Stardec) Pcs #REF! #REF!
234 Nebulizer With Mask Pediatric Standart (Stardec) Pcs #REF! #REF!
235 Nelaton Cateter Set #REF! #REF!
236 Nurse Cup (Tutup Kepala) Pcs #REF! #REF!
237 Oxygen Mask Adult Standart (Stardec) Pcs #REF! #REF!
238 Oxygen Mask Elongated Adult (Remedi) Pcs #REF! #REF!
239 Oxygen Mask Nasal Canula Size L Dan S (Aximed) Pcs #REF! #REF!
240 Oxygen Mask Pediatric Standart (Stardec) Pcs #REF! #REF!
241 Pembalut Elastis Policrepe Roll #REF! #REF!
242 Plester Roll Kain 2,5 Cm X 4,5 Cm (Leukoplast 1622H) Roll #REF! #REF!
243 Polifix 5Cm X 1 Cm ( Sna Medika) Roll #REF! #REF!
244 Povidon Iodine 10% (30 Ml) ( One Med) Botol #REF! #REF!
245 Povidon Iodida 10% (100 Ml) Braunol Botol #REF! #REF!
246 Povidon Iodine 10% (300) Ml (One Med ) Botol #REF! #REF!
247 Prontosan Wound Gel X 250 Gram ( B-Braun ) Tube #REF! #REF!
248 Prontosan Wound Gel X 50 Gram( B-Braun ) Tube #REF! #REF!
249 Prontosan Wound Irigation Solution 350 Ml (B-Braun ) Botol #REF! #REF!
250 Sarung Tangan Steril Gynecolog Pair #REF! #REF!
251 Sarung Tangan Non Steril No M Dan L Pasang #REF! #REF!
252 Sarung Tangan Non Steril No S Biji #REF! #REF!
253 Sarung Tangan Non Steril Pipermint Pcs #REF! #REF!
254 Sarung Tangan Steril No 7 Dan 7,5 Pair #REF! #REF!
PERSEDIAA
OBAT
255 Silk Black 3/0Ds 19 Mm (Smi ) Sachet #REF! #REF!
256 Softaman 500 ml (B-Braun ) Botol #REF! #REF!
257 Sputum Pot( One Med ) Buah #REF! #REF!
258 Stabimed 1000Ml ( B- Braun ) Botol #REF! #REF!
259 Ultrasound Transmision Gel Sachet #REF! #REF!
260 Umbilical Cord Klem Sterile Nylon Pcs #REF! #REF!
261 Urine Drainage Bag, T Valve With Hanger (Aximed) Botol #REF! #REF!
OBAT GIGI #REF! #REF!
262 Bahan Tumpatan Sementara (Grey) Flas #REF! #REF!
263 Ethylcloride Spray 100 ml (Sekar Luntur Farma) Kit #REF! #REF!
264 Mata Boor Diamon High Speed/Sharp Cut, Denteply Set #REF! #REF!
265 Matrix Band Biji #REF! #REF!
266 Micro Brush Botol #REF! #REF!
267 Mummifying Pasta Tube #REF! #REF!
SUSU #REF! #REF!
268 Pan Enteral Sachet #REF! #REF!
269 Prenagen 200Gr Sachet #REF! #REF!
270 Proten Gold (Vanilla) Sachet #REF! #REF!
REAGEN #REF! #REF!
271 A.Antimonoclonal (Anti A) 10 ml ( Fortress ) Btl #REF! #REF!
272 B.Antimonoclonal (Anti B)ml ( Fortress ) Btl #REF! #REF!
273 Reagen Hb (Hcl 0,1 N) 100ml Btl #REF! #REF!
OBAT PROGRAM TB PARU #REF! #REF!
274 Box Slide Picis #REF! #REF!
275 Catridge Genexpart Tablet #REF! #REF!
276 Isoniazid / Inh 100 Mg (Isoniazid) Tablet #REF! #REF!
277 OAT FDC Kategori Anak kit #REF! #REF!
278 OAT FDC Kategori I kit #REF! #REF!
279 OAT FDC Kategori II (prop + dak17) kit #REF! #REF!
280 OAT FDC Kombipak Kategori Anak kit #REF! #REF!
281 OAT FDC Kombipak Kategori I kit #REF! #REF!
282 Pot Dahak Steril Biji #REF! #REF!
283 Reagen Zn Kit #REF! #REF!
284 Slide Biji #REF! #REF!
285 Streptomisin Inj 1gr Ampule #REF! #REF!
OBAT POGRAM KUSTA #REF! #REF!
286 MDT MB Anak Kit #REF! #REF!
287 MDT MB Dewasa Kit #REF! #REF!
288 MDT PB Anak Kit #REF! #REF!
289 MDT PB Dewasa Kit #REF! #REF!
OBAT PROGRAM IMUNISASI #REF! #REF!
290 Alat Suntik Sekali Pakai 0,05 ml Pcs #REF! #REF!
291 Alat Suntik Sekali Pakai 0,5 ml Pcs #REF! #REF!
292 Safety Box 2,5 Botol #REF! #REF!
PERSEDIAA
OBAT
293 Safety Box 5 L Botol #REF! #REF!
OBAT PROGRAM HIV #REF! #REF!
294 Descoderm pads (Alkohol Swab) Biji #REF! #REF!
295 Rapid Test Vikia Hiv 1/2 (Biomerieux Enseval Medika Prima ) (Prop+Dak17) Biji #REF! #REF!
296 Efavirenz 600 mg Tablet #REF! #REF!
297 Isoniazid / INH 300 mg Tab Tablet #REF! #REF!
298 Lamivudine 150 mg Tablet #REF! #REF!
299 Nevirapine 200 mg Tablet #REF! #REF!
300 Reagen (Intec One Stop Anti Hiv(1&2) Ti Line Test Card) Kit #REF! #REF!
301 Reagen (Oncoprobe / Ir-100C) Kit #REF! #REF!
302 Reagen (Righsin) Kit #REF! #REF!
303 Reagen (Sd) Kit #REF! #REF!
304 Reagen Hiv (Fokus) Kit #REF! #REF!
305 Reagen Hiv (Vikia) Kit #REF! #REF!
306 Reagen Hiv R.P.R Kit #REF! #REF!
307 Reagen Hiv T.P.H.A (Prop+Dak 17) Kit #REF! #REF!
308 Reagen HBsAg Strip (Prop + Dak 17 ) Kit #REF! #REF!
309 Reagen Penghitung Cd 4 Kit #REF! #REF!
310 Tenofovir 300 +Lamivudin 300+ Efaviren 600 (Triple Fdc) Dewasa Tablet #REF! #REF!
311 Tenofovir 300 mg Tablet #REF! #REF!
312 Zidofudine 300 mg + Lamifudine 150 mg Tablet #REF! #REF!
313 Zidofudine 100 mg (ZDV) Tablet #REF! #REF!
OBAT PROGRAM GIZI #REF! #REF!
314 Mineral Mix Sacht Sachet #REF! #REF!
315 Retinol Vit A 100.000 UI (Biru) Tablet #REF! #REF!
316 Retinol Vit A 200.000 UI (Merah) Tablet #REF! #REF!
317
Mg Tab (Phapros)
Tablet #REF! #REF!
OBAT PROGRAM JIWA #REF! #REF!
318 Alprazolam 0,5 mg (Mersi Farma ) Tablet #REF! #REF!
319 Amitriptilin 25mg ( Indo Farma) Tablet #REF! #REF!
320 Clobazam Tab 10 mg (Meprofarm) Tablet #REF! #REF!
321 Clozapine 100 mg Tablet #REF! #REF!
322 Depakote Valproat Tab 250 mg ( (Abbott ) Tablet #REF! #REF!
323 Fenitoin Kap 100mg ( Ikapharmindo Putra Mas ) Kapsul #REF! #REF!
324 Elizac 20 /Fluoksetin Tab 20 mg Tablet #REF! #REF!
325 Haldol Decanoat Inj 50mg/ml Vial #REF! #REF!
326 Haloperidol Tab 5 Mg (Indofarma) Tablet #REF! #REF!
327 Karbamazepin Tablet 200 mg Tablet #REF! #REF!
328 Klorpromazin Tab Salut 100 mg (Hcl) Tablet #REF! #REF!
329 Klorpromazin Hcl Inj I.M 25 mg/ml ( Phapros ) Vial #REF! #REF!
330 Lodomer 5 mg/ml Inj Ampule #REF! #REF!
331 Lorazepam Tab 2 mg (Mersi Farma) Tablet #REF! #REF!
332 Risperidon Tab 2 mg ( Dexa Medica ) Tablet #REF! #REF!
333 Flufenazin sikzonoate inj 5 ml Vial #REF! #REF!
PERSEDIAA
OBAT
334 Trifluoperazine Tablet #REF! #REF!
335 Triheksifenidil Tablet 2 mg ( Holi Farma ) Tablet #REF! #REF!
OBAT KESGA #REF! #REF!
336 Calcii Gluconas Inj Vial #REF! #REF!
337 Gentamycin Inj 40 mg/ml Ampule #REF! #REF!
338 Magnesium Sulfat Inj.(iv) 20% Otsu Ampule #REF! #REF!
339 Magnesium Sulfat Inj.(iv) 40% Otsu Ampule #REF! #REF!
OKSIGEN #REF! #REF!
340 Oksigen Medical (Tabung 1 M3) Tampon #REF! #REF!
341 Oksigen Medical (Tabung 6 M3) Tampon #REF! #REF!
342 #REF! #REF!
343 Acetosal Tablet 100 mg K=100 Tab #REF! #REF!
344 Kasa Elastic 25cm X 4,5m Roll #REF! #REF!
345 Medical waste (tempat sampah limbah medis) Pcs #REF! #REF!
346 Skalpes (Mess) K=100 biji #REF! #REF!
347 Antimicrobial Liquid Soap Botol 500ml (VIOREX) botol #REF! #REF!
348 Dual Enzymatic Detergent Galon 5 Ltr (STERIZYME) Galon=5Ltr #REF! #REF!
349 Surface Desinfectant 500 ml (STERICIDE) Botol = 500 ml #REF! #REF!
350 High Level Desinfectant Galon 5 Ltr (STERALD) Galon=5Ltr #REF! #REF!
351 Blood Lancet (21Gx1.8 M) #REF! #REF!
352 Reagen Syphilis SD Bioline #REF! #REF!
353 Reagen HB Ig #REF! #REF!
354 Plester Fixomull Stretch 5 cm x 5 cm #REF! #REF!
355 Kalsium 500mg+ Vitamin D3 (Calsifar Plus) #REF! #REF!
356 Hb Hemoglobim Strip tes #REF! #REF!
357 Accutrend Cholesterol Strip #REF! #REF!
358 Air untuk irigasi inf 1000ml #REF! #REF!
359 Povidon Iodine 10% (60ml) (One Med) #REF! #REF!
360 Antiseptic handrub 0,5% L #REF! #REF!
361 ATS #REF! #REF!
362 Molaneuron #REF! #REF!
363 Papsmear kit #REF! #REF!
364 kasa 3 x 15 #REF! #REF!
365 iv cath 18 #REF! #REF!
369 colpica #REF! #REF!
370 UNDER PAD ipfk #REF! #REF!
371 Hemafort #REF! #REF!
372 Norinse Antimicrobial 500 ml (Viorex) #REF! #REF!
373 Plesterin Bulat Non Woven (One Med) #REF! #REF!
JUMLAH SISA Stok
TOTAL
STOK Opname
GANTUNG
19 20
-
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
JUMLAH SISA Stok
TOTAL
STOK Opname
GANTUNG
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
JUMLAH SISA Stok
TOTAL
STOK Opname
GANTUNG
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
JUMLAH SISA Stok
TOTAL
STOK Opname
GANTUNG
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
JUMLAH SISA Stok
TOTAL
STOK Opname
GANTUNG
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
JUMLAH SISA Stok
TOTAL
STOK Opname
GANTUNG
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
JUMLAH SISA Stok
TOTAL
STOK Opname
GANTUNG
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
JUMLAH SISA Stok
TOTAL
STOK Opname
GANTUNG
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
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- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
JUMLAH SISA Stok
TOTAL
STOK Opname
GANTUNG
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
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- #REF!
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- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!
- #REF!

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KODE PUSKESMAS : 35881301

SATUAN STOK PEMBERIAAN

1 Acetosal/Acetylsalicylic Acid Tablet 80 mg (MINIASPI) Tablet 500 500 500

13 Ampicilin Serbuk Inj i.v 1.000 mg/vial (Viccilin) Vial

15 Antacida + Simeticon Tablet Kunyah Aludonna/Magten/Acitral(Promedharjo) Tablet

Antasida Tablet Kunyah Kombinasi : Aluminium Hydroxide 200 mg +

17 Anti Bakteri Doen Salep Kombinasi ( Indo Farma ) Tube

Antihemoroid Supp (Bismuth Subgallate 150 mg,Hexachlorophene 2,5 mg,

Antihemoroid Tablet (Extrak Graptophili Folium 80% Citrus Bio 20% )

21 Asam Ascorbat 250 mg (Tempo Scan Pacific) Tablet

23 Asam Folat Tablet 1 mg ( Marin Liza Farmasi ) Tablet

27 Asam Tranexamat Tablet 500 mg (Plasminex) Tablet

31 Attapulgite Active 600 mg Tab/ New Diatab Tablet

35 Bisakodil Suppositoria 10 mg ( Boehringer Ingelheim )/ dulcolax Supp

37 Bricasma Respules Terbutalin Cairan IH 2,5 mg/ml (Astra Zeneca ) Biji

39 Budesonid Formoterol Inhaler 160/4,5 mcg/Symbicort (Astra Zeneca) Botol

44 Curcumin Plus Cynarin,Sylimarin,Kapsul/ Hepagard (Phapros) Tablet

47 Desoksimetason Krim 0,25% 15G ( Dexa Medica) Tube

49 Diazepam Enema 5 mg/2,5 ml (Actavis )Stesolid 5 mg Biji

50 Diazepam Inj 5 mg / ml-2 ml /Valisanbe (Sanbe Farma ) Ampule

66 Furosemid Tablet 40 mg (Sampharindo Perdana ) Tablet

67 Furosemide Injeksi 10 mg/ ml (Indofarma) Ampule

70 Gentamisin Sulfate tetes mata 0,3% ( ERELA) Ampule

72 Gentian Violet 1% 10 ml (Cito Ciubrus Farma) Botol

75 Gliseril Guaikoulat Tablet 100 mg Botol

76 Glucosa 25G + Sodium Chlorida 2,125 G (Ds1/2Ns) Botol

77 Glukosa Larutan Infus 5% @500ml (Widatra ) Botol

Glukosamin Sulphat 2 Kcl 400 Mg,Kondroitin So4 250Mg,Msm 75 Mg

83 Hidrokortison Krim 2,5% (Kimia Farma ) Preflied

84 Hyoscine N- Butylbromide 20 mg Inj/ Gitas (Interbath ) Ampule

87 Isoniazid Tablet 100 mg + Piridoxina Hcl 5 mg (Suprazid) Tablet

88 Isoniazid Tablet 400 mg + Piridoxina Hcl 5 mg (Suprazid Forte) Tablet

89 Isosorbid Dinitrat Tab Sublingual 5 mg ( Yarindo ) Tablet

101 Kloramfenikol 1% Salep Mata/ Reco ( Sanbe ) Tube

103 Kloramfenikol Inj 1G/5 ml /Colcancetine Inj (Sanbe Farma) Vial

106 Kolkisin Tab 500Mcg/ L-Cisin ( Lapi Laboratoris ) Tablet

Kotrimoksazol Kombinasi Tiap 5ml Suspensi : Sulfametoksazol 200mg +

Lidocain 2% + Ephinefrin 1:80000 2ml :Lidocain Inj Comp,Inj)/ Pehacain

113 Lidokain Injeksi 2% + Epinefrin 1:80.000 - 2 ml (Lucas Djaja) Ampule

Lutein 6mg,Bellberry : Mirtl Fructus Ext 80mg Kaps Suplemen

119 Metamizol 500 mg + Diazepam 2 mg/Metaneuron (Phapros) Tablet

121 Metformin Hcl 500 mg (Tempo Scan Pacific ) Tablet

125 Metoklopramide Tablet 10 mg ( Kimia Farma ) Tablet

126 Metoklopramide Tablet 5 mg ( Kimia Farma ) Tablet

132 Multivitamin B1 100,B6 200,B12 500Mcg Inj (Biocombin) / mersibion Ampule

Multivitamin Curcuma Syr:L-Lysyin 200mg,Betacaroten 1000 IU vit B1 3

Multivitamin Neurotopic Plus Atp Tablet:B1 100,B6 200,B12 200Mcg,Vit E

Multivitamin Neurotopic Tablet : B1 100,B6 200,B12 200 mg/Probion

Multivitamin Tab Tambah Darah : Oer Tablet Mengandung : Femofomarrat

144 Nyistatis Susp 100000 IU /Nymico (Sanbe Farma ) Botol

Obat Batuk Herbal : Tiap 15 Ml Vitetrifolia Fill 1 Gr,Zingiber Officinalerhiz

146 Obat Kumur +Hyaulorinic Acid 1% @ 200ml (Sanorine) Botol

154 Paracetamol Syrup 120 mg/5ml (Mersi Farma) Botol

Parasetamol Komb Tablet Batuk Berdahak:Paraset 400Mg,Bromheksin

Parasetamol Komb Tablet Flu: Parasetamol 500Mg,Phenylpropanolamine

Parasetamol Komb Tablet Flu: Parasetamol 500Mg,Pseudofedrin 30Mg/Noza

158 Perak Sulfadiazin Krim 1% / Sulfadiazine Silver ( Darya Varia L ) Tube

160 Piracetam Inj 1gr/5ml /Revolan (Sanbe Farma ) Ampule

161 Piracetam Tablet 800mg ( Indo Farma + Sanbe Farma ) Tablet

166 Pseudofedrin 60mg,Tripolidin 2,5mg (Eflin +Tremenza) Tablet

176 Serum Antitoxin Diphteria Serum 10000 IU ( Vins ) Vial

181 Sukralfat Susp 500mg/5ml @100 ml ( Meprofarm ) Botol