TGL mulai ART No Rekam Medik / KODE

1 07 Jul 2022 319127

2 18 May 2021 300684
3 10 Aug 2017 223747
4 20 Apr 2021 299159
5 19 Jul 2019 203584
6 17 Dec 2022 324325
7 09 Feb 2021 295708
8 30 Dec 2019 279705
9 11 Sep 2013 277655
10 28 Apr 2008 282367
11 11 Jul 2016 282533
12 26 Oct 2021 293991
13 22 May 2020 262798
14 04 Oct 2020 294909
15 11 Nov 2021 307132
16 21 Jun 2022 254437
17 10 Mar 2022 314234
18 20 Sep 2022 311534
19 10 Feb 2010 281194
20 13 Aug 2020 291710
21 16 Dec 2022 287091
22 01 Jun 2016 289298
23 17 Nov 2021 278057
Nomor Register Nasional Nama

3175414-0053 ANDRIAN SUGIARTO

3175414-0031 ANGGA SUTANA
3175064-5344 ARYUNI
3175414-0029 DASORI
3175064-3130 EKA FITRIANI
3175414-0055 EKA JANUARI
3175414-0028 EKO SUSANTO
3175414-0009 Endang Estaulina
3173051-0339 Endra Killa
3173014-3261 Hendra c Sipayung
3173580-1610 Kristina Simanjuntak
3175414-0036 MUHAJIRIN RIANSYAH
3175414-0015 MUHAMMAD FADHIA ADAM MUZAKI
3175414-0026 MUHAMMAD NAUFAL ANTONO
3175414-0035 NUR ALISA
3175414-0052 NUR SELAMAT
3175414-0045 RIZKI MARDHANI
3175414-0056 RIZKY MAULANA PUTRA
3175064-3004 Roniyanti
3175414-0023 RUDI RUSNADI
3175414-0059 SAIJAH
3175064-5144 SURYA HASANUDIN
3175414-0037 TAHYUDIN
 Nama rejimen ART orisinal

TDF(300)/3TC(300)/DTG(50)
TDF(300)/3TC(300)/DTG(50)
TDF(300)/3TC(300)/DTG(50)
TDF(300)/3TC(300)/EFV(600)
TDF(300)+3TC(150)+NVP(200)
TDF(300)/3TC(300)/DTG(50)
TDF(300)/3TC(300)/EFV(600)
ZDV(300)/3TC(150)+NVP(200)
ZDV(300)/3TC(150)+NVP(200)
TDF(300)/3TC(300)/EFV(600)
TDF(300)/3TC(300)/EFV(600)
TDF(300)/3TC(300)/DTG(50)+DTG(50)
TDF(300)/3TC(300)/EFV(600)
TDF(300)/3TC(300)/EFV(600)
TDF(300)/3TC(300)/EFV(600)
TDF(300)/3TC(300)/EFV(600)
TDF(300)/3TC(300)/EFV(600)
TDF(300)/3TC(300)/EFV(600)
TDF(300)/3TC(300)/EFV(600)
TDF(300)/3TC(300)/EFV(600)
TDF(300)/3TC(300)/DTG(50)+DTG(50)
TDF(300)/3TC(300)/DTG(50)
TDF(300)/3TC(300)/EFV(600)
 Nomer
Nomer Registrasi TDF(300)/3TC(300)/
No nama pasien Rekam
Nasional DTG(50)
Medis

1 ANDRIAN SUGIARTO 319127 3175414-0053 1

2 ANGGA SUTANA 300684 3175414-0031 1
3 ARYUNI 223747 3175064-5344 1
4 DASORI 299159 3175414-0029

5 EKA FITRIANI 203584 3175064-3130

6 EKA JANUARI 324325 3175414-0055 1

7 EKO SUSANTO 295708 3175414-0028

8 Endang Estaulina 279705 3175414-0009

9 Endra Killa 277655 3173051-0339

10 Hendra c Sipayung 282367 3173014-3261

11 Kristina Simanjuntak 282533 3173580-1610

12 MUHAJIRIN RIANSYAH 293991 3175414-0036 1

13 MUHAMMAD FADHIA ADAM MU 262798 3175414-0015

14 MUHAMMAD NAUFAL ANTONO 294909 3175414-0026

15 NUR ALISA 307132 3175414-0035

16 NUR SELAMAT 254437 3175414-0052

17 RIZKI MARDHANI 314234 3175414-0045

18 RIZKY MAULANA PUTRA 311534 3175414-0056

19 Roniyanti 281194 3175064-3004

20 RUDI RUSNADI 291710 3175414-0023

21 SAIJAH 287091 3175414-0059 1

22 SURYA HASANUDIN 289298 3175064-5144 1
23 TAHYUDIN 278057 3175414-0037
TOTAL KEBUTUHAN 1 BULAN 7
TOTAL KEBUTUHAN MMD 3 BULAN 21
 DTG(50) TDF(300)/ 3TC (150) NVP (200)
TDF (300) Tenofir
Dolutegravir 3TC(300)/EFV(600) Lamivudin Nevirapine

1
1 1 1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
2 13 1 1 3
6 39 3 3 9
ZDV (300)/3TV(150)

1
1

2
6
 Penerimaan Tahun
Stok Awal 2023 Sisa Stok
No. Batch
No Nama obat Satuan MARET
2023 dan ED
MARET MARET

Zidovudin (Zdv) 100 D00676J

1 mg 60 Tablet 0 APR 2023 0 0 0

2 Lamivudine (3TC) 60 Tablet 1260 602036J 0 0 1440

150mg JUL 2023
K83422J
3 Nevirapine (NVP) 60 Tablet 360 NOV 2023 0 0 0
200mg F91905J
JUN 2024
Tenofovir (TDF) E91555J
4 300mg 30 Tablet 900 0 0 600
MEI 2023
(5 BOTOL)
Zidovudine DAN
5 (ZDV)/Lamivudine 60 Tablet 1440 0 0 1200
(3TC) 300/150mg F91781J
AGUSTUS
2023 (6
Tenofovir BOTOL)
6 (TDF)/Emtricitabine 30 Tablet 60 - 0 0 0
(FTC) 300/200mg

7 TDF/3TC/ 30 Tablet 1110 E210861 0 0 1560

EFV(300/300/600) MAR 2024

Dolutegravir (DTG)
8 50 mg 30 Tablet 180 - 0 0 150

TDF 300/3TC 3139036

9 300/DTG 50 30 Tablet 600 JUL 2023 0 0 390

Lopinavir/
10 Ritonavir (LPV/r) 30 Tablet 0 0 0 90
200/50
Sisa Stok

No. Batch
dan ED

Jul-24

Oct-24

Aug-23

Nov-24

Apr-24

Nov-24

Dec-24

Jul-23
 Penerimaan Tahun
2023 Sisa Stok
Stok Awal No. Batch
No Nama obat Satuan
APRIL 023 dan ED
APRIL APRIL

Zidovudin (Zdv) 100 D00676J

1 mg 60 Tablet 0 APR 2023 0 0 0

2 Lamivudine (3TC) 60 Tablet 1440 602036J 0 0 1140

150mg JUL 2023
K83422J
3 Nevirapine (NVP) 60 Tablet 0 NOV 2023 0 0 0
200mg F91905J
JUN 2024
Tenofovir (TDF)
4 300mg 30 Tablet 600 0 0 390
E91555J
MEI 2023
(5 BOTOL)
Zidovudine DAN
5 (ZDV)/Lamivudine 60 Tablet 1200 0 0 900
(3TC) 300/150mg F91781J
AGUSTUS
2023 (6
BOTOL)
Tenofovir
6 (TDF)/Emtricitabine 30 Tablet 0 - 0 0 0
(FTC) 300/200mg

TDF/3TC/ E210861
7 EFV(300/300/600) 30 Tablet 1560 MAR 2024 0 0 540

Dolutegravir (DTG)
8 50 mg 30 Tablet 150 - 0 0 150

9 TDF 300/3TC 30 Tablet 390 3139036 0 0 120

300/DTG 50 JUL 2023

Lopinavir/
10 Ritonavir (LPV/r) 30 Tablet 90 0 0 90
200/50
Sisa Stok

No. Batch
dan ED

Jul-24

Oct-24

Aug-23

Nov-24

Apr-24

Nov-24

Dec-24

Jul-23