Lampiran Gambar : 033.02/SP/OBAT/PPK.BLUD.

RSUD/2022

033.02.A/BAHP/OBAT/PPK/BLUD/RSUD/2022

No Nama Obat Satuan Kuantitas Keterangan Gambar

1 Aminophilin Inj 24 mg/ml ampul 900

1 box isi 30 ampul

Ceftriaxone Sodium 1 g
2 vial 1.000
Injeksi

1 box isi 10 vial

Lampiran Gambar : 033.02/SP/OBAT/PPK.BLUD.RSUD/2022

033.02.B/BAHP/OBAT/PPK/BLUD/RSUD/2022

No Nama Obat Satuan Kuantitas Keterangan Gambar

1 Propanolol 10 mg Tablet tablet 3.600

1 box isi 100 tablet

Ceftriaxone Sodium 1 g
2 vial 970
Injeksi

1 box isi 10 vial

3 Channa Kapsul kapsul 120

1 box isi 30 kapsul

Lampiran Gambar : 033.02/SP/OBAT/PPK.BLUD.RSUD/2022

033.02.C/BAHP/OBAT/PPK/BLUD/RSUD/2022

No Nama Obat Satuan Kuantitas Keterangan Gambar

1 Cendo Vital Tablet tablet 480

1 box isi 30 tablet

Channa Striata 500 mg

Kapsul
2 kapsul 690

1 box isi 30 kapsul

3 Mycetin EO tube 84
Lampiran Gambar : 033.02/SP/OBAT/PPK.BLUD.RSUD/2022

033.02.D/BAHP/OBAT/PPK/BLUD/RSUD/2022

No Nama Obat Satuan Kuantitas Keterangan Gambar

1 Atorvastatin 20 mg Tablet tablet 2.190

1 box isi 30 tablet

Asam Folat 1 mg Tablet

2 tablet 6.000

1 box isi 100 tablet

3 Metronidazol infus 100 ml botol 190

1 box isi 24 botol

Lampiran Gambar : 033.02/SP/OBAT/PPK.BLUD.RSUD/2022

033.02.E/BAHP/OBAT/PPK/BLUD/RSUD/2022

No Nama Obat Satuan Kuantitas Keterangan Gambar

1 Durogesic 12,5 MU Patch pcs 5

1 box isi 5 pcs

Lampiran Gambar : 033.02/SP/OBAT/PPK.BLUD.RSUD/2022

033.02.F/BAHP/OBAT/PPK/BLUD/RSUD/2022

No Nama Obat Satuan Kuantitas Keterangan Gambar

1 Flutamol-P Kapsul kapsul 500

1 box isi 100 tablet

2 Ambroxol 30 mg Tablet tablet 1.000

1 box isi 100 tablet

3 Tenofovir 300 mg Tablet tablet 90

1 box isi 30 tablet

4 NaCl Infus 500 ml botol 6.000

1 box isi 20 botol

5 Citicolin 500 mg Tablet tablet 2.640

1 box isi 30 tablet

Lampiran Gambar : 033.02/SP/OBAT/PPK.BLUD.RSUD/2022

033.02.G/BAHP/OBAT/PPK/BLUD/RSUD/2022

No Nama Obat Satuan Kuantitas Keterangan Gambar

1 Aspilet 80 mg Tablet tablet 20.600

1 box isi 100 tablet

2 Gabapentin 300 mg Kapsul kapsul 1.980

1 box isi 30 kapsul

3 Salbutamol 4 mg Tablet tablet 2.000

1 box isi 100 tablet

Lampiran Gambar : 043.02/SP/OBAT/PPK.BLUD.RSUD/2022

043.02.A/BAHP/OBAT/PPK/BLUD/RSUD/2022

No Nama Obat Satuan Kuantitas Keterangan Gambar

1 Azitromycin 500 mg Tablet tablet 1.000

1 box isi 20 tablet

Lampiran Gambar : 043.02/SP/OBAT/PPK.BLUD.RSUD/2022

043.02.B/BAHP/OBAT/PPK/BLUD/RSUD/2022

No Nama Obat Satuan Kuantitas Keterangan Gambar

1 Cendo Vital tablet 210

1 box isi 30 tablet

Lampiran Gambar : 043.02/SP/OBAT/PPK.BLUD.RSUD/2022

043.02.C/BAHP/OBAT/PPK/BLUD/RSUD/2022

No Nama Obat Satuan Kuantitas Keterangan Gambar

1 Tablet Tambah Darah tablet 1.000

1 box isi 100 tablet

2 Ferro Plus Tablet tablet 1.000

1 box isi 10 tablet