NO.

NAMA OBAT SATUAN KEBUTUHAN

1 2 3

I PERBEKALAN KESEHATAN
01 Alat Suntik Sekali Pakai 1 ml BIJI 3500
02 Alat Suntik Sekali Pakai 10 ml BIJI 1200
03 Alat Suntik Sekali Pakai 3 ml BIJI 7150
04 Alat Suntik Sekali Pakai 5 ml BIJI 1900
05 Alkohol Swab BIJI 1900
06 Antiseptik Hand Rub @ 500 ml BOTOL 120
07 Antiseptik Hand Rub 10 BTL @ 5 L GALLON 19
08 Antiseptik Handscrub @ 5 L GALLON 15
09 Antiseptik Handscrub @ 500 Ml BOTOL 60
10 Carbon Seel Salpel Blades #11 (Mess) BIJI 760
11 Catgut Cromik / Benang Bedah No. 2/0 ( Box 24 Biji ) PCS 380
12 Catgut Cromik / Benang Bedah No. 3/0 ( Box 24 Biji ) PCS 380
13 Catgut Plain / Benang Bedah No. 2/0 ( Box 24 Biji ) PCS 456
14 Catgut Plain / Benang Bedah No. 3/0 ( Box 24 Biji ) PCS 570
15 Cuticell Classic 10 cm x 10 cm (Perawatan Luka) SAC 228
16 Cutimed Gel 15 g (Perawatan Luka) TUBE 19
17 Cutimed Sorbact 7 x 9 Cm (Perawatan Luka) PCS 190
18 Cutisorb Sterile 10 x 10 Cm (Perawatan Luka) PCS 285
19 Dower Catheter No.12 BIJI 38
20 Dower Catheter No.14 BIJI 76
21 Dower Catheter No.16 BIJI 114
22 Dower Catheter No.18 BIJI 76
23 Dower Catheter No.20 BIJI 38
24 Gelang Pasien Anak Biru BIJI
25 Gelang Pasien Anak Kuning BIJI
26 Gelang Pasien Anak Merah BIJI
27 Gelang Pasien Anak Pink BIJI
28 Gelang Pasien Dewasa Biru BIJI 380
29 Gelang Pasien Dewasa Merah BIJI 380
30 Gelang Pasien Dewasa Pink BIJI 950
31 Gelang Pasien Dewasa Pink BIJI 0
32 Hand Scoon Gynecologi PCS 950
33 Hand Scoon Non Steril ( L ) SET 0
34 Hand Scoon Non Steril ( M ) SET 560
35 Hand Scoon Non Steril ( S ) SET 1900
36 Hand Scoon Steril No.6 PCS 4600
Hand Scoon Steril No.6,5 PCS
37 Hand Scoon Steril No.7 PCS 4550
38 Hand Scoon Steril No.7.5 PCS 5030
39 Hand Scoon Steril No. 8 PCS
40 Heating Jarum Kulit No.10 BIJI
41 Heating Jarum Kulit No.12 BIJI
42 Heating Jarum Kulit No.14 PCS
43 Heating Jarum Kulit No.15 PCS
44 Heating Jarum Otot No.10 BIJI
45 Heating Jarum Otot No.12 BIJI
46 Heating Jarum Otot No.14 PCS
47 Heating Jarum Otot No.15 PCS
48 Infusion set anak PCS 730
49 Infusion set dewasa PCS 2230
50 IV Catheter G.18 BIJI 2375
51 IV Catheter G.20 BIJI 1205
52 IV Catheter G.22 BIJI 1800
53 IV Catheter G.24 BIJI 1256
54 IV Catheter G.26 BIJI
55 Kapas Pembalut / Absorben 250 gram ROL 132
56 Kasa Kompres 40 x 40 steril ROL 380
57 Kasa Pembalut 2m x 80 cm ROL 1900
58 Kasa Pembalut 36 m x 80 cm / 40 m x 80 cm ROL 57
59 Kasa Pembalut 4m x 15 cm ROL 1870
60 Kasa Pembalut 4m x 3 cm ROL 920
61 Klip Obat Besar BIJI 20850
62 Klip Obat Kecil BIJI 49400
63 Masker BIJI 6500
64 Masker N95 BIJI
65 Masker Nebulezer Set Anak SET 33
66 Masker Nebulezer Set Dewasa SET 55
67 My Jelly 82 gram TUBE 37
68 Nasal Cannula, Size L BIJI 96
69 NasalCannula, Size M BIJI 114
70 NasalCannula, Size S BIJI 152
71 NasalCannula, Size XS BIJI 95
72 Needle 22 G BIJI 1900
73 Needle 23 G BIJI
74 Needle 25 G BIJI
75 Penjepit Tali Pusat BIJI 550
76 Plester 5 yards x 2 inch ROL 383
77 Plesterisn Bulat Non Wofen BIJI 1900
78 Policrepe 10cm x 4,55 M (Eelastis Banded) ROL 57
79 Polifix 5cm X 1M (Pelster Hipavix) ROL 165
80 Poligyp 10cm X 2,7 M (pembalut Gips) ROL
81 Poligyp 5cm X 2,7 M (Pembalut Gips) ROL
82 Regulator BIJI 53
83 Silk (Benang Bedah Sutera) No. 3/0 PCS 1425
84 Slang O2 Include Masker Anak PCS 133
85 Slang O2 Include Masker Dewasa PCS 190
86 Urine Bag PCS 137
87 USG Gel 250 ml TUBE 76
88 Under Pad PCS 92
89 Abate GALLON
90 APD Set SET
91 Apron BIJI
92 Baju Cover All BIJI
93 Gown BIJI
94 Helmet + Visor BIJI
95 Kacamata Google BIJI
96 Masker Kain BIJI
97 Perisai Wajah BIJI
98 Shoes Cover PASANG
99 Sepatu Boots PASANG

II OBAT
01 Acetylsistein 200 mg KAPS 13300
02 Albendazol 400 mg TAB 16268
04 Alkohol 70 % 1 liter BOTOL 92
05 Alkohol 70% cairan @100 ml BOTOL 760
06 Alopurinol tablet 100 mg TAB 5400
07 Ambroxol tablet 30 mg TAB
08 Aminofilin Injeksi 24 mg/ml - 10 ml AMPUL
09 Aminofilin Tablet 200 mg TAB
10 Amitriptilin HCl tablet salut 25 mg TAB 240
11 Amolodipin 5 mg TAB
12 Amlodipin 10 mg TAB 18500
13 Amoksisilin kaplet 500 mg KAP 65500
14 Amoksisilin sirup kering 125 mg/5ml BOTOL 1205
15 Ampicillin serbuk injeksi i.m/i.v 1000 mg/vial VIAL 426
16 Antasida DOEN I tab kunyah,kombinasi : AlOH2 200 TAB 46500
17 mg + MgOH2
Antasida DOEN200 mg
II Suspensi, kombinasi : AlOH2 200 BOTOL 455
18 mg/5
Anti Bakteri DOEN 200
ml + MgOH2 mg/5
salep ml
kombinasi:Basitrasin 500 IU/g TUBE 627
19 + Polomiksin
Anti Hemoroid10.000
DOENIU/gKombinasi :Bismut subgalat 150 SUPPO 180
20 mg +Migrain
Anti Heksaklorofen 2,5 mg Tartrat 1 mg + Kofein 50
Tablet:Ergotamin TAB 950
21 mg
Aqua pro Injeksi steril, bebas pirogen BOTOL 426
22 Aqua DM BOTOL 267
23 Asam Asetilsalisilat 80 mg TAB 180
Asam Folat TAB
24 Asam Askorbat 50 mg TAB 19000
25 Asam Askorbat 500 mg T
26 Asam Mefenamat Kaplet 500 mg KAP 24700
27 Asam Traneksamat injeksi 50 mg/ml AMPUL 54
28 Asam Tranexamat 500 mg TAB 750
29 Asiklovir krim 5% TUBE 570
30 Asiklovir tablet 400 mg TAB 1750
31 Atropin Sulfat tablet 0,5 mg TAB
32 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml AMPUL
33 Attapulgit tab 650 mg TAB 2650
34 Azitromisin + Cefixim ( Kombipak ) Paket
35 Benzatin Penisilin 2,4 UI/ml VIAL
36 Betahistin Mesilat tablet 6 mg TAB 3500
37 Betametason krim 0.1% TUBE 447
38 Bisakodil suppositoria 10 mg SUPPO 66
39 Bisakodil suppositoria 5 mg SUPPO 52
40 Deksametason Injeksi i.v 5 mg/ml - 1 ml AMPUL 940
41 Deksametason tablet 0,5 mg TAB 29400
42 Diazepam Injeksi 5 mg/ml - 2 ml AMPUL 90
43 Diazepam larutan rektal 10 mg/2,5 mL TUBE
44 Diazepam larutan rektal 5 mg/2,5 mL TUBE 75
45 Diazepam tablet 5 mg TAB 3800
46 Difenhidramin HCl inj 10 mg/ml-1 ml AMPUL 475
47 Digoksin tablet 0,25 mg TAB 280
48 Dimenhidrinat tablet 50 mg TAB 1700
49 Doksisiklin kapsul 100 mg KAP 850
50 Domperidon Suspensi BOTOL 455
51 Domperidon 10 mg TAB
52 Epinefrin HCl/Bitartrat (Epinefrina/Adrenalina) Inj AMPUL 42
53 Eritromicin kaplet 500 mg TAB
54 Fenofibrat 300 mg TAB
55 Fenitoin Sodium Injeksi AMPUL
56 Fenitoina Natrium 100mg KAP 5600
57 Fenobarbital 30 mg TAB 1850
58 Fenobarbital Injeksi 50 mg/ml - 2 ml AMPUL 648
59 Fenol Gliserol tetes telinga 10% BOTOL 275
60 Fitomenadion (Vit.K1) 10 mg TAB 650
61 Fitomenadion (Vit.K1) Injeksi 10 mg/ml - 1 ml AMPUL 648
62 Furosemid Injeksi AMPUL 5
 63 Furosemid tablet 40 mg Tablet TAB 270
64 Garam Oralit untuk 200 ml air SACET 9200
65 Gentamicin Cream TUBE 475
66 Gentamicin Injeksi AMPUL 10
67 Gentian Violet larutan 1 % BOTOL 275
68 Glibenklamid tablet 5 mg TAB 15200
69 Glimepirid 2 mg TAB 14800
70 Gliseril Guayakolat tablet 100 mg / Guafinisin TAB 27560
71 Glukosa larutan infus 10 % steril BOTOL
72 Glukosa larutan infus 40 % steril BOTOL
73 Glukosa larutan infus 5 % steril BOTOL 1100
74 Haloperidol tablet 1,5 mg TAB 870
75 Haloperidol tablet 5 mg TAB 5635
76 Hidroklorotiazid (HCT) tablet 25 mg TAB
77 Hidrokortison krim 2,5 % TUBE 470
78 Hiocine - N Butilbromide Tablet 10 mg TAB
79 Ibupfropen 200 mg TAB 1900
80 Ibupfropen 400 mg TAB 19000
81 Ibuprofen suspensi 200 mg/5 ml BOTOL 475
82 Isoniazid tablet 100 mg TAB
83 Isoniazid Cweb TAB
84 Isosorbid Dinitrat tablet sublingual 5 mg TAB 100
85 Kolkisin Tab 500 mg TAB
86 Kalsium Gluconas Injeksi AMPUL 3
87 Kalsium Laktat (Kalk) tablet 500 mg TAB 18430
88 Kaptopril 12,5 mg TAB
89 Kaptopril tablet 25 mg TAB 22800
90 Karbamazepin tablet 200 mg TAB 850
91 Ketamin Injeksi AMPUL
92 Ketoconazol Cream 2 % TUBE 370
93 Ketoconazol 200 mg TAB 5500
94 Ketorolac injeksi 30 mg AMPUL 380
95 Klindamisin 150 Mg TAB
96 Klindamisin 300 Mg TAB
97 Kloramfenikol Kapsul 250 mg KAP 5700
98 Kloramfenikol Kapsul 500 mg KAP 5700
99 Kloramfenikol Salep mata 1 % TUBE 455
100 Kloramfenikol Suspensi 125 mg/ 5 ml BOTOL 79
101 Kloramfenikol Tetes Mata 0,5 % BOTOL 469
102 Kloramfenikol Tetes Telinga 3 % BOTOL 462
103 Klorfeniramin Maleat (CTM) tablet 4 mg TAB 46250
104 kloroquin 150 mg TAB
105 Klorpromazin HCl Tablet Salut 25 mg TAB 570
106 Klorpromazin Injeksi 25 mg/ml AMPUL
107 Kodein tablet 10 mg TAB 100
108 Kolkisin ( Colcitine ) TAB
109 Kombinasi Kaolin Pectin Sirup BOTOL
110 Kombinasi (DHP): dihidroartemisin 40 mg + Piperakuin KTK 20
111 320 mg tab: sal
Kombinasi selaput bromida 0,5 mg Salbutamol
Ipratropium REPSUL 855
112 2,5 mg cairan inhalasi
Kombinasi: ferro fumarat (Combivent)
60 mg + as. Folat 0,4 mg SACHET 143000
113 tablet
Kotrimoksazol Suspensitambah
salut gula (tablet darah)
kombinasi:Sulfametoksazol BOTOL 365
114 200 mg + Trimetroprim
Kotrimoksazol 40 mg/5ml
tablet kombonasi:Sulfametoksazol 400 TAB 11190
115 mg + Trimetroprim
Kuinin tablet 222 mg 80 mg TAB
116 Levofloksasin tablet 500 mg TAB
117 Levotiroksin tablet/kapsul/kapsul 100 mcg TAB
118 Lidokain injeksi 2% AMPUL 1873
119 Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000-2ml AMPUL 1888
121 Loperamid 2 mg Tablet TAB 3400
122 Loratadin 10 mg TAB 3600
123 Magnesium Sulfat inj (IV) 40% - 25 ml AMPUL 179
124 MDT Kusta Biru STRIP
125 MDT Kusta Hijau STRIP 10
126 MDT Kusta Merah STRIP 60
127 MDT Kusta Orange STRIP
128 Meloksikam tablet 15 mg TAB
129 Meloksikam tablet 7,5 mg TAB 9500
130 Metampiron (Antalgin) tablet 500 mg/ Metamizol sodium TAB 9000
131 Metformin HCl tablet 500 mg TAB 21800
132 Metilergometrin Maleat inj 0,200 mg-1 ml AMPUL 380
133 Metilergometrin Maleat Tablet TAB 950
134 Metilprednisolon tablet 4 mg TAB 9300
135 Metoklorperamid tablet 10 mg TAB 7300
136 Metronidazol Infus BOTOL
137 Metronidazol sirup 125 mg/5 ml BOTOL
138 Metronidazol Tablet 250 mg TAB
139 Metronidazol Tablet 500 mg TAB 9500
140 Multivitamin Syrup BOTOL 560
141 Multivitamin Tablet TAB 7600
142 Multivitamin Tablet ( Sivit-Zinc ) Tab
143 Natrium Diclofenak 50 mg TAB 11400
144 Natrium Klorida larutan infus 0,9 % steril BOTOL 2120
145 Nifedipin Tablet 10 mg TAB
146 Nistatin tablet vaginal 100.000 IU/g TAB 126
147 Nystatin Drop BOTOL 10
148 Obat Anti Tuberkolosis K 1 ( FDC ) PAKET 132
149 Obat Anti Tuberkolosis K 2 ( FDC ) PAKET 37
150 Kombipak TB
151 Obat Anti Tuberkolosis K Anak PAKET 36
152 Obat Batuk Hitam ( O.B.H. ) Syrup BOTOL 375
153 Obat Batuk Anak Kombinasi ( IAFED ) sirup BOTOL
154 Oksitetrasiklin HCl Salep Mata 1 % TUBE 560
155 Oksitetrasiklin HCl Salep Kulit 3 %
156 Oksitosin injeksi 10 IU/ml - 1 ml AMPUL 1130
157 Omeprazol kapsul 20 mg KAP 15200
158 Ondansetron Injeksi 2 mg/ ml (4 mg/ 2 ml) AMPUL 445
159 Paracetamol Supp 125 mg SUPPO 104
160 Parasetamol Drop 100mg/ml TAB 1868
161 Parasetamol Sirup 120 mg/5 ml BOTOL 2230
162 Parasetamol tablet 500 mg TAB 87700
163 Permetrin Krim
164 Piracetam 1 gram injeksi AMPUL
165 Pirantel tablet 125 mg TAB
166 Piridoksin HCl (Vit.B6) tablet 10 mg TAB 11200
167 Piroxicam tablet 20 mg TAB 9500
168 Povidon Iodida 10 % ( 30 ml ) BOTOL 147
169 Povidon Iodida 10 % ( 300 ml ) BOTOL 75
170 Povidon Iodida 10 % ( 1 liter ) Jerigen
171 PPD (Purified Protein Derivative) 2 UT (Tes Mantoux) VIAL
172 Prednison tablet 5 mg TAB
173 Primakuin tablet 15 mg TAB 200
174 Propanolol HCl tablet 40 mg TAB
175 Propiltiourasil tablet 100 mg ( PTU ) TAB 1700
176 Ranitidin 150 mg tablet TAB 15200
177 Ranitidin 25/ 2ml Injeksi AMPUL 1235
178 Retinol ( vit A ) 100.000 IU KAP 10
179 Retinol ( vit A ) 200.000 IU KAP 82
180 Ringer Laktat Larutan infus steril BOTOL 4300
181 Risperidon 2mg TAB 5510
182 Salbutamol tab 2 mg TAB 9300
183 Salbutamol tab 4 mg TAB 11000
184 Salep 2-4 , Kombinasi: POT 328
185 Salisil Bedak 2% BOTOL 327
186 Sefadroksil kapsul 500 mg KAP 9200
187 Sefadroksil sirup kering 125 mg / 5 ml BOTOL 265
188 Serum Anti Bisa Ular Polivalen injeksi 5ml ( SABU ) AMPUL 4
189 Serum Anti Tetanus Injeksi 1.500 IU/ampul (A.T.S.) AMPUL 36
190 Setirizin sirup 5 mg/5 ml BOTOL 465
191 Setirizin tablet 10 mg TAB 9500
192 Sianokobalamin (Vit.B12) injeksi 500 mcg-ml AMPUL 950
193 Simetidin tablet 200 mg TAB 11400
194 Simvastatin tablet 20 mg TAB 15200
195 Siprofloksasin tablet 500 mg TAB 13030
196 Sukralfat Sirup BOTOL 475
197 Streptomisin Injeksi VIAL
198 Skizonoat Injeksi AMPUL
199 Tetrakain HCl tetes Mata 0,5% BOTOL
200 Tetrasiklin HCl kapsul 250 mg CAP
201 Tetrasiklin HCl kapsul 500 mg CAP 1900
202 Tiamin HCl (Vit.B1) injeksi 100 mg/ml-1 ml AMPUL 950
203 Tiamin HCl / Mononitrat (Vit.B1) tablet 50 mg TAB 11400
204 Triheksifenidil Hidroklorida tablet 2 mg TAB 7600
205 Tyamphenicol 500 mg Kapsul KAP 1900
206 Thiamizol TAB 3800
207 Valproat Sir BOTOL 108
208 Valproat 250 mg TAB
209 Vitamin B Kompleks tablet TAB 37900
210 Zinc tablet dispersible20 mg TAB 5300
klorhexidin

III OBAT GIGI

01 Articulating Paper BIJI
02 Bonding POT
03 Calplus ( Denpro Calcigel ) PCS
04 Caviton ( Tumpatan Sementara ) POT
05 Celluloid Strip PCS
06 Cotton Roll BUNGKUS
07 Cresotin Pasta PCS
08 Dentin Conditioner POT
09 Etil Klorida spray BOTOL
10 Etsa Asam PCS
11 Eugenol cairan BOTOL
12 Eviplac Solution ( Dislosing Solution ) PCS
13 Formokresol PCS
14 H2 O2 3% BOTOL
15 Hydcal ( Kalsium Hidroksida Pasta ) PCS
16 Iodoform pasta PCS
17 Klorfenol kamfer Menthol ( CHKM ) PCS
18 Mummifying Pasta PCS
19 Paper Pad PCS
20 Paramono Clorofenol ( Parachlorofenol ) BOTOL
21 Pulp ( Devitalizer ) PCS
Semen Seng Fospat Serbuk + Cairan (Prevest
22 PCS
Denpro Zitemp Zeo)
23 Silver Amalgam Serbuk 65-75 % PCS
24 Spon Gelatin BIJI
Tambalan GIC Restorative ART type IX Serbuk +
25 PCS
Cairan ( Glass
Tambalan ResinIonomer / Micron
komposite Superior warna
gigi posterior )
26 PCS
A2 dan A3 (Master Fill A3)
Tambalan Resin komposite gigi posterior warna
27 PCS
A2 dan A4 ( Master Flow A3 )
28 Technodent Antiseptic Liq No 2 BOTOL
29 Topical Anestesi Gel POT
30 Tricresol Formalin ( TKF ) BOTOL
31 Varnal BOTOL
32 Varnish (Technodent Flor Lux Flouride Varnish) BOTOL
33 Zinc Oxide ( Denpro Zinc F ) PCS

IV BAHAN LABORATORIUM
01 Auto Klik BIJI
02 Alkacid ( Steral ) BOTOL
03 Alkazym ( Steryzim ) BOTOL
04 Blood Lancet BOTOL 3800
05 Blue Tape ( MT II ) BKS 2000
06 Buffer PH 7,2 BOTOL
07 Cell Clean (CL-50) BOTOL 8
08 Cell Pack (PK-30 L) BOX 18
09 Cover Glass 22 X 22 BOTOL 12
10 Catridge TCM UNIT
11 Eight Ccheck (L,N,H) SERI 8
12 Kapas Lidi BIJI
13 Kartu Golongan Darah LMBR 4000
14 Kertas PH PACK 10
15 Kertas Saring Whatman BOX
16 KOH 10% 1x100mL BOTOL 2
17 Kondom MRB BIJI
18 Larutan Drab Kins BOTOL
19 Na Citrate 3,13% 1x100mL BOTOL 2
20 Needle cnv 22X1.5 mltsmp ce BIJI 8500
21 Oil Imercy BOTOL 10
22 PCR tube 1,5 ml BIJI
23 Pot Sputum POT
24 Rak Tabung PCS
25 Rapid Tes Covid 19 STIK
26 Rapid Tes Spilis STIK
27 RPR Antigen Sypilis BIJI
28 Reagen Benedic BOTOL
29 Reagen EDTA ( 100 cc ) BOTOL
30 Reagen Eosin 2% ( 100 cc ) BOTOL 4
31 Reagen Giemsa Stain ( 100 cc ) BOTOL 14
32 Reagen Glucose BOTOL 28
33 Reagen Golongan Darah SET 12
34 Reagen HCL 0,1 N ( 100 cc ) BOTOL 4
35 Reagen Kolesterol KIT 28
36 Reagen Ress Ekker ( 100 CC ) BOTOL
37 Reagen Trigliserida KIT 19
38 Reagen Uric Acid KIT 28
39 Reagen Widal KIT 12
40 Safetybox BIJI
41 Slide ( Obyek Gelas ) BIJI
42 Slide Frosted BIJI 3000
43 Stik Combur 10 Parameter KIT 14
44 Stik Combur 3 Parameter KIT 14
45 Stik DBD BIJI 150
46 Stik Hb Mission STIK
47 Alat HB BIJI
48 Stik Chlolesterol BOX 865
49 Alat Cek Chlolesterol BIJI
50 Stik Glukosa BOX
51 Alat Cek Glukosa BIJI
52 Stik HBs Ag (Box 50 Bji) BIJI 200
53 Stik HIV STIK 1100
54 Stik Kehamilan BIJI 1900
55 Stik Malaria BIJI 20
56 Stromstolyzer-WH BOTOL 17
57 Tissue lensa / Kertas Lensa BIJI 42
58 Tube edta plh 13X75 3.0 blblce lav (Ungu) BIJI 8500
59 Tube pln plh 13X75 4.0 plbl rd (Merah) BIJI 8000
60 Tube Yellow
61 Vacum Pemegang ( Holder Standar Yellow ) BIJI
62 Yellow Tape ( MT I ) BKS 8000
63 Ziel Neelsen Stain KIT 14
Khusus Tongo tambahkan :
Probe Botol
Lyse Botol
Dilluent Galon
Cleanser Botol
Spiritus 10
Rapid tes Antigen Covid 19 kit
PENERIM SISA
AAN STOK
4

900 38
190
2400 84
0
100
25
9
13 3
1

86 15
99
125
161
120

70
6 4
17 10
8
57 12
8 1
0

125
0
4900
2600
0
5050
4300
250

84 36
84 36

220
880
335
500
 280
443
0
43 1

74 9
624
60 19
9100
18500 500
6540

1
75 16
30
10
15 4
300
0
0
50
194 13
1100 100
11 2
52

17
5
20 10
5

25

110

20
34

10

4080
54
56 6

400
 300
300
1050
29000 2130
550 27
130
6000 0
240 17
0
81 1
300 0
168 1
7 3
200
2600
7100

14400 1530
0
300 260
111 3
400 350
0
0
500

700 200
225 42
20 5
5 8
370 6
5800 1300
25 5
7
17 5
100
130 19
200
0 300
600
0 29
150
60 20
0

1700 100
810 50
0
40 14
0 200
200 7
0
 300
1700 155
209
0
62 16
700
4900 400
4000
40 19
0
280 20
400 200
600 200
0
191
0
0
11600 1960
50 30
0

300

10000 470

80 6
440

420 300
100
1000
165
10 16
105
120
6500
0
0

90

260 54
19500 2140
185 41
2400 80

660 27
1200
1100 600
50 8

0
0
1100 500
4000 1500
50
400
4700 600
300 170

280
10
5900 700

300
680
300 200
40 30
0

120 13
160
120 8
250
425 12
0
120 15
10 10
270
1670 54
27500 930

1800 750
1300 350
44
20

7 2
300 200
100

0 100
3600
100 40
 0
4250 100
2600
2300 220
1100 260
200
30 7
152 19
4100
0
2 2
3 2
175 21
5400 460
0

2900 230
4900 170
54 10

1300 130

75 12
200
20200 1400
5300
3

4
3

4
1 1

9
3

4
 9

3 4
1
1
2051

250

200

5
4
 1

300
8

310
675 440
750 262
25
7
100
400

4
 KEBUTUHA PENERIMA STOK
NO NAMA VAKSIN SATUAN
N AN AKHIR
1 VAKSIN DT C 55 11
2 VAKSIN HEPATITIS B (Uniject) PCS 110 25
3 VAKSIN BCG VIAL 178 12
4 VAKSIN CAMPAK VIAL - 0
5 VAKSIN DPT HB Hib VIAL 185 8
6 VAKSIN JERAP TD VIAL 127 10
7 VAKSIN POLIO VIAL 215 2
8 VAKSIN TT VIAL - 0
9 VAKSIN IPV VIAL 10 2
10 VAKSIN MENINGITIS VIAL - 0
11 VAKSIN MR VIAL 138 0
12 VAKSIN HBIG VIAL 8 2
13 VAKSIN HEPATITIS DEWASA VIAL 86 0
14 VAKSIN RABIES ( VAR ) VIAL - -
15 VAKSIN SAR 2 ML VIAL - -
16 VAKSIN SAR 10 ML VIAL - -
17 VAKSIN PCV VIAL - -

TOTAL

NO NAMA BHP SATUAN PENERIMA SISA STOK

AN

1 SPUIT 0,05 ML BIJI 300 108

2 SPUIT 0,5 ML BIJI 300 106
3 SPUIT 5 ML BIJI 200 50
4 SPUIT 0,5 ML ( SKIFA ) BIJI
5 SPUIT 5 ML ( SKIFA ) BIJI
6 SAFETY BOX PCS 110 -