RUMAH SAKIT PRATAMA SEBATIK

FORM STOK OPNAME TAHUN 2022

STOK APOTEK

NO NAMA OBAT SATUAN BULAN

JAN EXP FEB EXP MAR EXP APR EXP MEI EXP JUN EXP JUL EXP AGS EXP SEP EXP OKT EXP NOV EXP DES EXP
1 Air untuk injeksi amp 20 ml ampul/vial/botol
ampul/vial/botol
2 Air untuk injeksi amp 25 ml
25 mL
3 Albendazol susp 200 mg/5 ml Botol
4 Albendazol tab 400 mg tablet/kapsul/ka
plet
5 Alopurinol tab 100 mg Tab
6 Alopurinol tab 300 mg tablet/kapsul/ka
plet
ampul/vial 10
7 Aminofilin inj 24 mg/ml ml
8 Aminofilin tab 150 mg tablet/kapsul/ka
plet
9 Aminofilin Tab 200 mg tablet/kapsul/ka
plet
10 Amitriptilin tab sal 25 mg tablet/kapsul/ka
plet
11 Amlodipin tab 10 mg tablet/kapsul/ka
plet
12 Amlodipin tab 5 mg tablet/kapsul/ka
plet
13 Amoksisilin drops 100 mg/ml Botol
14 Amoksisilin sir forte 250 mg/5 ml botol 60 ml
Amoksisilin sir kering 125 mg/5 ml
15 Botol

16 Amoksisilin tab 250 mg tablet/kapsul/ka

plet
17 Amoksisilin tab 500 mg tablet/kapsul/ka
plet
18 Ampisilin serb inj 1000 mg/vial ampul/vial
19 Ampisilin serb inj 250 mg/vial Vial
Anestetik lokal gigi kombinasi :
20 lidokain hcl 2% + epinefrin 1 : 80.000 ampul/vial
inj 2 ml

Antasida, kombinasi : aluminium

21 hidroksida 200 mg + magnesium tablet/kapsul/ka
hidroksida 200 mg plet
Antasida, kombinasi : aluminium
22 hidroksida 200 mg + magnesium botol 60 ml
hidroksida 200 kombinasi
Anti Parkinson mg :
23 benzerasid 25 mg + levodopa 100 Kaps
mg
Antifungi salep, kombinasi : asam
24 benzoat 6%+ asam salisilat 3% pot 30 g
Antihemoroid, kombinasi: bismut
25 subgalat 150 mg + heksaklorofen 2,5 Suppositoria
mg + lidokain lidokain 10 mg+ seng
oksida 120 mg + sup ad 2 g
26 Artesunat serb inj 60 mg/ml ampul/vial
(i.v./i.m.)
Articulating paper kertas warna Kertas warna
27 penanda oklusi penanda oklusi
28 Asam asetat tetes telinga 2% Botol
Asam asetilsalisilat (asetosal) tab 80 tablet/kapsul/
29 mg kaplet
30 Asam askorbat (vitamin C) tab 250 Tab
mg
31 Asam askorbat (vitamin C) tab 50 mg tablet/kapsul/
kaplet
32 Asam folat tab 0,4 mg tablet/kapsul/
kaplet
33 Asam folat tab 1 mg tablet/kapsul/
kaplet
34 Asam folat tab 5 mg Tab
tablet/kapsul/
35 Asam mefenamat kaps 250 mg kaplet
36 Asam mefenamat kaps 500 mg tablet/kapsul/
kaplet/kaptab
37 Asam salisilat lar 0,1% Botol
38 Asam salisilat salep 10% Tube
39 Asam salisilat salep 2% Tube
40 Asam salisilat salep 5% Tube
tablet/kapsul/
41 Asiklovir tab 200 mg kaplet
42 Asiklovir tab 400 mg tablet/kapsul/
kaplet
Atapulgit 600 mg tablet/kapsul/
43 kaplet
44 Atapulgit tab 630 mg tablet/kapsul/
kaplet
Atapulgit tablet 650 mg tablet/kapsul/
45
kaplet
46 Atapulgit tablet 750 mg Tab
47 Atenolol tab 100 mg tablet/kapsul/
kaplet
48 Atenolol tab 50 mg tablet/kapsul/
kaplet
49 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul

50 Atropin tab 0,5 mg Tab

51 Bahan tumpatan sementara lar, serb Botol
Dus/Sachet/
52 Bedak salisil serb 2% Plastik
53 Betametason krim 0,1% tube 5 gram
54 Betametason krim 0,5 mg/g Tube
55 Betametason salep 0,1% tube 5 gram
56 Betametason tts mata 1 mg/ml botol
57 Bisakodil sup 10 mg Suppositoria
58 Bisakodil sup 5 mg Suppositoria
59 Bisakodil tab sal 5 mg tablet/kapsul/
kaplet
60 Budesonid cairan ih 0,25mg/ml Botol @ 4 ml
Budesonid cairan ih 0,25mg/ml,
61 respoules 2 ml respoules

62 Budesonid cairan ih 0,5 mg/ml Botol @ 4 ml

Budesonid cairan ih 0,5 mg/ml,
63 respoules 2 ml respoules

64 Budesonid serb ih 100 mcg/dosis Botol

65 Budesonid serb ih 200 mcg/dosis 100 dosis
66 Budesonid serb ih 200 mcg/dosis 200 dosis
67 Coal tar lar 5 % Botol
68 Copper T set/buah
Deksametason inj 5 mg/ml (i.v./i.m.)
69 ampul/vial

70 Deksametason tab 0,5 mg tablet/kapsul/

kaplet
71 Diazepam enema 10 mg/2,5 ml tube @ 2,5 mL
72 Diazepam enema 5 mg/2,5 ml tube @ 2,5 mL
73 Diazepam inj 5 mg/ml (i.v./i.m.) ampul/vial
74 Diazepam tab 2 mg tablet/kapsul/ka
plet
tablet/kapsul/
75 Diazepam tab 5 mg
kaplet
tablet/kapsul/
76 Dietilkarbamazin tab 100 mg kaplet
Difenhidramin inj 10 mg/ml
77 (i.v./i.m.) ampul/vial

78 Digoksin tab 0,25 mg tablet/kapsul/

kaplet
tablet/kapsul/
79 Diltiazem hcl tab 30 mg kaplet
80 Diltiazem kaps SR 100 mg Kapsul lepas
lambat
Kapsul lepas
81 Diltiazem kaps SR 200 mg lambat
82 Diltiazem tab 30 mg Tab
tablet/kapsul/
83 Dimenhidrinat tab 50 mg kaplet
84 Doksisiklin kaps 100 mg tablet/kapsul/
kaplet
85 Domperidon susp 5 mg/5 ml botol @60 ml
86 Domperidon tab 10 mg tablet/kapsul/
kaplet
Epinefrin (adrenalin) inj 0,1%
87 (i.v./s.k./i.m.) ampul/vial

88 Epinefrin (adrenalin) inj 1 mg/ml Ampul

89 Ergotamin tab 1 mg Tab
90 Eritromisin kaps 250 mg tablet/kapsul/
kaplet
91 Eritromisin sir 200 mg/5 ml Botol @ 60 ml
tablet/kapsul/
92 Eritromisin tab 500 mg kaplet
Estrogen terkonjugasi tab sal 0,625 tablet salut
93 mg gula/kaplet salut
gula
94 Etanol 70% cairan 70% Botol
95 Etil klorida semprot 100 ml Botol
96 Etonogestrel implan 68 mg Set
97 Eugenol Botol
98 Fenitoin Na inj 50 mg/ml ampul @ 2 ml
99 Fenitoin Na kaps 100 mg Kaps
100 Fenitoin Na kaps 30 mg Kaps
101 Fenobarbital tab 100 mg Tab
102 Fenobarbital tab 30 mg tablet/kapsul/
kaplet
Fenoksimetil penisilin (penisilin V)
103 tab 250 mg Tab
Fenoksimetil penisilin (penisilin V)
104 tab 500 mg Tab

105 Ferro fumarat kaps lunak 300 mg Kaps lunak

106 Ferro sulfat sir. 150 mg/5 ml Botol
107 Ferro sulfat tab salut 300 mg Tab sal
Fitomenadion (vitamin K 1) inj 2
108 mg/ml (i.m.) ampul/vial

109 Fitomenadion (vitamin K 1) tab sal Tab sal

10 mg tablet salut
110 Fitomenadion (vitamin K1) inj 10 gula/kaplet salut
mg/ml (i.m) gula
111 Fluoksetin kaps 10 mg tablet/kapsul/
kaplet
112 Fluor kapl 1 mg Kaplet
113 Fluor sediaan topikal Tube
114 Fluoresein tts mata 2,5 mg/ml Botol
115 Formokresol Botol
116 Framisetin Sulfat Tulle 1% Patch
117 Furosemid inj 10 mg/ml (i.v./i.m.) ampul/vial
Furosemid tab 40 mg tablet/kapsul/
118 kaplet
Galactose microparticle 200-400 mg
119 micropart/ml Vial
Garam oralit kombinasi : natrium
120 klorida 0,52 g + kalium klorida 0,30 g sachet
+ trinatriumsalep
sitratmata
0,58 g0,3%
+ glukosa
121 Gentamisin
anhidrat 2,7 g Tube
122 Gentamisin tts mata 0,3% Botol
 Glass ionomer ART (Atraumatic
123 Restorative Treatment) cocoa butter Sachet
5g
Glass ionomer ART (Atraumatic
124 Restorative Treatment) lar Botol
Glass ionomer ART (Atraumatic
125 Restorative Treatment) serb Vial
tablet/kapsul/
126 Glibenklamid tab 2,5 mg kaplet
127 Glibenklamid tab 5 mg tablet/kapsul/
kaplet
tablet/kapsul/
128 Glikuidon tab 30 mg kaplet
129 Glimepirid tab 1 mg tablet/kapsul/
kaplet
tablet/kapsul/
130 Glimepirid tab 2 mg kaplet
131 Glipizid tab 5 mg tablet/kapsul/
kaplet
tablet/kapsul/
132 Gliseril trinitrat tab 0,5 mg kaplet
133 Gliserin tts 100 mg/ml Botol
Glukosa Larutan Infus 10% steril 100
134 ml Botol
Glukosa Larutan Infus 10% steril 250
135 ml Botol
Glukosa Larutan Infus 10% steril 500
136 ml Botol

137 Glukosa Larutan Infus 40% Ampul @25 ml

Glukosa Larutan Infus 5% steril 100
138 ml Botol
Glukosa Larutan Infus 5% steril 250
139 ml Botol
Glukosa Larutan Infus 5% steril 500
140 ml Botol

141 Griseofulvin (micronized) tab 125 mg tablet/kapsul/

kaplet
Griseofulvin (micronized) tab scored tablet/kapsul/
142 250 mg
kaplet
Gutta percha dan paper points 15 -
143 40 mm Roll
Gutta percha dan paper points 45 -
144 80 mm Roll

145 Haloperidol inj 5 mg/ml (i.m.) Vial

146 Haloperidol tab 0,5 mg tablet/kapsul/
kaplet
147 Haloperidol tab 1,5 mg tablet/kapsul/
kaplet
148 Haloperidol tab 2 mg tablet/kapsul/
kaplet
149 Haloperidol tab 5 mg tablet/kapsul/
kaplet
150 Haloperidol tts 2 mg/ml botol
Hepatitis B imunoglobulin (human)
151 inj 150 IU/1,5 ml Ampul

152 Hidrogen peroksida cairan 3% Botol

 Hidrogen peroksida lar. Konsentrat
153 3% Botol
tablet/kapsul/
154 Hidroklorotiazid tab 25 mg kaplet
155 Hidrokortison krim 2,5% tube @ 5 g
156 Hidrokortison serb inj 100 mg Vial
157 Hiosina butilbromida tab 10 mg tablet/kapsul/
kaplet
Human tetanus imunoglobulin inj
158 250 UI (i.m.) Ampul
Human tetanus imunoglobulin inj
159 500 UI (i.m.) Ampul

160 Ibuprofen sir 100 mg/5 ml botol @ 60 ml

161 Ibuprofen sir 200 mg/5 ml botol @ 60 ml
162 Ibuprofen tab 200 mg tablet/kapsul/ka
plet
tablet/kapsul/
163 Ibuprofen tab 400 mg kaplet
164 Ipratropium bromida aerosol 20 Botol
mcg/semprot
Ipratropium bromida cairan ih
165 0,025% Botol

166 Ipratropium bromida ih 20mcg/puff Botol

167 Isoniazid tab 100 mg Tab
168 Isoniazid tab 300 mg Tab
tablet/kapsul/
169 Isosorbid dinitrat tab 5 mg kaplet
170 IUD Cu T 380 A Set
171 IUD Levonorgestrel Set
172 Kalamin Tube
173 Kalsium glukonat inj 100 mg/ml ampul/vial
174 Kalsium hidroksida bubuk, pasta Tube
tablet/kapsul/
175 Kalsium karbonat tab 500 mg kaplet
176 Kalsium laktat (kalk) tab 500 mg tablet/kapsul/
kaplet
177 Kaptopril tab 12,5 mg tablet/kaplet
178 Kaptopril tab 25 mg tablet/kaplet
179 Kaptopril tab 50 mg tablet/kaplet
180 Karbamazepin sir 100 mg/5 ml Botol
181 Karbamazepin tab 100 mg Tab
182 Karbamazepin Tab 200 mg Tablet
183 Karbo adsorben tab 0,5 g Tab
184 Karbogliserin tts telinga 10 % Botol
185 Ketokonazol tab 200 mg tablet/kapsul/
kaplet
186 Klindamisin kaps 150 mg Kaps
187 Klindamisin kaps 300 mg tablet/kapsul/ka
plet
188 Klofazimin, micronized kaps 50 mg Kapsul
189 Klofazimin, micronizedkaps 100 mg kapsul
190 Klonidin tab 0,15 mg tablet/kapsul/ka
plet
191 Kloramfenikol kaps 250 mg tablet/kapsul/ka
plet
192 Kloramfenikol salep kulit 2% tube 15g
193 Kloramfenikol salep mata 1% tube @ 5 gram
194 Kloramfenikol susp 125 mg/5 ml botol 60 ml
195 Kloramfenikol tetes telinga 3% Botol
196 Kloramfenikol tts mata 0,5% botol
197 Kloramfenikol tts mata 1% Botol
198 Klorfeniramin tab 4 mg tablet/kapsul/ka
plet
199 Klorfenol kamfer mentol (CHKM) Botol
200 Klorheksidin lar 0,2% Botol
201 Klorheksidin lar 15% Botol
202 Klorpromazin inj 25 mg/ml (i.m.) ampul/vial
203 Klorpromazin inj 5 mg/ml (i.m.) ampul/vial
tablet salut
204 Klorpromazin tab sal 100 mg selaput/kaplet
salut selaput
205 Klorpromazin tab sal 25 mg Tab sal
206 Klortalidon tab 50 mg Tab
207 Klozapin tab 100 mg tablet
208 Klozapin tab 25 mg tablet
tablet/kapsul/
209 Kodein tab 10 mg kaplet
Kombinasi (DHP) : dihidroartemisin tablet salut
210 40 mg + Piperakuin 320 mg tab sal selaput/kaplet
selaput salut selaput
Kombinasi : artemether 20 mg + tablet/kapsul/
211 lumefantrin 120 mg kaplet
Kombinasi : artesunat tab 50 mg +
212 amodiakuin tab 200 Tab
Kombinasi : Desogestrel 150 mcg
213 Etinilestradiol 30 mcg Tab

214 Kombinasi : ergotamin 1 mg+ kafein tablet/kapsul/

50 mg kaplet
Kombinasi : Ferro fumarat 60 mg +
215 asam folat 0,4 mg tab salut tablet salut gula
Kombinasi : levonorgestrel 150 mcg
216 + etinilestradiol 30 mcg tab salut gula
 Kombinasi : Tenofovir 300 mg +
217 Emtrisitabin 200 mg Tab
Kombinasi : Tenofovir 300 mg +
218 Lamivudin 300 mg + Efavirenz 600 Tab
mg
Kombinasi: ipratropium Br 0,5 mg+ ampul/vial
219 salbutamol 2,5 mg nebules

220 Kombinasi: kaolin 550 mg + pektin Tab

20 mg
221 Komposit resin Set
Kotrimoksazol (dewasa) kombinasi :
222 sulfametoksazol 400 mg+ tab/kaptab
trimetoprim 80 mg
Kotrimoksazol (dewasa) kombinasi :
223 sulfametoksazol 800 mg+ tab/kaptab
trimetoprim
Kotrimoksazol160 mg
kombinasi tiap 5 ml
224 suspensi : sulfametoksazol 200 mg + botol 60 mL
trimetoprim 40 mg
225 Kuinin inj 25% (i.v.) Vial
226 Kuinin tab 200 mg tablet/kapsul/
kaplet
227 Laktulosa sir 3,335 g/5 ml botol @ 60 mL
Larutan mengandung Elektrolit
228 (Kalium Klorida) Botol
Larutan mengandung Elektrolit (KCl
229 0,15%, NaCL 0,9%) (KN1) Botol
Larutan mengandung Elektrolit (KCl
230 0,3%,NaCl 0,9%) (KN2) Botol
Larutan mengandung Elektrolit (Na Botol plastik @
231 130 mEq, K 4 mEq, Cl 109 mEq, Ca 3 500 ml
mEq, Asetat 28 mEq) Ringer Asetat
Larutan mengandung Elektrolit (Na Softbag @ 500
232 130 mEq, K 4 mEq, Cl 109 mEq, Ca 3 ml
mEq, Asetat
Larutan 28 mEq) Ringer
mengandung Asetat
Elektrolit (NaCl
233 1.125 gr, Dekstrosa 18.75 gr) (KA EN Botol
1B)
Larutan mengandung Elektrolit
234 (Sodium Lactate sol (50%) 113 gr/L, Botol
Potassium Chloride 0.3 gr/L, Calcium
Larutan mengandung Elektrolit (Tiap
235 Chloride 0.2 gr/L, elektrolit)
1000 ml mengandung electrolit: Botol
Sodium 145 mmol/l, Potassium 4.0
Larutan mengandung Karbohidrat
236 mmol/l,
(Fructose
Calcium 2.5 mmol/l,
120 g, glucose 66 g, Xylitol Botol
Magnesium 1.0 mmol/l, Chloride
60 g/ L)
Larutan mengandung
118 mmol/l, Acetate 24Karbohidrat
mmol/l,
237 (Fructose
Malate 5.0200 g, glucose 110 g,
mmol/l) Botol
Xylitol 100 g/ L)
Larutan mengandung Karbohidrat
238 (Fructose 60 g, glucose 33 g, Xylitol Botol
30 g/ L)
Larutan mengandung Karbohidrat
239 (Maltose 10%) Botol
Larutan mengandung Karbohidrat +
240 Elektrolit (25.00g maltose, 3.00 g Botol
sodium chloride, 0.15 g potassium
Larutan mengandung Karbohidrat
chloride + Botol
241 chloride,
Elektrolit
0.10 g calcium
dihydrate(Acetate,
dan 1.55 Na, K, Cl, Ca,
g sodium Mg,
lactate)
Sorbitol 50 gr/L)
Larutan mengandung Karbohidrat +
242 Elektrolit (Dextrose 5%, NaCL 0,45%, Botol
KCl) (HSD)
 Larutan mengandung Karbohidrat +
243 Elektrolit (Fructose 120 g, glucose 66 Botol
g, Xylitol 60 g/ L + elektrolit)
Larutan mengandung Karbohidrat +
244 Elektrolit (Glukosa 25 g, NaCl 2,0 g, Botol
KCl 1,3 g, Natrium Laktat 3,1 g, air
Larutan mengandung Karbohidrat +
245 untuk injeksi ad 1000 ml)
Elektrolit (Glukosa 55 g ; Natrium Botol
Chloride 9 g, air untuk injeksi ad
Larutan
ml)mengandung Karbohidrat +
246 1000 (D5-NS)
Elektrolit (Glukosa: 25,0 g; NaCl: 4,5 Botol
g)
Larutan mengandung Karbohidrat +
247 Elektrolit (Glukosa: 55.0 g; NaCl: 2.25 Botol
g) (D5-1/4NS)
Larutan mengandung Karbohidrat +
248 Elektrolit (Glukosa: 55.0 g; NaCl: 4.5 Botol
g) (D5-1/2NS)
Larutan mengandung Karbohidrat +
249 Elektrolit (Larutan nutrisi kombinasi Botol
infus per L: Na. 100mEQ, K 18mEQ,
Larutan mengandung Karbohidrat
90mEQ, + Botol
250 Ca. 4mEQ,
Elektrolit
Mg 6mEQ, Cl
(Larutan Ringer & Glukosa
Asetat 38mEQ, Sorbitol 50g)
5%)
Larutan mengandung Karbohidrat +
251 Elektrolit (NaCl 1.75 g, KCL 1.5g, Botol
Glukosa 100 gr)
Larutan mengandung Karbohidrat +
252 Elektrolit (NaCl 1.75 g, KCL 1.5g, Na Botol
Lactate 2.24 g, Glukosa 100 gr)
Larutan mengandung Karbohidrat +
253 Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na Botol
Lactat 2.24 gr, Dekstrosa 27 gr) (KA
Larutan
3B) mengandung Karbohidrat + Botol
254 EN
Elektrolit (Nacl 2.34 gr, Na Laktat
2.24 gr, KCL 0.75 gr Dekstrosa 27 gr)
Levonorgestrel implan 2 rods, 75 mg pack/ sachet/
255 (KA EN 3A)
(3-4 tahun) set
Lidokain gel 2% syringe/syringe
256 plastik
257 Lidokain inj 2% (infiltr/p.v.) ampul/vial
258 Lidokain spray oral 10% botol
259 Linestrenol tab 0,5 mg tablet/kapsul/
kaplet
260 Loperamid tab 2 mg Tab
261 Loratadin tab 10 mg tablet/kapsul/
kaplet
tablet/kapsul/
262 Lorazepam tab 0,5 mg kaplet
263 Lorazepam tab 1 mg tablet/kapsul/
kaplet
264 Lorazepam tab sal 2 mg Tab sal
265 Lugol Botol
266 Magnesium sulfat inj 20% ampul/vial
267 Magnesium sulfat inj 20% ampul/vial @25
ml
268 Magnesium sulfat inj 40% ampul/vial
ampul/vial @25
269 Magnesium sulfat inj 40% ml
270 Magnesium sulfat serb, ktg 30 g Sachet
271 Mebendazol sir 100 mg/5 ml Botol
272 Mebendazol tab 100 mg Tan
tablet/kapsul/
273 Mebendazol tab 500 mg kaplet
274 Medroksi progesteron asetat inj 150 ampul/vial
mg/ml
Medroksi Progesteron Asetat Inj 50
275 mg/ml ampul/vial
Metenamin mandelat (heksamin
276 mandelat) tab salut enterik 500 mg Tab salut
tablet/kapsul/
277 Metformin tab 500 mg kaplet
278 Metformin tab 850 mg tablet/kapsul/
kaplet
279 Metilergometrin inj 0,2 mg/ml ampul/vial
280 Metilergometrin tab salut 0,125 mg tablet/kaplet
salut selaput
281 Metilprednisolon tab 4 mg tablet/kapsul/
kaplet
282 Metoklopramid inj 5 mg/ml ampul/vial
283 Metoklopramid tab 10 mg tablet/kapsul/
kaplet
Metoklopramid tab 5 mg tablet/kapsul/
284 kaplet
285 Metronidazol lar inf 5 mg/ml botol
286 Metronidazol susp 125 mg/5 ml Botol @ 60 ml
287 Metronidazol susp 125 mg/5 ml Botol @ 100 ml
tablet/kapsul/
288 Metronidazol tab 250 mg kaplet
289 Metronidazol tab 500 mg tablet/kapsul/
kaplet
290 Mikonazol krim 2% tube
291 Mikonazol serb 2% botol / sachet
Mineral Mix (Bismuth Subcitrate
292 Tripotasium, Copper sulfate, Sachet
Magnesium Chloride Anhydrous,
293 N-asetil sistein kaps 200 mg
Potassium Chloride, Zinc Acetate) tablet/kapsul/ka
plet
294 NaCl 0,9% Larutan Botol
ampul/botol
295 NaCl 0,9% Larutan plastik/botol
Botol
plas
296 NaCl 0,9% Larutan plastik/botol
tablet salut
plastik pi
297 Natrium diklofenak tab 25 mg enterik/kaplet
tabletenterik
salut salut
298 Natrium diklofenak tab 50 mg enterik/kaplet
salut enterik
Natrium Diklofenak Tetes Mata 1
299 mg/ml botol 5 mL
Natrium hipoklorit cairan konsentrat
300 5% Botol

301 Natrium tiosulfat inj 25% (i.v.) Ampul

302 Nifedipin kaps 10 mg tablet/kapsul/
kaplet
303 Nikotinamid tab 100 mg Tab
304 Nikotinamid tab 5 mg Tab
305 Nistatin susp 100.000 UI/ml botol/vial
tablet salut
306 Nistatin tab salut 500.000 UI gula/kaplet salut
gula
307 Nistatin tab vaginal 100.000 UI tablet/kaplet
308 Nitrofurantoin tab 50 mg Tab
309 Norepinefrin inj 1 mg/ml ampul/vial
Obat Anti Tuberculosis FDC Kategori
310 Anak paket
Obat Anti Tuberculosis FDC Kategori I
311 paket
Obat Anti Tuberculosis FDC Kategori
312 II paket
Obat Anti Tuberculosis FDC Kategori
313 Sisipan paket
Obat Anti Tuberculosis Kombipak
314 Anak Paket
Obat Anti Tuberculosis Kombipak
315 Dewasa paket

316 Oksigen ih, gas dlm tabung Botol

317 Oksimetazolin tts hidung 0,025% botol @ 10 mL
318 Oksimetazolin tts hidung 0,050% botol @ 10 mL
319 Oksitetrasiklin 1% Salep Mata tube
320 Oksitosin inj 10 UI/ml ampul/vial
321 Olopatadin tts mata 0,1% Botol
322 Omeprazol inj 40 mg/10 ml ampul/vial
323 Omeprazol kaps 20 mg tablet/kapsul/
kaplet
324 Paraformaldehid tab 1 g Tab
325 Parasetamol sir 120 mg/5 ml botol @ 60 mL
tablet/kapsul/
326 Parasetamol tab 500 mg kaplet
327 Parasetamol tts 60 mg/0,6 ml botol @ 15 mL
328 Pasta devitalisasi (non arsen) Tube
329 Pasta pengisi saluran akar (pasta) Tube
330 Perak nitrat lar 20% Botol
331 Perak sulfadiazin krim 1% Tube
332 Permetrin krim 5 % Tube
333 Pirantel pamoat susp 125 mg/5 ml Botol
334 Pirantel pamoat tab 500 mg Tab
335 Pirantel pamoat tab scored 125 mg tablet/kapsul/
kaplet
336 Pirantel pamoat tab scored 250 mg Tab
337 Piridoksin (vitamin B6) inj 100 mg/ml Ampul
338 Piridoksin (vitamin B6) tab 10 mg tab/kap/kapl
339 Piridoksin (vitamin B6) tab 25 mg tablet/kapsul/
kaplet
340 Povidon iodin lar 100 mg/ml botol @ 60 mL
341 Povidon iodin lar 100 mg/ml Botol 300 ml
342 Povidon iodin lar 100 mg/ml botol @ 1.000
mL
343 Povidon iodin lar 100 mg/ml botol 30 mL
tablet/kapsul/
344 Prednison tab 5 mg kaplet
345 Primakuin tab 15 mg Tab
tablet/kapsul/
346 Probenesid tab 500 mg kaplet
Prokain benzilpenisilin serb inj 3 juta
347 UI/vial (i.m.) ampul/vial
tablet/kapsul/
348 Propiltiourasil tab 100 mg kaplet
349 Propranolol tab 10 mg tablet/kapsul/
kaplet
tablet/kapsul/
350 Ranitidin tab 150 mg kaplet
Retinol (vitamin A) kaps lunak
351 100.000 UI kaps lunak
Retinol (vitamin A) kaps lunak
352 200.000 UI kaps lunak

353 Rifampisin kaps 300 mg tablet/kapsul/

kaplet
354 Ringer Laktat Larutan Botol
355 Risperidon tab sal 1 mg tablet/kapsul/
kaplet
tablet/kapsul/
356 Risperidon tab sal 2 mg kaplet
357 Salbutamol cairan ih 0,1% ampul/vial/botol
358 Salbutamol lar ih 0,5 % Botol
359 Salbutamol sir 2 mg/5 ml Botol
tablet/kapsul/
360 Salbutamol tab 2 mg kaplet
361 Salbutamol tab 4 mg tablet/kapsul/
kaplet
Salep 2-4, kombinasi : asam salisilat
362 2 %+ belerang endap 4 % pot 15 gram
Salep 2-4, kombinasi : asam salisilat
363 2 %+ belerang endap 4 % pot 30 gram
Serum anti bisa ular : A.B.U. I
364 (khusus ular dari luar Papua) inj Vial
(i.m./i.v.)
Serum anti bisa ular :A.B.U.II (khusus
365 ular dari Papua) inj (i.m./i.v.) Vial

Serum antidifteri (A.D.S) inj (i.m./i.v.)

366 Inj i.m 10.000 UI/ Vial
367 Serum antirabies inj 100 UI/ml Vial
368 Serum antirabies inj 200 UI/ml Vial
Serum antitetanus (A.T.S) (i.m.) Inj
369 10.000 UI/vial (i.m /i.v.) Vial
Serum antitetanus (A.T.S) inj 1500
370 UI/amp (i.m.) Ampul
Serum antitetanus (A.T.S) inj 20.000
371 UI/vial (i.m /i.v.) Vial

372 Setirizin sir 5 mg/5 ml. botol @ 60 mL

Sianokobalamin (vitamin B12) inj
373 500 mcg/ml ampul/vial

374 Sianokobalamin (vitamin B12) tab 50 tablet/kapsul/

tablet/kapsul/
mcg kaplet
kaplet/tablet
375 Simvastatin tab sal 10 mg tablet/kapsul/
salut
kaplet/tablet
selaput/kaplet
376 Simvastatin tab sal 20 mg salut selaput
selaput/kaplet
377 Simvastatin tab sal selaput 40 mg Tab
salutsal
selaput
tablet salut
378 Siprofloksasin tab scored 500 mg selaput/kaplet
salut selaput
Catchcover,
379 Siprofloksasin tetes mata 3 mg/ml botol 0,6 ml
380 Spironolakton tab 25 mg tablet/kapsul/
kaplet
Stannous pyrophosphate 27,6 mg
381 sodium pyrophosphate/vial Vial

382 Streptomisin serb inj 1.000 mg/vial ampul/vial

383 Surgical ginggival pack Tube

tablet salut
384 Tenofovir tab 300 mg selaput/kaplet
salut selaput
385 Tetanus toxoid inj Ampul
386 Tetrakain tts mata 0,5% Botol
387 Tetrasiklin kaps 250 mg tablet/kapsul/ka
plet
388 Tetrasiklin kaps 500 mg tablet/kapsul/ka
plet
389 Tetrasiklin Salep Mata 1% Tube
390 Tiamin (vitamin B1) tab 50 mg tablet/kapsul/ka
plet
391 Timolol tts mata 0,25% botol @ 5 mL
392 Timolol tts mata 0,5% botol @ 5 mL
393 Triheksifenidil tab 2 mg tablet/kapsul/ka
plet
394 Urea krim 10 % pot
395 Vaksin BCG inj (i.k) Vial
Vaksin bivalen OPV (b-OPV) drops 10
396 dosis Vial
Vaksin Hepatitis Rekombinan Inj
397 Prefilled Injection Device (Uniject) Vial
0,5 ml (i.m)
398 Vaksin Influenza Vial
399 Vaksin Japanese Enchepalitis (J.E) Vial
400 Vaksin jerap difteri tetanus (DT) Vial
401 Vaksin jerap difteri tetanus (Td) Vial
402 Vaksin kombinasi DPT-HB-Hib Vial
Vaksin measless rubella (MR) Inj 0,5
403 mL (s.k) Vial

404 Vaksin Meningitis Meningokokus Vial

405 Vaksin polio IPV inj 0,5 ml Vial
Vaksin rabies, untuk manusia serb inj
406 (s.k./i.k) + booster Vial
Vaksin rabies, untuk manusia serb
407 Inj 2,5 IU Vial

408 Vaksin Yellow Fever Vial

409 Valproat sir 250 mg/5 ml botol @ 120 ml
tablet salut
410 Valproat tab sal 250 mg enterik/ kaplet
salut enterik
411 Valproat tab sal 500 mg Tab sal
412 Vitamin B kompleks tablet
413 Zinc drops 10 mg/ml Botol
414 Zinc serb 10 mg Sachet
415 Zinc sir 10 mg/ml Botol
416 Zinc sir 20 mg/5 ml botol
tablet
417 Zinc tab disp 20 mg dispersible
TAMBAHAN OBAT
418 Alprazolam tablet 0,5 mg
419 Ambroxol Tab 30 mg
420 Ambroxol 15 mg/5 ml sirup
421 Ampicillin kapsul 500 mg
422 Antalgin tablet 500 mg
423 Asam Tranexamat inj 100 mg / ml
424 Asam Tranexamat tablet 500 mg
425 Asetosal tablet 100 mg
426 Asiklovir Salep 5%
427 Azitromycin Tab 500 mg
428 Bacitracin krim
429 Betahistin tablet 6 mg
430 Bisoprolol tablet 5 mg
431 Buscopan Inj 20 mg/ml
432 Cefotaxim vial 1 g
433 Ceftriaxon vial 1 g
434 Cimetidin tablet 200 mg
435 CLOPIDOGREL Tablet 75 mg
436 Diltiazem tab 30 mg
437 Diltiazem serb inj 50 mg
438 domperidone drop sirup
439 Famotidine tablet 20 mg
440 Famotidine tablet 40 mg
441 Fapipiravir tablet
442 Fenobarbital inj 50 mg/ml
443 Fenol gliserol tetes telinga
444 Fibumin Tab
445 Flufenazin inj 25 mg/mL (i.m.)
446 Gemfibrozil tablet 300 mg
447 Gentamicin inj 40 mg /ml
448 Gentamicin salep kulit 1 %
449 Gentian Violet larutan 1 %
450 Gliseril Guaicolat tablet 100 mg
451 Halloperidol tablet 0,5 mg
452 Hemafort tablet
453 Ichtiol Salep 10%
454 Imbos Force Tablet
455 Ketoprofen Suppo
456 Ketoprofen tablet 100 mg
457 Ketorolac inj 30 mg / ml
458 Klobazam Tab 10 mg
459 Kotrimoxazole tablet 120 mg
460 Lansoprazole kapsul 30 mg
461 MDT-MB tablet
462 Methyl Prednisolone tablet 16 mg
463 Methyl Prednisolone tab 4 mg
464 Metil Dopa tablet 250 mg
465 Metoklopramid inj 10 mg / 2 ml
466 Metoklopramid sirup 5 mg/ 5 ml
467 Nifedipine tablet 20 mg
468 Obat Batuk Hitam Sirup 100 ml
469 Obat Batuk Hitam Plus Sirup
470 Oxytetracyclin salep kulit 3 %
471 Papaverin tablet 40 mg
472 Piracetam tablet 800 mg
473 Pirazinamid tab 500 mg
474 Piroxicam tablet 10 mg
475 Piroxicam tablet 20 mg
476 Povidon Iodin Larutan 30 ml
477 Povidon Iodin larutan 300 ml
478 Propanolol tablet 40 mg
479 Propiltiourasil tab 100 mg
480 Ranitidin inj 50 mg / 2ml
481 Risperidon tab 1 mg
482 Risperidon tab 2 mg
483 Sefixim kapsul 100 mg
484 Selkom C/Becefort Tablet
485 Setirizin tablet 10 mg
486 Starmuno Tablet
487 Sukralfat Syrup
488 Triheksifenidil tab 2 mg
489 Ventolin inj 25 mg/ml
490 Vitamin C 500 mg tablet 500 mg
491 Vitamin D3 1000 IU Tab
492 Vitamin D3 400 IU Tab
493 Vitamin E ( Natur E) tablet
 RUMAH SAKIT PRATAMA SEBATIK
FORM STOK OPNAME TAHUN 2022
STOK APOTEK
NO NAMA OBAT SATU BULAN
AN
JAN EXP FEB EXP MAR EXP APR EXP MEI EXP JUN EXP JUL EXP AGS EXP SEP EXP OKT EXP NOV EXP DES EXP
1 Abbocath 18 G
2 Abbocath 20 G
3 Abbocath 22 G
4 Abbocath 24 G
5 Abbocath 26 G
6 Alat Suntik Sekali Pakai 1 Ml
7 Alat Suntik sekali Pakai 10 Ml
8 Alat Suntik Sekali Pakai 3 Ml
9 Alat Suntik Sekali Pakai 5 Ml
10 Alkohol 1000 mL
11 Alkohol Swab
12 Apron disposable
13 Bactigras 10 x 10
14 Bactigras 15 x 10
15 Bisturi 10
16 Bisturi 11
17 Bisturi 15
18 Blood Lancet
19 Canula anak
20 Canula bayi
21 Canula dewasa
22 Canula Nebu anak
23 Canula Nebu dewasa
24 Carpur/jarum gigi
25 Cat Gut cromic 2/0,
26 Cat Gut cromic, 3/0
27 Cat Gut Plain 2/0
28 Cat Gut Plain 3/0
29 Cateter 16
30 Cateter 18
31 Gel Ultra sonic
32 Gips Pembalut 3 inci
33 Gips Pembalut 4 Inci
34 Gips Pembalut 6 Inci
35 Gudell
36 Handscoon Non Steril S pcs
37 Handscoon Non Steril M pcs
38 Handscoon Non Steril L pcs
39 Handscoon obgyn pcs
40 Handscoon Steril 6,5 pcs
41 Handscoon Steril 7 pcs
42 Handscoon Steril 7,5 pcs
43 Hypavix
44 Infusion Set Anak
45 Infusion Set Dewasa
46 Jarum kulit no. 10-12 (GT)
47 Jarum otot (GR )
48 Kapas 250 mg
49 Kapas Berlemak 500 gr
50 Kartu golongan darah
51 Kasa 36 m x 80 cm
52 Kasa 40 yard x 80 cm
53 Kasa Kompres 40/40 Steril
54 Kasa Pembalut Elastis 3 Inci
55 Kasa Pembalut Elastis 4 Inci
56 Kasa Steril 16 x 16 cm
57 kertas puyer perkamen
58 kertas puyer press
59 Lisol 50 %
60 Masker
61 Masker N95
62 Masker NonRebreathing
63 Needle 23 G
64 Needle 24 G
65 NGT bayi
66 NGT no. 14-20
67 Objek Glass
68 Oil immersi
69 Paper Bag
70 pipet plastik
71 Plastik Klip 8 x 5
72 Plastik klip obat 7x11
73 Plastik klip obat 8.7 x 13
74 plester 5 x 4.6
75 plester7 x 4.5
76 Plester Elastis
77 poli clean
78 Pot Dahak
79 Prontosan Liquid
80 Protosan Gel
 81 Rapid Malaria
82 Rapid RPR (gonnorhea)
83 Rapid test (RDT) HIV I
84 Rapid test (RDT) HIV II
85 Rapid test (RDT) HIV III
86 Rapid test DBD (dengue)
87 Rapid test Hb Sag
88 Rapid test Hb
89 Rapid test IMS
90 Rivanol
91 safety box
92 Stabimed
93 Spalk
94 Stick Urine ibu hamil
95 Stick Asam Urat Autocheck
96 Stick Kolesterol Autocheck
97 Stick gula darah Autocheck
98 Suture Silk 2/0
99 Suture Silk 3/0
100 Spiritus
101 Tabung EDTA 3 ml
102 Tabung reaksi tutup merah
103 Tampon
104 Tes Kehamilan
105 Threeway
106 Tips (blue)
107 Tips (white)
108 Tips (yellow)
109 Underpad
110 Umbilical card klem
111 Urine Bag
112 Wing Needle 25 G
113 Wing Needle 27 G
114 Xilol