USULAN RKO 2017 PUSKESMAS KARANGLEWAS

SISA BARANG HARGA BARANG

NO NAMA BARANG SATUAN KEBUTUHAN TH
TH 2016 TERAKHIR
2017
UNIT Rp/UNIT
1 2 3 4 5 6
1 ANTI INVEKTIVES
1 AMOKSILIN SYR KER BOTOL 53 2,100 2,445
2 AMOKSILLIN KAP 500 MG TABLET 4,700 85,500 232
3 AMOXICLAV TAB TABLET 0 0 4,550
4 AMPISILIN INJ IM/IV 1000MG/ML VIAL 20 30 5,100
5 BENZATIN BENZIL PENISILIN 2,4 JUTA IU/VIAL VIAL 0 0 12,185
6 CIPROFLOXACIN 500 MG TABLET 4,200 5,000 284
7 DOXICICLIN 100 MG CAPSUL 0 0 220
8 ERYTROMISIN SYRUP 200 MG/5ML BOTOL 0 0 8,100
9 ERYTROMISIN 500 MG TABLET 0 0 535
10 GENTAMISIN INJEKSI 80 MG/2ML AMPUL 0 100 3,399
11 KLINDAMYCIN 300 MG CAPSUL 0 2,000 527
12 KLORAMFENIKOL SUSPENSI BOTOL 0 200 3,680
13 KLORAMFENIKOL KAPS 250 MG CAPSUL 100 2,000 288
14 KLORAMFENIKOL 500 MG CAPSUL 0 2,000 1,007
15 KOTRIMOKSAZOL SUSPENSI 60 ML BOTOL 156 1,000 1,975
16 KOTRIMOKSAZOL 480 MG TABLET 530 9,000 140
17 LEVOFLOKSASIN 500 MG TABLET 0 0 1,107
18 LINKOMISIN 500 MG CAPSUL 0 0 520
19 OFLOXACIN 400 MG TABLET 0 0 873
20 OKSITETRASIKLIN INJ VIAL 0 0 2,061
21 SEFADROKSIL 500 MG CAPSUL 0 3,000 520
22 SEFADROXIL SIR 125 MG/5ML BOTOL 47 100 5,200
23 SEFIKSIM 100 MG CAPSUL 1,440 600 1,000
24 SEFOTAKSIM INJEKSI 1GR/VIAL VIAL 0 0 6,800
25 SEFTRIAKSON SERB INJ 1G/VIAL VIAL 0 0 8,000
26 STREPTOMYCIN 1 GRAM VIAL 0 0 3,650
27 SULFADIMIDIN 500 MG TABLET 0 0 92
28 TETRASIKLIN HCL 500 MG CAPSUL 0 1,000 206
29 THYAMPHENICOL 500 MG TABLET 500 0 650

2 ANTI FUNGI
30 ANTIFUNGI DOEN POT 0 0 4,158
31 FLUKONAZOL 150 MG TABLET 0 0 22,000
32 GRISEOVULFIN 125 MG TABLET 300 3,000 228
33 KETOKONAZOL 200 MG TABLET 0 1,000 372
34 KETOKONAZOL CREAM 2% TUBE 80 0 6,250
35 METRONIDASOL 500 MG TABLET 1,960 8,500 160
36 METRONIDASOL BENZOAT SUSPENSI BOTOL 70 0 3,800
37 MICONASOL CREAM TUBE 18 600 3,000
38 NISTATIN 100.000 IU TABLET 0 200 480
39 NISTATIN 500.000 IU TABLET 0 200 640

3 ANTIVIRAL
40 ACICLOVIR 200 MG TABLET 0 0 388
41 ACICLOVIR 400 MG TABLET 0 3,500 350
42 ACICLOVIR CREAM TUBE 95 400 2,580

4 ANTIMALARIA
43 ARTESUNATE INJEKSI AMPUL 0 0 14,250
44 ARTESUNATE+AMODIAQUIN TAB TABLET 0 0 1,375
45 ARTHEMETER INJEKSI AMPUL 0 0 22,000
46 KOMB PIRIMETAMIN 25 MG+SULFADO TABLET 0 0 473
47 KUININE Hydrochlorida inj AMPUL 0 0 2,617
48 KUININE 222 MG TABLET 0 0 244
49 PRIMAKINA 15 MG TABLET 0 0 69

5 DERMATOLOGICAL-ANTIINFECTIVES
50 ANTIBAKTERI DOEN (BACITHRACIN) TUBE 0 0 2,491
51 GENTAMISIN SALEP KULIT TUBE 66 700 1,800
52 OKSITETRASIKLIN HCL SK TUBE 5 1,500 1,529

6 DERMATOLOGICAL- CORTICOSTEROID
53 BETAMETASON CREAM TUBE 0 600 1,520
 SISA BARANG HARGA BARANG
NO NAMA BARANG SATUAN KEBUTUHAN TH
TH 2016 TERAKHIR
2017
UNIT Rp/UNIT
1 2 3 4 5 6
54 HIDROKORTISON KRIM 1% TUBE 48 0 3,055
55 HIDROKORTISON KRIM 2,5% TUBE 133 1,300 2,798

7 TBC PREPARATION
56 ETAMBUTOL HCL 250 MG TABLET 0 0 214
57 ETAMBUTOL HCL 500 MG TABLET 0 0 451
58 ISONIAZIDA 100 MG TABLET 0 0 25
59 ISONIAZIDA 300 MG TABLET 0 0 97
60 OAT/FDC KATEGORI ANAK PAKET 0 0 214,990
61 OAT/FDC KATEGORI I PAKET 0 0 359,900
62 OAT/FDC KATEGORI II PAKET 0 0 1,199,990
63 OAT/FDC SISIPAN PAKET 0 0 159,000
64 OAT KATEGORI I DEWASA PAKET 0 0 359,900
65 PIRAZINAMIDA TAB 500 MG TABLET 0 0 234
66 RIFAMPICIN 450 MG TABLET 0 0 450
67 RIFAMPISIN 300 MG CAPSUL 0 0 400
68 RIFAMPISIN 600 MG TABLET 0 0 775

8 ANALGETIC-ANTIPIRETIC
69 ACETOSAL 100 MG TABLET 0 200 100
70 ANTALGIN 500 MG TABLET 1,350 8,000 197
71 ANTALGIN INJ AMPUL 0 0 1,333
72 PARACETAMOL 500 MG TABLET 7,070 105,000 89
73 PARACETAMOL SYR BOTOL 403 1,100 1,438
74 PARASETAMOL DROP BOTOL 52 300 5,200
75 TRAMADOL 50 MG CAPSUL 0 0 189
76 TRAMADOL INJ AMPUL 0 0 5,200

9 ANTACIDA
77 ANTASIDA DOEN 500 MG TABLET 5,390 38,000 81
78 ANTASIDA DOEN SUPENSI BOTOL 0 500 1,866
79 NATRIUM BIKARBONAT 500 MG TABLET 0 0 10

10 ANTHELMINTIC
80 ALBENDAZOL TAB 400 MG TABLET 0 14,500 365
81 ALBENDAZOL SUSPENSI 200 MG/5 ML BOTOL 0 0 3,811
82 DIETILKARBAMAZEPIN SITRAT TABLET 0 0 98
83 MEBENDAZOL 100 MG TABLET 0 0 141
84 MEBENDAZOL SYR BOTOL 0 0 3,534
85 PYRANTEL PAMOAT 125 MG TABLET 90 30 311

11 ANTI ANEMIA
86 BESI II SULFAT 300 MG TABLET 0 0 705

12 ANTI ASMATHIC
87 AMBROXOL 30 MG TABLET 0 12,000 181
88 AMBROXOL SYRUP 15 MG/ML BOTOL 0 150 4,950
89 AMINOPHYLLIN 200 MG TABLET 15 600 87
90 AMINOPHYLLIN INJEKSI AMPUL 12 10 1,865
91 EPHEDRIN 25 MG TABLET 0 0 51
92 SALBUTAMOL 2 MG TABLET 1,330 3,000 59
93 SALBUTAMOL 4 MG TABLET 0 4,000 83
94 SALBUTAMOL SYRUP 2 mg/5 ml BOTOL 0 200 5,214

13 ANTI DIABETIC
95 GLIBENKLAMID 5 MG TABLET 0 0 54
96 GLIMEPIRIDE 1 MG TABLET 0 300 265
97 GLIMEPIRIDE 2 MG TABLET 0 0 436
98 METFORMIN 500 MG TABLET 760 1,500 105

14 ANTI KHOLESTEROL
99 SIMVASTATIN 10 MG TABLET 1,130 500 119
100 SIMVASTATIN 20 MG TABLET 0 1,000 252

15 ANTI DIARREHEAL
101 LOPERAMID HCl 2 MG TABLET 0 3,000 90
102 ZINC 20 MG TABLET 0 8,500 433
 SISA BARANG HARGA BARANG
NO NAMA BARANG SATUAN KEBUTUHAN TH
TH 2016 TERAKHIR
2017
UNIT Rp/UNIT
1 2 3 4 5 6

16 ANTI PARKINSONISM
103 ANTI PARKINSON DOEN TABLET 0 0 776
104 TRIHEXYPENIDRIL 2 MG TABLET 0 0 40

17 ANTIHIPERTENSI
105 AMLODIPIN 5 MG TABLET 2,650 16,000 960
106 CAPTOPRIL 12,5 mg TABLET 3,115 12,000 62
107 CAPTOPRIL 25 mg TABLET 500 3,000 138
108 CAPTOPRIL 50 MG TABLET 100 2,500 134
109 CLONIDIN 0,15 MG TABLET 0 0 184
110 FUROSEMID 40 MG TABLET 1,230 800 102
111 FUROSEMID INJ AMPUL 0 0 1,751
112 HIDROKLOROTIASIDA (HCT) TABLET 0 0 36
113 IRBESARTAN 150 MG TABLET 0 0 1,425

18 CARDIOVARCULAR PREP
114 BISOPROLOL 5 MG TABLET 0 500 645
115 DIGOKSIN TABLET 0 400 143
116 DILTIAZEM HCL 30 MG TABLET 0 0 152
117 ISOSORBID DINITRAT TABLET 0 500 88
118 NIFEDIPIN 10 MG TABLET 850 1,200 112
119 RESERPIN TAB 0,25 MG TABLET 0 0 88

19 CORTICOSTEROID
120 DEXAMETHASON 0,5 MG TABLET 8,735 42,500 67
121 DEXAMETHASON 5 MG/ML INJ AMPUL 0 200 1,400
122 METHYLPREDNISOLON 4 MG TABLET 5,900 10,300 441
123 PREDNISON 5 MG TABLET 0 9,200 110

20 ANTI HISTAMINES
124 CETIRIZINE SYRUP 5 MG/5ML BOTOL 15 200 7,837
125 CETIRIZINE 10 MG CAPSUL 1,440 14,200 181
126 DIPHENHYDRAMIN INJEKSI AMPUL 0 30 960
127 KLORFENIRAMINE MALEAT (CTM 4 MG) TABLET 600 45,000 26
128 LORATADINE 10 MG TABLET 0 2,000 333

21 EXPECTORANT & ANTITUSIVE

129 DEKSTROMETHORPHAN HBr 15 MG TABLET 0 0 92
130 DEKSTROMETHORPHAN HBr SYR BOTOL 0 0 2,865
131 GLYSERIL GUAIAKOLAT 100 MG TABLET 13,620 41,000 66
132 OBAT BATUK HITAM 100 ML BOTOL 0 1,000 5,225

22 GIT-ANTIEMETIC
133 DIMENHYDRINAT 50 MG TABLET 0 0 95
134 DOMPERIDONE SUSPENSI 5MG/5ML BOTOL 141 100 3,624
135 DOMPERIDONE TABLET TABLET 20 3,000 176
136 IPEKA SYRUP BOTOL 0 0 5,148
137 METOCLOPRAMIDE 10 MG TABLET 0 100 89
138 ONDANSENTRON 4 MG/2 ML AMPUL 0 0 2,400

23 GIT-ULCER
139 CIMETIDIN 200 MG TABLET 0 2,000 108
140 LANZOPRAZOL 30 MG CAPSUL 0 0 1,351
141 OMEPRAZOL 20 MG CAPSUL 600 1,500 408
142 RANITIDIN INJEKSI 25 MG AMPUL 0 0 1,928
143 RANITIDIN TAB 150 MG TABLET 410 13,500 105

24 GIT-DISORDERS
144 ATROPIN SULFAT INJEKSI AMPUL 0 0 866
145 ATROPIN SULFAT 0,5 MG TABLET TABLET 0 0 74

25 GOUT PREPARATION
146 ALLOPURINOL 100 MG TABLET 3,120 1,000 104

26 LOCAL ANAESTHETIC
147 LIDOCAIN COMP INJEKSI KOMB. AMPUL 0 400 1,845
 SISA BARANG HARGA BARANG
NO NAMA BARANG SATUAN KEBUTUHAN TH
TH 2016 TERAKHIR
2017
UNIT Rp/UNIT
1 2 3 4 5 6
148 LIDOKAIN INJ 2% AMPUL 90 400 850

27 NSAID
149 ASAM MEFENAMAT 500 MG TABLET 20 11,100 112
150 IBUPROFEN 100 MG/5 ML SUSPENSI BOTOL 0 100 3,465
151 IBUPROFEN 200 MG TABLET 0 5,500 110
152 IBUPROFEN 200 MG/5 ML SUSPENSI BOTOL 0 0 4,455
153 IBUPROFEN 400 MG TABLET 1,600 12,100 127
154 KETOPROFEN INJ 100 MG/2 ML AMPUL 0 10 2,542
155 KETOROLAC INJ 30 MG/ML AMPUL 0 0 2,300
156 MELOKSIKAM 15 MG TABLET 2,000 3,000 540
157 NATRIUM DIKLOFENAK 50 MG TABLET 1,400 2,000 174
158 PIROKSIKAM 10 MG TABLET 1,200 1,500 75
159 PIROKSIKAM 20 MG TABLET 0 0 90

28 PSICOTROPICS
160 AMITRIPTILINA 25 MG TABLET 0 0 102
161 CLORPROMASIN 25 MG TABLET 0 0 38
162 DIAZEPAM 5 mg TABLET 0 0 56
163 DIAZEPAM 2 MG TABLET 0 5,000 35
164 DIAZEPAM INJ 5 MG/ML AMPUL 0 30 2,368
165 HALLOPERIDOL 0,5 MG TABLET 100 0 60
166 KLORPROMAZIN INJ 5MG/ML-2ML AMPUL 0 0 950
167 STESOLID RECTAL TUBE 5 MG TUBE 0 5 11,517

29 TRASSQUILIZER
168 FENOBARBITAL 30 MG TABLET 0 0 67
169 FENOBARBITAL INJ AMPUL 25 0 1,800
170 PIRACETAM 1200 MG TABLET 0 0 1,294
171 PIRACETAM INJ 1 GR AMPUL 0 0 5,500
172 PIRACETAM INJEKSI 3 GR AMPUL 0 0 3,800

30 VITAMIN
173 ASAM ASCORBAT 50 MG TABLET 250 55,000 104
174 ASAM ASKORBAT 250 MG TABLET 0 0 74
175 ASAM FOLAT 1 MG TABLET 0 5,100 68
176 PIRIDOKSIN (VIT B6) TABLET 0 11,500 17
177 THIAMIN HCL INJ 100 MG/ML AMPUL 0 0 457
178 VITAMIN B 12 INJ 500 MCG/ML AMPUL 0 0 1,098
179 VITAMIN A 100.000 IU CAPSUL 0 2,100 284
180 VITAMIN A 200.000 IU CAPSUL 0 11,200 300
181 VITAMIN B KOMPLEKS TABLET 0 42,500 20
182 VITAMIN B1 TAB 50 MG TABLET 0 7,000 135
183 VITAMIN B12 TAB TABLET 20 12,000 13
184 VITAMIN K 10 MG TABLET 0 2,000 579
185 VITAMIN K INJ AMPUL 0 200 1,566

31 OFTAMOLOGIKUM
186 ATROPIN SULFAT TM 0,5% BOTOL 0 0 2,543
187 GENTAMISIN SULFAT TM 0,3% BOTOL 92 200 3,194
188 KLORAMFENIKOL 1% SALEP MATA TUBE 0 250 1,600
189 KLORAMFENIKOL 0,5% TETES MATA BOTOL 0 400 6,050
190 NATRIUM FLOURESEIN TM 2% BOTOL 0 0 3,925
191 OKSITETRASIKLIN 1% SALEP MATA TUBE 0 50 1,600
192 PILOKARPIN HCL NITRAT T.M BOTOL 0 0 5,214
193 SULFACETAMID TETES MATA BOTOL 0 0 3,226

32 OTOLOGIKUM
194 FENOL GLYSEROL TETES TELINGA 10% BOTOL 0 0 1,008
195 KLORAMFENIKOL 3% TETES TELINGA BOTOL 117 200 7,000

33 ANTI VERTIGO
196 BETAHISTIN MESILAT 6 MG TABLET 1,460 2,000 825

34 ANTI HEMOROID
197 ANTI HEMOROID SUPPOSITORIA SUPPO 0 350 2,000
 SISA BARANG HARGA BARANG
NO NAMA BARANG SATUAN KEBUTUHAN TH
TH 2016 TERAKHIR
2017
UNIT Rp/UNIT
1 2 3 4 5 6
35 ANTI MIGREN
198 ERGOTAMIN CAFFEIN TABLET 0 0 103

36 LARUTAN INFUS
199 DEXTRAN 70 LAR BOTOL 0 0 35,526
200 GLUKOSA LAR INFUS 10% BOTOL 0 0 5,727
201 GLUKOSE 5 % BOTOL 16 20 5,313
202 NATRIUM KLORIDA 0,9% INFUS BOTOL 11 20 4,900
203 RINGER LAKTAT BOTOL 117 300 5,200

37 OBAT KULIT LAIN

204 2-4 SALEP POT 2 450 2,429
205 KALIUM PERMANGANAT SERBUK POT 0 300 312
206 LEVERSTAN SALEP POT 0 0 1,600
207 SALISIL TALK BOTOL 3 550 1,025

38 OBAT BISUL
208 ICHTIYOL SALEP POT 0 0 0

39 OKSITOSIKUM
209 METILERGOMETRIN 0,2 MG/ML INJEKSI AMPUL 0 0 1,490
210 METILERGOMETRIN 0,125 MG TABLET 0 0 110
211 OKSITOSIN 10 IU/ML INJEKSI AMPUL 0 587 1,785

40 LARUTAN UNTUK LUKA

212 ETANOL 70% BOTOL 0 14 21,000
213 RIVANOL / ETAKRIDIN BOTOL 1 0 2,212
214 YODIUM POVIDON 300 ML BOTOL 0 11 14,500

41 ANTI EPILEPTIKUM/ANTIKONVULSI
215 NATRIUM FENITOIN 30 MG TABLET 0 0 58
216 NATRIUM FENITOIN 100 MG TABLET 0 0 133

42 SERUM
217 ATS 1500 IU AMPUL 0 4 126,500
218 SERUM ABU INJ 5 ML VIAL 0 2 467,500

43 OBAT SARIAWAN
219 GENTIAN VIOLET POT 0 120 450

44 ORALIT
220 GARAM ORALIT 200 ML AIR (PROG) SACHET 0 4,000 292

45 LAIN-LAIN
221 AQUA PRO INJ VIAL 0 40 2,000
222 CALSIUM GLUCONAS AMPUL 0 0 7,800
223 EPINEPRIN INJ AMPUL 0 60 1,500
224 EXTRAC BELLADON TABLET 0 0 18
225 FLOUR TAB 0,5 MG TABLET 0 0 33
226 GLISEROL /GLISERIL BOTOL 0 0 4,730
227 IODIOL KAPSUL LUNAK CAPSUL 0 0 930
228 KALIUM KLORIDA TABLET 0 0 288
229 KALSIUM LAKTAT 500 MG TABLET 1,100 33,500 42
230 LISOL BOTOL 6 0 49,862
231 MgSO4 40% BOTOL 48 0 2,629
232 MINERAL MIX SACHET 22 0 2,475
233 NATRIUM THIOSULFAT INJ 25% 10ML VIAL 0 0 1,477
234 PAPAVERIN TABLET TABLET 0 4,000 100
235 PARAFORMALDEHID TABLET 0 0 60
236 PROPILTHIOURACIL 100 MG TABLET 0 300 300
237 TABURIA SACHET 0 0 653

46 ALAT KESEHATAN
238 BISTURI NO.22 BUAH 0 200 550
239 CAT GUT NO 2/0 SACHET 0 0 26,667
240 CAT GUT NO. 3/0 SACHET 0 300 24,583
241 DISPOSIBLE 3 CC PCS 7 2,300 3,177
 SISA BARANG HARGA BARANG
NO NAMA BARANG SATUAN KEBUTUHAN TH
TH 2016 TERAKHIR
2017
UNIT Rp/UNIT
1 2 3 4 5 6
242 DISPOSIBLE SPUIT 1CC PCS 50 500 3,957
243 DISPOSIBLE SPUIT 2,5 CC PCS 0 0 1,038
244 DISPOSIBLE SPUIT 5 CC PCS 52 100 3,958
245 DISPOSIBLE SYRINGE 10 CC PCS 172 0 5,036
246 DISPOSIBLE SYRINGE 20 CC PCS 89 0 7,920
247 FILM X-RAY 24X30 CM BOX 0 0 1,186,812
248 FILM X-RAY 30X40 CM BOX 0 0 1,887,138
249 FILM X-RAY 35X35 CM BOX 0 0 2,049,300
250 FIXER DEVELOPER FILM SET 0 0 1,184,700
251 FOLEY CATH TWO WAY 16 PCS 0 0 8,495
252 FOLEY CATH TWO WAY 18 PCS 0 20 8,495
253 FOLEY CATH TWO WAY 20 PCS 0 0 8,495
254 HANDSCOEN NO. 8 PASANG 0 0 6,270
255 HANDSCOEN NO. 7,5 PASANG 13 700 6,270
256 HANDSCOEN NON STERIL LARGE PASANG 0 0 800
257 HANDSCOEN NO. 6,5 PASANG 0 100 6,270
258 HANDSCOEN NON STERIL MEDIUM PCS 0 10,000 800
259 HANSCOEN NO.7 PASANG 0 100 2,000
260 HYPAFIK 5 CM X 5 M ROL 0 23 52,928
261 HYPAFIK 10 CM X 5 M ROL 0 0 100,875
262 INFUSET ANAK SET 0 0 4,000
263 INFUSET DEWASA SET 64 200 4,975
264 IV CATHETER NO. 18 SET 75 30 7,018
265 IV CATHETER NO. 20 SET 17 150 7,018
266 IV CATHETER NO. 22 SET 74 100 7,018
267 IV CATHETER NO. 24 SET 45 0 7,741
268 JARUM JAHIT NO. 22 DAN 23 SAK/12 0 2 4,696
269 JARUM SUNTIK 23 G BIJI 0 0 396
270 KASA 2 M X 80 CM ROL 0 0 8,798
271 KAPAS 250 GRAM BKS 8 15 11,401
272 KAPAS BERLEMAK 500 GR BKS 0 0 12,545
273 KASA 5 CM ROL 0 0 304
274 KASA 10 CM X 4 M ROL 0 0 607
275 KASA 3 X 4 ROL 0 0 733
276 KASA 40 X 40 BIJI 0 0 1,390
277 KASA HID STERIL UK 18 X 22 CM KOTAK 0 0 4,750
278 KASA HIDR STERIL 16 X 16 KOTAK 1 300 6,600
279 KASA HIDROFIL UK 36M X 80CM ROL 0 15 80,000
280 KASA HYDROFIL 4 X 15 ROL 60 50 1,980
281 LANCET BOX 0 0 16,500
282 MASKER PCS 0 1,000 682
283 MASKER RESPIRATOR N95 PCS 0 0 9,900
284 MEDICINE PAKET PAKET 0 0 3,344,000
285 OBYEK GLASS BOX 0 0 19,360
286 PEMBALUT GIBS ROL 0 0 6,071
287 PENGHISAP LENDIR PCS 0 0 7,700
288 PLESTER 5 YARD X 1 INCHI ROL 0 2 12,750
289 PLESTER 5 YARDX 2 INCH ROL 0 0 25,500
290 SARUNG TANGAN PANJANG PASANG 500 10,000
291 SAVETY BOX BUAH 0 0 21,736
292 SENDOK OBAT PLASTIK BUAH 0 1,000 187
293 SILK 2/0 SACHET 0 0 5,221
294 SILK 3/0 SACHET 0 40 6,984
295 SPUIT IMUNISASI 0,5ML 23G PCS 0 0 2,310
296 SPUIT IMUNISASI BCG 0,05 26G PCS 0 0 3,190
297 SPUTUM POT BUAH 0 0 2,376
298 URINE BAG PCS 0 50 4,000
299 VACCINE CARRIER BUAH 0 0 1,254,000
300 WING NEEDLE NO 25G SET 0 0 5,770
301 WING NEEDLE NO. 23 SET 0 50 5,770

47 OBAT GIGI
302 AIR RAKSA DENTAL USE BOTOL 1 0 170,060
303 ALBOTHYL CONCENTRATE BOTOL 2 5 26,939
304 BETADINE KUMUR BOTOL 0 5 7,909
305 CAVITON / SEMEN SET 0 0 149,606
306 CHKM BOTOL 1 0 55,000
 SISA BARANG HARGA BARANG
NO NAMA BARANG SATUAN KEBUTUHAN TH
TH 2016 TERAKHIR
2017
UNIT Rp/UNIT
1 2 3 4 5 6
307 CRESOPHEN / ENDOSEPTON SET 0 0 577,500
308 DEVITALISASI PASTA BOTOL 0 0 423,500
309 ETHYLKLORIT SEMPROT BOTOL 0 20 104,500
310 EUGENOL CAIRAN 10 ML BOTOL 2 4 3,178
311 GLASS ISOMER CEMENT (GC 1 X) SET 0 2 869,000
312 KALSIUM HIDROKSIDA PASTA TUBE 0 0 137,500
313 MUMFYING PASTA BOTOL 0 0 176,000
314 SEMEN SENG POSPAT SER+CA SET 0 0 187,000
315 SILVER AMALGAM BOTOL 0 1 825,000
316 SPON GELATIN BUAH 0 50 7,920
317 T K F SET 0 2 63,510
318 TEMPORARY STOPING (Fletcher) SET 0 5 34,000

48 LARUTAN LABORATORIUM
319 AQUABIDEST BOTOL 0 6 9,570
320 ASAM KLORIDA 0,1 N BOTOL 0 0 0
321 ASAM SULFOSALISILAT BOTOL 0 0 261,250
322 GIMSA STAIN BOTOL 0 0 172,425
323 KAPORIT 1 KG BOTOL 1 0 40,150
324 LARUTAN BENEDICT BOTOL 0 0 62,700
325 LARUTAN EOSIN 2 % BOTOL 0 0 41,620
326 LARUTAN GABBET BOTOL 0 0 41,800
327 LARUTAN KARBON FUSCHIN BOTOL 0 0 0
328 LARUTAN KINYOUN BOTOL 0 0 32,350
329 LARUTAN METILEN BIRU BOTOL 0 0 27,241
330 LARUTAN TURK BOTOL 0 0 25,080
331 METANOL BOTOL 0 0 31,130
332 OIL IMERSI BOTOL 0 0 0
333 PERHYDROL BOTOL 0 0 26,125
334 REAGEN ZIEHL NEELSEN SET 0 6 171,325
335 SPIRTUS BOTOL 0 5 26,950

49 OBAT PATEN NON GENERIK

336 BATUGIN ELIXIR BOTOL 0 50 18,100
337 DABUR 35 G BURNAZIN CREAM TUBE 8 30 23,000
338 DUMIN REKTAL TUBE 125 MG TUBE 0 10 10,558
339 HEMOROGARD KAPSUL 0 5,000 1,552
340 HEMAFORT KAPLET 6,850 30,000 820
341 KURKUMEX SYRUP BOTOL 0 0 10,890
342 KURKUMEX TABLET TABLET 0 10,000 715
343 LAXANA 5 MG TABLET 130 300 539
344 MOLAGIT TABLET 140 3,000 396
345 MOLEXFLU TABLET 900 4,000 392
346 MOLEXDRYL SYRUP BOTOL 0 0 5,859
347 MOLEXFLU SYRUP BOTOL 120 0 6,500
348 NEOCENTA GEL TUBE 0 200 9,900
349 NEOKAOMINAL SUSPENSI BOTOL 60 60 7,500
350 NOPROSTOL TABLET 0 500 10,413
351 PACDIN SYRUP BOTOL 0 0 4,840
352 PEHAVRAL KAPLET 0 0 800
353 RECOVIT SIRUP BOTOL 0 300 5,720
354 SCABICID CREAM TUBE 0 0 20,240
355 SCABIMITE CREAM TUBE 0 300 11,475
356 SELKOM C GOLD TABLET 0 2,000 1,900
357 TENSIGARD KAPSUL 0 0 2,127
358 ZINKID SIRUP BOTOL 40 200 22,000

Karanglewas, 20 Januari 2017

Mengetahui Pengelola Obat

Kepala Puskesmas Karanglewas

Sujoto,SKM Rehiba Apriyani W,S.Farm .,Apt

19600217 198309 1 001 19690403 199402 2 002
PEMAKAIAN 1 TH KEBT

1367 489 1856 2134.4 2,081

60627 17,700 78327 90076.05 85,376
0 0 0 0
10 35 45 51.75 32
0 0 0 0
2900 800 3700 4255 55
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
1450 250 1700 1955 1,955
0 0 0 0
1332 450 1782 2049.3 1,949
0 0 0 0
835 154 989 1137.35 981
5790 2,170 7960 9154 8,624
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
1120 0 1120 1288 1,288
91 37 128 147.2 100
700 1,000 1700 1955 515
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
800 0 800 920 920
0 0 0 -500
0 0 0
0 0 0
0 0 0 0
0 0 0 0
1166 1,700 2866 3295.9 2,996
0 0 0 0
0 0 0 -80
6910 2,030 8940 10281 8,321
0 30 30 34.5 -36
293 242 535 615.25 597
100 0 100 115 115
100 0 100 115 115
0 0 0
0 0 0
0 0 0 0
2930 0 2930 3369.5 3,370
337 93 430 494.5 400
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 0
0 0 0
0 0 0
0 0 0 0
475 170 645 741.75 676
871 407 1278 1469.7 1,465
0 0 0
0 0 0
365 166 531 610.65 611
PEMAKAIAN 1 TH KEBT

24 0 24 27.6 -20
918 294 1212 1393.8 1,261
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 0
0 0 0 0
3 3 3.45 3
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0
0 0 0
130 0 130 149.5 150
7038 650 7688 8841.2 7,491
0 0 0 0
76550 20,600 97150 111722.5 104,653
949 307 1256 1444.4 1,041
177 98 275 316.25 264
0 0 0 0
0 0 0 0
0 0 0
0 0 0
29230 8,380 37610 43251.5 37,862
145 255 400 460 460
0 0 0 0
0 0 0
0 0 0
11010 1,500 12510 14386.5 14,387
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
90 0 90 103.5 14
0 0 0
0 0 0
0 0 0 0
0 0 0
0 0 0
7150 2,950 10100 11615 11,615
117 0 117 134.55 135
520 0 520 598 583
18 0 18 20.7 9
0 0 0 0
1799 1,890 3689 4242.35 2,912
3200 0 3200 3680 3,680
0 0 0 0
0 0 0
0 0 0
0 0 0 0
250 0 250 287.5 288
0 0 0 0
1240 630 1870 2150.5 1,391
0 0 0
0 0 0
720 700 1420 1633 503
0 0 0 0
0 0 0
0 0 0
1672 698 2370 2725.5 2,726
5920 1,430 7350 8452.5 8,453
PEMAKAIAN 1 TH KEBT

0 0 0
0 0 0
0 0 0 0
0 0 0 0
0 0 0
0 0 0
8750 7,170 15920 18308 15,658
10690 2,480 13170 15145.5 12,031
500 500 575 75
1200 1,000 2200 2530 2,430
0 0 0 0
1160 610 1770 2035.5 806
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0
0 0 0
0 0 0 0
280 100 380 437 437
0 0 0 0
200 200 400 460 460
1310 450 1760 2024 1,174
0 0 0 0
0 0 0
0 0 0
34840 9,510 44350 51002.5 42,268
92 20 112 128.8 129
11100 3,000 14100 16215 10,315
7910 60 7970 9165.5 9,166
0 0 0
0 0 0
107 78 185 212.75 198
10770 2,810 13580 15617 14,177
28 0 28 32.2 32
23100 16,300 39400 45310 44,710
0 0 0 0
0 0 0
0 0 0
0 0 0 0
0 0 0 0
36974 10,530 47504 54629.6 41,010
559 219 778 894.7 895
0 0 0
0 0 0
0 0 0 0
69 59 128 147.2 6
2040 300 2340 2691 2,671
0 0 0 0
0 100 100 115 115
0 0 0 0
0 0 0
0 0 0
1700 0 1700 1955 1,955
600 200 800 920 920
1530 300 1830 2104.5 1,505
0 0 0 0
8723 3,180 11903 13688.45 13,278
0 0 0
0 0 0
0 0 0 0
0 0 0 0
0 0 0
0 0 0
1330 900 2230 2564.5 -556
0 0 0
0 0 0
352 0 352 404.8 405
PEMAKAIAN 1 TH KEBT

262 148 410 471.5 382

0 0 0
0 0 0
5360 4,300 9660 11109 11,089
85 0 85 97.75 98
1950 2,550 4500 5175 5,175
0 0 0 0
6100 5,800 11900 13685 12,085
0 0 0 0
0 0 0 0
4350 0 4350 5002.5 3,003
2150 600 2750 3162.5 1,763
1520 800 2320 2668 1,468
0 0 0 0
0 0 0
0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
1860 640 2500 2875 2,875
0 0 0 0
0 0 0 -100
0 0 0 0
4 1 5 5.75 6
0 0 0
0 0 0
0 0 0 0
0 5 5 5.75 -19
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0
0 0 0
38750 9,020 47770 54935.5 54,686
0 0 0 0
3600 800 4400 5060 5,060
9400 600 10000 11500 11,500
0 0 0 0
0 0 0 0
1850 0 1850 2127.5 2,128
9750 0 9750 11212.5 11,213
23700 13,150 36850 42377.5 42,378
3250 2,270 5520 6348 6,348
8880 1,500 10380 11937 11,917
823 700 1523 1751.45 1,751
170 20 190 218.5 219
0 0 0
0 0 0
0 0 0 0
0 52 52 59.8 -32
139 78 217 249.55 250
284 68 352 404.8 405
0 0 0 0
46 0 46 52.9 53
0 0 0 0
0 0 0 0
0 0 0
0 0 0
0 0 0 0
181 27 208 239.2 122
0 0 0
0 0 0
2000 1,000 3000 3450 1,990
0 0 0
0 0 0
126 162 288 331.2 331
0 0 0
PEMAKAIAN 1 TH KEBT

0 0 0
0 0 0 0
0 0 0
0 0 0
0 0 0 0
0 0 0 0
3 1 4 4.6 -11
16 3 19 21.85 11
267 56 323 371.45 254
0 0 0
0 0 0
224 134 358 411.7 410
0 0 0 0
0 0 0 0
356 111 467 537.05 534
0 0 0
0 0 0
0 0 0 0
0 0 0
0 0 0
0 0 0 0
0 0 0 0
400 110 510 586.5 587
0 0 0
0 0 0
9 3 12 13.8 14
2 0 2 2.3 1
6 3 9 10.35 10
0 0 0
0 0 0
0 0 0 0
0 0 0 0
0 0 0
0 0 0
3 0 3 3.45 3
2 0 2 2.3 2
0 0 0
0 0 0
104 0 104 119.6 120
0 0 0
0 0 0
2113 498 2611 3002.65 3,003
0 0 0
0 0 0
28 0 28 32.2 32
0 0 0 0
50 0 50 57.5 58
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
22850 7,200 30050 34557.5 33,458
0 0 0 -6
36 2 38 43.7 -4
0 0 0 -22
0 0 0 0
1800 1,300 3100 3565 3,565
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0
0 0 0
108 25 133 152.95 153
0 0 0 0
184 24 208 239.2 239
1900 75 1975 2271.25 2,264
PEMAKAIAN 1 TH KEBT

400 50 450 517.5 468

0 0 0 0
83 30 113 129.95 78
43 0 43 49.45 -123
30 0 30 34.5 -55
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
15 0 15 17.25 17
0 0 0 0
0 0 0 0 0
475 100 575 661.25 648
0 0 0 0 0
50 0 50 57.5 58
6229 2,189 8418 9680.7 9,681
100 0 100 115 115
20 0 20 23 23
0 0 0 0 0
0 0 0 0 0
162 52 214 246.1 182
83 0 83 95.45 20
109 33 142 163.3 146
134 22 156 179.4 105
5 0 5 5.75 -39
0 0 0 0
0 0 0 0
0 0 0 0
15 3 18 20.7 13
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 -1
11 2 13 14.95 15
56 4 60 69 9
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
2 0 2 2.3 2
0 0 0 0
305 81 386 443.9 444
0 0 0 0
0 0 0 0
0 0 0 0
16 20 36 41.4 41
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
11 0 11 12.65 13
0 0 0
0 0 0
1 0 1 1.15 0
2 0 2 2.3 0
4 0 4 4.6 5
0 0 0 0 0
0 0 0 0 -1
PEMAKAIAN 1 TH KEBT

0 0 0 0 0
0 0 0 0 0
9 3 12 13.8 14
5 0 5 5.75 4
1 0 1 1.15 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 0 1 1.15 1
25 0 25 28.75 29
2 0 2 2.3 2
0 0 0 0 0
0 0 0
0 0 0
5 0 5 5.75 6
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 1 1.15 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 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
4 1 5 5.75 6
4 0 4 4.6 5
0 0 0
0 0 0
0 0 0 0 0
6 0 6 6.9 -1
5 2 7 8.05 8
0 0 0 0 0
26700 5,350 32050 36857.5 30,008
0 0 0 0 0
0 0 0 0 0
200 150 350 402.5 273
1560 850 2410 2771.5 2,632
3550 600 4150 4772.5 3,873
0 0 0 0 0
60 0 60 69 -51
0 0 0 0 0
50 48 98 112.7 53
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
1500 0 1500 1725 1,725
0 0 0 0 0
75 50 125 143.75 104
 1 AMOKSILIN SYR KER 79 NATRIUM BIKARBONAT 500 MG
2 AMOKSILLIN KAP 500 MG
3 AMOXICLAV TAB 10 ANTHELMINTIC
4 AMPISILIN INJ IM/IV 1000MG/ML 80 ALBENDAZOL TAB 400 MG
5 BENZATIN BENZIL PENISILIN 2,4 JUTA IU/VIAL 81 ALBENDAZOL SUSPENSI 200 MG/5 ML
6 CIPROFLOXACIN 500 MG 82 DIETILKARBAMAZEPIN SITRAT
7 DOXICICLIN 100 MG 83 MEBENDAZOL 100 MG
8 ERYTROMISIN SYRUP 200 MG/5ML 84 MEBENDAZOL SYR
9 ERYTROMISIN 500 MG 85 PYRANTEL PAMOAT 125 MG
10 GENTAMISIN INJEKSI 80 MG/2ML
11 KLINDAMYCIN 300 MG 11 ANTI ANEMIA
12 KLORAMFENIKOL SUSPENSI 86 BESI II SULFAT 300 MG
13 KLORAMFENIKOL KAPS 250 MG
14 KLORAMFENIKOL 500 MG 12 ANTI ASMATHIC
15 KOTRIMOKSAZOL SUSPENSI 60 ML 87 AMBROXOL 30 MG
16 KOTRIMOKSAZOL 480 MG 88 AMBROXOL SYRUP 15 MG/ML
17 LEVOFLOKSASIN 500 MG 89 AMINOPHYLLIN 200 MG
18 LINKOMISIN 500 MG 90 AMINOPHYLLIN INJEKSI
19 OFLOXACIN 400 MG 91 EPHEDRIN 25 MG
20 OKSITETRASIKLIN INJ 92 SALBUTAMOL 2 MG
21 SEFADROKSIL 500 MG 93 SALBUTAMOL 4 MG
22 SEFADROXIL SIR 125 MG/5ML 94 SALBUTAMOL SYRUP 2 mg/5 ml
23 SEFIKSIM 100 MG
24 SEFOTAKSIM INJEKSI 1GR/VIAL 13 ANTI DIABETIC
25 SEFTRIAKSON SERB INJ 1G/VIAL 95 GLIBENKLAMID 5 MG
26 STREPTOMYCIN 1 GRAM 96 GLIMEPIRIDE 1 MG
27 SULFADIMIDIN 500 MG 97 GLIMEPIRIDE 2 MG
28 TETRASIKLIN HCL 500 MG 98 METFORMIN 500 MG
29 THYAMPHENICOL 500 MG
14 ANTI KHOLESTEROL
2 ANTI FUNGI 99 SIMVASTATIN 10 MG
30 ANTIFUNGI DOEN 100 SIMVASTATIN 20 MG
31 FLUKONAZOL 150 MG
32 GRISEOVULFIN 125 MG 15 ANTI DIARREHEAL
33 KETOKONAZOL 200 MG 101 LOPERAMID HCl 2 MG
34 KETOKONAZOL CREAM 2% 102 ZINC 20 MG
35 METRONIDASOL 500 MG
36 METRONIDASOL BENZOAT SUSPENSI 16 ANTI PARKINSONISM
37 MICONASOL CREAM 103 ANTI PARKINSON DOEN
38 NISTATIN 100.000 IU 104 TRIHEXYPENIDRIL 2 MG
39 NISTATIN 500.000 IU
17 ANTIHIPERTENSI
3 ANTIVIRAL 105 AMLODIPIN 5 MG
40 ACICLOVIR 200 MG 106 CAPTOPRIL 12,5 mg
41 ACICLOVIR 400 MG 107 CAPTOPRIL 25 mg
42 ACICLOVIR CREAM
4 ANTIMALARIA
43 ARTESUNATE INJEKSI
44 ARTESUNATE+AMODIAQUIN TAB
45 ARTHEMETER INJEKSI
46 KOMB PIRIMETAMIN 25 MG+SULFADO
47 KUININE Hydrochlorida inj
48 KUININE 222 MG
49 PRIMAKINA 15 MG
5 DERMATOLOGICAL-ANTIINFECTIVES
50 ANTIBAKTERI DOEN (BACITHRACIN)
51 GENTAMISIN SALEP KULIT
52 OKSITETRASIKLIN HCL SK
6 DERMATOLOGICAL- CORTICOSTEROID
53 BETAMETASON CREAM
54 HIDROKORTISON KRIM 1%
55 HIDROKORTISON KRIM 2,5%
7 TBC PREPARATION
56 ETAMBUTOL HCL 250 MG
57 ETAMBUTOL HCL 500 MG
58 ISONIAZIDA 100 MG
59 ISONIAZIDA 300 MG
60 OAT/FDC KATEGORI ANAK
61 OAT/FDC KATEGORI I
62 OAT/FDC KATEGORI II
63 OAT/FDC SISIPAN
64 OAT KATEGORI I DEWASA
65 PIRAZINAMIDA TAB 500 MG
66 RIFAMPICIN 450 MG
67 RIFAMPISIN 300 MG
68 RIFAMPISIN 600 MG
8 ANALGETIC-ANTIPIRETIC
69 ACETOSAL 100 MG
70 ANTALGIN 500 MG
71 ANTALGIN INJ
72 PARACETAMOL 500 MG
73 PARACETAMOL SYR
74 PARASETAMOL DROP
75 TRAMADOL 50 MG
76 TRAMADOL INJ
108 CAPTOPRIL 50 MG
109 CLONIDIN 0,15 MG
110 FUROSEMID 40 MG
111 FUROSEMID INJ
112 HIDROKLOROTIASIDA (HCT)
113 IRBESARTAN 150 MG
18 CARDIOVARCULAR PREP
114 BISOPROLOL 5 MG
115 DIGOKSIN
116 DILTIAZEM HCL 30 MG
117 ISOSORBID DINITRAT
118 NIFEDIPIN 10 MG
119 RESERPIN TAB 0,25 MG
19 CORTICOSTEROID
120 DEXAMETHASON 0,5 MG
121 DEXAMETHASON 5 MG/ML INJ
122 METHYLPREDNISOLON 4 MG
123 PREDNISON 5 MG
20 ANTI HISTAMINES
124 CETIRIZINE SYRUP 5 MG/5ML
125 CETIRIZINE 10 MG
126 DIPHENHYDRAMIN INJEKSI
127 KLORFENIRAMINE MALEAT (CTM 4 MG)
128 LORATADINE 10 MG
21 EXPECTORANT & ANTITUSIVE
129 DEKSTROMETHORPHAN HBr 15 MG
130 DEKSTROMETHORPHAN HBr SYR
131 GLYSERIL GUAIAKOLAT 100 MG
132 OBAT BATUK HITAM 100 ML
22 GIT-ANTIEMETIC
133 DIMENHYDRINAT 50 MG
134 DOMPERIDONE SUSPENSI 5MG/5ML
135 DOMPERIDONE TABLET
136 IPEKA SYRUP
137 METOCLOPRAMIDE 10 MG
138 ONDANSENTRON 4 MG/2 ML
23 GIT-ULCER
139 CIMETIDIN 200 MG
9 ANTACIDA
77 ANTASIDA DOEN 500 MG
78 ANTASIDA DOEN SUPENSI
140 LANZOPRAZOL 30 MG
141 OMEPRAZOL 20 MG
142 RANITIDIN INJEKSI 25 MG
143 RANITIDIN TAB 150 MG

24 GIT-DISORDERS
144 ATROPIN SULFAT INJEKSI
145 ATROPIN SULFAT 0,5 MG TABLET

25 GOUT PREPARATION
146 ALLOPURINOL 100 MG

26 LOCAL ANAESTHETIC
147 LIDOCAIN COMP INJEKSI KOMB.
148 LIDOKAIN INJ 2%

27 NSAID
149 ASAM MEFENAMAT 500 MG
150 IBUPROFEN 100 MG/5 ML SUSPENSI
151 IBUPROFEN 200 MG
152 IBUPROFEN 200 MG/5 ML SUSPENSI
153 IBUPROFEN 400 MG
154 KETOPROFEN INJ 100 MG/2 ML
155 KETOROLAC INJ 30 MG/ML
156 MELOKSIKAM 15 MG
157 NATRIUM DIKLOFENAK 50 MG
158 PIROKSIKAM 10 MG
159 PIROKSIKAM 20 MG

28 PSICOTROPICS
160 AMITRIPTILINA 25 MG
161 CLORPROMASIN 25 MG
162 DIAZEPAM 5 mg
163 DIAZEPAM 2 MG
164 DIAZEPAM INJ 5 MG/ML
165 HALLOPERIDOL 0,5 MG
166 KLORPROMAZIN INJ 5MG/ML-2ML
167 STESOLID RECTAL TUBE 5 MG

29 TRASSQUILIZER
168 FENOBARBITAL 30 MG
169 FENOBARBITAL INJ
170 PIRACETAM 1200 MG
171 PIRACETAM INJ 1 GR
172 PIRACETAM INJEKSI 3 GR

30 VITAMIN
173 ASAM ASCORBAT 50 MG
174 ASAM ASKORBAT 250 MG
175 ASAM FOLAT 1 MG
176 PIRIDOKSIN (VIT B6)
177 THIAMIN HCL INJ 100 MG/ML
178 VITAMIN B 12 INJ 500 MCG/ML
179 VITAMIN A 100.000 IU
180 VITAMIN A 200.000 IU
181 VITAMIN B KOMPLEKS
182 VITAMIN B1 TAB 50 MG
183 VITAMIN B12 TAB
184 VITAMIN K 10 MG
185 VITAMIN K INJ

31 OFTAMOLOGIKUM
186 ATROPIN SULFAT TM 0,5%
187 GENTAMISIN SULFAT TM 0,3%
188 KLORAMFENIKOL 1% SALEP MATA
189 KLORAMFENIKOL 0,5% TETES MATA
190 NATRIUM FLOURESEIN TM 2%
191 OKSITETRASIKLIN 1% SALEP MATA
192 PILOKARPIN HCL NITRAT T.M
193 SULFACETAMID TETES MATA

32 OTOLOGIKUM
194 FENOL GLYSEROL TETES TELINGA 10%
195 KLORAMFENIKOL 3% TETES TELINGA

33 ANTI VERTIGO
196 BETAHISTIN MESILAT 6 MG

34 ANTI HEMOROID
197 ANTI HEMOROID SUPPOSITORIA

35 ANTI MIGREN
198 ERGOTAMIN CAFFEIN

36 LARUTAN INFUS
199 DEXTRAN 70 LAR
200 GLUKOSA LAR INFUS 10%
201 GLUKOSE 5 %
202 NATRIUM KLORIDA 0,9% INFUS
203 RINGER LAKTAT

37 OBAT KULIT LAIN

204 2-4 SALEP
205 KALIUM PERMANGANAT SERBUK
206 LEVERSTAN SALEP
207 SALISIL TALK

38 OBAT BISUL
208 ICHTIYOL SALEP

39 OKSITOSIKUM
209 METILERGOMETRIN 0,2 MG/ML INJEKSI
210 METILERGOMETRIN 0,125 MG
211 OKSITOSIN 10 IU/ML INJEKSI

40 LARUTAN UNTUK LUKA

212 ETANOL 70%
213 RIVANOL / ETAKRIDIN
214 YODIUM POVIDON 300 ML

41 ANTI EPILEPTIKUM/ANTIKONVULSI
215 NATRIUM FENITOIN 30 MG
216 NATRIUM FENITOIN 100 MG

42 SERUM
217 ATS 1500 IU
218 SERUM ABU INJ 5 ML

43 OBAT SARIAWAN
219 GENTIAN VIOLET

44 ORALIT
220 GARAM ORALIT 200 ML AIR (PROG)

45 LAIN-LAIN
221 AQUA PRO INJ
222 CALSIUM GLUCONAS
223 EPINEPRIN INJ
224 EXTRAC BELLADON
225 FLOUR TAB 0,5 MG
226 GLISEROL /GLISERIL
227 IODIOL KAPSUL LUNAK
228 KALIUM KLORIDA
229 KALSIUM LAKTAT 500 MG
230 LISOL
231 MgSO4 40%
232 MINERAL MIX
233 NATRIUM THIOSULFAT INJ 25% 10ML
234 PAPAVERIN TABLET
235 PARAFORMALDEHID
236 PROPILTHIOURACIL 100 MG
237 TABURIA

46 ALAT KESEHATAN
238 BISTURI NO.22
239 CAT GUT NO 2/0
240 CAT GUT NO. 3/0
241 DISPOSIBLE 3 CC
242 DISPOSIBLE SPUIT 1CC
243 DISPOSIBLE SPUIT 2,5 CC
244 DISPOSIBLE SPUIT 5 CC
245 DISPOSIBLE SYRINGE 10 CC
246 DISPOSIBLE SYRINGE 20 CC
247 FILM X-RAY 24X30 CM
248 FILM X-RAY 30X40 CM
249 FILM X-RAY 35X35 CM
250 FIXER DEVELOPER FILM
251 FOLEY CATH TWO WAY 16
252 FOLEY CATH TWO WAY 18
253 FOLEY CATH TWO WAY 20
254 HANDSCOEN NO. 8
255 HANDSCOEN NO. 7,5
256 HANDSCOEN NON STERIL LARGE
257 HANDSCOEN NO. 6,5
258 HANDSCOEN NON STERIL MEDIUM
259 HANSCOEN NO.7
260 HYPAFIK 5 CM X 5 M
261 HYPAFIK 10 CM X 5 M
262 INFUSET ANAK
263 INFUSET DEWASA
264 IV CATHETER NO. 18
265 IV CATHETER NO. 20
266 IV CATHETER NO. 22
267 IV CATHETER NO. 24
268 JARUM JAHIT NO. 22 DAN 23
269 JARUM SUNTIK 23 G
270 KASA 2 M X 80 CM
271 KAPAS 250 GRAM
272 KAPAS BERLEMAK 500 GR
273 KASA 5 CM
274 KASA 10 CM X 4 M
275 KASA 3 X 4
276 KASA 40 X 40
277 KASA HID STERIL UK 18 X 22 CM
278 KASA HIDR STERIL 16 X 16
279 KASA HIDROFIL UK 36M X 80CM
280 KASA HYDROFIL 4 X 15
281 LANCET
282 MASKER
283 MASKER RESPIRATOR N95
284 MEDICINE PAKET
285 OBYEK GLASS
286 PEMBALUT GIBS
287 PENGHISAP LENDIR
288 PLESTER 5 YARD X 1 INCHI
289 PLESTER 5 YARDX 2 INCH
290 SARUNG TANGAN PANJANG
291 SAVETY BOX
292 SENDOK OBAT PLASTIK
293 SILK 2/0
294 SILK 3/0
295 SPUIT IMUNISASI 0,5ML 23G
296 SPUIT IMUNISASI BCG 0,05 26G
297 SPUTUM POT
298 URINE BAG
299 VACCINE CARRIER
300 WING NEEDLE NO 25G
301 WING NEEDLE NO. 23

47 OBAT GIGI
302 AIR RAKSA DENTAL USE
303 ALBOTHYL CONCENTRATE
304 BETADINE KUMUR
305 CAVITON / SEMEN
306 CHKM
307 CRESOPHEN / ENDOSEPTON
308 DEVITALISASI PASTA
309 ETHYLKLORIT SEMPROT
310 EUGENOL CAIRAN 10 ML
311 GLASS ISOMER CEMENT (GC 1 X)
312 KALSIUM HIDROKSIDA PASTA
313 MUMFYING PASTA
314 SEMEN SENG POSPAT SER+CA
315 SILVER AMALGAM
316 SPON GELATIN
317 T K F
318 TEMPORARY STOPING (Fletcher)

48 LARUTAN LABORATORIUM
319 AQUABIDEST
320 ASAM KLORIDA 0,1 N
321 ASAM SULFOSALISILAT
322 GIMSA STAIN
323 KAPORIT 1 KG
324 LARUTAN BENEDICT
325 LARUTAN EOSIN 2 %
326 LARUTAN GABBET
327 LARUTAN KARBON FUSCHIN
328 LARUTAN KINYOUN
329 LARUTAN METILEN BIRU
330 LARUTAN TURK
331 METANOL
332 OIL IMERSI
333 PERHYDROL
334 REAGEN ZIEHL NEELSEN
335 SPIRTUS
 LAPORAN UNTUK MBAK DANI

TOTAL
NO NAMA BARANG SATUAN KEBUTUHAN
PENGGUNAAAN

1 2 3 4 5
1 ANTI INVEKTIVES
1 AMOKSILIN SYR KER BOTOL 1,909 1,856
2 AMOKSILLIN KAP 500 MG TABLET 60,000 55,300
3 AMOXICLAV TAB TABLET 0 0
4 AMPISILIN INJ IM/IV 1000MG/ML VIAL 65 45
5 BENZATIN BENZIL PENISILIN 2,4 JUTA IU/VIAL VIAL 0 0
6 CIPROFLOXACIN 500 MG TABLET 5,650 1,450
7 DOXICICLIN 100 MG CAPSUL 0 0
8 ERYTROMISIN SYRUP 200 MG/5ML BOTOL 0 0
9 ERYTROMISIN 500 MG TABLET 0 0
10 GENTAMISIN INJEKSI 80 MG/2ML AMPUL 0 0
11 KLINDAMYCIN 300 MG CAPSUL 1,700 1,700
12 KLORAMFENIKOL SUSPENSI BOTOL 0 0
13 KLORAMFENIKOL KAPS 250 MG CAPSUL 1,882 1,782
14 KLORAMFENIKOL 500 MG CAPSUL 0 0
15 KOTRIMOKSAZOL SUSPENSI 60 ML BOTOL 1,095 939
16 KOTRIMOKSAZOL 480 MG TABLET 6,890 6,360
17 LEVOFLOKSASIN 500 MG TABLET 0 0
18 LINKOMISIN 500 MG CAPSUL 0 0
19 OFLOXACIN 400 MG TABLET 100 100
20 OKSITETRASIKLIN INJ VIAL 0 0
21 SEFADROKSIL 500 MG CAPSUL 170 170
22 SEFADROXIL SIR 125 MG/5ML BOTOL 175 128
23 SEFIKSIM 100 MG CAPSUL 4,000 2,560
24 SEFOTAKSIM INJEKSI 1GR/VIAL VIAL 10 10
25 SEFTRIAKSON SERB INJ 1G/VIAL VIAL 0 0
26 STREPTOMYCIN 1 GRAM VIAL
27 SULFADIMIDIN 500 MG TABLET 0 0
28 TETRASIKLIN HCL 500 MG CAPSUL 470 470
29 THYAMPHENICOL 500 MG TABLET 500 0

2 ANTI FUNGI
30 ANTIFUNGI DOEN POT 0 0
31 FLUKONAZOL 150 MG TABLET 0 0
32 GRISEOVULFIN 125 MG TABLET 3,166 2,866
33 KETOKONAZOL 200 MG TABLET 0 0
34 KETOKONAZOL CREAM 2% TUBE 80 0
35 METRONIDASOL 500 MG TABLET 10,900 8,940
36 METRONIDASOL BENZOAT SUSPENSI BOTOL 100 30
37 MICONASOL CREAM TUBE 552 534
38 NISTATIN 100.000 IU TABLET 0 0
39 NISTATIN 500.000 IU TABLET 0 0
3 ANTIVIRAL
40 ACICLOVIR 200 MG TABLET 0 0
41 ACICLOVIR 400 MG TABLET 200 200
42 ACICLOVIR CREAM TUBE 525 430

4 ANTIMALARIA
43 ARTESUNATE INJEKSI AMPUL 0 0
44 ARTESUNATE+AMODIAQUIN TAB TABLET 0 0
45 ARTHEMETER INJEKSI AMPUL 0 0
46 KOMB PIRIMETAMIN 25 MG+SULFADO TABLET 0 0
47 KUININE Hydrochlorida inj AMPUL 0 0
48 KUININE 222 MG TABLET 0 0
49 PRIMAKINA 15 MG TABLET 0 0

5 DERMATOLOGICAL-ANTIINFECTIVES 0 0
50 ANTIBAKTERI DOEN (BACITHRACIN) TUBE 0 0
51 GENTAMISIN SALEP KULIT TUBE 711 645
52 OKSITETRASIKLIN HCL SK TUBE 1,283 1,278

6 DERMATOLOGICAL- CORTICOSTEROID
53 BETAMETASON CREAM TUBE 303 303
54 HIDROKORTISON KRIM 1% TUBE 72 24
55 HIDROKORTISON KRIM 2,5% TUBE 1,345 1,212

7 TBC PREPARATION
56 ETAMBUTOL HCL 250 MG TABLET 0 0
57 ETAMBUTOL HCL 500 MG TABLET 0 0
58 ISONIAZIDA 100 MG TABLET 0 0
59 ISONIAZIDA 300 MG TABLET 0 0
60 OAT/FDC KATEGORI ANAK PAKET 0 0
61 OAT/FDC KATEGORI I PAKET 0 0
62 OAT/FDC KATEGORI II PAKET 0 0
63 OAT/FDC SISIPAN PAKET 0 0
64 OAT KATEGORI I DEWASA PAKET 0 0
65 PIRAZINAMIDA TAB 500 MG TABLET 0 0
66 RIFAMPICIN 450 MG TABLET 0 0
67 RIFAMPISIN 300 MG CAPSUL 0 0
68 RIFAMPISIN 600 MG TABLET 0 0

8 ANALGETIC-ANTIPIRETIC
69 ACETOSAL 100 MG TABLET 130 130
70 ANTALGIN 500 MG TABLET 9,038 7,688
71 ANTALGIN INJ AMPUL 0 0
72 PARACETAMOL 500 MG TABLET 104,220 97,150
73 PARACETAMOL SYR BOTOL 1,540 1,137
74 PARASETAMOL DROP BOTOL 327 275
75 TRAMADOL 50 MG CAPSUL 0 0
76 TRAMADOL INJ AMPUL 0 0
9 ANTACIDA
77 ANTASIDA DOEN 500 MG TABLET 43,000 37,610
78 ANTASIDA DOEN SUPENSI BOTOL 400 400
79 NATRIUM BIKARBONAT 500 MG TABLET 0 0

10 ANTHELMINTIC
80 ALBENDAZOL TAB 400 MG TABLET 0 0
81 ALBENDAZOL SUSPENSI 200 MG/5 ML BOTOL 0 0
82 DIETILKARBAMAZEPIN SITRAT TABLET 0 0
83 MEBENDAZOL 100 MG TABLET 0 0
84 MEBENDAZOL SYR BOTOL 0 0
85 PYRANTEL PAMOAT 125 MG TABLET 180 90

11 ANTI ANEMIA
86 BESI II SULFAT 300 MG TABLET 0 0

12 ANTI ASMATHIC
87 AMBROXOL 30 MG TABLET 0 0
88 AMBROXOL SYRUP 15 MG/ML BOTOL 177 177
89 AMINOPHYLLIN 200 MG TABLET 455 455
90 AMINOPHYLLIN INJEKSI AMPUL 30 30
91 EPHEDRIN 25 MG TABLET 0 0
92 SALBUTAMOL 2 MG TABLET 5,019 5,019
93 SALBUTAMOL 4 MG TABLET 3,200 3,200
94 SALBUTAMOL SYRUP 2 mg/5 ml BOTOL 0 0

13 ANTI DIABETIC
95 GLIBENKLAMID 5 MG TABLET 0 0
96 GLIMEPIRIDE 1 MG TABLET 0 0
97 GLIMEPIRIDE 2 MG TABLET 0 0
98 METFORMIN 500 MG TABLET 2,630 1,870

14 ANTI KHOLESTEROL
99 SIMVASTATIN 10 MG TABLET 2,550 1,420
100 SIMVASTATIN 20 MG TABLET

15 ANTI DIARREHEAL
101 LOPERAMID HCl 2 MG TABLET 2,370 2,370
102 ZINC 20 MG TABLET 3,670 3,670

16 ANTI PARKINSONISM
103 ANTI PARKINSON DOEN TABLET 0 0
104 TRIHEXYPENIDRIL 2 MG TABLET 0 0

17 ANTIHIPERTENSI
105 AMLODIPIN 5 MG TABLET 17,490 14,840
106 CAPTOPRIL 12,5 mg TABLET 13,315 10,200
 107 CAPTOPRIL 25 mg TABLET 1,000 500
108 CAPTOPRIL 50 MG TABLET 2,300 2,200
109 CLONIDIN 0,15 MG TABLET 0 0
110 FUROSEMID 40 MG TABLET 2,500 1,270
111 FUROSEMID INJ AMPUL 0 0
112 HIDROKLOROTIASIDA (HCT) TABLET 0 0
113 IRBESARTAN 150 MG TABLET 100 100

18 CARDIOVARCULAR PREP
114 BISOPROLOL 5 MG TABLET 0 0
115 DIGOKSIN TABLET 0 0
116 DILTIAZEM HCL 30 MG TABLET 0 0
117 ISOSORBID DINITRAT TABLET 0 0
118 NIFEDIPIN 10 MG TABLET 2,610 1,760
119 RESERPIN TAB 0,25 MG TABLET 0 0

19 CORTICOSTEROID
120 DEXAMETHASON 0,5 MG TABLET 53,085 44,350
121 DEXAMETHASON 5 MG/ML INJ AMPUL 85 85
122 METHYLPREDNISOLON 4 MG TABLET 20,000 14,100
123 PREDNISON 5 MG TABLET 0 0

20 ANTI HISTAMINES
124 CETIRIZINE SYRUP 5 MG/5ML BOTOL 200 185
125 CETIRIZINE 10 MG CAPSUL 15,000 13,560
126 DIPHENHYDRAMIN INJEKSI AMPUL 28 28
127 KLORFENIRAMINE MALEAT (CTM 4 MG) TABLET 40,000 39,400
128 LORATADINE 10 MG TABLET 0 0

21 EXPECTORANT & ANTITUSIVE

129 DEKSTROMETHORPHAN HBr 15 MG TABLET 0 0
130 DEKSTROMETHORPHAN HBr SYR BOTOL 0 0
131 GLYSERIL GUAIAKOLAT 100 MG TABLET 61,124 47,504
132 OBAT BATUK HITAM 100 ML BOTOL 559 559

22 GIT-ANTIEMETIC
133 DIMENHYDRINAT 50 MG TABLET 0 0
134 DOMPERIDONE SUSPENSI 5MG/5ML BOTOL 200 59
135 DOMPERIDONE TABLET TABLET 2,020 2,000
136 IPEKA SYRUP BOTOL 0 0
137 METOCLOPRAMIDE 10 MG TABLET 100 100
138 ONDANSENTRON 4 MG/2 ML AMPUL 0 0

23 GIT-ULCER
139 CIMETIDIN 200 MG TABLET 0 0
140 LANZOPRAZOL 30 MG CAPSUL 0 0
141 OMEPRAZOL 20 MG CAPSUL 900 300
142 RANITIDIN INJEKSI 25 MG AMPUL 0 0
 143 RANITIDIN TAB 150 MG TABLET 12,000 11,590

24 GIT-DISORDERS
144 ATROPIN SULFAT INJEKSI AMPUL 0 0
145 ATROPIN SULFAT 0,5 MG TABLET TABLET 0 0

25 GOUT PREPARATION
146 ALLOPURINOL 100 MG TABLET 4,000 880

26 LOCAL ANAESTHETIC
147 LIDOCAIN COMP INJEKSI KOMB. AMPUL 352 352
148 LIDOKAIN INJ 2% AMPUL 500 410

27 NSAID
149 ASAM MEFENAMAT 500 MG TABLET 10,260 10,240
150 IBUPROFEN 100 MG/5 ML SUSPENSI BOTOL 0 0
151 IBUPROFEN 200 MG TABLET 7,500 7,500
152 IBUPROFEN 200 MG/5 ML SUSPENSI BOTOL 0 0
153 IBUPROFEN 400 MG TABLET 13,500 11,900
154 KETOPROFEN INJ 100 MG/2 ML AMPUL 0 0
155 KETOROLAC INJ 30 MG/ML AMPUL 0 0
156 MELOKSIKAM 15 MG TABLET 6,350 4,350
157 NATRIUM DIKLOFENAK 50 MG TABLET 2,600 1,200
158 PIROKSIKAM 10 MG TABLET 3,520 2,320
159 PIROKSIKAM 20 MG TABLET 0 0

28 PSICOTROPICS
160 AMITRIPTILINA 25 MG TABLET 100 100
161 CLORPROMASIN 25 MG TABLET 0 0
162 DIAZEPAM 5 mg TABLET 0 0
163 DIAZEPAM 2 MG TABLET 0 0
164 DIAZEPAM INJ 5 MG/ML AMPUL 0 0
165 HALLOPERIDOL 0,5 MG TABLET 100 0
166 KLORPROMAZIN INJ 5MG/ML-2ML AMPUL 0 0
167 STESOLID RECTAL TUBE 5 MG TUBE 0 0

29 TRASSQUILIZER
168 FENOBARBITAL 30 MG TABLET 0 0
169 FENOBARBITAL INJ AMPUL 30 5
170 PIRACETAM 1200 MG TABLET 0 0
171 PIRACETAM INJ 1 GR AMPUL 0 0
172 PIRACETAM INJEKSI 3 GR AMPUL 0 0

30 VITAMIN
173 ASAM ASCORBAT 50 MG TABLET 48,020 47,770
174 ASAM ASKORBAT 250 MG TABLET 0 0
175 ASAM FOLAT 1 MG TABLET 0 0
176 PIRIDOKSIN (VIT B6) TABLET 0 0
 177 THIAMIN HCL INJ 100 MG/ML AMPUL 0 0
178 VITAMIN B 12 INJ 500 MCG/ML AMPUL 69 69
179 VITAMIN A 100.000 IU CAPSUL 3,450 3,450
180 VITAMIN A 200.000 IU CAPSUL 9,750 9,750
181 VITAMIN B KOMPLEKS TABLET 19,000 19,000
182 VITAMIN B1 TAB 50 MG TABLET 1,040 1,040
183 VITAMIN B12 TAB TABLET 4,500 4,480
184 VITAMIN K 10 MG TABLET 13 13
185 VITAMIN K INJ AMPUL 100 100

31 OFTAMOLOGIKUM
186 ATROPIN SULFAT TM 0,5% BOTOL 0 0
187 GENTAMISIN SULFAT TM 0,3% BOTOL 144 52
188 KLORAMFENIKOL 1% SALEP MATA TUBE 192 192
189 KLORAMFENIKOL 0,5% TETES MATA BOTOL 77 77
190 NATRIUM FLOURESEIN TM 2% BOTOL 0 0
191 OKSITETRASIKLIN 1% SALEP MATA TUBE 0 0
192 PILOKARPIN HCL NITRAT T.M BOTOL 0 0
193 SULFACETAMID TETES MATA BOTOL 0 0

32 OTOLOGIKUM
194 FENOL GLYSEROL TETES TELINGA 10% BOTOL 0 0
195 KLORAMFENIKOL 3% TETES TELINGA BOTOL 170 53

33 ANTI VERTIGO
196 BETAHISTIN MESILAT 6 MG TABLET 3,000 1,540

34 ANTI HEMOROID
197 ANTI HEMOROID SUPPOSITORIA SUPPO 288 288

35 ANTI MIGREN
198 ERGOTAMIN CAFFEIN TABLET 0 0

36 LARUTAN INFUS
199 DEXTRAN 70 LAR BOTOL 0 0
200 GLUKOSA LAR INFUS 10% BOTOL 0 0
201 GLUKOSE 5 % BOTOL 20 4
202 NATRIUM KLORIDA 0,9% INFUS BOTOL 34 23
203 RINGER LAKTAT BOTOL 340 223

37 OBAT KULIT LAIN

204 2-4 SALEP POT 360 358
205 KALIUM PERMANGANAT SERBUK POT 0 0
206 LEVERSTAN SALEP POT 0 0
207 SALISIL TALK BOTOL 470 467

38 OBAT BISUL
208 ICHTIYOL SALEP POT 0 0
39 OKSITOSIKUM
209 METILERGOMETRIN 0,2 MG/ML INJEKSI AMPUL 0 0
210 METILERGOMETRIN 0,125 MG TABLET 0 0
211 OKSITOSIN 10 IU/ML INJEKSI AMPUL 0 0

40 LARUTAN UNTUK LUKA

212 ETANOL 70% BOTOL 12 12
213 RIVANOL / ETAKRIDIN BOTOL 3 2
214 YODIUM POVIDON 300 ML BOTOL 10 10

41 ANTI EPILEPTIKUM/ANTIKONVULSI
215 NATRIUM FENITOIN 30 MG TABLET 0 0
216 NATRIUM FENITOIN 100 MG TABLET 0 0

42 SERUM
217 ATS 1500 IU AMPUL 0 0
218 SERUM ABU INJ 5 ML VIAL 0 0

43 OBAT SARIAWAN
219 GENTIAN VIOLET POT 0 0

44 ORALIT
220 GARAM ORALIT 200 ML AIR (PROG) SACHET 2,611 2,611

45 LAIN-LAIN
221 AQUA PRO INJ VIAL 38 38
222 CALSIUM GLUCONAS AMPUL 0 0
223 EPINEPRIN INJ AMPUL 0 0
224 EXTRAC BELLADON TABLET 0 0
225 FLOUR TAB 0,5 MG TABLET 0 0
226 GLISEROL /GLISERIL BOTOL 0 0
227 IODIOL KAPSUL LUNAK CAPSUL 0 0
228 KALIUM KLORIDA TABLET 0 0
229 KALSIUM LAKTAT 500 MG TABLET 31,150 30,050
230 LISOL BOTOL 6 0
231 MgSO4 40% BOTOL 86 38
232 MINERAL MIX SACHET 22 0
233 NATRIUM THIOSULFAT INJ 25% 10ML VIAL 0 0
234 PAPAVERIN TABLET TABLET 0 0
235 PARAFORMALDEHID TABLET 0 0
236 PROPILTHIOURACIL 100 MG TABLET 0 0
237 TABURIA SACHET 0 0

46 ALAT KESEHATAN
238 BISTURI NO.22 BUAH 39 39
239 CAT GUT NO 2/0 SACHET 0 0
240 CAT GUT NO. 3/0 SACHET 108 108
241 DISPOSIBLE 3 CC PCS 1,500 1,493
242 DISPOSIBLE SPUIT 1CC PCS 100 50
243 DISPOSIBLE SPUIT 2,5 CC PCS 0 0
244 DISPOSIBLE SPUIT 5 CC PCS 165 113
245 DISPOSIBLE SYRINGE 10 CC PCS 215 43
246 DISPOSIBLE SYRINGE 20 CC PCS 119 30
247 FILM X-RAY 24X30 CM BOX 0 0
248 FILM X-RAY 30X40 CM BOX 0 0
249 FILM X-RAY 35X35 CM BOX 0 0
250 FIXER DEVELOPER FILM SET 0 0
251 FOLEY CATH TWO WAY 16 PCS 0 0
252 FOLEY CATH TWO WAY 18 PCS 0 0
253 FOLEY CATH TWO WAY 20 PCS 0 0
254 HANDSCOEN NO. 8 PASANG 0 0
255 HANDSCOEN NO. 7,5 PASANG 298 285
256 HANDSCOEN NON STERIL LARGE PASANG 0 0
257 HANDSCOEN NO. 6,5 PASANG 0 0
258 HANDSCOEN NON STERIL MEDIUM PCS 0 0
259 HANSCOEN NO.7 PASANG 0 0
260 HYPAFIK 5 CM X 5 M ROL 0 0
261 HYPAFIK 10 CM X 5 M ROL 0 0
262 INFUSET ANAK SET 0 0
263 INFUSET DEWASA SET 250 186
264 IV CATHETER NO. 18 SET 158 83
265 IV CATHETER NO. 20 SET 159 142
266 IV CATHETER NO. 22 SET 230 156
267 IV CATHETER NO. 24 SET 50 5
268 JARUM JAHIT NO. 22 DAN 23 SAK/12 0 0
269 JARUM SUNTIK 23 G BIJI 0 0
270 KASA 2 M X 80 CM ROL 0 0
271 KAPAS 250 GRAM BKS 25 17
272 KAPAS BERLEMAK 500 GR BKS 4 4
273 KASA 5 CM ROL 0 0
274 KASA 10 CM X 4 M ROL 0 0
275 KASA 3 X 4 ROL 0 0
276 KASA 40 X 40 BIJI 160 160
277 KASA HID STERIL UK 18 X 22 CM KOTAK 0 0
278 KASA HIDR STERIL 16 X 16 KOTAK 1 0
279 KASA HIDROFIL UK 36M X 80CM ROL 13 13
280 KASA HYDROFIL 4 X 15 ROL 100 40
281 LANCET BOX 0 0
282 MASKER PCS 96 96
283 MASKER RESPIRATOR N95 PCS 0 0
284 MEDICINE PAKET PAKET 0 0
285 OBYEK GLASS BOX 0 0
286 PEMBALUT GIBS ROL 0 0
287 PENGHISAP LENDIR PCS 0 0
288 PLESTER 5 YARD X 1 INCHI ROL 0 0
 289 PLESTER 5 YARDX 2 INCH ROL 0 0
290 SARUNG TANGAN PANJANG PASANG 100 100
291 SAVETY BOX BUAH 955 955
292 SENDOK OBAT PLASTIK BUAH 0 0
293 SILK 2/0 SACHET 24 24
294 SILK 3/0 SACHET 4,500 4,500
295 SPUIT IMUNISASI 0,5ML 23G PCS 0 0
296 SPUIT IMUNISASI BCG 0,05 26G PCS 950 950
297 SPUTUM POT BUAH 0 0
298 URINE BAG PCS 0 0
299 VACCINE CARRIER BUAH 0 0
300 WING NEEDLE NO 25G SET 0 0
301 WING NEEDLE NO. 23 SET

47 OBAT GIGI 1 0
302 AIR RAKSA DENTAL USE BOTOL 4 2
303 ALBOTHYL CONCENTRATE BOTOL 4 4
304 BETADINE KUMUR BOTOL 0 0
305 CAVITON / SEMEN SET 1 0
306 CHKM BOTOL 0 0
307 CRESOPHEN / ENDOSEPTON SET 0 0
308 DEVITALISASI PASTA BOTOL 8 8
309 ETHYLKLORIT SEMPROT BOTOL 7 5
310 EUGENOL CAIRAN 10 ML BOTOL 0 0
311 GLASS ISOMER CEMENT (GC 1 X) SET 0 0
312 KALSIUM HIDROKSIDA PASTA TUBE 0 0
313 MUMFYING PASTA BOTOL 0 0
314 SEMEN SENG POSPAT SER+CA SET 1 1
315 SILVER AMALGAM BOTOL 25 25
316 SPON GELATIN BUAH 2 2
317 T K F SET 0 0
318 TEMPORARY STOPING (Fletcher) SET

48 LARUTAN LABORATORIUM 0 0
319 AQUABIDEST BOTOL 0 0
320 ASAM KLORIDA 0,1 N BOTOL 0 0
321 ASAM SULFOSALISILAT BOTOL 0 0
322 GIMSA STAIN BOTOL 2 1
323 KAPORIT 1 KG BOTOL 1 1
324 LARUTAN BENEDICT BOTOL 0 0
325 LARUTAN EOSIN 2 % BOTOL 0 0
326 LARUTAN GABBET BOTOL 0 0
327 LARUTAN KARBON FUSCHIN BOTOL 0 0
328 LARUTAN KINYOUN BOTOL 0 0
329 LARUTAN METILEN BIRU BOTOL 0 0
330 LARUTAN TURK BOTOL 1 1
331 METANOL BOTOL 0 0
332 OIL IMERSI BOTOL 0 0
 333 PERHYDROL BOTOL 0 0
334 REAGEN ZIEHL NEELSEN SET 0 0
335 SPIRTUS BOTOL

49 OBAT PATEN NON GENERIK

336 BATUGIN ELIXIR BOTOL 0 0
337 DABUR 35 G BURNAZIN CREAM TUBE 14 6
338 DUMIN REKTAL TUBE 125 MG TUBE 7 7
339 HEMOROGARD KAPSUL 0 0
340 HEMAFORT KAPLET 32,050 25,200
341 KURKUMEX SYRUP BOTOL 0 0
342 KURKUMEX TABLET TABLET 0 0
343 LAXANA 5 MG TABLET 480 350
344 MOLAGIT TABLET 2,550 2,410
345 MOLEXFLU TABLET 4,500 3,600
346 MOLEXDRYL SYRUP BOTOL 0 0
347 MOLEXFLU SYRUP BOTOL 180 60
348 NEOCENTA GEL TUBE 0 0
349 NEOKAOMINAL SUSPENSI BOTOL 158 98
350 NOPROSTOL TABLET 0 0
351 PACDIN SYRUP BOTOL 0 0
352 PEHAVRAL KAPLET 0 0
353 RECOVIT SIRUP BOTOL 0 0
354 SCABICID CREAM TUBE 60 60
355 SCABIMITE CREAM TUBE 18 18
356 SELKOM C GOLD TABLET 1,500 1,500
357 TENSIGARD KAPSUL 0 0
358 ZINKID SIRUP BOTOL 171 131
SISA STOK

53
4,700
0
20
0
4,200
0
0
0
0
0
0
100
0
156
530
0
0
0
0
0
47
1,440
0
0
0
0
0
500

0
0
300
0
80
1,960
70
18
0
0
 0
0
95

0
0
0
0
0
0
0

0
66
5

0
48
133

0
0
0
0
0
0
0
0
0
0
0
0
0

0
1,350
0
7,070
403
52
0
0
5,390
0
0

0
0
0
0
0
90

0
0
15
12
0
1,330
0
0

0
0
0
760

1,130
0

0
0

0
0

2,650
3,115
 500
100
0
1,230
0
0
0

0
0
0
0
850
0

8,735
0
5,900
0

15
1,440
0
600
0

0
0
13,620
0

0
141
20
0
0
0

0
0
600
0
 410

0
0

3,120

0
90

20
0
0
0
1,600
0
0
2,000
1,400
1,200
0

0
0
0
0
0
100
0
0

0
25
0
0
0

250
0
0
0
 0
0
0
0
0
0
20
0
0

0
92
0
0
0
0
0
0

0
117

1,460

0
0
16
11
117

2
0
0
3

0
 0
0
0

0
1
0

0
0

0
0

0
0
0
0
0
0
0
0
1,100
6
48
22
0
0
0
0
0

0
0
0
 7
50
0
52
172
89
0
0
0
0
0
0
0
0
13
0
0
0
0
0
0
0
64
75
17
74
45
0
0
0
8
0
0
0
0
0
0
1
0
60
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0

1
2
0
0
1
0
0
0
2
0
0
0
0
0
0
0
0

0
0
0
0
1
0
0
0
0
0
0
0
0
0
 0
0
0

0
8
0
0
6,850
0
0
130
140
900
0
120
0
60
0
0
0
0
0
0
0
0
40