SISA PERSEDIAAN OBAT &PERBELKES PER 31 DESEMBER 2022

APBD,PROGRAM & LAIN-LAIN

UNIT PELAYANAN : PUSKESMAS BORONG

KODE UNIT PELAYANAN : 5319010101
BULAN : 31 DESEMBER 2022
TAHUN : 2022
SISA STOK SETIAP UNIT PER 31 DESEMBER 2022
SISA STOK
GUDANG
STOCK AWAL
TOTAL FARMASI
NO NAMA OBAT, BMHP & ALKES SATUAN GUDANG PENERIMAAN PERSEDIAAN PUSTU ED SISA STOK PEMAKAIAN PUSKESMAS KET
FARMASI PUSTU PUSTU
APOTEK UGD RI VK GOLO UNIT PER 31
PUSKESMAS SOK JATI
KANTAR DESEMBER
2022

1 2 3 4 6 7 8 9 10 11 12 13 14 20 21
Analgetik
Analgetik Narkotika
1 Pethidin injeksi Ampul
Analgetik Non Narkotik
2 Antalgin injeksi Ampul
3 Antalgin tablet 500 mg Tablet 0
4 Asetosal tab 100 mg Tablet 400 200 600 20 20 180 400
5 Asam mefenamat tab 500 mg Kaplet 1100 2800 3900 300 260 90 80 60 40 20 850 950 2100
6 Ibuprofen tab 200 mg Tablet 0 0 0
7 Ibuprofen tab 400 mg Tablet 15600 15600 1000 140 110 30 70 50 40 1440 12660 1500
8 Ibuprofen suspensi 200mg/5ml Botol 0 0 0
9 Paracetamol syrup 120 mg/5 ml Botol 9 470 479 0 420 59
10 Paracetamol tab 100 mg Tablet 0 0 0
11 Paracetamol tab 500 mg Tablet 300 22200 22500 300 480 260 150 80 120 70 1460 21040
12 Serum Antitetanus 0 0 0
13 Kertas lakmus merah 12 12 0 12
14 kertas lakmus biru 9 9 0 9
15 Antipirai 0 0 0
16 Allupurinol tab 10 mg Tablet 0 0 0
17 Allupurinol tab 100 mg Tablet 450 1000 1450 200 200 550 700
Anastetik 0 0 0
Anastetik lokal 0 0 0
18 Etil klorida semprot 100 ml Botol 56 56 0 47 9
 Lidokain kompositum injeksi- 2 0
19 ml Ampul 120 260 380 0 380
Anastetik umum & Oksigen 0 0 0
20 Ketamin injeksi Vial 0 0 0
21 Oksigen gas Tabung 0 0 0
22 Prosedur perioperatif 0 0 0
Atropins sulfat injeksi 0,25 100
23 mg/ml-1 ml Ampul 200 200 100 0 0
24 Atropin sulfat (atropin) tab 0.5 mg Tablet 0 0 0
25 Atropin sulfat sulfat tetes mata 0 Botol 0 0 0
26 Morphin injeksi 10 mg Vial 0 0 0
27 Abate 0 0 0

Anti alergi, obat anafilaksis,

dan kortikostereoid 0 0 0
28 Cetirizine tab 10 mg Tablet 100 13000 13100 400 60 70 10 50 590 7410 5100
29 Cetirizine syrup 5mg/5 ml Botol 0 0 0
30 Deksametason injk.5mg/ml-1ml Ampul 400 400 99 21 9 4 5 3 141 199 60
31 Deksametason tab.0,5mg Tablet 0 0 0
32 Difenhydramin inj.10mg/ml-1ml Ampul 24 90 114 65 2 2 1 2 1 73 0 41
Efinefrin HCl/bitrat (adrenalin)
33 injeksi 0.1%- 1 ml Ampul 0 0 0
34 Prednison tab 5 mg Tablet 120 120 0 120
35 Methyl Prenisolon 4 mg Tablet 3700 3700 300 90 200 390 1810 1300
36 Loratadine 10 mg Tablet 1450 500 1950 150 50 200 1600 150
37 chlorpheniramin maleat 4 mg 13000 13000 600 460 130 70 60 90 110 1520 10080 1400
Antidotum dan obat lain untuk
keracunan 0 0 0
38 Kalium permanganat serbuk Botol 0 0 0
39 Magnesium sulfat serbuk 30 mg 0 0 0
40 Magnesium sulfat injeksi Vial 0 0 0
Anti epilepsi, antikonvulsi 0 0 0
41 Fenitoin tab 30 mg Tablet 0 0 0
42 Fenitoin Tab 100 mg Tablet 0 0 0
43 Fenitoin injeksi 50 mg/ml Ampul 0 0 0
Fenobarbital injeksi 50 mg/ml-2 30
44 ml Ampul 30 30 0 0
45 Fenobarbital tab 100 mg Tablet 0 0 0
46 Fenobarbital tab 30 mg Tablet 459 459 0 459
Antelmintik 0 0 0
47 Albendazol tab 400 mg Tablet 800 800 0 800 program
48 Mebedanzol tab 100 mg Tablet 0 0 0
 Pirantel Pamoat tab. 125 mg 100
49 basa Tablet 100 100 200 0 100
50 Pirantel syrup Botol 0 0 0
Antifilaria 0 0 0
51 Dietilkarbamazin tab 50 mg Tablet 0 0 0
0 0 0
Antibakteri 0 0 0
52 Amoksilin kaps 250 mg Kapsul 0 0 0
53 Amoksilin kaplet 500 mg Kaplet 1400 24600 26000 1200 570 120 240 50 80 120 2380 21820 1800
Amoksilin sirup kering 125mg/5 76
54 ml Botol 10 140 150 0 74
55 Ampicillin kaplet 500 mg Kaplet 0 0 0
Ampicillin syrup kering 125mg/5
56 ml Botol 0 0 0
57 Ampicillin injeksi 1 gr Vial 80 10 90 13 13 77
Benzatin bensil-penisillin injeksi 40
58 1.2 jt IU Vial 40 40 0 0
Benzatin bensil-penisillin injeksi
59 2.4 jt IU Vial 0 0 0
60 Ciprofloxasin 500 mg Tablet 300 2000 2300 200 420 50 40 60 30 800 700 800
61 Clindamicin kapsul 150 mg Kapsul 0 0 0
62 Clindamicin kapsul 300 mg Kapsul 0 0 0
63 Cefixime tab 100 mg Tablet 1100 3000 4100 250 160 40 20 30 10 510 2990 600
64 Cefadroxile syrup 250 mg Botol 230 230 0 139 91
65 Doksisiklin Kapsul 0 0 0
66 Eritromicin tab 500 mg Tablet 0 0 0
67 Eritromicin syrup kering Botol 0 0 0
68 Eroteromicin uap 250 mg Tablet 0 0 0
69 Fenol Gliserol Botol 0 0 0
70 Gentamicin injeksi 80 mg/20 ml Ampul 0 0 0
71 Gentamicin salep kulit 0.1% Tube 0 0 0
Gentamicin sulfat tetes mata
72 0.3% Botol 9 9 0 9
Prokain benzilpenisilin injeksi 3 30
73 jt IU Vial 30 30 0 0
74 Tetrasiklina Kapsul 500 mg Kapsul 0 0 0
Oksitetrasiklin injeksi 50 mg/ml-
75 10 ml Vial 0 0 0
Oksitetrasiklin HCl salep kulit
76 3%-5 gr Tube 0 0 0
Oksitetrasiklin HCl salep mata
77 1%-5 gr Tube 17 75 92 0 92 program
78 Antibakteri doen salep kulit Tube 0 0 0
79 Gentian violet larutan 1%-5 ml Botol 0 0 0
80 Kloramfenikol kapsul 500mg Kapsul 1000 1000 600 100 700 100 200
Kloramfenikol salep mata 1%-5
81 gr Tube 0 0 0
Kloramfenikol tetes telinga 3%-5
82 ml Botol 7 7 0 7

83 Kloramfenikol tetes mata 0.5% Botol 0 0 0

84 Kloramfenikol syrup Botol 8 8 0 8
Kotrimoksazole combinasi tablet 1000
85 480 mg Tablet 200 8500 8700 280 280 7420
Kotrimoksazole pediatrik tablet
86 120 mg Tablet 0 0 0
Kotrimoksazole syrup 240 mg/5-
87 ml Botol 51 250 301 0 301
88 Metronidazole tab 250 mg Tablet 0 0 0
89 Metronidazol tablet 500 mg Tablet 4800 4800 160 50 20 50 10 290 3610 900
Anti Lepra 0 0 0
90 Dapson tab 100 mg Tablet 0 0 0
91 Klofazimin tab 100 mg Tablet 0 0 0
92 Paket obat kusta dewasa Tablet 0 0 0
0 0 0
Anti TBC untuk program OAT 0 0 0
93 Analiser tensimeter 0 0 0
94 Body fat 0 0 0
95 FDC I Paket 60 60 0 44 16 program
96 FDC 2 Paket 0 0 0
97 FDC 3 Paket 0 0 0
98 Glukosa tes 0 0 0
99 INH tab 100 mg Tablet 0 0 0
100 KIT jantung sehat 0 0 0
101 Sisipan 0 0 0
102 Sputum Pot Pot 600 600 0 600 program
103 Zield Nelsen Botol 0 0 0
104 FDC Kat Anak Paket 3 3 0 3 program
105 Obyek glass/slide Pcs 0 0 0
106 Priazinamida tab 500 mg Tablet 0 0 0
Antifungi 0 0 0
107 Griseofulvin tablet 125 mg Tablet 250 2200 2450 0 850 1600
108 Miconaszole krim 1% Tube 240 240 2 2 238
109 Ketokonazole salep kulit Tube 300 300 21 21 229 50
110 Ketokonazole tab 200 mg Tablet 100 2000 2100 200 100 300 800 1000
Asam benzoat 6% + Asam
111 salisilat 3% salep Pot 48 48 0 48
 Asam salisilat 2% + Belerang
112 endap 4% salep Pot 24 24 0 24
113 Nistatin tab vaginal 100.000 IU Tablet 0 0 0
114 Nistatin tab vaginal 500.000 IU Tablet 400 400 0 300 100
Dolutegravir 50 mg + Lamivudin
115 300 mg 8 8 0 8
Antimalaria 0 0 0
116 Abate Kaleng 2 2 0 2 program
117 ACT 0 0 0
118 Anisol 0 0 0
119 Artemeter injeksi 80 mg/ml 0 0 0
120 Artesunat Amodiaquin tablet 0 0 0
121 Artesunat injeksi Vial 0 0 0
122 Arterakine 0 0 0
123 Aitosit breacket 0 0 0
124 Arsuamon 0 0 0
125 Blood lancet 300 1000 1300 0 300 1000
126 Blood slide 360 360 0 360
127 Benedicarb/Fikam 0 0 0
Kina dihidroklorida injeksi 25%-2
128 ml Ampul 0 0 0
129 Kina tab 222 mg Tablet 0 0 0
130 Kunina tab 200 mg Tablet 0 0 0
Klorokina fosfat (klorokina) tab
131 250 mg Tablet 0 0 0
132 Klorokuin tab 150 mg Tablet 0 0 0
Kom. Pirimetamin 25 mg +
133 sulfadoksin 500 mg Tablet 0 0 0
134 Primakuin tab 15 mg Tablet 0 0 0
135 Reagen giemsa Botol 5 1 6 0 6
136 RDT Malaria 100 500 600 0 600 program

Obat Anti Malaria

137 (dihydroartemisin piperaquin tab Box 0 0 0
138 Slide box 0 0 0
139 Auto click Pcs 0 0 0
140 Kaporit 0 0 0
Antimigran 0 0 0
Ergotamin tartrat 1 mg + kofein 90
141 50 mg tab kom Tablet 100 100 0 10

Anti Anemia dan Roborantia 0 0 0

Asam Askorbat (Vit.C) Tablet 50
142 mg Tablet 1400 22000 23400 60 60 23340
 Asam askorbat (Vit.C) Tablet 330
143 500 mg Tablet 2700 2700 30 30 2340
144 Asam folat tab 1mg Tablet 200 4500 4700 300 300 4300 100
145 Asam folat tab 5 mg Tablet 0 0 0
146 Fitomenadion injeksi Ampul 30 210 240 2 23 30 25 185
147 Fitomenadione Neo injeksi Ampul 0 0 0
148 Fitomenadion tab salut 10 mg Tablet 500 500 0 500
Piridoksin HCl (vit. B6) tab 10 1100
149 mg Tablet 100 9000 9100 200 80 280 7720
Sianocobalamin (Vit.B12) inj.500
150 mg/ml-1 ml Ampul 100 200 300 8 8 292
Sianocobalamin (Vit.B12) tab 50
151 mg Tablet 4500 4500 0 4500
Thiamin HCl injeksi 100 mg/ml-1
152 ml Ampul 0 0 0
153 Thiamin HCl tab 50 mg Tablet 12200 12200 200 260 140 170 770 9330 2100
154 Vitamin B Kompleks Tablet 300 35000 35300 0 35300
Obat-obat program KIA-Gizi 0 0 0
Besi (II) sulfat salut tablet 300
155 mg Tablet 0 0 0
Besi (II) sulfat salut tablet 200
156 mg Tablet 1800 10000 11800 50 60 190 230 120 650 11150 program
Besi (II) sulfat salut tablet 200 14000
mg Tablet 85000 85000 71000
157 Calci glukonas inj 100 mg/ml Ampul 24 24 12 12 12
158 Ferro sulfat 300 mg Tablet 0 0 0
159 Glukoprotein urine test Pcs 0 0 0
160 Handscoenno. 7 Pasang 650 650 0 650
161 Handschoen no.7,5 Pasang 0 0 0
162 Handscoen Obgyn Pasang 0 0 0
163 Handschoen no.6,5 Pasang 3500 3500 0 3500
164 Handscoen non steril M Pasang 10000 10000 100 100 9900
165 Handscoen panjang no. 7 Pasang 0 0 0
166 Handscoen panjang no. 7,5 Pasang 0 0 0
167 Handscoen panjang no. 8 Pasang 0 0 0
168 IV Canual 18 G 0 0 0
169 Iodol kapsul lunak Kapsul 0 0 0
170 Kalsium laktat tab 500 mg Tablet 5000 24500 29500 700 700 26000 2800
171 Levonorgestrel 75 mg 0 0 0
172 Levothyroxin tablet 0 0 0

173 Methylergometrin 0.125 Mg tab Tablet 200 200 0 200

174 Meteran bayi 0-30 hari 0 0 0
175 Mineral mix 1400 1400 0 680 720 program
176 Microtoice 0 0 0
177 Methylergometrin injeksi Ampul 0 0 0
178 Natrium bikarbonat tab 500 mg 0 0 0
179 Reagen tes kehamilan 0 0 0
180 Reagen tes golongan darah 0 0 0
181 Reagen tes Hb (bukan lakmus) 0 0 0
Retinol 100.000 IU kapsul anak
182 (Biru) Kapsul 2000 2000 91 91 1909
Retinol 200.000 IU kapsul anak
183 (Merah) Kapsul 1850 1850 0 1850 program
184 Tes kehamilan 50 50 0 50
0 0 0
Obat bahan gigi dan mulut 0 0 0
Devitalisasi pasta septo (non
185 arsen) Botol 0 0 0
186 Eugenol 10 ml Botol 0 0 0
187 Fletcher serbuk & cairan Botol 0 0 0
188 Flour tablet 0.5 mg Botol 0 0 0
189 Glas lonomer semen Botol 0 0 0
190 Gliserin Botol 0 0 0
191 Kalsium hidroksida pasta 0 0 0
192 Mercury nitrat pasta 0 0 0

193 Monoklorkamfer mentol (CHKM) 0 0 0

194 Mumifyng pasta 0 0 0
195 Semen seng fosfat 0 0 0

196 Silver amalgam serbuk 65-75% 0 0 0

197 Spongostan dental use 0 0 0
198 Sulfacocus (kerucut) peparat 0 0 0
199 Zinc 4500 4500 50 70 110 70 300 3700 500
Temporary Stoping Fletcher
200 Serbuk & Cairan 0 0 0
0 0 0
Diuretika 0 0 0
201 Furosemida tab 40 mg Tablet 0 0 0
202 Furosemidainjeksi Ampul 0 0 0
1100
203 Propiltiourasil (PTU) tab 100 mg Tablet 1200 1200 0 100
204 Antidiabetes 0 0 0
205 Glibendclamida 2.5 mg Tablet 0 0 0
206 Glibendclamida 5 mg Tablet 600 3000 3600 0 200 3400
207 Metformin 500 mg Tablet 5450 8000 13450 310 70 380 11170 1900
 0 0 0
Antiseptik disinfektan 0 0 0
208 Bayclean cair Botol 0 0 0
209 Etakrinadiol (rivanol) 300 ml Botol 25 25 4 1 5 20
210 Etanol ( Alkohol) 70% 100 ml Botol 0 0 0
211 Etanol ( Alkohol) 70% 1000 ml Botol 90 90 3 2 2 1 1 1 10 69 11
212 Hidrogen peroxida cairan Botol 0 0 0
213 Lisol Tersabun 50% - 1 liter Botol 0 0 0
Povidone iodida larutan 10 %
214 1000 ml Botol 0 0 0
Povidone iodida larutan 10 %
215 300 ml Botol 25 2 27 3 1 1 1 1 1 8 19
Povidone iodida larutan 10 % 60
216 ml Botol 0 0 0
Povidone iodida larutan 10 % 30
217 ml Botol 0 0 0
218 Aseptick Gel Botol 0 0 0
219 Antibakteri handwash Botol 5 69 74 1 1 1 1 1 5 50 19
Program Promkes 0 0 0
220 Kaporit Kaleng 0 0 0
221 Kaporit tablet Tablet 0 0 0
222 DHP 0 0 0
223 Ferri amonium sulfat 0 0 0
224 LIPOL 0 0 0
225 Natrium tiosulfat Botol 0 0 0
226 Reagen LB 0 0 0
227 Reagen BGLB 0 0 0
Reagen BP (bakteriologikal
228 pepton) 0 0 0
Program HIV/AIDS 0 0 0
229 Acyklovir 200 mg Tablet 0 0 0
230 Acyklovir 400 mg Tablet 500 500 0 500
231 Acyclovir salep Tube 72 72 6 6 66
232 Ciplox 250 mg Tablet 0 0 0
233 Determinat tab Tablet 0 0 0
234 Flucoric 100 mg Tablet 0 0 0
235 Flukonazole Kapsul 50 mg Kapsul 0 0 0
236 Serum Bisa Ular Vial 3 3 0 3

237 Gentamicin injeksi 80 mg/20 ml Ampul 0 0 0

Gentamicin sulfat tetes mata
238 0.3% Tube 0 0 0
239 HIV 1/2 tab 0 0 0
240 Imunocan tab Tablet 0 0 0
241 Nistatin tab salut 500.000 IU/g Tablet 0 0 0
242 Nistatin tab salut 100.000 IU/g Tablet 0 0 0
243 Ofloxacin 200 mg Tablet 0 0 0
Rapit test reagent HIV/AIDS 100
244 ( SD Bio Line) Tablet 500 500 0 400 program

Antiangina, Antiaritmia,
Antihipertensi, Gagal Jantung 0 0 0
245 Captopril tab 50 mg tab Tablet 0 0 0
246 Captopril 25 mg tab Tablet 8000 8000 800 420 220 170 190 1800 4700 1500
247 Captopril 12.5 mg tab Tablet 0 0 0
248 Digoksin tab 0.25 mg Tablet 100 300 400 0 300 100
249 Hidroklortiazida (HCT) tab 25 mg Tablet 100 100 100 0 0
250 Isosorbit dinitrate tab 5 mg Tablet 200 200 80 80 20 100
251 Nifedipin tab 10 mg Tablet 1300 1300 50 70 30 40 80 270 1030
252 Bisoprolol Tablet 840 840 0 840
253 Propanolol HCl tab 40 mg Tablet 0 0 0
254 Propanolol HCl tab 10 mg Tablet 0 0 0
255 Reserpin tab 150 mg Tablet 0 0 0
256 Reserpin tab 0.10 mg Tablet 0 0 0
257 Reserpin tab 0.25 mg Tablet 0 0 0
258 Amlodipin 5 mg Tablet 300 28000 28300 350 240 590 26260 1450
259 Amlodipin 10 mg Tablet 300 21500 21800 400 520 100 20 30 30 1100 18800 1900
Anti Inflamasi dan Anti Puritik 0 0 0
260 Betamethasone krim 0.1%-5 gr Tube 27 325 352 23 6 29 323
261 Bacitracin salep Tube 0 0 0
262 Fenibutasone 200 mg Tablet 0 0 0
Hidrocortisone 2,5% - 5 gr salep
263 kulit Tube 192 192 0 192
264 Hidrokortisone krim 1% Tube 0 0 0
265 Kalium diklofenak tab 50 mg Tablet 800 800 0 800
266 Ketoprofen tab 100 mg Tablet 0 0 0
267 Natrium diklofenak tab 50 mg Tablet 1600 7000 8600 500 170 30 700 4800 3100
268 Natrium diklofenak tab 25 mg Tablet 0 0 0
269 Piroksikam 10 mg Kapsul 1000 1000 300 200 500 50 450
270 Piroksikam 20 mg Kapsul 200 200 0 200
271 Ketorolac injeksi Ampul 40 250 290 24 24 236 30
Antiskabies & Keratoplastik 0 0 0
272 Gameksan emulsi 1%-100 ml Botol 0 0 0
0 0 0
Keratolitik & Keratoplastik 0 0 0
273 Salisil Bedak 2% - 50 gr Bks 10 102 112 8 1 9 94 9
0 0 0
Salep luka Bakar 0 0 0
274 Minyak salep ikan Pot 0 0 0
0 0 0

275 Larutan Elektrolit, Nutrisi, dll 0 0 0

Aqua pro injeksi steril, bebas 69
276 pirigen 25 ml Vial 108 110 218 2 2 147
277 Aquadest steril 500 ml Botol 13 13 0 12 1 covid
Dekstran 70 larutan infus 6%
278 steril Botol 0 0 0
279 Garam Oralit untuk 200ml air Saset 300 1200 1500 9 30 50 20 109 1091 300 program
Glukosa Larutan Infus 40% - 8
280 500 ml Botol 12 12 2 2 2
Glukosa Larutan Infus 10% - 75
281 500 ml Botol 440 440 16 5 21 344
Glukosa Larutan Infus 5% - 500 20
282 ml Botol 120 120 10 10 90
NaCl larutan infus steril 0.9%- 200
283 500 ml Botol 760 760 61 28 37 6 9 3 144 416
Ringer Laktat Larutan Infus 120
284 Steril 500 ml Botol 580 2400 2980 100 34 39 7 10 5 195 2665
Oksitosin dan Relaksan
Uterus 0 0 0
Methylergometrin injeksi 0.2 100
285 mg/ml-2 ml Ampul 290 290 45 45 145

286 Methylergometrin tab 0.125 mg Tablet 0 0 0

100
287 Oksitosin injeksi 10 IU/ml-1 ml Ampul 200 200 400 23 23 277
Anti Ansietas dan Anti
Insomnia 0 0 0
288 Diazepam injeksi 10 mg/ml-2 ml Ampul 0 0 0
289 Diazepam injeksi 5 mg/ml-2 ml Ampul 10 20 30 1 1 1 3 9 18 program
290 Diazepam tab 5 mg Tablet 167 100 267 144 0 23 100
291 Diazepam tab 2 mg Tablet 0 0 0
292 Karbamazepin tab 200 mg Tablet 0 0 0
293 Stesolip suppo Suppo 45 30 75 1 1 2 4 40 31

Anti Depresi dan Anti Mania 0 0 0

294 Amitripthilyn HCL 25 mg Tablet 500 500 0 50 450
Anti Psikosis 0 0 0
295 Klorpromazin HCl tab 25 mg Tablet 0 0 0
0 0 0
 Antasida dan Anti Ulkus 0 0 0
296 Antasida DOEN tablet Tablet 1400 21000 22400 300 170 80 550 19850 2000
297 Antasida Suspensi Botol 76 600 676 0 676
298 Cimetidin tablet 200 mg Tablet 500 500 200 150 350 50 100
299 Domperidon tab Tablet 3300 3300 60 30 20 70 500 180 2620
300 Domperidon syrup Botol 17 310 327 0 327
301 Famotidin tab 40 mg Tablet 0 0 0
302 Metroklorpramid tab 10 mg Tablet 6500 6500 500 270 100 870 1930 3700
303 Metroklorpramid tab 5 mg Tablet 0 0 0
Metroklorpramid syrup 5 mg/5
304 ml Botol 0 0 0
305 Metoclorpraide injeksi Ampul 0 0 0
306 Ranitidin tablet 150 mg Tablet 2800 10000 12800 400 400 9200 3200
307 Ranitidin injeksi Ampul 100 500 600 45 11 5 3 64 536
308 Omeprazole kapsul 20 mg Kapsul 420 1800 2220 0 2220
Anti Spasmodik 0 0 0
309 Ekstrak beladona Tablet 0 0 0
Anti Asma 0 0 0
Aminofillin injeksi 24 mg/ml-10
310 ml Vial 0 0 0
311 Aminofillin tab 200 mg Tablet 0 0 0
312 Aminofillin tab 150 mg Tablet 0 0 0
313 Efedrin HCl tab 50 mg Tablet 0 0 0
314 Efedrin HCl tab 25 mg Tablet 0 0 0
315 Salbutamol 4 mg Tablet 500 500 1000 100 190 40 330 670
316 Salbutamol 2 mg Tablet 0 0 0
317 Salbutamol syrup Botol 0 0 0
Anti Tusive dan Expectoran 0 0 0
318 Ambroxol tab 30 mg Tablet 21000 21000 800 360 170 30 20 20 1400 17800 1800
319 Ambroxol syrup 15 mg/5 ml Botol 48 145 193 0 114 79
Dekstrometorfan Hbr syrup 10
320 mg/ml Botol 0 0 0

321 Dekstrometorfan Hbr tab 15 mg Tablet 0 0 0

Gliseril guaiakolat tab 100
322 mg/Guafenesin Tablet 200 200 0 200
323 Kodein HCl tab 30 mg Tablet 0 0 0
324 Kodein HCl tab 20 mg Tablet 0 0 0
325 Kodein HCl tab 15 mg Tablet 0 0 0
326 Kodein HCl tab 10 mg Tablet 0 0 0

327 Obat batuk hitam (OBH) 200 ml Botol 0 0 0

0
328 Obat batuk hitam (OBH) 100 ml Botol 7 209 216 0 216
 Vaksi dan Serum 0 0 0
329 Serum ABU 5 ml (ABU I) Vial 3 3 2 0 1
330 Serum ABU 50 ml (ABU II) Vial 0 0 0
Serum anti tetanus injeksi 1.500 1
331 IU/ampul Ampul 13 13 0 12
Serum anti tetanus injeksi
332 20.000 IU/ampul Ampul 0 0 0
333 Vaksin BCG Ampul 0 0 0
334 Vaksin campak Rubela Vial 0 0 0
335 Vaksin DPT Vial 0 0 0
336 Vaksin DPT-HB Vial 0 0 0
337 Vaksin DT Vial 0 0 0
338 Vaksin hepatitis B0 Vial 0 0 0
339 Vaksin Polio Oral Vial 0 0 0
340 Vaksin Polio Injeksi Vial 0 0 0
341 Vaksin Td Vial 0 0 0
342 Vaksin Meningitis Vial 0 0 0
343 Vaksin Rabies kering Vial 0 0 0
344 Serum Anti Rabies Vial 0 0 0
345 Vaksin HbIg Vial 0 0 0
Alat-Alat Kesehatan 0 0 0
346 IV Catheter no.18 Pcs 250 250 36 6 42 8 200
347 IV Catheter no.20 Pcs 200 50 250 103 103 147
348 IV Catheter no.22 Pcs 80 900 980 83 22 105 825 50
349 IV Catheter no.24 Pcs 20 950 970 47 47 923
350 Air raksa dental use 0 0 0
351 Anisol 0 0 0
Cat Gut Chromick Benang 36
352 bedah no. 2/0 + Jarum Pcs 24 252 276 23 9 32 208
Cat Gut Chromick Benang 84
353 bedah no. 3/0 + Jarum Pcs 48 192 240 10 10 146
Cat Gut Plain Chromik caset
354 no.3/0 - 100M, Bio Pcs 48 48 0 48
355 Cat gut 3/0 Pcs 0 0 0
356 Cat gut 2/0 Pcs 0 0 0
357 Disposible 0.05 ml Pcs 0 0 0
358 Disposible 0.5 ml Pcs 0 0 0
359 Disposible 1 ml Pcs 0 0 0
360 Disposible 2.5 ml Pcs 0 0 0
361 Disposible 3 ml Pcs 5900 5900 148 47 195 5705
362 Disposible 5 ml Pcs 200 200 0 200
363 Disposible 10 ml Pcs 0 0 0
364 Folley Catheter no.16 Pcs 20 280 300 11 11 179 110
365 Folley Catheter no.18 Pcs 40 70 110 37 8 45 15 50
366 Folley Catheter no.10 Pcs 0 0 0
367 Folley Catheter no.14 Pcs 50 50 10 10 0 40
368 Giemsa Botol 0 0 0

369 H2O2 3 % 100 cc om, botol kaca Botol 0 0 0

370 Infusion Set Anak Pcs 250 840 1090 57 50 107 483 500
371 Infusion Set Dewasa Pcs 300 670 970 60 29 3 5 6 103 517 350
372 Nasal oksigen anak Pcs 20 60 80 0 67 13
373 Nasal oksigen dewasa Pcs 20 20 0 20
374 Jarum jahit kulit ukuran besar lusin 0 0 0

375 Jarum jahit kulit ukuran sedang lusin 0 0 0

376 Jarum jahit kulit ukuran kecil lusin 0 0 0
377 Jarum jahit otot ukuran besar lusin 0 0 0

378 Jarum jahit otot ukuran sedang lusin 0 0 0

379 Jarum jahit otot ukuran kecil lusin 0 0 0
380 Kapas pembalut 250 g Roll 0 0 0
381 Kasa steril 16 X 16 steril Kotak 41 500 541 21 5 12 38 325 178
382 Kasa pembalut 2 m x 80 cm Roll 0 0 0
383 Kasa 40 m X 16 cm Roll 0 0 0
384 Kasa 40m X 80 Yard Roll 0 0 0
Larutan klorida 0.1 N 100 ml/HCl
385 0.1 N 100 ml Botol 0 0 0
386 Masker Pcs 400 400 0 400 program TB
3400 3400 3400 apbd
387 Negatif control 0 0 0
388 Plester 5 yard x 2 inci Roll 68 160 228 7 1 1 9 219
389 Positif control 0 0 0
390 Silk (benang bedah) no 3/0 Pcs 84 84 24 24 12 48
391 Silk (benang bedah) no 2/0 Pcs 108 108 23 23 49 36
392 Silk/zyde caset 3/0 100 m.Bio 0 0 0
393 Salisil spiritus 0 0 0
394 Salmonela Typhi O 0 0 0
395 Salmonela Parathypi Ao 0 0 0
396 Salmonela Parathypi Bo 0 0 0
397 Salmonela Parathypi Co 0 0 0
398 Salmonela Typhi H 0 0 0
399 Salmonela Paratyphi Ah 0 0 0
400 Salmonela Paratyphi Bh 0 0 0
401 Salmonela Paratyphi Ch 0 0 0
402 Urin Bag 140 140 2 1 3 137
403 Wing needle no.23 G Pcs 0 0 0
404 Wing needle no.25 G Pcs 0 0 0
405 Stomach tube no 18 Pcs 5 5 10 4 4 6
406 Stomach tube no 16 Pcs 5 5 0 5
407 Stomach tube no 14 Pcs 5 5 0 5
408 Stomach tube no 12 Pcs 5 5 10 3 3 7
409 Zield Nelsen Botol 0 0 0
410 Masker kain Pcs 170 170 0 170
411 Plasterin bening Rol 0 0 0
412 Plasterin coklat Rol 0 0 0
Program KB 0 0 0
413 Depoprovera 150 + Dispo 3 ml Vial 0 0 0
414 Implant 3 tahun Pcs 0 0 0
415 IUD Cooper T Pcs 0 0 0
416 Kondom biasa Lsn 0 0 0

Obat suntik KB 3
417 bulanan/Medroxyprogesteron inj Strip 0 0 0
418 Pil KB kombinasi Strip 0 0 0
419 Susuk KB 1-3 tahun 0 0 0
Lain-lain 0 0 0
420 Antihemoroid supo Supo 10 10 0 10
421 Gliserol 100 ml Botol 0 0 0
422 Iodinal test 0 0 0
423 MgSO4 inj 20%-25 ml Vial 36 36 0 36
424 MgSO4 inj 40%-25 ml Vial 36 36 0 36
425 Loperamid HCl 2 mg Tablet 200 1200 1400 180 200 180 620 400
426 Larutan turk Botol 0 0 0
427 Larutan hayem Botol 0 0 0
428 Larutan rees echer Botol 0 0 0
429 Na Citrat Botol 0 0 0
430 Reagen benedict Botol 0 0 0
431 Kalium permanganat serbuk Pot 0 0 0
432 Thiamfenikol kapsul Kapsul 0 0 0
433 Emersil oil Botol 1 1 0 1
434 Trifed Tablet 0 0 0
435 Serbuk EDTA Bks 0 0 0
436 As. Acetat Botol 0 0 0
437 Strip asam urat Botol 3 10 13 0 8 5
438 Strip urinalisa Botol 0 0 0
439 Strip cholesterol Botol 0 0 0
440 Striup glukosa Botol 4 10 14 0 9 5
441 Haemometer Set 0 0 0
442 Glukosa Meter Pcs 0 0 0
443 Cholesterol meter Pcs 0 0 0
444 Plastik klip Pcs 0 0 0
445 Kertas Perkamen Lembar 900 3500 4400 100 100 100 20 20 20 360 3040 1000
446 Cleaner Botol 0 0 0
447 Kertas lakmus 0 0 0
448 Ketorolac tab 0 0 0
449 Lyse 0 0 0
450 Diluent 0 0 0
451 Simvastatin 10 mg Tablet 600 2000 2600 20 20 2580
452 Umbilical cord clem 200 200 0 0 200
453 Azitromicin 0 0 0
454 Gemfibrozil 1000 2000 3000 70 70 2930
455 Human hexagon sifilis test 0 0 0
456 Labkit 0 0 0
457 Dopamin injeksi Ampul 0 0 0
458 Rapi test HIV 0 0 0
459 Reagen AST/GOT-GPT 0 0 0
460 Reagen Gol Darah A 3 3 3 0 0
461 Reagen Gol Darah B 3 3 3 0 0
462 SD HIV 1,2 0 0 0
463 Tabung EDTA ungu 0 0 0
464 Alkh. Sweab 5800 5800 0 5200 600 program
465 Methanol Botol 1 1 0 1
466 Norit 150 210 360 60 60 120 120 120
467 Attapulqit 100 1100 1200 148 148 852 200
468 Oksigen Sungkup DWS pcs 0 0 0
469 Oksigen Sungkup Anak pcs 20 8 28 10 10 13 5
470 Haloperidol Tablet 515 2500 3015 0 2315 700 program
471 Risperidon 2 mg Tablet 255 1000 1255 0 1255 program
472 Clorpromazine HCL Tablet 545 545 205 0 340
473 Trihexiphenidryl Tablet 110 1500 1610 0 1511 99 apbd
Trihexiphenidryl Tablet 1000 1000 1000 program
474 Clozapin Tablet 300 300 0 130 170
475 Clobazam Tablet 270 270 0 30 240
476 Haldol Decanoas Ampul 4 10 14 0 0 14
477 Haloperidol 5mg/ml Ampul 34 34 34 0 0
478 Catridge TCM 200 500 700 0 700 apbd
Catridge TCM 200 200 0 200 program
479 Reagen Syphylis 75 275 350 0 350 program
480 Test DBD 150 150 0 150
481 Colesterol liquiform Paket 0 0 0
482 Trigliseride liquiform Paket 0 0 0
483 Glucose liquiform Paket 1 1 0 1
484 AST/GOT liquiform Paket 0 0 0
485 Creatinina IC Paket 0 0 0
486 ALT/GPT liquiform Paket 0 0 0
487 Urea AV Paket 0 0 0
488 Disinfektan sprey Botol 0 0 0
489 Larutan Hess Botol 30 30 10 10 10 10 program
490 Cefadroxil 500 mg kapsul 5000 5000 400 390 130 920 2480 1600
491 Cefotaxim inj vial 0 0 0
492 Ceftriaxon inj vial 0 0 0
493 Nasal Oksigen Bayi pcs 40 40 24 24 6 10
494 RDT HIV (SD Biosensor) strip 100 100 0 0 100 program
495 RDT HIV (Diogstar) strip 325 325 0 200 125 program
496 RDT HIV (Virocheck) strip 50 50 0 25 25 program
497 HBSAg Test 450 450 0 450 program
498 dexosimethasone tube 24 24 0 24
499 Risperidon 1 MG tablet 1000 1000 0 870 130
500 Gel USG tube 23 23 1 1 22
501 Asam pipemidat (Urinter) tablet 1380 1380 840 840 0 540
502 Rethapil tablet 380 380 100 100 280 program
503 betadin kumur botol 81 81 1 1 61 19
504 suplemen probiotik sachet 1300 1300 40 28 68 752 480
505 ondansentron 4 mg tablet 300 300 150 150 120 30
506 ondansentron 4mg/2ml inj injeksi 90 90 18 18 72
507 multivitamin (bisoprodin) tablet 11000 11000 200 20 220 10780
508 sarung tangan S pcs 2000 2000 0 2000
509 glucosa liquid form box 1 1 0 1
510 HB Sahli pcs 10 10 0 6 4
511 apron pcs 500 500 130 10 140 0 360
512 sukralfat susp botol 100 100 0 57 43
513 nebu mask dewasa pcs 8 8 0 8
200
514 Albendazol Suspensi 200mg/5ml botol 500 500 0 300 program
515 Metildopa tablet 1000 1000 100 100 200 200 600
516 Dispo 50 ml pcs 0 0 0
517 Kloramfenikol inj ampul 0 0 0
518 Nurse Cup Pack 500 500 0 0 500
519 Alprazolam 0.5mg Tablet 0 0 0
 anastetic local gigi KDT Lidokain 30
520 2%+epinefrin vial 180 180 30 30 120
521 asam tranexamat tablet 100 100 0 0 100
Aseptan antiseptic liquid with
522 moisturizer for hand rub 100ml Botol 10 10 0 10
523 Bisakodil suppositoria 10 mg Suppo 0 0 0
524 Bisakodil suppositoria 5 mg Suppo 12 12 0 1 11
525 Bisturi No.10 Box 200 200 0 0 200
526 Bisturi No.11 Box 200 200 71 71 29 100
527 Bromhexin Tab 8 mg Tablet 0 0 0
528 Cleaner Botol 0 0 0
Hight Elastic Bandage 5cm x 6
529 4.5m Pcs 24 24 0 18
530 Nebulizer with mask Dewasa Pcs 0 0 0
531 Norepinefrine inj 1mg/ml vial 5 5 1 1 1 3 0 2
532 Surgical Gown L pcs 50 50 3 3 7 40
533 Surgical Gown M pcs 37 37 0 0 37
534 Tramadol 50mg Tablet 200 200 0 0 200
535 Neurotropik inj vial 20 20 0 20 covid
536 kit stop tb paket 5 5 0 2 3 program
Tabung Tutup Merah (Vacum
537 Blood) pcs 300 300 0 300
538 Handscoen Nonsteril (L) 1000 1000 0 1000
539 Tabung DL (tutup ungu) 0 0 0
540 Kapsul Yodium kapsul 0 0 0
541 Ampisilin 500mg kaplet 0 0 0
542 Kloramfenikol inj ampul/vial 0 0 0
543 Wing needle no.26 pcs 0 0 0
544 Glicerin botol 0 0 0
545 IV Catheter no.16 pcs 0 0 0
546 IV Catheter no.26 pcs 50 50 1 5 6 17 27
547 Folley Catheter no. 20 pcs 0 0 0
548 Spuit no.23G pcs 0 0 0
549 sodium bicarbonat 8,4% vial 0 0 0
550 misoprostol 200 mcg tablet 0 0 0
551 kateter penghisap no. 5F pcs 0 0 0
552 kateter penghisap no. 6F pcs 0 0 0
553 kateter penghisap no. 10F pcs 0 0 0
554 kateter penghisap no. 12F pcs 0 0 0
555 kateter penghisap no. 14F pcs 0 0 0
556 kateter penghisap no. 18F pcs 0 0 0
557 Kateter Umbilikal no.3,5FR pcs 0 0 0
558 D10% 0,8 NS botol 0 0 0

Borong, 31 Desember 2022

Mengetahui Pengelola Gudang Obat
Kepala Puskesmas Borong Puskesmas Borong

Yosefina Nirma, S.ST Susana Pasta Rendo, S.Farm., Apt

NIP.19810805 200604 2 027 NIP. 19850811 201001 2 032