Format LPLPO 2023 Kab. Landak New Juli 2022 (Puskesmas Karangan)

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
KABUPATEN : LANDAK
PUSKESMAS : PUSKESMAS KARANGAN
BULAN/TAHUN : JANUARI / 2023
OBAT
No Nama Item SATUAN Kelas Terapi Stok Awal Penerimaan Persediaan Pemakaian Kadaluarsa Sisa Stok Permintaan Pemberian Ket
1 Acyclovir 400mg Tablet 600 600 - 600
2 Acyclovir Salep Tube 100 100 - 100
3 Albendazole 400 mg Tablet 800 800 - 800
4 Albendazole Suspensi Botol - -
5 Allopurinol 100 mg Tablet 5200 5,200 500 4,700
6 Allopurinol 300 mg Tablet 6300 6,300 500 5,800
7 Alprazolam 0,5 mg Tablet 775 775 775 - 500
8 Alprazolam 1 mg Tablet 690 690 185 505 500
9 Ambroxol 30 mg tab Tablet 1900 1,900 1,900 - 10,000
10 Ambroxol Syrup Botol - -
11 Aminofilin injeksi 24 mg/ml Ampul - -
12 Amitriptillin 25 mg Tablet - -
13 Amlodipin Tab 10 mg Tablet 7500 7,500 3,700 3,800 2,000
14 Amlodipin Tab 5 mg Tablet 6500 6,500 1,900 4,600 2,000
15 Amoxicillin 100 mg/ml Drops Botol 138 138 138 - 100
16 Amoxicillin 500 mg Tablet 4400 4,400 2,000 2,400 5,000
17 Amoxicillin dry syrup 125 mg / 5 ml Botol 411 411 411 - 100
18 Ampicillin injeksi Ampul 240 240 10 230
19 Antasida DOEN Kombinasi Tablet 6900 6,900 6,300 600 10,000
20 Antasida DOEN Syrup Botol - -
21 Antifungi DOEN Kombinasi Tube 83 83 5 78
22 Antihemoroid DOEN Kombinasi Supp 40 40 4 36
23 Apricot Syrup Botol 35 35 - 35
24 Asam Ascorbat (Vit c) Tab 50 mg Tablet 13400 13,400 4,300 9,100 5,000
25 Asam asetilsalisilat (Miniaspi 80 mg) Tablet - -
26 Asam Mefenamat 500 mg Tablet 8300 8,300 2,900 5,400 1,000
27 Asam Tranexamat inj 100 mg/ml Ampul 90 90 - 90
28 Asam Tranexamat inj 50 mg/ml Ampul 80 80 10 70
29 Asering Infuse 500 ml Kolf - -
30 Atropin sulfat injeksi 0,25 mg/mil -1 ml Ampul 94 94 - 94
31 Betahistine Besilat 6 mg Tablet - -
32 Betametason cream 0,1 % Tube 149 149 - 149
33 BIOSAT 1.500 (anti tetanus) Vial - -
34 BIOSAVE (anti bisa ular) VIAL 1 1 1 -
35 Bisoprolol 5 mg Tablet 870 870 - 870
36 Bufacetin salep kulit 1% Tube 120 120 29 91
37 Calcii Glukonas Inj Ampul 42 42 42
38 Captopril 12,5 mg Tablet 2100 2,100 1,100 1,000 1,000
39 Captopril 25 mg Tablet 2400 2,400 100 2,300
40 Cefadroxil 250 mg Tablet - -
41 Cefadroxil 500 mg Tablet 2600 2,600 900 1,700 2,000
42 Cefadroxil Dry Syrup 125 mg Botol 360 360 - 360
43 Cefotaxime Injeksi 1 gr Vial - - 100
44 Ceftriaxon Inj 1000 mg Vial 100 100 30 70 100
45 Cetirizin 10 mg tab Tablet 6500 6,500 3,700 2,800
46 Cetirizin Syrup Botol 135 12 147 - 147
47 Chloramfenicol 250 mg Capsul - -
49 Chloramfenicol tetes telinga Botol - -
50 Chlorfeniramin Maleat 4 mg (CTM) Tablet 12800 12,800 4,000 8,800 2,000
51 Chlorpromazine 100 mg Tablet 70 70 60 10 500
52 Chlorpromazine 25mg Tablet 1390 1,390 180 1,210
53 Ciprofloxacin 500 mg Tablet 3300 3,300 700 2,600
54 Clindamicin 150 mg Capsul - - 5,000
55 Clozapin 100 mg Tablet 265 265 265 - 2,000
56 Clozapin 25 mg Tablet - - 2,000
57 Codein hcl Tablet 10 mg Tablet - -
58 Combivent Nebules Vial - -
59 Cotrimoxazole 480mg Tablet - - 2,000
60 Cotrimoxazole 960 mg Tablet - - 2,000
61 Cotrimoxazole sirup Botol - -
62 Desoximetasone Krim 0.25% Tube 34 34 6 28
63 Dexamethason Tab 0,5 mg Tablet 5300 5,300 5,300 - 10,000
64 Dexamethasone injeksi 5 mg/ml - 1 ml Ampul 190 190 - 190
65 Dextrose monohydrat 40% Flacon 28 28 28 - 20
66 Diabetadex Fitofarmaka Tablet 210 210 - 210
67 Diazepam injeksi 5 mg / 2 ml Ampul 0 - - - 20
68 Diazepam Tablet 5 mg Tablet 170 170 15 155 500
69 Digoxin tablet 0,25 mg Tablet - -
70 Diltiazem HCL Tablet 30 mg Tablet 800 800 - 800
71 Dimenhidrinat 50 mg Tablet 500 500 100 400
72 Diphenhydramin HCl injeksi 10 mg/ml-1 ml Ampul 30 30 30 -
73 Domperidon Tablet Tablet 2400 2,400 500 1,900 1,000
74 Epineprin HCl (adrenalin ) inj 0,1 % - 1 ml Ampul 99 99 1 98
75 Ergotamin Coffein Tablet - -
76 Febrinex Ped Suspensi 60 ml Botol - -
77 Fenol Gliserol Tetes Telinga 10% Botol 34 34 1 33
78 Fitomenadion (Vit K) Injeksi 2 mg Ampul 300 300 - 300
79 Fitomenadion (Vit K) Tablet Salut 10 mg Tablet 500 500 100 400 500
80 Flutamol Syr Botol - -
81 Flutamol Tab Tablet - - 10,000
82 Furosemid 10 Mg/ml Injeksi Ampul 150 150 - 150
83 Furosemid Tablet 40 mg Tablet 1000 1,000 200 800
84 Garam Oralit 200 mg Bungkus 580 580 180 400
85 Gentamicin Salep Mata 0,3% Tube - -
86 Gentamicin Tetes Mata 0,3% Tube 192 192 30 162 100
87 Glibenklamid Tablet 5 mg Tablet 2400 2,400 400 2,000 1,000
88 Glukosa 10% Infus Kolf - -
90 Griseolfulvin Tablet 125 mg Micronized Tablet 800 800 100 700
91 Haloperidol 0,5 mg Tablet 196 196 196 - 500
92 Haloperidol 1,5 mg Tablet - -
93 Haloperidol 5 mg Tablet 1360 1,360 305 1,055 500
94 Herbakof Syrup Botol - -
95 Herbakof Tablet Tablet 2820 2,820 2,400 420
96 Herbapain (OHT) Obat Anti Nyeri Tablet Tablet 600 600 - 600
97 Herbavomitz obat herbal Botol - -
98 Herbavomitz Tablet Tablet 630 630 60 570
99 Hidroklorotiazid (HCT) Tablet 25 mg Tablet - -
100 Hidrokortison Krim 2,5% Tube 144 144 48 96
101 Ibuprofen (Zentarin) Tablet 400 mg Tablet 4100 4,100 400 3,700
102 Ibuprofen Suspensi 100 mg/ 5 ml Botol - -
103 Ibuprofen Suspensi 200 mg/ 5 ml Botol 116 116 - 116
104 Iliadin Drop Tetes Hidung Botol - -
105 Imunomodulator anak Syr 25 mg Botol 5 5 1 4
106 Imunomodulator Forte 50 mg Tablet 810 810 - 810
107 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 400 400 - 400 500
108 KA EN 3A Kolf 8 8 - 8
109 KA EN 3B Kolf 35 35 3 32
110 Kalsium Laktat (kalk) Tablet 500 mg Tablet 10600 10,600 4,500 6,100 10,000
111 Karbamazepin 200 mg Tablet 1485 1,485 125 1,360
112 Ketoconazole 200 mg Tablet 2500 2,500 1,100 1,400
113 Ketoconazole Zalp Tube - - 100
114 Ketorolac Inj 30mg/ml Ampul 150 150 50 100
115 Lactulosa Syr 3,335 g/5ml (Kompolax) Botol 54 7 61 - 61
116 Lansoprazole Tablet 30mg Tablet 2700 2,700 200 2,500
117 Lidocain (HCI) 2 % 2 ml Injeksi Ampul 144 144 44 100 100
118 Lidocain (HCI) 2% + Epinefrin 2 mg Ampul - - - - 150
119 Loperamide 2 mg Tablet 4000 4,000 100 3,900
120 Loratadine tab Tablet 2500 2,500 - 2,500
121 Magnesium sulfat 20% (MgSO4) Ampul - -
122 Magnesium sulfat 40% (MgSO4) Ampul 19 19 - 19 10
123 Maltiron Syr 60 ml Botol - -
124 Mersibion Inj Ampul 90 90 30 60 100
125 Metformin HCl 500 mg Tablet 2800 2,800 1,400 1,400 5,000
126 Metilergometrin Inj 0,2 mg/ml Ampul 500 500 500 -
127 Metilergometrin maleat Tab 0,125 mg Tablet - -
128 Metilprednisolon 16 mg Tablet 2800 2,800 300 2,500
129 Metilprednisolon 4 mg Tablet 2500 2,500 1,000 1,500 2,000
130 Metilprednisolon 8 mg Tablet 2300 2,300 500 1,800
131 Metoklorpamide Tablet 10 mg Tablet - - 1,000
132 Metoklorpamide Tablet 5 mg Tablet 600 600 600 - 1,000
133 Metronidazol Tab 500mg Tablet 2200 2,200 800 1,400 1,000
134 Metronidazole Infus Kolf 10 10 - 10
135 Metronidazole Suspensi 125mg/5ml Botol 66 66 (4) 70
136 Metyldopa (Dopamet) 250 mg Tablet 100 100 - 100 500
137 Miconazole krim 2 % Tube 72 72 15 57 72
138 Mineral Mix Bungkus - - 100
139 Multivitamin Becefort Tablet - - 1,000
140 Multivitamin Becefort Syr 60 ml Botol - -
141 Multivitamin Natabion Dws Capsul - -
142 Multivitamin Oxyvit Tablet - - 1,000
143 Natrium Diklofenak tab 25 mg Tablet 4300 4,300 3,100 1,200 5,000
144 Natrium Diklofenak tab 50 mg Tablet 4000 4,000 1,200 2,800 5,000
145 Natrium Klorida 0,9% OTSU Botol 140 140 40 100 40
146 Nifedipin 10 Mg Tablet 600 600 - 600
147 Nistatin 100.000 IU tab vaginal Tablet 97 97 7 90
148 Nistatin 500.000 IU Tablet 400 400 - 400
149 Nistatin suspensi 100.000 IU/mL Botol 100 100 - 100
150 Noza Kaplet Kaplet - - 10,000
151 OBH Kaca Berlico 100ml Botol - -
152 Ofloxacin 200 mg Tablet - -
153 Oksimetazolin tetes hidung 0,05% Botol 33 33 - 33
154 Oksitetrasiklin HCl 1 % zalp mata Tube - -
155 Oksitosin Inj 10 IU/ml Ampul 500 500 100 400
156 Omeprazole caps (Lokev) Capsul - -
157 Ondansentron Injeksi Ampul 275 275 125 150 200
158 Ondansentron Tab 4 mg Tablet 300 300 300 - 500
159 Parasetamol Drops Botol - -
160 Parasetamol Infus btl 10 10 - 10
161 Parasetamol sirup 120mg/5ml Botol 451 6 457 - 457
162 Parasetamol Tab Tablet 8200 8,200 1,900 6,300 10,000
163 Phenobarbital injeksi 50 mg / 2 ml Ampul - -
164 Piridoksin HCl Tablet 10 mg ( Vit B6 ) Tablet 4000 4,000 800 3,200 2,000
165 Prednison tab 5 mg Tablet 3800 3,800 3,800 - 5,000
166 Procurma Syr Botol - -
167 Propiltiourasil (PTU) tab 100 mg Tablet 200 200 - 200 500
168 Pularex Tablet Tablet 800 800 400 400 500
169 Pyrantel Pamoat 125 mg Tablet - -
170 Pyrantel Pamoat Susp 125mg / 5ml Botol - -
171 Ranitidin 150 mg tab Tablet 3900 3,900 2,200 1,700 2,000
172 Ranitidin Injeksi Ampul - -
173 Retinol 100.000 IU BIRU Caps - -
174 Retinol 200.000 IU MERAH Caps 800 800 100 700
175 Ringer Laktat Infus Botol 760 760 160 600
176 Risperidon 1 mg Tablet - -
177 Risperidon 2 mg Tablet 2194 2,194 900 1,294 500
178 Salbutamol 2 mg Tablet 3300 3,300 700 2,600
179 Salbutamol 4 mg Tablet 3700 3,700 1,000 2,700
180 Salbutamol Cairan inhalasi Ampul - - 100
181 Salbutamol Syrup Botol 224 12 236 - 236
182 Salep 2- 4 kombinasi Tube - -
183 Sianokobalamin (Vit. B12) Tab Tablet 900 900 700 200 2,000
184 Simvastatin Tablet 10 mg Tablet 4300 4,300 300 4,000
185 Simvastatin Tablet 20 mg Tablet 4600 4,600 1,200 3,400
186 Soft U Derm 10% Crema 20gr Tube - -
187 Spironolactone 25 mg Tablet - -
188 Stesolid rectal 10 mg / 2,5 ml Tube - -
190 Sukralfat Suspensi 500mg/ 5ml Botol 220 220 140 80 300
191 Sulfadoxine-Pyrimethamine (Suldox) Tablet - -
192 Tablet Tambah Darah FE Tablet 10000 10,000 5,400 4,600 5,000
193 Tetagam Inj Vial 3 3 - 3
194 Tetrasiklin 500 mg Tablet - -
195 Thiamin Hcl (Vit B1) Tablet 50 mg Tablet - - 1,000
196 Tramadol Inj Ampul - -
197 Trifluoperazin 5 mg Tablet 3675 3,675 330 3,345
198 Trihexylphenidil 2 mg Tablet 3079 3,079 1,180 1,899 1,000
199 Vitamin B komplek Tablet 11000 11,000 7,400 3,600 10,000
200 Vitamin D3 1000IU Tablet 300 300 90 210
201 Voltadex Gel 1% 20 gr Tube 1 1 1 -
202 Zinc 20 Mg Tablet Tablet 5000 5,000 900 4,100
203 Zinc Syr Botol - -
204 Zincpro Drop 15 ml Botol - -
205 Acetyl cysteine tablet 200 mg Tablet 360 360 - 360
206 Cefotaxime sodium serb inj 500 mg Injeksi - -
207 Cendo Lyteers tetes mata, botol @ 15 ml Botol - -
208 Chloramphenicol salep mata 1 % Tube - -
209 Curcuma Plus 60 mL Botol - -
210 Diazepam enema 10 mg/2,5 mL Tube 20 20 - 20
211 Diazepam enema 5 mg/2,5 mL Tube 20 20 6 14
212 Domperidone drops 5 mg/mL Botol - -
213 Domperidone sirup/suspensi 5 mg/5 ml Botol - -
214 Farbivent cairan inhalasi Ampul 120 120 30 90 100
215 Flamar Natrium diklofenak tetes mata 1 mg/ml Botol - -
216 Glimepiride tablet 2 mg Tablet 1000 1,000 1,000 - 2,000
217 Hidrokortison krim 1% Tube - -
218 Hyaloph Natrium hialuronat tetes mata Botol - -
219 Hyoscine Butylbromide Tab Tablet 1000 1,000 - 1,000
220 Midric 0,5% Tropikamid tts mata 0,5% Botol - -
221 Miniaspi Asam Asetilsalisilat tablet 80 mg Tablet 200 200 200 - 500
222 Multivitamin Ferbion Kapsul - -
223 Novadryl Tablet Tablet - -
224 Nuvopec Syrup Botol - -
225 Obat Batuk Hitam Combi Botol 200 200 56 144 100
226 Obat Batuk Hitam Anak Combi Botol 184 184 84 100 100
227 Obat Flu Anak (HUFA) Botol 94 7 101 - 101
228 Obat Flu Kombinasi (Noza) Tablet - -
229 Obat Flu Kombinasi Syrup (Febrinex) Botol - -
230 Octenic Gel 20 g Tube 6 6 - 6
231 Parafen Kaplet Kaplet - -
232 Permetrin Krim 5% Tube 50 50 30 20
233 Propranolol tablet 10 mg Tablet 800 800 100 700
234 Sianokobalamin (vitamin B12) injeksi 500 mcg/m Ampul 100 100 - 100
235 Vip Albumin Obat Herbal Tablet 630 630 - 630
236 Vitamin C 1000mg/ Provit C Tablet 1050 1,050 210 840
- -
BAHAN MEDIS HABIS PAKAI, REAGEN DAN LARUTAN - -
1 Alat Suntik 1 ml Stera Buah - -
2 Alat suntik 1 ml TP Pcs 1100 1,100 - 1,100
3 Alat Suntik 10 cc Stera Buah - -
4 Alat suntik 10 ml TP Pcs - -
6 Alat suntik 3 ml TP Pcs 200 200 200 500
7 Alat Suntik 5 cc Stera buah - -
8 Alkohol 1 Liter Onemed Botol 4 4 2 2 5
9 Alkohol 70% 300 ml Botol - -
10 Alkohol swab Aximed Pcs 7300 7,300 1,900 5,400
11 Apron Plastik one Pcs 240 240 60 180 100
12 Aqua proinjeksi steril 20 ml Vial 235 235 35 200 200
13 Arm Sling Comfort L Buah 3 3 - 3
14 Arm Sling Comfort S Buah 6 6 - 6
15 Bactivec BTI DBD SL Botol - -
16 Baju APD Coverall Pcs - -
17 Bioplacenton Tulle Pcs - -
18 Blood Lancet Serenity Pcs 1900 1,900 - 1,900
19 Blood transfusion set ABADA Pcs 200 200 - 200
20 Blue Tips Bks 1 1 - 1 5
21 Catgut chromic 3/0 70 cm violet reverse cutting Pcs - -
22 Catgut Chromic Surgical Sutures Pcs 120 120 48 72 72
23 Catgut Plain Surgical Sutures box 96 96 12 84 72
24 Catgut provein 5/0 PV888 45 cm 18 mm Pcs - -
25 Catgut silk 3/0 75 cm 3/8 CC 19 mm Pcs - -
26 Cervical collar Buah - -
27 Derm transport dressing remedi Pcs - -
28 Dermafix S 4,4 x 4,4 cm Buah - -
29 Dermafix S 6 x 7 cm buah - -
30 Dermafix T 15cm x 20 cm Roll - -
31 Dermafix T 5x7 Buah - -
32 Dressing IV canulla non woven remedi Pcs - -
33 Endotracheal Tube (ETT) uk. 6,0 fesco Pcs - -
37 Female Cateter No 16 Aximed Pcs - -
39 Foley catheter no. 16 latex 2 way ABADA Pcs 70 70 10 60
40 Pcs 60 60 - 60
Foley catheter no. 18 (2 way standard) serenity
41 Foley catheter no. 18 latex 2 way ABADA Pcs - -
42 - -
Folley catheter uro one 2 way, FR 16, FR 18 Buah
43 Hand Gel H1 100 ml+flip top Botol - -
44 Handrub 5 L Medika Ken - -
45 Handrub 500 ml Medika Botol 62 62 2 60
46 Handrub e-care 500 ml Botol 19 19 3 16
47 Handscrub e-care 500 ml Botol - - 50
48 Hazmat suit Winner Pcs - -
49 Indodent Saliva ejector Buah - -
50 Infusion set anak set 100 100 - 100 200
51 Infusion set dewasa ST01 set - - 200
52 Infusion set microdrip ABADA Pcs - -
53 Infusion set microdrip Otsu Pcs 80 80 20 60 100
54 Infusion Set Y Adaptor Otsu Pcs - -
55 IV Catheter No. 18G Cath Pro Pcs 230 230 80 150
56 IV Catheter No. 20G Cath Pro Pcs 100 100 50 50 100
57 IV Catheter No. 20G Otsu Pcs 100 100 100 -
58 IV Catheter No. 22G Cath Pro Pcs - - 100
60 IV Catheter With Teflon Catheter 1 way 18 G Set - -
61 IV Catheter With Teflon Catheter 1 way 24 G set - -
63 IV Catheter WP No. 26G Aximed Pcs 140 140 50 90 100
64 Kantong Jenazah Pcs - -
65 Kantong limbah biohazard uk. L Pack 10 10 9 1 5
66 Kantong limbah biohazard uk. M Pack 17 17 12 5 5
67 Kantong limbah biohazard uk. S Pack 9 9 6 3 5
68 Kapas 250 gram Rol 11 11 3 8 50
69 Kapas 500 gram Bks - -
70 Kasa hidrofil 15 x 4 cm BIOKASA Pcs - -
71 Kasa hidrofil 2 m x 10 cm ABADA Rol - - 100
72 Kasa hidrofil 2 m x 80 cm Roll 10 10 10 - 100
73 Kasa hidrofil 20y x 80 cm ABADA Rol - - 100
74 Kasa hidrofil 36 cm x 80 cm BIOKASA Rol 5 5 5 - 100
75 Kasa hidrofil 4 m x 10 cm Roll - -
77 Kasa hidrofil 4 m x 15 cm ABADA Rol - -
80 Kasa hidrofil 4 m x 7,5 cm ABADA Rol - -
81 Kasa hidrofil 40 cm x 80 cm Rol - -
82 Kasa hidropil 16 cm x 16 cm ABADA Kotak - - 100
83 Kasa Steril 10 cm x 10 cm 16 Ply isi 10 Roll 43 43 43 - 100
84 - -
Kasa Steril 10 cm x 10 cm 16 Ply isi 10 LDX Roll
85 Kasa Steril 16 x 16 cm Roll 320 320 47 273 100
86 Kasa Steril 18 cm x 22 cm Roll - -
87 Rol 5 5 - 5
Kertas EKG 4.5 in (11.4 cm) x 65.6 ft (20 m)
88 Kertas EKG 112 mm Rol - -
89 Kertas EKG Z-fold : 215×280mm Rol - -
90 Latex Examination Gloves Uk. L Pcs - -
91 Latex Examination Gloves Uk. M Pcs 5800 5,800 4,000 1,800 5,000
92 Latex Examination Gloves Uk. S Pcs - -
93 Latex Examination Gloves Uk. XS Pcs - -
94 Masker Ear Loop Pcs - - - 5,000
95 Masker N95 Particulate Respirator unit 165 165 5 160
96 Masker Nebulizer Anak Unit - -
97 Masker Nebulizer Dewasa Unit - -
98 Masker Nebulizer Dewasa Cosmo Pcs - -
99 Masker Nebulizer Uk M Anak ABADA Pcs - -
100 Masker Nebulizer Uk. L Dewasa ABADA Pcs - -
101 Masker Oksigen Adult Serenity Pcs - -
102 Masker Oksigen Anak Semillas Pcs - -
103 Masker Oksigen Dwsa Semillas Pcs 6 6 - 6
104 Masker Oksigen Infant Serenity Pcs
105 Masker Oksigen Pediatric Serenity Pcs 24 24 - 24
106 Maxiflow Anak Unit - -
107 Maxiflow Bayi unit - -
108 Maxiflow Dewasa unit 25 25 - 25
109 Micropipet Adjust Vol. 0,1-2,5 UL Pcs - -
110 Micropipet Adjust Vol. 0,5-10 UL Pcs - -
111 Micropipet Adjust Vol. 100-1.000 UL Pcs - -
112 Micropipet Adjust Vol. 10-100 UL Pcs - -
117 Micropipet Fixed Vol. 10 UL Pcs - -
124 Mucus Extractor buah - -
125 Mucus Extractor Serenity Pcs 18 18 - 18
126 M-Y Jelly 82 Gram Tube Buah 11 11 5 6 20
127 Nasal Oksigen Canula Anak Pcs - - 200
128 Nasal Oxygen Canula Adult Serenity Pcs - - 500
129 Nasal Oxygen Canula Infant Serenity Pcs - - 100
130 Nasal Oxygen Canula Pediatric Serenity Pcs - -
131 Needle CNV 21 x 1,5 ml (BD vacutainer) Pcs - -
132 Needle CNV 22 x 1,5 ml MLTSMPCE Pcs - -
133 Non Woven IV Dressing 6 x 8 cm Pcs - -
134 Nurse Cap Box 12 12 - 12
135 One Scrub 2% Antiseptic surgical scrub dispense Botol - -
136 One Scrub 4 %, 500 cc + dispenser Botol - - 50
137 Oxyflow Anak Buah 12 12 - 12 100
138 Oxyflow bayi Buah 4 4 - 4 100
139 Oxyflow Dewasa Buah 53 53 20 33 200
140 Paper tape 1,25 cm x 9,14 cm Aximed Rol 31 31 1 30
141 Paper tape 7,5 cm x 9,14 cm Aximed Rol 14 14 - 14
142 Papsmer Kit M Buah - -
143 Papsmer Kit S Buah - -
144 Parafilm 4 in x 125 FT Box - -
145 Plesterin Roll Non Woven roll 10cm x 5m Roll 16 16 - 16
146 Plesterin Roll Non Woven roll 15 cm x 5 m Roll 5 5 - 5
148 Policrepe 10 cm x 4,55 m Rol - -
150 Povidon Iodine 60 ml medika Botol 30 30 3 27
151 Povidone Iodine 300 ml BOTOL - -
152 Pot Sputum Buah - - 200
153 RDT Antigen - Healgen Pcs - - 200
154 Reagen Afinion HbA1c Botol - -
155 Reagen Afinion HbA1C Control KIT - -
156 Reagen Anti A 1 x 10 ml KIT - -
157 Reagen Anti AB 1 x 10 ml KIT - -
158 Reagen Anti B 1 x 10 ml KIT - -
159 Reagen Anti D 1 x 10 ml KIT - -
160 Reagen Diluent M-30 20 L Mindray Botol - -
161 Reagen Lyse 500 ml Zenix Botol - -
162 Reagen Proline Tryglicerides KIT - -
163 Reagen Rinse 20 L Mindray Botol - -
164 Reagen Salmonella Paratyphi AH 1x5 ml KIT - -
165 Reagen Salmonella Paratyphi AO 1x5 ml KIT - -
166 Reagen Salmonella Paratyphi BH 1x5 ml KIT - -
167 Reagen Salmonella Paratyphi BO 1x5 ml KIT - -
168 Reagen Salmonella Paratyphi CH 1x5 ml KIT - -
169 Reagen Salmonella Paratyphi CO 1x5 ml KIT - -
170 Reagen Salmonella Paratyphi H 1x5 ml KIT - -
171 Reagen Salmonella Paratyphi O 1x5 ml KIT - -
172 Rivanol 300 cc Botol 52 52 2 50
173 Safety box Buah - - 100
174 Saniswiss biosanitizer H1 500 ml Botol - -
175 Sepatu Boots Pair - -
176 Servical Collar Serenity Pcs - -
177 Silk Braided Surgical Sutures USP 3/0 box - -
178 Spalk first AID Pcs - -
179 Sterile Scalpel Blade#10F#3 Box - -
182 Sterile Scalpel Blade#24F#4 Box 1 1 - 1
183 Stomach Tube 85 cm No 16.Aximed Pcs 10 10 - 10
184 Stomach Tube 85 cm No.12 Aximed Pcs 7 7 - 7
187 Strip Test Cholestrol Autocheck Box - - 200
188 Strip Test Detecto HbsAg Onemed Buah 150 150 50 100
189 Strip Test Focus New HIV 1/2 3 Line Pcs - -
190 Strip Test Glucosa On Call Plus Box 50' 300 300 300 - 200
191 Strip test Hb Hemoglobin Mission Pcs 650 650 300 350
192 Strip Test Health Mate Syphilis Ab Plus Box 200 200 - 200
193 Strip test SD HIV Bioline Pcs 50 50 - 50
194 Strip Test Ultra One (Test kehamilan) Buah - - 100
195 Strip Test Uric Acid Autocheck Box - - 200
196 Strip test Uritest 11G Botol 12 12 - 12
197 Strip test Virotec dengue Combo Unit 75 75 - 75
198 Suction Catheter FR 10 unit - -
200 Surfaces S 5000 ml Biosanitizer KEN - -
201 Surfaces S 750 ml Biosanitizer Botol - -
202 Surgical Examination Gynecolog Onemed Set - -
203 Surgical Gloves No. 6.5 Serenity Pcs - -
204 Thermal Paper EFG Roll Roll - -
205 Tips For Micro MT 200 IU Pcs - -
206 Tips For Micro MT II 1 ml Pcs - -
207 Tips For Micropipet MSTP Pcs - -
208 Umbilical cord clame fesco Pcs 150 150 50 100 200
209 Umbilical Cord Clamp Buah - - -
210 Underpad (Softpad) 60 x 90 cm Pcs 50 50 50 - 300
211 U-Pad Steril Buah - - 100
212 Urine bag + hanger Pcs 180 180 - 180
213 Urine bag + hanger Semilas Pcs - -
214 USG Gel 250 ml Botol 24 24 12 12
215 Viorex liquid Botol - -
216 White Tips Bks - -
217 Write On ID Bracelet Adult blue remedi Pcs 100 100 - 100
218 Write On ID Bracelet Adult pink remedi Pcs 100 100 - 100
219 Write On ID Bracelet Child hijau remedi Pcs 200 200 - 200
220 Write On ID Bracelet Child ungu remedi Pcs 100 100 - 100
221 Xpert MTB/ RIF Assay Kit Cartrigde TCM Pcs - -
222 Yellow Tip Bks - -
- -
Bahan Gigi - -
1 Articulating Paper Pcs - - 100
2 Calcimol LC Botol - - 10
3 Cavit G ( Ceivitron) Pot - - 50
4 Cement Spatula Pcs - - 20
5 CHKM Botol - - 20
6 Dycal/ Hydcal Botol - - 20
7 GC Fuji 9 Mini Pack Box - - 10
8 Mikroaplikator Tips Botol - - 10
9 Oco/ Poliren No. 1 Botol - - 10
10 Bedaquilline 100 mg Tablet 376 376 - 376
11 Clofazimin Tablet 200 200 - 200
12 DHP-Frimal 27 27 - 27
13 Etambutol 400 mg Tablet 448 448 - 448
14 Ethionamid 250 mg Tablet 300 300 - 300
15 Isoniazid 300 mg Tablet - -
16 KDT Dosis Harian Paket - -
17 Levofloxacin 250 mg Tablet 100 100 - 100
18 Moxyfloxacin 400 mg Tablet - -
19 OAT Kategori Anak Paket 3 3 - 3
20 OAT Kat. I FDC Paket 18 18 8 10
21 Piridosin Hcl Tablet 25 mg (Vit. B6) Tablet - - 500
22 Primaquine Tablet 100 100 100
23 Pyrazinamide 400 mg Tablet 448 448 448
24 Rapid tes Malaria Test - - 100
25 Sarung Tangan Obgyn - - 100
26 plester Winner 10x5 m - -
28 Tabung EDTA 3 ml - -
29 Foley Cateter 2 Fly FR 16 FR 18 - ABADA Pcs - -
31 Rifampicin 75 mg + Isoniazid 50 mg Tablet 84 84 - 84
32 Rifapentin 150 mg Tablet 90 90 - 90
33 Rifapentin 300 mg/Isoniazid 300 mg Tablet 90 90 - 90
34 Tuberkulin PPD RT 23 Vial - -
35 Surgical gloves No. 7,5 Trosensosurge Botol - -
36 Pehavral Tablet 1500 1,500 100 1400
37 Strip Test HIV 1/2 - One Step Pcs 50 50 - 50
38 Strip Test HIV 1/2 - Standar Q Pcs 100 100 - 100
39 Verorab Vaksin Rabies inj 2,5 IU Vial 81 81 30 51
40 STRIP TEST HIV/SHYPILIS DUO Pcs 225 225 25 200
41 Gentamisin salep Kulit Tube 85 85 32 53 50
42 GG Tablet Tablet 1900 1,900 1,900 0 5,000
43 Hyperhep (HBIG) Vial 5 5 - 5
45 Solpenox Syr Botol 240 240 - 240
46 Strip Test Glucosa Autocheck Pcs 200 200 200 0
47 Safety Lancet Onemed Box 20 20 1 19
Jumlah Kunjungan Resep Rawat Jalan Rawat Inap Total

3000 700 3,700
Mengetahui, Yang meminta/Melapor

Kepala Puskesmas Karangan Pengelola Obat Puskesmas Karangan
Kabupaten Landak
Marta Rahayu,SKM apt. M. Agustine Dwi Steviana, S.Farm
NIP. 196603031987032009 NIP. 199508042022032010
KABUPATEN : LANDAK
BULAN/TAHUN : FEBRUARI / 2023
OBAT
1 Acyclovir 400mg Tablet 600 600 - 600
3 Albendazole 400 mg Tablet 800 800 300 500
5 Allopurinol 100 mg Tablet 4,700 4,700 500 4,200
7 Alprazolam 0,5 mg Tablet - 500 500 122 378 500
8 Alprazolam 1 mg Tablet 505 500 1,005 586 419 500
9 Ambroxol 30 mg tab Tablet - 5000 5,000 700 4,300 10,000
13 Amlodipin Tab 10 mg Tablet 3,800 2000 5,800 1,800 4,000 2,000
15 Amoxicillin 100 mg/ml Drops Botol - - - 100
16 Amoxicillin 500 mg Tablet 2,400 5000 7,400 2,600 4,800 5,000
17 Amoxicillin dry syrup 125 mg / 5 ml Botol - - - 100
18 Ampicillin injeksi Ampul 230 230 - 230
19 Antasida DOEN Kombinasi Tablet 600 10000 10,600 1,300 9,300 10,000
22 Antihemoroid DOEN Kombinasi Supp 36 36 - 36
23 Apricot Syrup Botol 35 35 10 25
24 Asam Ascorbat (Vit c) Tab 50 mg Tablet 9,100 3000 12,100 5,000 7,100 5,000
25 Asam asetilsalisilat (Miniaspi 80 mg) Tablet - - 500
26 Asam Mefenamat 500 mg Tablet 5,400 1000 6,400 3,600 2,800 2,000
30 Atropin sulfat injeksi 0,25 mg/mil -1 ml Ampul 94 94 4 90
31 Betahistine Besilat 6 mg Tablet - -
32 Betametason cream 0,1 % Tube 149 149 5 144
34 BIOSAVE (anti bisa ular) VIAL - - -
35 Bisoprolol 5 mg Tablet 870 870 150 720
36 Bufacetin salep kulit 1% Tube 91 91 - 91
37 Calcii Glukonas Inj Ampul - - 50
38 Captopril 12,5 mg Tablet 1,000 1000 2,000 1,000 1,000 1,000
39 Captopril 25 mg Tablet 2,300 2,300 500 1,800 1,000
41 Cefadroxil 500 mg Tablet 1,700 1000 2,700 200 2,500
42 Cefadroxil Dry Syrup 125 mg Botol 360 360 5 355
45 Cetirizin 10 mg tab Tablet 2,800 2,800 2,800 - 5,000
46 Cetirizin Syrup Botol 147 12 159 12 147
50 Chlorfeniramin Maleat 4 mg (CTM) Tablet 8,800 2000 10,800 5,300 5,500 5,000
51 Chlorpromazine 100 mg Tablet 10 500 510 10 500
52 Chlorpromazine 25mg Tablet 1,210 1,210 - 1,210
53 Ciprofloxacin 500 mg Tablet 2,600 2,600 400 2,200
55 Clozapin 100 mg Tablet - - - 2,000
59 Cotrimoxazole 480mg Tablet 2000 2,000 400 1,600 2,000
62 Desoximetasone Krim 0.25% Tube 28 28 3 25
63 Dexamethason Tab 0,5 mg Tablet - - - 10,000
64 Dexamethasone injeksi 5 mg/ml - 1 ml Ampul 190 190 - 190
65 Dextrose monohydrat 40% Flacon - - - 20
67 Diazepam injeksi 5 mg / 2 ml Ampul - 40 40 11 29 20
68 Diazepam Tablet 5 mg Tablet 155 100 255 15 240 200
71 Dimenhidrinat 50 mg Tablet 400 400 - 400
72 Diphenhydramin HCl injeksi 10 mg/ml-1 ml Ampul - - -
73 Domperidon Tablet Tablet 1,900 1000 2,900 600 2,300 1,000
74 Epineprin HCl (adrenalin ) inj 0,1 % - 1 ml Ampul 98 98 - 98
77 Fenol Gliserol Tetes Telinga 10% Botol 33 33 - 33
78 Fitomenadion (Vit K) Injeksi 2 mg Ampul 300 300 - 300
79 Fitomenadion (Vit K) Tablet Salut 10 mg Tablet 400 400 200 200 500
82 Furosemid 10 Mg/ml Injeksi Ampul 150 150 25 125
83 Furosemid Tablet 40 mg Tablet 800 800 - 800
84 Garam Oralit 200 mg Bungkus 400 400 - 400
86 Gentamicin Tetes Mata 0,3% Tube 162 48 210 71 139 100
87 Glibenklamid Tablet 5 mg Tablet 2,000 1000 3,000 400 2,600 500
90 Griseolfulvin Tablet 125 mg Micronized Tablet 700 700 200 500
91 Haloperidol 0,5 mg Tablet - - - 500
93 Haloperidol 5 mg Tablet 1,055 500 1,555 497 1,058 1,000
95 Herbakof Tablet Tablet 420 420 420 - 600
96 Herbapain (OHT) Obat Anti Nyeri Tablet Tablet 600 600 600 - 600
98 Herbavomitz Tablet Tablet 570 570 570 - 600
99 Hidroklorotiazid (HCT) Tablet 25 mg Tablet - - 1,000
100 Hidrokortison Krim 2,5% Tube 96 96 24 72
101 Ibuprofen (Zentarin) Tablet 400 mg Tablet 3,700 3,700 2,200 1,500 2,000
105 Imunomodulator anak Syr 25 mg Botol 4 4 - 4
106 Imunomodulator Forte 50 mg Tablet 810 810 300 510
107 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 400 500 900 400 500 500
108 KA EN 3A Kolf 8 8 2 6
109 KA EN 3B Kolf 32 32 - 32
110 Kalsium Laktat (kalk) Tablet 500 mg Tablet 6,100 7000 13,100 6,300 6,800 10,000
111 Karbamazepin 200 mg Tablet 1,360 1,360 35 1,325
112 Ketoconazole 200 mg Tablet 1,400 1,400 200 1,200
113 Ketoconazole Zalp Tube - - 100
114 Ketorolac Inj 30mg/ml Ampul 100 100 - 100
115 Lactulosa Syr 3,335 g/5ml (Kompolax) Botol 61 7 68 13 55 100
116 Lansoprazole Tablet 30mg Tablet 2,500 2,500 700 1,800
117 Lidocain (HCI) 2 % 2 ml Injeksi Ampul 100 100 100 - 100
118 Lidocain (HCI) 2% + Epinefrin 2 mg Ampul - 150 150 30 120 90
119 Loperamide 2 mg Tablet 3,900 3,900 - 3,900
120 Loratadine tab Tablet 2,500 2,500 - 2,500
121 Magnesium sulfat 20% (MgSO4) Ampul - -
122 Magnesium sulfat 40% (MgSO4) Ampul 19 10 29 - 29 10
124 Mersibion Inj Ampul 60 50 110 33 77 100
125 Metformin HCl 500 mg Tablet 1,400 5000 6,400 2,000 4,400 3,000
126 Metilergometrin Inj 0,2 mg/ml Ampul - - -
128 Metilprednisolon 16 mg Tablet 2,500 2,500 500 2,000
129 Metilprednisolon 4 mg Tablet 1,500 2000 3,500 1,600 1,900 3,000
130 Metilprednisolon 8 mg Tablet 1,800 1,800 1,000 800
131 Metoklorpamide Tablet 10 mg Tablet - -
132 Metoklorpamide Tablet 5 mg Tablet - 1000 1,000 200 800 1,000
133 Metronidazol Tab 500mg Tablet 1,400 1000 2,400 2,400 1,000
135 Metronidazole Suspensi 125mg/5ml Botol 70 70 - 70
137 Miconazole krim 2 % Tube 57 57 33 24 72
138 Mineral Mix Bungkus - - 100
143 Natrium Diklofenak tab 25 mg Tablet 1,200 1,200 1,200 - 5,000
144 Natrium Diklofenak tab 50 mg Tablet 2,800 5600 8,400 2,500 5,900 3,000
145 Natrium Klorida 0,9% OTSU Botol 100 40 140 20 120 60
148 Nistatin 500.000 IU Tablet 400 400 100 300
153 Oksimetazolin tetes hidung 0,05% Botol 33 33 - 33
155 Oksitosin Inj 10 IU/ml Ampul 400 400 - 400
157 Ondansentron Injeksi Ampul 150 100 250 145 105 200
158 Ondansentron Tab 4 mg Tablet - - - 500
160 Parasetamol Infus btl 10 10 2 8
161 Parasetamol sirup 120mg/5ml Botol 457 6 463 6 457
162 Parasetamol Tab Tablet 6,300 10000 16,300 9,800 6,500 10,000
164 Piridoksin HCl Tablet 10 mg ( Vit B6 ) Tablet 3,200 2000 5,200 1,600 3,600 2,000
165 Prednison tab 5 mg Tablet - 5000 5,000 1,500 3,500 5,000
167 Propiltiourasil (PTU) tab 100 mg Tablet 200 200 100 100 500
168 Pularex Tablet Tablet 400 1000 1,400 400 1,000 500
171 Ranitidin 150 mg tab Tablet 1,700 2000 3,700 2,300 1,400 3,000
174 Retinol 200.000 IU MERAH Caps 700 700 450 250 500
175 Ringer Laktat Infus Botol 600 600 360 240 200
177 Risperidon 2 mg Tablet 1,294 500 1,794 1,510 284 500
178 Salbutamol 2 mg Tablet 2,600 2,600 700 1,900
179 Salbutamol 4 mg Tablet 2,700 2,700 600 2,100
181 Salbutamol Syrup Botol 236 12 248 12 236
183 Sianokobalamin (Vit. B12) Tab Tablet 200 200 - 200 2,000
184 Simvastatin Tablet 10 mg Tablet 4,000 4,000 600 3,400
185 Simvastatin Tablet 20 mg Tablet 3,400 3,400 1,000 2,400 1,000
190 Sukralfat Suspensi 500mg/ 5ml Botol 80 80 80 - 300
192 Tablet Tambah Darah FE Tablet 4,600 4,600 3,760 840 5,000
197 Trifluoperazin 5 mg Tablet 3,345 3,345 180 3,165
198 Trihexylphenidil 2 mg Tablet 1,899 1000 2,899 1,020 1,879 1,000
199 Vitamin B komplek Tablet 3,600 10000 13,600 5,600 8,000 10,000
200 Vitamin D3 1000IU Tablet 210 900 1,110 480 630
201 Voltadex Gel 1% 20 gr Tube - - -
202 Zinc 20 Mg Tablet Tablet 4,100 4,100 600 3,500
203 Zinc Syr Botol - -
205 Acetyl cysteine tablet 200 mg Tablet 360 360 180 180
214 Farbivent cairan inhalasi Ampul 90 50 140 20 120 100
216 Glimepiride tablet 2 mg Tablet - - - - 2,000
217 Hidrokortison krim 1% Tube - -
219 Hyoscine Butylbromide Tab Tablet 1,000 1,000 - 1,000
221 Miniaspi Asam Asetilsalisilat tablet 80 mg Tablet - - - - 500
225 Obat Batuk Hitam Combi Botol 144 50 194 129 65 100
226 Obat Batuk Hitam Anak Combi Botol 100 48 148 77 71 100
227 Obat Flu Anak (HUFA) Botol 101 7 108 18 90
230 Octenic Gel 20 g Tube 6 6 - 6 20
232 Permetrin Krim 5% Tube 20 20 - 20
233 Propranolol tablet 10 mg Tablet 700 700 - 700
236 Vitamin C 1000mg/ Provit C Tablet 840 840 60 780
- -
2 Alat suntik 1 ml TP Pcs 1,100 1,100 100 1,000
3 Alat Suntik 10 cc Stera Buah - - - 500
4 Alat suntik 10 ml TP Pcs - - - 500
5 Alat Suntik 3 cc Stera Buah - - -
7 Alat Suntik 5 cc Stera buah - - -
8 Alkohol 1 Liter Onemed Botol 2 2 2 - 5
9 Alkohol 70% 300 ml Botol - - 20
10 Alkohol swab Aximed Pcs 5,400 5,400 1,400 4,000
11 Apron Plastik one Pcs 180 100 280 10 270 100
12 Aqua proinjeksi steril 20 ml Vial 200 120 320 40 280 100
16 Baju APD Coverall Pcs 20 20 - 20
17 Bioplacenton Tulle Pcs - - 50
18 Blood Lancet Serenity Pcs 1,900 1,900 - 1,900
19 Blood transfusion set ABADA Pcs 200 200 - 200
20 Blue Tips Bks 1 1 1 - 5
21 Catgut chromic 3/0 70 cm violet reverse cutting 1 Pcs - -
22 Catgut Chromic Surgical Sutures Pcs 72 72 144 60 84 72
23 Catgut Plain Surgical Sutures box 84 72 156 12 144 72
39 Foley catheter no. 16 latex 2 way ABADA Pcs 60 60 10 50 20
40 Pcs 60 60 10 50
Foley catheter no. 18 (2 way standard) serenity 20
42 - -
45 Handrub 500 ml Medika Botol 60 60 - 60
46 Handrub e-care 500 ml Botol 16 16 - 16
50 Infusion set anak set 100 100 50 50
53 Infusion set microdrip Otsu Pcs 60 100 160 - 160
54 Infusion Set Y Adaptor Otsu Pcs - - 300
55 IV Catheter No. 18G Cath Pro Pcs 150 150 - 150
56 IV Catheter No. 20G Cath Pro Pcs 50 50 50 - 100
57 IV Catheter No. 20G Otsu Pcs - - - -
58 IV Catheter No. 22G Cath Pro Pcs - - - 100
59 IV Catheter No. 24G Cath Pro Pcs 150 150 - 150 100
65 Kantong limbah biohazard uk. L Pack 1 5 6 - 6 5
66 Kantong limbah biohazard uk. M Pack 5 5 10 - 10 5
67 Kantong limbah biohazard uk. S Pack 3 3 - 3 5
68 Kapas 250 gram Rol 8 10 18 - 18 50
71 Kasa hidrofil 2 m x 10 cm ABADA Rol - - 100
72 Kasa hidrofil 2 m x 80 cm Roll - - - 100
74 Kasa hidrofil 36 cm x 80 cm BIOKASA Rol - - - 100
80 Kasa hidrofil 4 m x 7,5 cm ABADA Rol 500 500 270 230 500
81 Kasa hidrofil 40 cm x 80 cm Rol - -
83 Kasa Steril 10 cm x 10 cm 16 Ply isi 10 Roll - - - 100
84 300 300 - 300
87 Rol 5 5 - 5
91 Latex Examination Gloves Uk. M Pcs 1,800 2000 3,800 3,100 700 4,000
94 Masker Ear Loop Pcs - 4000 4,000 4,000 - 5,000
95 Masker N95 Particulate Respirator unit 160 160 - 160
103 Masker Oksigen Dwsa Semillas Pcs 6 6 - 6 20
108 Maxiflow Dewasa unit 25 25 50 - 50
124 Mucus Extractor buah - -
127 Nasal Oksigen Canula Anak Pcs - - -
128 Nasal Oxygen Canula Adult Serenity Pcs 200 200 - 200 500
129 Nasal Oxygen Canula Infant Serenity Pcs 29 29 - 29 50
130 Nasal Oxygen Canula Pediatric Serenity Pcs 200 200 - 200
134 Nurse Cap Box 12 12 - 12
136 One Scrub 4 %, 500 cc + dispenser Botol 12 12 2 10 50
137 Oxyflow Anak Buah 12 12 4 8 100
138 Oxyflow bayi Buah 4 4 1 3 100
139 Oxyflow Dewasa Buah 33 33 - 33 200
146 Plesterin Roll Non Woven roll 15 cm x 5 m Roll 5 5 - 5
152 Pot Sputum Buah - - - 300
173 Safety box Buah 100 100 - 100 100
174 Saniswiss biosanitizer H1 500 ml Botol 20 20 - 20
175 Sepatu Boots Pair 10 10 - 10
176 Servical Collar Serenity Pcs 50 50 - 50
188 Strip Test Detecto HbsAg Onemed Buah 100 100 - 100
190 Strip Test Glucosa On Call Plus Box 50' - - - 200
191 Strip test Hb Hemoglobin Mission Pcs 350 350 - 350
193 Strip test SD HIV Bioline Pcs 50 50 - 50
196 Strip test Uritest 11G Botol 12 12 1 11
197 Strip test Virotec dengue Combo Unit 75 75 - 75
208 Umbilical cord clame fesco Pcs 100 100 - 100 200
209 Umbilical Cord Clamp Buah - - -
210 Underpad (Softpad) 60 x 90 cm Pcs - - - 300
212 Urine bag + hanger Pcs 180 180 5 175
214 USG Gel 250 ml Botol 12 12 24 - 24
Bahan Gigi
5 CHKM Botol - - 20
12 DHP-Frimal 27 27 - 27
16 KDT Dosis Harian Paket 5 5 - 5
21 Piridosin Hcl Tablet 25 mg (Vit. B6) Tablet - - - 500
22 Primaquine Tablet - -
23 Pyrazinamide 400 mg Tablet 448 448 - 448
29 Latex Goves Powder M Chorona Care Pcs - 2,000 2,000 - 2000 2000
34 Tuberkulin PPD RT 23 Vial - -
36 Pehavral Tablet 1400 1,400 300 1100
39 Verorab Vaksin Rabies inj 2,5 IU Vial 51 51 51
40 STRIP TEST HIV/SHYPILIS DUO Pcs 200 200 - 200
41 Gentamisin salep Kulit Tube 53 53 33 20 50
42 GG/Guaifenesin Tablet Tablet - 4000 4,000 200 3800 5,000
43 Hyperhep (HBIG) Vial 5 5 5
45 Solpenox Syr Botol 240 120 360 10 350
46 Strip Test Glucosa Autocheck Pcs - 500 500 - 500
47 Safety Lancet Onemed Box 19 19 6 13
48 Reco Tetes Telinga Botol 100 100 25 75

2500 500 3,000

Kabupaten Landak

NIP. 196603031987032009 NIP. 199508042022032010
KABUPATEN : LANDAK
BULAN/TAHUN : MARET / 2023
OBAT
1 Acyclovir 400mg Tablet 600 600 90 510
3 Albendazole 400 mg Tablet 500 2500 3,000 3,000 - 1,000
7 Alprazolam 0,5 mg Tablet 378 500 878 93 785 500
8 Alprazolam 1 mg Tablet 419 500 919 381 538 500
9 Ambroxol 30 mg tab Tablet 4,300 2000 6,300 2,700 3,600 10,000
14 Amlodipin Tab 5 mg Tablet 3,900 3,900 1,500 2,400 2,000
15 Amoxicillin 100 mg/ml Drops Botol - - 100
16 Amoxicillin 500 mg Tablet 4,800 5000 9,800 4,200 5,600 10,000
17 Amoxicillin dry syrup 125 mg / 5 ml Botol - - 100
19 Antasida DOEN Kombinasi Tablet 9,300 7000 16,300 9,300 7,000 15,000
22 Antihemoroid DOEN Kombinasi Supp 36 36 6 30
23 Apricot Syrup Botol 25 25 11 14 50
24 Asam Ascorbat (Vit c) Tab 50 mg Tablet 7,100 7,100 2,800 4,300 5,000
25 Asam asetilsalisilat (Miniaspi 80 mg) Tablet - - 1,000
26 Asam Mefenamat 500 mg Tablet 2,800 2000 4,800 3,000 1,800 5,000
30 Atropin sulfat injeksi 0,25 mg/mil -1 ml Ampul 90 90 2 88 100
31 Betahistine Besilat 6 mg Tablet - - 5,000
32 Betametason cream 0,1 % Tube 144 144 20 124 100
34 BIOSAVE (anti bisa ular) VIAL - - 20
35 Bisoprolol 5 mg Tablet 720 720 - 720
36 Bufacetin salep kulit 1% Tube 91 91 19 72 100
38 Captopril 12,5 mg Tablet 1,000 1000 2,000 200 1,800 1,000
39 Captopril 25 mg Tablet 1,800 1000 2,800 500 2,300 1,000
41 Cefadroxil 500 mg Tablet 2,500 2,500 1,600 900 3,000
45 Cetirizin 10 mg tab Tablet - 5000 5,000 - 5,000 7,000
46 Cetirizin Syrup Botol 147 147 - 147
50 Chlorfeniramin Maleat 4 mg (CTM) Tablet 5,500 5000 10,500 3,900 6,600 10,000
51 Chlorpromazine 100 mg Tablet 500 500 - 500
52 Chlorpromazine 25mg Tablet 1,210 1,210 120 1,090
53 Ciprofloxacin 500 mg Tablet 2,200 2,200 400 1,800 1,000
55 Clozapin 100 mg Tablet - - - 2,000
59 Cotrimoxazole 480mg Tablet 1,600 2000 3,600 200 3,400
62 Desoximetasone Krim 0.25% Tube 25 25 15 10 50
63 Dexamethason Tab 0,5 mg Tablet 2600 2,600 - 2,600 10,000
64 Dexamethasone injeksi 5 mg/ml - 1 ml Ampul 190 190 20 170
65 Dextrose monohydrat 40% Flacon - - 20
67 Diazepam injeksi 5 mg / 2 ml Ampul 29 10 39 2 37 30
68 Diazepam Tablet 5 mg Tablet 240 100 340 - 340 200
71 Dimenhidrinat 50 mg Tablet 400 400 400 - 500
72 Diphenhydramin HCl injeksi 10 mg/ml-1 ml Ampul - - 200
73 Domperidon Tablet Tablet 2,300 1000 3,300 800 2,500 1,000
74 Epineprin HCl (adrenalin ) inj 0,1 % - 1 ml Ampul 98 98 10 88 100
78 Fitomenadion (Vit K) Injeksi 2 mg Ampul 300 300 70 230
79 Fitomenadion (Vit K) Tablet Salut 10 mg Tablet 200 200 - 200 1,000
83 Furosemid Tablet 40 mg Tablet 800 800 200 600
84 Garam Oralit 200 mg Bungkus 400 400 100 300 100
85 Gentamicin Salep Mata 0,3% Tube - - 100
87 Glibenklamid Tablet 5 mg Tablet 2,600 500 3,100 200 2,900 1,000
90 Griseolfulvin Tablet 125 mg Micronized Tablet 500 500 100 400 500
91 Haloperidol 0,5 mg Tablet - - 500
93 Haloperidol 5 mg Tablet 1,058 1000 2,058 400 1,658 1,000
95 Herbakof Tablet Tablet - - - 1,000
96 Herbapain (OHT) Obat Anti Nyeri Tablet Tablet - - - 600
98 Herbavomitz Tablet Tablet - - - 600
100 Hidrokortison Krim 2,5% Tube 72 72 24 48 100
101 Ibuprofen (Zentarin) Tablet 400 mg Tablet 1,500 2000 3,500 900 2,600 2,000
105 Imunomodulator anak Syr 25 mg Botol 4 4 4 - 50
107 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 500 500 1,000 - 1,000 500
108 KA EN 3A Kolf 6 6 6 - 20
109 KA EN 3B Kolf 32 32 20 12 20
110 Kalsium Laktat (kalk) Tablet 500 mg Tablet 6,800 5000 11,800 3,800 8,000 10,000
111 Karbamazepin 200 mg Tablet 1,325 1,325 91 1,234
112 Ketoconazole 200 mg Tablet 1,200 1,200 600 600 3,000
113 Ketoconazole Zalp Tube 50 50 25 25 100
114 Ketorolac Inj 30mg/ml Ampul 100 100 20 80 100
115 Lactulosa Syr 3,335 g/5ml (Kompolax) Botol 55 55 - 55 100
116 Lansoprazole Tablet 30mg Tablet 1,800 1,800 700 1,100
117 Lidocain (HCI) 2 % 2 ml Injeksi Ampul - - - 100
118 Lidocain (HCI) 2% + Epinefrin 2 mg Ampul 120 150 270 120 150 150
119 Loperamide 2 mg Tablet 3,900 3,900 300 3,600
120 Loratadine tab Tablet 2,500 2,500 200 2,300
121 Magnesium sulfat 20% (MgSO4) Ampul 10 10 - 10
122 Magnesium sulfat 40% (MgSO4) Ampul 29 10 39 - 39
125 Metformin HCl 500 mg Tablet 4,400 3000 7,400 1,800 5,600 2,000
126 Metilergometrin Inj 0,2 mg/ml Ampul - -
128 Metilprednisolon 16 mg Tablet 2,000 2,000 600 1,400
129 Metilprednisolon 4 mg Tablet 1,900 1000 2,900 500 2,400 3,000
130 Metilprednisolon 8 mg Tablet 800 1000 1,800 300 1,500 1,000
132 Metoklorpamide Tablet 5 mg Tablet 800 1000 1,800 - 1,800
133 Metronidazol Tab 500mg Tablet 1,600 1,600 400 1,200 1,000
137 Miconazole krim 2 % Tube 24 24 24 - 72
138 Mineral Mix Bungkus 120 120 - 120 100
143 Natrium Diklofenak tab 25 mg Tablet - - - 5,000
144 Natrium Diklofenak tab 50 mg Tablet 5,900 3000 8,900 3,600 5,300 5,000
147 Nistatin 100.000 IU tab vaginal Tablet 70 70 10 60 100
153 Oksimetazolin tetes hidung 0,05% Botol 33 33 33 -
155 Oksitosin Inj 10 IU/ml Ampul 400 400 - 400
157 Ondansentron Injeksi Ampul 105 150 255 - 255
158 Ondansentron Tab 4 mg Tablet - - 500
161 Parasetamol sirup 120mg/5ml Botol 457 457 - 457
162 Parasetamol Tab Tablet 6,500 10000 16,500 10,500 6,000 20,000
164 Piridoksin HCl Tablet 10 mg ( Vit B6 ) Tablet 3,600 2000 5,600 1,600 4,000 3,000
165 Prednison tab 5 mg Tablet 3,500 3000 6,500 3,200 3,300 6,000
167 Propiltiourasil (PTU) tab 100 mg Tablet 100 100 - 100 500
168 Pularex Tablet Tablet 1,000 500 1,500 - 1,500 500
171 Ranitidin 150 mg tab Tablet 1,400 3000 4,400 1,700 2,700 5,000
174 Retinol 200.000 IU MERAH Caps 250 500 750 100 650 500
175 Ringer Laktat Infus Botol 240 200 440 200 240 500
177 Risperidon 2 mg Tablet 284 500 784 210 574 1,000
178 Salbutamol 2 mg Tablet 1,900 1,900 100 1,800 1,000
179 Salbutamol 4 mg Tablet 2,100 2,100 900 1,200 1,000
181 Salbutamol Syrup Botol 236 236 - 236
184 Simvastatin Tablet 10 mg Tablet 3,400 3,400 400 3,000 1,000
185 Simvastatin Tablet 20 mg Tablet 2,400 1000 3,400 2,450 950 1,000
186 Soft U Derm 10% Crema 20gr Tube - - -
187 Spironolactone 25 mg Tablet - - -
188 Stesolid rectal 10 mg / 2,5 ml Tube - - -
190 Sukralfat Suspensi 500mg/ 5ml Botol - - - - 500
191 Sulfadoxine-Pyrimethamine (Suldox) Tablet - - -
192 Tablet Tambah Darah FE Tablet 840 840 840 -
194 Tetrasiklin 500 mg Tablet - - -
195 Thiamin Hcl (Vit B1) Tablet 50 mg Tablet - - - 1,000
196 Tramadol Inj Ampul - - -
197 Trifluoperazin 5 mg Tablet 3,165 3,165 330 2,835
198 Trihexylphenidil 2 mg Tablet 1,879 1000 2,879 964 1,915 2,000
199 Vitamin B komplek Tablet 8,000 8,000 5,200 2,800 10,000
200 Vitamin D3 1000IU Tablet 630 630 120 510
201 Voltadex Gel 1% 20 gr Tube - - - 20
202 Zinc 20 Mg Tablet Tablet 3,500 3,500 800 2,700 2,000
203 Zinc Syr Botol - - -
204 Zincpro Drop 15 ml Botol - - -
205 Acetyl cysteine tablet 200 mg Tablet 180 180 180 - 500
206 Cefotaxime sodium serb inj 500 mg Injeksi - - -
207 Cendo Lyteers tetes mata, botol @ 15 ml Botol - - -
208 Chloramphenicol salep mata 1 % Tube - - -
209 Curcuma Plus 60 mL Botol - - -
212 Domperidone drops 5 mg/mL Botol - - -
213 Domperidone sirup/suspensi 5 mg/5 ml Botol - - -
215 Flamar Natrium diklofenak tetes mata 1 mg/ml Botol - - -
216 Glimepiride tablet 2 mg Tablet - - - - 2,000
217 Hidrokortison krim 1% Tube - - -
218 Hyaloph Natrium hialuronat tetes mata Botol - - -
219 Hyoscine Butylbromide Tab Tablet 1,000 1,000 - 1,000
220 Midric 0,5% Tropikamid tts mata 0,5% Botol - - -
221 Miniaspi Asam Asetilsalisilat tablet 80 mg Tablet - - - - 500
222 Multivitamin Ferbion Kapsul - - -
223 Novadryl Tablet Tablet - - -
224 Nuvopec Syrup Botol - - -
228 Obat Flu Kombinasi (Noza) Tablet - - - 5,000
229 Obat Flu Kombinasi Syrup (Febrinex) Botol - - -
230 Octenic Gel 20 g Tube 6 6 2 4 20
231 Parafen Kaplet Kaplet - - -
232 Permetrin Krim 5% Tube 20 20 - 20
233 Propranolol tablet 10 mg Tablet 700 700 100 600
235 Vip Albumin Obat Herbal Tablet 630 630 20 610
- -
2 Alat suntik 1 ml TP Pcs 1,000 1,000 400 600
3 Alat Suntik 10 cc Stera Buah - - - 500
5 Alat Suntik 3 cc Stera Buah - - -
7 Alat Suntik 5 cc Stera buah - - -
8 Alkohol 1 Liter Onemed Botol - 22 22 13 9 5
10 Alkohol swab Aximed Pcs 4,000 4,000 2,500 1,500
11 Apron Plastik one Pcs 270 100 370 80 290 100
13 Arm Sling Comfort L Buah 3 3 1 2
15 Bactivec BTI DBD SL Botol - - -
18 Blood Lancet Serenity Pcs 1,900 1,900 - 1,900
19 Blood transfusion set ABADA Pcs 200 200 75 125
20 Blue Tips Bks - 5 5 - 5 5
23 Catgut Plain Surgical Sutures box 144 84 228 60 168 72
24 Catgut provein 5/0 PV888 45 cm 18 mm Pcs - - -
39 Foley catheter no. 16 latex 2 way ABADA Pcs 50 50 - 50 20
40 Pcs 50 50 - 50
42 40 40 20 20
46 Handrub e-care 500 ml Botol 16 48 64 49 15
47 Handscrub e-care 500 ml Botol 24 24 6 18 50
50 Infusion set anak set 60 60 - 60
53 Infusion set microdrip Otsu Pcs 160 160 40 120
57 IV Catheter No. 20G Otsu Pcs - - -
63 IV Catheter WP No. 26G Aximed Pcs 50 50 - 50 100
65 Kantong limbah biohazard uk. L Pack 6 5 11 - 11 5
66 Kantong limbah biohazard uk. M Pack 10 5 15 - 15 5
67 Kantong limbah biohazard uk. S Pack 3 3 - 3 5
68 Kapas 250 gram Rol 18 10 28 1 27 50
71 Kasa hidrofil 2 m x 10 cm ABADA Rol 500 500 - 500
72 Kasa hidrofil 2 m x 80 cm Roll - - 100
74 Kasa hidrofil 36 cm x 80 cm BIOKASA Rol - - 100
80 Kasa hidrofil 4 m x 7,5 cm ABADA Rol 230 230 80 150 500
81 Kasa hidrofil 40 cm x 80 cm Rol 10 10 10 -
82 Kasa hidropil 16 cm x 16 cm ABADA Kotak - - - 100
83 Kasa Steril 10 cm x 10 cm 16 Ply isi 10 Roll - - - 100
84 300 300 100 200
85 Kasa Steril 16 x 16 cm Roll 212 100 312 112 200 100
87 Rol 5 5 - 5
91 Latex Examination Gloves Uk. M Pcs 700 700 700 - 4,000
94 Masker Ear Loop Pcs - 4000 4,000 1,000 3,000 5,000
103 Masker Oksigen Dwsa Semillas Pcs 6 6 - 6 20
108 Maxiflow Dewasa unit 50 50 - 50
124 Mucus Extractor buah 50 50 - 50
126 M-Y Jelly 82 Gram Tube Buah 1 1 - 1 20
127 Nasal Oksigen Canula Anak Pcs - - -
128 Nasal Oxygen Canula Adult Serenity Pcs 200 100 300 - 300 500
129 Nasal Oxygen Canula Infant Serenity Pcs 29 29 - 29 50
134 Nurse Cap Box 12 12 - 12
136 One Scrub 4 %, 500 cc + dispenser Botol 10 12 22 4 18 50
139 Oxyflow Dewasa Buah 33 50 83 3 80 200
145 Plesterin Roll Non Woven roll 10cm x 5m Roll 16 16 7 9
146 Plesterin Roll Non Woven roll 15 cm x 5 m Roll 5 5 1 4
152 Pot Sputum Buah - - - 300
172 Rivanol 300 cc Botol 49 49 - 49
173 Safety box Buah 100 100 200 - 200 100
174 Saniswiss biosanitizer H1 500 ml Botol 20 20 1 19
187 Strip Test Cholestrol Autocheck Box - - - 200
190 Strip Test Glucosa On Call Plus Box 50' - - 200
191 Strip test Hb Hemoglobin Mission Pcs 350 350 - 350
193 Strip test SD HIV Bioline Pcs 50 50 25 25
196 Strip test Uritest 11G Botol 11 11 - 11
197 Strip test Virotec dengue Combo Unit 75 75 50 25
209 Umbilical Cord Clamp Buah - -
210 Underpad (Softpad) 60 x 90 cm Pcs - - 300
214 USG Gel 250 ml Botol 24 24 - 24
Bahan Gigi
5 CHKM Botol - - 20
12 DHP-Frimal 27 27 - 27
15 Isoniazid 300 mg Tablet - - -
18 Moxyfloxacin 400 mg Tablet - - -
19 OAT Kategori Anak Paket 3 3 1 2
20 OAT Kat. I FDC Paket 5 16 21 3 18
21 Piridosin Hcl Tablet 25 mg (Vit. B6) Tablet - - - - 500
22 Primaquine Tablet - - -
29 Latex Goves Powder M Chorona Care Pcs 2000 4,000 6,000 3,000 3000 2000
34 Tuberkulin PPD RT 23 Vial - - -
36 Pehavral Tablet 1100 1,100 100 1000
39 Verorab Vaksin Rabies inj 2,5 IU Vial 14 14 - 14
41 Gentamisin salep Kulit Tube 20 60 80 26 54 50
42 GG/Guaifenesin Tablet Tablet 3800 3000 6,800 1,600 5200 5,000
43 Hyperhep (HBIG) Vial - -
45 Solpenox Syr Botol 350 120 470 88 382
46 Strip Test Glucosa Autocheck Pcs 500 500 - 500
47 Safety Lancet Onemed Box 13 13 - 13
48 Reco Tetes Telinga Botol 75 75 - 75
49 Lisol 1 liter Botol 10 10 - 10 10
50 Vaksin Rabivax-S Vial 25 25 - 25
51 Asam Ascorbat (Vit c) Tab 500 mg Tablet 3000 3,000 - 3000

2500 500 3,000

Kabupaten Landak

NIP. 196603031987032009 NIP. 199508042022032010
KABUPATEN : LANDAK
BULAN/TAHUN : APRIL / 2023
OBAT
1 Acyclovir 400mg Tablet 510 510 60 450
3 Albendazole 400 mg Tablet - 1000 1,000 - 1000
5 Allopurinol 100 mg Tablet 3,900 3,900 900 3000
6 Allopurinol 300 mg Tablet 4,700 4,700 700 4000
7 Alprazolam 0,5 mg Tablet 785 500 1,285 160 1125
8 Alprazolam 1 mg Tablet 538 500 1,038 372 666 600
9 Ambroxol 30 mg tab Tablet 3,600 1000 4,600 3,000 1600 10,000
10 Ambroxol Syrup Botol - - 200
13 Amlodipin Tab 10 mg Tablet 7,500 2100 9,600 3,080 6520 2,000
14 Amlodipin Tab 5 mg Tablet 2,400 2,400 1,100 1300 1,000
16 Amoxicillin 500 mg Tablet 5,600 3000 8,600 5,000 3600 10,000
17 Amoxicillin dry syrup 125 mg / 5 ml Botol 100 100 - 100
18 Ampicillin injeksi Ampul 230 230 30 200
19 Antasida DOEN Kombinasi Tablet 7,000 11400 18,400 7,000 11400 15,000
20 Antasida DOEN Syrup Botol - - 200
21 Antifungi DOEN Kombinasi Tube 60 60 - 60
22 Antihemoroid DOEN Kombinasi Supp 30 30 - 30
23 Apricot Syrup Botol 14 14 14 0 50
24 Asam Ascorbat (Vit c) Tab 50 mg Tablet 4,300 4,300 4,300 0 10,000
25 Asam asetilsalisilat (Miniaspi 80 mg) Tablet - - 1,000
26 Asam Mefenamat 500 mg Tablet 1,800 5000 6,800 2,000 4800 10,000
31 Betahistine Besilat 6 mg Tablet - - 5,000
32 Betametason cream 0,1 % Tube 124 100 224 49 175 100
34 BIOSAVE (anti bisa ular) VIAL - - 20
35 Bisoprolol 5 mg Tablet 720 720 120 600
36 Bufacetin salep kulit 1% Tube 72 72 144 24 120 100
38 Captopril 12,5 mg Tablet 1,800 1000 2,800 200 2600 1,000
39 Captopril 25 mg Tablet 2,300 1000 3,300 500 2800 1,000
41 Cefadroxil 500 mg Tablet 900 900 200 700 3,000
44 Ceftriaxon Inj 1000 mg Vial 10 10 10 100
45 Cetirizin 10 mg tab Tablet 5,000 5000 10,000 5,200 4800 7,000
50 Chlorfeniramin Maleat 4 mg (CTM) Tablet 6,600 10000 16,600 5,100 11500 10,000
51 Chlorpromazine 100 mg Tablet 500 500 - 500
52 Chlorpromazine 25mg Tablet 1,090 1,090 120 970
53 Ciprofloxacin 500 mg Tablet 1,800 1000 2,800 700 2100 1,000
59 Cotrimoxazole 480mg Tablet 3,400 3,400 300 3100
61 Cotrimoxazole sirup Botol - - 50
62 Desoximetasone Krim 0.25% Tube 10 10 2 8 50
63 Dexamethason Tab 0,5 mg Tablet 2,600 5000 7,600 2,600 5000 10,000
64 Dexamethasone injeksi 5 mg/ml - 1 ml Ampul 170 170 70 100
65 Dextrose monohydrat 40% Flacon - - 20
67 Diazepam injeksi 5 mg / 2 ml Ampul 37 37 28 9 50
68 Diazepam Tablet 5 mg Tablet 340 340 - 340
69 Digoxin tablet 0,25 mg Tablet - - 500
71 Dimenhidrinat 50 mg Tablet - - - 1,000
72 Diphenhydramin HCl injeksi 10 mg/ml-1 ml Ampul - - 200
73 Domperidon Tablet Tablet 2,500 1000 3,500 1,000 2500
74 Epineprin HCl (adrenalin ) inj 0,1 % - 1 ml Ampul 88 100 188 4 184 100
75 Ergotamin Coffein Tablet - - 500
76 Febrinex Ped Suspensi 60 ml Botol - - 100
79 Fitomenadion (Vit K) Tablet Salut 10 mg Tablet 200 200 200 0 1,000
80 Flutamol Syr Botol - - 100
82 Furosemid 10 Mg/ml Injeksi Ampul 125 125 25 100
83 Furosemid Tablet 40 mg Tablet 600 600 100 500
84 Garam Oralit 200 mg Bungkus 300 300 300 0 100
87 Glibenklamid Tablet 5 mg Tablet 2,900 1000 3,900 800 3100
90 Griseolfulvin Tablet 125 mg Micronized Tablet 400 1000 1,400 200 1200 500
91 Haloperidol 0,5 mg Tablet - - 500
92 Haloperidol 1,5 mg Tablet - - 1,000
93 Haloperidol 5 mg Tablet 1,658 1000 2,658 354 2304 1,000
94 Herbakof Syrup Botol - - 100
95 Herbakof Tablet Tablet - - 1,000
96 Herbapain (OHT) Obat Anti Nyeri Tablet Tablet - - 600
98 Herbavomitz Tablet Tablet - - 600
100 Hidrokortison Krim 2,5% Tube 48 48 48 0 100
101 Ibuprofen (Zentarin) Tablet 400 mg Tablet 2,600 2000 4,600 2,000 2600 3,000
105 Imunomodulator anak Syr 25 mg Botol - - - 100
107 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 1,000 500 1,500 - 1500 500
108 KA EN 3A Kolf - - - 20
109 KA EN 3B Kolf 12 12 12 0 20
110 Kalsium Laktat (kalk) Tablet 500 mg Tablet 8,000 5000 13,000 7,300 5700 10,000
111 Karbamazepin 200 mg Tablet 1,234 1,234 142 1092
112 Ketoconazole 200 mg Tablet 600 3000 3,600 600 3000
113 Ketoconazole Zalp Tube 25 50 75 25 50 100
114 Ketorolac Inj 30mg/ml Ampul 80 100 180 - 180 100
115 Lactulosa Syr 3,335 g/5ml (Kompolax) Botol 55 55 1 54 100
116 Lansoprazole Tablet 30mg Tablet 1,100 1,100 500 600 2,000
117 Lidocain (HCI) 2 % 2 ml Injeksi Ampul - - 100
119 Loperamide 2 mg Tablet 3,600 3,600 500 3100
120 Loratadine tab Tablet 2,300 2,300 300 2000
122 Magnesium sulfat 40% (MgSO4) Ampul 39 39 18 21
123 Maltiron Syr 60 ml Botol - - 100
125 Metformin HCl 500 mg Tablet 5,600 5,600 1,200 4400 2,000
128 Metilprednisolon 16 mg Tablet 1,400 1,400 600 800
129 Metilprednisolon 4 mg Tablet 2,400 2,400 1,400 1000 3,000
130 Metilprednisolon 8 mg Tablet 1,500 1000 2,500 800 1700 1,000
132 Metoklorpamide Tablet 5 mg Tablet 1,800 1,800 - 1800
133 Metronidazol Tab 500mg Tablet 1,200 1,200 600 600 2,000
134 Metronidazole Infus Kolf 10 10 1 9
137 Miconazole krim 2 % Tube - - - 72
138 Mineral Mix Bungkus 120 120 - 120
140 Multivitamin Becefort Syr 60 ml Botol - - 100
141 Multivitamin Natabion Dws Capsul - - 1,000
143 Natrium Diklofenak tab 25 mg Tablet - - 5,000
144 Natrium Diklofenak tab 50 mg Tablet 5,300 5,300 5,300 0 5,000
147 Nistatin 100.000 IU tab vaginal Tablet 60 100 160 60 100 100
148 Nistatin 500.000 IU Tablet 300 300 100 200
149 Nistatin suspensi 100.000 IU/mL Botol 100 100 1 99
151 OBH Kaca Berlico 100ml Botol - - 100
152 Ofloxacin 200 mg Tablet - - 2,000
153 Oksimetazolin tetes hidung 0,05% Botol - - -
156 Omeprazole caps (Lokev) Capsul - - 2,000
157 Ondansentron Injeksi Ampul 255 255 10 245
158 Ondansentron Tab 4 mg Tablet - - 500
159 Parasetamol Drops Botol - - 100
162 Parasetamol Tab Tablet 6,000 6,000 6,000 0 20,000
164 Piridoksin HCl Tablet 10 mg ( Vit B6 ) Tablet 4,000 1000 5,000 1,900 3100 3,000
165 Prednison tab 5 mg Tablet 3,300 6000 9,300 2,600 6700 6,000
166 Procurma Syr Botol - - 100
167 Propiltiourasil (PTU) tab 100 mg Tablet 100 100 100 0 500
168 Pularex Tablet Tablet 1,500 500 2,000 400 1600 500
171 Ranitidin 150 mg tab Tablet 2,700 5000 7,700 2,700 5000 7,000
172 Ranitidin Injeksi Ampul - - 100
174 Retinol 200.000 IU MERAH Caps 650 500 1,150 100 1050
177 Risperidon 2 mg Tablet 574 1000 1,574 552 1022 2,000
178 Salbutamol 2 mg Tablet 1,800 1000 2,800 1,700 1100
179 Salbutamol 4 mg Tablet 1,200 1000 2,200 500 1700
181 Salbutamol Syrup Botol 236 236 - 236
184 Simvastatin Tablet 10 mg Tablet 3,000 1000 4,000 1,700 2300 1,000
185 Simvastatin Tablet 20 mg Tablet 950 1000 1,950 700 1250 1,000
186 Soft U Derm 10% Crema 20gr Tube - - -
187 Spironolactone 25 mg Tablet - - - 1,000
190 Sukralfat Suspensi 500mg/ 5ml Botol - - - 500
191 Sulfadoxine-Pyrimethamine (Suldox) Tablet - - -
192 Tablet Tambah Darah FE Tablet - - - 10,000
194 Tetrasiklin 500 mg Tablet - - -
195 Thiamin Hcl (Vit B1) Tablet 50 mg Tablet - - - 2,000
196 Tramadol Inj Ampul - - -
197 Trifluoperazin 5 mg Tablet 2,835 2,835 240 2595
198 Trihexylphenidil 2 mg Tablet 1,915 2000 3,915 776 3139 1,000
199 Vitamin B komplek Tablet 2,800 2,800 2,800 0 10,000
200 Vitamin D3 1000IU Tablet 510 510 510 0 1,000
201 Voltadex Gel 1% 20 gr Tube - - - 20
202 Zinc 20 Mg Tablet Tablet 2,700 2,700 2,000 700 500
203 Zinc Syr Botol - - - 100
204 Zincpro Drop 15 ml Botol - - - 100
205 Acetyl cysteine tablet 200 mg Tablet - 600 600 - 600 500
206 Cefotaxime sodium serb inj 500 mg Injeksi - - -
207 Cendo Lyteers tetes mata, botol @ 15 ml Botol - - - 10
208 Chloramphenicol salep mata 1 % Tube - - -
209 Curcuma Plus 60 mL Botol - - - 100
212 Domperidone drops 5 mg/mL Botol - - -
213 Domperidone sirup/suspensi 5 mg/5 ml Botol - - -
215 Flamar Natrium diklofenak tetes mata 1 mg/ml Botol - - -
216 Glimepiride tablet 2 mg Tablet - - - 2,000
217 Hidrokortison krim 1% Tube - - - 100
218 Hyaloph Natrium hialuronat tetes mata Botol - - -
219 Hyoscine Butylbromide Tab Tablet 1,000 1,000 - 1000
220 Midric 0,5% Tropikamid tts mata 0,5% Botol - - -
221 Miniaspi Asam Asetilsalisilat tablet 80 mg Tablet - - - 500
222 Multivitamin Ferbion Kapsul - - -
223 Novadryl Tablet Tablet - - -
224 Nuvopec Syrup Botol - - -
227 Obat Flu Anak (HUFA) Botol 60 60 120 12 108 100
228 Obat Flu Kombinasi (Noza) Tablet - - - 5,000
229 Obat Flu Kombinasi Syrup (Febrinex) Botol - - - 100
231 Parafen Kaplet Kaplet - - -
232 Permetrin Krim 5% Tube 20 20 7 13 20
- -
2 Alat suntik 1 ml TP Pcs 600 600 200 400 500
4 Alat suntik 10 ml TP Pcs - - 500
6 Alat suntik 3 ml TP Pcs - - 1,000
7 Alat Suntik 5 cc Stera buah - - 1,000
8 Alkohol 1 Liter Onemed Botol 9 22 31 - 31
10 Alkohol swab Aximed Pcs 1,500 1,500 1,100 400 5,000
11 Apron Plastik one Pcs 310 100 410 - 410
12 Aqua proinjeksi steril 20 ml Vial 360 360 - 360 100
15 Bactivec BTI DBD SL Botol - - -
18 Blood Lancet Serenity Pcs 1,900 1,900 - 1900 5,000
19 Blood transfusion set ABADA Pcs 125 125 55 70 100
20 Blue Tips Bks 5 5 - 5
23 Catgut Plain Surgical Sutures box 168 48 216 - 216 72
24 Catgut provein 5/0 PV888 45 cm 18 mm Pcs - - -
25 Catgut silk 3/0 75 cm 3/8 CC 19 mm Pcs - - 72
39 Foley catheter no. 16 latex 2 way ABADA Pcs 50 20 70 10 60
40 Pcs 50 20 70 -
42 20 20 20
Folley catheter uro one 2 way, FR 16, FR 18 Buah 0
45 Handrub 500 ml Medika Botol 72 48 72 - 146
47 Handscrub e-care 500 ml Botol 18 18 - 18
50 Infusion set anak set 60 60 10 50 100
52 Infusion set microdrip ABADA Pcs - - 200
53 Infusion set microdrip Otsu Pcs 120 120 30 90
57 IV Catheter No. 20G Otsu Pcs - -
65 Kantong limbah biohazard uk. L Pack 11 5 16 16 0 5
66 Kantong limbah biohazard uk. M Pack 15 15 15 0 5
67 Kantong limbah biohazard uk. S Pack 3 3 3 0 5
68 Kapas 250 gram Rol 27 27 - 27
71 Kasa hidrofil 2 m x 10 cm ABADA Rol 500 500 50 450
72 Kasa hidrofil 2 m x 80 cm Roll - - 20
73 Kasa hidrofil 20y x 80 cm ABADA Rol - -
74 Kasa hidrofil 36 cm x 80 cm BIOKASA Rol - -
80 Kasa hidrofil 4 m x 7,5 cm ABADA Rol 150 100 250 - 400
81 Kasa hidrofil 40 cm x 80 cm Rol - 10 10 10 0 10
82 Kasa hidropil 16 cm x 16 cm ABADA Kotak - - - 100
83 Kasa Steril 10 cm x 10 cm 16 Ply isi 10 Roll - - -
84 200 300 500 -
Kasa Steril 10 cm x 10 cm 16 Ply isi 10 LDX Roll 500
87 Rol 5 5 -
Kertas EKG 4.5 in (11.4 cm) x 65.6 ft (20 m) 5
90 Latex Examination Gloves Uk. L Pcs - - 2,000
91 Latex Examination Gloves Uk. M Pcs - - - 0 5,000
92 Latex Examination Gloves Uk. S Pcs - - 1,000
94 Masker Ear Loop Pcs 3,000 3000 6,000 6,000 0 5,000
103 Masker Oksigen Dwsa Semillas Pcs 6 6 - 6
104 Masker Oksigen Infant Serenity Pcs -
105 Masker Oksigen Pediatric Serenity Pcs 24 24 24 0
108 Maxiflow Dewasa unit 50 50 28 22
127 Nasal Oksigen Canula Anak Pcs - -
128 Nasal Oxygen Canula Adult Serenity Pcs 300 200 500 - 500
129 Nasal Oxygen Canula Infant Serenity Pcs 29 29 29 0
134 Nurse Cap Box 12 12 1 11
136 One Scrub 4 %, 500 cc + dispenser Botol 18 18 - 18 10
139 Oxyflow Dewasa Buah 80 50 130 80 50 200
145 Plesterin Roll Non Woven roll 10cm x 5m Roll 9 9 2 7 10
146 Plesterin Roll Non Woven roll 15 cm x 5 m Roll 4 4 1 3 10
152 Pot Sputum Buah - -
173 Safety box Buah 200 100 300 - 300
174 Saniswiss biosanitizer H1 500 ml Botol 20 20 - 20
187 Strip Test Cholestrol Autocheck Box - - - 200
188 Strip Test Detecto HbsAg Onemed Buah 25 100 125 100 25 200
189 Strip Test Focus New HIV 1/2 3 Line Pcs - - 200
191 Strip test Hb Hemoglobin Mission Pcs 350 350 150 200 200
192 Strip Test Health Mate Syphilis Ab Plus Box 200 200 125 75 200
193 Strip test SD HIV Bioline Pcs 25 25 25 0
196 Strip test Uritest 11G Botol 11 11 1 10
197 Strip test Virotec dengue Combo Unit 25 25 - 25 200
210 Underpad (Softpad) 60 x 90 cm Pcs - - 0 300
211 U-Pad Steril Buah - - 0 100
214 USG Gel 250 ml Botol 36 36 - 36
217 Write On ID Bracelet Adult blue remedi Pcs 100 100 - 100 200
218 Write On ID Bracelet Adult pink remedi Pcs 100 100 - 100 200
219 Write On ID Bracelet Child hijau remedi Pcs 200 200 - 200 100
220 Write On ID Bracelet Child ungu remedi Pcs 100 100 - 100 200
221 Xpert MTB/ RIF Assay Kit Cartrigde TCM Pcs 100 100 100 0
Bahan Gigi
5 CHKM Botol - - 20
12 DHP-Frimal 27 27 - 27
15 Isoniazid 300 mg Tablet - - -
18 Moxyfloxacin 400 mg Tablet - - -
21 Piridosin Hcl Tablet 25 mg (Vit. B6) Tablet - - - 500
22 Primaquine Tablet 100 100 - 100
25 Tabung EDTA 3 ml - - 500
26 Latex Goves Powder M Chorona Care Pcs 3000 2,000 5,000 3,000 2000 2000
28 Rifampicin 75 mg + Isoniazid 50 mg Tablet 84 84 84 0
31 Pehavral Tablet 1000 1,000 500 500 1000
32 Strip Test HIV 1/2 - One Step Pcs 50 200 250 50 200
33 Strip Test HIV 1/2 - Standar Q Pcs 100 100 50 50
34 Verorab Vaksin Rabies inj 2,5 IU Vial 14 14 14 0
37 GG/Guaifenesin Tablet Tablet 5200 2000 7,200 3,400 3800 7,000
38 Hyperhep (HBIG) Vial 5 5 1 4
40 Solpenox Syr Botol 382 382 124 258
41 Strip Test Glucosa Autocheck Pcs 500 500 150 350
42 Safety Lancet Onemed Box 13 13 - 13
44 Lisol 1 liter Botol 10 10 2 8
45 Vaksin Rabivax-S Vial 25 20 45 45 0
46 Octenic Spray 50 ML Vial 10 10 - 10
47 Latex Powder Gloves Uk (S,M,L) Pcs 2000 2,000 - 2000
48 Reagen Ziehl Neelsen/TB Paket 2 2 2 0
49 Write On ID Bracelet Adult yellow remedi Pcs - - 0 200
50 Asam Ascorbat (Vit c) Tab 500 mg Tablet 3000 3,000 1,400 1600 10,000

2500 500 3,000

Kabupaten Landak
NIP. 196603031987032009 NIP. 199508042022032010
KABUPATEN : LANDAK
BULAN/TAHUN : MEI / 2023
OBAT
No Nama Item SATUAN Kelas Terapi Stok Awal Penerimaan Persediaan Pemakaian
1 Acyclovir 400mg Tablet 450 450 270
2 Acyclovir Salep Tube 100 100 25
3 Albendazole 400 mg Tablet 1000 1,000 200
5 Allopurinol 100 mg Tablet 3000 3,000 1,200
6 Allopurinol 300 mg Tablet 4000 4,000 600
7 Alprazolam 0,5 mg Tablet 1125 1,125 173
8 Alprazolam 1 mg Tablet 666 600 1,266 333
9 Ambroxol 30 mg tab Tablet 1600 1,600 1,600
13 Amlodipin Tab 10 mg Tablet 6520 3000 9,520 3,570
14 Amlodipin Tab 5 mg Tablet 1300 1,300 800
15 Amoxicillin 100 mg/ml Drops Botol - -
16 Amoxicillin 500 mg Tablet 3600 3,600 3,600
17 Amoxicillin dry syrup 125 mg / 5 ml Botol 100 100 -
18 Ampicillin injeksi Ampul 200 200 -
19 Antasida DOEN Kombinasi Tablet 11400 15000 26,400 9,900
21 Antifungi DOEN Kombinasi Tube 60 60 -
22 Antihemoroid DOEN Kombinasi Supp 30 30 30
23 Apricot Syrup Botol 0 - -
24 Asam Ascorbat (Vit c) Tab 50 mg Tablet 0 - -
25 Asam asetilsalisilat (Miniaspi 80 mg) Tablet 1000 1,000 -
26 Asam Mefenamat 500 mg Tablet 4800 6000 10,800 4,900
27 Asam Tranexamat inj 100 mg/ml Ampul 80 80 -
30 Atropin sulfat injeksi 0,25 mg/mil -1 ml Ampul 86 86 -
31 Betahistine Besilat 6 mg Tablet 3000 3,000 500
34 BIOSAVE (anti bisa ular) VIAL - -
35 Bisoprolol 5 mg Tablet 600 600 -
37 Calcii Glukonas Inj Ampul 24 24 -
38 Captopril 12,5 mg Tablet 2600 1000 3,600 500
39 Captopril 25 mg Tablet 2800 1000 3,800 1,200
41 Cefadroxil 500 mg Tablet 700 700 700
42 Cefadroxil Dry Syrup 125 mg Botol 343 343 343
43 Cefotaxime Injeksi 1 gr Vial - -
44 Ceftriaxon Inj 1000 mg Vial 100 100 -
45 Cetirizin 10 mg tab Tablet 4800 7000 11,800 4,300
46 Cetirizin Syrup Botol 147 147 -
50 Chlorfeniramin Maleat 4 mg (CTM) Tablet 11500 5000 16,500 4,000
51 Chlorpromazine 100 mg Tablet 500 500 90
52 Chlorpromazine 25mg Tablet 970 970 90
53 Ciprofloxacin 500 mg Tablet 2100 1000 3,100 1,000
54 Clindamicin 150 mg Capsul - -
55 Clozapin 100 mg Tablet 500 500 30
56 Clozapin 25 mg Tablet 2000 2,000 -
59 Cotrimoxazole 480mg Tablet 3100 3,100 800
60 Cotrimoxazole 960 mg Tablet - -
62 Desoximetasone Krim 0.25% Tube 8 8 1
63 Dexamethason Tab 0,5 mg Tablet 5000 800 5,800 5,000
64 Dexamethasone injeksi 5 mg/ml - 1 ml Ampul 100 100 -
65 Dextrose monohydrat 40% Flacon - -
66 Diabetadex Fitofarmaka Tablet 210 210 -
67 Diazepam injeksi 5 mg / 2 ml Ampul 9 10 19 9
68 Diazepam Tablet 5 mg Tablet 340 340 120
70 Diltiazem HCL Tablet 30 mg Tablet 800 800 -
71 Dimenhidrinat 50 mg Tablet - -
72 Diphenhydramin HCl injeksi 10 mg/ml-1 ml Ampul - -
73 Domperidon Tablet Tablet 2500 2,500 1,200
74 Epineprin HCl (adrenalin ) inj 0,1 % - 1 ml Ampul 184 184 3
77 Fenol Gliserol Tetes Telinga 10% Botol 33 33 24
78 Fitomenadion (Vit K) Injeksi 2 mg Ampul 200 200 -
79 Fitomenadion (Vit K) Tablet Salut 10 mg Tablet 0 - -
81 Flutamol Tab Tablet - -
82 Furosemid 10 Mg/ml Injeksi Ampul 100 100 -
83 Furosemid Tablet 40 mg Tablet 500 500 -
84 Garam Oralit 200 mg Bungkus 0 - -
86 Gentamicin Tetes Mata 0,3% Tube 182 182 96
87 Glibenklamid Tablet 5 mg Tablet 3100 3,100 1,300
90 Griseolfulvin Tablet 125 mg Micronized Tablet 1200 1000 2,200 100
93 Haloperidol 5 mg Tablet 2304 1000 3,304 837
95 Herbakof Tablet Tablet - -
96 Herbapain (OHT) Obat Anti Nyeri Tablet Tablet - -
98 Herbavomitz Tablet Tablet - -
100 Hidrokortison Krim 2,5% Tube 0 - -
101 Ibuprofen (Zentarin) Tablet 400 mg Tablet 2600 1000 3,600 2,300
103 Ibuprofen Suspensi 200 mg/ 5 ml Botol 116 120 236 -
105 Imunomodulator anak Syr 25 mg Botol - -
106 Imunomodulator Forte 50 mg Tablet 420 420 150
107 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 1500 500 2,000 -
108 KA EN 3A Kolf - -
109 KA EN 3B Kolf 0 - -
110 Kalsium Laktat (kalk) Tablet 500 mg Tablet 5700 10000 15,700 3,800
111 Karbamazepin 200 mg Tablet 1092 1,092 212
112 Ketoconazole 200 mg Tablet 3000 3,000 1,500
113 Ketoconazole Zalp Tube 50 50 -
114 Ketorolac Inj 30mg/ml Ampul 180 100 280 -
115 Lactulosa Syr 3,335 g/5ml (Kompolax) Botol 54 54 1
116 Lansoprazole Tablet 30mg Tablet 600 600 200
117 Lidocain (HCI) 2 % 2 ml Injeksi Ampul - -
118 Lidocain (HCI) 2% + Epinefrin 2 mg Ampul 210 150 360 170
119 Loperamide 2 mg Tablet 3100 3,100 1,100
120 Loratadine tab Tablet 2000 2,000 500
121 Magnesium sulfat 20% (MgSO4) Ampul 10 10 -
122 Magnesium sulfat 40% (MgSO4) Ampul 21 21 21
124 Mersibion Inj Ampul 90 90 60
125 Metformin HCl 500 mg Tablet 4400 4,400 2,000
128 Metilprednisolon 16 mg Tablet 800 800 100
129 Metilprednisolon 4 mg Tablet 1000 1,000 500
130 Metilprednisolon 8 mg Tablet 1700 1000 2,700 400
132 Metoklorpamide Tablet 5 mg Tablet 1800 1,800 200
133 Metronidazol Tab 500mg Tablet 600 600 600
134 Metronidazole Infus Kolf 9 9 -
135 Metronidazole Suspensi 125mg/5ml Botol 70 70 -
136 Metyldopa (Dopamet) 250 mg Tablet 100 100 -
137 Miconazole krim 2 % Tube - -
138 Mineral Mix Bungkus 120 120 -
139 Multivitamin Becefort Tablet - -
142 Multivitamin Oxyvit Tablet - -
143 Natrium Diklofenak tab 25 mg Tablet - -
144 Natrium Diklofenak tab 50 mg Tablet 0 6000 6,000 500
145 Natrium Klorida 0,9% OTSU Botol 160 100 260 -
146 Nifedipin 10 Mg Tablet 600 600 -
148 Nistatin 500.000 IU Tablet 200 200 -
149 Nistatin suspensi 100.000 IU/mL Botol 99 99 6
150 Noza Kaplet Kaplet - -
153 Oksimetazolin tetes hidung 0,05% Botol - -
155 Oksitosin Inj 10 IU/ml Ampul 300 300 -
157 Ondansentron Injeksi Ampul 245 245 -
158 Ondansentron Tab 4 mg Tablet - -
160 Parasetamol Infus btl 6 6 -
161 Parasetamol sirup 120mg/5ml Botol 457 457 -
162 Parasetamol Tab Tablet 0 20000 20,000 3,800
164 Piridoksin HCl Tablet 10 mg ( Vit B6 ) Tablet 3100 3000 6,100 500
165 Prednison tab 5 mg Tablet 6700 2000 8,700 6,000
167 Propiltiourasil (PTU) tab 100 mg Tablet 0 - -
168 Pularex Tablet Tablet 1600 500 2,100 200
171 Ranitidin 150 mg tab Tablet 5000 1600 6,600 3,000
172 Ranitidin Injeksi Ampul 100 100 -
174 Retinol 200.000 IU MERAH Caps 1050 1,050 50
177 Risperidon 2 mg Tablet 1022 2000 3,022 1,140
178 Salbutamol 2 mg Tablet 1100 1,100 500
179 Salbutamol 4 mg Tablet 1700 1,700 800
180 Salbutamol Cairan inhalasi Ampul 100 100 -
181 Salbutamol Syrup Botol 236 236 -
183 Sianokobalamin (Vit. B12) Tab Tablet 0 - -
184 Simvastatin Tablet 10 mg Tablet 2300 1000 3,300 1,000
185 Simvastatin Tablet 20 mg Tablet 1250 1,250 -
190 Sukralfat Suspensi 500mg/ 5ml Botol 144 144 -
192 Tablet Tambah Darah FE Tablet 330000 330,000 330,000
193 Tetagam Inj Vial 3 3 -
195 Thiamin Hcl (Vit B1) Tablet 50 mg Tablet - -
197 Trifluoperazin 5 mg Tablet 2595 2,595 400
198 Trihexylphenidil 2 mg Tablet 3139 1000 4,139 1,661
199 Vitamin B komplek Tablet 0 - -
200 Vitamin D3 1000IU Tablet 0 - -
201 Voltadex Gel 1% 20 gr Tube - -
202 Zinc 20 Mg Tablet Tablet 700 700 400
203 Zinc Syr Botol 108 108 -
205 Acetyl cysteine tablet 200 mg Tablet 600 600 -
210 Diazepam enema 10 mg/2,5 mL Tube 17 17 -
211 Diazepam enema 5 mg/2,5 mL Tube 7 7 1
214 Farbivent cairan inhalasi Ampul 50 50 -
216 Glimepiride tablet 2 mg Tablet 2000 2,000 400
217 Hidrokortison krim 1% Tube 100 100 16
219 Hyoscine Butylbromide Tab Tablet 1000 1,000 100
221 Miniaspi Asam Asetilsalisilat tablet 80 mg Tablet - -
225 Obat Batuk Hitam Combi Botol 90 90 5
226 Obat Batuk Hitam Anak Combi Botol 96 48 144 88
227 Obat Flu Anak (HUFA) Botol 108 108 11
230 Octenic Gel 20 g Tube 3 3 1
232 Permetrin Krim 5% Tube 13 13 8
233 Propranolol tablet 10 mg Tablet 600 600 100
234 Sianokobalamin (vitamin B12) injeksi 500 mcg/m Ampul 100 100 -
235 Vip Albumin Obat Herbal Tablet 610 610 130
236 Vitamin C 1000mg/ Provit C Tablet 510 510 120
BAHAN MEDIS HABIS PAKAI, REAGEN DAN LARUTAN

2 Alat suntik 1 ml TP Pcs 400 500 900 -
4 Alat suntik 10 ml TP Pcs 200 200 -
8 Alkohol 1 Liter Onemed Botol 31 31 3
10 Alkohol swab Aximed Pcs 400 5000 5,400 500
11 Apron Plastik one Pcs 410 410 60
12 Aqua proinjeksi steril 20 ml Vial 360 360 360
13 Arm Sling Comfort L Buah 3 3 -
14 Arm Sling Comfort S Buah 7 7 1
16 Baju APD Coverall Pcs 20 20 -
18 Blood Lancet Serenity Pcs 1900 1500 3,400 1,500
19 Blood transfusion set ABADA Pcs 70 70 43
20 Blue Tips Bks 5 5 -
22 Catgut Chromic Surgical Sutures Pcs 108 108 24
23 Catgut Plain Surgical Sutures box 216 72 288 -
39 Foley catheter no. 16 latex 2 way ABADA Pcs
40 Pcs 100 100 -
42 - -
45 Handrub 500 ml Medika Botol 146 146 -
47 Handscrub e-care 500 ml Botol 18 18 3
50 Infusion set anak set 50 50 35
51 Infusion set dewasa ST01 set - -
53 Infusion set microdrip Otsu Pcs 90 90 10
55 IV Catheter No. 18G Cath Pro Pcs 100 100 -
56 IV Catheter No. 20G Cath Pro Pcs - -
58 IV Catheter No. 22G Cath Pro Pcs - -
59 IV Catheter No. 24G Cath Pro Pcs 50 50 50
63 IV Catheter WP No. 26G Aximed Pcs 0 - -
65 Kantong limbah biohazard uk. L Pack 0 5 5 -
66 Kantong limbah biohazard uk. M Pack 0 - -
67 Kantong limbah biohazard uk. S Pack 0 - -
68 Kapas 250 gram Rol 27 27 1
71 Kasa hidrofil 2 m x 10 cm ABADA Rol 450 450 50
80 Kasa hidrofil 4 m x 7,5 cm ABADA Rol 400 400 -
81 Kasa hidrofil 40 cm x 80 cm Rol 10 10 20 5
82 Kasa hidropil 16 cm x 16 cm ABADA Kotak - -
83 Kasa Steril 10 cm x 10 cm 16 Ply isi 10 Roll - -
84 500 500 100
85 Kasa Steril 16 x 16 cm Roll 900 900 20
87 Rol 5 5 -
90 Latex Examination Gloves Uk. L Pcs 2000 2,000 -
91 Latex Examination Gloves Uk. M Pcs 2000 2,000 -
92 Latex Examination Gloves Uk. S Pcs 1000 1,000 200
94 Masker Ear Loop Pcs 0 2000 2,000 2,000
95 Masker N95 Particulate Respirator unit 160 160 -
103 Masker Oksigen Dwsa Semillas Pcs 6 6 6
104 Masker Oksigen Infant Serenity Pcs - -
105 Masker Oksigen Pediatric Serenity Pcs 0 - -
108 Maxiflow Dewasa unit 22 25 47 -
124 Mucus Extractor buah 50 50 -
125 Mucus Extractor Serenity Pcs 18 18 -
126 M-Y Jelly 82 Gram Tube Buah 0 - -
128 Nasal Oxygen Canula Adult Serenity Pcs 500 500 -
129 Nasal Oxygen Canula Infant Serenity Pcs 0 - -
130 Nasal Oxygen Canula Pediatric Serenity Pcs 200 200 -
134 Nurse Cap Box 11 11 1
136 One Scrub 4 %, 500 cc + dispenser Botol 18 18 18
137 Oxyflow Anak Buah 12 12 12
138 Oxyflow bayi Buah 4 4 4
139 Oxyflow Dewasa Buah 50 100 150 33
140 Paper tape 1,25 cm x 9,14 cm Aximed Rol 30 30 -
146 Plesterin Roll Non Woven roll 15 cm x 5 m Roll 3 5 8 -
147 Plesterin Roll Non Woven roll 5cm x 5m Roll 10 10 4
150 Povidon Iodine 60 ml medika Botol 23 23 3
152 Pot Sputum Buah 400 400 400
153 RDT Antigen - Healgen Pcs - -
172 Rivanol 300 cc Botol 47 47 1
173 Safety box Buah 300 300 -
174 Saniswiss biosanitizer H1 500 ml Botol 20 20 6
175 Sepatu Boots Pair 10 10 -
176 Servical Collar Serenity Pcs 50 50 -
182 Sterile Scalpel Blade#24F#4 Box 1 1 -
183 Stomach Tube 85 cm No 16.Aximed Pcs 10 10 -
184 Stomach Tube 85 cm No.12 Aximed Pcs 7 7 -
187 Strip Test Cholestrol Autocheck Box - -
188 Strip Test Detecto HbsAg Onemed Buah 25 25 25
190 Strip Test Glucosa On Call Plus Box 50' - -
191 Strip test Hb Hemoglobin Mission Pcs 200 200 -
192 Strip Test Health Mate Syphilis Ab Plus Box 75 75 25
193 Strip test SD HIV Bioline Pcs 0 - -
194 Strip Test Ultra One (Test kehamilan) Buah - -
195 Strip Test Uric Acid Autocheck Box - -
196 Strip test Uritest 11G Botol 10 10 -
197 Strip test Virotec dengue Combo Unit 25 25 -
208 Umbilical cord clame fesco Pcs 100 100 100
210 Underpad (Softpad) 60 x 90 cm Pcs 0 - -
211 U-Pad Steril Buah 0 - -
212 Urine bag + hanger Pcs 170 170 20
214 USG Gel 250 ml Botol 36 36 8
217 Write On ID Bracelet Adult blue remedi Pcs 100 100 -
218 Write On ID Bracelet Adult pink remedi Pcs 100 100 -
219 Write On ID Bracelet Child hijau remedi Pcs 200 200 -
220 Write On ID Bracelet Child ungu remedi Pcs 100 100 -
Bahan Gigi
1 Articulating Paper Pcs - -
2 Calcimol LC Botol - -
3 Cavit G ( Ceivitron) Pot - -
4 Cement Spatula Pcs - -
5 CHKM Botol - -
6 Dycal/ Hydcal Botol - -
7 GC Fuji 9 Mini Pack Box - -
8 Mikroaplikator Tips Botol - -
9 Oco/ Poliren No. 1 Botol - -
10 Bedaquilline 100 mg Tablet 376 376 -
11 Clofazimin Tablet 200 200 -
12 DHP-Frimal 27 27 27
13 Etambutol 400 mg Tablet 448 448 -
14 Ethionamid 250 mg Tablet 300 300 -
16 KDT Dosis Harian Paket 5 5 1
17 Levofloxacin 250 mg Tablet 100 100 -
19 OAT Kategori Anak Paket 2 2 4 -
20 OAT Kat. I FDC Paket 10 10 6
21 Piridosin Hcl Tablet 25 mg (Vit. B6) Tablet - -
22 Primaquine Tablet 100 100 -
23 Pyrazinamide 400 mg Tablet 448 448 -
24 Tabung EDTA 3 ml 500 500 -
25 Latex Goves Powder M Chorona Care Pcs 2000 2,000 2,000
27 Rifampicin 75 mg + Isoniazid 50 mg Tablet 0 - -
28 Rifapentin 150 mg Tablet 90 90 -
29 Rifapentin 300 mg/Isoniazid 300 mg Tablet 90 90 -
30 Pehavral Tablet 500 500 500
31 Strip Test HIV 1/2 - One Step Pcs 200 200 50
32 Strip Test HIV 1/2 - Standar Q Pcs 50 50 -
33 Verorab Vaksin Rabies inj 2,5 IU Vial 0 - -
34 STRIP TEST HIV/SHYPILIS DUO Pcs 200 200 -
35 Gentamisin salep Kulit Tube 72 100 172 64
36 GG/Guaifenesin Tablet Tablet 3800 3000 6,800 3,400
39 Solpenox Syr Botol 258 258 118
40 Strip Test Glucosa Autocheck Pcs 350 350 -
41 Safety Lancet Onemed Box 13 13 -
42 Reco Tetes Telinga Botol 75 75 -
43 Lisol 1 liter Botol 8 8 3
44 Vaksin Rabivax-S Vial 0 20 20 20
45 Octenic Spray 50 ML Vial 10 10 20 4
46 Latex Powder Gloves Uk (S,M,L) Pcs 2000 2,000 2,000
47 Asam Ascorbat (Vit c) Tab 500 mg Tablet 1600 3000 4,600 1,600
48 Alkohol 70% 500 ML AYN Botol 24 24 -
49 Masker bedah DP Pcs 2500 2,500 -

2500 500 3,000
Mengetahui,
Kepala Puskesmas Karangan
Kabupaten Landak
Marta Rahayu,SKM
NIP. 196603031987032009
Kadaluarsa Sisa Stok Permintaan Pemberian Ket
180 500
75
800
1800 1,000
3400
952
933 600
0 10,000
200
5950 2,000
500 1,000
100
0 10,000
100
200
16500 20,000
200
60
0 10
0 50
0 10,000
1000 1,000
5900 10,000
80
30
86 100
2500 5,000
225 100
20
600
158 100
24 50
3100 1,000
2600 2,000
0 3,000
0 100
100
100 100
7500 7,000
147
12500 10,000
410
880
2100 1,000
5,000
470 2,000
2000 2,000
2300
2,000
50
7 50
800 10,000
100
20
210
10 50
220
500
800
1,000
200
1300 2,000
181 100
500
100
9
200
1,000
100
10,000
100
500
100
100
86 100
1800 1,000
2100 500
500
1,000
2467 1,000
100
1,000
600
600
1,000
0 100
1300 5,000
236
100
270
2000
20
0 20
11900 10,000
880
1500 3,000
50
280
53 100
400 2,000
100
190 150
2000 1,000
1500
10 10
0 10
100
30 100
2400 4,000
700
500 3,000
2300 1,000
1600
0 5,000
9
70
100 200
72
120
1,000
100
1,000
1,000
5,000
5500 6,000
260 100
600
100 100
200 200
93
10,000
100
2,000
300
2,000
245
0 1,000
100
6
457
16200 20,000
5600 3,000
2700 10,000
100
0 500
1900 500
3600 7,000
100
1000
700 200
1882 2,500
600 1,000
900 1,000
100 100
236
0 2,000
2300 1,000
1250 1,000
1,000
144 500
0
3
2,000
2195
2478 2,000
10,000
1,000
20
300 1,000
108 100
100
600 500
10
100
17
6
50 100
1600 2,000
84 100
900
500
85 100
56 100
97 100
5,000
100
2 20
5 20
500
100
480
390
900
200 500
1,000
1,000
28
4900 2,000
350
0 100
3
6
20
20
1900 5,000
27 100
5
84 72
288
72
100
146
32
15 10
15 100
200
200
80
200
100
100
100
300
0 300
0 100
5 5
5
5
26
400
400
15 10
100
400
880 100
5
5
5
2000 2,000
2000 5,000
800 1,000
0 5,000
160
0 20
0
50
50
47
50
18
50
500
100
200
10
0 10
0 100
0 100
117
30
14
13 10
8 10
6 10
20
0
0 200
46
300
14
10
50
1
10
7
7
10
0 200
0 200
200
200
200 200
50 200
100
200
10
25 200
0 300
300
100
150
28
100
100
200
100
0
100
10
50
20
20
20
10
10
10
376
200
0
448
300
0
4
100
4
4
500
100
448
500 500
0 2000
0
0
90
90
0 1000
150
50
0
200
108 100
3400 7,000
3
500
140
350
13
75
5
0
16
0
3000 10,000
24
2500
Yang meminta/Melapor
Pengelola Obat Puskesmas Karangan
apt. M. Agustine Dwi Steviana, S.Farm

NIP. 199508042022032010
KABUPATEN : LANDAK
BULAN/TAHUN : JUNI / 2023
OBAT
1 Acyclovir 400mg Tablet 180 180 30
2 Acyclovir Salep Tube 75 75 25
3 Albendazole 400 mg Tablet 800 800 -
5 Allopurinol 100 mg Tablet 1800 1000 2,800 500
6 Allopurinol 300 mg Tablet 3400 3,400 400
7 Alprazolam 0,5 mg Tablet 952 952 160
8 Alprazolam 1 mg Tablet 933 600 1,533 284
9 Ambroxol 30 mg tab Tablet 0 3000 3,000 1,500
15 Amoxicillin 100 mg/ml Drops Botol - -
16 Amoxicillin 500 mg Tablet 0 - -
17 Amoxicillin dry syrup 125 mg / 5 ml Botol 100 100 100
18 Ampicillin injeksi Ampul 200 200 20
19 Antasida DOEN Kombinasi Tablet 16500 6900 23,400 5,000
21 Antifungi DOEN Kombinasi Tube 60 60 -
22 Antihemoroid DOEN Kombinasi Supp 0 - -
23 Apricot Syrup Botol 0 - -
25 Asam asetilsalisilat (Miniaspi 80 mg) Tablet 1000 1000 2,000 300
26 Asam Mefenamat 500 mg Tablet 5900 5000 10,900 3,900
27 Asam Tranexamat inj 100 mg/ml Ampul 80 80 30
29 Asering Infuse 500 ml Kolf 40 40 20
30 Atropin sulfat injeksi 0,25 mg/mil -1 ml Ampul 86 86 5
31 Betahistine Besilat 6 mg Tablet 2500 1000 3,500 -
34 BIOSAVE (anti bisa ular) VIAL - -
35 Bisoprolol 5 mg Tablet 600 600 300
37 Calcii Glukonas Inj Ampul 24 24 48 24
38 Captopril 12,5 mg Tablet 3100 1000 4,100 800
39 Captopril 25 mg Tablet 2600 1000 3,600 100
41 Cefadroxil 500 mg Tablet 0 - -
43 Cefotaxime Injeksi 1 gr Vial - -
44 Ceftriaxon Inj 1000 mg Vial 100 100 10
45 Cetirizin 10 mg tab Tablet 7500 3000 10,500 4,000
46 Cetirizin Syrup Botol 147 147 147
50 Chlorfeniramin Maleat 4 mg (CTM) Tablet 12500 4000 16,500 4,900
51 Chlorpromazine 100 mg Tablet 410 410 30
52 Chlorpromazine 25mg Tablet 880 880 60
53 Ciprofloxacin 500 mg Tablet 2100 1000 3,100 1,300
54 Clindamicin 150 mg Capsul - -
55 Clozapin 100 mg Tablet 470 500 970 60
56 Clozapin 25 mg Tablet 2000 500 2,500 390
59 Cotrimoxazole 480mg Tablet 2300 2,300 500
60 Cotrimoxazole 960 mg Tablet - -
62 Desoximetasone Krim 0.25% Tube 7 7 7
63 Dexamethason Tab 0,5 mg Tablet 800 800 800
64 Dexamethasone injeksi 5 mg/ml - 1 ml Ampul 100 100 4
65 Dextrose monohydrat 40% Flacon 20 20 5
66 Diabetadex Fitofarmaka Tablet 210 210 -
68 Diazepam Tablet 5 mg Tablet 220 220 30
70 Diltiazem HCL Tablet 30 mg Tablet 800 800 -
71 Dimenhidrinat 50 mg Tablet - -
72 Diphenhydramin HCl injeksi 10 mg/ml-1 ml Ampul 90 90 -
73 Domperidon Tablet Tablet 1300 2000 3,300 900
74 Epineprin HCl (adrenalin ) inj 0,1 % - 1 ml Ampul 181 181 -
77 Fenol Gliserol Tetes Telinga 10% Botol 9 9 9
78 Fitomenadion (Vit K) Injeksi 2 mg Ampul 200 200 50
79 Fitomenadion (Vit K) Tablet Salut 10 mg Tablet - -
81 Flutamol Tab Tablet - -
82 Furosemid 10 Mg/ml Injeksi Ampul 100 100 25
83 Furosemid Tablet 40 mg Tablet 500 500 500
84 Garam Oralit 200 mg Bungkus - -
86 Gentamicin Tetes Mata 0,3% Tube 86 86 86
87 Glibenklamid Tablet 5 mg Tablet 1800 1000 2,800 100
90 Griseolfulvin Tablet 125 mg Micronized Tablet 2100 1000 3,100 -
93 Haloperidol 5 mg Tablet 2467 2,467 276
95 Herbakof Tablet Tablet - -
96 Herbapain (OHT) Obat Anti Nyeri Tablet Tablet - -
98 Herbavomitz Tablet Tablet - -
100 Hidrokortison Krim 2,5% Tube 0 - -
101 Ibuprofen (Zentarin) Tablet 400 mg Tablet 1300 1,300 900
103 Ibuprofen Suspensi 200 mg/ 5 ml Botol 236 236 -
105 Imunomodulator anak Syr 25 mg Botol - -
106 Imunomodulator Forte 50 mg Tablet 270 270 270
107 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 2000 2,000 -
108 KA EN 3A Kolf 0 20 20 20
109 KA EN 3B Kolf 0 20 20 20
110 Kalsium Laktat (kalk) Tablet 500 mg Tablet 11900 6900 18,800 5,300
111 Karbamazepin 200 mg Tablet 880 880 880
112 Ketoconazole 200 mg Tablet 1500 1000 2,500 1,200
113 Ketoconazole Zalp Tube 50 50 25
114 Ketorolac Inj 30mg/ml Ampul 280 280 40
115 Lactulosa Syr 3,335 g/5ml (Kompolax) Botol 53 53 14
116 Lansoprazole Tablet 30mg Tablet 400 2000 2,400 650
117 Lidocain (HCI) 2 % 2 ml Injeksi Ampul 100 100 100
118 Lidocain (HCI) 2% + Epinefrin 2 mg Ampul 190 150 340 130
119 Loperamide 2 mg Tablet 2000 1000 3,000 100
120 Loratadine tab Tablet 1500 1,500 -
121 Magnesium sulfat 20% (MgSO4) Ampul 10 10 20 -
122 Magnesium sulfat 40% (MgSO4) Ampul 0 10 10 -
124 Mersibion Inj Ampul 30 30 30
125 Metformin HCl 500 mg Tablet 2400 4000 6,400 2,000
128 Metilprednisolon 16 mg Tablet 700 700 100
129 Metilprednisolon 4 mg Tablet 500 3000 3,500 700
130 Metilprednisolon 8 mg Tablet 2300 1000 3,300 1,600
132 Metoklorpamide Tablet 5 mg Tablet 1600 1,600 -
133 Metronidazol Tab 500mg Tablet 0 - -
134 Metronidazole Infus Kolf 9 9 2
135 Metronidazole Suspensi 125mg/5ml Botol 70 70 10
136 Metyldopa (Dopamet) 250 mg Tablet 100 100 -
137 Miconazole krim 2 % Tube - -
138 Mineral Mix Bungkus 120 120 40
139 Multivitamin Becefort Tablet - -
142 Multivitamin Oxyvit Tablet - -
143 Natrium Diklofenak tab 25 mg Tablet - -
144 Natrium Diklofenak tab 50 mg Tablet 5500 6000 11,500 3,500
145 Natrium Klorida 0,9% OTSU Botol 260 100 360 40
146 Nifedipin 10 Mg Tablet 600 600 -
147 Nistatin 100.000 IU tab vaginal Tablet 100 100 200 -
148 Nistatin 500.000 IU Tablet 200 100 300 -
149 Nistatin suspensi 100.000 IU/mL Botol 93 93 5
150 Noza Kaplet Kaplet 2000 2,000 300
155 Oksitosin Inj 10 IU/ml Ampul 300 300 100
157 Ondansentron Injeksi Ampul 245 245 95
158 Ondansentron Tab 4 mg Tablet 0 - -
160 Parasetamol Infus btl 6 6 4
161 Parasetamol sirup 120mg/5ml Botol 457 457 -
162 Parasetamol Tab Tablet 16200 10000 26,200 8,900
164 Piridoksin HCl Tablet 10 mg ( Vit B6 ) Tablet 5600 600 6,200 1,900
165 Prednison tab 5 mg Tablet 2700 3000 5,700 3,600
167 Propiltiourasil (PTU) tab 100 mg Tablet 0 - -
168 Pularex Tablet Tablet 1900 500 2,400 400
171 Ranitidin 150 mg tab Tablet 3600 3,600 2,900
172 Ranitidin Injeksi Ampul 100 100 10
174 Retinol 200.000 IU MERAH Caps 1000 1,000 200
177 Risperidon 2 mg Tablet 1882 1000 2,882 813
178 Salbutamol 2 mg Tablet 600 600 600
179 Salbutamol 4 mg Tablet 900 1000 1,900 1,900
180 Salbutamol Cairan inhalasi Ampul 100 50 150 20
181 Salbutamol Syrup Botol 236 236 236
183 Sianokobalamin (Vit. B12) Tab Tablet 0 - -
184 Simvastatin Tablet 10 mg Tablet 2300 1000 3,300 400
185 Simvastatin Tablet 20 mg Tablet 1250 1,250 150
190 Sukralfat Suspensi 500mg/ 5ml Botol 144 96 240 136
192 Tablet Tambah Darah FE Tablet 0 - -
193 Tetagam Inj Vial 3 3 3
195 Thiamin Hcl (Vit B1) Tablet 50 mg Tablet - -
197 Trifluoperazin 5 mg Tablet 2195 2,195 300
198 Trihexylphenidil 2 mg Tablet 2478 1000 3,478 950
199 Vitamin B komplek Tablet - -
200 Vitamin D3 1000IU Tablet - -
201 Voltadex Gel 1% 20 gr Tube - -
202 Zinc 20 Mg Tablet Tablet 300 300 300
203 Zinc Syr Botol 108 108 -
205 Acetyl cysteine tablet 200 mg Tablet 600 600 -
214 Farbivent cairan inhalasi Ampul 50 50 40
216 Glimepiride tablet 2 mg Tablet 1600 2000 3,600 -
217 Hidrokortison krim 1% Tube 84 60 144 36
219 Hyoscine Butylbromide Tab Tablet 900 900 100
221 Miniaspi Asam Asetilsalisilat tablet 80 mg Tablet - -
225 Obat Batuk Hitam Combi Botol 85 85 5
226 Obat Batuk Hitam Anak Combi Botol 56 48 104 66
227 Obat Flu Anak (HUFA) Botol 97 97 17
230 Octenic Gel 20 g Tube 2 2 -
232 Permetrin Krim 5% Tube 5 5 5
233 Propranolol tablet 10 mg Tablet 500 500 200
234 Sianokobalamin (vitamin B12) injeksi 500 mcg/m Ampul 100 100 9
235 Vip Albumin Obat Herbal Tablet 480 480 60
236 Vitamin C 1000mg/ Provit C Tablet 390 390 390

2 Alat suntik 1 ml TP Pcs 900 900 300
4 Alat suntik 10 ml TP Pcs 200 200 -
8 Alkohol 1 Liter Onemed Botol 28 28 16
10 Alkohol swab Aximed Pcs 4900 4,900 100
11 Apron Plastik one Pcs 350 350 60
12 Aqua proinjeksi steril 20 ml Vial 0 100 100 72
13 Arm Sling Comfort L Buah 3 3 2
14 Arm Sling Comfort S Buah 6 6 -
16 Baju APD Coverall Pcs 20 20 -
18 Blood Lancet Serenity Pcs 1900 1,900 -
19 Blood transfusion set ABADA Pcs 27 27 10
20 Blue Tips Bks 5 5 -
22 Catgut Chromic Surgical Sutures Pcs 84 84 48
23 Catgut Plain Surgical Sutures box 288 288 108
39 Foley catheter no. 16 latex 2 way ABADA Pcs
40 Pcs 100 100 20
42 - -
45 Handrub 500 ml Medika Botol 146 146 6
46 Handrub e-care 500 ml Botol 32 32 9
47 Handscrub e-care 500 ml Botol 15 15 15
50 Infusion set anak set 15 15 15
51 Infusion set dewasa ST01 set - -
53 Infusion set microdrip Otsu Pcs 80 80 10
63 IV Catheter WP No. 26G Aximed Pcs 0 - -
65 Kantong limbah biohazard uk. L Pack 5 5 10 5
66 Kantong limbah biohazard uk. M Pack - -
67 Kantong limbah biohazard uk. S Pack - -
68 Kapas 250 gram Rol 26 26 3
71 Kasa hidrofil 2 m x 10 cm ABADA Rol 400 400 100
80 Kasa hidrofil 4 m x 7,5 cm ABADA Rol 400 400 150
81 Kasa hidrofil 40 cm x 80 cm Rol 15 15 1
84 400 400 -
85 Kasa Steril 16 x 16 cm Roll 250 250 200
87 Rol 5 5 10 -
89 Kertas EKG Z-fold : 215×280mm Rol 5 5 -
90 Latex Examination Gloves Uk. L Pcs 2000 1000 3,000 3,000
91 Latex Examination Gloves Uk. M Pcs 2000 2000 4,000 -
92 Latex Examination Gloves Uk. S Pcs 800 1000 1,800 1,300
94 Masker Ear Loop Pcs 0 4000 4,000 4,000
95 Masker N95 Particulate Respirator unit 160 160 -
103 Masker Oksigen Dwsa Semillas Pcs 0 - -
105 Masker Oksigen Pediatric Serenity Pcs 0 - -
108 Maxiflow Dewasa unit 47 100 147 -
124 Mucus Extractor buah 50 50 -
125 Mucus Extractor Serenity Pcs 18 18 -
126 M-Y Jelly 82 Gram Tube Buah - -
128 Nasal Oxygen Canula Adult Serenity Pcs 500 500 50
129 Nasal Oxygen Canula Infant Serenity Pcs - -
130 Nasal Oxygen Canula Pediatric Serenity Pcs 200 200 -
134 Nurse Cap Box 10 10 -
136 One Scrub 4 %, 500 cc + dispenser Botol 0 - -
137 Oxyflow Anak Buah 0 - -
138 Oxyflow bayi Buah 0 - -
139 Oxyflow Dewasa Buah 117 117 2
146 Plesterin Roll Non Woven roll 15 cm x 5 m Roll 8 8 2
147 Plesterin Roll Non Woven roll 5cm x 5m Roll 6 6 2
150 Povidon Iodine 60 ml medika Botol - -
151 Povidone Iodine 300 ml BOTOL 20 20 20
152 Pot Sputum Buah 0 - -
153 RDT Antigen - Healgen Pcs 400 200 600 50
172 Rivanol 300 cc Botol 46 46 5
173 Safety box Buah 300 300 -
174 Saniswiss biosanitizer H1 500 ml Botol 14 14 -
175 Sepatu Boots Pair 10 10 10
176 Servical Collar Serenity Pcs 50 50 -
182 Sterile Scalpel Blade#24F#4 Box 1 1 -
183 Stomach Tube 85 cm No 16.Aximed Pcs 10 10 -
187 Strip Test Cholestrol Autocheck Box 0 - -
191 Strip test Hb Hemoglobin Mission Pcs 200 200 100
192 Strip Test Health Mate Syphilis Ab Plus Box 50 50 50
193 Strip test SD HIV Bioline Pcs - -
196 Strip test Uritest 11G Botol 10 10 10
197 Strip test Virotec dengue Combo Unit 25 25 25
203 Surgical Gloves No. 6.5 Serenity Pcs 100 100 -
208 Umbilical cord clame fesco Pcs 0 - -
210 Underpad (Softpad) 60 x 90 cm Pcs 240 240 40
211 U-Pad Steril Buah - -
212 Urine bag + hanger Pcs 150 150 -
214 USG Gel 250 ml Botol 28 28 28
217 Write On ID Bracelet Adult blue remedi Pcs 100 100 -
218 Write On ID Bracelet Adult pink remedi Pcs 100 100 -
219 Write On ID Bracelet Child hijau remedi Pcs 200 200 -
220 Write On ID Bracelet Child ungu remedi Pcs 100 100 -
Bahan Gigi
1 Articulating Paper Pcs - -
2 Calcimol LC Botol - -
3 Cavit G ( Ceivitron) Pot - -
4 Cement Spatula Pcs - -
5 CHKM Botol - -
6 Dycal/ Hydcal Botol - -
7 GC Fuji 9 Mini Pack Box - -
8 Mikroaplikator Tips Botol - -
9 Oco/ Poliren No. 1 Botol - -
10 Bedaquilline 100 mg Tablet 376 376 -
11 Clofazimin Tablet 200 200 -
12 DHP-Frimal 0 - -
13 Etambutol 400 mg Tablet 448 448 -
14 Ethionamid 250 mg Tablet 300 300 -
15 Isoniazid 300 mg Tablet 0 - -
16 KDT Dosis Harian Paket 4 4 -
19 OAT Kategori Anak Paket 4 4 2
22 Primaquine Tablet 100 100 -
23 Pyrazinamide 400 mg Tablet 448 448 -
24 Tabung EDTA 3 ml 500 500 100
25 NS 100 ml piggyback Flacon 0 40 40 -
26 Isoniazid 100 mg Tablet 0 - -
27 Rifampicin 75 mg + Isoniazid 50 mg Tablet 0 - -
28 Rifapentin 150 mg Tablet 90 90 -
29 Rifapentin 300 mg/Isoniazid 300 mg Tablet 90 90 -
30 Pehavral Tablet 0 - -
31 Strip Test HIV 1/2 - One Step Pcs 150 150 25
32 Strip Test HIV 1/2 - Standar Q Pcs 50 200 250 -
33 Verorab Vaksin Rabies inj 2,5 IU Vial 0 - -
34 STRIP TEST HIV/SHYPILIS DUO Pcs 200 200 100
36 GG/Guaifenesin Tablet Tablet 3400 2000 5,400 2,400
39 Solpenox Syr Botol 140 140 140
40 Strip Test Glucosa Autocheck Pcs 350 350 250
41 Safety Lancet Onemed Box 13 13 13
42 Reco Tetes Telinga Botol 75 75 25
43 Lisol 1 liter Botol 5 5 1
44 Vaksin Rabivax-S Vial 0 50 50 50
45 Octenic Spray 50 ML Vial 16 20 36 -
46 Asam Ascorbat (Vit c) Tab 500 mg Tablet 3000 2000 5,000 3,300
47 Alkohol 70% 500 ML AYN Botol 24 24 -
48 Masker bedah DP Pcs 2500 2,500 -
49 Aseptan + Disps 500 ml Botol 24

2500 500 3,000
Mengetahui,
Kepala Puskesmas Karangan
Kabupaten Landak
Marta Rahayu,SKM
NIP. 196603031987032009
150 500
50
800
2300
3000
792
1249
1500 10,000
200
4480 2,000
500 1,000
100
10,000
0 200
180
18400 20,000
200
60
0 10
0 50
0 10,000
1700
7000 5,000
50
30
20
81
3500
244 100
0 2
300 300
192 0
24 50
3300
3500
0 3,000
38 200
100
90 100
6500 5,000
0 100
11600 5,000
380
820
1800 1,000
5,000
910 1,000
2110 1,000
1800 2,000
2,000
100
0 50
0 10,000
96
15
210
41 50
190
500
800
1,000
90 200
2400 1,000
181 0
500
100
0 0
150
1,000
100
10,000
75
0 2,000
500
100
0 200
2700 1,000
3100
500
1,000
2191 0
100
1,000
600
600
1,000
100
400 5,000
236
100
2000
0 20
0 20
13500 10,000
0 500
1300 2,000
25 50
240
39 20
1750 2,000
0 100
210 150
2900 0
1500
20 10
10 10
100
0 100
4400 2,000
600
2800 2,000
1700 1,000
1600
0 5,000
7
60 100
100 200
72
80
1,000
100
1,000
1,000
5,000
8000 6,000
320
600
200
300 200
88
1700 2,000
100
2,000
200 200
2,000
150
1,000
100
2 10
457
17300 10,000
4300 3,000
2100 5,000
100
500
2000 500
700 2,000
90
800
580 200
2069 1,000
1,000
1,000
130 100
0 200
0 2,000
2900 0
1100 0
1,000
104 500
2,000
1895
2528 1,000
10,000
1,000
20
0 2,000
108 100
100
600 500
10
200
12
0 10
50
10 100
3600 2,000
108 100
800
500
80 100
38 200
80
5,000
100
2 20
0 20
300 500
91 100
420
1000
600
200 500
1,000
1,000
12
4800 2,000
290
28 100
1
6
20
50
1900
17 200
5
36 72
180
72
80
140
23
0 20
0 100
200
200
70
200
50
200 0
0
100 200
200 200
100
5
5
5
23
300
250
14
100
400
50 100
10
5
0 1,000
4000 2,000
500 1,000
0 4,000
160
10
20
50
50
147
50
18
50
450
100
200
10
10
100
100
115
30
14
6 10
6 10
4 10
0 0
0 10
0 200
550
41
300
14
0
50
1
10
7
7
10
200
50 200
200
200
100 200
0 200
100
200
0
0 200
100 200
300
200 200
100
150
100
100
200
100
0
100
10
50
20
20
20
10
10
10
376
200
448
300
4
100
2
7
500
100
448
400 500
40 2000
90
90
1000
125
250
100
120 100
3000 3,000
2
500
0 200
100 300
50
4
0
36
1700 10,000
24
2500
24
Yang meminta/Melapor
Pengelola Obat Puskesmas Karangan
apt. M. Agustine Dwi Steviana, S.Farm

NIP. 199508042022032010
KABUPATEN : LANDAK
BULAN/TAHUN : JULI / 2023
OBAT
1 Acyclovir 400mg Tablet 150 150 150 0 500
2 Acyclovir Salep Tube 50 50 25 25 25
3 Albendazole 400 mg Tablet 800 800 800 0
5 Allopurinol 100 mg Tablet 2300 2,300 500 1800
6 Allopurinol 300 mg Tablet 3000 3,000 300 2700
7 Alprazolam 0,5 mg Tablet 792 792 120 672
8 Alprazolam 1 mg Tablet 1249 1,249 165 1084
9 Ambroxol 30 mg tab Tablet 1500 1,500 1,500 0 10,000
10 Ambroxol Syrup Botol 100 100 29 71 200
13 Amlodipin Tab 10 mg Tablet 4480 2000 6,480 1,480 5000 2,000
14 Amlodipin Tab 5 mg Tablet 500 1000 1,500 500 1000 1,000
16 Amoxicillin 500 mg Tablet 0 5000 5,000 1,500 3500 10,000
17 Amoxicillin dry syrup 125 mg / 5 ml Botol 0 200 200 40 160 200
19 Antasida DOEN Kombinasi Tablet 18400 6900 25,300 8,500 16800 10,000
22 Antihemoroid DOEN Kombinasi Supp 0 - - 10
23 Apricot Syrup Botol 0 - - 50
24 Asam Ascorbat (Vit c) Tab 50 mg Tablet 0 - - 10,000
25 Asam asetilsalisilat (Miniaspi 80 mg) Tablet 1700 500 2,200 - 2200
26 Asam Mefenamat 500 mg Tablet 7000 3000 10,000 2,600 7400 5,000
29 Asering Infuse 500 ml Kolf 20 20 - 20
30 Atropin sulfat injeksi 0,25 mg/mil -1 ml Ampul 81 81 - 81
31 Betahistine Besilat 6 mg Tablet 3500 3,500 900 2600 1,000
32 Betametason cream 0,1 % Tube 244 244 79 165 100
34 BIOSAVE (anti bisa ular) VIAL 0 2 2 - 2
35 Bisoprolol 5 mg Tablet 300 300 600 - 600
36 Bufacetin salep kulit 1% Tube 192 192 - 192 0
37 Calcii Glukonas Inj Ampul 24 24 - 24 24
38 Captopril 12,5 mg Tablet 3300 3,300 300 3000
39 Captopril 25 mg Tablet 3500 3,500 1,000 2500 1,000
41 Cefadroxil 500 mg Tablet 0 3000 3,000 100 2900 3,000
42 Cefadroxil Dry Syrup 125 mg Botol 38 96 134 63 71 200
45 Cetirizin 10 mg tab Tablet 6500 5000 11,500 2,000 9500 3,000
46 Cetirizin Syrup Botol 0 - - 100
50 Chlorfeniramin Maleat 4 mg (CTM) Tablet 11600 5000 16,600 4,800 11800 5,000
51 Chlorpromazine 100 mg Tablet 380 380 30 350
52 Chlorpromazine 25mg Tablet 820 820 60 760
53 Ciprofloxacin 500 mg Tablet 1800 1000 2,800 700 2100 1,000
55 Clozapin 100 mg Tablet 910 500 1,410 80 1330
56 Clozapin 25 mg Tablet 2110 500 2,610 90 2520
59 Cotrimoxazole 480mg Tablet 1800 1000 2,800 200 2600 1,000
62 Desoximetasone Krim 0.25% Tube 0 - - 0 50
63 Dexamethason Tab 0,5 mg Tablet 0 - - 0 10,000
64 Dexamethasone injeksi 5 mg/ml - 1 ml Ampul 96 96 96 0 100
65 Dextrose monohydrat 40% Flacon 15 15 - 15
69 Digoxin tablet 0,25 mg Tablet - - 0 500
71 Dimenhidrinat 50 mg Tablet - - 0 1,000
72 Diphenhydramin HCl injeksi 10 mg/ml-1 ml Ampul 90 90 30 60 200
73 Domperidon Tablet Tablet 2400 2,400 900 1500 2,000
74 Epineprin HCl (adrenalin ) inj 0,1 % - 1 ml Ampul 181 181 7 174 0
76 Febrinex Ped Suspensi 60 ml Botol - - 100
77 Fenol Gliserol Tetes Telinga 10% Botol 0 - - 0 0
79 Fitomenadion (Vit K) Tablet Salut 10 mg Tablet - - 1,000
83 Furosemid Tablet 40 mg Tablet 0 2000 2,000 - 2000
84 Garam Oralit 200 mg Bungkus - - 500
86 Gentamicin Tetes Mata 0,3% Tube 0 - - 0 200
87 Glibenklamid Tablet 5 mg Tablet 2700 1000 3,700 500 3200
90 Griseolfulvin Tablet 125 mg Micronized Tablet 3100 3,100 100 3000
91 Haloperidol 0,5 mg Tablet - - 0 500
92 Haloperidol 1,5 mg Tablet - - 0 1,000
93 Haloperidol 5 mg Tablet 2191 2,191 351 1840 500
95 Herbakof Tablet Tablet - - 1,000
100 Hidrokortison Krim 2,5% Tube - - 100
101 Ibuprofen (Zentarin) Tablet 400 mg Tablet 400 5000 5,400 400 5000
105 Imunomodulator anak Syr 25 mg Botol - - 0 100
106 Imunomodulator Forte 50 mg Tablet - -
107 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 2000 2,000 500 1500
108 KA EN 3A Kolf 0 20 20 - 20
109 KA EN 3B Kolf 0 20 20 - 20
110 Kalsium Laktat (kalk) Tablet 500 mg Tablet 13500 6900 20,400 4,200 16200 10,000
111 Karbamazepin 200 mg Tablet 0 500 500 30 470 300
112 Ketoconazole 200 mg Tablet 1300 1000 2,300 300 2000 2,000
114 Ketorolac Inj 30mg/ml Ampul 240 240 40 200
115 Lactulosa Syr 3,335 g/5ml (Kompolax) Botol 39 192 231 - 231 20
116 Lansoprazole Tablet 30mg Tablet 1750 1000 2,750 450 2300 2,000
117 Lidocain (HCI) 2 % 2 ml Injeksi Ampul 0 100 100 - 100 100
119 Loperamide 2 mg Tablet 2900 2,900 100 2800
120 Loratadine tab Tablet 1500 1,500 - 1500
124 Mersibion Inj Ampul 0 - - 100
125 Metformin HCl 500 mg Tablet 4400 2000 6,400 1,900 4500 2,000
128 Metilprednisolon 16 mg Tablet 600 600 - 600
129 Metilprednisolon 4 mg Tablet 2800 2000 4,800 3,700 1100 4,000
130 Metilprednisolon 8 mg Tablet 1700 1000 2,700 900 1800 1,000
132 Metoklorpamide Tablet 5 mg Tablet 1600 1,600 - 1600
133 Metronidazol Tab 500mg Tablet 0 - - 0 5,000
135 Metronidazole Suspensi 125mg/5ml Botol 60 60 5 55 100
137 Miconazole krim 2 % Tube - - 72
138 Mineral Mix Bungkus 80 80 40 40
141 Multivitamin Natabion Dws Capsul - - 1,000
143 Natrium Diklofenak tab 25 mg Tablet 5600 5,600 - 5600
144 Natrium Diklofenak tab 50 mg Tablet 8000 2800 10,800 6,000 4800 6,000
145 Natrium Klorida 0,9% OTSU Botol 320 320 40 280
147 Nistatin 100.000 IU tab vaginal Tablet 200 200 - 200
148 Nistatin 500.000 IU Tablet 300 200 500 - 500
149 Nistatin suspensi 100.000 IU/mL Botol 88 88 2 86
150 Noza Kaplet Kaplet 1700 2000 3,700 500 3200
152 Ofloxacin 200 mg Tablet - - 2,000
155 Oksitosin Inj 10 IU/ml Ampul 200 200 400 - 400
156 Omeprazole caps (Lokev) Capsul - - 0 2,000
157 Ondansentron Injeksi Ampul 150 150 50 100 100
158 Ondansentron Tab 4 mg Tablet - - 1,000
159 Parasetamol Drops Botol - - 100
160 Parasetamol Infus btl 2 20 22 4 18 10
162 Parasetamol Tab Tablet 17300 6900 24,200 17,100 7100 20,000
164 Piridoksin HCl Tablet 10 mg ( Vit B6 ) Tablet 4300 1000 5,300 600 4700 2,000
165 Prednison tab 5 mg Tablet 2100 2,100 2,100 0 10,000
166 Procurma Syr Botol - - 100
167 Propiltiourasil (PTU) tab 100 mg Tablet - - 500
168 Pularex Tablet Tablet 2000 500 2,500 500 2000 500
171 Ranitidin 150 mg tab Tablet 700 2000 2,700 1,200 1500 3,000
172 Ranitidin Injeksi Ampul 90 90 90 0 100
177 Risperidon 2 mg Tablet 2069 200 2,269 570 1699 500
178 Salbutamol 2 mg Tablet - - 1,000
179 Salbutamol 4 mg Tablet 1000 1,000 400 600 3,000
180 Salbutamol Cairan inhalasi Ampul 130 50 180 - 180
181 Salbutamol Syrup Botol 0 - - 0 200
183 Sianokobalamin (Vit. B12) Tab Tablet 0 - - 0 2,000
184 Simvastatin Tablet 10 mg Tablet 2900 2,900 300 2600 0
185 Simvastatin Tablet 20 mg Tablet 1100 1,100 100 1000 0
187 Spironolactone 25 mg Tablet - - 0 1,000
190 Sukralfat Suspensi 500mg/ 5ml Botol 104 96 200 124 76 500
192 Tablet Tambah Darah FE Tablet - -
197 Trifluoperazin 5 mg Tablet 1895 1,895 150 1745
198 Trihexylphenidil 2 mg Tablet 2528 2,528 700 1828 700
199 Vitamin B komplek Tablet - - 10,000
200 Vitamin D3 1000IU Tablet - - 1,000
201 Voltadex Gel 1% 20 gr Tube - - 20
202 Zinc 20 Mg Tablet Tablet 0 - - 0 2,000
203 Zinc Syr Botol 108 72 180 20 160 100
204 Zincpro Drop 15 ml Botol - - 100
205 Acetyl cysteine tablet 200 mg Tablet 600 600 180 420 500
207 Cendo Lyteers tetes mata, botol @ 15 ml Botol - - 10
209 Curcuma Plus 60 mL Botol - - 200
211 Diazepam enema 5 mg/2,5 mL Tube 0 - - 0 10
212 Domperidone drops 5 mg/mL Botol - - 50
216 Glimepiride tablet 2 mg Tablet 3600 1000 4,600 - 4600
217 Hidrokortison krim 1% Tube 108 96 204 24 180
219 Hyoscine Butylbromide Tab Tablet 800 800 - 800
221 Miniaspi Asam Asetilsalisilat tablet 80 mg Tablet - - 500
225 Obat Batuk Hitam Combi Botol 80 80 80 0 100
226 Obat Batuk Hitam Anak Combi Botol 38 38 38 0 200
228 Obat Flu Kombinasi (Noza) Tablet - - 5,000
229 Obat Flu Kombinasi Syrup (Febrinex) Botol - - 100
232 Permetrin Krim 5% Tube 0 - - 0 20
233 Propranolol tablet 10 mg Tablet 300 500 800 - 800
234 Sianokobalamin (vitamin B12) injeksi 500 mcg/m Ampul 91 100 191 91 100 100
235 Vip Albumin Obat Herbal Tablet 420 420 20 400
236 Vitamin C 1000mg/ Provit C Tablet 0 - - 0 1000

2 Alat suntik 1 ml TP Pcs 600 600 - 600
4 Alat suntik 10 ml TP Pcs 200 200 - 200 500
6 Alat suntik 3 ml TP Pcs 300 300 300 0 1,000
7 Alat Suntik 5 cc Stera buah 200 200 - 200 1,000
8 Alkohol 1 Liter Onemed Botol 12 12 3 9
10 Alkohol swab Aximed Pcs 4800 2400 7,200 1,600 5600 2,000
11 Apron Plastik one Pcs 290 290 10 280
18 Blood Lancet Serenity Pcs 1900 1,900 1,900 0
22 Catgut Chromic Surgical Sutures Pcs 36 36 - 36 72
23 Catgut Plain Surgical Sutures box 180 180 96 84
25 Catgut silk 3/0 75 cm 3/8 CC 19 mm Pcs - - 72
40 Pcs 80 80 10 70
42 - -
47 Handscrub e-care 500 ml Botol 0 - - 50
50 Infusion set anak set 0 100 100 - 100
51 Infusion set dewasa ST01 set 200 200 - 200
53 Infusion set microdrip Otsu Pcs 70 70 - 70
57 IV Catheter No. 20G Otsu Pcs - - 0
58 IV Catheter No. 22G Cath Pro Pcs 100 200 300 50 250 200
63 IV Catheter WP No. 26G Aximed Pcs - - 100
65 Kantong limbah biohazard uk. L Pack 5 5 5 0 5
66 Kantong limbah biohazard uk. M Pack - - 0 5
67 Kantong limbah biohazard uk. S Pack - - 0 5
68 Kapas 250 gram Rol 23 23 1 22
71 Kasa hidrofil 2 m x 10 cm ABADA Rol 300 300 - 300
80 Kasa hidrofil 4 m x 7,5 cm ABADA Rol 250 250 - 250
84 400 400 - 400
87 Rol 10 10 - 10
89 Kertas EKG Z-fold : 215×280mm Rol
90 Latex Examination Gloves Uk. L Pcs 0 1000 1,000 - 1000 1,000
91 Latex Examination Gloves Uk. M Pcs 6000 2000 8,000 1,000 7000 2,000
92 Latex Examination Gloves Uk. S Pcs 500 1000 1,500 500 1000 1,000
94 Masker Ear Loop Pcs 0 - - 4,000
103 Masker Oksigen Dwsa Semillas Pcs - - 20
105 Masker Oksigen Pediatric Serenity Pcs - -
106 Maxiflow Anak Unit - - 50
107 Maxiflow Bayi unit - - 50
126 M-Y Jelly 82 Gram Tube Buah - - 50
128 Nasal Oxygen Canula Adult Serenity Pcs 450 450 - 450
129 Nasal Oxygen Canula Infant Serenity Pcs - - 100
134 Nurse Cap Box 10 10 - 10 50
135 One Scrub 2% Antiseptic surgical scrub dispense Botol 12 12 12 0 50
137 Oxyflow Anak Buah - - 100
138 Oxyflow bayi Buah - - 100
139 Oxyflow Dewasa Buah 115 115 - 115
145 Plesterin Roll Non Woven roll 10cm x 5m Roll 6 10 16 1 15 10
150 Povidon Iodine 60 ml medika Botol 0 - - 0
151 Povidone Iodine 300 ml BOTOL 0 - - 10
152 Pot Sputum Buah 0 - - 200
153 RDT Antigen - Healgen Pcs 550 550 - 550
173 Safety box Buah 300 300 - 300
175 Sepatu Boots Pair 0 - -
182 Sterile Scalpel Blade#24F#4 Box 1 1 1 0
188 Strip Test Detecto HbsAg Onemed Buah 50 50 25 25 200
189 Strip Test Focus New HIV 1/2 3 Line Pcs - - 200
191 Strip test Hb Hemoglobin Mission Pcs 100 100 100 0 200
192 Strip Test Health Mate Syphilis Ab Plus Box 0 - - 200
196 Strip test Uritest 11G Botol 0 - - 20
197 Strip test Virotec dengue Combo Unit 0 - - 200
203 Surgical Gloves No. 6.5 Serenity Pcs 100 100 200 50 150
208 Umbilical cord clame fesco Pcs - - 300
210 Underpad (Softpad) 60 x 90 cm Pcs 200 120 320 40 280
214 USG Gel 250 ml Botol 0 - -
221 Xpert MTB/ RIF Assay Kit Cartrigde TCM Pcs 0 35 35 35 0
- -
Bahan Gigi - -
5 CHKM Botol - - 20
17 OAT Kat. I FDC Paket 7 7 - 7
18 Piridosin Hcl Tablet 25 mg (Vit. B6) Tablet - - 500
19 Primaquine Tablet 100 100 - 100
21 Tabung EDTA 3 ml 400 400 - 400 500
22 NS 100 ml piggyback Flacon 40 40 80 - 80
24 Pehavral Tablet - - 1000
26 Strip Test HIV 1/2 - Standar Q Pcs 250 250 25 225
27 Verorab Vaksin Rabies inj 2,5 IU Vial - -
28 STRIP TEST HIV/SHYPILIS DUO Pcs 100 100 25 75
30 GG/Guaifenesin Tablet Tablet 3000 3,000 3,000 0 5,000
31 Hyperhep (HBIG) Vial 2 4 6 2 4
33 Solpenox Syr Botol 0 - - 0 200
34 Strip Test Glucosa Autocheck Pcs 100 100 200 150 50 300
35 Safety Lancet Onemed Box 4000 4,000 100 3900
37 Lisol 1 liter Botol 4 4 - 4 10
39 Octenic Spray 50 ML Vial 36 36 11 25
40 Latex Powder Gloves Uk (S,M,L) Pcs - -
41 Asam Ascorbat (Vit c) Tab 500 mg Tablet 1700 1,700 1,700 0 10,000
42 Alkohol 70% 500 ML AYN Botol 24 24 4 20
43 Masker bedah DP Pcs 2500 2,500 - 2500
44 Aseptan + Disps 500 ml Botol 24 24 6 18
45 Masker Oxygen Dewasa (L) Chrona Care Pcs 20 20 - 20
46 Masker Oxygen Dewasa (S) Chrona Care Pcs 20 20 - 20
47 Lasal Syr 100 ML Botol 120 120 10 110
48 Biolysin Syr Botol 50 50 2 48
49 OBH MOLEX SYR Botol 120 120 61 59
50 Gigadryl Syr Botol 60 60 25 35
51 Vitacee Plus Tablet 600 600 600 0 1,000

2500 700 3,200
Kabupaten Landak
Marta Rahayu,SKM apt. Ananta Agung Ramadhan, S.Farm

NIP. 196603031987032009 NIP. 199701292022031010
KABUPATEN : LANDAK
BULAN/TAHUN : AGUSTUS / 2023
OBAT
1 Acyclovir 400mg Tablet 0 500 500 100 400 500
2 Acyclovir Salep Tube 25 25 50 25 25 100
3 Albendazole 400 mg Tablet 0 7900 7,900 7,900 0
4 Albendazole Suspensi Botol - - 0
5 Allopurinol 100 mg Tablet 1800 1,800 1,000 800
6 Allopurinol 300 mg Tablet 2700 2,700 1,400 1300 1,000
7 Alprazolam 0,5 mg Tablet 672 672 208 464 500
8 Alprazolam 1 mg Tablet 1084 1,084 189 895
9 Ambroxol 30 mg tab Tablet 0 3000 3,000 - 3000 3,000
10 Ambroxol Syrup Botol 71 100 171 71 100 100
11 Aminofilin injeksi 24 mg/ml Ampul - - 0
12 Amitriptillin 25 mg Tablet - - 0
13 Amlodipin Tab 10 mg Tablet 5000 5,000 3,800 1200 5,000
14 Amlodipin Tab 5 mg Tablet 1000 2200 3,200 1,000 2200 5,000
15 Amoxicillin 100 mg/ml Drops Botol - - 0 100
16 Amoxicillin 500 mg Tablet 3500 5000 8,500 5,000 3500 10,000
17 Amoxicillin dry syrup 125 mg / 5 ml Botol 160 160 141 19 200
19 Antasida DOEN Kombinasi Tablet 16800 6900 23,700 8,700 15000 10,000
21 Antifungi DOEN Kombinasi Tube 48 48 - 48
22 Antihemoroid DOEN Kombinasi Supp - - 0 100
23 Apricot Syrup Botol - - 0
24 Asam Ascorbat (Vit c) Tab 50 mg Tablet - - 0 10,000
25 Asam asetilsalisilat (Miniaspi 80 mg) Tablet 2200 500 2,700 - 2700
26 Asam Mefenamat 500 mg Tablet 7400 3000 10,400 4,000 6400 5,000
27 Asam Tranexamat inj 100 mg/ml Ampul 50 50 10 40 100
28 Asam Tranexamat inj 50 mg/ml Ampul 30 30 10 20 100
29 Asering Infuse 500 ml Kolf 20 20 - 20
31 Betahistine Besilat 6 mg Tablet 2600 2,600 - 2600
32 Betametason cream 0,1 % Tube 165 100 265 140 125 100
33 BIOSAT 1.500 (anti tetanus) Vial - - 0
34 BIOSAVE (anti bisa ular) VIAL 2 2 2 0 3
35 Bisoprolol 5 mg Tablet 600 600 300 300 300
37 Calcii Glukonas Inj Ampul 24 24 - 24
38 Captopril 12,5 mg Tablet 3000 3,000 800 2200 1,000
39 Captopril 25 mg Tablet 2500 1000 3,500 1,800 1700 3,000
40 Cefadroxil 250 mg Tablet - - 0
41 Cefadroxil 500 mg Tablet 2900 3000 5,900 1,200 4700
42 Cefadroxil Dry Syrup 125 mg Botol 71 96 167 15 152 100
43 Cefotaxime Injeksi 1 gr Vial - - 0 100
44 Ceftriaxon Inj 1000 mg Vial 170 170 3 167
45 Cetirizin 10 mg tab Tablet 9500 9,500 4,500 5000 5,000
47 Chloramfenicol 250 mg Capsul - - 0 1,000
48 Chloramfenicol 500 mg Capsul - - 0 1,000
49 Chloramfenicol tetes telinga Botol - - 0 100
50 Chlorfeniramin Maleat 4 mg (CTM) Tablet 11800 3000 14,800 4,000 10800 5,000
51 Chlorpromazine 100 mg Tablet 350 350 60 290
52 Chlorpromazine 25mg Tablet 760 760 60 700
53 Ciprofloxacin 500 mg Tablet 2100 500 2,600 500 2100 1,000
54 Clindamicin 150 mg Capsul - - 0
55 Clozapin 100 mg Tablet 1330 1,330 45 1285
56 Clozapin 25 mg Tablet 2520 2,520 270 2250
57 Codein hcl Tablet 10 mg Tablet - - 0
58 Combivent Nebules Vial - - 0
59 Cotrimoxazole 480mg Tablet 2600 2,600 700 1900 1,000
60 Cotrimoxazole 960 mg Tablet - - 0
62 Desoximetasone Krim 0.25% Tube 0 - - 0
63 Dexamethason Tab 0,5 mg Tablet 0 5000 5,000 - 5000 5,000
64 Dexamethasone injeksi 5 mg/ml - 1 ml Ampul 0 100 100 10 90 100
65 Dextrose monohydrat 40% Flacon 15 15 - 15
67 Diazepam injeksi 5 mg / 2 ml Ampul 36 36 23 13 30
69 Digoxin tablet 0,25 mg Tablet 0 - - 0 500
71 Dimenhidrinat 50 mg Tablet 0 - - 0 500
72 Diphenhydramin HCl injeksi 10 mg/ml-1 ml Ampul 60 90 150 - 150
73 Domperidon Tablet Tablet 1500 1,500 700 800 5,000
74 Epineprin HCl (adrenalin ) inj 0,1 % - 1 ml Ampul 174 174 - 174
76 Febrinex Ped Suspensi 60 ml Botol - - 0 100
77 Fenol Gliserol Tetes Telinga 10% Botol 0 - - 0 20
78 Fitomenadion (Vit K) Injeksi 2 mg Ampul 120 120 60 60 200
79 Fitomenadion (Vit K) Tablet Salut 10 mg Tablet - - 0 2,000
81 Flutamol Tab Tablet - - 0 10,000
83 Furosemid Tablet 40 mg Tablet 2000 2,000 - 2000
84 Garam Oralit 200 mg Bungkus - - 0 500
85 Gentamicin Salep Mata 0,3% Tube 48 48 24 24 100
87 Glibenklamid Tablet 5 mg Tablet 3200 3,200 1,200 2000 3,000
88 Glukosa 10% Infus Kolf - - 0 10
89 Glukosa 5% Infus Kolf - - 0 10
90 Griseolfulvin Tablet 125 mg Micronized Tablet 3000 3,000 400 2600
91 Haloperidol 0,5 mg Tablet 0 - - 0 1,000
92 Haloperidol 1,5 mg Tablet 0 - - 0 1,000
93 Haloperidol 5 mg Tablet 1840 1,840 506 1334 1,000
95 Herbakof Tablet Tablet - - 0
97 Herbavomitz obat herbal Botol - - 0
99 Hidroklorotiazid (HCT) Tablet 25 mg Tablet - - 0 3,000
100 Hidrokortison Krim 2,5% Tube - - 0
101 Ibuprofen (Zentarin) Tablet 400 mg Tablet 5000 5,000 2,100 2900
102 Ibuprofen Suspensi 100 mg/ 5 ml Botol - - 0
103 Ibuprofen Suspensi 200 mg/ 5 ml Botol 236 236 4 232
104 Iliadin Drop Tetes Hidung Botol - - 0 100
105 Imunomodulator anak Syr 25 mg Botol 0 - - 0 100
106 Imunomodulator Forte 50 mg Tablet - - 0 2,000
107 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 1500 1,500 - 1500
108 KA EN 3A Kolf 20 20 - 20
109 KA EN 3B Kolf 20 20 - 20
110 Kalsium Laktat (kalk) Tablet 500 mg Tablet 16200 3000 19,200 7,200 12000 5,000
111 Karbamazepin 200 mg Tablet 470 300 770 150 620
112 Ketoconazole 200 mg Tablet 2000 1000 3,000 1,300 1700 2,000
114 Ketorolac Inj 30mg/ml Ampul 200 200 - 200
115 Lactulosa Syr 3,335 g/5ml (Kompolax) Botol 231 231 7 224
116 Lansoprazole Tablet 30mg Tablet 2300 250 2,550 900 1650 2,000
117 Lidocain (HCI) 2 % 2 ml Injeksi Ampul 100 100 200 40 160
118 Lidocain (HCI) 2% + Epinefrin 2 mg Ampul 130 180 310 - 310
119 Loperamide 2 mg Tablet 2800 2,800 100 2700
120 Loratadine tab Tablet 1500 1,500 100 1400
121 Magnesium sulfat 20% (MgSO4) Ampul 30 30 3 27
124 Mersibion Inj Ampul - - 0
125 Metformin HCl 500 mg Tablet 4500 2000 6,500 2,700 3800 5,000
126 Metilergometrin Inj 0,2 mg/ml Ampul - - 0
127 Metilergometrin maleat Tab 0,125 mg Tablet - - 0
128 Metilprednisolon 16 mg Tablet 600 600 400 200 1,000
131 Metoklorpamide Tablet 10 mg Tablet - - 0
132 Metoklorpamide Tablet 5 mg Tablet 1600 1,600 900 700 1,000
133 Metronidazol Tab 500mg Tablet 0 - - 0 5,000
134 Metronidazole Infus Kolf 7 7 7 0 10
135 Metronidazole Suspensi 125mg/5ml Botol 55 55 5 50
137 Miconazole krim 2 % Tube - - 0 100
138 Mineral Mix Bungkus 40 40 40 0 100
139 Multivitamin Becefort Tablet - - 0
141 Multivitamin Natabion Dws Capsul - - 0
142 Multivitamin Oxyvit Tablet - - 0
143 Natrium Diklofenak tab 25 mg Tablet 5600 5,600 500 5100 5,000
144 Natrium Diklofenak tab 50 mg Tablet 4800 6000 10,800 4,150 6650 5,000
145 Natrium Klorida 0,9% OTSU Botol 280 280 40 240 100
146 Nifedipin 10 Mg Tablet 600 600 - 600 1,000
147 Nistatin 100.000 IU tab vaginal Tablet 200 200 - 200
149 Nistatin suspensi 100.000 IU/mL Botol 86 86 86 0 100
150 Noza Kaplet Kaplet 3200 2000 5,200 1,300 3900 2,000
152 Ofloxacin 200 mg Tablet - - 0
153 Oksimetazolin tetes hidung 0,05% Botol - - 0
154 Oksitetrasiklin HCl 1 % zalp mata Tube - - 0
156 Omeprazole caps (Lokev) Capsul 0 - - 0 3,000
157 Ondansentron Injeksi Ampul 100 100 200 80 120 200
158 Ondansentron Tab 4 mg Tablet - - 0 5,000
159 Parasetamol Drops Botol - - 0 100
160 Parasetamol Infus btl 18 10 28 12 16 20
161 Parasetamol sirup 120mg/5ml Botol 457 457 257 200
162 Parasetamol Tab Tablet 7100 10000 17,100 7,900 9200 20,000
163 Phenobarbital injeksi 50 mg / 2 ml Ampul - - 0 100
164 Piridoksin HCl Tablet 10 mg ( Vit B6 ) Tablet 4700 4,700 2,200 2500 10,000
165 Prednison tab 5 mg Tablet 0 - - 0 10,000
166 Procurma Syr Botol - - 0 100
167 Propiltiourasil (PTU) tab 100 mg Tablet - - 0 2,000
168 Pularex Tablet Tablet 2000 500 2,500 100 2400
169 Pyrantel Pamoat 125 mg Tablet - - 0
170 Pyrantel Pamoat Susp 125mg / 5ml Botol - - 0
171 Ranitidin 150 mg tab Tablet 1500 3000 4,500 2,900 1600 1,000
172 Ranitidin Injeksi Ampul 0 100 100 - 100 100
173 Retinol 100.000 IU BIRU Caps - - 0
176 Risperidon 1 mg Tablet - - 0
177 Risperidon 2 mg Tablet 1699 1,699 799 900 2,000
178 Salbutamol 2 mg Tablet - - 0 2,000
179 Salbutamol 4 mg Tablet 600 3000 3,600 1,400 2200 2,000
180 Salbutamol Cairan inhalasi Ampul 180 180 40 140 200
181 Salbutamol Syrup Botol 0 - - 0
182 Salep 2- 4 kombinasi Tube 0 - - 0
183 Sianokobalamin (Vit. B12) Tab Tablet 0 - - 0
184 Simvastatin Tablet 10 mg Tablet 2600 2,600 1,200 1400 1,000
185 Simvastatin Tablet 20 mg Tablet 1000 1,000 450 550 2,000
186 Soft U Derm 10% Crema 20gr Tube - - 0
187 Spironolactone 25 mg Tablet 0 - - 0
188 Stesolid rectal 10 mg / 2,5 ml Tube - - 0 10
189 Stesolid rectal 5 mg / 2,5 ml Tube - - 0 10
190 Sukralfat Suspensi 500mg/ 5ml Botol 76 96 172 102 70 200
191 Sulfadoxine-Pyrimethamine (Suldox) Tablet - - 0
192 Tablet Tambah Darah FE Tablet - - 0
194 Tetrasiklin 500 mg Tablet - - 0 1,000
195 Thiamin Hcl (Vit B1) Tablet 50 mg Tablet - - 0
196 Tramadol Inj Ampul - - 0
197 Trifluoperazin 5 mg Tablet 1745 1,745 390 1355
198 Trihexylphenidil 2 mg Tablet 1828 1,828 1,200 628 2,000
199 Vitamin B komplek Tablet - - 0 10,000
200 Vitamin D3 1000IU Tablet - - 0 2,000
201 Voltadex Gel 1% 20 gr Tube - - 0 50
202 Zinc 20 Mg Tablet Tablet 0 - - 0 5,000
203 Zinc Syr Botol 160 36 196 40 156
204 Zincpro Drop 15 ml Botol - - 0 100
205 Acetyl cysteine tablet 200 mg Tablet 420 600 1,020 600 420
206 Cefotaxime sodium serb inj 500 mg Injeksi - - 0 100
207 Cendo Lyteers tetes mata, botol @ 15 ml Botol - - 0 100
208 Chloramphenicol salep mata 1 % Tube - - 0 100
209 Curcuma Plus 60 mL Botol - - 0 100
210 Diazepam enema 10 mg/2,5 mL Tube 12 12 5 7 20
211 Diazepam enema 5 mg/2,5 mL Tube 0 - - 0 20
212 Domperidone drops 5 mg/mL Botol - - 0
213 Domperidone sirup/suspensi 5 mg/5 ml Botol - - 0
214 Farbivent cairan inhalasi Ampul 0 - - 0 200
215 Flamar Natrium diklofenak tetes mata 1 mg/ml Botol - - 0
216 Glimepiride tablet 2 mg Tablet 4600 4,600 1,100 3500
217 Hidrokortison krim 1% Tube 180 180 54 126 150
218 Hyaloph Natrium hialuronat tetes mata Botol - - 0
219 Hyoscine Butylbromide Tab Tablet 800 800 - 800
220 Midric 0,5% Tropikamid tts mata 0,5% Botol - - 0
221 Miniaspi Asam Asetilsalisilat tablet 80 mg Tablet - - 0
222 Multivitamin Ferbion Kapsul - - 0
223 Novadryl Tablet Tablet - - 0
224 Nuvopec Syrup Botol - - 0
225 Obat Batuk Hitam Combi Botol 0 - - 0
226 Obat Batuk Hitam Anak Combi Botol 0 - - 0
228 Obat Flu Kombinasi (Noza) Tablet - - 0
229 Obat Flu Kombinasi Syrup (Febrinex) Botol - - 0
230 Octenic Gel 20 g Tube 1 1 - 1 20
231 Parafen Kaplet Kaplet - - 0
232 Permetrin Krim 5% Tube 0 - - 0 50
234 Sianokobalamin (vitamin B12) injeksi 500 mcg/m Ampul 100 100 200 5 195 100
235 Vip Albumin Obat Herbal Tablet 400 400 300 100 300
236 Vitamin C 1000mg/ Provit C Tablet 0 - - 0 10000

6 Alat suntik 3 ml TP Pcs 0 1000 1,000 500 500 1,000
7 Alat Suntik 5 cc Stera buah 200 200 200 0 1,000
8 Alkohol 1 Liter Onemed Botol 9 10 19 - 19 10
10 Alkohol swab Aximed Pcs 5600 2400 8,000 2,800 5200 2,400
11 Apron Plastik one Pcs 280 280 40 240
18 Blood Lancet Serenity Pcs 0 - -
21 Catgut chromic 3/0 70 cm violet reverse cutting Pcs - -
22 Catgut Chromic Surgical Sutures Pcs 36 36 12 24 120
23 Catgut Plain Surgical Sutures box 84 84 72 12 120
39 Foley catheter no. 16 latex 2 way ABADA Pcs - - 100
40 Foley catheter no. 18 (2 way standard) serenity Pcs 70 70 30 40
100
42 Folley catheter uro one 2 way, FR 16, FR 18 - -
Buah
45 Handrub 500 ml Medika Botol 140 140 1 139
46 Handrub e-care 500 ml Botol 20 20 - 20 20
50 Infusion set anak set 100 100 50 50 200
51 Infusion set dewasa ST01 set 200 200 100 100 200
53 Infusion set microdrip Otsu Pcs 70 70 10 60 200
57 IV Catheter No. 20G Otsu Pcs - - 200
58 IV Catheter No. 22G Cath Pro Pcs 250 100 350 - 350 200
63 IV Catheter WP No. 26G Aximed Pcs - - 200
65 Kantong limbah biohazard uk. L Pack 0 5 5 - 5
66 Kantong limbah biohazard uk. M Pack 0 - -
67 Kantong limbah biohazard uk. S Pack 0 - -
68 Kapas 250 gram Rol 22 22 1 21
71 Kasa hidrofil 2 m x 10 cm ABADA Rol 300 300 50 250
80 Kasa hidrofil 4 m x 7,5 cm ABADA Rol 250 250 50 200
84 Kasa Steril 10 cm x 10 cm 16 Ply isi 10 LDX 400 400 100 300
Roll
85 Kasa Steril 16 x 16 cm Roll 25 25 - 25
87 Kertas EKG 4.5 in (11.4 cm) x 65.6 ft (20 m) Rol 10 10 - 10
90 Latex Examination Gloves Uk. L Pcs 1000 1000 2,000 - 2000
91 Latex Examination Gloves Uk. M Pcs 7000 2000 9,000 3,700 5300
92 Latex Examination Gloves Uk. S Pcs 1000 1000 2,000 700 1300
94 Masker Ear Loop Pcs 4000 4,000 4,000 0 5,000
95 Masker N95 Particulate Respirator unit 160 160 80 80
101 Masker Oksigen Adult Serenity Pcs
102 Masker Oksigen Anak Semillas Pcs 20 20 40 - 40
103 Masker Oksigen Dwsa Semillas Pcs 20 20 40 2 38
104 Masker Oksigen Infant Serenity Pcs 0 20 20 - 20
105 Masker Oksigen Pediatric Serenity Pcs - -
126 M-Y Jelly 82 Gram Tube Buah - - 20
128 Nasal Oxygen Canula Adult Serenity Pcs 450 450 - 450
129 Nasal Oxygen Canula Infant Serenity Pcs 20 20 40 - 40
134 Nurse Cap Box 10 5 15 2 13
135 One Scrub 2% Antiseptic surgical scrub dispense Botol 0 12 12 6 6 20
137 Oxyflow Anak Buah - - 100
138 Oxyflow bayi Buah - - 100
139 Oxyflow Dewasa Buah 115 115 15 100 100
145 Plesterin Roll Non Woven roll 10cm x 5m Roll 15 15 - 15 10
147 Plesterin Roll Non Woven roll 5cm x 5m Roll 3 3 - 3 10
150 Povidon Iodine 60 ml medika Botol - - 50
151 Povidone Iodine 300 ml BOTOL - - 50
152 Pot Sputum Buah 200 200 - 200
153 RDT Antigen - Healgen Pcs 550 550 550 0
173 Safety box Buah 300 300 - 300
175 Sepatu Boots Pair - -
182 Sterile Scalpel Blade#24F#4 Box 0 - - 10
187 Strip Test Cholestrol Autocheck Box - -
188 Strip Test Detecto HbsAg Onemed Buah 25 25 25 0 200
191 Strip test Hb Hemoglobin Mission Pcs 0 - - 0 200
192 Strip Test Health Mate Syphilis Ab Plus Box - - 200
196 Strip test Uritest 11G Botol - - 20
197 Strip test Virotec dengue Combo Unit - - 100
203 Surgical Gloves No. 6.5 Serenity Pcs 150 150 - 150
208 Umbilical cord clame fesco Pcs - -
210 Underpad (Softpad) 60 x 90 cm Pcs 280 280 30 250
214 USG Gel 250 ml Botol - -
217 Write On ID Bracelet Adult blue remedi Pcs 1100 1,100 - 1100
218 Write On ID Bracelet Adult pink remedi Pcs 1100 1,100 - 1100
220 Write On ID Bracelet Child ungu remedi Pcs 1100 1,100 - 1100
221 Xpert MTB/ RIF Assay Kit Cartrigde TCM Pcs 0 200 200 200 0
- -
Bahan Gigi - -
5 CHKM Botol - - 20
14 KDT Dosis Harian Paket 4 5 9 3 6
16 OAT Kategori Anak Paket 2 2 4 1 3
19 Primaquine Tablet 100 100 100 0
21 Tabung EDTA 3 ml 400 400 - 400
22 NS 100 ml piggyback Flacon 80 80 - 80
24 Pehavral Tablet 1,000 1,000 - 1000 2000
25 Strip Test HIV 1/2 - One Step Pcs 125 125 25 100
27 Verorab Vaksin Rabies inj 2,5 IU Vial - - 0
28 STRIP TEST HIV/SHYPILIS DUO Pcs 75 75 75 0 100
30 GG/Guaifenesin Tablet Tablet 0 5000 5,000 - 5000
31 Hyperhep (HBIG) Vial 4 4 1 3
33 Solpenox Syr Botol 0 - - 0 100
34 Strip Test Glucosa Autocheck Pcs 50 300 350 200 150 200
35 Safety Lancet Onemed Box 3900 3,900 400 3500
36 Reco Tetes Telinga Botol 50 50 5 45
37 Lisol 1 liter Botol 4 4 2 2 20
39 Octenic Spray 50 ML Vial 25 10 35 - 35
40 Latex Powder Gloves Uk (S,M,L) Pcs - -
42 Alkohol 70% 500 ML AYN Botol 20 20 1 19 20
43 Masker bedah DP Pcs 2500 2,500 2,500 0
44 Aseptan + Disps 500 ml Botol 18 18 3 15 20
45 Lasal Syr 100 ML Botol 110 120 230 12 218
46 Biolysin Syr Botol 48 48 48 0 100
47 OBH MOLEX SYR Botol 59 59 59 0 100
48 Gigadryl Syr Botol 35 35 35 0 100
49 Vitacee Plus Tablet 0 600 600 60 540 1,000
50 Strip Test Cholestrol Sereniti Unit 0 200 200 70 130 200
51 Strip Test Asam Urat Sereniti Unit 0 250 250 150 100 100
52 Write On ID Bracelet Adult blue yellow Unit 1000 1,000 - 1000
53 Fortusin Syr Botol 60 60 - 60 100
54 Solvita D-1000 Tablet 600 600 210 390 1,000

2500 700 3,200
Kabupaten Landak

NIP. 196603031987032009 NIP. 199508042022032010

Format LPLPO 2023 Kab. Landak New Juli 2022 (Puskesmas Karangan)

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LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

Jumlah Kunjungan Resep Rawat Jalan Rawat Inap Total

Mengetahui, Yang meminta/Melapor

Jumlah Kunjungan Resep Rawat Jalan Rawat Inap Total

Mengetahui, Yang meminta/Melapor

Marta Rahayu,SKM apt. M. Agustine Dwi Steviana, S.Farm

Jumlah Kunjungan Resep Rawat Jalan Rawat Inap Total

Mengetahui, Yang meminta/Melapor

Marta Rahayu,SKM apt. M. Agustine Dwi Steviana, S.Farm

Jumlah Kunjungan Resep Rawat Jalan Rawat Inap Total

Mengetahui, Yang meminta/Melapor

BAHAN MEDIS HABIS PAKAI, REAGEN DAN LARUTAN

Jumlah Kunjungan Resep Rawat Jalan Rawat Inap Total

apt. M. Agustine Dwi Steviana, S.Farm

BAHAN MEDIS HABIS PAKAI, REAGEN DAN LARUTAN

Jumlah Kunjungan Resep Rawat Jalan Rawat Inap Total

apt. M. Agustine Dwi Steviana, S.Farm

BAHAN MEDIS HABIS PAKAI, REAGEN DAN LARUTAN

Jumlah Kunjungan Resep Rawat Jalan Rawat Inap Total

Marta Rahayu,SKM apt. Ananta Agung Ramadhan, S.Farm

BAHAN MEDIS HABIS PAKAI, REAGEN DAN LARUTAN

Jumlah Kunjungan Resep Rawat Jalan Rawat Inap Total

Marta Rahayu,SKM apt. M. Agustine Dwi Steviana, S.Farm

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