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ISI

DATA

SALDO
AWAL

PENERIMAAN
OBAT

REGISTER
BULANAN

LPLPO
1

LAPORAN
MUTASI
ISI REGISTER
DATA BUKU LIDI RESEP OBAT

SALDO 1 2 3 4 5 STOK
AWAL OPNAME

6 7 8 9 10
PENERIMAAN PERENCANAAN
OBAT
11 12 13 14 15
REGISTER EXPIRED
BULANAN 16 17 18 19 20 OBAT

LPLPO 21 22 23 24 25 GOLONGAN
1 2 OBAT
26 27 28 29 30
LAPORAN LAIN - LAIN
MUTASI 31 CP A H
REGISTER
RESEP OBAT

STOK
OPNAME

PERENCANAAN

EXPIRED
OBAT

GOLONGAN
OBAT

LAIN - LAIN
HOME

PETUNJUK PENGGUNAAN APLIKASI

AWAL BULAN :
1 . Copy File Master SIOMM ini, lalu dipaste. Hasil paste direname/ganti nama sesuai bulan & nama unit pelayanan
2 . Masuk Sheet ISI DATA, Isi Nama : Puskesmas, Unit Pelayanan, Bulan, Tanggal, dan seterusnya ke bawah diisi sem
3 . Masukkan Saldo Awal bulan, caranya : copy saldo akhir bulan lalu, untuk jumlah barang dan harga satuan dipast
Masuk Sheet / menu Expired Obat, lakukan perubahan jika ada, misal memindah tgl, jumlah, dan Nomor batch d
4 . Jika ada penerimaan obat, masukkan di sheet penerimaan, Jumlah obat dan harganya. Untuk tanggal dan nomor
Jika ada 2 harga, ketik DI KOLOM HARGA, 2 HARGA tersebut, misal 250 & 240, sedangkan di kolom jumlah hasiln
Ketik : "sama dengan kurung buka jumlah barang dikali harga 1 kurung tutup ditambah kurung buka jumlah bara
misalnya : penerimaan 1000 tablet metampiron 500mg dgn harga Rp 250 & Rp 240, maka diketik : =(500*250)+
5 . Atau masukkan harga yang beda tersebut dengan mengetikkan nama obat , jumlah dan harganya di baris bawah
Untuk nama obat masukkan di sheet saldo awal, untuk jumlah dan harganya masukkan di sheet penerimaan
6 . Jika ada obat baru, masukkan nama obat di baris terakhir sheet saldo awal.

HARIAN :
1 . isi buku lidi sesuai tanggalnya, sesuai nama obatnya. Ada pilihan tanggal mulai tanggal 1 sampai 31.
2 . Jika ada penerimaan obat beberapa kali, masukkan di sheet penerimaan, jika lebih dari satu penerimaan untuk o
3 . buku lidi / register harian bisa DICETAK setiap hari.
agar yang dicetak hanya obat yg ada sisa obatnya, maka klik dropdown (segitiga kecil) pada sel AH5, lalu beri cen

AKHIR BULAN :
1 . setelah buku lidi terisi semua, maka Register Bulanan bisa dicetak otomatis'
agar yang dicetak hanya obat yg ada angkanya saja, maka klik dropdown (segitiga kecil) pada sel AU5, lalu beri ce
2 . Juga LPLPO bisa dicetak otomatis'
agar yang dicetak hanya obat yg ada angkanya saja, klik dropdown pada sel Q6 (untuk LPLPO 2 di sel Z6), lalu ber
3 . Laporan Mutasi juga bisa dicetak otomatis, hanya saja kita masih harus menyesuaikan harga di pemakaian obat,
jika ada dua harga yang harus dipakai, maka gunakan cara seperti di penerimaan obat di atas ya...
agar yang dicetak hanya obat yg ada angkanya saja, maka klik dropdown (segitiga kecil) pada sel Z10, lalu beri ce
4 . Stok Opname juga langsung bisa dicetak, disesuaikan dengan jadwal stok opname. Fisik Obat dibuat sama denga
Jika ada selisih, maka di kolom keterangan diberi alasan penyebab selisih.
5 . Daftar Expired Obat dicek setiap akhir bulan, jika berubah segera diganti untuk memudahkan pemantauan. Ada

UNTUK KEMBALI KE MENU UTAMA / HOME, MAKA KLIK IKON PANAH KE KIRI DENGAN TULI

Yang diisi hanya sel yang berwarna kuning ya.....

Register Bulanan, LPLPO 1 & 2, gak usah diisi, tinggal print

GAMPANG KAN...... SELAMAT MENCOBA......


Silahkan dicoba menu lainnya.
suai bulan & nama unit pelayanan.
dan seterusnya ke bawah diisi semua
ah barang dan harga satuan dipaste value, untuk jumlah harga dipaste formula
dah tgl, jumlah, dan Nomor batch dari kolom 2 ke kolom 1.
arganya. Untuk tanggal dan nomor batchnya masukkan di sheet Expired Obat.
sedangkan di kolom jumlah hasilnya akan eror (#VALUE!), maka lakukan cara di bawah ini
ditambah kurung buka jumlah barang dikali harga 2 kurung tutup"
p 240, maka diketik : =(500*250)+(500*240)
umlah dan harganya di baris bawah sendiri, di C. OBAT & BMHP TAMBAHAN
masukkan di sheet penerimaan

i tanggal 1 sampai 31.


ebih dari satu penerimaan untuk obat yang sama, maka dijumlahkan.

ga kecil) pada sel AH5, lalu beri centang yang angka "1" saja. Maka yg tidak ada sisa obat tidak akan tampil.

tiga kecil) pada sel AU5, lalu beri centang yang angka "1" saja. Maka yg tidak ada ANGKANYA tidak akan tampil.

6 (untuk LPLPO 2 di sel Z6), lalu beri centang yang angka "1" saja. Maka yg tidak ada ANGKANYA tidak akan tampil.
esuaikan harga di pemakaian obat, kita pilih harga di saldo awal dulu ya, sesuai dengan prinsip FIFO
aan obat di atas ya...
tiga kecil) pada sel Z10, lalu beri centang yang angka "1" saja. Maka yg tidak ada ANGKANYA tidak akan tampil.
ame. Fisik Obat dibuat sama dengan data di kartu stok, jika tidak sama silahkan diganti, maka akan ada selisih.

k memudahkan pemantauan. Ada dropdownnya juga.

NAH KE KIRI DENGAN TULISAN "HOME"


k akan tampil.
SELAMAT DATANG DI APLIKASI "SI-OMMnit"
SISTEM INFORMASI OBAT MULTI MANFAAT SUB UNIT
SILAHKAN ISI FORMULIR DI BAWAH INI

Nama Puskesmas PANARUKAN


Nama Sub Unit Pelayanan PELEYAN
Bulan 12
12
Tahun 2023
Nama Kepala Puskesmas dr.YUNI VEROSITA
NIP Kepala Puskesmas 198208202009031010
Nama Pengelola Obat Puskesmas INDAH PENI Y, S.Farm.,Apt
NIP Pengelola Obat Puskesmas 198607222019032002
Nama Petugas Unit Pelayanan YENY SOFIA AKHMAD
NIP Petugas Unit Pelayanan

DESEMBER
31-12-
31-12-

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HOME
SALDO AWAL BULAN PELEYAN
DESEMBER 2023

Jumlah
No NAMA BARANG Satuan Harga Satuan (Rp) Jumlah Harga
Barang

A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp - - -
2 Acarbose tab 50 mg tab - - -
3 Acarbose tab 100 mg tab - - -
4 Albendazol suspensi 200 mg/5 ml btl - - -
5 Albendazol tablet 400 mg tab - - -
6 Alinamin F injeksi amp - - -
7 Alinamin F tablet tab - - -
8 Alopurinol tablet 100 mg tab 120 87.00 10,440.00
9 Alopurinol tablet 300 mg tab - - -
10 Alprazolam tablet 0,25 mg tab - - -
11 Alprazolam tablet 0,5 mg tab - - -
12 Alprazolam tablet 1 mg tab - - -
13 Ambroxol sirup 15 mg/ml btl - - -
14 Ambroxol tablet 30 mg tab - - -
15 Aminofilin injeksi 24 mg/ml~10 ml amp - - -
16 Aminofilin tablet 150 mg tab - - -
17 Aminofilin tablet 200 mg tab - - -
18 Amiodarone hidrocloride 200 mg tab - - -
19 Amitriptilin tablet salut 25 mg (HCl) tab - - -
20 Amlodipin tablet 10 mg tab - - -
21 Amlodipin tablet 5 mg tab 20 53.00 1,060.00
22 Amoksisilin + As. Klavulanat 625 mg tablet tab - - -
23 Amoksisilin kapsul/kaplet 250 mg kapl - - -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50 580.00 29,000.00
25 Amoksisilin serbuk injeksi 1000 mg vial - - -
26 Amoksisilin sirup kering 125 mg/5 ml btl - -
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial - - -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial - - -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart
novorapid flexpen) flexpen - - -
30 Antasida tablet kunyah tab 120 54.00 6,480.00
31 Antasida suspensi btl - -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g +
Polimiksin 10.000 IU/g tube - - -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam
Salisilat 3% pot - - -
Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg
34
Heksaklorofen 2,5 mg supp - - -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg
Sulfadoksin tablet 500 mg tab - - -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 mg tab - - -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg,
Benserazid HCl 25 mg tab - - -
38 Aqua pro injeksi steril, bebas pirogen amp - - -
39 Artemether injeksi 80 mg/ml amp - - -
40 Artesunate injeksi
Articaine HCL 4% 60 mg
+ Epinefrin 1:100.000 injeksi
vial - - -
41 (Turbocaina) katrid - - -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab - - -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab - - -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab - - -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab - - -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab - - -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab - 119.00 -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 720 42.00 30,240.00
49 Asam Folat tablet 1 mg tab - - -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl - - -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130 140.00 18,199.99
52 Asam pipemidat kapsul 400 mg kaps - - -
53 Asam Traneksamat inj. amp - - -
54 Asam Traneksamat tablet tab - - -
55 Asiklovir krim 5% tube - - -
56 Asiklovir tablet 200 mg tab - - -
57 Asiklovir tablet 400 mg tab - - -
58 Atenolol tablet 100 mg tab - - -
59 Atenolol tablet 50 mg tab - - -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp - - -
61 Atropin Sulfat tablet 0,5 mg tab - - -
62 Attapulgit tablet 600 mg tab 50 550.00 27,500.00
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial - - -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial - - -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet
(tablet tambah darah kombinasi) tab 200 226.00 45,200.00
66 Betahistin Mesilat tablet 6 mg tab - - -
67 Betametason krim 0,1% (sebagai valerat) tube - - -
68 Bioplacenton salep tube - - -
69 Bioplacenton tulle pcs - - -
70 Bisakodil suppositoria 10 mg supp - - -
71 Bisoprolol fumarat 2,5 mg tab - - -
72 Bisoprolol tablet 5 mg tab - - -
73 Bromheksin tablet 8 mg tab - - -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp - - -
75 Candesartan cilexetil 16 mg tab - - -
76 Candesartan cilexetil 8 mg tab - - -
77 Cetirizine sirup 5 mg/5 ml btl - - -
78 Cetirizine tablet 10 mg tab - - -
79 Citicoline 125 mg/ml amp - - -
80 Clobazam tablet 10 mg tab - - -
81 Clobetasol krim 0,05% tube - - -
82 Combifen sirup btl - - -
83 Coparcetin sirup btl - - -
84 Coparcetin tablet tab - - -
85 Dapson tablet 100 mg tab - - -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp - - -
87 Deksametason tablet 0,5 mg tab 120 121.00 14,520.00
88 Dekstran 70 ~ larutan infus 6% steril btl - - -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl - - -
90 Dekstrometorfan tablet 15 mg (HBr) tab - - -
91 Devitalisasi Pasta btl - - -
92 Dexanta tablet tab - - -
93 Diazepam injeksi 5 mg/ml amp - - -
94 Diazepam injeksi 10 mg/ml amp - - -
95 Diazepam larutan rectal 10 mg/2,5 ml tube - - -
96 Diazepam larutan rectal 5 mg/2,5 ml tube - - -
97 Diazepam supp supp - - -
98 Diazepam tablet 2 mg tab - - -
99 Diazepam tablet 5 mg tab - - -
100 Dietilkarbamazin sitrat tablet 100 mg tab - - -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 8 781.00 6,248.00
102 Digoksin injeksi 0,25 mg/ml amp - - -
103 Digoksin tablet 0,25 mg tab - - -
104 Diltiazem HCl tablet 30 mg tab - - -
105 Dimenhidrinat tablet 50 mg tab - - -
106 Doksisiklin kapsul/kaplet 100 mg kaps - - -
107 Domperidon drop 5 mg/ml btl - - -
108 Domperidon suspensi 5 mg/5 ml btl - - -
109 Domperidon tablet 10 mg tab - - -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp - - -
111 Efedrin tablet 25 mg (HCl) tab - - -
112 Ekstraks Belladona tablet 10 mg tab - - -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp - - -
114 Eritromisin kapsul/kaplet 250 mg kaps - - -
115 Eritromisin kapsul/kaplet 500 mg kaps - - -
116 Eritromisin sirup 200 mg/5 ml btl - - -
117 Etambutol tablet 250 mg (HCl) tab - - -
118 Etambutol tablet salut 500 mg (HCl) tab - - -
119 Famotidine tablet 20 mg tab - - -
120 Famotidine tablet 40 mg tab - - -
121 Fe Sirup / Besi sirup btl - - -
122 Fenilbutason tablet 200 mg tab - - -
123 Fenitoin kapsul/kaplet 100 mg kaps - - -
124 Fenitoin Natrium injeksi 50 mg/ml amp - - -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps - - -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp - - -
127 Fenobarbital tablet 100 mg tab - - -
128 Fenobarbital tablet 30 mg tab - - -
129 Fenoksimetil Penisilin tablet 250 mg tab - - -
130 Fenoksimetil Penisilin tablet 500 mg tab - - -
131 Fenol Gliserol tetes telinga 10% btl - - -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab - - -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp - - -
134 Flufenazin inj. i.m. 25 mg/ml amp - - -
135 Flukonazol tablet 150 mg tab - - -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp - - -
137 Furosemid tablet 40 mg tab - - -
138 Garam Oralit I serbuk sac 150 577.50 86,625.00
139 Gastrusid sirup btl - - -
140 Gemfibrozil kapsul/kaplet 300 mg kaps - - -
141 Gemfibrozil tablet 600 mg tab - - -
142 Gentamisin injeksi 40 mg/ml amp - - -
143 Gentamisin injeksi 80 mg/2ml amp - - -
144 Gentamisin salep kulit 0,1% tube - - -
145 Gentamisin salep mata 0,3% tube - - -
146 Gentamisin sulfat tetes mata 0,3% btl - - -
147 Gentian Violet larutan 1% btl - - -
148 Glibenklamida tablet 5 mg tab 100 82.00 8,200.00
149 Gliklazid tablet 30 mg tab - - -
150 Gliklazid tablet 80 mg tab - - -
151 Glimepiride tablet 1 mg tab - - -
152 Glimepiride tablet 2 mg tab - - -
153 Glimepiride tablet 3 mg tab - - -
154 Glimepiride tablet 4 mg tab - - -
155 Glipizid 10 mg tab - - -
156 Glipizid 5 mg tab - - -
157 Gliquidon tablet 30 mg tab - - -
158 Gliseril Gualakolat tablet 100 mg tab 200 189.00 37,800.00
159 Gliserin larutan 50% btl - - -
160 Glukosa larutan infus 5% steril btl - - -
161 Glukosa larutan infus 10% steril btl - - -
162 Glukosa larutan infus 40% steril btl - - -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl - - -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl - - -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl - - -
166 Griseofulvin tablet 125 mg tab - - -
167 Haloperidol inj 50 mg/ml amp - - -
168 Haloperidol Inj i.m. 5 mg/ml amp - - -
169 Haloperidol tablet 0,5 mg tab - - -
170 Haloperidol tablet 1,5 mg tab - - -
171 Haloperidol tablet 2 mg tab - - -
172 Haloperidol tablet 5 mg tab - - -
173 Hidroklorotiazid (HCT) tablet 25 mg tab - - -
174 Hidrokortison krim 1% tube - - -
175 Hidrokortison krim 2,5% tube 5 2,325.00 11,625.00
176 Human tetanus imunuglobin 1 ml (250 iu) syringe - - -
177 Hyoscine~N~Butilbromide injeksi amp - - -
178 Hyoscine~N~Butilbromide tablet 10 mg tab - - -
179 Ibuprofen suspensi 100 mg/5 ml btl - - -
180 Ibuprofen suspensi 200 mg/5 ml btl - - -
181 Ibuprofen tablet 200 mg tab - - -
182 Ibuprofen tablet 400 mg tab 250 190.00 47,500.00
183 Iodiol kapsul lunak kaps - - -
184 Isoniazid tablet 100 mg tab - - -
185 Isoniazid tablet 300 mg tab - - -
186 Isosorbid Dinitrat tablet 10 mg tab - - -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab - - -
188 Itrakonazol kapsul/kaplet 100 mg kaps - - -
189 Kalium Diklofenak tablet 25 mg tab - - -
190 Kalium Diklofenak tablet 50 mg tab - - -
191 Kalium Permanganat Serbuk btl - - -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 390 60.00 23,400.00
193 Kaptopril tablet 12,5 mg tab - - -
194 Kaptopril tablet 25 mg tab - - -
195 Kaptopril tablet 50 mg tab - - -
196 Karbamazepin tablet 200 mg tab - - -
197 Ketokonazol krim 2% tube 9 2,370.00 21,330.00
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl - - -
199 Ketokonazol tablet 200 mg tab - - -
200 Ketoprofen injeksi 100 mg amp - - -
201 Ketoprofen tablet 100 mg tab - - -
202 Ketorolac injeksi 10 mg/ml amp - - -
203 Ketorolac injeksi 30 mg/ml amp - - -
204 Klindamisin kapsul/kaplet 150 mg kaps - - -
205 Klindamisin kapsul/kaplet 300 mg kaps - - -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 260 49.00 12,740.00
207 Klomifen tablet 50 mg tab - - -
208 Klonidin tablet 0,15 mg tab - - -
209 Kloramfenikol kapsul/kaplet 250 mg kaps - - -
210 Kloramfenikol salep mata 1% tube - - -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube - - -
212 Kloramfenikol suspensi 125 mg/5 ml btl - - -
213 Kloramfenikol tetes mata 0,5% btl - - -
214 Kloramfenikol tetes telinga 3% btl - - -
215 Klorokuin tablet 250 mg tab - - -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp - - -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp - - -
218 Klorpromazin tablet salut 100 mg (HCl) tab - - -
219 Klorpromazin tablet salut 25 mg (HCl) tab - - -
220 Kodein tablet 10 mg tab - - -
221 Kodein tablet 15 mg tab - - -
222 Kodein tablet 20 mg tab - - -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl
mcg (Seretide Diskus) - - -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg
etilnilestradiol 30 mcg (blister) blister - - -
Kotrimoksazol 480 mg (dewasa) kombinasi:
225
Sulfametoksazol 400 mg, Trimetoprim 80 mg tab - - -
226 Kotrimoksazol 960 mg (forte) kombinasi:
Sulfametoksazol 800 mg, Trimetoprim 160 mg tab - - -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl
+ Trimetoprim 40 mg/5 ml - - -
228 Kuinin (Kina) tablet 200 mg tab - - -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp - - -
230 Lacto B sase - - -
231 Lamivudine tablet 150 mg tab - - -
232 Lanzoprazol kapsul/kaplet 30 mg kaps - - -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq, btl
Cl 109 mEq, Ca 3 mEq, Asetat 28 mEq) - - -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl
gr, Dekstrosa 18.75 gr) - - -
Larutan (KAEN 3B) - mengandung Karbohidrat +
235 Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr, btl
Dekstrosa 27 gr) - - -
Larutan (KAEN 3A) - mengandung Karbohidrat +
236 Elektrolit (Nacl 2.34 gr, Na Laktat 2.24 gr, KCL 0.75 gr, btl
Dekstrosa 27 gr) - - -
237 Levofloksasin tablet 500 mg tab - - -
238 Levoteroksin sodium 100 mg tab - - -
239 Lidokain injeksi 2% amp - - -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml
(Lidokain Comp.2%
Lidokain injeksi Inj)(HCl) + Epinefrin 1 : 80.000 ~ 2ml amp - - -
241 (Pehacain) amp - - -
242 Lidokain jeli 2% (Xylocain) syringe - - -
243 Lidokain semprot 10% (Xylocain) btl - - -
244 Linkomisin kapsul/kaplet 500 mg kaps - - -
245 Lisinopril tablet 10 mg tab - - -
246 Lisinopril tablet 5 mg (Interpril) tab - - -
247 Lomefloksasin HCL tetes mata (Optiflox) btl - - -
248 Loperamid tablet 2 mg tab - - -
249 Loratadin tablet 10 mg tab - - -
250 Lorazepam tablet 2 mg tab - - -
251 Losartan 50 mg tab - - -
252 Lytacur sirup btl 20 10,656.00 213,120.00
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial - - -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp - - -
255 Mebendazol sirup 100 mg/5 ml btl - - -
256 Mebendazol tablet 100 mg tab - - -
257 Meloksikam suppositoria supp - - -
258 Meloksikam tablet 15 mg tab - - -
259 Meloksikam tablet 7,5 mg tab - - -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp - - -
261 Mersibion injeksi 5000 amp - - -
262 Metamizole Na injeksi 500 mg/ml amp - - -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp - - -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp - - -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp - - -
266 Metampiron injeksi 250 mg (antalgin) amp - - -
267 Metampiron tablet 500 mg (antalgin) tab 400 239.00 95,600.00
268 Metformin HCl tablet 500 mg tab 70 77.00 5,390.00
269 Metformin HCl tablet 850 mg tab - - -
270 Metildopa 250 mg tab - - -
271 Metilergometrin Maleat tablet salut 0,125 mg tab - - -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp - - -
273 Metilprednisolon injeksi 500 mg amp - - -
274 Metilprednisolon tablet 16 mg tab - - -
275 Metilprednisolon tablet 4 mg tab - - -
276 Metilprednisolon tablet 8 mg tab - - -
277 Metoklopramide drop 10 ml btl - - -
278 Metoklopramide injeksi 5 mg/ml amp - - -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp - - -
280 Metoklopramide sirup 5 mg/ 5 ml btl - - -
281 Metoklopramide tablet 10 mg tab - - -
282 Metoklopramide tablet 20 mg tab - - -
283 Metoklopramide tablet 5 mg tab - - -
284 Metronidazol infus 500 mg/100 ml btl - - -
285 Metronidazol ovula 500 mg (Vagizol) ovula - - -
286 Metronidazol suppo 500 mg (Flagyl) supp - - -
287 Metronidazol tablet 250 mg tab - - -
288 Metronidazol tablet 500 mg tab 50 381.70 19,085.00
289 Mikonazol krim/salep 2% (nitrat) tube - - -
290 Mineral Mix, kombinasi sase - - -
291 Momethason krim 0,1% tube - - -
292 Morfin injeksi 10 mg/ml amp - - -
293 Morfin tablet
N~asetil 10 inj
sistein mgNebules 100 mg/ml (N~ace cairan tab - - -
294 inhalasi) amp - - -
295 Natrium bicarbonat inj i.v. 8,4% amp - - -
296 Natrium Diklofenak tablet 25 mg tab - - -
297 Natrium Diklofenak tablet 50 mg tab 120 100.00 12,000.00
298 Natrium Klorida larutan infus 0,9% (NaCl) btl - - -
299 Neurobion 5000 injeksi amp - - -
300 Neurosanbe inj. amp - - -
301 Nevirapin tablet 200 mg tab - - -
302 Nifedipin 20 mg (Adalat Oros) tab - - -
303 Nifedipin 30 mg (Adalat Oros) tab - - -
304 Nifedipin tablet 10 mg tab - - -
305 Nistatin tablet salut 500.000 IU/ g tab - - -
306 Nistatin vaginal tablet 100.000 IU/ g ovula - - -
307 Novabion kaps - - -
308 Obat Antituberkulosis FDC Kategori 1 paket - - -
309 Obat Antituberkulosis FDC Kategori 2 paket - - -
310 Obat Antituberkulosis FDC Kategori Anak paket - - -
311 Obat Antituberkulosis FDC Sisipan paket - - -
312 Obat Antituberkulosis Kategori 1 dewasa paket - - -
313 Obat Antituberkulosis Kategori anak paket - - -
314 Obat Batuk Hitam (OBH) cairan btl 2 14,003.00 28,006.00
315 Ofloxacin tablet 200 mg tab - - -
316 Ofloxacin tablet 400 mg tab - - -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl - - -
318 Oksitetrasiklin HCl salep mata 1% tube - - -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp - - -
320 Oksitetrasiklin salep kulit 3% tube - - -
321 Oksitosin injeksi 10 IU/ml~1 ml amp - - -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp - - -
323 Omeprazol inj 40 mg/10 ml vial - - -
324 Omeprazol kapsul/kaplet 20 mg kaps - - -
325 Ondansentron injeksi 4 mg/2 ml amp - - -
326 Ondansentron tablet 4 mg tab - - -
327 Oseltamivir kapsul/kaplet 75 mg kaps - - -
328 Papaverin injeksi 40 mg/ml amp - - -
329 Papaverin tablet 40 mg tab - - -
330 Parasetamol drops 60 mg/0,6 ml btl - - -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl - - -
332 Parasetamol sirup 120 mg/5 ml btl 17 1,160.00 19,720.00
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl - - -
334 Parasetamol tablet 100 mg tab - - -
335 Parasetamol tablet 500 mg tab 300 159.50 47,850.00
336 Parasetamol tablet 500 mg (Sanmol) tab - - -
337 Perak Sulfadiazim Krim 1% tube - - -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube - - -
339 Perfenazin tablet 4 mg (HCl) tab - - -
340 Permetrin krim 5% tube - - -
341 Permetrin krim 5% (Scabimite) tube - - -
342 Petidin injeksi 50 mg/ml amp - - -
343 Pimtracol sirup btl - - -
344 Piracetam injeksi 1 g/5 ml amp - - -
345 Piracetam injeksi 3 g/15 ml amp - - -
346 Piracetam tablet 1200 mg tab - - -
347 Piracetam tablet 400 mg tab - - -
348 Piracetam tablet 800 mg tab - - -
349 Pirantel suspensi 125 mg/5 ml btl - - -
350 Pirantel tablet score (base) 125 mg tab - - -
351 Pirazinamid tablet 500 mg tab - - -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50 199.80 9,990.00
353 Piridoksin injeksi 100 mg/ml amp - - -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps - - -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps - - -
356 Polikresulen cairan btl - - -
357 Polikresulen cairan (Albothyl) btl - - -
358 Povidon Iodida larutan 10% 1000 ml btl - - -
359 Povidon Iodida larutan 10% 30 ml btl - - -
360 Povidon Iodida larutan 10% 300 ml btl - - -
361 Povidon Iodida larutan 10% 60 ml btl - - -
362 Pravastatin tablet 20 mg tab - - -
363 Prednison tablet 5 mg tab - - -
364 Primakuin tablet 15 mg tab - - -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial - - -
366 Prolacta baby kaps - - -
367 Propanolol tablet 10 mg (HCl) tab - - -
368 Propanolol tablet 40 mg (HCl) tab - - -
369 Propiltiourasil tablet 100 mg (PTU) tab - - -
370 Ramipril tablet 2,5 mg tab - - -
371 Ramipril tablet 5 mg tab - - -
372 Ranitidin injeksi 25 mg/ml amp - - -
373 Ranitidin injeksi 50 mg/2ml amp - - -
374 Ranitidin tablet 150 mg tab 320 85.00 27,200.00
375 Reserpin tablet 0,10 mg tab - - -
376 Reserpin tablet 0,25 mg tab - - -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps - - -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps - - -
379 Rifampisin kapsul/kaplet 300 mg kapl - - -
380 Rifampisin kapsul/kaplet 600 mg kapl - - -
381 Rifampisin tablet salut 450 mg tab - - -
382 Ringer Laktat (RL) larutan infus btl - - -
383 Risperidon tablet 1 mg tab - - -
384 Risperidon tablet 2 mg tab - - -
385 Risperidon tablet 3 mg tab - - -
386 Salbutamol
Salbutamol cairan (As.sulfat)100
inhalasi/aerosol 2,5mcg/dosis
mg (Ventolin Nebules)
(Ventolin btl - - -
387 Inhaler) btl - - -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab - - -
389 Salbutamol
Salep 2~4 , tablet 4 mg (sebagai
Kombinasi: sulfat)2% + Belerang
Asam Salisilat tab - -
390 endap 4% pot - - -
391 Salisil Bedak 2 % ktk - - -
392 Sanbe Plex drop btl - - -
393 Sefadroksil kapsul/kaplet 250 mg kaps - - -
394 Sefadroksil kapsul/kaplet 500 mg kaps - - -
395 Sefadroksil sirup kering 125 mg/5ml btl - - -
396 Sefaleksin kapsul/kaplet 250 mg kaps - - -
397 Sefaleksin kapsul/kaplet 500 mg kaps - - -
398 Sefazolin injeksi 1 g amp - - -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab - - -
400 Sefiksim kapsul/kaplet 100 mg kaps - - -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl - - -
402 Sefotaksim injeksi 0,5 g amp - - -
403 Sefotaksim injeksi 1 g vial - - -
404 Seftazidim injeksi 1 g amp - - -
405 Seftriakson injeksi 1 g amp - - -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp - - -
407 Serum ABU I vial - - -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp - - -
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab - - -
410 Simetidin injeksi (Ulsikur) amp - - -
411 Simetidin tablet 200 mg tab - - -
412 Simvastatin tablet 10 mg tab - - -
413 Simvastatin tablet 20 mg tab - - -
414 Simvastatin tablet 5 mg tab - - -
415 Siprofloksasin infus 2% btl - - -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab - - -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab - - -
418 Spasminal tablet tab - - -
419 Spiramisin tablet 500 mg tab - - -
420 Spironolakton tablet 100 mg tab - - -
421 Spironolakton tablet 25 mg tab - - -
422 Stavudin tablet 30 mg tab - - -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl - - -
424 Sukralfat susp 500 mg/5 ml btl - - -
425 Sulfasalazin tablet 500 mg tab - - -
426 Sulfasetamida Natrium tetes mata 15% btl - - -
427 Suprabion sirup btl - - -
428 Tamoksifen tablet 20 mg tab - - -
429 Teofillin tablet 150 mg (Bronsolvon) tab - - -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab - - -
431 Tetrakain HCl tetes mata 0,5% btl - - -
432 Tetrasiklin kapsul/kaplet 250 mg kaps - - -
433 Tetrasiklin kapsul/kaplet 500 mg kaps - - -
434 Thyrosol tablet tab - - -
435 Tiamfenikol kapsul/kaplet 250 mg kaps - - -
436 Tiamfenikol kapsul/kaplet 500 mg kaps - - -
437 Tiamfenikol sirup 125 mg/ml btl - - -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20 203.50 4,070.00
439 Tiamin (Vitamin B1) 100 mg tablet tab - - -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp - - -
441 Timolol tetes mata 0,5% btl - - -
442 Tramadol injeksi 50 mg/ml amp - - -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps - - -
444 Trifaneuron kapl - - -
445 Trifluoperazin tablet 5 mg tab - - -
446 Triheksifenidil tablet 2 mg tab - - -
447 Trolit sase - - -
448 Valsartan tablet 80 mg tab - - -
449 Verapamil tablet 80 mg (HCl) tab - - -
450 Vicillin inj. 1 gr vial - - -
451 Vitamin B Kompleks tablet tab 320 57.00 18,240.00
452 Zamel drop btl - - -
453 Zamel sirup btl - - -
454 Zidovudin tablet 100 mg tab - - -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab - - -
456 Zinc drop 10 mg/ml btl - - -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl - - -
458 Zinc tablet 20 mg tab 50 100.00 5,000.00
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs - - -
2 Alat suntik insulin 1ml set - - -
3 Alat suntik sekali pakai 1 ml set - - -
4 Alat suntik sekali pakai 2,5 ml set - - -
5 Alat suntik sekali pakai 3 ml set 20 874.50 17,489.92
6 Alat suntik sekali pakai 5 ml set 5 968.00 4,840.00
7 Alat suntik sekali pakai 10 ml (OneMed) set - - -
8 Alat suntik sekali pakai 20 ml set - - -
9 Alkohol gel (Aseptic Gel) btl - - -
10 Articulating paper sementara larutan, serbuk
Bahan tumpatan
ktk - - -
11 (Caviton) tube - - -
12 Blood lancet pcs - - -
13 Blood tranfusion set set - - -
14 Bonding btl - - -
15 Catgut Chromic no 2/0 set - - -
16 Catgut Chromic no 3/0 set - - -
17 Catgut Plain no 2/0 set - - -
18 Catgut Plain no 3/0 set - - -
19 Cotton roll (Prodental) bks - - -
20 Dermafix 10 x 8 cm pcs - - -
21 Dermafix 5 x 7 cm pcs - - -
22 Desinfektan Klorin 500 ml btl - - -
23 Disposafe Safety Box 2,5 L box - - -
24 Disposafe Safety Box 5 L box - - -
25 Etakridin larutan 0,1% (rivanol) btl - - -
26 Etanol 70% cairan (100 ml) btl - - -
27 Etanol 70% cairan (1000 ml) btl - - -
28 Etanol 95% cairan (1 L) btl - - -
29 Etching btl - - -
30 Etil Klorida spray btl - - -
31 Eugenol cairan btl - - -
32 Fixomull stretch 10 cm x 5 m rol - - -
33 Fixomull stretch 5 cm x 5 m rol - - -
34 Foley Catheter (16) set - - -
35 Foley Catheter (18) set - - -
36 Foley Catheter (20) set - - -
37 Foley Catheter (22) set - - -
38 Foley Catheter (24) set - - -
39 Foley Catheter (24) set - - -
40 Formokresol cairan btl - - -
41 Glass Ionomer Cement ART btl - - -
42 Guedel Airway No. 000 / Oropharyngeal pcs - - -
43 Guedel Airway No. 2 / Oropharyngeal pcs - - -
44 Handrub 500 ml btl 4 82,500.00 330,000.00
45 Handscoon (uk 7~7,5) psg - - -
46 Handscoon (uk S,M,L) pcs 136 1,160.00 157,760.00
47 Handscoon / Sarung Tangan Obgyn psg - - -
48 H2O2 3% 1000 ml btl - - -
49 H2O2 3% 800 ml btl - - -
50 H2O2 3% 100 ml btl - - -
51 Infusion set anak set - - -
52 Infusion set dewasa set - - -
53 IV Cannula With Safety Wings No. 24 set - - -
54 IV Catheter No. 16 G set - - -
55 IV Catheter No. 18 G set - - -
56 IV Catheter No. 20 G set - - -
57 IV Catheter No. 22 G set - - -
58 IV Catheter No. 24 G set - - -
59 IV Catheter No. 26 G set - - -
60 Kacamata Goggle unit - - -
61 Kalsium Hidroksida Pasta ktk - - -
62 Kapas 500 gr bks - - -
63 Kapas Pembalut/Absorben 250 gram bks - - -
64 Kapas Berlemak 500 gram bks - - -
65 Kasa 2 x 80 cm rol - - -
66 Kasa 40 x 40 cm rol - - -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 60 487.50 29,250.00
68 Kasa Hidrofil uk. 36 m x 80 cm rol - - -
69 Kasa Hidrofil uk. 40 m x 80 cm rol - - -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol - - -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol - - -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol - - -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol - - -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol - - -
75 Kasa Pembalut Elastis 3 inchi rol - - -
76 Kasa Pembalut Elastis 4 inchi rol - - -
77 Kasa Pembalut Elastis 6 inchi rol - - -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol - - -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10 2,035.00 20,350.00
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol - - -
81 Kertas Puyer lbr - - -
82 Kit Gown set - - -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl - - -
84 Komposit resin btl - - -
85 Lysol 1 Liter btl - - -
86 Lubricating jelly tube 1 29,550.00 29,550.00
87 Masker set 6 919.08 5,514.48
88 Masker Kain set - - -
89 Masker N95 set - - -
90 Masker Nebulizer Anak set - - -
91 Masker Nebulizer Dewasa set - - -
92 Masker Oksigen Anak set - - -
93 Masker Oksigen Bayi set - - -
94 Masker Oksigen Dewasa set - - -
95 Mess silet / Surgical Blade pcs - - -
96 Mummifying Pasta btl - - -
97 Nurse Cap pcs - - -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit - - -
99 Pakaian Pelindung Coverall Reusable unit - - -
100 Plester 5 cm x 4,5 m rol - - -
101 Plester 5 cm x 4,5 m (Leukoplast) rol - - -
102 Plester 7,5 cm x 4,5 m rol - - -
103 Plester 5 cm x 5 m (Ultrafix) rol - - -
104 Plester 5 yards x 5 inch rol - - -
105 Semen Seng Fosfat serbuk dan cairan btl - - -
106 Selang Oksigen Anak (Oxyflow) pcs - - -
107 Selang Oksigen Bayi (Oxyflow) pcs - - -
108 Selang Oksigen Dewasa (Oxyflow) pcs - - -
109 Selulosa strip pcs - - -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set - - -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set - - -
112 Spalk Kaki Anak pcs - - -
113 Spalk Kaki Dewasa pcs - - -
114 Spalk Tangan Anak pcs - - -
115 Spalk Tangan Bayi pcs - - -
116 Spalk Tangan Dewasa pcs - - -
117 Sofra tulle pcs - - -
118 Stomach Tube (NGT) no 16 tube - - -
119 Stomach Tube (NGT) no 18 tube - - -
120 Stomach Tube (NGT) no 20 tube - - -
121 Suction Catheter No. 10 set - - -
122 Temporary Stopping Fletcher serbuk dan cairan btl - - -
123 Tooth cleanshing tincture (OCO) btl - - -
124 Trikresol Formalin (TKF) Cairan btl - - -
125 Ultrasonic Gel btl - - -
126 Underpad pcs - - -
127 Urine Bag set - - -
128 Urocare set - - -
129 Wing Needle No set - - -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab 400 139.86 55,944.00
2 - - -
3 - - -
4 - -
5 - -
6 - -
7 - -
8 - -
9 - -
10 - -
11 - -
12 - -
13 - -
14 - -
15 - -
16 - -
17 - -

JUMLAH TOTAL 1,594,077.39

Jumlah Harga Saldo Awal di Laporan Mutasi 1,594,077.39


Selisih -

AMAN SOBAT, GAK ADA SELISIH, LANJUTKAN PEKERJAAN SOBAT DENGAN SENANG HATI
Ket HOME

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1

SENANG HATI
PENERIMAAN OBAT DAN BMHP PELEYAN
DESEMBER 2023

Jumlah Harga Satuan


No NAMA BARANG Satuan Jumlah Harga Ket
Barang (Rp)

A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab -
9 Alopurinol tablet 300 mg tab -
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab -
21 Amlodipin tablet 5 mg tab -
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl -
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl -
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -

29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart


novorapid flexpen) flexpen -
30 Antasida tablet kunyah tab -
31 Antasida suspensi btl -

32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g +


Polimiksin 10.000 IU/g tube -

33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam


Salisilat 3% pot -
Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg
34
Heksaklorofen 2,5 mg supp -

35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg


Sulfadoksin tablet 500 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 mg tab -

37 Antiparkinson DOEN Tab Komb Levodopa 100 mg,


Benserazid HCl 25 mg tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi vial
Articaine HCL 4% 60 mg
+ Epinefrin 1:100.000 injeksi -
41 (Turbocaina) katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab -
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl -
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab -
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -

65 Besi (II) Sulfat 60 mg + Asam Folat 0,4 mg tablet (tablet


tambah darah kombinasi) tab -
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube -
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab -
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp -
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac -
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab -
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab -
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube -
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab -
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab -
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab -
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube -
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab -
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl -
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -

223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl


mcg (Seretide Diskus) -

224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg


etilnilestradiol 30 mcg (blister) blister -
Kotrimoksazol 480 mg (dewasa) kombinasi:
225
Sulfametoksazol 400 mg, Trimetoprim 80 mg tab -

226 Kotrimoksazol 960 mg (forte) kombinasi:


Sulfametoksazol 800 mg, Trimetoprim 160 mg tab -

227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl


+ Trimetoprim 40 mg/5 ml -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -

233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq, btl


Cl 109 mEq, Ca 3 mEq, Asetat 28 mEq) -

234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl


gr, Dekstrosa 18.75 gr) -
Larutan (KAEN 3B) - mengandung Karbohidrat +
235 Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr, btl
Dekstrosa 27 gr) -
Larutan (KAEN 3A) - mengandung Karbohidrat +
236 Elektrolit (Nacl 2.34 gr, Na Laktat 2.24 gr, KCL 0.75 gr, btl
Dekstrosa 27 gr) -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -

240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml


(Lidokain Comp.2%
Lidokain injeksi Inj)(HCl) + Epinefrin 1 : 80.000 ~ 2ml amp -
241 (Pehacain) amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl -
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab -
268 Metformin HCl tablet 500 mg tab -
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab -
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab -
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 inj
mgNebules 100 mg/ml (N~ace cairan tab -
N~asetil sistein
294 inhalasi) amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab -
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl -
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl -
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab
335 Parasetamol tablet 500 mg tab -
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab -
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab -
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab -
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol
Salbutamol cairan (As.sulfat)100
inhalasi/aerosol 2,5mcg/dosis
mg (Ventolin Nebules)
(Ventolin btl -
387 Inhaler) btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol
Salep 2~4 , tablet 4 mg (sebagai
Kombinasi: sulfat)2% + Belerang
Asam Salisilat tab -
390 endap 4% pot -
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp -
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab -
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp - -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab -
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab -
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set -
6 Alat suntik sekali pakai 5 ml set -
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper sementara larutan, serbuk ktk -
Bahan tumpatan
11 (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set
14 Bonding btl
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl -
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs -
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr -
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol -
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol -
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube -
87 Masker set -
88 Masker Kain set -
89 Masker N95 set -
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - -
2 Herbakof syrup btl -
3 Alkohol swab pcs -
4 Stimuno sirup 100 ml btl -
5 Vitamin B Kompleks injeksi amp -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -

JUMLAH TOTAL -

Jumlah Harga Penerimaan di Laporan Mutasi -


Selisih -

AMAN SOBAT, GAK ADA SELISIH, LANJUTKAN PEKERJAAN SOBAT DENGAN SENANG HATI
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BUKU LIDI ( REGISTER HARIAN PELEYA
TANGGAL : 1
Pemakaian Oba
Saldo
No NAMA BARANG Sat
Awal 1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 120
9 Alopurinol tablet 300 mg tab -
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab -
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl -
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 120
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam S pot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 720 5
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube -
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 8
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 150
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 100 10
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 200
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 250
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 390
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab - 10
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 260
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl - 1
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametok tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksa tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektroli btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab - 10
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 50
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 2
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 300
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab -
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inh btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot -
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp -
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 50
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 20
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 136
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 60
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol -
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set 6
88 Masker Kain set -
89 Masker N95 set -
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
EYAN )
BULAN : DESEMBER 2023
an Obat :
Jumlah Obat
Sisa Obat HOME
15 16 17 18 19 20 21 22 23 24 25 26 27 Dipakai

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BUKU LIDI ( REGISTER HARIAN PELEYA
TANGGAL : 2
Saldo Pemakaian
No NAMA BARANG Sat
Awal 1 2 3 4 5 6 7 8 9 10 11 12 13

A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 120
9 Alopurinol tablet 300 mg tab -
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab - 5
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl - 2
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart novorapid f flexpen -
30 Antasida tablet kunyah tab 120 5
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksi tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Salisilat 3 pot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg Heksaklo supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg Sulfadoksi tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 mg tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Benserazid HC tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turbocaina) katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 715 5
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet tamba tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube -
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 8 2
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 150
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 90 10
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 200
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 250
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 390
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (10) 10
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 260
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 mcg (Sere btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etilnilestrad blister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametoksazol 400 tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksazol 800 mg, tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimeto btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq, Cl 109 btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 gr, Dekstr btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektrolit (Nacl 1.7 btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektrolit (Nacl 2. btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml (Lidokain Co amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml (Pehacain) amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (10) 10
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 50
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inhalasi) amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 2 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 300
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab -
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inhaler) btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang endap 4% pot -
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp -
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 50
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 20 2
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 136
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 60 2
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol -
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set 6 2
88 Masker Kain set -
89 Masker N95 set - 1
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
PELEYAN )
BULAN : DESEMBER 2023
Pemakaian Obat : Jumlah Sisa Obat HOME
14 15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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BUKU LIDI ( REGISTER HARIAN PELEYA
TANGGAL : 3
Saldo Pemakaian O
No NAMA BARANG Sat
Awal 1 2 3 4 5 6 7 8 9 10 11 12 13
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 120
9 Alopurinol tablet 300 mg tab -
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (5)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart novo flexpen -
30 Antasida tablet kunyah tab 115 5
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Po tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Salis pot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg He supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg Sulf tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 mg tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bensera tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turbocaina katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 710 5
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube -
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 6
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 150
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 200
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 250
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 390 5
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (20) 10
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 260
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 mc btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etilni blister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametoksazo tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksazol tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + T btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq, C btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 gr, btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektrolit (N btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektrolit (N btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml (Lido amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml (Peha amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (20) 10
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 50
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inhalas amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 300 10
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab -
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inhaler btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang enda pot -
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp -
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 50
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 18
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 136
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 58
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol -
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set 4 3
88 Masker Kain set -
89 Masker N95 set (1)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
AN PELEYAN )
BULAN : DESEMBER 2023
Pemakaian Obat : Jumlah Sisa Obat HOME
14 15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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0 320 1
0 - 0
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0 50 1
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0 18 1
0 5 1
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0 136 1
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0 10 1
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0 1 1
3 1 1
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BUKU LIDI ( REGISTER HARIAN PELEYAN
TANGGAL : 4
Saldo Pemakaian O
No NAMA BARANG Sat
Awal 1 2 3 4 5 6 7 8 9 10 11 12 13
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 120
9 Alopurinol tablet 300 mg tab -
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (5)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart novorap flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polim tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Salisila pot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg Heksa supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg Sulfad tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 mg tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Benserazid tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turbocaina) katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 705
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube -
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 6
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 150
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 200 5
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 250
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 385
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (30) 10
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 260
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 mcg ( btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etilniles blister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametoksazol tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksazol 800 tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Tri btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq, Cl 1 btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 gr, De btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektrolit (Nacl btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektrolit (Nac btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml (Lidokai amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml (Pehacai amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (30) 10
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 50
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inhalasi) amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 290
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab -
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inhaler) btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang endap pot -
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp -
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 50
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 18
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 136
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 58
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol -
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set 1 1
88 Masker Kain set -
89 Masker N95 set (1)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
PELEYAN )
BULAN : DESEMBER 2023
Pemakaian Obat : Jumlah Sisa Obat HOME
14 15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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BUKU LIDI ( REGISTER HARIAN PELEY
TANGGAL : 5
Saldo Pemakaian
No NAMA BARANG Sat
Awal 1 2 3 4 5 6 7 8 9 10 11 12 13
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 120
9 Alopurinol tablet 300 mg tab - 10
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (5) 5
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam S pot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 705
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube - 1
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 6
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 150
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 195
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 250
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 385
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 260 20
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametok tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksa tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektroli btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 50
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 290 20
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab -
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inh btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot - 1
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp - 3
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 50
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 18 3
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 136
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 58 2
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol -
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set - 2
88 Masker Kain set -
89 Masker N95 set (1)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
PELEYAN )
BULAN : DESEMBER 2023
Pemakaian Obat : Jumlah Sisa Obat HOME
14 15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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20 240 1
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0 (1) 1
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0 (40) 1
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0 50 1
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20 270 1
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3 (3) 1
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3 15 1
0 5 1
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2 (2) 1
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BUKU LIDI ( REGISTER HARIAN PELEY
TANGGAL : 6
Saldo Pemakaia
No NAMA BARANG Sat
Awal 1 2 3 4 5 6 7 8 9 10 11 12 13
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 120
9 Alopurinol tablet 300 mg tab (10)
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (10)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart novorapflexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polim tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Salisil pot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg Heksa supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg Sulfad tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 mg tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Benserazid tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turbocaina) katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 705
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (1)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 6
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 150
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 195 5
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 250
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 385
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 240 10
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 mcg ( btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etilniles blister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametoksazol tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksazol 800 tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trim btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq, Cl 1 btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 gr, De btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektrolit (Nacl btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektrolit (Nac btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml (Lidokai amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml (Pehacai amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 50
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inhalasi) amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 270 10
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab -
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inhaler) btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang endap pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (3)
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 50
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 15
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 136
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol -
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (2) 2
88 Masker Kain set -
89 Masker N95 set (1)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
LEYAN )
BULAN : DESEMBER 2023
makaian Obat : Jumlah Sisa Obat HOME
14 15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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BUKU LIDI ( REGISTER HARIAN PELEYA
TANGGAL : 7
Saldo Pemakaian Oba
No NAMA BARANG Sat
Awal 1 2 3 4 5 6 7 8 9 10 11 12 13 14
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 120
9 Alopurinol tablet 300 mg tab (10)
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (10) 10
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam S pot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 705
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (1)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 6
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 150
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 190
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 250
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 385 10
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 230
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametok tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksa tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektroli btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 50 10
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 260 5
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab -
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inh btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (3)
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 50
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 15
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 136 3
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol -
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (4) 2
88 Masker Kain set -
89 Masker N95 set (1)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
EYAN )
BULAN : DESEMBER 2023
an Obat : Jumlah Sisa Obat HOME
15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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BUKU LIDI ( REGISTER HARIAN PELEYA
TANGGAL : 8
Pemakaian Ob
No NAMA BARANG Sat Saldo Awal
1 2 3 4 5 6 7 8 9 10 11 12 13 14
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 120
9 Alopurinol tablet 300 mg tab (10)
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (20)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam S pot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 705
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (1)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 6
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 150
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 190
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 250
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 375
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 230
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametok tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksa tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektroli btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 255
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab -
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inh btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (3)
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 50
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 15
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 133
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol -
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (6)
88 Masker Kain set -
89 Masker N95 set (1)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
EYAN )
BULAN : DESEMBER 2023
an Obat : Jumlah Sisa Obat HOME
15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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BUKU LIDI ( REGISTER HARIAN PELEYA
TANGGAL : 9
Pemakaian Ob
No NAMA BARANG Sat Saldo Awal
1 2 3 4 5 6 7 8 9 10 11 12 13 14
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 120
9 Alopurinol tablet 300 mg tab (10)
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (20)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam S pot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 705
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (1)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 6
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 150
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 190 10
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 250 5
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 375
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 230 5
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametok tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksa tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektroli btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 255 10
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab -
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inh btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (3)
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 50
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 15
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 133 3
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol -
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (6)
88 Masker Kain set -
89 Masker N95 set (1) 1
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
EYAN )
BULAN : DESEMBER 2023
an Obat : Jumlah Sisa Obat HOME
15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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BUKU LIDI ( REGISTER HARIAN PELEYA
TANGGAL : 10
Saldo Pemakaian Oba
No NAMA BARANG Sat
Awal 1 2 3 4 5 6 7 8 9 10 11 12 13 14
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 120
9 Alopurinol tablet 300 mg tab (10)
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (20) 5
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam S pot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 705
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (1)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 6
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 150
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 180
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 245 5
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 375
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 225
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametok tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksa tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektroli btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 245 5
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab -
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inh btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (3) 2
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 50
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 15 2
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 130 3
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol - 2
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (6) 2
88 Masker Kain set -
89 Masker N95 set (2)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
EYAN )
BULAN : DESEMBER 2023
an Obat : Jumlah Sisa Obat HOME
15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
2 (5) 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 20 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 320 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 50 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
2 13 1
0 5 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
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0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 4 1
0 - 0
3 127 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
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0 - 0
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0 56 1
0 - 0
0 - 0
0 - 0
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0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 10 1
2 (2) 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 1 1
2 (8) 1
0 - 0
0 (2) 1
0 - 0
0 - 0
0 - 0
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0 - 0
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- - 0
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- 400 1
- - 0
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BUKU LIDI ( REGISTER HARIAN PELEYA
TANGGAL : 11
Saldo Pemakaian Ob
No NAMA BARANG Sat
Awal 1 2 3 4 5 6 7 8 9 10 11 12
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 120
9 Alopurinol tablet 300 mg tab (10)
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (25)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam S pot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboc katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 705
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (1)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 6
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 150
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 180 5
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 240
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 375
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 225
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametok tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksa tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektroli btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 240
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab - 10
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inh btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (5)
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 50
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 13
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 127 2
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol (2)
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (8) 2
88 Masker Kain set -
89 Masker N95 set (2)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
ARIAN PELEYAN )
BULAN : DESEMBER 2023
Pemakaian Obat : Jumlah Sisa Obat HOME
13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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BUKU LIDI ( REGISTER HARIAN PELEYA
TANGGAL : 12
Pemakaian Ob
No NAMA BARANG Sat Saldo Awal
1 2 3 4 5 6 7 8 9 10 11 12 13 14
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 120
9 Alopurinol tablet 300 mg tab (10)
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (25)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam S pot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 705 5
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (1)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 6
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 150
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 175
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 240 5
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 375
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 225 5
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametok tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksa tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektroli btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 240 5
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab (10)
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inh btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (5) 1
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 50
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 13 1
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 125 1
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol (2)
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (10) 2
88 Masker Kain set -
89 Masker N95 set (2)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
EYAN )
BULAN : DESEMBER 2023
an Obat : Jumlah Sisa Obat HOME
15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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0 (10) 1
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BUKU LIDI ( REGISTER HARIAN PELEYA
TANGGAL : 13
Pemakaian Ob
No NAMA BARANG Sat Saldo Awal
1 2 3 4 5 6 7 8 9 10 11 12 13 14
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 120 10
9 Alopurinol tablet 300 mg tab (10)
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (25) 5
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam S pot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 700
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (1)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 6
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 150
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 175
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 235
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 375
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 220 5
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametok tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksa tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektroli btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 235
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab (10)
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inh btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (6)
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 50
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 12
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 124
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol (2)
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (12) 2
88 Masker Kain set -
89 Masker N95 set (2)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
EYAN )
BULAN : DESEMBER 2023
an Obat : Jumlah Sisa Obat HOME
15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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BUKU LIDI ( REGISTER HARIAN PELEYA
TANGGAL : 14
Pemakaian Ob
No NAMA BARANG Sat Saldo Awal
1 2 3 4 5 6 7 8 9 10 11 12 13 14
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 110
9 Alopurinol tablet 300 mg tab (10) 10
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (30) 5
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam S pot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 700
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (1)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 6 2
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 150
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 175
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 235
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 375
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 215
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametok tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksa tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektroli btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 235
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab (10) 10
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inh btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (6)
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 50
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 12 2
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 124
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol (2)
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (14) 2
88 Masker Kain set -
89 Masker N95 set (2)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
EYAN )
BULAN : DESEMBER 2023
an Obat : Jumlah Sisa Obat HOME
15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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BUKU LIDI ( REGISTER HARIAN PELEYA
TANGGAL : 15
Pemakaian Ob
No NAMA BARANG Sat Saldo Awal
1 2 3 4 5 6 7 8 9 10 11 12 13
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 110
9 Alopurinol tablet 300 mg tab (20)
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (35)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam S pot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 700
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (1)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 4
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 150
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 175
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 235
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 375
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 215
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametok tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksa tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektroli btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 235
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab (20)
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inh btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (6)
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 50
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 10
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 124
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol (2)
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (16)
88 Masker Kain set -
89 Masker N95 set (2)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
ELEYAN )
BULAN : DESEMBER 2023
makaian Obat : Jumlah Sisa Obat HOME
14 15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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BUKU LIDI ( REGISTER HARIAN PELEYA
TANGGAL : 16
Pemakaian Ob
No NAMA BARANG Sat Saldo Awal
1 2 3 4 5 6 7 8 9 10 11 12 13 14
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 110
9 Alopurinol tablet 300 mg tab (20) 10
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (35)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam S pot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 700
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (1)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 4
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 150
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 175
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 235
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 375
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 215
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametok tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksa tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektroli btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 235 5
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab (20) 10
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inh btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (6) 2
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 50
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 10 2
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 124
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol (2)
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (16) 1
88 Masker Kain set -
89 Masker N95 set (2) 1
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
EYAN )
BULAN : DESEMBER 2023
an Obat : Jumlah Sisa Obat HOME
15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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BUKU LIDI ( REGISTER HARIAN PELEYA
TANGGAL : 17
Saldo Pemakaian Ob
No NAMA BARANG Sat
Awal 1 2 3 4 5 6 7 8 9 10 11 12 13 14
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 110
9 Alopurinol tablet 300 mg tab (30)
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (35)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam S pot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 700
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (1)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 4
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 150 6
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 175
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 235
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 375 5
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 215
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametok tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksa tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektroli btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 230
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab (30) 5
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inh btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (8)
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 50 10
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 8
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 124
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol (2)
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (17) 2
88 Masker Kain set -
89 Masker N95 set (3)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
EYAN )
BULAN : DESEMBER 2023
an Obat : Jumlah Sisa Obat HOME
15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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5 (35) 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 320 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 (1) 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 (8) 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 20 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 320 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
10 40 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 8 1
0 5 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
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0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
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0 4 1
0 - 0
0 124 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 56 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
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0 - 0
0 - 0
0 - 0
0 - 0
0 10 1
0 (2) 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 1 1
2 (19) 1
0 - 0
0 (3) 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
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0 - 0
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- - 0
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- 400 1
- - 0
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BUKU LIDI ( REGISTER HARIAN PELEYA
TANGGAL : 18
Pemakaian Ob
No NAMA BARANG Sat Saldo Awal
1 2 3 4 5 6 7 8 9 10 11 12 13
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 110
9 Alopurinol tablet 300 mg tab (30) 10
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (35)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam S pot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 700
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (1)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 4 3
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 144
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 175
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 235
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 370
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 215
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametok tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksa tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektroli btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 230
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab (35)
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inh btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (8)
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 40
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 8 3
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 124
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol (2)
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (19) 1
88 Masker Kain set -
89 Masker N95 set (3)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
ELEYAN )
BULAN : DESEMBER 2023
makaian Obat : Jumlah Sisa Obat HOME
14 15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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BUKU LIDI ( REGISTER HARIAN PELEYA
TANGGAL : 19
Pemakaian Ob
No NAMA BARANG Sat Saldo Awal
1 2 3 4 5 6 7 8 9 10 11 12 13 14
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 110
9 Alopurinol tablet 300 mg tab (40)
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (35)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam S pot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 700
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (1)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 1
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 144 6
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 175
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 235
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 370
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 215
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametok tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksa tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektroli btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 230 10
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab (35)
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inh btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (8)
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 40 10
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 5
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 124 3
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol (2)
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (20) 1
88 Masker Kain set -
89 Masker N95 set (3)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
EYAN )
BULAN : DESEMBER 2023
an Obat : Jumlah Sisa Obat HOME
15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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BUKU LIDI ( REGISTER HARIAN PELEYA
TANGGAL : 20
Saldo Pemakaian Ob
No NAMA BARANG Sat
Awal 1 2 3 4 5 6 7 8 9 10 11 12 13 14
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 110
9 Alopurinol tablet 300 mg tab (40)
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (35)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam S pot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 700
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (1)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 1
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 138
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 175
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 235 5
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 370
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 215
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametok tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksa tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektroli btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 220
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab (35)
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inh btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (8)
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 30
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 5
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 121 3
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol (2)
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (21) 1
88 Masker Kain set -
89 Masker N95 set (3)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
EYAN )
BULAN : DESEMBER 2023
an Obat : Jumlah Sisa Obat HOME
15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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BUKU LIDI ( REGISTER HARIAN
TANGGAL : 21

No NAMA BARANG Sat Saldo Awal


1 2 3 4 5 6 7 8 9 10 11
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 110
9 Alopurinol tablet 300 mg tab (40)
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (35)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g + tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Sapot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 700
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (1)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 1
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 138
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 175 5
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 230
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 370
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 215
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametoks tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksaz tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektrolit btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml (L amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 220
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab (35)
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inha btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (8)
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 30
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 5
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 118 2
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol (2) 2
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (22) 1
88 Masker Kain set -
89 Masker N95 set (3)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
AN PELEYAN )
BULAN : DESEMBER 2023
Pemakaian Obat : Jumlah Sisa Obat HOME
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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ME
BUKU LIDI ( REGISTER HARIAN
TANGGAL : 22

No NAMA BARANG Sat Saldo Awal


1 2 3 4 5 6 7 8 9 10 11
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 110
9 Alopurinol tablet 300 mg tab (40)
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (35)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g + tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Sapot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 700
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (1)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 1
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 138
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 170
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 230
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 370
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 215
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametoks tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksaz tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektrolit btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml (L amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 220
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab (35)
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inha btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (8)
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 30
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 5
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 116
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol (4)
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (23)
88 Masker Kain set -
89 Masker N95 set (3)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
AN PELEYAN )
BULAN : DESEMBER 2023
Pemakaian Obat : Jumlah Sisa Obat HOME
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
- - 0
- - 0
- - 0
- 400 1
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
ME
BUKU LIDI ( REGISTER HARIAN
TANGGAL : 23

No NAMA BARANG Sat Saldo Awal


1 2 3 4 5 6 7 8 9 10 11
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 110
9 Alopurinol tablet 300 mg tab (40)
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (35)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g + tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Sapot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 700
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (1)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 1
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 138
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 170
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 230
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 370
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 215
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametoks tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksaz tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektrolit btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml (L amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 220
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab (35)
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inha btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (8)
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 30
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 5
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 116
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol (4)
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (23)
88 Masker Kain set -
89 Masker N95 set (3)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
AN PELEYAN )
BULAN : DESEMBER 2023
Pemakaian Obat : Jumlah Sisa Obat HOME
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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ME
BUKU LIDI ( REGISTER HARIAN P
TANGGAL : 24
Saldo
No NAMA BARANG Sat
Awal 1 2 3 4 5 6 7 8 9 10 11
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 110
9 Alopurinol tablet 300 mg tab (40)
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (35)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g + tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Sapot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 700 5
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (1)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 1
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 138 6
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 170
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 230
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 370
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 215
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametoks tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksaz tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektrolit btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml (L amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 220 5
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab (35)
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inha btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (8)
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 30 10
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 5
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 116 2
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol (4)
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (23) 2
88 Masker Kain set -
89 Masker N95 set (3)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
AN PELEYAN )
BULAN : DESEMBER 2023
Pemakaian Obat : Jumlah Sisa Obat HOME
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 50 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 (35) 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 320 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 (1) 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 (8) 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 20 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 320 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
10 20 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 5 1
0 5 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 4 1
0 - 0
2 114 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 56 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 10 1
0 (4) 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 1 1
2 (25) 1
0 - 0
0 (3) 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
- - 0
- - 0
- - 0
- 400 1
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
ME
BUKU LIDI ( REGISTER HARIAN
TANGGAL : 25
Saldo
No NAMA BARANG Sat
Awal 1 2 3 4 5 6 7 8 9 10 11
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 110
9 Alopurinol tablet 300 mg tab (40)
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (35)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g + tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Sapot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 695
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (1)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 1
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 132
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 170
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 230
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 370
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 215
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametoks tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksaz tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektrolit btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml (L amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 215 5
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab (35)
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inha btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (8)
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 20
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 5
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 114 2
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol (4)
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (25)
88 Masker Kain set -
89 Masker N95 set (3)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
AN PELEYAN )
BULAN : DESEMBER 2023
Pemakaian Obat : Jumlah Sisa Obat HOME
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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ME
BUKU LIDI ( REGISTER HARIAN P
TANGGAL : 26
Saldo
No NAMA BARANG Sat
Awal 1 2 3 4 5 6 7 8 9 10 11
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 110
9 Alopurinol tablet 300 mg tab (40)
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (35)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g + tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Sapot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 695
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (1)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 1
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 132
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 170 5
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 230
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 370
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 215
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametoks tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksaz tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektrolit btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml (L amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 210 10
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab (35)
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inha btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (8)
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 20
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 5
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box -
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 112
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol (4)
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (25) 3
88 Masker Kain set -
89 Masker N95 set (3)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
AN PELEYAN )
BULAN : DESEMBER 2023
Pemakaian Obat : Jumlah Sisa Obat HOME
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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0 80 1
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5 165 1
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0 370 1
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0 (40) 1
0 - 0
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0 9 1
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0 215 1
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0 (1) 1
0 - 0
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0 - 0
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0 400 1
0 70 1
0 - 0
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0 (40) 1
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0 40 1
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10 200 1
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0 (35) 1
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0 5 1
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0 (4) 1
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3 (28) 1
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ME
BUKU LIDI ( REGISTER HARIAN
TANGGAL : 27
Saldo
No NAMA BARANG Sat
Awal 1 2 3 4 5 6 7 8 9 10 11
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 110
9 Alopurinol tablet 300 mg tab (40)
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (35)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g + tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Sapot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 695
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (1)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 1
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 132 6
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 165
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 230
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 370
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 215
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametoks tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksaz tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektrolit btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml (L amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 200
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab (35)
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inha btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (8)
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 20 10
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 5 3
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box - 2
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 112
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol (4)
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (28) 2
88 Masker Kain set -
89 Masker N95 set (3)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
AN PELEYAN )
BULAN : DESEMBER 2023
Pemakaian Obat : Jumlah Sisa Obat HOME
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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ME
BUKU LIDI ( REGISTER HARIAN
TANGGAL : 28

No NAMA BARANG Sat Saldo Awal


1 2 3 4 5 6 7 8 9 10 11
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 110
9 Alopurinol tablet 300 mg tab (40)
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (35)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g + tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Sapot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 695
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (1) 1
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 1
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 126 6
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 165
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 230
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 370
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 215
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametoks tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksaz tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektrolit btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml (L amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 200
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab (35)
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inha btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (8)
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab 10 10
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set 2 2
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box (2)
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 112
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol (4)
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (30) 2
88 Masker Kain set -
89 Masker N95 set (3)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
AN PELEYAN )
BULAN : DESEMBER 2023
Pemakaian Obat : Jumlah Sisa Obat HOME
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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ME
BUKU LIDI ( REGISTER HARIAN
TANGGAL : 29

No NAMA BARANG Sat Saldo Awal


1 2 3 4 5 6 7 8 9 10 11
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 110
9 Alopurinol tablet 300 mg tab (40)
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (35)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g + tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Sapot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 695
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (2)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 1
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 120
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 165
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 230
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 370
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 215
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametoks tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksaz tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektrolit btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml (L amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 200
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab (35)
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inha btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (8)
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab -
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set -
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box (2)
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 112
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol (4)
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (32)
88 Masker Kain set -
89 Masker N95 set (3)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
AN PELEYAN )
BULAN : DESEMBER 2023
Pemakaian Obat : Jumlah Sisa Obat HOME
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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0 (3) 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
- - 0
- - 0
- - 0
- 400 1
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
ME
BUKU LIDI ( REGISTER HARIAN
TANGGAL : 30

No NAMA BARANG Sat Saldo Awal


1 2 3 4 5 6 7 8 9 10 11
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 110
9 Alopurinol tablet 300 mg tab (40)
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (35)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g + tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Sapot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 695
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (2)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 1
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 120
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 165
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 230
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 370
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 215
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametoks tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksaz tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektrolit btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml (L amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 200
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab (35)
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inha btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (8)
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab -
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set -
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box (2)
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 112
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol (4)
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (32)
88 Masker Kain set -
89 Masker N95 set (3) 1
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
AN PELEYAN )
BULAN : DESEMBER 2023
Pemakaian Obat : Jumlah Sisa Obat HOME
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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ME
BUKU LIDI ( REGISTER HARIAN
TANGGAL : 31

No NAMA BARANG Sat Saldo Awal


1 2 3 4 5 6 7 8 9 10 11
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp -
2 Acarbose tab 50 mg tab -
3 Acarbose tab 100 mg tab -
4 Albendazol suspensi 200 mg/5 ml btl -
5 Albendazol tablet 400 mg tab -
6 Alinamin F injeksi amp -
7 Alinamin F tablet tab -
8 Alopurinol tablet 100 mg tab 110
9 Alopurinol tablet 300 mg tab (40)
10 Alprazolam tablet 0,25 mg tab -
11 Alprazolam tablet 0,5 mg tab -
12 Alprazolam tablet 1 mg tab -
13 Ambroxol sirup 15 mg/ml btl -
14 Ambroxol tablet 30 mg tab -
15 Aminofilin injeksi 24 mg/ml~10 ml amp -
16 Aminofilin tablet 150 mg tab -
17 Aminofilin tablet 200 mg tab -
18 Amiodarone hidrocloride 200 mg tab -
19 Amitriptilin tablet salut 25 mg (HCl) tab -
20 Amlodipin tablet 10 mg tab (35)
21 Amlodipin tablet 5 mg tab 20
22 Amoksisilin + As. Klavulanat 625 mg tablet tab -
23 Amoksisilin kapsul/kaplet 250 mg kapl -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50
25 Amoksisilin serbuk injeksi 1000 mg vial -
26 Amoksisilin sirup kering 125 mg/5 ml btl (2)
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart flexpen -
30 Antasida tablet kunyah tab 110
31 Antasida suspensi btl -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g + tube -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Sapot -
34 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg supp -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg tab -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 m tab -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, Bens tab -
38 Aqua pro injeksi steril, bebas pirogen amp -
39 Artemether injeksi 80 mg/ml amp -
40 Artesunate injeksi 60 mg vial -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turboca katrid -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 695
49 Asam Folat tablet 1 mg tab -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 130
52 Asam pipemidat kapsul 400 mg kaps -
53 Asam Traneksamat inj. amp -
54 Asam Traneksamat tablet tab -
55 Asiklovir krim 5% tube -
56 Asiklovir tablet 200 mg tab -
57 Asiklovir tablet 400 mg tab -
58 Atenolol tablet 100 mg tab -
59 Atenolol tablet 50 mg tab -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp -
61 Atropin Sulfat tablet 0,5 mg tab -
62 Attapulgit tablet 600 mg tab 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (ta tab 200
66 Betahistin Mesilat tablet 6 mg tab -
67 Betametason krim 0,1% (sebagai valerat) tube (2)
68 Bioplacenton salep tube -
69 Bioplacenton tulle pcs -
70 Bisakodil suppositoria 10 mg supp -
71 Bisoprolol fumarat 2,5 mg tab -
72 Bisoprolol tablet 5 mg tab -
73 Bromheksin tablet 8 mg tab -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp -
75 Candesartan cilexetil 16 mg tab -
76 Candesartan cilexetil 8 mg tab -
77 Cetirizine sirup 5 mg/5 ml btl -
78 Cetirizine tablet 10 mg tab -
79 Citicoline 125 mg/ml amp -
80 Clobazam tablet 10 mg tab -
81 Clobetasol krim 0,05% tube -
82 Combifen sirup btl -
83 Coparcetin sirup btl -
84 Coparcetin tablet tab -
85 Dapson tablet 100 mg tab -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp -
87 Deksametason tablet 0,5 mg tab 120
88 Dekstran 70 ~ larutan infus 6% steril btl -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl -
90 Dekstrometorfan tablet 15 mg (HBr) tab -
91 Devitalisasi Pasta btl -
92 Dexanta tablet tab -
93 Diazepam injeksi 5 mg/ml amp -
94 Diazepam injeksi 10 mg/ml amp -
95 Diazepam larutan rectal 10 mg/2,5 ml tube -
96 Diazepam larutan rectal 5 mg/2,5 ml tube -
97 Diazepam supp supp -
98 Diazepam tablet 2 mg tab -
99 Diazepam tablet 5 mg tab -
100 Dietilkarbamazin sitrat tablet 100 mg tab -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 1
102 Digoksin injeksi 0,25 mg/ml amp -
103 Digoksin tablet 0,25 mg tab -
104 Diltiazem HCl tablet 30 mg tab -
105 Dimenhidrinat tablet 50 mg tab -
106 Doksisiklin kapsul/kaplet 100 mg kaps -
107 Domperidon drop 5 mg/ml btl -
108 Domperidon suspensi 5 mg/5 ml btl -
109 Domperidon tablet 10 mg tab -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp -
111 Efedrin tablet 25 mg (HCl) tab -
112 Ekstraks Belladona tablet 10 mg tab -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp -
114 Eritromisin kapsul/kaplet 250 mg kaps -
115 Eritromisin kapsul/kaplet 500 mg kaps -
116 Eritromisin sirup 200 mg/5 ml btl -
117 Etambutol tablet 250 mg (HCl) tab -
118 Etambutol tablet salut 500 mg (HCl) tab -
119 Famotidine tablet 20 mg tab -
120 Famotidine tablet 40 mg tab -
121 Fe Sirup / Besi sirup btl -
122 Fenilbutason tablet 200 mg tab -
123 Fenitoin kapsul/kaplet 100 mg kaps -
124 Fenitoin Natrium injeksi 50 mg/ml amp -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp -
127 Fenobarbital tablet 100 mg tab -
128 Fenobarbital tablet 30 mg tab -
129 Fenoksimetil Penisilin tablet 250 mg tab -
130 Fenoksimetil Penisilin tablet 500 mg tab -
131 Fenol Gliserol tetes telinga 10% btl -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp -
134 Flufenazin inj. i.m. 25 mg/ml amp -
135 Flukonazol tablet 150 mg tab -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp -
137 Furosemid tablet 40 mg tab -
138 Garam Oralit I serbuk sac 120
139 Gastrusid sirup btl -
140 Gemfibrozil kapsul/kaplet 300 mg kaps -
141 Gemfibrozil tablet 600 mg tab -
142 Gentamisin injeksi 40 mg/ml amp -
143 Gentamisin injeksi 80 mg/2ml amp -
144 Gentamisin salep kulit 0,1% tube -
145 Gentamisin salep mata 0,3% tube -
146 Gentamisin sulfat tetes mata 0,3% btl -
147 Gentian Violet larutan 1% btl -
148 Glibenklamida tablet 5 mg tab 80
149 Gliklazid tablet 30 mg tab -
150 Gliklazid tablet 80 mg tab -
151 Glimepiride tablet 1 mg tab -
152 Glimepiride tablet 2 mg tab -
153 Glimepiride tablet 3 mg tab -
154 Glimepiride tablet 4 mg tab -
155 Glipizid 10 mg tab -
156 Glipizid 5 mg tab -
157 Gliquidon tablet 30 mg tab -
158 Gliseril Gualakolat tablet 100 mg tab 165
159 Gliserin larutan 50% btl -
160 Glukosa larutan infus 5% steril btl -
161 Glukosa larutan infus 10% steril btl -
162 Glukosa larutan infus 40% steril btl -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl -
166 Griseofulvin tablet 125 mg tab -
167 Haloperidol inj 50 mg/ml amp -
168 Haloperidol Inj i.m. 5 mg/ml amp -
169 Haloperidol tablet 0,5 mg tab -
170 Haloperidol tablet 1,5 mg tab -
171 Haloperidol tablet 2 mg tab -
172 Haloperidol tablet 5 mg tab -
173 Hidroklorotiazid (HCT) tablet 25 mg tab -
174 Hidrokortison krim 1% tube -
175 Hidrokortison krim 2,5% tube 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe -
177 Hyoscine~N~Butilbromide injeksi amp -
178 Hyoscine~N~Butilbromide tablet 10 mg tab -
179 Ibuprofen suspensi 100 mg/5 ml btl -
180 Ibuprofen suspensi 200 mg/5 ml btl -
181 Ibuprofen tablet 200 mg tab -
182 Ibuprofen tablet 400 mg tab 230
183 Iodiol kapsul lunak kaps -
184 Isoniazid tablet 100 mg tab -
185 Isoniazid tablet 300 mg tab -
186 Isosorbid Dinitrat tablet 10 mg tab -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab -
188 Itrakonazol kapsul/kaplet 100 mg kaps -
189 Kalium Diklofenak tablet 25 mg tab -
190 Kalium Diklofenak tablet 50 mg tab -
191 Kalium Permanganat Serbuk btl -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 370
193 Kaptopril tablet 12,5 mg tab -
194 Kaptopril tablet 25 mg tab (40)
195 Kaptopril tablet 50 mg tab -
196 Karbamazepin tablet 200 mg tab -
197 Ketokonazol krim 2% tube 9
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl -
199 Ketokonazol tablet 200 mg tab -
200 Ketoprofen injeksi 100 mg amp -
201 Ketoprofen tablet 100 mg tab -
202 Ketorolac injeksi 10 mg/ml amp -
203 Ketorolac injeksi 30 mg/ml amp -
204 Klindamisin kapsul/kaplet 150 mg kaps -
205 Klindamisin kapsul/kaplet 300 mg kaps -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 215
207 Klomifen tablet 50 mg tab -
208 Klonidin tablet 0,15 mg tab -
209 Kloramfenikol kapsul/kaplet 250 mg kaps -
210 Kloramfenikol salep mata 1% tube -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube -
212 Kloramfenikol suspensi 125 mg/5 ml btl -
213 Kloramfenikol tetes mata 0,5% btl (1)
214 Kloramfenikol tetes telinga 3% btl -
215 Klorokuin tablet 250 mg tab -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp -
218 Klorpromazin tablet salut 100 mg (HCl) tab -
219 Klorpromazin tablet salut 25 mg (HCl) tab -
220 Kodein tablet 10 mg tab -
221 Kodein tablet 15 mg tab -
222 Kodein tablet 20 mg tab -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg etblister -
225 Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametoks tab -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksaz tab -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl -
228 Kuinin (Kina) tablet 200 mg tab -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp -
230 Lacto B sase -
231 Lamivudine tablet 150 mg tab -
232 Lanzoprazol kapsul/kaplet 30 mg kaps -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq btl -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektrolit btl -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektroli btl -
237 Levofloksasin tablet 500 mg tab -
238 Levoteroksin sodium 100 mg tab -
239 Lidokain injeksi 2% amp -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml (L amp -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml ( amp -
242 Lidokain jeli 2% (Xylocain) syringe -
243 Lidokain semprot 10% (Xylocain) btl -
244 Linkomisin kapsul/kaplet 500 mg kaps -
245 Lisinopril tablet 10 mg tab -
246 Lisinopril tablet 5 mg (Interpril) tab -
247 Lomefloksasin HCL tetes mata (Optiflox) btl -
248 Loperamid tablet 2 mg tab -
249 Loratadin tablet 10 mg tab -
250 Lorazepam tablet 2 mg tab -
251 Losartan 50 mg tab -
252 Lytacur sirup btl 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp -
255 Mebendazol sirup 100 mg/5 ml btl -
256 Mebendazol tablet 100 mg tab -
257 Meloksikam suppositoria supp -
258 Meloksikam tablet 15 mg tab -
259 Meloksikam tablet 7,5 mg tab -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp -
261 Mersibion injeksi 5000 amp -
262 Metamizole Na injeksi 500 mg/ml amp -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp -
266 Metampiron injeksi 250 mg (antalgin) amp -
267 Metampiron tablet 500 mg (antalgin) tab 400
268 Metformin HCl tablet 500 mg tab 70
269 Metformin HCl tablet 850 mg tab -
270 Metildopa 250 mg tab -
271 Metilergometrin Maleat tablet salut 0,125 mg tab -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp -
273 Metilprednisolon injeksi 500 mg amp -
274 Metilprednisolon tablet 16 mg tab -
275 Metilprednisolon tablet 4 mg tab -
276 Metilprednisolon tablet 8 mg tab -
277 Metoklopramide drop 10 ml btl -
278 Metoklopramide injeksi 5 mg/ml amp -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp -
280 Metoklopramide sirup 5 mg/ 5 ml btl -
281 Metoklopramide tablet 10 mg tab (40)
282 Metoklopramide tablet 20 mg tab -
283 Metoklopramide tablet 5 mg tab -
284 Metronidazol infus 500 mg/100 ml btl -
285 Metronidazol ovula 500 mg (Vagizol) ovula -
286 Metronidazol suppo 500 mg (Flagyl) supp -
287 Metronidazol tablet 250 mg tab -
288 Metronidazol tablet 500 mg tab 40
289 Mikonazol krim/salep 2% (nitrat) tube -
290 Mineral Mix, kombinasi sase -
291 Momethason krim 0,1% tube -
292 Morfin injeksi 10 mg/ml amp -
293 Morfin tablet 10 mg tab -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inh amp -
295 Natrium bicarbonat inj i.v. 8,4% amp -
296 Natrium Diklofenak tablet 25 mg tab -
297 Natrium Diklofenak tablet 50 mg tab 120
298 Natrium Klorida larutan infus 0,9% (NaCl) btl -
299 Neurobion 5000 injeksi amp -
300 Neurosanbe inj. amp -
301 Nevirapin tablet 200 mg tab -
302 Nifedipin 20 mg (Adalat Oros) tab -
303 Nifedipin 30 mg (Adalat Oros) tab -
304 Nifedipin tablet 10 mg tab -
305 Nistatin tablet salut 500.000 IU/ g tab -
306 Nistatin vaginal tablet 100.000 IU/ g ovula -
307 Novabion kaps -
308 Obat Antituberkulosis FDC Kategori 1 paket -
309 Obat Antituberkulosis FDC Kategori 2 paket -
310 Obat Antituberkulosis FDC Kategori Anak paket -
311 Obat Antituberkulosis FDC Sisipan paket -
312 Obat Antituberkulosis Kategori 1 dewasa paket -
313 Obat Antituberkulosis Kategori anak paket -
314 Obat Batuk Hitam (OBH) cairan btl 1
315 Ofloxacin tablet 200 mg tab -
316 Ofloxacin tablet 400 mg tab -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl -
318 Oksitetrasiklin HCl salep mata 1% tube -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp -
320 Oksitetrasiklin salep kulit 3% tube -
321 Oksitosin injeksi 10 IU/ml~1 ml amp -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp -
323 Omeprazol inj 40 mg/10 ml vial -
324 Omeprazol kapsul/kaplet 20 mg kaps -
325 Ondansentron injeksi 4 mg/2 ml amp -
326 Ondansentron tablet 4 mg tab -
327 Oseltamivir kapsul/kaplet 75 mg kaps -
328 Papaverin injeksi 40 mg/ml amp -
329 Papaverin tablet 40 mg tab -
330 Parasetamol drops 60 mg/0,6 ml btl -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl -
332 Parasetamol sirup 120 mg/5 ml btl 17
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl -
334 Parasetamol tablet 100 mg tab -
335 Parasetamol tablet 500 mg tab 200
336 Parasetamol tablet 500 mg (Sanmol) tab -
337 Perak Sulfadiazim Krim 1% tube -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube -
339 Perfenazin tablet 4 mg (HCl) tab -
340 Permetrin krim 5% tube -
341 Permetrin krim 5% (Scabimite) tube -
342 Petidin injeksi 50 mg/ml amp -
343 Pimtracol sirup btl -
344 Piracetam injeksi 1 g/5 ml amp -
345 Piracetam injeksi 3 g/15 ml amp -
346 Piracetam tablet 1200 mg tab -
347 Piracetam tablet 400 mg tab -
348 Piracetam tablet 800 mg tab -
349 Pirantel suspensi 125 mg/5 ml btl -
350 Pirantel tablet score (base) 125 mg tab -
351 Pirazinamid tablet 500 mg tab -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50
353 Piridoksin injeksi 100 mg/ml amp -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps -
356 Polikresulen cairan btl -
357 Polikresulen cairan (Albothyl) btl -
358 Povidon Iodida larutan 10% 1000 ml btl -
359 Povidon Iodida larutan 10% 30 ml btl -
360 Povidon Iodida larutan 10% 300 ml btl -
361 Povidon Iodida larutan 10% 60 ml btl -
362 Pravastatin tablet 20 mg tab -
363 Prednison tablet 5 mg tab (35)
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial -
366 Prolacta baby kaps -
367 Propanolol tablet 10 mg (HCl) tab -
368 Propanolol tablet 40 mg (HCl) tab -
369 Propiltiourasil tablet 100 mg (PTU) tab -
370 Ramipril tablet 2,5 mg tab -
371 Ramipril tablet 5 mg tab -
372 Ranitidin injeksi 25 mg/ml amp -
373 Ranitidin injeksi 50 mg/2ml amp -
374 Ranitidin tablet 150 mg tab 320
375 Reserpin tablet 0,10 mg tab -
376 Reserpin tablet 0,25 mg tab -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps -
379 Rifampisin kapsul/kaplet 300 mg kapl -
380 Rifampisin kapsul/kaplet 600 mg kapl -
381 Rifampisin tablet salut 450 mg tab -
382 Ringer Laktat (RL) larutan infus btl -
383 Risperidon tablet 1 mg tab -
384 Risperidon tablet 2 mg tab -
385 Risperidon tablet 3 mg tab -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inha btl -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot (1)
391 Salisil Bedak 2 % ktk -
392 Sanbe Plex drop btl -
393 Sefadroksil kapsul/kaplet 250 mg kaps -
394 Sefadroksil kapsul/kaplet 500 mg kaps -
395 Sefadroksil sirup kering 125 mg/5ml btl -
396 Sefaleksin kapsul/kaplet 250 mg kaps -
397 Sefaleksin kapsul/kaplet 500 mg kaps -
398 Sefazolin injeksi 1 g amp -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab -
400 Sefiksim kapsul/kaplet 100 mg kaps -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl -
402 Sefotaksim injeksi 0,5 g amp -
403 Sefotaksim injeksi 1 g vial -
404 Seftazidim injeksi 1 g amp -
405 Seftriakson injeksi 1 g amp -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp -
407 Serum ABU I vial -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp (8)
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab -
410 Simetidin injeksi (Ulsikur) amp -
411 Simetidin tablet 200 mg tab -
412 Simvastatin tablet 10 mg tab -
413 Simvastatin tablet 20 mg tab -
414 Simvastatin tablet 5 mg tab -
415 Siprofloksasin infus 2% btl -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab -
418 Spasminal tablet tab -
419 Spiramisin tablet 500 mg tab -
420 Spironolakton tablet 100 mg tab -
421 Spironolakton tablet 25 mg tab -
422 Stavudin tablet 30 mg tab -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl -
424 Sukralfat susp 500 mg/5 ml btl -
425 Sulfasalazin tablet 500 mg tab -
426 Sulfasetamida Natrium tetes mata 15% btl -
427 Suprabion sirup btl -
428 Tamoksifen tablet 20 mg tab -
429 Teofillin tablet 150 mg (Bronsolvon) tab -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab -
431 Tetrakain HCl tetes mata 0,5% btl -
432 Tetrasiklin kapsul/kaplet 250 mg kaps -
433 Tetrasiklin kapsul/kaplet 500 mg kaps -
434 Thyrosol tablet tab -
435 Tiamfenikol kapsul/kaplet 250 mg kaps -
436 Tiamfenikol kapsul/kaplet 500 mg kaps -
437 Tiamfenikol sirup 125 mg/ml btl -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 20
439 Tiamin (Vitamin B1) 100 mg tablet tab -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp -
441 Timolol tetes mata 0,5% btl -
442 Tramadol injeksi 50 mg/ml amp -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps -
444 Trifaneuron kapl -
445 Trifluoperazin tablet 5 mg tab -
446 Triheksifenidil tablet 2 mg tab -
447 Trolit sase -
448 Valsartan tablet 80 mg tab -
449 Verapamil tablet 80 mg (HCl) tab -
450 Vicillin inj. 1 gr vial -
451 Vitamin B Kompleks tablet tab 320
452 Zamel drop btl -
453 Zamel sirup btl -
454 Zidovudin tablet 100 mg tab -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab -
456 Zinc drop 10 mg/ml btl -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl -
458 Zinc tablet 20 mg tab -
-
B BAHAN MEDIS HABIS PAKAI -
1 Absorben paper point (Indodent) pcs -
2 Alat suntik insulin 1ml set -
3 Alat suntik sekali pakai 1 ml set -
4 Alat suntik sekali pakai 2,5 ml set -
5 Alat suntik sekali pakai 3 ml set -
6 Alat suntik sekali pakai 5 ml set 5
7 Alat suntik sekali pakai 10 ml (OneMed) set -
8 Alat suntik sekali pakai 20 ml set -
9 Alkohol gel (Aseptic Gel) btl -
10 Articulating paper ktk -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube -
12 Blood lancet pcs -
13 Blood tranfusion set set -
14 Bonding btl -
15 Catgut Chromic no 2/0 set -
16 Catgut Chromic no 3/0 set -
17 Catgut Plain no 2/0 set -
18 Catgut Plain no 3/0 set -
19 Cotton roll (Prodental) bks -
20 Dermafix 10 x 8 cm pcs -
21 Dermafix 5 x 7 cm pcs -
22 Desinfektan Klorin 500 ml btl -
23 Disposafe Safety Box 2,5 L box (2)
24 Disposafe Safety Box 5 L box -
25 Etakridin larutan 0,1% (rivanol) btl -
26 Etanol 70% cairan (100 ml) btl -
27 Etanol 70% cairan (1000 ml) btl -
28 Etanol 95% cairan (1 L) btl -
29 Etching btl -
30 Etil Klorida spray btl -
31 Eugenol cairan btl -
32 Fixomull stretch 10 cm x 5 m rol -
33 Fixomull stretch 5 cm x 5 m rol -
34 Foley Catheter (16) set -
35 Foley Catheter (18) set -
36 Foley Catheter (20) set -
37 Foley Catheter (22) set -
38 Foley Catheter (24) set -
39 Foley Catheter (24) set -
40 Formokresol cairan btl -
41 Glass Ionomer Cement ART btl -
42 Guedel Airway No. 000 / Oropharyngeal pcs -
43 Guedel Airway No. 2 / Oropharyngeal pcs -
44 Handrub 500 ml btl 4
45 Handscoon (uk 7~7,5) psg -
46 Handscoon (uk S,M,L) pcs 112 2
47 Handscoon / Sarung Tangan Obgyn psg -
48 H2O2 3% 1000 ml btl -
49 H2O2 3% 800 ml btl -
50 H2O2 3% 100 ml btl -
51 Infusion set anak set -
52 Infusion set dewasa set -
53 IV Cannula With Safety Wings No. 24 set -
54 IV Catheter No. 16 G set -
55 IV Catheter No. 18 G set -
56 IV Catheter No. 20 G set -
57 IV Catheter No. 22 G set -
58 IV Catheter No. 24 G set -
59 IV Catheter No. 26 G set -
60 Kacamata Goggle unit -
61 Kalsium Hidroksida Pasta ktk -
62 Kapas 500 gr bks -
63 Kapas Pembalut/Absorben 250 gram bks -
64 Kapas Berlemak 500 gram bks -
65 Kasa 2 x 80 cm rol -
66 Kasa 40 x 40 cm rol -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 56
68 Kasa Hidrofil uk. 36 m x 80 cm rol -
69 Kasa Hidrofil uk. 40 m x 80 cm rol -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol -
75 Kasa Pembalut Elastis 3 inchi rol -
76 Kasa Pembalut Elastis 4 inchi rol -
77 Kasa Pembalut Elastis 6 inchi rol -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol (4)
81 Kertas Puyer lbr -
82 Kit Gown set -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl -
84 Komposit resin btl -
85 Lysol 1 Liter btl -
86 Lubricating jelly tube 1
87 Masker set (32)
88 Masker Kain set -
89 Masker N95 set (4)
90 Masker Nebulizer Anak set -
91 Masker Nebulizer Dewasa set -
92 Masker Oksigen Anak set -
93 Masker Oksigen Bayi set -
94 Masker Oksigen Dewasa set -
95 Mess silet / Surgical Blade pcs -
96 Mummifying Pasta btl -
97 Nurse Cap pcs -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit -
99 Pakaian Pelindung Coverall Reusable unit -
100 Plester 5 cm x 4,5 m rol -
101 Plester 5 cm x 4,5 m (Leukoplast) rol -
102 Plester 7,5 cm x 4,5 m rol -
103 Plester 5 cm x 5 m (Ultrafix) rol -
104 Plester 5 yards x 5 inch rol -
105 Semen Seng Fosfat serbuk dan cairan btl -
106 Selang Oksigen Anak (Oxyflow) pcs -
107 Selang Oksigen Bayi (Oxyflow) pcs -
108 Selang Oksigen Dewasa (Oxyflow) pcs -
109 Selulosa strip pcs -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set -
112 Spalk Kaki Anak pcs -
113 Spalk Kaki Dewasa pcs -
114 Spalk Tangan Anak pcs -
115 Spalk Tangan Bayi pcs -
116 Spalk Tangan Dewasa pcs -
117 Sofra tulle pcs -
118 Stomach Tube (NGT) no 16 tube -
119 Stomach Tube (NGT) no 18 tube -
120 Stomach Tube (NGT) no 20 tube -
121 Suction Catheter No. 10 set -
122 Temporary Stopping Fletcher serbuk dan cairan btl -
123 Tooth cleanshing tincture (OCO) btl -
124 Trikresol Formalin (TKF) Cairan btl -
125 Ultrasonic Gel btl -
126 Underpad pcs -
127 Urine Bag set -
128 Urocare set -
129 Wing Needle No set -
-
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN -
1 Alkohol swab - 400
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
AN PELEYAN )
BULAN : DESEMBER 2023
Pemakaian Obat : Jumlah Sisa Obat HOME
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Total

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0 1 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 17 1
0 - 0
0 - 0
0 200 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 50 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 (35) 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 320 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 (1) 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 (8) 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 20 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 320 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 5 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 (2) 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 4 1
0 - 0
2 110 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 56 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 10 1
0 (4) 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 1 1
0 (32) 1
0 - 0
0 (4) 1
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
- - 0
- - 0
- - 0
- 400 1
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
- - 0
ME
REGISTER BULANAN OBAT DAN BMHP PELEYAN ( BUL

Satu- Sisa Terima Jumlah Jumlah Pemakaian Bulan D


No NAMA BARANG an Bulan Bulan Perse-
obat Lalu Ini diaan
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp - - - - - - - - - - - - - - - - -
2 Acarbose tab 50 mg tab - - - - - - - - - - - - - - - - -
3 Acarbose tab 100 mg tab - - - - - - - - - - - - - - - - -
4 Albendazol suspensi 200 mg/5 ml btl - - - - - - - - - - - - - - - - -
5 Albendazol tablet 400 mg tab - - - - - - - - - - - - - - - - -
6 Alinamin F injeksi amp - - - - - - - - - - - - - - - - -
7 Alinamin F tablet tab - - - - - - - - - - - - - - - - -
8 Alopurinol tablet 100 mg tab 120 - 120 - - 10 - - 10 - -
9 Alopurinol tablet 300 mg tab - - - - - - - - - - - - - - - - -
10 Alprazolam tablet 0,25 mg tab - - - - - - - - - - - - - - - - -
11 Alprazolam tablet 0,5 mg tab - - - - - - - - - - - - - - - - -
12 Alprazolam tablet 1 mg tab - - - - - - - - - - - - - - - - -
13 Ambroxol sirup 15 mg/ml btl - - - - - - - - - - - - - - - - -
14 Ambroxol tablet 30 mg tab - - - - - - - - - - - - - -
15 Aminofilin injeksi 24 mg/ml~10 ml amp - - - - - - - - - - - - - - - - -
16 Aminofilin tablet 150 mg tab - - - - - - - - - - - - - - - - -
17 Aminofilin tablet 200 mg tab - - - - - - - - - - - - - - - - -
18 Amiodarone hidrocloride 200 mg tab - - - - - - - - - - - - - - - - -
19 Amitriptilin tablet salut 25 mg (HCl) tab - - - - - - - - - - - - - - - - -
20 Amlodipin tablet 10 mg tab - - - - - - - - - - - -
21 Amlodipin tablet 5 mg tab 20 - 20 - -
22 Amoksisilin + As. Klavulanat 625 mg tablet tab - - - - - - - - - - - - - - - - -
23 Amoksisilin kapsul/kaplet 250 mg kapl - - - - - - - - - - - - - - - - -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50 - 50 - 10 10
25 Amoksisilin serbuk injeksi 1000 mg vial - - - - - - - - - - - - - - - - -
26 Amoksisilin sirup kering 125 mg/5 ml btl - - - - - - - - - - - - - - - -
27 Ampisilin serbuk injeksi i.m./i.v. 1000 vial - - - - - - - - - - - - - - - - -
mg/vial
Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial
28 vial - - - - - - - - - - - - - - - - -
Analog insulin rapid acting inj 100 UI/ml
29 (insulin aspart novorapid flexpen) flexpen - - - - - - - - - - - - - - - - -
30 Antasida tablet kunyah tab 120 - 120 - 20 20 - - 10
31 Antasida suspensi btl - - - - - - - - - - - - - - - - -
Antibakteri DOEN salep kombinasi:
32 Basitrasin 500 IU/g + Polimiksin 10.000 tube - - - - - - - - - - - - - - - - -
IU/g
Antifungi DOEN Kombinasi: Asam Benzoat
33 6% + Asam Salisilat 3% pot - - - - - - - - - - - - - - - - -
Antihemoroid DOEN kombinasi: Bismut
34 subgalat 150 mg Heksaklorofen 2,5 mg supp - - - - - - - - - - - - - - - - -
Antimalaria DOEN kombinasi: Pirimetamin
35 tablet 25 mg Sulfadoksin tablet 500 mg tab - - - - - - - - - - - - - - - - -
Antimigren tablet: Ergotamin Tartrat 1 mg +
36 Kofein 50 mg tab - - - - - - - - - - - - - - - - -
Antiparkinson DOEN Tab Komb Levodopa
37 100 mg, Benserazid HCl 25 mg tab - - - - - - - - - - - - - - - - -
38 Aqua pro injeksi steril, bebas pirogen amp - - - - - - - - - - - - - - - - -
39 Artemether injeksi 80 mg/ml amp - - - - - - - - - - - - - - - - -
40 Artesunate injeksi 60 mg vial - - - - - - - - - - - - - - - - -
Articaine HCL 4% + Epinefrin 1:100.000
41 injeksi (Turbocaina) katrid - - - - - - - - - - - - - - - - -
42 Asam Asetilsalisilat tablet 100 mg tab - - - - - - - - - - - - - - - - -
(asetosal)
Asam Asetilsalisilat tablet 500 mg
43 tab - - - - - - - - - - - - - - - - -
(asetosal)
Asam Asetilsalisilat tablet 80 mg (asetosal)
44 tab - - - - - - - - - - - - - - - - -
Satu- Sisa Terima Jumlah Jumlah Pemakaian Bulan D
No NAMA BARANG an Bulan Bulan Perse-
obat Lalu Ini diaan
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Asam Asetilsalisilat tablet 80 mg (asetosal)
45 (Miniaspi) tab - - - - - - - - - - - - - - - - -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab - - - - - - - - - - - - - - - - -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab 60 - 60 - - 10 - -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 720 - 720 - - - - - - 20 - - - 10 - - 30
49 Asam Folat tablet 1 mg tab - - - - - - - - - - - - - - - - -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl - - - - - - - - - - - - - - - - -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl - - - -
52 Asam pipemidat kapsul 400 mg kaps - - - - - - - - - - - - - - - - -
53 Asam Traneksamat inj. amp - - - - - - - - - - - - - - - - -
54 Asam Traneksamat tablet tab - - - - - - - - - - - - - - - - -
55 Asiklovir krim 5% tube - - - - - - - - - - - - - - - - -
56 Asiklovir tablet 200 mg tab - - - - - - - - - - - - - - - - -
57 Asiklovir tablet 400 mg tab - - - - - - - - - - - - - - - - -
58 Atenolol tablet 100 mg tab - - - - - - - - - - - - - - - - -
59 Atenolol tablet 50 mg tab - - - - - - - - - - - - - - - - -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml amp - - - - - - - - - - - - - - - - -
(sulfat)
Atropin Sulfat tablet 0,5 mg
61 tab - - - - - - - - - - - - - - - - -
62 Attapulgit tablet 600 mg tab 50 - 50 - - - -
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial - - - - - - - - - - - - - - - - -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial - - - - - - - - - - - - - - - - -
Besi (II) Sulfat 200 mg + Asam Folat 0,25
65 mg tablet (tablet tambah darah kombinasi) tab 200 - 200 - - - - -
66 Betahistin Mesilat tablet 6 mg tab - - - - - - - - - - - - - - - - -
67 Betametason krim 0,1% (sebagai valerat) tube - - - - - - - - - - - -
68 Bioplacenton salep tube - - - - - - - - - - - - - - - - -
69 Bioplacenton tulle pcs - - - - - - - - - - - - - - - - -
70 Bisakodil suppositoria 10 mg supp - - - - - - - - - - - - - - - - -
71 Bisoprolol fumarat 2,5 mg tab - - - - - - - - - - - - - - - - -
72 Bisoprolol tablet 5 mg tab - - - - - - - - - - - - - - - - -
73 Bromheksin tablet 8 mg tab - - - - - - - - - - - - - - - - -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp - - - - - - - - - - - - - - - - -
75 Candesartan cilexetil 16 mg tab - - - - - - - - - - - - - - - - -
76 Candesartan cilexetil 8 mg tab - - - - - - - - - - - - - - - - -
77 Cetirizine sirup 5 mg/5 ml btl - - - - - - - - - - - - - - - - -
78 Cetirizine tablet 10 mg tab - - - - - - - - - - - - - - - - -
79 Citicoline 125 mg/ml amp - - - - - - - - - - - - - - - - -
80 Clobazam tablet 10 mg tab - - - - - - - - - - - - - - - - -
81 Clobetasol krim 0,05% tube - - - - - - - - - - - - - - - - -
82 Combifen sirup btl - - - - - - - - - - - - - - - - -
83 Coparcetin sirup btl - - - - - - - - - - - - - - - - -
84 Coparcetin tablet tab - - - - - - - - - - - - - - - - -
85 Dapson tablet 100 mg tab - - - - - - - - - - - - - - - - -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp - - - - - - - - - - - - - - - - -
87 Deksametason tablet 0,5 mg tab 120 - 120 - - 10 - 50 10 - - 20 10
88 Dekstran 70 ~ larutan infus 6% steril btl - - - - - - - - - - - - - - - - -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl - - - - - - - - - - - - - - - - -
90 Dekstrometorfan tablet 15 mg (HBr) tab - - - - - - - - - - - - - - - - -
91 Devitalisasi Pasta btl - - - - - - - - - - - - - - - - -
92 Dexanta tablet tab - - - - - - - - - - - - - - - - -
93 Diazepam injeksi 5 mg/ml amp - - - - - - - - - - - - - - - - -
94 Diazepam injeksi 10 mg/ml amp - - - - - - - - - - - - - - - - -
95 Diazepam larutan rectal 10 mg/2,5 ml tube - - - - - - - - - - - - - - - - -
96 Diazepam larutan rectal 5 mg/2,5 ml tube - - - - - - - - - - - - - - - - -
Satu- Sisa Terima Jumlah Jumlah Pemakaian Bulan D
No NAMA BARANG an Bulan Bulan Perse-
obat Lalu Ini diaan
1 2 3 4 5 6 7 8 9 10 11 12 13 14

97 Diazepam supp supp - - - - - - - - - - - - - - - - -


98 Diazepam tablet 2 mg tab - - - - - - - - - - - - - - - - -
99 Diazepam tablet 5 mg tab - - - - - - - - - - - - - - - - -
100 Dietilkarbamazin sitrat tablet 100 mg tab - - - - - - - - - - - - - - - - -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 8 - 8 - - - 1 - 1 - 1
102 Digoksin injeksi 0,25 mg/ml amp - - - - - - - - - - - - - - - - -
103 Digoksin tablet 0,25 mg tab - - - - - - - - - - - - - - - - -
104 Diltiazem HCl tablet 30 mg tab - - - - - - - - - - - - - - - - -
105 Dimenhidrinat tablet 50 mg tab - - - - - - - - - - - - - - - - -
106 Doksisiklin kapsul/kaplet 100 mg kaps - - - - - - - - - - - - - - - - -
107 Domperidon drop 5 mg/ml btl - - - - - - - - - - - - - - - - -
108 Domperidon suspensi 5 mg/5 ml btl - - - - - - - - - - - - - - - - -
109 Domperidon tablet 10 mg tab - - - - - - - - - - - - - - - - -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp - - - - - - - - - - - - - - - - -
111 Efedrin tablet 25 mg (HCl) tab - - - - - - - - - - - - - - - - -
112 Ekstraks Belladona tablet 10 mg tab - - - - - - - - - - - - - - - - -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai amp - - - - - - - - - - - - - - - - -
HCl)
Eritromisin kapsul/kaplet 250 mg
114 kaps - - - - - - - - - - - - - - - - -
115 Eritromisin kapsul/kaplet 500 mg kaps - - - - - - - - - - - - - - - - -
116 Eritromisin sirup 200 mg/5 ml btl - - - - - - - - - - - - - - - - -
117 Etambutol tablet 250 mg (HCl) tab - - - - - - - - - - - - - - - - -
118 Etambutol tablet salut 500 mg (HCl) tab - - - - - - - - - - - - - - - - -
119 Famotidine tablet 20 mg tab - - - - - - - - - - - - - - - - -
120 Famotidine tablet 40 mg tab - - - - - - - - - - - - - - - - -
121 Fe Sirup / Besi sirup btl - - - - - - - - - - - - - - - - -
122 Fenilbutason tablet 200 mg tab - - - - - - - - - - - - - - - - -
123 Fenitoin kapsul/kaplet 100 mg kaps - - - - - - - - - - - - - - - - -
124 Fenitoin Natrium injeksi 50 mg/ml amp - - - - - - - - - - - - - - - - -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps - - - - - - - - - - - - - - - - -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp - - - - - - - - - - - - - - - - -
127 Fenobarbital tablet 100 mg tab - - - - - - - - - - - - - - - - -
128 Fenobarbital tablet 30 mg tab - - - - - - - - - - - - - - - - -
129 Fenoksimetil Penisilin tablet 250 mg tab - - - - - - - - - - - - - - - - -
130 Fenoksimetil Penisilin tablet 500 mg tab - - - - - - - - - - - - - - - - -
131 Fenol Gliserol tetes telinga 10% btl - - - - - - - - - - - - - - - - -
Fitomenadion (Vitamin K1) tablet salut gula
132 10 mg tab - - - - - - - - - - - - - - - - -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp - - - - - - - - - - - - - - - - -
134 Flufenazin inj. i.m. 25 mg/ml amp - - - - - - - - - - - - - - - - -
135 Flukonazol tablet 150 mg tab - - - - - - - - - - - - - - - - -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp - - - - - - - - - - - - - - - - -
137 Furosemid tablet 40 mg tab - - - - - - - - - - - - - - - - -
138 Garam Oralit I serbuk sac 150 - 150 - - 2 6 - 2 - - 2 -
139 Gastrusid sirup btl - - - - - - - - - - - - - - - - -
140 Gemfibrozil kapsul/kaplet 300 mg kaps - - - - - - - - - - - - - - - - -
141 Gemfibrozil tablet 600 mg tab - - - - - - - - - - - - - - - - -
142 Gentamisin injeksi 40 mg/ml amp - - - - - - - - - - - - - - - - -
143 Gentamisin injeksi 80 mg/2ml amp - - - - - - - - - - - - - - - - -
144 Gentamisin salep kulit 0,1% tube - - - - - - - - - - - - - -
145 Gentamisin salep mata 0,3% tube - - - - - - - - - - - - - - - - -
146 Gentamisin sulfat tetes mata 0,3% btl - - - - - - - - - - - - - - - - -
147 Gentian Violet larutan 1% btl - - - - - - - - - - - - - - - - -
148 Glibenklamida tablet 5 mg tab - - - - -
Satu- Sisa Terima Jumlah Jumlah Pemakaian Bulan D
No NAMA BARANG an Bulan Bulan Perse-
obat Lalu Ini diaan
1 2 3 4 5 6 7 8 9 10 11 12 13 14

149 Gliklazid tablet 30 mg tab - - - - - - - - - - - - - - - - -


150 Gliklazid tablet 80 mg tab - - - - - - - - - - - - - - - - -
151 Glimepiride tablet 1 mg tab - - - - - - - - - - - - - - - - -
152 Glimepiride tablet 2 mg tab - - - - - - - - - - - - - - - - -
153 Glimepiride tablet 3 mg tab - - - - - - - - - - - - - - - - -
154 Glimepiride tablet 4 mg tab - - - - - - - - - - - - - - - - -
155 Glipizid 10 mg tab - - - - - - - - - - - - - - - - -
156 Glipizid 5 mg tab - - - - - - - - - - - - - - - - -
157 Gliquidon tablet 30 mg tab - - - - - - - - - - - - - - - - -
158 Gliseril Gualakolat tablet 100 mg tab 200 - 200 - - 10 - - 20 10 - 10
159 Gliserin larutan 50% btl - - - - - - - - - - - - - - - - -
160 Glukosa larutan infus 5% steril btl - - - - - - - - - - - - - - - - -
161 Glukosa larutan infus 10% steril btl - - - - - - - - - - - - - - - - -
162 Glukosa larutan infus 40% steril btl - - - - - - - - - - - - - - - - -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS btl - - - - - - - - - - - - - - - - -
TM)
Glukosa 5% dan NaCl 0,9% (Wida D5~1/2
164 btl - - - - - - - - - - - - - - - - -
NS)
Glukosa 5% dan NaCl 0,9% (Wida D5~1/4
165 btl - - - - - - - - - - - - - - - - -
NS)
Griseofulvin tablet 125 mg
166 tab - - - - - - - - - - - - - - - - -
167 Haloperidol inj 50 mg/ml amp - - - - - - - - - - - - - - - - -
168 Haloperidol Inj i.m. 5 mg/ml amp - - - - - - - - - - - - - - - - -
169 Haloperidol tablet 0,5 mg tab - - - - - - - - - - - - - - - - -
170 Haloperidol tablet 1,5 mg tab - - - - - - - - - - - - - - - - -
171 Haloperidol tablet 2 mg tab - - - - - - - - - - - - - - - - -
172 Haloperidol tablet 5 mg tab - - - - - - - - - - - - - - - - -
173 Hidroklorotiazid (HCT) tablet 25 mg tab - - - - - - - - - - - - - - - - -
174 Hidrokortison krim 1% tube - - - - - - - - - - - - - - - - -
175 Hidrokortison krim 2,5% tube 5 - 5 - - - - - - - - - - - - - -
176 Human tetanus imunuglobin 1 ml (250 iu) syringe - - - - - - - - - - - - - - - - -
177 Hyoscine~N~Butilbromide injeksi amp - - - - - - - - - - - - - - - - -
178 Hyoscine~N~Butilbromide tablet 10 mg tab - - - - - - - - - - - - - - - - -
179 Ibuprofen suspensi 100 mg/5 ml btl - - - - - - - - - - - - - - - - -
180 Ibuprofen suspensi 200 mg/5 ml btl - - - - - - - - - - - - - - - - -
181 Ibuprofen tablet 200 mg tab - - - - - - - - - - - - - - - - -
182 Ibuprofen tablet 400 mg tab 250 - 250 - - - 20 50 - 10
183 Iodiol kapsul lunak kaps - - - - - - - - - - - - - - - - -
184 Isoniazid tablet 100 mg tab - - - - - - - - - - - - - - - - -
185 Isoniazid tablet 300 mg tab - - - - - - - - - - - - - - - - -
186 Isosorbid Dinitrat tablet 10 mg tab - - - - - - - - - - - - - - - - -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab - - - - - - - - - - - - - - - - -
188 Itrakonazol kapsul/kaplet 100 mg kaps - - - - - - - - - - - - - - - - -
189 Kalium Diklofenak tablet 25 mg tab - - - - - - - - - - - - - - - - -
190 Kalium Diklofenak tablet 50 mg tab - - - - - - - - - - - - - - - - -
191 Kalium Permanganat Serbuk btl - - - - - - - - - - - - - - - - -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 390 - 390 - 40 10 10 - - - 10 10
193 Kaptopril tablet 12,5 mg tab - - - - - - - - - - - - - - - - -
194 Kaptopril tablet 25 mg tab - - - - - - - - - - - -
195 Kaptopril tablet 50 mg tab - - - - - - - - - - - - - - - - -
196 Karbamazepin tablet 200 mg tab - - - - - - - - - - - - - - - - -
197 Ketokonazol krim 2% tube 9 - 9 - - - - - - - - - - -
Ketokonazol scalp solution 2% 80 ml
198 (Zoloral SS) btl - - - - - - - - - - - - - - - - -
199 Ketokonazol tablet 200 mg tab - - - - - - - - - - - - - - - - -
200 Ketoprofen injeksi 100 mg amp - - - - - - - - - - - - - - - - -
Satu- Sisa Terima Jumlah Jumlah Pemakaian Bulan D
No NAMA BARANG an Bulan Bulan Perse-
obat Lalu Ini diaan
1 2 3 4 5 6 7 8 9 10 11 12 13 14

201 Ketoprofen tablet 100 mg tab - - - - - - - - - - - - - - - - -


202 Ketorolac injeksi 10 mg/ml amp - - - - - - - - - - - - - - - - -
203 Ketorolac injeksi 30 mg/ml amp - - - - - - - - - - - - - - - - -
204 Klindamisin kapsul/kaplet 150 mg kaps - - - - - - - - - - - - - - - - -
205 Klindamisin kapsul/kaplet 300 mg kaps - - - - - - - - - - - - - - - - -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 260 - l - - 10 10 - 10 10
207 Klomifen tablet 50 mg tab - - - - - - - - - - - - - - - - -
208 Klonidin tablet 0,15 mg tab - - - - - - - - - - - - - - - - -
209 Kloramfenikol kapsul/kaplet 250 mg kaps - - - - - - - - - - - - - - - - -
210 Kloramfenikol salep mata 1% tube - - - - - - - - - - - - - - - - -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube - - - - - - - - - - - - - - - - -
212 Kloramfenikol suspensi 125 mg/5 ml btl - - - - - - - - - - - - - - - - -
213 Kloramfenikol tetes mata 0,5% btl - - - - - - - - - - -
214 Kloramfenikol tetes telinga 3% btl - - - - - - - - - - - - - - - -
215 Klorokuin tablet 250 mg tab - - - - - - - - - - - - - - - - -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml amp - - - - - - - - - - - - - - - - -
(HCl)
Klorpromazin injeksi i.m. 25 mg/ml (HCl)
217 amp - - - - - - - - - - - - - - - - -
218 Klorpromazin tablet salut 100 mg (HCl) tab - - - - - - - - - - - - - - - - -
219 Klorpromazin tablet salut 25 mg (HCl) tab - - - - - - - - - - - - - - - - -
220 Kodein tablet 10 mg tab - - - - - - - - - - - - - - - - -
221 Kodein tablet 15 mg tab - - - - - - - - - - - - - - - - -
222 Kodein tablet 20 mg tab - - - - - - - - - - - - - - - - -
Kombinasi salmeterol 50 mcg; flutikason
223 propionate 100 mcg (Seretide Diskus) btl
- - - - - - - - - - - - - - - - -
Kontrasepsi pil oral, kombinasi:
224 levonorgestrel 150 mcg etilnilestradiol 30 blister - - - - - - - - - - - - - - - - -
mcg (blister)
Kotrimoksazol 480 mg (dewasa)
225 kombinasi: Sulfametoksazol 400 mg, tab - - - - - - - - - - - - - - - - -
Trimetoprim 80 mg
Kotrimoksazol 960 mg (forte) kombinasi:
226 Sulfametoksazol 800 mg, Trimetoprim 160 tab - - - - - - - - - - - - - - - - -
mg
Kotrimoksazol Suspensi komb:
227 Sulfametoksazol 200 mg + Trimetoprim 40 btl
- - - - - - - - - - - - - - - - -
mg/5 ml
228 Kuinin (Kina) tablet 200 mg tab - - - - - - - - - - - - - - - - -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp - - - - - - - - - - - - - - - - -
230 Lacto B sase - - - - - - - - - - - - - - - - -
231 Lamivudine tablet 150 mg tab - - - - - - - - - - - - - - - - -
232 Lanzoprazol kapsul/kaplet 30 mg kaps - - - - - - - - - - - - - - - - -
Larutan ASERING - mengandung Elektrolit
233 (Na 130 mEq, Cl 109 mEq, Ca 3 mEq, btl
Asetat 28 mEq)
- - - - - - - - - - - - - - - - -
Larutan (KAEN 1B) - mengandung
234 Elektrolit (NaCl 1.125 gr, Dekstrosa 18.75 btl
- - - - - - - - - - - - - - - - -
gr)
Larutan (KAEN 3B) - mengandung
235 Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl btl
1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27 gr)
- - - - - - - - - - - - - - - - -
Larutan (KAEN 3A) - mengandung
236 Karbohidrat + Elektrolit (Nacl 2.34 gr, Na btl
Laktat 2.24 gr, KCL 0.75 gr, Dekstrosa 27
gr) - - - - - - - - - - - - - - - - -
237 Levofloksasin tablet 500 mg tab - - - - - - - - - - - - - - - - -
238 Levoteroksin sodium 100 mg tab - - - - - - - - - - - - - - - - -
239 Lidokain injeksi 2% amp - - - - - - - - - - - - - - - - -
Lidokain injeksi 2% (HCl) + Epinefrin 1 :
240 80.000 ~ 2ml (Lidokain Comp. Inj) amp - - - - - - - - - - - - - - - - -
Lidokain injeksi 2% (HCl) + Epinefrin 1 :
241 80.000 ~ 2ml (Pehacain) amp - - - - - - - - - - - - - - - - -
242 Lidokain jeli 2% (Xylocain) syringe - - - - - - - - - - - - - - - - -
Satu- Sisa Terima Jumlah Jumlah Pemakaian Bulan D
No NAMA BARANG an Bulan Bulan Perse-
obat Lalu Ini diaan
1 2 3 4 5 6 7 8 9 10 11 12 13 14

243 Lidokain semprot 10% (Xylocain) btl - - - - - - - - - - - - - - - - -


244 Linkomisin kapsul/kaplet 500 mg kaps - - - - - - - - - - - - - - - - -
245 Lisinopril tablet 10 mg tab - - - - - - - - - - - - - - - - -
246 Lisinopril tablet 5 mg (Interpril) tab - - - - - - - - - - - - - - - - -
247 Lomefloksasin HCL tetes mata (Optiflox) btl - - - - - - - - - - - - - - - - -
248 Loperamid tablet 2 mg tab - - - - - - - - - - - - - - - - -
249 Loratadin tablet 10 mg tab - - - - - - - - - - - - - - - - -
250 Lorazepam tablet 2 mg tab - - - - - - - - - - - - - - - - -
251 Losartan 50 mg tab - - - - - - - - - - - - - - - - -
252 Lytacur sirup btl 20 - 20 - - - - 2 2 - 2 - 2 - - -
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial - - - - - - - - - - - - - - - - -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp - - - - - - - - - - - - - - - - -
255 Mebendazol sirup 100 mg/5 ml btl - - - - - - - - - - - - - - - - -
256 Mebendazol tablet 100 mg tab - - - - - - - - - - - - - - - - -
257 Meloksikam suppositoria supp - - - - - - - - - - - - - - - - -
258 Meloksikam tablet 15 mg tab - - - - - - - - - - - - - - - - -
259 Meloksikam tablet 7,5 mg tab - - - - - - - - - - - - - - - - -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp - - - - - - - - - - - - - - - - -
261 Mersibion injeksi 5000 amp - - - - - - - - - - - - - - - - -
262 Metamizole Na injeksi 500 mg/ml amp - - - - - - - - - - - - - - - - -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp - - - - - - - - - - - - - - - - -
264 Metamizole Na injeksi 500 mg/ml amp - - - - - - - - - - - - - - - - -
(Norages)
Metamizole Na injeksi 500 mg/ml
265 amp - - - - - - - - - - - - - - - - -
(Novalgin)
Metampiron injeksi 250 mg (antalgin)
266 amp - - - - - - - - - - - - - - - - -
267 Metampiron tablet 500 mg (antalgin) tab 400 - 400 - - 20 10 10 - - - 10 -
268 Metformin HCl tablet 500 mg tab 70 - 70 - - - - - - - - - - - - 10
269 Metformin HCl tablet 850 mg tab - - - - - - - - - - - - - - - - -
270 Metildopa 250 mg tab - - - - - - - - - - - - - - - - -
271 Metilergometrin Maleat tablet salut 0,125 tab - - - - - - - - - - - - - - - - -
mg
Metilergometrin Maleat injeksi 0,200 mg ~
272 amp - - - - - - - - - - - - - - - - -
1 ml
Metilprednisolon injeksi 500 mg
273 amp - - - - - - - - - - - - - - - - -
274 Metilprednisolon tablet 16 mg tab - - - - - - - - - - - - - - - - -
275 Metilprednisolon tablet 4 mg tab - - - - - - - - - - - - - - - - -
276 Metilprednisolon tablet 8 mg tab - - - - - - - - - - - - - - - - -
277 Metoklopramide drop 10 ml btl - - - - - - - - - - - - - - - - -
278 Metoklopramide injeksi 5 mg/ml amp - - - - - - - - - - - - - - - - -
279 Metoklopramide injeksi 5 mg/ml amp - - - - - - - - - - - - - - - - -
(Primperan)
Metoklopramide sirup 5 mg/ 5 ml
280 btl - - - - - - - - - - - - - - - - -
281 Metoklopramide tablet 10 mg tab - - - - - - - - - - - - - - - -
282 Metoklopramide tablet 20 mg tab - - - - - - - - - - - - - - - - -
283 Metoklopramide tablet 5 mg tab - - - - - - - - - - - - - - - - -
284 Metronidazol infus 500 mg/100 ml btl - - - - - - - - - - - - - - - - -
285 Metronidazol ovula 500 mg (Vagizol) ovula - - - - - - - - - - - - - - - - -
286 Metronidazol suppo 500 mg (Flagyl) supp - - - - - - - - - - - - - - - -
287 Metronidazol tablet 250 mg tab - - - - - - - - - - - - - - - - -
288 Metronidazol tablet 500 mg tab 50 - 50 - - - - - - - - - - -
289 Mikonazol krim/salep 2% (nitrat) tube - - - - - - - - - - - - - - - - -
290 Mineral Mix, kombinasi sase - - - - - - - - - - - - - - - - -
291 Momethason krim 0,1% tube - - - - - - - - - - - - - - - - -
292 Morfin injeksi 10 mg/ml amp - - - - - - - - - - - - - - - - -
293 Morfin tablet 10 mg tab - - - - - - - - - - - - - - - - -
N~asetil sistein inj Nebules 100 mg/ml
294 (N~ace cairan inhalasi) amp - - - - - - - - - - - - - - - - -
Satu- Sisa Terima Jumlah Jumlah Pemakaian Bulan D
No NAMA BARANG an Bulan Bulan Perse-
obat Lalu Ini diaan
1 2 3 4 5 6 7 8 9 10 11 12 13 14

295 Natrium bicarbonat inj i.v. 8,4% amp - - - - - - - - - - - - - - - - -


296 Natrium Diklofenak tablet 25 mg tab - - - - - - - - - - - - - - - - -
297 Natrium Diklofenak tablet 50 mg tab 120 - 120 - - - - - - - -
298 Natrium Klorida larutan infus 0,9% (NaCl) btl - - - - - - - - - - - - - - - - -
299 Neurobion 5000 injeksi amp - - - - - - - - - - - - - - - - -
300 Neurosanbe inj. amp - - - - - - - - - - - - - - - - -
301 Nevirapin tablet 200 mg tab - - - - - - - - - - - - - - - - -
302 Nifedipin 20 mg (Adalat Oros) tab - - - - - - - - - - - - - - - - -
303 Nifedipin 30 mg (Adalat Oros) tab - - - - - - - - - - - - - - - - -
304 Nifedipin tablet 10 mg tab - - - - - - - - - - - - - - - - -
305 Nistatin tablet salut 500.000 IU/ g tab - - - - - - - - - - - - - - - - -
306 Nistatin vaginal tablet 100.000 IU/ g ovula - - - - - - - - - - - - - - - - -
307 Novabion kaps - - - - - - - - - - - - - - - - -
308 Obat Antituberkulosis FDC Kategori 1 paket - - - - - - - - - - - - - - - - -
309 Obat Antituberkulosis FDC Kategori 2 paket - - - - - - - - - - - - - - - - -
310 Obat Antituberkulosis FDC Kategori Anak paket - - - - - - - - - - - - - - - - -
311 Obat Antituberkulosis FDC Sisipan paket - - - - - - - - - - - - - - - - -
312 Obat Antituberkulosis Kategori 1 dewasa paket - - - - - - - - - - - - - - - - -
313 Obat Antituberkulosis Kategori anak paket - - - - - - - - - - - - - - - - -
314 Obat Batuk Hitam (OBH) cairan btl 2 - 2 - - - - - - - - - - - - -
315 Ofloxacin tablet 200 mg tab - - - - - - - - - - - - - - - - -
316 Ofloxacin tablet 400 mg tab - - - - - - - - - - - - - - - - -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl - - - - - - - - - - - - - - - - -
318 Oksitetrasiklin HCl salep mata 1% tube - - - - - - - - - - - - - - - - -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp - - - - - - - - - - - - - - - - -
320 Oksitetrasiklin salep kulit 3% tube - - - - - - - - - - - - - - - - -
321 Oksitosin injeksi 10 IU/ml~1 ml amp - - - - - - - - - - - - - - - - -
322 Oksitosin injeksi 10 IU/ml~1 ml amp - - - - - - - - - - - - - - - - -
(Syntosinon)
Omeprazol inj 40 mg/10 ml
323 vial - - - - - - - - - - - - - - - - -
324 Omeprazol kapsul/kaplet 20 mg kaps - - - - - - - - - - - - - - - - -
325 Ondansentron injeksi 4 mg/2 ml amp - - - - - - - - - - - - - - - - -
326 Ondansentron tablet 4 mg tab - - - - - - - - - - - - - - - - -
327 Oseltamivir kapsul/kaplet 75 mg kaps - - - - - - - - - - - - - - - - -
328 Papaverin injeksi 40 mg/ml amp - - - - - - - - - - - - - - - - -
329 Papaverin tablet 40 mg tab - - - - - - - - - - - - - - - - -
330 Parasetamol drops 60 mg/0,6 ml btl - - - - - - - - - - - - - - - - -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl - - - - - - - - - - - - - - - - -
332 Parasetamol sirup 120 mg/5 ml btl 17 - 17 - - - - - - 1 - - - -
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl - - - - - - - - - - - - - - - - -
334 Parasetamol tablet 100 mg tab - - - - - - - - - - - - - - -
335 Parasetamol tablet 500 mg tab 300 - 300 - - 20 20 10 10 10
336 Parasetamol tablet 500 mg (Sanmol) tab - - - - - - - - - - - - - - - - -
337 Perak Sulfadiazim Krim 1% tube - - - - - - - - - - - - - - - - -
338 Perak Sulfadiazim Krim 1% (Burnazin tube - - - - - - - - - - - - - - - - -
Cream)
Perfenazin tablet 4 mg (HCl)
339 tab - - - - - - - - - - - - - - - - -
340 Permetrin krim 5% tube - - - - - - - - - - - - - - - - -
341 Permetrin krim 5% (Scabimite) tube - - - - - - - - - - - - - - - - -
342 Petidin injeksi 50 mg/ml amp - - - - - - - - - - - - - - - - -
343 Pimtracol sirup btl - - - - - - - - - - - - - - - - -
344 Piracetam injeksi 1 g/5 ml amp - - - - - - - - - - - - - - - - -
345 Piracetam injeksi 3 g/15 ml amp - - - - - - - - - - - - - - - - -
346 Piracetam tablet 1200 mg tab - - - - - - - - - - - - - - - - -
347 Piracetam tablet 400 mg tab - - - - - - - - - - - - - - - - -
Satu- Sisa Terima Jumlah Jumlah Pemakaian Bulan D
No NAMA BARANG an Bulan Bulan Perse-
obat Lalu Ini diaan
1 2 3 4 5 6 7 8 9 10 11 12 13 14

348 Piracetam tablet 800 mg tab - - - - - - - - - - - - - - - - -


349 Pirantel suspensi 125 mg/5 ml btl - - - - - - - - - - - - - - - - -
350 Pirantel tablet score (base) 125 mg tab - - - - - - - - - - - - - - - - -
351 Pirazinamid tablet 500 mg tab - - - - - - - - - - - - - - - - -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50 - 50 - - - - - - - - - - -
353 Piridoksin injeksi 100 mg/ml amp - - - - - - - - - - - - - - - - -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps - - - - - - - - - - - - - - - - -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps - - - - - - - - - - - - - - - - -
356 Polikresulen cairan btl - - - - - - - - - - - - - - - - -
357 Polikresulen cairan (Albothyl) btl - - - - - - - - - - - - - - - - -
358 Povidon Iodida larutan 10% 1000 ml btl - - - - - - - - - - - - - - - - -
359 Povidon Iodida larutan 10% 30 ml btl - - - - - - - - - - - - - - - -
360 Povidon Iodida larutan 10% 300 ml btl - - - - - - - - - - - - - - - - -
361 Povidon Iodida larutan 10% 60 ml btl - - - - - - - - - - - - - - - - -
362 Pravastatin tablet 20 mg tab - - - - - - - - - - - - - - - - -
363 Prednison tablet 5 mg tab - - - - - - - - - - - - - - - - -
364 Primakuin tablet 15 mg tab - - - - - - - - - - - - - - - - -
365 Prokain Benzil Penisilin G. injeksi 3 jt vial - - - - - - - - - - - - - - - - -
IU/vial
Prolacta baby
366 kaps - - - - - - - - - - - - - - - - -
367 Propanolol tablet 10 mg (HCl) tab - - - - - - - - - - - - - - - - -
368 Propanolol tablet 40 mg (HCl) tab - - - - - - - - - - - - - - - - -
369 Propiltiourasil tablet 100 mg (PTU) tab - - - - - - - - - - - - - - - - -
370 Ramipril tablet 2,5 mg tab - - - - - - - - - - - - - - - - -
371 Ramipril tablet 5 mg tab - - - - - - - - - - - - - - - - -
372 Ranitidin injeksi 25 mg/ml amp - - - - - - - - - - - - - - - - -
373 Ranitidin injeksi 50 mg/2ml amp - - - - - - - - - - - - - - - - -
374 Ranitidin tablet 150 mg tab 320 - 320 - - - - - 20 - 50 - - 10 20 10
375 Reserpin tablet 0,10 mg tab - - - - - - - - - - - - - - - - -
376 Reserpin tablet 0,25 mg tab - - - - - - - - - - - - - - - - -
377 Retinol (Vitamin A) 100.000 IU kapsul kaps - - - - - - - - - - - - - - - - -
lunak
Retinol (Vitamin A) 200.000 IU kapsul
378 kaps - - - - - - - - - - - - - - - - -
lunak
Rifampisin kapsul/kaplet 300 mg
379 kapl - - - - - - - - - - - - - - - - -
380 Rifampisin kapsul/kaplet 600 mg kapl - - - - - - - - - - - - - - - - -
381 Rifampisin tablet salut 450 mg tab - - - - - - - - - - - - - - - - -
382 Ringer Laktat (RL) larutan infus btl - - - - - - - - - - - - - - - - -
383 Risperidon tablet 1 mg tab - - - - - - - - - - - - - - - - -
384 Risperidon tablet 2 mg tab - - - - - - - - - - - - - - - - -
385 Risperidon tablet 3 mg tab - - - - - - - - - - - - - - - - -
Salbutamol cairan (As.sulfat) 2,5 mg
386 (Ventolin Nebules) btl - - - - - - - - - - - - - - - - -
Salbutamol inhalasi/aerosol 100 mcg/dosis
387 (Ventolin Inhaler) btl - - - - - - - - - - - - - - - - -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab - - - - - - - - - - - - - - - - -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab - - - - - - - - - - - - - -
Salep 2~4 , Kombinasi: Asam Salisilat 2%
390 + Belerang endap 4% pot - - - - - - - - - - - - - - - -
391 Salisil Bedak 2 % ktk - - - - - - - - - - - -
392 Sanbe Plex drop btl - - - - - - - - - - - - - - - - -
393 Sefadroksil kapsul/kaplet 250 mg kaps - - - - - - - - - - - - - - - - -
394 Sefadroksil kapsul/kaplet 500 mg kaps - - - - - - - - - - - - - - - - -
395 Sefadroksil sirup kering 125 mg/5ml btl - - - - - - - - - - - - - - - - -
396 Sefaleksin kapsul/kaplet 250 mg kaps - - - - - - - - - - - - - - - - -
397 Sefaleksin kapsul/kaplet 500 mg kaps - - - - - - - - - - - - - - - - -
398 Sefazolin injeksi 1 g amp - - - - - - - - - - - - - - - - -
Satu- Sisa Terima Jumlah Jumlah Pemakaian Bulan D
No NAMA BARANG an Bulan Bulan Perse-
obat Lalu Ini diaan
1 2 3 4 5 6 7 8 9 10 11 12 13 14

399 Sefiksim 400 mg + Azitromisin 1000 mg tab - - - - - - - - - - - - - - - - -


400 Sefiksim kapsul/kaplet 100 mg kaps - - - - - - - - - - - - - - - - -
401 Sefiksim sirup kering 100 mg/ 5 ml btl - - - - - - - - - - - - - - - - -
(Helixim)
Sefotaksim injeksi 0,5 g
402 amp - - - - - - - - - - - - - - - - -
403 Sefotaksim injeksi 1 g vial - - - - - - - - - - - - - - - - -
404 Seftazidim injeksi 1 g amp - - - - - - - - - - - - - - - - -
405 Seftriakson injeksi 1 g amp - - - - - - - - - - - - - - - - -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp - - - - - - - - - - - - - - - - -
407 Serum ABU I vial - - - - - - - - - - - - - - - - -
Sianokobalamin (vitamin B12) injeksi 500
408 mcg/ml amp - - - - - - - - - - - - - - - -
409 Sianokobalamin (vitamin B12) tablet 50 tab - - - - - - - - - - - - - - -
mcg
Simetidin injeksi (Ulsikur)
410 amp - - - - - - - - - - - - - - - - -
411 Simetidin tablet 200 mg tab - - - - - - - - - - - - - - - - -
412 Simvastatin tablet 10 mg tab - - - - - - - - - - - - -
413 Simvastatin tablet 20 mg tab - - - - - - - - - - - - - - - - -
414 Simvastatin tablet 5 mg tab - - - - - - - - - - - - - - - - -
415 Siprofloksasin infus 2% btl - - - - - - - - - - - - - - - - -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab - - - - - - - - - - - - - - - - -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab - - - - - - - - - - - - - - - - -
418 Spasminal tablet tab - - - - - - - - - - - - - - - - -
419 Spiramisin tablet 500 mg tab - - - - - - - - - - - - - - - - -
420 Spironolakton tablet 100 mg tab - - - - - - - - - - - - - - - - -
421 Spironolakton tablet 25 mg
tab - - - - - - - - - - - - - - - - -
422 Stavudin tablet 30 mg
tab - - - - - - - - - - - - - - - - -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl - - - - - - - - - - - - - - - - -
424 Sukralfat susp 500 mg/5 ml
btl - - - - - - - - - - - - - - -
425 Sulfasalazin tablet 500 mg
tab - - - - - - - - - - - - - - - - -
426 Sulfasetamida Natrium tetes mata 15% btl - - - - - - - - - - - - - - - - -
427 Suprabion sirup btl - - - - - - - - - - - - - - - - -
428 Tamoksifen tablet 20 mg
tab - - - - - - - - - - - - - - - - -
429 Teofillin tablet 150 mg (Bronsolvon)
tab - - - - - - - - - - - - - - - - -
430 Terbutalin Sulfat 2,5 mg (Molasma)
tab - - - - - - - - - - - - - - - - -
431 Tetrakain HCl tetes mata 0,5% btl - - - - - - - - - - - - - - - - -
432 Tetrasiklin kapsul/kaplet 250 mg kaps - - - - - - - - - - - - - - - - -
433 Tetrasiklin kapsul/kaplet 500 mg kaps - - - - - - - - - - - - - - - - -
434 Thyrosol tablet tab - - - - - - - - - - - - - - - - -
435 Tiamfenikol kapsul/kaplet 250 mg kaps - - - - - - - - - - - - - - - - -
436 Tiamfenikol kapsul/kaplet 500 mg kaps - - - - - - - - - - - - - - - - -
437 Tiamfenikol sirup 125 mg/ml btl - - - - - - - - - - - - - - - - -
438 Tiamin (vitamin B1) tablet 50 mg tab - - - - - - - - - - -
(HCL/nitrat)
Tiamin (Vitamin B1) 100 mg tablet
439 tab - - - - - - - - - - - - - - - - -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp - - - - - - - - - - - - - - - - -
441 Timolol tetes mata 0,5% btl - - - - - - - - - - - - - - - - -
442 Tramadol injeksi 50 mg/ml amp - - - - - - - - - - - - - - - - -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps - - - - - - - - - - - - - - - - -
444 Trifaneuron kapl - - - - - - - - - - - - - - - - -
445 Trifluoperazin tablet 5 mg tab - - - - - - - - - - - - - - - - -
446 Triheksifenidil tablet 2 mg tab - - - - - - - - - - - - - - - - -
Satu- Sisa Terima Jumlah Jumlah Pemakaian Bulan D
No NAMA BARANG an Bulan Bulan Perse-
obat Lalu Ini diaan
1 2 3 4 5 6 7 8 9 10 11 12 13 14

447 Trolit sase - - - - - - - - - - - - - - - - -


448 Valsartan tablet 80 mg tab - - - - - - - - - - - - - - - - -
449 Verapamil tablet 80 mg (HCl) tab - - - - - - - - - - - - - - - - -
450 Vicillin inj. 1 gr vial - - - - - - - - - - - - - - - - -
451 Vitamin B Kompleks tablet tab 320 - 320 - - - - 10 - 10 - 60 - - 10 - 10
452 Zamel drop btl - - - - - - - - - - - - - - - - -
453 Zamel sirup btl - - - - - - - - - - - - - - - - -
454 Zidovudin tablet 100 mg tab - - - - - - - - - - - - - - - - -
Zidovudin tablet 300 mg + Lamivudine
455 tablet 150 mg tab - - - - - - - - - - - - - - - - -
456 Zinc drop 10 mg/ml btl - - - - - - - - - - -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl - - - - - - - - - - - - - - - - -
458 Zinc tablet 20 mg tab - - - - - - - - - - -

B BAHAN MEDIS HABIS PAKAI


1 Absorben paper point (Indodent) pcs - - - - - - - - - - - - - - - - -
2 Alat suntik insulin 1ml set - - - - - - - - - - - - - - - - -
3 Alat suntik sekali pakai 1 ml set - - - - - - - - - - - - - -
4 Alat suntik sekali pakai 2,5 ml set - - - - - - - - - - - - - - - - -
5 Alat suntik sekali pakai 3 ml set 20 - 20 - - 5 5 - 3 1
6 Alat suntik sekali pakai 5 ml set 5 - 5 - - - - - - - - - - - -
7 Alat suntik sekali pakai 10 ml (OneMed) set - - - - - - - - - - - - - - - -
8 Alat suntik sekali pakai 20 ml set - - - - - - - - - - - - - - - - -
9 Alkohol gel (Aseptic Gel) btl - - - - - - - - - - - - - - - - -
10 Articulating paper ktk - - - - - - - - - - - - - - - - -
Bahan tumpatan sementara larutan, serbuk
11 (Caviton) tube
- - - - - - - - - - - - - - - - -
12 Blood lancet pcs - - - - - - - - - - - - - - - - -
13 Blood tranfusion set set - - - - - - - - - - - - - - - - -
14 Bonding btl - - - - - - - - - - - - - - - - -
15 Catgut Chromic no 2/0 set - - - - - - - - - - - - - - - - -
16 Catgut Chromic no 3/0 set - - - - - - - - - - - - - - - - -
17 Catgut Plain no 2/0 set - - - - - - - - - - - - - - - - -
18 Catgut Plain no 3/0 set - - - - - - - - - - - - - - - - -
19 Cotton roll (Prodental) bks - - - - - - - - - - - - - - - - -
20 Dermafix 10 x 8 cm pcs - - - - - - - - - - - - - - - - -
21 Dermafix 5 x 7 cm pcs - - - - - - - - - - - - - - - - -
22 Desinfektan Klorin 500 ml btl - - - - - - - - - - - - - - - - -
23 Disposafe Safety Box 2,5 L box - - - - - - - - - - - - - - - - -
24 Disposafe Safety Box 5 L box - - - - - - - - - - - - - - - - -
25 Etakridin larutan 0,1% (rivanol) btl - - - - - - - - - - - - - - - - -
26 Etanol 70% cairan (100 ml) btl - - - - - - - - - - - - - - - - -
27 Etanol 70% cairan (1000 ml) btl - - - - - - - - - - - - - - - - -
28 Etanol 95% cairan (1 L) btl - - - - - - - - - - - - - - - - -
29 Etching btl - - - - - - - - - - - - - - - - -
30 Etil Klorida spray btl - - - - - - - - - - - - - - - - -
31 Eugenol cairan btl - - - - - - - - - - - - - - - - -
32 Fixomull stretch 10 cm x 5 m rol - - - - - - - - - - - - - - - - -
33 Fixomull stretch 5 cm x 5 m rol - - - - - - - - - - - - - - - - -
34 Foley Catheter (16) set - - - - - - - - - - - - - - - - -
35 Foley Catheter (18) set - - - - - - - - - - - - - - - - -
36 Foley Catheter (20) set - - - - - - - - - - - - - - - - -
37 Foley Catheter (22) set - - - - - - - - - - - - - - - - -
38 Foley Catheter (24) set - - - - - - - - - - - - - - - - -
Satu- Sisa Terima Jumlah Jumlah Pemakaian Bulan D
No NAMA BARANG an Bulan Bulan Perse-
obat Lalu Ini diaan
1 2 3 4 5 6 7 8 9 10 11 12 13 14

39 Foley Catheter (24) set - - - - - - - - - - - - - - - - -


40 Formokresol cairan btl - - - - - - - - - - - - - - - - -
41 Glass Ionomer Cement ART btl - - - - - - - - - - - - - - - - -
42 Guedel Airway No. 000 / Oropharyngeal pcs - - - - - - - - - - - - - - - - -
43 Guedel Airway No. 2 / Oropharyngeal pcs - - - - - - - - - - - - - - - - -
44 Handrub 500 ml btl 4 - 4 - - - - - - - - - - - - 1
45 Handscoon (uk 7~7,5) psg - - - - - - - - - - - - - - - - -
46 Handscoon (uk S,M,L) pcs 136 - 136 - - - 8 2 2 2 4 - - - 2 2
47 Handscoon / Sarung Tangan Obgyn psg - - - - - - - - - - - - - - - - -
48 H2O2 3% 1000 ml btl - - - - - - - - - - - - - - - - -
49 H2O2 3% 800 ml btl - - - - - - - - - - - - - - - - -
50 H2O2 3% 100 ml btl - - - - - - - - - - - - - - - - -
51 Infusion set anak set - - - - - - - - - - - - - - - - -
52 Infusion set dewasa set - - - - - - - - - - - - - - - - -
53 IV Cannula With Safety Wings No. 24 set - - - - - - - - - - - - - - - - -
54 IV Catheter No. 16 G set - - - - - - - - - - - - - - - - -
55 IV Catheter No. 18 G set - - - - - - - - - - - - - - - -
56 IV Catheter No. 20 G set - - - - - - - - - - - - - - - - -
57 IV Catheter No. 22 G set - - - - - - - - - - - - - - - - -
58 IV Catheter No. 24 G set - - - - - - - - - - - - - - - - -
59 IV Catheter No. 26 G set - - - - - - - - - - - - - - - - -
60 Kacamata Goggle unit - - - - - - - - - - - - - - - - -
61 Kalsium Hidroksida Pasta ktk - - - - - - - - - - - - - - - - -
62 Kapas 500 gr bks - - - - - - - - - - - - - - - - -
63 Kapas Pembalut/Absorben 250 gram bks - - - - - - - - - - - - - - - -
64 Kapas Berlemak 500 gram bks - - - - - - - - - - - - - - - - -
65 Kasa 2 x 80 cm rol - - - - - - - - - - - - - - - - -
66 Kasa 40 x 40 cm rol - - - - - - - - - - - - - - - - -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 60 - 60 - - - - - - - - - - - - -
68 Kasa Hidrofil uk. 36 m x 80 cm rol - - - - - - - - - - - - - - - - -
69 Kasa Hidrofil uk. 40 m x 80 cm rol - - - - - - - - - - - - - - - - -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol - - - - - - - - - - - - - - - - -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol - - - - - - - - - - - - - - - - -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol - - - - - - - - - - - - - - - - -
73 Kasa Pembalut Elastis 10 cm x 4,5 m rol - - - - - - - - - - - - - - - - -
(Mediflex)
Kasa Pembalut Elastis 7,5 cm x 4,5 m
74 rol - - - - - - - - - - - - - - - - -
(Mediflex)
Kasa Pembalut Elastis 3 inchi
75 rol - - - - - - - - - - - - - - - - -
76 Kasa Pembalut Elastis 4 inchi rol - - - - - - - - - - - - - - - - -
77 Kasa Pembalut Elastis 6 inchi rol - - - - - - - - - - - - - - - - -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol - - - - - - - - - - - - - - - - -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10 - 10 - - - - - - - - - - - - - -
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol - - - - - - - - - - - - - -
81 Kertas Puyer lbr - - - - - - - - - - - - - - - - -
82 Kit Gown set - - - - - - - - - - - - - - - - -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl - - - - - - - - - - - - - - - - -
84 Komposit resin btl - - - - - - - - - - - - - - - - -
85 Lysol 1 Liter btl - - - - - - - - - - - - - - - - -
86 Lubricating jelly tube 1 - 1 - - - - - - - - - - - - - -
87 Masker set 6 - 6 -
88 Masker Kain set - - - - - - - - - - - - - - - - -
89 Masker N95 set - - - - - - - - - - - - - - - - -
90 Masker Nebulizer Anak set - - - - - - - - - - - - - - - - -
91 Masker Nebulizer Dewasa set - - - - - - - - - - - - - - - - -
Satu- Sisa Terima Jumlah Jumlah Pemakaian Bulan D
No NAMA BARANG an Bulan Bulan Perse-
obat Lalu Ini diaan
1 2 3 4 5 6 7 8 9 10 11 12 13 14

92 Masker Oksigen Anak set - - - - - - - - - - - - - - - - -


93 Masker Oksigen Bayi set - - - - - - - - - - - - - - - - -
94 Masker Oksigen Dewasa set - - - - - - - - - - - - - - - - -
95 Mess silet / Surgical Blade pcs - - - - - - - - - - - - - - - - -
96 Mummifying Pasta btl - - - - - - - - - - - - - - - - -
97 Nurse Cap pcs - - - - - - - - - - - - - - - - -
Pakaian Pelindung Coverall Disposable / 1
98 kali pakai unit - - - - - - - - - - - - - - - - -
99 Pakaian Pelindung Coverall Reusable unit - - - - - - - - - - - - - - - - -
100 Plester 5 cm x 4,5 m rol - - - - - - - - - - - - - - - - -
101 Plester 5 cm x 4,5 m (Leukoplast) rol - - - - - - - - - - - - - - - -
102 Plester 7,5 cm x 4,5 m rol - - - - - - - - - - - - - - - - -
103 Plester 5 cm x 5 m (Ultrafix) rol - - - - - - - - - - - - - - - - -
104 Plester 5 yards x 5 inch rol - - - - - - - - - - - - - - - - -
105 Semen Seng Fosfat serbuk dan cairan btl - - - - - - - - - - - - - - - - -
106 Selang Oksigen Anak (Oxyflow) pcs - - - - - - - - - - - - - - - - -
107 Selang Oksigen Bayi (Oxyflow) pcs - - - - - - - - - - - - - - - - -
108 Selang Oksigen Dewasa (Oxyflow) pcs - - - - - - - - - - - - - - - - -
109 Selulosa strip pcs - - - - - - - - - - - - - - - - -
Silk (Benang Bedah Sutera) No. 2/0 +
110 jarum bedah set
- - - - - - - - - - - - - - - - -
Silk (Benang Bedah Sutera) No. 3/0 +
111 jarum bedah set - - - - - - - - - - - - - - - - -
112 Spalk Kaki Anak pcs - - - - - - - - - - - - - - - - -
113 Spalk Kaki Dewasa pcs - - - - - - - - - - - - - - - - -
114 Spalk Tangan Anak pcs - - - - - - - - - - - - - - - - -
115 Spalk Tangan Bayi pcs - - - - - - - - - - - - - - - - -
116 Spalk Tangan Dewasa pcs - - - - - - - - - - - - - - - - -
117 Sofra tulle pcs - - - - - - - - - - - - - - - - -
118 Stomach Tube (NGT) no 16 tube - - - - - - - - - - - - - - - - -
119 Stomach Tube (NGT) no 18 tube - - - - - - - - - - - - - - - - -
120 Stomach Tube (NGT) no 20 tube - - - - - - - - - - - - - - - - -
121 Suction Catheter No. 10 set - - - - - - - - - - - - - - - - -
122 Temporary Stopping Fletcher serbuk dan btl - - - - - - - - - - - - - - - - -
cairan
Tooth cleanshing tincture (OCO)
123 btl - - - - - - - - - - - - - - - - -
124 Trikresol Formalin (TKF) Cairan btl - - - - - - - - - - - - - - - - -
125 Ultrasonic Gel btl - - - - - - - - - - - - - - - - -
126 Underpad pcs - - - - - - - - - - - - - - - - -
127 Urine Bag set - - - - - - - - - - - - - - - - -
128 Urocare set - - - - - - - - - - - - - - - - -
129 Wing Needle No set - - - - - - - - - - - - - - - - -

OBAT & BAHAN MEDIS HABIS PAKAI


C TAMBAHAN
1 Alkohol swab - 400 - 400 - - - - - - - - - - - - - -
2 - - - - - - - - - - - - - -
3 - - - - - - - - - - - - - - - - - -
4 - - - - - - - - - - - - - - - -
5 - - - - - - - - - - - - - -
6 - - - - - - - - - - - - - - - - - - -
7 - - - - - - - - - - - - - - - - - - -
8 - - - - - - - - - - - - - - - - - - -
9 - - - - - - - - - - - - - - - - - - -
10 - - - - - - - - - - - - - - - - - - -
Satu- Sisa Terima Jumlah Jumlah Pemakaian Bulan D
No NAMA BARANG an Bulan Bulan Perse-
obat Lalu Ini diaan
1 2 3 4 5 6 7 8 9 10 11 12 13 14

11 - - - - - - - - - - - - - - - - - - -
12 - - - - - - - - - - - - - - - - - - -
13 - - - - - - - - - - - - - - - - - - -
14 - - - - - - - - - - - - - - - - - - -
15 - - - - - - - - - - - - - - - - - - -
16 - - - - - - - - - - - - - - - - - - -
17 - - - - - - - - - - - - - - - - - - -

4,636 -
AN ( BULAN DESEMBER 2023 )

aian Bulan DESEMBER 2023, Tanggal : Jumlah


Sisa
Obat
Obat Ket.
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Dipakai

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
10 - - 10 - - - - - - 40 80 0 0 1 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - 0 0 0 0
- - - - - - 20 0 0 0 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
10 - - - - 30 20 0 0 1 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- 10 - 20 - - - 10 90 30 0 0 1 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
aian Bulan DESEMBER 2023, Tanggal : Jumlah
Sisa
Obat
Obat Ket.
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Dipakai

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
10 - - - - - 20 40 0 0 1 1
20 10 20 - - 30 - 40 40 30 - - - 250 470 0 0 1 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - 50 0 0 0 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - 200 0 0 0 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
40 20 - - - - 10 20 - - - 190 (70) 0 0 1 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
aian Bulan DESEMBER 2023, Tanggal : Jumlah
Sisa
Obat
Obat Ket.
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Dipakai

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
1 - - - 1 1 - - - 6 2 0 0 1 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
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- - - - - - - - - - - - - - - - - - - 0 0 0 0
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- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
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- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
5 8 - 5 - - 16 - - - 46 104 0 0 1 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - 0 0 0 0
aian Bulan DESEMBER 2023, Tanggal : Jumlah
Sisa
Obat
Obat Ket.
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Dipakai

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - 30 80 120 0 0 1 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - 5 0 0 0 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- 10 - 20 - - - 10 20 - 140 110 0 0 1 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- 10 10 - 10 20 10 140 250 0 0 1 1
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- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - 1 1 8 0 0 1 1

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
aian Bulan DESEMBER 2023, Tanggal : Jumlah
Sisa
Obat
Obat Ket.
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Dipakai

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - 10 10 10 10 - - - - - - - - - 80 #VALUE! 0 0 1 ###
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
aian Bulan DESEMBER 2023, Tanggal : Jumlah
Sisa
Obat
Obat Ket.
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Dipakai

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
2 - 2 - 2 - 2 - - - 2 - 2 - - 20 - 1 0 1 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - 10 - - 10 - 10 - 30 - 110 290 0 0 1 1
- 10 - - - - - - - - - - - - - - 20 50 0 0 1 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - 50 0 0 0 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0
aian Bulan DESEMBER 2023, Tanggal : Jumlah
Sisa
Obat
Obat Ket.
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Dipakai

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - 120 0 0 0 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - 2 0 0 0 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
1 - - - - - - 1 - - - - - - - 3 14 0 0 1 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - 0 0 0 0
10 10 10 - 10 - 10 - 120 180 0 0 1 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
aian Bulan DESEMBER 2023, Tanggal : Jumlah
Sisa
Obat
Obat Ket.
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Dipakai

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - 50 0 0 0 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
10 - 20 - 10 20 - - 20 10 20 - - 220 100 1 0 1 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
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- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
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- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - 0 0 0 0
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- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
aian Bulan DESEMBER 2023, Tanggal : Jumlah
Sisa
Obat
Obat Ket.
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Dipakai

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
aian Bulan DESEMBER 2023, Tanggal : Jumlah
Sisa
Obat
Obat Ket.
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Dipakai

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- 10 - - 10 - - - - 10 30 - 10 - 170 150 0 0 1 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - 0 0 0 0
0 0 0 0
0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
2 2 2 - - - 20 - 0 0 1 0
- 2 - 1 - - 2 - - - - - 5 - 0 0 1 0
- - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
aian Bulan DESEMBER 2023, Tanggal : Jumlah
Sisa
Obat
Obat Ket.
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Dipakai

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - 1 3 0 0 1 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
4 2 6 2 2 2 2 4 6 8 - 60 76 1 0 1 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - 60 0 0 0 1
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - 10 0 0 0 1
- - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - 1 0 0 0 1
6 - - - - - - - 6 - 0 0 1 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
aian Bulan DESEMBER 2023, Tanggal : Jumlah
Sisa
Obat
Obat Ket.
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Dipakai

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
0 0 0 0

0 0 0 0
100 - - - - - - - - - - - - 300 - - - 400 - 0 0 1 0
- - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
aian Bulan DESEMBER 2023, Tanggal : Jumlah
Sisa
Obat
Obat Ket.
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Dipakai

- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0
- - - - - - - - - - - - - - - - - - - 0 0 0 0

SUM STOK AWAL


SUM STOK AKHIR
PENERIMAAN
PEMAKAIAN
HOME

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

0 0
2 1
0 0

0 0

0 0

0 0

0 0

0 0

0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0
HOME

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

1 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
HOME

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

0 0
0 0
0 0
0 0
0 0
0 0
2 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
HOME

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

0 0
0 0
0 0
HOME

0 0
0 0
0 0
0 0
0 0
#VALUE! #VALUE!
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0

0 0

0 0

0 0

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

0 0

0 0

0 0

0 0
0 0
0 0
0 0

0 0

0 0
0 0
HOME

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

0 0
HOME

0 0
0 0
1 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 1
0 0
0 0
2 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
HOME

0 0
0 0
0 0
0 0
1 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0

0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
HOME

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

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

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0
0 0
0 0
0 0
0 0
0 0
0
0
0
0
0
0 0
0 0
HOME

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

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

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
HOME

0 0
0 0
0 0
0 0
0 0
2 1
0 0
3 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1
0 0
0 0
0 0
0 0
0 0
0 0
1 1
1 1
0 0
0 0
0 0
0 0
HOME

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

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

0 0

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

0 1
1 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
HOME

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

OK AWAL
OK AKHIR
RIMAAN
AKAIAN
LPLPO PELEYAN
DESEMBER 2023
( Laporan Pemakaian dan Lembar Permintaan Obat )

Peneri Pema Stok Permin- HOME


No NAMA BARANG SAT Stok Awal Ket
maan kaian Akhir taan

A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp - - - - - 0 0 0 0 0 0 0
2 Acarbose tab 50 mg tab - - - - - 0 0 0 0 0 0 0
3 Acarbose tab 100 mg tab - - - - - 0 0 0 0 0 0 0
4 Albendazol suspensi 200 mg/5 ml btl - - - - - 0 0 0 0 0 0 0
5 Albendazol tablet 400 mg tab - - - - - 0 0 0 0 0 0 0
6 Alinamin F injeksi amp - - - - - 0 0 0 0 0 0 0
7 Alinamin F tablet tab - - - - - 0 0 0 0 0 0 0
8 Alopurinol tablet 100 mg tab 120 - 40 80 120 1 0 1 1 1 4 1
9 Alopurinol tablet 300 mg tab - - - - - 0 0 0 0 0 0 0
10 Alprazolam tablet 0,25 mg tab - - - - - 0 0 0 0 0 0 0
11 Alprazolam tablet 0,5 mg tab - - - - - 0 0 0 0 0 0 0
12 Alprazolam tablet 1 mg tab - - - - - 0 0 0 0 0 0 0
13 Ambroxol sirup 15 mg/ml btl - - - - - 0 0 0 0 0 0 0
14 Ambroxol tablet 30 mg tab - - - - 0 0 0 0 0 0 0
15 Aminofilin injeksi 24 mg/ml~10 ml amp - - - - 0 0 0 0 0 0 0
16 Aminofilin tablet 150 mg tab - - - - - 0 0 0 0 0 0 0
17 Aminofilin tablet 200 mg tab - - - - - 0 0 0 0 0 0 0
18 Amiodarone hidrocloride 200 mg tab - - - - - 0 0 0 0 0 0 0
19 Amitriptilin tablet salut 25 mg (HCl) tab - - - - - 0 0 0 0 0 0 0
20 Amlodipin tablet 10 mg tab - - - - - 0 0 0 0 0 0 0
21 Amlodipin tablet 5 mg tab 20 - - 20 - 1 0 0 1 0 2 1
22 Amoksisilin + As. Klavulanat 625 mg tablet tab - - - - - 0 0 0 0 0 0 0
23 Amoksisilin kapsul/kaplet 250 mg kapl - - - - - 0 0 0 0 0 0 0
24 Amoksisilin kapsul/kaplet 500 mg kapl 50 - 30 20 280 1 0 1 1 1 4 1
25 Amoksisilin serbuk injeksi 1000 mg vial - - - - - 0 0 0 0 0 0 0
26 Amoksisilin sirup kering 125 mg/5 ml btl - - - - 10 0 0 0 0 1 1 1
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial - - - - - 0 0 0 0 0 0 0
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial - - - - - 0 0 0 0 0 0 0

29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart


novorapid flexpen) flexpen - - - - - 0 0 0 0 0 0 0
30 Antasida tablet kunyah tab 120 - 90 30 270 1 0 1 1 1 4 1
31 Antasida suspensi btl - - - - 10 0 0 0 0 1 1 1

32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g +


Polimiksin 10.000 IU/g tube - - - - - 0 0 0 0 0 0 0

33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam


Salisilat 3% pot - - - - - 0 0 0 0 0 0 0
Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg
34
Heksaklorofen 2,5 mg supp - - - - - 0 0 0 0 0 0 0

35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg


Sulfadoksin tablet 500 mg tab - - - - - 0 0 0 0 0 0 0
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 mg tab - - - - - 0 0 0 0 0 0 0

37 Antiparkinson DOEN Tab Komb Levodopa 100 mg,


Benserazid HCl 25 mg tab - - - - - 0 0 0 0 0 0 0
38 Aqua pro injeksi steril, bebas pirogen amp - - - - - 0 0 0 0 0 0 0
39 Artemether injeksi 80 mg/ml amp - - - - - 0 0 0 0 0 0 0
40 Artesunate
Articaine injeksi
HCL 4% 60 mg
+ Epinefrin 1:100.000 injeksi
vial - - - - - 0 0 0 0 0 0 0
41 (Turbocaina) katrid - - - - - 0 0 0 0 0 0 0
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab - - - - - 0 0 0 0 0 0 0
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab - - - - - 0 0 0 0 0 0 0
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab - - - - - 0 0 0 0 0 0 0
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab - - - - - 0 0 0 0 0 0 0
46 Asam Askorbat (Vitamin C) tablet 100 mg tab - - - - - 0 0 0 0 0 0 0
47 Asam Askorbat (Vitamin C) tablet 250 mg tab 60 - 20 40 - 1 0 1 1 0 3 1
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 720 - 250 470 200 1 0 1 1 1 4 1
49 Asam Folat tablet 1 mg tab - - - - - 0 0 0 0 0 0 0
50 Asam Mefenamat kapsul/kaplet 250 mg kapl - - - - - 0 0 0 0 0 0 0
51 Asam Mefenamat kapsul/kaplet 500 mg kapl - - - - 300 0 0 0 0 1 1 1
52 Asam pipemidat kapsul 400 mg kaps - - - - - 0 0 0 0 0 0 0
53 Asam Traneksamat inj. amp - - - - - 0 0 0 0 0 0 0
54 Asam Traneksamat tablet tab - - - - - 0 0 0 0 0 0 0
55 Asiklovir krim 5% tube - - - - 5 0 0 0 0 1 1 1
56 Asiklovir tablet 200 mg tab - - - - - 0 0 0 0 0 0 0
57 Asiklovir tablet 400 mg tab - - - - - 0 0 0 0 0 0 0
58 Atenolol tablet 100 mg tab - - - - - 0 0 0 0 0 0 0
59 Atenolol tablet 50 mg tab - - - - - 0 0 0 0 0 0 0
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp - - - - - 0 0 0 0 0 0 0
61 Atropin Sulfat tablet 0,5 mg tab - - - - - 0 0 0 0 0 0 0
62 Attapulgit tablet 600 mg tab 50 - - 50 50 1 0 0 1 1 3 1
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial - - - - - 0 0 0 0 0 0 0
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial - - - - - 0 0 0 0 0 0 0

65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet


(tablet tambah darah kombinasi) tab 200 - - 200 - 1 0 0 1 0 2 1
66 Betahistin Mesilat tablet 6 mg tab - - - - - 0 0 0 0 0 0 0
67 Betametason krim 0,1% (sebagai valerat) tube - - - - - 0 0 0 0 0 0 0
68 Bioplacenton salep tube - - - - - 0 0 0 0 0 0 0
69 Bioplacenton tulle pcs - - - - - 0 0 0 0 0 0 0
70 Bisakodil suppositoria 10 mg supp - - - - - 0 0 0 0 0 0 0
71 Bisoprolol fumarat 2,5 mg tab - - - - - 0 0 0 0 0 0 0
72 Bisoprolol tablet 5 mg tab - - - - - 0 0 0 0 0 0 0
73 Bromheksin tablet 8 mg tab - - - - - 0 0 0 0 0 0 0
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp - - - - - 0 0 0 0 0 0 0
75 Candesartan cilexetil 16 mg tab - - - - - 0 0 0 0 0 0 0
76 Candesartan cilexetil 8 mg tab - - - - - 0 0 0 0 0 0 0
77 Cetirizine sirup 5 mg/5 ml btl - - - - - 0 0 0 0 0 0 0
78 Cetirizine tablet 10 mg tab - - - - 100 0 0 0 0 1 1 1
79 Citicoline 125 mg/ml amp - - - - - 0 0 0 0 0 0 0
80 Clobazam tablet 10 mg tab - - - - - 0 0 0 0 0 0 0
81 Clobetasol krim 0,05% tube - - - - - 0 0 0 0 0 0 0
82 Combifen sirup btl - - - - - 0 0 0 0 0 0 0
83 Coparcetin sirup btl - - - - - 0 0 0 0 0 0 0
84 Coparcetin tablet tab - - - - - 0 0 0 0 0 0 0
85 Dapson tablet 100 mg tab - - - - - 0 0 0 0 0 0 0
Peneri Pema Stok Permin- HOME
No NAMA BARANG SAT Stok Awal Ket
maan kaian Akhir taan
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp - - - - 10 0 0 0 0 1 1 1
87 Deksametason tablet 0,5 mg tab 120 - 190 (70) 270 1 0 1 1 1 4 1
88 Dekstran 70 ~ larutan infus 6% steril btl - - - - - 0 0 0 0 0 0 0
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl - - - - - 0 0 0 0 0 0 0
90 Dekstrometorfan tablet 15 mg (HBr) tab - - - - - 0 0 0 0 0 0 0
91 Devitalisasi Pasta btl - - - - - 0 0 0 0 0 0 0
92 Dexanta tablet tab - - - - - 0 0 0 0 0 0 0
93 Diazepam injeksi 5 mg/ml amp - - - - - 0 0 0 0 0 0 0
94 Diazepam injeksi 10 mg/ml amp - - - - - 0 0 0 0 0 0 0
95 Diazepam larutan rectal 10 mg/2,5 ml tube - - - - - 0 0 0 0 0 0 0
96 Diazepam larutan rectal 5 mg/2,5 ml tube - - - - - 0 0 0 0 0 0 0
97 Diazepam supp supp - - - - - 0 0 0 0 0 0 0
98 Diazepam tablet 2 mg tab - - - - - 0 0 0 0 0 0 0
99 Diazepam tablet 5 mg tab - - - - - 0 0 0 0 0 0 0
100 Dietilkarbamazin sitrat tablet 100 mg tab - - - - - 0 0 0 0 0 0 0
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 8 - 6 2 8 1 0 1 1 1 4 1
102 Digoksin injeksi 0,25 mg/ml amp - - - - - 0 0 0 0 0 0 0
103 Digoksin tablet 0,25 mg tab - - - - - 0 0 0 0 0 0 0
104 Diltiazem HCl tablet 30 mg tab - - - - - 0 0 0 0 0 0 0
105 Dimenhidrinat tablet 50 mg tab - - - - - 0 0 0 0 0 0 0
106 Doksisiklin kapsul/kaplet 100 mg kaps - - - - - 0 0 0 0 0 0 0
107 Domperidon drop 5 mg/ml btl - - - - - 0 0 0 0 0 0 0
108 Domperidon suspensi 5 mg/5 ml btl - - - - - 0 0 0 0 0 0 0
109 Domperidon tablet 10 mg tab - - - - - 0 0 0 0 0 0 0
110 Dopamin injeksi 40 mg/ml (Cetadop) amp - - - - - 0 0 0 0 0 0 0
111 Efedrin tablet 25 mg (HCl) tab - - - - - 0 0 0 0 0 0 0
112 Ekstraks Belladona tablet 10 mg tab - - - - - 0 0 0 0 0 0 0
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp - - - - 1 0 0 0 0 1 1 1
114 Eritromisin kapsul/kaplet 250 mg kaps - - - - - 0 0 0 0 0 0 0
115 Eritromisin kapsul/kaplet 500 mg kaps - - - - - 0 0 0 0 0 0 0
116 Eritromisin sirup 200 mg/5 ml btl - - - - - 0 0 0 0 0 0 0
117 Etambutol tablet 250 mg (HCl) tab - - - - - 0 0 0 0 0 0 0
118 Etambutol tablet salut 500 mg (HCl) tab - - - - - 0 0 0 0 0 0 0
119 Famotidine tablet 20 mg tab - - - - - 0 0 0 0 0 0 0
120 Famotidine tablet 40 mg tab - - - - - 0 0 0 0 0 0 0
121 Fe Sirup / Besi sirup btl - - - - - 0 0 0 0 0 0 0
122 Fenilbutason tablet 200 mg tab - - - - - 0 0 0 0 0 0 0
123 Fenitoin kapsul/kaplet 100 mg kaps - - - - - 0 0 0 0 0 0 0
124 Fenitoin Natrium injeksi 50 mg/ml amp - - - - - 0 0 0 0 0 0 0
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps - - - - - 0 0 0 0 0 0 0
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp - - - - - 0 0 0 0 0 0 0
127 Fenobarbital tablet 100 mg tab - - - - - 0 0 0 0 0 0 0
128 Fenobarbital tablet 30 mg tab - - - - - 0 0 0 0 0 0 0
129 Fenoksimetil Penisilin tablet 250 mg tab - - - - - 0 0 0 0 0 0 0
130 Fenoksimetil Penisilin tablet 500 mg tab - - - - - 0 0 0 0 0 0 0
131 Fenol Gliserol tetes telinga 10% btl - - - - - 0 0 0 0 0 0 0
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab - - - - 100 0 0 0 0 1 1 1
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp - - - - 3 0 0 0 0 1 1 1
134 Flufenazin inj. i.m. 25 mg/ml amp - - - - - 0 0 0 0 0 0 0
135 Flukonazol tablet 150 mg tab - - - - - 0 0 0 0 0 0 0
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp - - - - - 0 0 0 0 0 0 0
137 Furosemid tablet 40 mg tab - - - - - 0 0 0 0 0 0 0
138 Garam Oralit I serbuk sac 150 - 46 104 - 1 0 1 1 0 3 1
139 Gastrusid sirup btl - - - - - 0 0 0 0 0 0 0
140 Gemfibrozil kapsul/kaplet 300 mg kaps - - - - - 0 0 0 0 0 0 0
141 Gemfibrozil tablet 600 mg tab - - - - - 0 0 0 0 0 0 0
142 Gentamisin injeksi 40 mg/ml amp - - - - - 0 0 0 0 0 0 0
143 Gentamisin injeksi 80 mg/2ml amp - - - - - 0 0 0 0 0 0 0
144 Gentamisin salep kulit 0,1% tube - - - - - 0 0 0 0 0 0 0
145 Gentamisin salep mata 0,3% tube - - - - - 0 0 0 0 0 0 0
146 Gentamisin sulfat tetes mata 0,3% btl - - - - - 0 0 0 0 0 0 0
147 Gentian Violet larutan 1% btl - - - - 3 0 0 0 0 1 1 1
148 Glibenklamida tablet 5 mg tab - - - - 100 0 0 0 0 1 1 1
149 Gliklazid tablet 30 mg tab - - - - - 0 0 0 0 0 0 0
150 Gliklazid tablet 80 mg tab - - - - - 0 0 0 0 0 0 0
151 Glimepiride tablet 1 mg tab - - - - - 0 0 0 0 0 0 0
152 Glimepiride tablet 2 mg tab - - - - - 0 0 0 0 0 0 0
153 Glimepiride tablet 3 mg tab - - - - - 0 0 0 0 0 0 0
154 Glimepiride tablet 4 mg tab - - - - - 0 0 0 0 0 0 0
155 Glipizid 10 mg tab - - - - - 0 0 0 0 0 0 0
156 Glipizid 5 mg tab - - - - - 0 0 0 0 0 0 0
157 Gliquidon tablet 30 mg tab - - - - - 0 0 0 0 0 0 0
158 Gliseril Gualakolat tablet 100 mg tab 200 - 80 120 300 1 0 1 1 1 4 1
159 Gliserin larutan 50% btl - - - - - 0 0 0 0 0 0 0
160 Glukosa larutan infus 5% steril btl - - - - - 0 0 0 0 0 0 0
161 Glukosa larutan infus 10% steril btl - - - - - 0 0 0 0 0 0 0
162 Glukosa larutan infus 40% steril btl - - - - - 0 0 0 0 0 0 0
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl - - - - - 0 0 0 0 0 0 0
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl - - - - - 0 0 0 0 0 0 0
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl - - - - - 0 0 0 0 0 0 0
166 Griseofulvin tablet 125 mg tab - - - - - 0 0 0 0 0 0 0
167 Haloperidol inj 50 mg/ml amp - - - - - 0 0 0 0 0 0 0
168 Haloperidol Inj i.m. 5 mg/ml amp - - - - - 0 0 0 0 0 0 0
169 Haloperidol tablet 0,5 mg tab - - - - - 0 0 0 0 0 0 0
170 Haloperidol tablet 1,5 mg tab - - - - - 0 0 0 0 0 0 0
171 Haloperidol tablet 2 mg tab - - - - - 0 0 0 0 0 0 0
172 Haloperidol tablet 5 mg tab - - - - - 0 0 0 0 0 0 0
173 Hidroklorotiazid (HCT) tablet 25 mg tab - - - - - 0 0 0 0 0 0 0
174 Hidrokortison krim 1% tube - - - - - 0 0 0 0 0 0 0
175 Hidrokortison krim 2,5% tube 5 - - 5 5 1 0 0 1 1 3 1
176 Human tetanus imunuglobin 1 ml (250 iu) syringe - - - - - 0 0 0 0 0 0 0
177 Hyoscine~N~Butilbromide injeksi amp - - - - - 0 0 0 0 0 0 0
178 Hyoscine~N~Butilbromide tablet 10 mg tab - - - - - 0 0 0 0 0 0 0
179 Ibuprofen suspensi 100 mg/5 ml btl - - - - - 0 0 0 0 0 0 0
180 Ibuprofen suspensi 200 mg/5 ml btl - - - - - 0 0 0 0 0 0 0
181 Ibuprofen tablet 200 mg tab - - - - - 0 0 0 0 0 0 0
Peneri Pema Stok Permin- HOME
No NAMA BARANG SAT Stok Awal Ket
maan kaian Akhir taan
182 Ibuprofen tablet 400 mg tab 250 - 140 110 200 1 0 1 1 1 4 1
183 Iodiol kapsul lunak kaps - - - - - 0 0 0 0 0 0 0
184 Isoniazid tablet 100 mg tab - - - - - 0 0 0 0 0 0 0
185 Isoniazid tablet 300 mg tab - - - - - 0 0 0 0 0 0 0
186 Isosorbid Dinitrat tablet 10 mg tab - - - - - 0 0 0 0 0 0 0
187 Isosorbid Dinitrat tablet sublingual 5 mg tab - - - - - 0 0 0 0 0 0 0
188 Itrakonazol kapsul/kaplet 100 mg kaps - - - - - 0 0 0 0 0 0 0
189 Kalium Diklofenak tablet 25 mg tab - - - - - 0 0 0 0 0 0 0
190 Kalium Diklofenak tablet 50 mg tab - - - - - 0 0 0 0 0 0 0
191 Kalium Permanganat Serbuk btl - - - - - 0 0 0 0 0 0 0
192 Kalsium Laktat (Kalk) tablet 500 mg tab 390 - 140 250 300 1 0 1 1 1 4 1
193 Kaptopril tablet 12,5 mg tab - - - - - 0 0 0 0 0 0 0
194 Kaptopril tablet 25 mg tab - - - - 200 0 0 0 0 1 1 1
195 Kaptopril tablet 50 mg tab - - - - - 0 0 0 0 0 0 0
196 Karbamazepin tablet 200 mg tab - - - - - 0 0 0 0 0 0 0
197 Ketokonazol krim 2% tube 9 - 1 8 - 1 0 1 1 0 3 1
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl - - - - - 0 0 0 0 0 0 0
199 Ketokonazol tablet 200 mg tab - - - - - 0 0 0 0 0 0 0
200 Ketoprofen injeksi 100 mg amp - - - - - 0 0 0 0 0 0 0
201 Ketoprofen tablet 100 mg tab - - - - - 0 0 0 0 0 0 0
202 Ketorolac injeksi 10 mg/ml amp - - - - - 0 0 0 0 0 0 0
203 Ketorolac injeksi 30 mg/ml amp - - - - - 0 0 0 0 0 0 0
204 Klindamisin kapsul/kaplet 150 mg kaps - - - - - 0 0 0 0 0 0 0
205 Klindamisin kapsul/kaplet 300 mg kaps - - - - - 0 0 0 0 0 0 0
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 260 - 80 #VALUE! #VALUE! 1 0 ###
1###### #VALUE!
207 Klomifen tablet 50 mg tab - - - - - 0 0 0 0 0 0 0
208 Klonidin tablet 0,15 mg tab - - - - - 0 0 0 0 0 0 0
209 Kloramfenikol kapsul/kaplet 250 mg kaps - - - - - 0 0 0 0 0 0 0
210 Kloramfenikol salep mata 1% tube - - - - - 0 0 0 0 0 0 0
211 Kloramfenikol salep kulit 2% (Bufacetin) tube - - - - - 0 0 0 0 0 0 0
212 Kloramfenikol suspensi 125 mg/5 ml btl - - - - - 0 0 0 0 0 0 0
213 Kloramfenikol tetes mata 0,5% btl - - - - 5 0 0 0 0 1 1 1
214 Kloramfenikol tetes telinga 3% btl - - - - 5 0 0 0 0 1 1 1
215 Klorokuin tablet 250 mg tab - - - - - 0 0 0 0 0 0 0
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp - - - - - 0 0 0 0 0 0 0
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp - - - - - 0 0 0 0 0 0 0
218 Klorpromazin tablet salut 100 mg (HCl) tab - - - - - 0 0 0 0 0 0 0
219 Klorpromazin tablet salut 25 mg (HCl) tab - - - - - 0 0 0 0 0 0 0
220 Kodein tablet 10 mg tab - - - - - 0 0 0 0 0 0 0
221 Kodein tablet 15 mg tab - - - - - 0 0 0 0 0 0 0
222 Kodein tablet 20 mg tab - - - - - 0 0 0 0 0 0 0

223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl


mcg (Seretide Diskus) - - - - - 0 0 0 0 0 0 0

224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg


etilnilestradiol 30 mcg (blister) blister - - - - - 0 0 0 0 0 0 0
Kotrimoksazol 480 mg (dewasa) kombinasi:
225
Sulfametoksazol 400 mg, Trimetoprim 80 mg tab - - - - 100 0 0 0 0 1 1 1

226 Kotrimoksazol 960 mg (forte) kombinasi:


Sulfametoksazol 800 mg, Trimetoprim 160 mg tab - - - - - 0 0 0 0 0 0 0

227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl


+ Trimetoprim 40 mg/5 ml - - - - - 0 0 0 0 0 0 0
228 Kuinin (Kina) tablet 200 mg tab - - - - - 0 0 0 0 0 0 0
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp - - - - - 0 0 0 0 0 0 0
230 Lacto B sase - - - - - 0 0 0 0 0 0 0
231 Lamivudine tablet 150 mg tab - - - - - 0 0 0 0 0 0 0
232 Lanzoprazol kapsul/kaplet 30 mg kaps - - - - - 0 0 0 0 0 0 0

233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq, btl


Cl 109 mEq, Ca 3 mEq, Asetat 28 mEq) - - - - - 0 0 0 0 0 0 0

234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl


gr, Dekstrosa 18.75 gr) - - - - - 0 0 0 0 0 0 0
Larutan (KAEN 3B) - mengandung Karbohidrat +
235 Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr, btl
Dekstrosa 27 gr) - - - - - 0 0 0 0 0 0 0
Larutan (KAEN 3A) - mengandung Karbohidrat +
236 Elektrolit (Nacl 2.34 gr, Na Laktat 2.24 gr, KCL 0.75 gr, btl
Dekstrosa 27 gr) - - - - - 0 0 0 0 0 0 0
237 Levofloksasin tablet 500 mg tab - - - - - 0 0 0 0 0 0 0
238 Levoteroksin sodium 100 mg tab - - - - - 0 0 0 0 0 0 0
239 Lidokain injeksi 2% amp - - - - 5 0 0 0 0 1 1 1

240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml


(Lidokaininjeksi
Lidokain Comp.2% Inj)(HCl) + Epinefrin 1 : 80.000 ~ 2ml amp - - - - 5 0 0 0 0 1 1 1
241 (Pehacain) amp - - - - - 0 0 0 0 0 0 0
242 Lidokain jeli 2% (Xylocain) syringe - - - - - 0 0 0 0 0 0 0
243 Lidokain semprot 10% (Xylocain) btl - - - - - 0 0 0 0 0 0 0
244 Linkomisin kapsul/kaplet 500 mg kaps - - - - - 0 0 0 0 0 0 0
245 Lisinopril tablet 10 mg tab - - - - - 0 0 0 0 0 0 0
246 Lisinopril tablet 5 mg (Interpril) tab - - - - - 0 0 0 0 0 0 0
247 Lomefloksasin HCL tetes mata (Optiflox) btl - - - - - 0 0 0 0 0 0 0
248 Loperamid tablet 2 mg tab - - - - 100 0 0 0 0 1 1 1
249 Loratadin tablet 10 mg tab - - - - - 0 0 0 0 0 0 0
250 Lorazepam tablet 2 mg tab - - - - - 0 0 0 0 0 0 0
251 Losartan 50 mg tab - - - - - 0 0 0 0 0 0 0
252 Lytacur sirup btl 20 - 20 - - 1 0 1 0 0 2 1
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial - - - - - 0 0 0 0 0 0 0
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp - - - - 1 0 0 0 0 1 1 1
255 Mebendazol sirup 100 mg/5 ml btl - - - - - 0 0 0 0 0 0 0
256 Mebendazol tablet 100 mg tab - - - - - 0 0 0 0 0 0 0
257 Meloksikam suppositoria supp - - - - - 0 0 0 0 0 0 0
258 Meloksikam tablet 15 mg tab - - - - - 0 0 0 0 0 0 0
259 Meloksikam tablet 7,5 mg tab - - - - - 0 0 0 0 0 0 0
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp - - - - - 0 0 0 0 0 0 0
261 Mersibion injeksi 5000 amp - - - - - 0 0 0 0 0 0 0
262 Metamizole Na injeksi 500 mg/ml amp - - - - - 0 0 0 0 0 0 0
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp - - - - - 0 0 0 0 0 0 0
264 Metamizole Na injeksi 500 mg/ml (Norages) amp - - - - - 0 0 0 0 0 0 0
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp - - - - - 0 0 0 0 0 0 0
266 Metampiron injeksi 250 mg (antalgin) amp - - - - - 0 0 0 0 0 0 0
267 Metampiron tablet 500 mg (antalgin) tab 400 - 110 290 - 1 0 1 1 0 3 1
268 Metformin HCl tablet 500 mg tab 70 - 20 50 - 1 0 1 1 0 3 1
269 Metformin HCl tablet 850 mg tab - - - - - 0 0 0 0 0 0 0
Peneri Pema Stok Permin- HOME
No NAMA BARANG SAT Stok Awal Ket
maan kaian Akhir taan
270 Metildopa 250 mg tab - - - - - 0 0 0 0 0 0 0
271 Metilergometrin Maleat tablet salut 0,125 mg tab - - - - - 0 0 0 0 0 0 0
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp - - - - - 0 0 0 0 0 0 0
273 Metilprednisolon injeksi 500 mg amp - - - - - 0 0 0 0 0 0 0
274 Metilprednisolon tablet 16 mg tab - - - - - 0 0 0 0 0 0 0
275 Metilprednisolon tablet 4 mg tab - - - - - 0 0 0 0 0 0 0
276 Metilprednisolon tablet 8 mg tab - - - - - 0 0 0 0 0 0 0
277 Metoklopramide drop 10 ml btl - - - - - 0 0 0 0 0 0 0
278 Metoklopramide injeksi 5 mg/ml amp - - - - - 0 0 0 0 0 0 0
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp - - - - - 0 0 0 0 0 0 0
280 Metoklopramide sirup 5 mg/ 5 ml btl - - - - - 0 0 0 0 0 0 0
281 Metoklopramide tablet 10 mg tab - - - - 100 0 0 0 0 1 1 1
282 Metoklopramide tablet 20 mg tab - - - - - 0 0 0 0 0 0 0
283 Metoklopramide tablet 5 mg tab - - - - - 0 0 0 0 0 0 0
284 Metronidazol infus 500 mg/100 ml btl - - - - - 0 0 0 0 0 0 0
285 Metronidazol ovula 500 mg (Vagizol) ovula - - - - - 0 0 0 0 0 0 0
286 Metronidazol suppo 500 mg (Flagyl) supp - - - - - 0 0 0 0 0 0 0
287 Metronidazol tablet 250 mg tab - - - - - 0 0 0 0 0 0 0
288 Metronidazol tablet 500 mg tab 50 - - 50 50 1 0 0 1 1 3 1
289 Mikonazol krim/salep 2% (nitrat) tube - - - - - 0 0 0 0 0 0 0
290 Mineral Mix, kombinasi sase - - - - - 0 0 0 0 0 0 0
291 Momethason krim 0,1% tube - - - - - 0 0 0 0 0 0 0
292 Morfin injeksi 10 mg/ml amp - - - - - 0 0 0 0 0 0 0
293 Morfin tablet
N~asetil 10 inj
sistein mgNebules 100 mg/ml (N~ace cairan tab - - - - - 0 0 0 0 0 0 0
294 inhalasi) amp - - - - - 0 0 0 0 0 0 0
295 Natrium bicarbonat inj i.v. 8,4% amp - - - - - 0 0 0 0 0 0 0
296 Natrium Diklofenak tablet 25 mg tab - - - - - 0 0 0 0 0 0 0
297 Natrium Diklofenak tablet 50 mg tab 120 - - 120 80 1 0 0 1 1 3 1
298 Natrium Klorida larutan infus 0,9% (NaCl) btl - - - - 2 0 0 0 0 1 1 1
299 Neurobion 5000 injeksi amp - - - - - 0 0 0 0 0 0 0
300 Neurosanbe inj. amp - - - - - 0 0 0 0 0 0 0
301 Nevirapin tablet 200 mg tab - - - - - 0 0 0 0 0 0 0
302 Nifedipin 20 mg (Adalat Oros) tab - - - - - 0 0 0 0 0 0 0
303 Nifedipin 30 mg (Adalat Oros) tab - - - - - 0 0 0 0 0 0 0
304 Nifedipin tablet 10 mg tab - - - - 100 0 0 0 0 1 1 1
305 Nistatin tablet salut 500.000 IU/ g tab - - - - - 0 0 0 0 0 0 0
306 Nistatin vaginal tablet 100.000 IU/ g ovula - - - - - 0 0 0 0 0 0 0
307 Novabion kaps - - - - - 0 0 0 0 0 0 0
308 Obat Antituberkulosis FDC Kategori 1 paket - - - - - 0 0 0 0 0 0 0
309 Obat Antituberkulosis FDC Kategori 2 paket - - - - - 0 0 0 0 0 0 0
310 Obat Antituberkulosis FDC Kategori Anak paket - - - - - 0 0 0 0 0 0 0
311 Obat Antituberkulosis FDC Sisipan paket - - - - - 0 0 0 0 0 0 0
312 Obat Antituberkulosis Kategori 1 dewasa paket - - - - - 0 0 0 0 0 0 0
313 Obat Antituberkulosis Kategori anak paket - - - - - 0 0 0 0 0 0 0
314 Obat Batuk Hitam (OBH) cairan btl 2 - - 2 - 1 0 0 1 0 2 1
315 Ofloxacin tablet 200 mg tab - - - - - 0 0 0 0 0 0 0
316 Ofloxacin tablet 400 mg tab - - - - - 0 0 0 0 0 0 0
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl - - - - - 0 0 0 0 0 0 0
318 Oksitetrasiklin HCl salep mata 1% tube - - - - 3 0 0 0 0 1 1 1
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp - - - - - 0 0 0 0 0 0 0
320 Oksitetrasiklin salep kulit 3% tube - - - - 5 0 0 0 0 1 1 1
321 Oksitosin injeksi 10 IU/ml~1 ml amp - - - - 3 0 0 0 0 1 1 1
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp - - - - - 0 0 0 0 0 0 0
323 Omeprazol inj 40 mg/10 ml vial - - - - - 0 0 0 0 0 0 0
324 Omeprazol kapsul/kaplet 20 mg kaps - - - - - 0 0 0 0 0 0 0
325 Ondansentron injeksi 4 mg/2 ml amp - - - - - 0 0 0 0 0 0 0
326 Ondansentron tablet 4 mg tab - - - - - 0 0 0 0 0 0 0
327 Oseltamivir kapsul/kaplet 75 mg kaps - - - - - 0 0 0 0 0 0 0
328 Papaverin injeksi 40 mg/ml amp - - - - - 0 0 0 0 0 0 0
329 Papaverin tablet 40 mg tab - - - - - 0 0 0 0 0 0 0
330 Parasetamol drops 60 mg/0,6 ml btl - - - - 5 0 0 0 0 1 1 1
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl - - - - - 0 0 0 0 0 0 0
332 Parasetamol sirup 120 mg/5 ml btl 17 - 3 14 - 1 0 1 1 0 3 1
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl - - - - - 0 0 0 0 0 0 0
334 Parasetamol tablet 100 mg tab - - - - - 0 0 0 0 0 0 0
335 Parasetamol tablet 500 mg tab 300 - 120 180 120 1 0 1 1 1 4 1
336 Parasetamol tablet 500 mg (Sanmol) tab - - - - - 0 0 0 0 0 0 0
337 Perak Sulfadiazim Krim 1% tube - - - - - 0 0 0 0 0 0 0
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube - - - - - 0 0 0 0 0 0 0
339 Perfenazin tablet 4 mg (HCl) tab - - - - - 0 0 0 0 0 0 0
340 Permetrin krim 5% tube - - - - - 0 0 0 0 0 0 0
341 Permetrin krim 5% (Scabimite) tube - - - - - 0 0 0 0 0 0 0
342 Petidin injeksi 50 mg/ml amp - - - - - 0 0 0 0 0 0 0
343 Pimtracol sirup btl - - - - - 0 0 0 0 0 0 0
344 Piracetam injeksi 1 g/5 ml amp - - - - - 0 0 0 0 0 0 0
345 Piracetam injeksi 3 g/15 ml amp - - - - - 0 0 0 0 0 0 0
346 Piracetam tablet 1200 mg tab - - - - - 0 0 0 0 0 0 0
347 Piracetam tablet 400 mg tab - - - - - 0 0 0 0 0 0 0
348 Piracetam tablet 800 mg tab - - - - - 0 0 0 0 0 0 0
349 Pirantel suspensi 125 mg/5 ml btl - - - - - 0 0 0 0 0 0 0
350 Pirantel tablet score (base) 125 mg tab - - - - - 0 0 0 0 0 0 0
351 Pirazinamid tablet 500 mg tab - - - - - 0 0 0 0 0 0 0
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50 - - 50 150 1 0 0 1 1 3 1
353 Piridoksin injeksi 100 mg/ml amp - - - - - 0 0 0 0 0 0 0
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps - - - - - 0 0 0 0 0 0 0
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps - - - - 200 0 0 0 0 1 1 1
356 Polikresulen cairan btl - - - - - 0 0 0 0 0 0 0
357 Polikresulen cairan (Albothyl) btl - - - - - 0 0 0 0 0 0 0
358 Povidon Iodida larutan 10% 1000 ml btl - - - - - 0 0 0 0 0 0 0
359 Povidon Iodida larutan 10% 30 ml btl - - - - - 0 0 0 0 0 0 0
360 Povidon Iodida larutan 10% 300 ml btl - - - - - 0 0 0 0 0 0 0
361 Povidon Iodida larutan 10% 60 ml btl - - - - 1 0 0 0 0 1 1 1
362 Pravastatin tablet 20 mg tab - - - - - 0 0 0 0 0 0 0
363 Prednison tablet 5 mg tab - - - - 100 0 0 0 0 1 1 1
364 Primakuin tablet 15 mg tab - - - - - 0 0 0 0 0 0 0
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial - - - - - 0 0 0 0 0 0 0
Peneri Pema Stok Permin- HOME
No NAMA BARANG SAT Stok Awal Ket
maan kaian Akhir taan
366 Prolacta baby kaps - - - - - 0 0 0 0 0 0 0
367 Propanolol tablet 10 mg (HCl) tab - - - - - 0 0 0 0 0 0 0
368 Propanolol tablet 40 mg (HCl) tab - - - - - 0 0 0 0 0 0 0
369 Propiltiourasil tablet 100 mg (PTU) tab - - - - - 0 0 0 0 0 0 0
370 Ramipril tablet 2,5 mg tab - - - - - 0 0 0 0 0 0 0
371 Ramipril tablet 5 mg tab - - - - - 0 0 0 0 0 0 0
372 Ranitidin injeksi 25 mg/ml amp - - - - - 0 0 0 0 0 0 0
373 Ranitidin injeksi 50 mg/2ml amp - - - - - 0 0 0 0 0 0 0
374 Ranitidin tablet 150 mg tab 320 - 220 100 - 1 0 1 1 0 3 1
375 Reserpin tablet 0,10 mg tab - - - - - 0 0 0 0 0 0 0
376 Reserpin tablet 0,25 mg tab - - - - - 0 0 0 0 0 0 0
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps - - - - - 0 0 0 0 0 0 0
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps - - - - - 0 0 0 0 0 0 0
379 Rifampisin kapsul/kaplet 300 mg kapl - - - - - 0 0 0 0 0 0 0
380 Rifampisin kapsul/kaplet 600 mg kapl - - - - - 0 0 0 0 0 0 0
381 Rifampisin tablet salut 450 mg tab - - - - - 0 0 0 0 0 0 0
382 Ringer Laktat (RL) larutan infus btl - - - - 2 0 0 0 0 1 1 1
383 Risperidon tablet 1 mg tab - - - - - 0 0 0 0 0 0 0
384 Risperidon tablet 2 mg tab - - - - - 0 0 0 0 0 0 0
385 Risperidon tablet 3 mg tab - - - - - 0 0 0 0 0 0 0
386 Salbutamol inhalasi/aerosol
Salbutamol cairan (As.sulfat)100
2,5mcg/dosis
mg (Ventolin Nebules)
(Ventolin btl - - - - - 0 0 0 0 0 0 0
387 Inhaler) btl - - - - - 0 0 0 0 0 0 0
388 Salbutamol tablet 2 mg (sebagai sulfat) tab - - - - - 0 0 0 0 0 0 0
389 Salbutamol
Salep 2~4 , tablet 4 mg (sebagai
Kombinasi: sulfat)2% + Belerang
Asam Salisilat tab - - - - 100 0 0 0 0 1 1 1
390 endap 4% pot - - - - 5 0 0 0 0 1 1 1
391 Salisil Bedak 2 % ktk - - - - 5 0 0 0 0 1 1 1
392 Sanbe Plex drop btl - - - - - 0 0 0 0 0 0 0
393 Sefadroksil kapsul/kaplet 250 mg kaps - - - - - 0 0 0 0 0 0 0
394 Sefadroksil kapsul/kaplet 500 mg kaps - - - - - 0 0 0 0 0 0 0
395 Sefadroksil sirup kering 125 mg/5ml btl - - - - - 0 0 0 0 0 0 0
396 Sefaleksin kapsul/kaplet 250 mg kaps - - - - - 0 0 0 0 0 0 0
397 Sefaleksin kapsul/kaplet 500 mg kaps - - - - - 0 0 0 0 0 0 0
398 Sefazolin injeksi 1 g amp - - - - - 0 0 0 0 0 0 0
399 Sefiksim 400 mg + Azitromisin 1000 mg tab - - - - - 0 0 0 0 0 0 0
400 Sefiksim kapsul/kaplet 100 mg kaps - - - - - 0 0 0 0 0 0 0
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl - - - - - 0 0 0 0 0 0 0
402 Sefotaksim injeksi 0,5 g amp - - - - - 0 0 0 0 0 0 0
403 Sefotaksim injeksi 1 g vial - - - - - 0 0 0 0 0 0 0
404 Seftazidim injeksi 1 g amp - - - - - 0 0 0 0 0 0 0
405 Seftriakson injeksi 1 g amp - - - - - 0 0 0 0 0 0 0
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp - - - - - 0 0 0 0 0 0 0
407 Serum ABU I vial - - - - - 0 0 0 0 0 0 0
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp - - - - 10 0 0 0 0 1 1 1
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab - - - - 200 0 0 0 0 1 1 1
410 Simetidin injeksi (Ulsikur) amp - - - - - 0 0 0 0 0 0 0
411 Simetidin tablet 200 mg tab - - - - - 0 0 0 0 0 0 0
412 Simvastatin tablet 10 mg tab - - - - - 0 0 0 0 0 0 0
413 Simvastatin tablet 20 mg tab - - - - 100 0 0 0 0 1 1 1
414 Simvastatin tablet 5 mg tab - - - - - 0 0 0 0 0 0 0
415 Siprofloksasin infus 2% btl - - - - - 0 0 0 0 0 0 0
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab - - - - - 0 0 0 0 0 0 0
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab - - - - 100 0 0 0 0 1 1 1
418 Spasminal tablet tab - - - - - 0 0 0 0 0 0 0
419 Spiramisin tablet 500 mg tab - - - - - 0 0 0 0 0 0 0
420 Spironolakton tablet 100 mg tab - - - - - 0 0 0 0 0 0 0
421 Spironolakton tablet 25 mg tab - - - - - 0 0 0 0 0 0 0
422 Stavudin tablet 30 mg tab - - - - - 0 0 0 0 0 0 0
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl - - - - - 0 0 0 0 0 0 0
424 Sukralfat susp 500 mg/5 ml btl - - - - - 0 0 0 0 0 0 0
425 Sulfasalazin tablet 500 mg tab - - - - - 0 0 0 0 0 0 0
426 Sulfasetamida Natrium tetes mata 15% btl - - - - - 0 0 0 0 0 0 0
427 Suprabion sirup btl - - - - - 0 0 0 0 0 0 0
428 Tamoksifen tablet 20 mg tab - - - - - 0 0 0 0 0 0 0
429 Teofillin tablet 150 mg (Bronsolvon) tab - - - - - 0 0 0 0 0 0 0
430 Terbutalin Sulfat 2,5 mg (Molasma) tab - - - - - 0 0 0 0 0 0 0
431 Tetrakain HCl tetes mata 0,5% btl - - - - - 0 0 0 0 0 0 0
432 Tetrasiklin kapsul/kaplet 250 mg kaps - - - - - 0 0 0 0 0 0 0
433 Tetrasiklin kapsul/kaplet 500 mg kaps - - - - - 0 0 0 0 0 0 0
434 Thyrosol tablet tab - - - - - 0 0 0 0 0 0 0
435 Tiamfenikol kapsul/kaplet 250 mg kaps - - - - - 0 0 0 0 0 0 0
436 Tiamfenikol kapsul/kaplet 500 mg kaps - - - - 100 0 0 0 0 1 1 1
437 Tiamfenikol sirup 125 mg/ml btl - - - - - 0 0 0 0 0 0 0
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab - - - - 200 0 0 0 0 1 1 1
439 Tiamin (Vitamin B1) 100 mg tablet tab - - - - - 0 0 0 0 0 0 0
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp - - - - - 0 0 0 0 0 0 0
441 Timolol tetes mata 0,5% btl - - - - - 0 0 0 0 0 0 0
442 Tramadol injeksi 50 mg/ml amp - - - - - 0 0 0 0 0 0 0
443 Tramadol kapsul/kaplet/tablet 50 mg kaps - - - - - 0 0 0 0 0 0 0
444 Trifaneuron kapl - - - - - 0 0 0 0 0 0 0
445 Trifluoperazin tablet 5 mg tab - - - - - 0 0 0 0 0 0 0
446 Triheksifenidil tablet 2 mg tab - - - - - 0 0 0 0 0 0 0
447 Trolit sase - - - - - 0 0 0 0 0 0 0
448 Valsartan tablet 80 mg tab - - - - - 0 0 0 0 0 0 0
449 Verapamil tablet 80 mg (HCl) tab - - - - - 0 0 0 0 0 0 0
450 Vicillin inj. 1 gr vial - - - - - 0 0 0 0 0 0 0
451 Vitamin B Kompleks tablet tab 320 - 170 150 150 1 0 1 1 1 4 1
452 Zamel drop btl - - - - - 0 0 0 0 0 0 0
453 Zamel sirup btl - - - - - 0 0 0 0 0 0 0
454 Zidovudin tablet 100 mg tab - - - - - 0 0 0 0 0 0 0
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab - - - - - 0 0 0 0 0 0 0
456 Zinc drop 10 mg/ml btl - - - - - 0 0 0 0 0 0 0
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl - - - - - 0 0 0 0 0 0 0
458 Zinc tablet 20 mg tab - - - - 100 0 0 0 0 1 1 1
1 0 0 0 0 1 1
B BAHAN MEDIS HABIS PAKAI 1 0 0 0 0 1 1
1 Absorben paper point (Indodent) pcs - - - - - 0 0 0 0 0 0 0
Peneri Pema Stok Permin- HOME
No NAMA BARANG SAT Stok Awal Ket
maan kaian Akhir taan
2 Alat suntik insulin 1ml set - - - - - 0 0 0 0 0 0 0
3 Alat suntik sekali pakai 1 ml set - - - - 5 0 0 0 0 1 1 1
4 Alat suntik sekali pakai 2,5 ml set - - - - - 0 0 0 0 0 0 0
5 Alat suntik sekali pakai 3 ml set 20 - 20 - 50 1 0 1 0 1 3 1
6 Alat suntik sekali pakai 5 ml set 5 - 5 - 3 1 0 1 0 1 3 1
7 Alat suntik sekali pakai 10 ml (OneMed) set - - - - - 0 0 0 0 0 0 0
8 Alat suntik sekali pakai 20 ml set - - - - - 0 0 0 0 0 0 0
9 Alkohol gel (Aseptic Gel) btl - - - - 1 0 0 0 0 1 1 1
10 Articulating
Bahan paper
tumpatan sementara larutan, serbuk
ktk - - - - - 0 0 0 0 0 0 0
11 (Caviton) tube - - - - - 0 0 0 0 0 0 0
12 Blood lancet pcs - - - - - 0 0 0 0 0 0 0
13 Blood tranfusion set set - - - - - 0 0 0 0 0 0 0
14 Bonding btl - - - - - 0 0 0 0 0 0 0
15 Catgut Chromic no 2/0 set - - - - - 0 0 0 0 0 0 0
16 Catgut Chromic no 3/0 set - - - - - 0 0 0 0 0 0 0
17 Catgut Plain no 2/0 set - - - - 3 0 0 0 0 1 1 1
18 Catgut Plain no 3/0 set - - - - - 0 0 0 0 0 0 0
19 Cotton roll (Prodental) bks - - - - - 0 0 0 0 0 0 0
20 Dermafix 10 x 8 cm pcs - - - - - 0 0 0 0 0 0 0
21 Dermafix 5 x 7 cm pcs - - - - - 0 0 0 0 0 0 0
22 Desinfektan Klorin 500 ml btl - - - - - 0 0 0 0 0 0 0
23 Disposafe Safety Box 2,5 L box - - - - 1 0 0 0 0 1 1 1
24 Disposafe Safety Box 5 L box - - - - - 0 0 0 0 0 0 0
25 Etakridin larutan 0,1% (rivanol) btl - - - - - 0 0 0 0 0 0 0
26 Etanol 70% cairan (100 ml) btl - - - - - 0 0 0 0 0 0 0
27 Etanol 70% cairan (1000 ml) btl - - - - 1 0 0 0 0 1 1 1
28 Etanol 95% cairan (1 L) btl - - - - - 0 0 0 0 0 0 0
29 Etching btl - - - - - 0 0 0 0 0 0 0
30 Etil Klorida spray btl - - - - 1 0 0 0 0 1 1 1
31 Eugenol cairan btl - - - - - 0 0 0 0 0 0 0
32 Fixomull stretch 10 cm x 5 m rol - - - - - 0 0 0 0 0 0 0
33 Fixomull stretch 5 cm x 5 m rol - - - - - 0 0 0 0 0 0 0
34 Foley Catheter (16) set - - - - - 0 0 0 0 0 0 0
35 Foley Catheter (18) set - - - - - 0 0 0 0 0 0 0
36 Foley Catheter (20) set - - - - - 0 0 0 0 0 0 0
37 Foley Catheter (22) set - - - - - 0 0 0 0 0 0 0
38 Foley Catheter (24) set - - - - - 0 0 0 0 0 0 0
39 Foley Catheter (24) set - - - - - 0 0 0 0 0 0 0
40 Formokresol cairan btl - - - - - 0 0 0 0 0 0 0
41 Glass Ionomer Cement ART btl - - - - - 0 0 0 0 0 0 0
42 Guedel Airway No. 000 / Oropharyngeal pcs - - - - - 0 0 0 0 0 0 0
43 Guedel Airway No. 2 / Oropharyngeal pcs - - - - - 0 0 0 0 0 0 0
44 Handrub 500 ml btl 4 - 1 3 - 1 0 1 1 0 3 1
45 Handscoon (uk 7~7,5) psg - - - - - 0 0 0 0 0 0 0
46 Handscoon (uk S,M,L) pcs 136 - 60 76 - 1 0 1 1 0 3 1
47 Handscoon / Sarung Tangan Obgyn psg - - - - - 0 0 0 0 0 0 0
48 H2O2 3% 1000 ml btl - - - - - 0 0 0 0 0 0 0
49 H2O2 3% 800 ml btl - - - - - 0 0 0 0 0 0 0
50 H2O2 3% 100 ml btl - - - - - 0 0 0 0 0 0 0
51 Infusion set anak set - - - - 2 0 0 0 0 1 1 1
52 Infusion set dewasa set - - - - 2 0 0 0 0 1 1 1
53 IV Cannula With Safety Wings No. 24 set - - - - - 0 0 0 0 0 0 0
54 IV Catheter No. 16 G set - - - - - 0 0 0 0 0 0 0
55 IV Catheter No. 18 G set - - - - - 0 0 0 0 0 0 0
56 IV Catheter No. 20 G set - - - - - 0 0 0 0 0 0 0
57 IV Catheter No. 22 G set - - - - - 0 0 0 0 0 0 0
58 IV Catheter No. 24 G set - - - - - 0 0 0 0 0 0 0
59 IV Catheter No. 26 G set - - - - - 0 0 0 0 0 0 0
60 Kacamata Goggle unit - - - - - 0 0 0 0 0 0 0
61 Kalsium Hidroksida Pasta ktk - - - - - 0 0 0 0 0 0 0
62 Kapas 500 gr bks - - - - - 0 0 0 0 0 0 0
63 Kapas Pembalut/Absorben 250 gram bks - - - - 1 0 0 0 0 1 1 1
64 Kapas Berlemak 500 gram bks - - - - - 0 0 0 0 0 0 0
65 Kasa 2 x 80 cm rol - - - - - 0 0 0 0 0 0 0
66 Kasa 40 x 40 cm rol - - - - - 0 0 0 0 0 0 0
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 60 - - 60 - 1 0 0 1 0 2 1
68 Kasa Hidrofil uk. 36 m x 80 cm rol - - - - - 0 0 0 0 0 0 0
69 Kasa Hidrofil uk. 40 m x 80 cm rol - - - - - 0 0 0 0 0 0 0
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol - - - - - 0 0 0 0 0 0 0
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol - - - - - 0 0 0 0 0 0 0
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol - - - - - 0 0 0 0 0 0 0
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol - - - - - 0 0 0 0 0 0 0
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol - - - - - 0 0 0 0 0 0 0
75 Kasa Pembalut Elastis 3 inchi rol - - - - - 0 0 0 0 0 0 0
76 Kasa Pembalut Elastis 4 inchi rol - - - - - 0 0 0 0 0 0 0
77 Kasa Pembalut Elastis 6 inchi rol - - - - - 0 0 0 0 0 0 0
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol - - - - - 0 0 0 0 0 0 0
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10 - - 10 - 1 0 0 1 0 2 1
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol - - - - 5 0 0 0 0 1 1 1
81 Kertas Puyer lbr - - - - - 0 0 0 0 0 0 0
82 Kit Gown set - - - - - 0 0 0 0 0 0 0
83 Klorfenol Kamfer Menthol (CHKM) cairan btl - - - - - 0 0 0 0 0 0 0
84 Komposit resin btl - - - - - 0 0 0 0 0 0 0
85 Lysol 1 Liter btl - - - - - 0 0 0 0 0 0 0
86 Lubricating jelly tube 1 - - 1 - 1 0 0 1 0 2 1
87 Masker set 6 - 6 - 50 1 0 1 0 1 3 1
88 Masker Kain set - - - - - 0 0 0 0 0 0 0
89 Masker N95 set - - - - - 0 0 0 0 0 0 0
90 Masker Nebulizer Anak set - - - - - 0 0 0 0 0 0 0
91 Masker Nebulizer Dewasa set - - - - - 0 0 0 0 0 0 0
92 Masker Oksigen Anak set - - - - - 0 0 0 0 0 0 0
93 Masker Oksigen Bayi set - - - - - 0 0 0 0 0 0 0
94 Masker Oksigen Dewasa set - - - - - 0 0 0 0 0 0 0
95 Mess silet / Surgical Blade pcs - - - - - 0 0 0 0 0 0 0
96 Mummifying Pasta btl - - - - - 0 0 0 0 0 0 0
97 Nurse Cap pcs - - - - - 0 0 0 0 0 0 0
Peneri Pema Stok Permin- HOME
No NAMA BARANG SAT Stok Awal Ket
maan kaian Akhir taan
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit - - - - - 0 0 0 0 0 0 0
99 Pakaian Pelindung Coverall Reusable unit - - - - - 0 0 0 0 0 0 0
100 Plester 5 cm x 4,5 m rol - - - - - 0 0 0 0 0 0 0
101 Plester 5 cm x 4,5 m (Leukoplast) rol - - - - - 0 0 0 0 0 0 0
102 Plester 7,5 cm x 4,5 m rol - - - - - 0 0 0 0 0 0 0
103 Plester 5 cm x 5 m (Ultrafix) rol - - - - - 0 0 0 0 0 0 0
104 Plester 5 yards x 5 inch rol - - - - - 0 0 0 0 0 0 0
105 Semen Seng Fosfat serbuk dan cairan btl - - - - - 0 0 0 0 0 0 0
106 Selang Oksigen Anak (Oxyflow) pcs - - - - - 0 0 0 0 0 0 0
107 Selang Oksigen Bayi (Oxyflow) pcs - - - - - 0 0 0 0 0 0 0
108 Selang Oksigen Dewasa (Oxyflow) pcs - - - - - 0 0 0 0 0 0 0
109 Selulosa strip pcs - - - - - 0 0 0 0 0 0 0
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set - - - - 5 0 0 0 0 1 1 1
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set - - - - - 0 0 0 0 0 0 0
112 Spalk Kaki Anak pcs - - - - - 0 0 0 0 0 0 0
113 Spalk Kaki Dewasa pcs - - - - - 0 0 0 0 0 0 0
114 Spalk Tangan Anak pcs - - - - - 0 0 0 0 0 0 0
115 Spalk Tangan Bayi pcs - - - - - 0 0 0 0 0 0 0
116 Spalk Tangan Dewasa pcs - - - - - 0 0 0 0 0 0 0
117 Sofra tulle pcs - - - - - 0 0 0 0 0 0 1
118 Stomach Tube (NGT) no 16 tube - - - - - 0 0 0 0 0 0 1
119 Stomach Tube (NGT) no 18 tube - - - - - 0 0 0 0 0 0 0
120 Stomach Tube (NGT) no 20 tube - - - - - 0 0 0 0 0 0 0
121 Suction Catheter No. 10 set - - - - - 0 0 0 0 0 0 0
122 Temporary Stopping Fletcher serbuk dan cairan btl - - - - - 0 0 0 0 0 0 0
123 Tooth cleanshing tincture (OCO) btl - - - - - 0 0 0 0 0 0 0
124 Trikresol Formalin (TKF) Cairan btl - - - - - 0 0 0 0 0 0 0
125 Ultrasonic Gel btl - - - - - 0 0 0 0 0 0 0
126 Underpad pcs - - - - - 0 0 0 0 0 0 0
127 Urine Bag set - - - - - 0 0 0 0 0 0 0
128 Urocare set - - - - - 0 0 0 0 0 0 0
129 Wing Needle No set - - - - - 0 0 0 0 0 0 0
1 0 0 0 0 1 1
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN 1 0 0 0 0 1 1
1 Alkohol swab - 400 - 400 - - 1 0 1 0 0 2 1
2 - - - - - - - 0 0 0 0 0 0 0
3 - - - - - - - 0 0 0 0 0 0 0
4 - - - - - - - 0 0 0 0 0 0 0
5 - - - - - - - 0 0 0 0 0 0 0
6 - - - - - - - 0 0 0 0 0 0 0
7 - - - - - - - 0 0 0 0 0 0 0
8 - - - - - - - 0 0 0 0 0 0 0
9 - - - - - - - 0 0 0 0 0 0 0
10 - - - - - - - 0 0 0 0 0 0 0
11 - - - - - - - 0 0 0 0 0 0 0
12 - - - - - - - 0 0 0 0 0 0 0
13 - - - - - - - 0 0 0 0 0 0 0
14 - - - - - - - 0 0 0 0 0 0 0
15 - - - - - - - 0 0 0 0 0 0 0
16 - - - - - - - 0 0 0 0 0 0 0
17 - - - - - - - 0 0 0 0 0 0 0

4,643 SUM STOK AWAL


KEPALA PUSKESMAS PANARUKAN Pengelola Obat Puskesmas Penanggung Jawab #VALUE! SUM STOK AKHIR
Unit Pelayanan - PENERIMAAN
1,868 PEMAKAIAN

dr.YUNI VEROSITA INDAH PENI Y, S.Farm.,Apt YENY SOFIA AKHMAD


NIP : 198208202009031010 NIP : 198607222019032002 NIP :
LAPORAN BULANAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (PELEYA
(LPLPO)

Sub Unit Pelayanan : PELEYAN Bulan : DESEMBER Tahun : 2023


Puskesmas : PANARUKAN
Kecamatan : PANARUKAN
Kabupaten : SITUBONDO No GFK : Tgl : 31-12-2023
Provinsi : JAWA TIMUR

PENGELUARAN STOK PERMI


STOK PENERIM PERSEDI SISA
NO NAMA OBAT SATUAN PEMAKAI OPTIMU NTAA
AWAL AAN AAN RETUR TOTAL AKHIR
AN M N

A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp - - - - - - - - -
2 Acarbose tab 50 mg tab - - - - - - - - -
3 Acarbose tab 100 mg tab - - - - - - - - -
4 Albendazol suspensi 200 mg/5 ml btl - - - - - - - - -
5 Albendazol tablet 400 mg tab - - - - - - - - -
6 Alinamin F injeksi amp - - - - - - - - -
7 Alinamin F tablet tab - - - - - - - - -
8 Alopurinol tablet 100 mg tab 120 - 120 40 - 40 80 200 120
9 Alopurinol tablet 300 mg tab - - - - - - - - -
10 Alprazolam tablet 0,25 mg tab - - - - - - - - -
11 Alprazolam tablet 0,5 mg tab - - - - - - - - -
12 Alprazolam tablet 1 mg tab - - - - - - - - -
13 Ambroxol sirup 15 mg/ml btl - - - - - - - - -
14 Ambroxol tablet 30 mg tab - - - - - - - 200 -
15 Aminofilin injeksi 24 mg/ml~10 ml amp - - - - - - - 1 -
16 Aminofilin tablet 150 mg tab - - - - - - - - -
17 Aminofilin tablet 200 mg tab - - - - - - - - -
18 Amiodarone hidrocloride 200 mg tab - - - - - - - - -
19 Amitriptilin tablet salut 25 mg (HCl) tab - - - - - - - - -
20 Amlodipin tablet 10 mg tab - - - - - - - - -
21 Amlodipin tablet 5 mg tab 20 - 20 - - - 20 - -
22 Amoksisilin + As. Klavulanat 625 mg tablet tab - - - - - - - - -
23 Amoksisilin kapsul/kaplet 250 mg kapl - - - - - - - - -
24 Amoksisilin kapsul/kaplet 500 mg kapl 50 - 50 30 - 30 20 300 280
25 Amoksisilin serbuk injeksi 1000 mg vial - - - - - - - - -
26 Amoksisilin sirup kering 125 mg/5 ml btl - - - - - - - 10 10
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial - - - - - - - - -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial - - - - - - - - -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart - - - - -
novorapid flexpen) flexpen - - - -
30 Antasida tablet kunyah tab 120 - 120 90 - 90 30 300 270
31 Antasida suspensi btl - - - - - - - 10 10
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g + - - - - -
PolimiksinDOEN
Antifungi 10.000 IU/g
Kombinasi: Asam Benzoat 6% + Asam tube - - - -
33 Salisilat 3% pot - - - - - - - - -
Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg
34
Heksaklorofen 2,5 mg
- - - - -
supp - - - -

35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg - - - - -


Sulfadoksin tablet 500 mg tab - - - -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 mg tab - - - - - - - - -
37 Antiparkinson DOEN Tab Komb Levodopa 100 mg, - - - - -
Benserazid HCl 25 mg tab - - - -
38 Aqua pro injeksi steril, bebas pirogen amp - - - - - - - - -
39 Artemether injeksi 80 mg/ml amp - - - - - - - - -
40 Artesunate
Articaine injeksi
HCL 4% +60Epinefrin
mg 1:100.000 injeksi
vial - - - - - - - - -
41 (Turbocaina) katrid - - - - - - - - -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab - - - - - - - - -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab - - - - - - - - -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab - - - - - - - - -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab - - - - - - - - -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab - - - - - - - - -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab 60 - 60 20 - 20 40 - -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 720 - 720 250 - 250 470 300 200
49 Asam Folat tablet 1 mg tab - - - - - - - - -
PENGELUARAN STOK PERMI
STOK PENERIM PERSEDI SISA
NO NAMA OBAT SATUAN PEMAKAI OPTIMU NTAA
AWAL AAN AAN RETUR TOTAL AKHIR
AN M N
50 Asam Mefenamat kapsul/kaplet 250 mg kapl - - - - - - - - -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl - - - - - - - 300 300
52 Asam pipemidat kapsul 400 mg kaps - - - - - - - - -
53 Asam Traneksamat inj. amp - - - - - - - - -
54 Asam Traneksamat tablet tab - - - - - - - - -
55 Asiklovir krim 5% tube - - - - - - - 5 5
56 Asiklovir tablet 200 mg tab - - - - - - - - -
57 Asiklovir tablet 400 mg tab - - - - - - - - -
58 Atenolol tablet 100 mg tab - - - - - - - - -
59 Atenolol tablet 50 mg tab - - - - - - - - -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp - - - - - - - - -
61 Atropin Sulfat tablet 0,5 mg tab - - - - - - - - -
62 Attapulgit tablet 600 mg tab 50 - 50 - - - 50 100 50
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial - - - - - - - - -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial - - - - - - - - -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet 200 - - 100 -
tambah darah kombinasi) tab 200 - - 200
66 Betahistin Mesilat tablet 6 mg tab - - - - - - - - -
67 Betametason krim 0,1% (sebagai valerat) tube - - - - - - - - -
68 Bioplacenton salep tube - - - - - - - - -
69 Bioplacenton tulle pcs - - - - - - - - -
70 Bisakodil suppositoria 10 mg supp - - - - - - - - -
71 Bisoprolol fumarat 2,5 mg tab - - - - - - - - -
72 Bisoprolol tablet 5 mg tab - - - - - - - - -
73 Bromheksin tablet 8 mg tab - - - - - - - - -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp - - - - - - - - -
75 Candesartan cilexetil 16 mg tab - - - - - - - - -
76 Candesartan cilexetil 8 mg tab - - - - - - - - -
77 Cetirizine sirup 5 mg/5 ml btl - - - - - - - - -
78 Cetirizine tablet 10 mg tab - - - - - - - 100 100
79 Citicoline 125 mg/ml amp - - - - - - - - -
80 Clobazam tablet 10 mg tab - - - - - - - - -
81 Clobetasol krim 0,05% tube - - - - - - - - -
82 Combifen sirup btl - - - - - - - - -
83 Coparcetin sirup btl - - - - - - - - -
84 Coparcetin tablet tab - - - - - - - - -
85 Dapson tablet 100 mg tab - - - - - - - - -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp - - - - - - - 10 10
87 Deksametason tablet 0,5 mg tab 120 - 120 190 - 190 (70) 200 270
88 Dekstran 70 ~ larutan infus 6% steril btl - - - - - - - - -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl - - - - - - - - -
90 Dekstrometorfan tablet 15 mg (HBr) tab - - - - - - - - -
91 Devitalisasi Pasta btl - - - - - - - - -
92 Dexanta tablet tab - - - - - - - - -
93 Diazepam injeksi 5 mg/ml amp - - - - - - - - -
94 Diazepam injeksi 10 mg/ml amp - - - - - - - - -
95 Diazepam larutan rectal 10 mg/2,5 ml tube - - - - - - - - -
96 Diazepam larutan rectal 5 mg/2,5 ml tube - - - - - - - - -
97 Diazepam supp supp - - - - - - - - -
98 Diazepam tablet 2 mg tab - - - - - - - - -
99 Diazepam tablet 5 mg tab - - - - - - - - -
100 Dietilkarbamazin sitrat tablet 100 mg tab - - - - - - - - -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 8 - 8 6 - 6 2 10 8
102 Digoksin injeksi 0,25 mg/ml amp - - - - - - - - -
103 Digoksin tablet 0,25 mg tab - - - - - - - - -
104 Diltiazem HCl tablet 30 mg tab - - - - - - - - -
105 Dimenhidrinat tablet 50 mg tab - - - - - - - - -
106 Doksisiklin kapsul/kaplet 100 mg kaps - - - - - - - - -
107 Domperidon drop 5 mg/ml btl - - - - - - - - -
108 Domperidon suspensi 5 mg/5 ml btl - - - - - - - - -
109 Domperidon tablet 10 mg tab - - - - - - - - -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp - - - - - - - - -
111 Efedrin tablet 25 mg (HCl) tab - - - - - - - - -
112 Ekstraks Belladona tablet 10 mg tab - - - - - - - - -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp - - - - - - - 1 1
PENGELUARAN STOK PERMI
STOK PENERIM PERSEDI SISA
NO NAMA OBAT SATUAN PEMAKAI OPTIMU NTAA
AWAL AAN AAN RETUR TOTAL AKHIR
AN M N
114 Eritromisin kapsul/kaplet 250 mg kaps - - - - - - - - -
115 Eritromisin kapsul/kaplet 500 mg kaps - - - - - - - - -
116 Eritromisin sirup 200 mg/5 ml btl - - - - - - - - -
117 Etambutol tablet 250 mg (HCl) tab - - - - - - - - -
118 Etambutol tablet salut 500 mg (HCl) tab - - - - - - - - -
119 Famotidine tablet 20 mg tab - - - - - - - - -
120 Famotidine tablet 40 mg tab - - - - - - - - -
121 Fe Sirup / Besi sirup btl - - - - - - - - -
122 Fenilbutason tablet 200 mg tab - - - - - - - - -
123 Fenitoin kapsul/kaplet 100 mg kaps - - - - - - - - -
124 Fenitoin Natrium injeksi 50 mg/ml amp - - - - - - - - -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps - - - - - - - - -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp - - - - - - - - -
127 Fenobarbital tablet 100 mg tab - - - - - - - - -
128 Fenobarbital tablet 30 mg tab - - - - - - - - -
129 Fenoksimetil Penisilin tablet 250 mg tab - - - - - - - - -
130 Fenoksimetil Penisilin tablet 500 mg tab - - - - - - - - -
131 Fenol Gliserol tetes telinga 10% btl - - - - - - - - -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab - - - - - - - 100 100
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp - - - - - - - 3 3
134 Flufenazin inj. i.m. 25 mg/ml amp - - - - - - - - -
135 Flukonazol tablet 150 mg tab - - - - - - - - -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp - - - - - - - - -
137 Furosemid tablet 40 mg tab - - - - - - - - -
138 Garam Oralit I serbuk sac 150 - 150 46 - 46 104 50 -
139 Gastrusid sirup btl - - - - - - - - -
140 Gemfibrozil kapsul/kaplet 300 mg kaps - - - - - - - - -
141 Gemfibrozil tablet 600 mg tab - - - - - - - - -
142 Gentamisin injeksi 40 mg/ml amp - - - - - - - - -
143 Gentamisin injeksi 80 mg/2ml amp - - - - - - - - -
144 Gentamisin salep kulit 0,1% tube - - - - - - - - -
145 Gentamisin salep mata 0,3% tube - - - - - - - - -
146 Gentamisin sulfat tetes mata 0,3% btl - - - - - - - - -
147 Gentian Violet larutan 1% btl - - - - - - - 3 3
148 Glibenklamida tablet 5 mg tab - - - - - - - 100 100
149 Gliklazid tablet 30 mg tab - - - - - - - - -
150 Gliklazid tablet 80 mg tab - - - - - - - - -
151 Glimepiride tablet 1 mg tab - - - - - - - - -
152 Glimepiride tablet 2 mg tab - - - - - - - - -
153 Glimepiride tablet 3 mg tab - - - - - - - - -
154 Glimepiride tablet 4 mg tab - - - - - - - - -
155 Glipizid 10 mg tab - - - - - - - - -
156 Glipizid 5 mg tab - - - - - - - - -
157 Gliquidon tablet 30 mg tab - - - - - - - - -
158 Gliseril Gualakolat tablet 100 mg tab 200 - 200 80 - 80 120 300 300
159 Gliserin larutan 50% btl - - - - - - - - -
160 Glukosa larutan infus 5% steril btl - - - - - - - - -
161 Glukosa larutan infus 10% steril btl - - - - - - - - -
162 Glukosa larutan infus 40% steril btl - - - - - - - - -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl - - - - - - - - -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl - - - - - - - - -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl - - - - - - - - -
166 Griseofulvin tablet 125 mg tab - - - - - - - - -
167 Haloperidol inj 50 mg/ml amp - - - - - - - - -
168 Haloperidol Inj i.m. 5 mg/ml amp - - - - - - - - -
169 Haloperidol tablet 0,5 mg tab - - - - - - - - -
170 Haloperidol tablet 1,5 mg tab - - - - - - - - -
171 Haloperidol tablet 2 mg tab - - - - - - - - -
172 Haloperidol tablet 5 mg tab - - - - - - - - -
173 Hidroklorotiazid (HCT) tablet 25 mg tab - - - - - - - - -
174 Hidrokortison krim 1% tube - - - - - - - - -
175 Hidrokortison krim 2,5% tube 5 - 5 - - - 5 10 5
176 Human tetanus imunuglobin 1 ml (250 iu) syringe - - - - - - - - -
177 Hyoscine~N~Butilbromide injeksi amp - - - - - - - - -
178 Hyoscine~N~Butilbromide tablet 10 mg tab - - - - - - - - -
PENGELUARAN STOK PERMI
STOK PENERIM PERSEDI SISA
NO NAMA OBAT SATUAN PEMAKAI OPTIMU NTAA
AWAL AAN AAN RETUR TOTAL AKHIR
AN M N
179 Ibuprofen suspensi 100 mg/5 ml btl - - - - - - - - -
180 Ibuprofen suspensi 200 mg/5 ml btl - - - - - - - - -
181 Ibuprofen tablet 200 mg tab - - - - - - - - -
182 Ibuprofen tablet 400 mg tab 250 - 250 140 - 140 110 200 200
183 Iodiol kapsul lunak kaps - - - - - - - - -
184 Isoniazid tablet 100 mg tab - - - - - - - - -
185 Isoniazid tablet 300 mg tab - - - - - - - - -
186 Isosorbid Dinitrat tablet 10 mg tab - - - - - - - - -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab - - - - - - - - -
188 Itrakonazol kapsul/kaplet 100 mg kaps - - - - - - - - -
189 Kalium Diklofenak tablet 25 mg tab - - - - - - - - -
190 Kalium Diklofenak tablet 50 mg tab - - - - - - - - -
191 Kalium Permanganat Serbuk btl - - - - - - - - -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 390 - 390 140 - 140 250 300 300
193 Kaptopril tablet 12,5 mg tab - - - - - - - - -
194 Kaptopril tablet 25 mg tab - - - - - - - 200 200
195 Kaptopril tablet 50 mg tab - - - - - - - - -
196 Karbamazepin tablet 200 mg tab - - - - - - - - -
197 Ketokonazol krim 2% tube 9 - 9 1 - 1 8 - -
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl - - - - - - - - -
199 Ketokonazol tablet 200 mg tab - - - - - - - - -
200 Ketoprofen injeksi 100 mg amp - - - - - - - - -
201 Ketoprofen tablet 100 mg tab - - - - - - - - -
202 Ketorolac injeksi 10 mg/ml amp - - - - - - - - -
203 Ketorolac injeksi 30 mg/ml amp - - - - - - - - -
204 Klindamisin kapsul/kaplet 150 mg kaps - - - - - - - - -
205 Klindamisin kapsul/kaplet 300 mg kaps - - - - - - - - -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 260 - 260 80 - 80 #VALUE! 300 ###
207 Klomifen tablet 50 mg tab - - - - - - - - -
208 Klonidin tablet 0,15 mg tab - - - - - - - - -
209 Kloramfenikol kapsul/kaplet 250 mg kaps - - - - - - - - -
210 Kloramfenikol salep mata 1% tube - - - - - - - - -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube - - - - - - - - -
212 Kloramfenikol suspensi 125 mg/5 ml btl - - - - - - - - -
213 Kloramfenikol tetes mata 0,5% btl - - - - - - - 5 5
214 Kloramfenikol tetes telinga 3% btl - - - - - - - 5 5
215 Klorokuin tablet 250 mg tab - - - - - - - - -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp - - - - - - - - -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp - - - - - - - - -
218 Klorpromazin tablet salut 100 mg (HCl) tab - - - - - - - - -
219 Klorpromazin tablet salut 25 mg (HCl) tab - - - - - - - - -
220 Kodein tablet 10 mg tab - - - - - - - - -
221 Kodein tablet 15 mg tab - - - - - - - - -
222 Kodein tablet 20 mg tab - - - - - - - - -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl - - - - -
mcg (Seretide Diskus) - - - -

224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg - - - - -


etilnilestradiol 30 mcg (blister) blister - - - -
Kotrimoksazol 480 mg (dewasa) kombinasi:
225
Sulfametoksazol 400 mg, Trimetoprim 80 mg - - - 100 100
tab - - - -

226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksazol - - - - -


800 mg, Trimetoprim 160 mg tab - - - -

227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + btl - - - - -


Trimetoprim 40 mg/5 ml - - - -
228 Kuinin (Kina) tablet 200 mg tab - - - - - - - - -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp - - - - - - - - -
230 Lacto B sase - - - - - - - - -
231 Lamivudine tablet 150 mg tab - - - - - - - - -
232 Lanzoprazol kapsul/kaplet 30 mg kaps - - - - - - - - -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq, btl - - - - -
Cl 109 mEq, Ca 3 mEq, Asetat 28 mEq) - - - -

234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 gr, btl - - - - -
Dekstrosa 18.75 gr) - - - -
Larutan (KAEN 3B) - mengandung Karbohidrat + Elektrolit
235 (Nacl 1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27 btl - - - - -
gr) - - - -
Larutan (KAEN 3A) - mengandung Karbohidrat + Elektrolit
236 (Nacl 2.34 gr, Na Laktat 2.24 gr, KCL 0.75 gr, Dekstrosa 27 btl - - - - -
gr) - - - -
PENGELUARAN STOK PERMI
STOK PENERIM PERSEDI SISA
NO NAMA OBAT SATUAN PEMAKAI OPTIMU NTAA
AWAL AAN AAN RETUR TOTAL AKHIR
AN M N
237 Levofloksasin tablet 500 mg tab - - - - - - - - -
238 Levoteroksin sodium 100 mg tab - - - - - - - - -
239 Lidokain injeksi 2% amp - - - - - - - 5 5
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml - - - 5 5
(Lidokaininjeksi
Lidokain Comp.2% Inj)(HCl) + Epinefrin 1 : 80.000 ~ 2ml amp - - - -
241 (Pehacain) amp - - - - - - - - -
242 Lidokain jeli 2% (Xylocain) syringe - - - - - - - - -
243 Lidokain semprot 10% (Xylocain) btl - - - - - - - - -
244 Linkomisin kapsul/kaplet 500 mg kaps - - - - - - - - -
245 Lisinopril tablet 10 mg tab - - - - - - - - -
246 Lisinopril tablet 5 mg (Interpril) tab - - - - - - - - -
247 Lomefloksasin HCL tetes mata (Optiflox) btl - - - - - - - - -
248 Loperamid tablet 2 mg tab - - - - - - - 100 100
249 Loratadin tablet 10 mg tab - - - - - - - - -
250 Lorazepam tablet 2 mg tab - - - - - - - - -
251 Losartan 50 mg tab - - - - - - - - -
252 Lytacur sirup btl 20 - 20 20 - 20 - - -
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial - - - - - - - - -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp - - - - - - - 1 1
255 Mebendazol sirup 100 mg/5 ml btl - - - - - - - - -
256 Mebendazol tablet 100 mg tab - - - - - - - - -
257 Meloksikam suppositoria supp - - - - - - - - -
258 Meloksikam tablet 15 mg tab - - - - - - - - -
259 Meloksikam tablet 7,5 mg tab - - - - - - - - -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp - - - - - - - - -
261 Mersibion injeksi 5000 amp - - - - - - - - -
262 Metamizole Na injeksi 500 mg/ml amp - - - - - - - - -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp - - - - - - - - -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp - - - - - - - - -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp - - - - - - - - -
266 Metampiron injeksi 250 mg (antalgin) amp - - - - - - - - -
267 Metampiron tablet 500 mg (antalgin) tab 400 - 400 110 - 110 290 - -
268 Metformin HCl tablet 500 mg tab 70 - 70 20 - 20 50 - -
269 Metformin HCl tablet 850 mg tab - - - - - - - - -
270 Metildopa 250 mg tab - - - - - - - - -
271 Metilergometrin Maleat tablet salut 0,125 mg tab - - - - - - - - -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp - - - - - - - - -
273 Metilprednisolon injeksi 500 mg amp - - - - - - - - -
274 Metilprednisolon tablet 16 mg tab - - - - - - - - -
275 Metilprednisolon tablet 4 mg tab - - - - - - - - -
276 Metilprednisolon tablet 8 mg tab - - - - - - - - -
277 Metoklopramide drop 10 ml btl - - - - - - - - -
278 Metoklopramide injeksi 5 mg/ml amp - - - - - - - - -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp - - - - - - - - -
280 Metoklopramide sirup 5 mg/ 5 ml btl - - - - - - - - -
281 Metoklopramide tablet 10 mg tab - - - - - - - 100 100
282 Metoklopramide tablet 20 mg tab - - - - - - - - -
283 Metoklopramide tablet 5 mg tab - - - - - - - - -
284 Metronidazol infus 500 mg/100 ml btl - - - - - - - - -
285 Metronidazol ovula 500 mg (Vagizol) ovula - - - - - - - - -
286 Metronidazol suppo 500 mg (Flagyl) supp - - - - - - - - -
287 Metronidazol tablet 250 mg tab - - - - - - - - -
288 Metronidazol tablet 500 mg tab 50 - 50 - - - 50 100 50
289 Mikonazol krim/salep 2% (nitrat) tube - - - - - - - - -
290 Mineral Mix, kombinasi sase - - - - - - - - -
291 Momethason krim 0,1% tube - - - - - - - - -
292 Morfin injeksi 10 mg/ml amp - - - - - - - - -
293 Morfin tablet
N~asetil 10 inj
sistein mgNebules 100 mg/ml (N~ace cairan tab - - - - - - - - -
294 inhalasi) amp - - - - - - - - -
295 Natrium bicarbonat inj i.v. 8,4% amp - - - - - - - - -
296 Natrium Diklofenak tablet 25 mg tab - - - - - - - - -
297 Natrium Diklofenak tablet 50 mg tab 120 - 120 - - - 120 200 80
298 Natrium Klorida larutan infus 0,9% (NaCl) btl - - - - - - - 2 2
299 Neurobion 5000 injeksi amp - - - - - - - - -
300 Neurosanbe inj. amp - - - - - - - - -
PENGELUARAN STOK PERMI
STOK PENERIM PERSEDI SISA
NO NAMA OBAT SATUAN PEMAKAI OPTIMU NTAA
AWAL AAN AAN RETUR TOTAL AKHIR
AN M N
301 Nevirapin tablet 200 mg tab - - - - - - - - -
302 Nifedipin 20 mg (Adalat Oros) tab - - - - - - - - -
303 Nifedipin 30 mg (Adalat Oros) tab - - - - - - - - -
304 Nifedipin tablet 10 mg tab - - - - - - - 100 100
305 Nistatin tablet salut 500.000 IU/ g tab - - - - - - - - -
306 Nistatin vaginal tablet 100.000 IU/ g ovula - - - - - - - - -
307 Novabion kaps - - - - - - - - -
308 Obat Antituberkulosis FDC Kategori 1 paket - - - - - - - - -
309 Obat Antituberkulosis FDC Kategori 2 paket - - - - - - - - -
310 Obat Antituberkulosis FDC Kategori Anak paket - - - - - - - - -
311 Obat Antituberkulosis FDC Sisipan paket - - - - - - - - -
312 Obat Antituberkulosis Kategori 1 dewasa paket - - - - - - - - -
313 Obat Antituberkulosis Kategori anak paket - - - - - - - - -
314 Obat Batuk Hitam (OBH) cairan btl 2 - 2 - - - 2 - -
315 Ofloxacin tablet 200 mg tab - - - - - - - - -
316 Ofloxacin tablet 400 mg tab - - - - - - - - -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl - - - - - - - - -
318 Oksitetrasiklin HCl salep mata 1% tube - - - - - - - 3 3
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp - - - - - - - - -
320 Oksitetrasiklin salep kulit 3% tube - - - - - - - 5 5
321 Oksitosin injeksi 10 IU/ml~1 ml amp - - - - - - - 3 3
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp - - - - - - - - -
323 Omeprazol inj 40 mg/10 ml vial - - - - - - - - -
324 Omeprazol kapsul/kaplet 20 mg kaps - - - - - - - - -
325 Ondansentron injeksi 4 mg/2 ml amp - - - - - - - - -
326 Ondansentron tablet 4 mg tab - - - - - - - - -
327 Oseltamivir kapsul/kaplet 75 mg kaps - - - - - - - - -
328 Papaverin injeksi 40 mg/ml amp - - - - - - - - -
329 Papaverin tablet 40 mg tab - - - - - - - - -
330 Parasetamol drops 60 mg/0,6 ml btl - - - - - - - 5 5
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl - - - - - - - - -
332 Parasetamol sirup 120 mg/5 ml btl 17 - 17 3 - 3 14 10 -
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl - - - - - - - - -
334 Parasetamol tablet 100 mg tab - - - - - - - - -
335 Parasetamol tablet 500 mg tab 300 - 300 120 - 120 180 300 120
336 Parasetamol tablet 500 mg (Sanmol) tab - - - - - - - - -
337 Perak Sulfadiazim Krim 1% tube - - - - - - - - -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube - - - - - - - - -
339 Perfenazin tablet 4 mg (HCl) tab - - - - - - - - -
340 Permetrin krim 5% tube - - - - - - - - -
341 Permetrin krim 5% (Scabimite) tube - - - - - - - - -
342 Petidin injeksi 50 mg/ml amp - - - - - - - - -
343 Pimtracol sirup btl - - - - - - - - -
344 Piracetam injeksi 1 g/5 ml amp - - - - - - - - -
345 Piracetam injeksi 3 g/15 ml amp - - - - - - - - -
346 Piracetam tablet 1200 mg tab - - - - - - - - -
347 Piracetam tablet 400 mg tab - - - - - - - - -
348 Piracetam tablet 800 mg tab - - - - - - - - -
349 Pirantel suspensi 125 mg/5 ml btl - - - - - - - - -
350 Pirantel tablet score (base) 125 mg tab - - - - - - - - -
351 Pirazinamid tablet 500 mg tab - - - - - - - - -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50 - 50 - - - 50 200 150
353 Piridoksin injeksi 100 mg/ml amp - - - - - - - - -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps - - - - - - - - -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps - - - - - - - 200 200
356 Polikresulen cairan btl - - - - - - - - -
357 Polikresulen cairan (Albothyl) btl - - - - - - - - -
358 Povidon Iodida larutan 10% 1000 ml btl - - - - - - - - -
359 Povidon Iodida larutan 10% 30 ml btl - - - - - - - - -
360 Povidon Iodida larutan 10% 300 ml btl - - - - - - - - -
361 Povidon Iodida larutan 10% 60 ml btl - - - - - - - 1 1
362 Pravastatin tablet 20 mg tab - - - - - - - - -
363 Prednison tablet 5 mg tab - - - - - - - 100 100
364 Primakuin tablet 15 mg tab - - - - - - - - -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial - - - - - - - - -
PENGELUARAN STOK PERMI
STOK PENERIM PERSEDI SISA
NO NAMA OBAT SATUAN PEMAKAI OPTIMU NTAA
AWAL AAN AAN RETUR TOTAL AKHIR
AN M N
366 Prolacta baby kaps - - - - - - - - -
367 Propanolol tablet 10 mg (HCl) tab - - - - - - - - -
368 Propanolol tablet 40 mg (HCl) tab - - - - - - - - -
369 Propiltiourasil tablet 100 mg (PTU) tab - - - - - - - - -
370 Ramipril tablet 2,5 mg tab - - - - - - - - -
371 Ramipril tablet 5 mg tab - - - - - - - - -
372 Ranitidin injeksi 25 mg/ml amp - - - - - - - - -
373 Ranitidin injeksi 50 mg/2ml amp - - - - - - - - -
374 Ranitidin tablet 150 mg tab 320 - 320 220 - 220 100 100 -
375 Reserpin tablet 0,10 mg tab - - - - - - - - -
376 Reserpin tablet 0,25 mg tab - - - - - - - - -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps - - - - - - - - -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps - - - - - - - - -
379 Rifampisin kapsul/kaplet 300 mg kapl - - - - - - - - -
380 Rifampisin kapsul/kaplet 600 mg kapl - - - - - - - - -
381 Rifampisin tablet salut 450 mg tab - - - - - - - - -
382 Ringer Laktat (RL) larutan infus btl - - - - - - - 2 2
383 Risperidon tablet 1 mg tab - - - - - - - - -
384 Risperidon tablet 2 mg tab - - - - - - - - -
385 Risperidon tablet 3 mg tab - - - - - - - - -
386 Salbutamol inhalasi/aerosol
Salbutamol cairan (As.sulfat)100
2,5mcg/dosis
mg (Ventolin Nebules)
(Ventolin btl - - - - - - - - -
387 Inhaler) btl - - - - - - - - -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab - - - - - - - - -
389 Salbutamol
Salep 2~4 , tablet 4 mg Asam
Kombinasi: (sebagai sulfat)2% + Belerang
Salisilat tab - - - - - - - 100 100
390 endap 4% pot - - - - - - - 5 5
391 Salisil Bedak 2 % ktk - - - - - - - 5 5
392 Sanbe Plex drop btl - - - - - - - - -
393 Sefadroksil kapsul/kaplet 250 mg kaps - - - - - - - - -
394 Sefadroksil kapsul/kaplet 500 mg kaps - - - - - - - - -
395 Sefadroksil sirup kering 125 mg/5ml btl - - - - - - - - -
396 Sefaleksin kapsul/kaplet 250 mg kaps - - - - - - - - -
397 Sefaleksin kapsul/kaplet 500 mg kaps - - - - - - - - -
398 Sefazolin injeksi 1 g amp - - - - - - - - -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab - - - - - - - - -
400 Sefiksim kapsul/kaplet 100 mg kaps - - - - - - - - -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl - - - - - - - - -
402 Sefotaksim injeksi 0,5 g amp - - - - - - - - -
403 Sefotaksim injeksi 1 g vial - - - - - - - - -
404 Seftazidim injeksi 1 g amp - - - - - - - - -
405 Seftriakson injeksi 1 g amp - - - - - - - - -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp - - - - - - - - -
407 Serum ABU I vial - - - - - - - - -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp - - - - - - - 10 10
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab - - - - - - - 200 200
410 Simetidin injeksi (Ulsikur) amp - - - - - - - - -
411 Simetidin tablet 200 mg tab - - - - - - - - -
412 Simvastatin tablet 10 mg tab - - - - - - - - -
413 Simvastatin tablet 20 mg tab - - - - - - - 100 100
414 Simvastatin tablet 5 mg tab - - - - - - - - -
415 Siprofloksasin infus 2% btl - - - - - - - - -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab - - - - - - - - -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab - - - - - - - 100 100
418 Spasminal tablet tab - - - - - - - - -
419 Spiramisin tablet 500 mg tab - - - - - - - - -
420 Spironolakton tablet 100 mg tab - - - - - - - - -
421 Spironolakton tablet 25 mg tab - - - - - - - - -
422 Stavudin tablet 30 mg tab - - - - - - - - -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl - - - - - - - - -
424 Sukralfat susp 500 mg/5 ml btl - - - - - - - - -
425 Sulfasalazin tablet 500 mg tab - - - - - - - - -
426 Sulfasetamida Natrium tetes mata 15% btl - - - - - - - - -
427 Suprabion sirup btl - - - - - - - - -
428 Tamoksifen tablet 20 mg tab - - - - - - - - -
429 Teofillin tablet 150 mg (Bronsolvon) tab - - - - - - - - -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab - - - - - - - - -
PENGELUARAN STOK PERMI
STOK PENERIM PERSEDI SISA
NO NAMA OBAT SATUAN PEMAKAI OPTIMU NTAA
AWAL AAN AAN RETUR TOTAL AKHIR
AN M N
431 Tetrakain HCl tetes mata 0,5% btl - - - - - - - - -
432 Tetrasiklin kapsul/kaplet 250 mg kaps - - - - - - - - -
433 Tetrasiklin kapsul/kaplet 500 mg kaps - - - - - - - - -
434 Thyrosol tablet tab - - - - - - - - -
435 Tiamfenikol kapsul/kaplet 250 mg kaps - - - - - - - - -
436 Tiamfenikol kapsul/kaplet 500 mg kaps - - - - - - - 100 100
437 Tiamfenikol sirup 125 mg/ml btl - - - - - - - - -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab - - - - - - - 200 200
439 Tiamin (Vitamin B1) 100 mg tablet tab - - - - - - - - -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp - - - - - - - - -
441 Timolol tetes mata 0,5% btl - - - - - - - - -
442 Tramadol injeksi 50 mg/ml amp - - - - - - - - -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps - - - - - - - - -
444 Trifaneuron kapl - - - - - - - - -
445 Trifluoperazin tablet 5 mg tab - - - - - - - - -
446 Triheksifenidil tablet 2 mg tab - - - - - - - - -
447 Trolit sase - - - - - - - - -
448 Valsartan tablet 80 mg tab - - - - - - - - -
449 Verapamil tablet 80 mg (HCl) tab - - - - - - - - -
450 Vicillin inj. 1 gr vial - - - - - - - - -
451 Vitamin B Kompleks tablet tab 320 - 320 170 - 170 150 300 150
452 Zamel drop btl - - - - - - - - -
453 Zamel sirup btl - - - - - - - - -
454 Zidovudin tablet 100 mg tab - - - - - - - - -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab - - - - - - - - -
456 Zinc drop 10 mg/ml btl - - - - - - - - -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl - - - - - - - - -
458 Zinc tablet 20 mg tab - - - - - - - 100 100

B BAHAN MEDIS HABIS PAKAI


1 Absorben paper point (Indodent) pcs - - - - - - - - -
2 Alat suntik insulin 1ml set - - - - - - - - -
3 Alat suntik sekali pakai 1 ml set - - - - - - - 5 5
4 Alat suntik sekali pakai 2,5 ml set - - - - - - - - -
5 Alat suntik sekali pakai 3 ml set 20 - 20 20 - 20 - 50 50
6 Alat suntik sekali pakai 5 ml set 5 - 5 5 - 5 - 3 3
7 Alat suntik sekali pakai 10 ml (OneMed) set - - - - - - - - -
8 Alat suntik sekali pakai 20 ml set - - - - - - - - -
9 Alkohol gel (Aseptic Gel) btl - - - - - - - 1 1
10 Articulating paper ktk - - - - - - - - -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube - - - - - - - - -
12 Blood lancet pcs - - - - - - - - -
13 Blood tranfusion set set - - - - - - - - -
14 Bonding btl - - - - - - - - -
15 Catgut Chromic no 2/0 set - - - - - - - - -
16 Catgut Chromic no 3/0 set - - - - - - - - -
17 Catgut Plain no 2/0 set - - - - - - - 3 3
18 Catgut Plain no 3/0 set - - - - - - - - -
19 Cotton roll (Prodental) bks - - - - - - - - -
20 Dermafix 10 x 8 cm pcs - - - - - - - - -
21 Dermafix 5 x 7 cm pcs - - - - - - - - -
22 Desinfektan Klorin 500 ml btl - - - - - - - - -
23 Disposafe Safety Box 2,5 L box - - - - - - - 1 1
24 Disposafe Safety Box 5 L box - - - - - - - - -
25 Etakridin larutan 0,1% (rivanol) btl - - - - - - - - -
26 Etanol 70% cairan (100 ml) btl - - - - - - - - -
27 Etanol 70% cairan (1000 ml) btl - - - - - - - 1 1
28 Etanol 95% cairan (1 L) btl - - - - - - - - -
29 Etching btl - - - - - - - - -
30 Etil Klorida spray btl - - - - - - - 1 1
31 Eugenol cairan btl - - - - - - - - -
32 Fixomull stretch 10 cm x 5 m rol - - - - - - - - -
33 Fixomull stretch 5 cm x 5 m rol - - - - - - - - -
34 Foley Catheter (16) set - - - - - - - - -
35 Foley Catheter (18) set - - - - - - - - -
PENGELUARAN STOK PERMI
STOK PENERIM PERSEDI SISA
NO NAMA OBAT SATUAN PEMAKAI OPTIMU NTAA
AWAL AAN AAN RETUR TOTAL AKHIR
AN M N
36 Foley Catheter (20) set - - - - - - - - -
37 Foley Catheter (22) set - - - - - - - - -
38 Foley Catheter (24) set - - - - - - - - -
39 Foley Catheter (24) set - - - - - - - - -
40 Formokresol cairan btl - - - - - - - - -
41 Glass Ionomer Cement ART btl - - - - - - - - -
42 Guedel Airway No. 000 / Oropharyngeal pcs - - - - - - - - -
43 Guedel Airway No. 2 / Oropharyngeal pcs - - - - - - - - -
44 Handrub 500 ml btl 4 - 4 1 - 1 3 - -
45 Handscoon (uk 7~7,5) psg - - - - - - - - -
46 Handscoon (uk S,M,L) pcs 136 - 136 60 - 60 76 50 -
47 Handscoon / Sarung Tangan Obgyn psg - - - - - - - - -
48 H2O2 3% 1000 ml btl - - - - - - - - -
49 H2O2 3% 800 ml btl - - - - - - - - -
50 H2O2 3% 100 ml btl - - - - - - - - -
51 Infusion set anak set - - - - - - - 2 2
52 Infusion set dewasa set - - - - - - - 2 2
53 IV Cannula With Safety Wings No. 24 set - - - - - - - - -
54 IV Catheter No. 16 G set - - - - - - - - -
55 IV Catheter No. 18 G set - - - - - - - - -
56 IV Catheter No. 20 G set - - - - - - - - -
57 IV Catheter No. 22 G set - - - - - - - - -
58 IV Catheter No. 24 G set - - - - - - - - -
59 IV Catheter No. 26 G set - - - - - - - - -
60 Kacamata Goggle unit - - - - - - - - -
61 Kalsium Hidroksida Pasta ktk - - - - - - - - -
62 Kapas 500 gr bks - - - - - - - - -
63 Kapas Pembalut/Absorben 250 gram bks - - - - - - - 1 1
64 Kapas Berlemak 500 gram bks - - - - - - - - -
65 Kasa 2 x 80 cm rol - - - - - - - - -
66 Kasa 40 x 40 cm rol - - - - - - - - -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 60 - 60 - - - 60 50 -
68 Kasa Hidrofil uk. 36 m x 80 cm rol - - - - - - - - -
69 Kasa Hidrofil uk. 40 m x 80 cm rol - - - - - - - - -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol - - - - - - - - -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol - - - - - - - - -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol - - - - - - - - -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol - - - - - - - - -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol - - - - - - - - -
75 Kasa Pembalut Elastis 3 inchi rol - - - - - - - - -
76 Kasa Pembalut Elastis 4 inchi rol - - - - - - - - -
77 Kasa Pembalut Elastis 6 inchi rol - - - - - - - - -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol - - - - - - - - -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10 - 10 - - - 10 5 -
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol - - - - - - - 5 5
81 Kertas Puyer lbr - - - - - - - - -
82 Kit Gown set - - - - - - - - -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl - - - - - - - - -
84 Komposit resin btl - - - - - - - - -
85 Lysol 1 Liter btl - - - - - - - - -
86 Lubricating jelly tube 1 - 1 - - - 1 - -
87 Masker set 6 - 6 6 - 6 - 50 50
88 Masker Kain set - - - - - - - - -
89 Masker N95 set - - - - - - - - -
90 Masker Nebulizer Anak set - - - - - - - - -
91 Masker Nebulizer Dewasa set - - - - - - - - -
92 Masker Oksigen Anak set - - - - - - - - -
93 Masker Oksigen Bayi set - - - - - - - - -
94 Masker Oksigen Dewasa set - - - - - - - - -
95 Mess silet / Surgical Blade pcs - - - - - - - - -
96 Mummifying Pasta btl - - - - - - - - -
97 Nurse Cap pcs - - - - - - - - -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit - - - - - - - - -
99 Pakaian Pelindung Coverall Reusable unit - - - - - - - - -
100 Plester 5 cm x 4,5 m rol - - - - - - - - -
PENGELUARAN STOK PERMI
STOK PENERIM PERSEDI SISA
NO NAMA OBAT SATUAN PEMAKAI OPTIMU NTAA
AWAL AAN AAN RETUR TOTAL AKHIR
AN M N
101 Plester 5 cm x 4,5 m (Leukoplast) rol - - - - - - - - -
102 Plester 7,5 cm x 4,5 m rol - - - - - - - - -
103 Plester 5 cm x 5 m (Ultrafix) rol - - - - - - - - -
104 Plester 5 yards x 5 inch rol - - - - - - - - -
105 Semen Seng Fosfat serbuk dan cairan btl - - - - - - - - -
106 Selang Oksigen Anak (Oxyflow) pcs - - - - - - - - -
107 Selang Oksigen Bayi (Oxyflow) pcs - - - - - - - - -
108 Selang Oksigen Dewasa (Oxyflow) pcs - - - - - - - - -
109 Selulosa strip pcs - - - - - - - - -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set - - - - - - - - 5
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set - - - - - - - - -
112 Spalk Kaki Anak pcs - - - - - - - - -
113 Spalk Kaki Dewasa pcs - - - - - - - - -
114 Spalk Tangan Anak pcs - - - - - - - - -
115 Spalk Tangan Bayi pcs - - - - - - - - -
116 Spalk Tangan Dewasa pcs - - - - - - - - -
117 Sofra tulle pcs - - - - - - - - -
118 Stomach Tube (NGT) no 16 tube - - - - - - - - -
119 Stomach Tube (NGT) no 18 tube - - - - - - - - -
120 Stomach Tube (NGT) no 20 tube - - - - - - - - -
121 Suction Catheter No. 10 set - - - - - - - - -
122 Temporary Stopping Fletcher serbuk dan cairan btl - - - - - - - - -
123 Tooth cleanshing tincture (OCO) btl - - - - - - - - -
124 Trikresol Formalin (TKF) Cairan btl - - - - - - - - -
125 Ultrasonic Gel btl - - - - - - - - -
126 Underpad pcs - - - - - - - - -
127 Urine Bag set - - - - - - - - -
128 Urocare set - - - - - - - - -
129 Wing Needle No set - - - - - - - - -

C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN


1 Alkohol swab - 400 - 400 400 - 400 - - -
2 - - - - - - - - - - -
3 - - - - - - - - - - -
4 - - - - - - - - - - -
5 - - - - - - - - - - -
6 - - - - - - - - - - -
7 - - - - - - - - - - -
8 - - - - - - - - - - -
9 - - - - - - - - - - -
10 - - - - - - - - - - -
11 - - - - - - - - - - -
12 - - - - - - - - - - -
13 - - - - - - - - - - -
14 - - - - - - - - - - -
15 - - - - - - - - - - -
16 - - - - - - - - - - -
17 - - - - - - - - - - -

KEPALA PUSKESMAS PANARUKAN Pengelola Obat Puskesmas

dr.YUNI VEROSITA INDAH PENI Y, S.Farm.,Apt


NIP : 198208202009031010 NIP : 198607222019032002
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HOME

23

-12-2023

PEMBERIAN
KAPIT JAMK LAIN- JUMLA
DAU DAK ASKES
ASI ESDA LAIN H
1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 1 1 1 4 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 0 0 1 2 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 1 1 1 4 1
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
1 0 1 1 1 4 1
0 0 0 1 0 1 1

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 1 0 1 3 1
1 0 1 1 1 4 1
0 0 0 0 0 0 0
PEMBERIAN
KAPIT JAMK LAIN- JUMLA
DAU DAK ASKES
ASI ESDA LAIN H
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 0 1 1 3 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0

1 0 0 0 1 2 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
1 0 1 1 1 4 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 1 1 1 4 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
PEMBERIAN
KAPIT JAMK LAIN- JUMLA
DAU DAK ASKES
ASI ESDA LAIN H
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 1 0 1 3 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 1 1 1 4 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 0 1 1 3 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
PEMBERIAN
KAPIT JAMK LAIN- JUMLA
DAU DAK ASKES
ASI ESDA LAIN H
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 1 1 1 4 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 1 1 1 4 1
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 1 0 1 3 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 1 ### ###### ###
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 1 0 1 1

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0
PEMBERIAN
KAPIT JAMK LAIN- JUMLA
DAU DAK ASKES
ASI ESDA LAIN H
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1

0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 1 0 0 2 1
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 1 0 1 3 1
1 0 1 0 1 3 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 0 1 1 3 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 0 1 1 3 1
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
PEMBERIAN
KAPIT JAMK LAIN- JUMLA
DAU DAK ASKES
ASI ESDA LAIN H
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 0 0 1 2 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
1 0 1 0 1 3 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 1 1 1 4 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 0 1 1 3 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
PEMBERIAN
KAPIT JAMK LAIN- JUMLA
DAU DAK ASKES
ASI ESDA LAIN H
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 1 0 1 3 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 1 0 1 1
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
PEMBERIAN
KAPIT JAMK LAIN- JUMLA
DAU DAK ASKES
ASI ESDA LAIN H
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 1 1 1 4 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
1 0 1 1 0 3 1
1 0 1 1 0 3 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
PEMBERIAN
KAPIT JAMK LAIN- JUMLA
DAU DAK ASKES
ASI ESDA LAIN H
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 1 0 1 3 1
0 0 0 0 0 0 0
1 0 1 0 1 3 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 0 0 1 2 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 0 0 1 2 1
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 0 0 1 2 1
1 0 1 1 0 3 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
PEMBERIAN
KAPIT JAMK LAIN- JUMLA
DAU DAK ASKES
ASI ESDA LAIN H
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 1 0 0 2 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

4,636 SUM STOK AWAL

Penanggung Jawab
Unit Pelayanan

YENY SOFIA AKHMAD


NIP :
LAPORAN MUTASI BARANG PERSEDIAAN OBAT DAN BMHP PUSKE
KABUPATEN SITUBONDO
TAHUN 2023

UNIT LAYANAN : PELEYAN


BULAN : DESEMBER

SALDO AWAL MUTASI MASUK M


NO NAMA BARANG
Harga Satuan Harga Satuan
unit/bh/set Jumlah unit/bh/set Jumlah unit/bh/set
(Rp) (Rp)
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml - amp - - - amp - - -
2 Acarbose tab 50 mg - tab - - - tab - - -
3 Acarbose tab 100 mg - tab - - - tab - - -
4 Albendazol suspensi 200 mg/5 ml - btl - - - btl - - -
5 Albendazol tablet 400 mg - tab - - - tab - - -
6 Alinamin F injeksi - amp - - - amp - - -
7 Alinamin F tablet - tab - - - tab - - -
8 Alopurinol tablet 100 mg 120 tab 87.00 10,440.00 - tab - - 40
9 Alopurinol tablet 300 mg - tab - - - tab - - -
10 Alprazolam tablet 0,25 mg - tab - - - tab - - -
11 Alprazolam tablet 0,5 mg - tab - - - tab - - -
12 Alprazolam tablet 1 mg - tab - - - tab - - -
13 Ambroxol sirup 15 mg/ml - btl - - - btl - - -
14 Ambroxol tablet 30 mg - tab - - - tab - - -
15 Aminofilin injeksi 24 mg/ml~10 ml - amp - - - amp - - -
16 Aminofilin tablet 150 mg - tab - - - tab - - -
17 Aminofilin tablet 200 mg - tab - - - tab - - -
18 Amiodarone hidrocloride 200 mg - tab - - - tab - - -
19 Amitriptilin tablet salut 25 mg (HCl) - tab - - - tab - - -
20 Amlodipin tablet 10 mg - tab - - tab -
21 Amlodipin tablet 5 mg 20 tab 53.00 1,060.00 - tab - - -
22 Amoksisilin + As. Klavulanat 625 mg tablet - tab - - - tab - - -
23 Amoksisilin kapsul/kaplet 250 mg - kapl - - - kapl - - -
24 Amoksisilin kapsul/kaplet 500 mg 50 kapl 580.00 29,000.00 - kapl - - 30
25 Amoksisilin serbuk injeksi 1000 mg - vial - - - vial - - -
26 Amoksisilin sirup kering 125 mg/5 ml - btl - - - btl - - -
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial - vial - - - vial - - -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial - vial - - - vial - - -
29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart
novorapid flexpen) - flexpen - - - flexpen - - -
30 Antasida tablet kunyah 120 tab 54.00 6,480.00 - tab - - 90
31 Antasida suspensi - btl - - - btl - - -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g tube tube
+ Polimiksin 10.000 IU/g - - - - - - -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam
Salisilat 3% - pot - - - pot - - -
Antihemoroid DOEN kombinasi: Bismut subgalat 150
- supp supp
34
mg Heksaklorofen 2,5 mg - - - - - -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg
Sulfadoksin tablet Ergotamin
Antimigren tablet: 500 mg Tartrat 1 mg + Kofein 50 - tab - - - tab - - -
36 mg - tab - - - tab - - -
Antiparkinson DOEN Tab Komb Levodopa 100 mg,
- tab tab
37
Benserazid HCl 25 mg - - - - - -
38 Aqua pro injeksi steril, bebas pirogen - amp - - - amp - - -
39 Artemether injeksi 80 mg/ml - amp - - - amp - - -
40 Artesunate injeksi
Articaine HCL 4% + 60Epinefrin
mg 1:100.000 injeksi
- vial - - - vial - - -
41 (Turbocaina) - katrid - - - katrid - - -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) - tab - - - tab - - -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) - tab - - - tab - - -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) - tab - - - tab - - -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) - tab - - - tab - - -
46 Asam Askorbat (Vitamin C) tablet 100 mg - tab - - - tab - - -
47 Asam Askorbat (Vitamin C) tablet 250 mg - tab 119.00 - - tab - -
48 Asam Askorbat (Vitamin C) tablet 50 mg 720 tab 42.00 30,240.00 - tab - - 250
49 Asam Folat tablet 1 mg - tab - - - tab - - -
50 Asam Mefenamat kapsul/kaplet 250 mg - kapl - - - kapl - - -
51 Asam Mefenamat kapsul/kaplet 500 mg 130 kapl 140.00 18,199.99 - kapl - - -
52 Asam pipemidat kapsul 400 mg - kaps - - - kaps - - -
SALDO AWAL MUTASI MASUK M
NO NAMA BARANG
Harga Satuan Harga Satuan
unit/bh/set Jumlah unit/bh/set Jumlah unit/bh/set
(Rp) (Rp)
53 Asam Traneksamat inj. - amp - - - amp - - -
54 Asam Traneksamat tablet - tab - - - tab - - -
55 Asiklovir krim 5% - tube - - - tube - - -
56 Asiklovir tablet 200 mg - tab - - - tab - - -
57 Asiklovir tablet 400 mg - tab - - - tab - - -
58 Atenolol tablet 100 mg - tab - - - tab - - -
59 Atenolol tablet 50 mg - tab - - - tab - - -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) - amp - - - amp - - -
61 Atropin Sulfat tablet 0,5 mg - tab - - - tab - - -
62 Attapulgit tablet 600 mg 50 tab 550.00 27,500.00 tab -
63 Benzatin Benzil Penisilin 1,2 juta IU/vial - vial - - - vial - - -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial - vial - - - vial - - -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet tab tab
(tablet tambah darah kombinasi) 200 226.00 45,200.00 -
66 Betahistin Mesilat tablet 6 mg - tab - - - tab - - -
67 Betametason krim 0,1% (sebagai valerat) - tube - - tube -
68 Bioplacenton salep - tube - - - tube - - -
69 Bioplacenton tulle - pcs - - - pcs - - -
70 Bisakodil suppositoria 10 mg - supp - - - supp - - -
71 Bisoprolol fumarat 2,5 mg - tab - - - tab - - -
72 Bisoprolol tablet 5 mg - tab - - - tab - - -
73 Bromheksin tablet 8 mg - tab - - - tab - - -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml - amp - - - amp - - -
75 Candesartan cilexetil 16 mg - tab - - - tab - - -
76 Candesartan cilexetil 8 mg - tab - - - tab - - -
77 Cetirizine sirup 5 mg/5 ml - btl - - - btl - - -
78 Cetirizine tablet 10 mg - tab - - - tab - - -
79 Citicoline 125 mg/ml - amp - - - amp - - -
80 Clobazam tablet 10 mg - tab - - - tab - - -
81 Clobetasol krim 0,05% - tube - - - tube - - -
82 Combifen sirup - btl - - - btl - - -
83 Coparcetin sirup - btl - - - btl - - -
84 Coparcetin tablet - tab - - - tab - - -
85 Dapson tablet 100 mg - tab - - - tab - - -
86 Deksametason injeksi i.v. 5 mg/ml~1ml - amp - - - amp - - -
87 Deksametason tablet 0,5 mg 120 tab 121.00 14,520.00 - tab - - 190
88 Dekstran 70 ~ larutan infus 6% steril - btl - - - btl - - -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) - btl - - - btl - - -
90 Dekstrometorfan tablet 15 mg (HBr) - tab - - - tab - - -
91 Devitalisasi Pasta - btl - - - btl - - -
92 Dexanta tablet - tab - - - tab - - -
93 Diazepam injeksi 5 mg/ml - amp - - - amp - - -
94 Diazepam injeksi 10 mg/ml - amp - - - amp - - -
95 Diazepam larutan rectal 10 mg/2,5 ml - tube - - - tube - - -
96 Diazepam larutan rectal 5 mg/2,5 ml - tube - - - tube - - -
97 Diazepam supp - supp - - - supp - - -
98 Diazepam tablet 2 mg - tab - - - tab - - -
99 Diazepam tablet 5 mg - tab - - - tab - - -
100 Dietilkarbamazin sitrat tablet 100 mg - tab - - - tab - - -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 8 amp 781.00 6,248.00 - amp - - 6
102 Digoksin injeksi 0,25 mg/ml - amp - - - amp - - -
103 Digoksin tablet 0,25 mg - tab - - - tab - - -
104 Diltiazem HCl tablet 30 mg - tab - - - tab - - -
105 Dimenhidrinat tablet 50 mg - tab - - - tab - - -
106 Doksisiklin kapsul/kaplet 100 mg - kaps - - - kaps - - -
107 Domperidon drop 5 mg/ml - btl - - - btl - - -
108 Domperidon suspensi 5 mg/5 ml - btl - - - btl - - -
109 Domperidon tablet 10 mg - tab - - - tab - - -
110 Dopamin injeksi 40 mg/ml (Cetadop) - amp - - - amp - - -
111 Efedrin tablet 25 mg (HCl) - tab - - - tab - - -
112 Ekstraks Belladona tablet 10 mg - tab - - - tab - - -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) - amp - - - amp - - -
114 Eritromisin kapsul/kaplet 250 mg - kaps - - - kaps - - -
115 Eritromisin kapsul/kaplet 500 mg - kaps - - - kaps - - -
116 Eritromisin sirup 200 mg/5 ml - btl - - - btl - - -
117 Etambutol tablet 250 mg (HCl) - tab - - - tab - - -
118 Etambutol tablet salut 500 mg (HCl) - tab - - - tab - - -
SALDO AWAL MUTASI MASUK M
NO NAMA BARANG
Harga Satuan Harga Satuan
unit/bh/set Jumlah unit/bh/set Jumlah unit/bh/set
(Rp) (Rp)
119 Famotidine tablet 20 mg - tab - - - tab - - -
120 Famotidine tablet 40 mg - tab - - - tab - - -
121 Fe Sirup / Besi sirup - btl - - - btl - - -
122 Fenilbutason tablet 200 mg - tab - - - tab - - -
123 Fenitoin kapsul/kaplet 100 mg - kaps - - - kaps - - -
124 Fenitoin Natrium injeksi 50 mg/ml - amp - - - amp - - -
125 Fenitoin Natrium kapsul/kaplet 30 mg - kaps - - - kaps - - -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml - amp - - - amp - - -
127 Fenobarbital tablet 100 mg - tab - - - tab - - -
128 Fenobarbital tablet 30 mg - tab - - - tab - - -
129 Fenoksimetil Penisilin tablet 250 mg - tab - - - tab - - -
130 Fenoksimetil Penisilin tablet 500 mg - tab - - - tab - - -
131 Fenol Gliserol tetes telinga 10% - btl - - - btl - - -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg - tab - - - tab - - -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml - amp - - - amp - - -
134 Flufenazin inj. i.m. 25 mg/ml - amp - - - amp - - -
135 Flukonazol tablet 150 mg - tab - - - tab - - -
136 Furosemid injeksi i.v./i.m. 10 mg/ml - amp - - - amp - - -
137 Furosemid tablet 40 mg - tab - - - tab - - -
138 Garam Oralit I serbuk 150 sac 577.50 86,625.00 - sac - - 46
139 Gastrusid sirup - btl - - - btl - - -
140 Gemfibrozil kapsul/kaplet 300 mg - kaps - - - kaps - - -
141 Gemfibrozil tablet 600 mg - tab - - - tab - - -
142 Gentamisin injeksi 40 mg/ml - amp - - - amp - - -
143 Gentamisin injeksi 80 mg/2ml - amp - - - amp - - -
144 Gentamisin salep kulit 0,1% - tube - - tube -
145 Gentamisin salep mata 0,3% - tube - - - tube - - -
146 Gentamisin sulfat tetes mata 0,3% - btl - - - btl - - -
147 Gentian Violet larutan 1% - btl - - - btl - - -
148 Glibenklamida tablet 5 mg 100 tab 82.00 8,200.00 - tab - - -
149 Gliklazid tablet 30 mg - tab - - - tab - - -
150 Gliklazid tablet 80 mg - tab - - - tab - - -
151 Glimepiride tablet 1 mg - tab - - - tab - - -
152 Glimepiride tablet 2 mg - tab - - - tab - - -
153 Glimepiride tablet 3 mg - tab - - - tab - - -
154 Glimepiride tablet 4 mg - tab - - - tab - - -
155 Glipizid 10 mg - tab - - - tab - - -
156 Glipizid 5 mg - tab - - - tab - - -
157 Gliquidon tablet 30 mg - tab - - - tab - - -
158 Gliseril Gualakolat tablet 100 mg 200 tab 189.00 37,800.00 - tab - - 80
159 Gliserin larutan 50% - btl - - - btl - - -
160 Glukosa larutan infus 5% steril - btl - - - btl - - -
161 Glukosa larutan infus 10% steril - btl - - - btl - - -
162 Glukosa larutan infus 40% steril - btl - - - btl - - -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) - btl - - - btl - - -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) - btl - - - btl - - -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) - btl - - - btl - - -
166 Griseofulvin tablet 125 mg - tab - - - tab - - -
167 Haloperidol inj 50 mg/ml - amp - - - amp - - -
168 Haloperidol Inj i.m. 5 mg/ml - amp - - - amp - - -
169 Haloperidol tablet 0,5 mg - tab - - - tab - - -
170 Haloperidol tablet 1,5 mg - tab - - - tab - - -
171 Haloperidol tablet 2 mg - tab - - - tab - - -
172 Haloperidol tablet 5 mg - tab - - - tab - - -
173 Hidroklorotiazid (HCT) tablet 25 mg - tab - - - tab - - -
174 Hidrokortison krim 1% - tube - - - tube - - -
175 Hidrokortison krim 2,5% 5 tube 2,325.00 11,625.00 - tube - - -
176 Human tetanus imunuglobin 1 ml (250 iu) - syringe - - - syringe - - -
177 Hyoscine~N~Butilbromide injeksi - amp - - - amp - - -
178 Hyoscine~N~Butilbromide tablet 10 mg - tab - - - tab - - -
179 Ibuprofen suspensi 100 mg/5 ml - btl - - - btl - - -
180 Ibuprofen suspensi 200 mg/5 ml - btl - - - btl - - -
181 Ibuprofen tablet 200 mg - tab - - - tab - - -
182 Ibuprofen tablet 400 mg 250 tab 190.00 47,500.00 - tab - - 140
183 Iodiol kapsul lunak - kaps - - - kaps - - -
184 Isoniazid tablet 100 mg - tab - - - tab - - -
185 Isoniazid tablet 300 mg - tab - - - tab - - -
SALDO AWAL MUTASI MASUK M
NO NAMA BARANG
Harga Satuan Harga Satuan
unit/bh/set Jumlah unit/bh/set Jumlah unit/bh/set
(Rp) (Rp)
186 Isosorbid Dinitrat tablet 10 mg - tab - - - tab - - -
187 Isosorbid Dinitrat tablet sublingual 5 mg - tab - - - tab - - -
188 Itrakonazol kapsul/kaplet 100 mg - kaps - - - kaps - - -
189 Kalium Diklofenak tablet 25 mg - tab - - - tab - - -
190 Kalium Diklofenak tablet 50 mg - tab - - - tab - - -
191 Kalium Permanganat Serbuk - btl - - - btl - - -
192 Kalsium Laktat (Kalk) tablet 500 mg 390 tab 60.00 23,400.00 - tab - - 140
193 Kaptopril tablet 12,5 mg - tab - - - tab - - -
194 Kaptopril tablet 25 mg - tab - - - tab - - -
195 Kaptopril tablet 50 mg - tab - - - tab - - -
196 Karbamazepin tablet 200 mg - tab - - - tab - - -
197 Ketokonazol krim 2% 9 tube 2,370.00 21,330.00 - tube - - 1
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) - btl - - - btl - - -
199 Ketokonazol tablet 200 mg - tab - - - tab - - -
200 Ketoprofen injeksi 100 mg - amp - - - amp - - -
201 Ketoprofen tablet 100 mg - tab - - - tab - - -
202 Ketorolac injeksi 10 mg/ml - amp - - - amp - - -
203 Ketorolac injeksi 30 mg/ml - amp - - - amp - - -
204 Klindamisin kapsul/kaplet 150 mg - kaps - - - kaps - - -
205 Klindamisin kapsul/kaplet 300 mg - kaps - - - kaps - - -
206 Klorfeniramin Maleat (CTM) tab 4 mg 260 tab 49.00 12,740.00 - tab - - 80
207 Klomifen tablet 50 mg - tab - - - tab - - -
208 Klonidin tablet 0,15 mg - tab - - - tab - - -
209 Kloramfenikol kapsul/kaplet 250 mg - kaps - - - kaps - - -
210 Kloramfenikol salep mata 1% - tube - - - tube - - -
211 Kloramfenikol salep kulit 2% (Bufacetin) - tube - - - tube - - -
212 Kloramfenikol suspensi 125 mg/5 ml - btl - - - btl - - -
213 Kloramfenikol tetes mata 0,5% - btl - - - btl - - -
214 Kloramfenikol tetes telinga 3% - btl - - - btl - - -
215 Klorokuin tablet 250 mg - tab - - - tab - - -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) - amp - - - amp - - -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) - amp - - - amp - - -
218 Klorpromazin tablet salut 100 mg (HCl) - tab - - - tab - - -
219 Klorpromazin tablet salut 25 mg (HCl) - tab - - - tab - - -
220 Kodein tablet 10 mg - tab - - - tab - - -
221 Kodein tablet 15 mg - tab - - - tab - - -
222 Kodein tablet 20 mg - tab - - - tab - - -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100
mcg (Seretide Diskus) - btl - - - btl - - -
Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg
- blister - blister
224
etilnilestradiol 30 mcg (blister) - - - - -
Kotrimoksazol 480 mg (dewasa) kombinasi:
225
Sulfametoksazol 400 mg, Trimetoprim 80 mg - tab - - - tab - - -
226 Kotrimoksazol 960 mg (forte) kombinasi: tab tab
Sulfametoksazol 800 mg, Trimetoprim 160 mg - - - - - - -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200
mg + Trimetoprim 40 mg/5 ml - btl - - - btl - - -
228 Kuinin (Kina) tablet 200 mg - tab - - - tab - - -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml - amp - - - amp - - -
230 Lacto B - sase - - - sase - - -
231 Lamivudine tablet 150 mg - tab - - - tab - - -
232 Lanzoprazol kapsul/kaplet 30 mg - kaps - - - kaps - - -
233 Larutan ASERING - mengandung Elektrolit (Na 130 btl btl
mEq, Cl 109 mEq, Ca 3 mEq, Asetat 28 mEq) - - - - - - -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl btl btl
1.125 gr, Dekstrosa 18.75 gr) - - - - - - -
Larutan (KAEN 3B) - mengandung Karbohidrat +
Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr,
235
Dekstrosa 27 gr) - btl - - - btl - - -
Larutan (KAEN 3A) - mengandung Karbohidrat +
236 Elektrolit (Nacl 2.34 gr, Na Laktat 2.24 gr, KCL 0.75 gr, btl btl
Dekstrosa 27 gr) - - - - - - -
237 Levofloksasin tablet 500 mg - tab - - - tab - - -
238 Levoteroksin sodium 100 mg - tab - - - tab - - -
239 Lidokain injeksi 2% - amp - - - amp - - -
240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml amp amp
(Lidokain Comp. Inj) - - - - - - -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml amp amp
(Pehacain) - - - - - - -
242 Lidokain jeli 2% (Xylocain) - syringe - - - syringe - - -
243 Lidokain semprot 10% (Xylocain) - btl - - - btl - - -
244 Linkomisin kapsul/kaplet 500 mg - kaps - - - kaps - - -
SALDO AWAL MUTASI MASUK M
NO NAMA BARANG
Harga Satuan Harga Satuan
unit/bh/set Jumlah unit/bh/set Jumlah unit/bh/set
(Rp) (Rp)
245 Lisinopril tablet 10 mg - tab - - - tab - - -
246 Lisinopril tablet 5 mg (Interpril) - tab - - - tab - - -
247 Lomefloksasin HCL tetes mata (Optiflox) - btl - - - btl - - -
248 Loperamid tablet 2 mg - tab - - - tab - - -
249 Loratadin tablet 10 mg - tab - - - tab - - -
250 Lorazepam tablet 2 mg - tab - - - tab - - -
251 Losartan 50 mg - tab - - - tab - - -
252 Lytacur sirup 20 btl 10,656.00 213,120.00 - btl - - 20
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml - vial - - - vial - - -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml - amp - - - amp - - -
255 Mebendazol sirup 100 mg/5 ml - btl - - - btl - - -
256 Mebendazol tablet 100 mg - tab - - - tab - - -
257 Meloksikam suppositoria - supp - - - supp - - -
258 Meloksikam tablet 15 mg - tab - - - tab - - -
259 Meloksikam tablet 7,5 mg - tab - - - tab - - -
260 Menadion (Vitamin K3) injeksi 10 mg/ml - amp - - - amp - - -
261 Mersibion injeksi 5000 - amp - - - amp - - -
262 Metamizole Na injeksi 500 mg/ml - amp - - - amp - - -
263 Metamizole Na injeksi 500 mg/ml (Antrain) - amp - - - amp - - -
264 Metamizole Na injeksi 500 mg/ml (Norages) - amp - - - amp - - -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) - amp - - - amp - - -
266 Metampiron injeksi 250 mg (antalgin) - amp - - - amp - - -
267 Metampiron tablet 500 mg (antalgin) 400 tab 239.00 95,600.00 - tab - - 110
268 Metformin HCl tablet 500 mg 70 tab 77.00 5,390.00 - tab - - 20
269 Metformin HCl tablet 850 mg - tab - - - tab - - -
270 Metildopa 250 mg - tab - - - tab - - -
271 Metilergometrin Maleat tablet salut 0,125 mg - tab - - - tab - - -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml - amp - - - amp - - -
273 Metilprednisolon injeksi 500 mg - amp - - - amp - - -
274 Metilprednisolon tablet 16 mg - tab - - - tab - - -
275 Metilprednisolon tablet 4 mg - tab - - - tab - - -
276 Metilprednisolon tablet 8 mg - tab - - - tab - - -
277 Metoklopramide drop 10 ml - btl - - - btl - - -
278 Metoklopramide injeksi 5 mg/ml - amp - - - amp - - -
279 Metoklopramide injeksi 5 mg/ml (Primperan) - amp - - - amp - - -
280 Metoklopramide sirup 5 mg/ 5 ml - btl - - - btl - - -
281 Metoklopramide tablet 10 mg - tab - - - tab - - -
282 Metoklopramide tablet 20 mg - tab - - - tab - - -
283 Metoklopramide tablet 5 mg - tab - - - tab - - -
284 Metronidazol infus 500 mg/100 ml - btl - - - btl - - -
285 Metronidazol ovula 500 mg (Vagizol) - ovula - - - ovula - - -
286 Metronidazol suppo 500 mg (Flagyl) - supp - - - supp - - -
287 Metronidazol tablet 250 mg - tab - - - tab - - -
288 Metronidazol tablet 500 mg 50 tab 381.70 19,085.00 - tab - -
289 Mikonazol krim/salep 2% (nitrat) - tube - - - tube - - -
290 Mineral Mix, kombinasi - sase - - - sase - - -
291 Momethason krim 0,1% - tube - - - tube - - -
292 Morfin injeksi 10 mg/ml - amp - - - amp - - -
293 Morfin tablet
N~asetil 10 inj
sistein mgNebules 100 mg/ml (N~ace cairan - tab - - - tab - - -
294 inhalasi) - amp - - - amp - - -
295 Natrium bicarbonat inj i.v. 8,4% - amp - - - amp - - -
296 Natrium Diklofenak tablet 25 mg - tab - - - tab - - -
297 Natrium Diklofenak tablet 50 mg 120 tab 100.00 12,000.00 - tab - - -
298 Natrium Klorida larutan infus 0,9% (NaCl) - btl - - - btl - - -
299 Neurobion 5000 injeksi - amp - - - amp - - -
300 Neurosanbe inj. - amp - - - amp - - -
301 Nevirapin tablet 200 mg - tab - - - tab - - -
302 Nifedipin 20 mg (Adalat Oros) - tab - - - tab - - -
303 Nifedipin 30 mg (Adalat Oros) - tab - - - tab - - -
304 Nifedipin tablet 10 mg - tab - - - tab - - -
305 Nistatin tablet salut 500.000 IU/ g - tab - - - tab - - -
306 Nistatin vaginal tablet 100.000 IU/ g - ovula - - - ovula - - -
307 Novabion - kaps - - - kaps - - -
308 Obat Antituberkulosis FDC Kategori 1 - paket - - - paket - - -
309 Obat Antituberkulosis FDC Kategori 2 - paket - - - paket - - -
310 Obat Antituberkulosis FDC Kategori Anak - paket - - - paket - - -
311 Obat Antituberkulosis FDC Sisipan - paket - - - paket - - -
SALDO AWAL MUTASI MASUK M
NO NAMA BARANG
Harga Satuan Harga Satuan
unit/bh/set Jumlah unit/bh/set Jumlah unit/bh/set
(Rp) (Rp)
312 Obat Antituberkulosis Kategori 1 dewasa - paket - - - paket - - -
313 Obat Antituberkulosis Kategori anak - paket - - - paket - - -
314 Obat Batuk Hitam (OBH) cairan 2 btl 14,003.00 28,006.00 - btl - - -
315 Ofloxacin tablet 200 mg - tab - - - tab - - -
316 Ofloxacin tablet 400 mg - tab - - - tab - - -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) - btl - - - btl - - -
318 Oksitetrasiklin HCl salep mata 1% - tube - - - tube - - -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml - amp - - - amp - - -
320 Oksitetrasiklin salep kulit 3% - tube - - - tube - - -
321 Oksitosin injeksi 10 IU/ml~1 ml - amp - - - amp - - -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) - amp - - - amp - - -
323 Omeprazol inj 40 mg/10 ml - vial - - - vial - - -
324 Omeprazol kapsul/kaplet 20 mg - kaps - - - kaps - - -
325 Ondansentron injeksi 4 mg/2 ml - amp - - - amp - - -
326 Ondansentron tablet 4 mg - tab - - - tab - - -
327 Oseltamivir kapsul/kaplet 75 mg - kaps - - - kaps - - -
328 Papaverin injeksi 40 mg/ml - amp - - - amp - - -
329 Papaverin tablet 40 mg - tab - - - tab - - -
330 Parasetamol drops 60 mg/0,6 ml - btl - - - btl - - -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) - btl - - - btl - - -
332 Parasetamol sirup 120 mg/5 ml 17 btl 1,160.00 19,720.00 - btl - - 3
333 Parasetamol sirup 120 mg/5 ml (Sanmol) - btl - - - btl - - -
334 Parasetamol tablet 100 mg - tab - - - tab - - -
335 Parasetamol tablet 500 mg 300 tab 159.50 47,850.00 - tab - - 120
336 Parasetamol tablet 500 mg (Sanmol) - tab - - - tab - - -
337 Perak Sulfadiazim Krim 1% - tube - - - tube - - -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) - tube - - - tube - - -
339 Perfenazin tablet 4 mg (HCl) - tab - - - tab - - -
340 Permetrin krim 5% - tube - - - tube - - -
341 Permetrin krim 5% (Scabimite) - tube - - - tube - - -
342 Petidin injeksi 50 mg/ml - amp - - - amp - - -
343 Pimtracol sirup - btl - - - btl - - -
344 Piracetam injeksi 1 g/5 ml - amp - - - amp - - -
345 Piracetam injeksi 3 g/15 ml - amp - - - amp - - -
346 Piracetam tablet 1200 mg - tab - - - tab - - -
347 Piracetam tablet 400 mg - tab - - - tab - - -
348 Piracetam tablet 800 mg - tab - - - tab - - -
349 Pirantel suspensi 125 mg/5 ml - btl - - - btl - - -
350 Pirantel tablet score (base) 125 mg - tab - - - tab - - -
351 Pirazinamid tablet 500 mg - tab - - - tab - - -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) 50 tab 199.80 9,990.00 - tab - -
353 Piridoksin injeksi 100 mg/ml - amp - - - amp - - -
354 Piroksikam kapsul/kaplet/tablet 10 mg - kaps - - - kaps - - -
355 Piroksikam kapsul/kaplet/tablet 20 mg - kaps - - - kaps - - -
356 Polikresulen cairan - btl - - - btl - - -
357 Polikresulen cairan (Albothyl) - btl - - - btl - - -
358 Povidon Iodida larutan 10% 1000 ml - btl - - - btl - - -
359 Povidon Iodida larutan 10% 30 ml - btl - - - btl - - -
360 Povidon Iodida larutan 10% 300 ml - btl - - - btl - - -
361 Povidon Iodida larutan 10% 60 ml - btl - - - btl - - -
362 Pravastatin tablet 20 mg - tab - - - tab - - -
363 Prednison tablet 5 mg - tab - - - tab - - -
364 Primakuin tablet 15 mg - tab - - - tab - - -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial - vial - - - vial - - -
366 Prolacta baby - kaps - - - kaps - - -
367 Propanolol tablet 10 mg (HCl) - tab - - - tab - - -
368 Propanolol tablet 40 mg (HCl) - tab - - - tab - - -
369 Propiltiourasil tablet 100 mg (PTU) - tab - - - tab - - -
370 Ramipril tablet 2,5 mg - tab - - - tab - - -
371 Ramipril tablet 5 mg - tab - - - tab - - -
372 Ranitidin injeksi 25 mg/ml - amp - - - amp - - -
373 Ranitidin injeksi 50 mg/2ml - amp - - - amp - - -
374 Ranitidin tablet 150 mg 320 tab 85.00 27,200.00 - tab - - 220
375 Reserpin tablet 0,10 mg - tab - - - tab - - -
376 Reserpin tablet 0,25 mg - tab - - - tab - - -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak - kaps - - - kaps - - -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak - kaps - - - kaps - - -
SALDO AWAL MUTASI MASUK M
NO NAMA BARANG
Harga Satuan Harga Satuan
unit/bh/set Jumlah unit/bh/set Jumlah unit/bh/set
(Rp) (Rp)
379 Rifampisin kapsul/kaplet 300 mg - kapl - - - kapl - - -
380 Rifampisin kapsul/kaplet 600 mg - kapl - - - kapl - - -
381 Rifampisin tablet salut 450 mg - tab - - - tab - - -
382 Ringer Laktat (RL) larutan infus - btl - - - btl - - -
383 Risperidon tablet 1 mg - tab - - - tab - - -
384 Risperidon tablet 2 mg - tab - - - tab - - -
385 Risperidon tablet 3 mg - tab - - - tab - - -
386 Salbutamol inhalasi/aerosol
Salbutamol cairan (As.sulfat)100
2,5mcg/dosis
mg (Ventolin Nebules)
(Ventolin
- btl - - - btl - - -
387 Inhaler) - btl - - - btl - - -
388 Salbutamol tablet 2 mg (sebagai sulfat) - tab - - - tab - - -
389 Salbutamol tablet 4 mg (sebagai sulfat) - tab - - - tab - -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang pot pot
endap 4% - - - - - - -
391 Salisil Bedak 2 % - ktk - - - ktk - - -
392 Sanbe Plex drop - btl - - - btl - - -
393 Sefadroksil kapsul/kaplet 250 mg - kaps - - - kaps - - -
394 Sefadroksil kapsul/kaplet 500 mg - kaps - - - kaps - - -
395 Sefadroksil sirup kering 125 mg/5ml - btl - - - btl - - -
396 Sefaleksin kapsul/kaplet 250 mg - kaps - - - kaps - - -
397 Sefaleksin kapsul/kaplet 500 mg - kaps - - - kaps - - -
398 Sefazolin injeksi 1 g - amp - - - amp - - -
399 Sefiksim 400 mg + Azitromisin 1000 mg - tab - - - tab - - -
400 Sefiksim kapsul/kaplet 100 mg - kaps - - - kaps - - -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) - btl - - - btl - - -
402 Sefotaksim injeksi 0,5 g - amp - - - amp - - -
403 Sefotaksim injeksi 1 g - vial - - - vial - - -
404 Seftazidim injeksi 1 g - amp - - - amp - - -
405 Seftriakson injeksi 1 g - amp - - - amp - - -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) - amp - - - amp - - -
407 Serum ABU I - vial - - - vial - - -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml - amp - - - amp - - -
409 Sianokobalamin (vitamin B12) tablet 50 mcg - tab - - - tab - - -
410 Simetidin injeksi (Ulsikur) - amp - - - amp - - -
411 Simetidin tablet 200 mg - tab - - - tab - - -
412 Simvastatin tablet 10 mg - tab - - - tab - - -
413 Simvastatin tablet 20 mg - tab - - - tab - - -
414 Simvastatin tablet 5 mg - tab - - - tab - - -
415 Siprofloksasin infus 2% - btl - - - btl - - -
416 Siprofloksasin tablet 250 mg (sebagai HCl) - tab - - - tab - - -
417 Siprofloksasin tablet 500 mg (sebagai HCl) - tab - - - tab - - -
418 Spasminal tablet - tab - - - tab - - -
419 Spiramisin tablet 500 mg - tab - - - tab - - -
420 Spironolakton tablet 100 mg - tab - - - tab - - -
421 Spironolakton tablet 25 mg - tab - - - tab - -
422 Stavudin tablet 30 mg - tab - - - tab - - -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml - btl - - - btl - - -
424 Sukralfat susp 500 mg/5 ml - btl - - - btl - - -
425 Sulfasalazin tablet 500 mg - tab - - - tab - - -
426 Sulfasetamida Natrium tetes mata 15% - btl - - - btl - - -
427 Suprabion sirup - btl - - - btl - - -
428 Tamoksifen tablet 20 mg - tab - - - tab - - -
429 Teofillin tablet 150 mg (Bronsolvon) - tab - - - tab - - -
430 Terbutalin Sulfat 2,5 mg (Molasma) - tab - - - tab - - -
431 Tetrakain HCl tetes mata 0,5% - btl - - - btl - - -
432 Tetrasiklin kapsul/kaplet 250 mg - kaps - - - kaps - - -
433 Tetrasiklin kapsul/kaplet 500 mg - kaps - - - kaps - - -
434 Thyrosol tablet - tab - - - tab - - -
435 Tiamfenikol kapsul/kaplet 250 mg - kaps - - - kaps - - -
436 Tiamfenikol kapsul/kaplet 500 mg - kaps - - - kaps - - -
437 Tiamfenikol sirup 125 mg/ml - btl - - - btl - - -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) 20 tab 203.50 4,070.00 - tab - - -
439 Tiamin (Vitamin B1) 100 mg tablet - tab - - - tab - - -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml - amp - - - amp - - -
SALDO AWAL MUTASI MASUK M
NO NAMA BARANG
Harga Satuan Harga Satuan
unit/bh/set Jumlah unit/bh/set Jumlah unit/bh/set
(Rp) (Rp)
441 Timolol tetes mata 0,5% - btl - - - btl - - -
442 Tramadol injeksi 50 mg/ml - amp - - - amp - - -
443 Tramadol kapsul/kaplet/tablet 50 mg - kaps - - - kaps - - -
444 Trifaneuron - kapl - - - kapl - - -
445 Trifluoperazin tablet 5 mg - tab - - - tab - - -
446 Triheksifenidil tablet 2 mg - tab - - - tab - - -
447 Trolit - sase - - - sase - - -
448 Valsartan tablet 80 mg - tab - - - tab - - -
449 Verapamil tablet 80 mg (HCl) - tab - - - tab - - -
450 Vicillin inj. 1 gr - vial - - - vial - - -
451 Vitamin B Kompleks tablet 320 tab 57.00 18,240.00 - tab - - 170
452 Zamel drop - btl - - - btl - - -
453 Zamel sirup - btl - - - btl - - -
454 Zidovudin tablet 100 mg - tab - - - tab - - -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg - tab - - - tab - - -
456 Zinc drop 10 mg/ml - btl - - - btl - - -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) - btl - - - btl - - -
458 Zinc tablet 20 mg 50 tab 100.00 5,000.00 - tab - - -
- - - - - -
B BAHAN MEDIS HABIS PAKAI - - - - - -
1 Absorben paper point (Indodent) - pcs - - - pcs - - -
2 Alat suntik insulin 1ml - set - - - set - - -
3 Alat suntik sekali pakai 1 ml - set - - - set - - -
4 Alat suntik sekali pakai 2,5 ml - set - - - set - - -
5 Alat suntik sekali pakai 3 ml 20 set 874.50 17,489.92 - set - - 20
6 Alat suntik sekali pakai 5 ml 5 set 968.00 4,840.00 - set - - 5
7 Alat suntik sekali pakai 10 ml (OneMed) - set - - - set - - -
8 Alat suntik sekali pakai 20 ml - set - - - set - - -
9 Alkohol gel (Aseptic Gel) - btl - - - btl - - -
10 Articulating paper - ktk - - - ktk - - -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) - tube - - - tube - - -
12 Blood lancet - pcs - - - pcs - - -
13 Blood tranfusion set - set - - - set - - -
14 Bonding - btl - - - btl - - -
15 Catgut Chromic no 2/0 - set - - - set - - -
16 Catgut Chromic no 3/0 - set - - - set - - -
17 Catgut Plain no 2/0 - set - - - set - - -
18 Catgut Plain no 3/0 - set - - - set - - -
19 Cotton roll (Prodental) - bks - - - bks - - -
20 Dermafix 10 x 8 cm - pcs - - - pcs - - -
21 Dermafix 5 x 7 cm - pcs - - - pcs - - -
22 Desinfektan Klorin 500 ml - btl - - - btl - - -
23 Disposafe Safety Box 2,5 L - box - - - box - - -
24 Disposafe Safety Box 5 L - box - - - box - - -
25 Etakridin larutan 0,1% (rivanol) - btl - - - btl - - -
26 Etanol 70% cairan (100 ml) - btl - - - btl - - -
27 Etanol 70% cairan (1000 ml) - btl - - - btl - - -
28 Etanol 95% cairan (1 L) - btl - - - btl - - -
29 Etching - btl - - - btl - - -
30 Etil Klorida spray - btl - - - btl - - -
31 Eugenol cairan - btl - - - btl - - -
32 Fixomull stretch 10 cm x 5 m - rol - - - rol - - -
33 Fixomull stretch 5 cm x 5 m - rol - - - rol - - -
34 Foley Catheter (16) - set - - - set - - -
35 Foley Catheter (18) - set - - - set - - -
36 Foley Catheter (20) - set - - - set - - -
37 Foley Catheter (22) - set - - - set - - -
38 Foley Catheter (24) - set - - - set - - -
39 Foley Catheter (24) - set - - - set - - -
40 Formokresol cairan - btl - - - btl - - -
41 Glass Ionomer Cement ART - btl - - - btl - - -
42 Guedel Airway No. 000 / Oropharyngeal - pcs - - - pcs - - -
43 Guedel Airway No. 2 / Oropharyngeal - pcs - - - pcs - - -
44 Handrub 500 ml 4 btl 82,500.00 330,000.00 - btl - - 1
45 Handscoon (uk 7~7,5) - psg - - - psg - - -
46 Handscoon (uk S,M,L) 136 pcs 1,160.00 157,760.00 - pcs - - 60
SALDO AWAL MUTASI MASUK M
NO NAMA BARANG
Harga Satuan Harga Satuan
unit/bh/set Jumlah unit/bh/set Jumlah unit/bh/set
(Rp) (Rp)
47 Handscoon / Sarung Tangan Obgyn - psg - - - psg - - -
48 H2O2 3% 1000 ml - btl - - - btl - - -
49 H2O2 3% 800 ml - btl - - - btl - - -
50 H2O2 3% 100 ml - btl - - - btl - - -
51 Infusion set anak - set - - - set - - -
52 Infusion set dewasa - set - - - set - - -
53 IV Cannula With Safety Wings No. 24 - set - - - set - - -
54 IV Catheter No. 16 G - set - - - set - - -
55 IV Catheter No. 18 G - set - - - set - - -
56 IV Catheter No. 20 G - set - - - set - - -
57 IV Catheter No. 22 G - set - - - set - - -
58 IV Catheter No. 24 G - set - - - set - - -
59 IV Catheter No. 26 G - set - - - set - - -
60 Kacamata Goggle - unit - - - unit - - -
61 Kalsium Hidroksida Pasta - ktk - - - ktk - - -
62 Kapas 500 gr - bks - - - bks - - -
63 Kapas Pembalut/Absorben 250 gram - bks - - - bks - - -
64 Kapas Berlemak 500 gram - bks - - - bks - - -
65 Kasa 2 x 80 cm - rol - - - rol - - -
66 Kasa 40 x 40 cm - rol - - - rol - - -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) 60 lbr 487.50 29,250.00 - lbr - - -
68 Kasa Hidrofil uk. 36 m x 80 cm - rol - - - rol - - -
69 Kasa Hidrofil uk. 40 m x 80 cm - rol - - - rol - - -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m - rol - - - rol - - -
71 Kasa Pembalut Elastis 10 cm x 4,5 m - rol - - - rol - - -
72 Kasa Pembalut Elastis 10 cm x 4,55 m - rol - - - rol - - -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) - rol - - - rol - - -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) - rol - - - rol - - -
75 Kasa Pembalut Elastis 3 inchi - rol - - - rol - - -
76 Kasa Pembalut Elastis 4 inchi - rol - - - rol - - -
77 Kasa Pembalut Elastis 6 inchi - rol - - - rol - - -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m - rol - - - rol - - -
79 Kasa Pembalut Hidrofil 4 m x 10 cm 10 rol 2,035.00 20,350.00 - rol - - -
80 Kasa Pembalut Hidrofil 4 m x 5 cm - rol - - - rol - - -
81 Kertas Puyer - lbr - - - lbr - - -
82 Kit Gown - set - - - set - - -
83 Klorfenol Kamfer Menthol (CHKM) cairan - btl - - - btl - - -
84 Komposit resin - btl - - - btl - - -
85 Lysol 1 Liter - btl - - - btl - - -
86 Lubricating jelly 1 tube 29,550.00 29,550.00 - tube - - -
87 Masker 6 set 919.08 5,514.48 - set - - 6
88 Masker Kain - set - - - set - - -
89 Masker N95 - set - - - set - - -
90 Masker Nebulizer Anak - set - - - set - - -
91 Masker Nebulizer Dewasa - set - - - set - - -
92 Masker Oksigen Anak - set - - - set - - -
93 Masker Oksigen Bayi - set - - - set - - -
94 Masker Oksigen Dewasa - set - - - set - - -
95 Mess silet / Surgical Blade - pcs - - - pcs - - -
96 Mummifying Pasta - btl - - - btl - - -
97 Nurse Cap - pcs - - - pcs - - -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai - unit - - - unit - - -
99 Pakaian Pelindung Coverall Reusable - unit - - - unit - - -
100 Plester 5 cm x 4,5 m - rol - - - rol - - -
101 Plester 5 cm x 4,5 m (Leukoplast) - rol - - - rol - - -
102 Plester 7,5 cm x 4,5 m - rol - - - rol - - -
103 Plester 5 cm x 5 m (Ultrafix) - rol - - - rol - - -
104 Plester 5 yards x 5 inch - rol - - - rol - - -
105 Semen Seng Fosfat serbuk dan cairan - btl - - - btl - - -
106 Selang Oksigen Anak (Oxyflow) - pcs - - - pcs - - -
107 Selang Oksigen Bayi (Oxyflow) - pcs - - - pcs - - -
108 Selang Oksigen Dewasa (Oxyflow) - pcs - - - pcs - - -
109 Selulosa strip - pcs - - - pcs - - -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah - set - - - set - - -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah - set - - - set - - -
112 Spalk Kaki Anak - pcs - - - pcs - - -
113 Spalk Kaki Dewasa - pcs - - - pcs - - -
SALDO AWAL MUTASI MASUK M
NO NAMA BARANG
Harga Satuan Harga Satuan
unit/bh/set Jumlah unit/bh/set Jumlah unit/bh/set
(Rp) (Rp)
114 Spalk Tangan Anak - pcs - - - pcs - - -
115 Spalk Tangan Bayi - pcs - - - pcs - - -
116 Spalk Tangan Dewasa - pcs - - - pcs - - -
117 Sofra tulle - pcs - - - pcs - - -
118 Stomach Tube (NGT) no 16 - tube - - - tube - - -
119 Stomach Tube (NGT) no 18 - tube - - - tube - - -
120 Stomach Tube (NGT) no 20 - tube - - - tube - - -
121 Suction Catheter No. 10 - set - - - set - - -
122 Temporary Stopping Fletcher serbuk dan cairan - btl - - - btl - - -
123 Tooth cleanshing tincture (OCO) - btl - - - btl - - -
124 Trikresol Formalin (TKF) Cairan - btl - - - btl - - -
125 Ultrasonic Gel - btl - - - btl - - -
126 Underpad - pcs - - - pcs - - -
127 Urine Bag - set - - - set - - -
128 Urocare - set - - - set - - -
129 Wing Needle No - set - - - set - - -
- - - - - -
C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN - - - - - -
1 Alkohol swab 400 pcs 139.86 55,944.00 - pcs - - 400
2 - - - - - - - -
3 - - - - - - - - -
4 - - - - - - - - -
5 - - - - - - - - -
6 - - - - - - - -
7 - - - - - - - - -
8 - - - - - - - - -
9 - - - - - - - - -
10 - - - - - - - - -
11 - - - - - - - - -
12 - - - - - - - - -
13 - - - - - - - - -
14 - - - - - - - - -
15 - - - - - - - - -
16 - - - - - - - - -
17 - - - - - - - - -
dst
JUMLAH TOTAL 1,594,077.39 -

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KEPALA PUSKESMAS PANARUKAN

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MUTASI KELUAR SALDO AKHIR


Ket
Harga Satuan Harga
unit/bh/set Jumlah unit/bh/set Jumlah
(Rp) Satuan (Rp)
Selisih
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab 87.00 3,480.00 80 tab 87.00 6,960.00 - 6,960 1 0 1 1 3
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - 20 tab 53.00 1,060.00 - 1,060 1 0 0 1 2
tab - - - tab - - - - 0 0 0 0 0
kapl - - - kapl - - - - 0 0 0 0 0
kapl 580.00 17,400.00 20 kapl 580.00 11,600.00 - 11,600 1 0 1 1 3
vial - - - vial - - - - 0 0 0 0 0
btl - - btl - - - 0 0 0 0 0
vial - - - vial - - - - 0 0 0 0 0
vial - - - vial - - - - 0 0 0 0 0

flexpen - - - flexpen - - - - 0 0 0 0 0
tab 54.00 4,860.00 30 tab 54.00 1,620.00 - 1,620 1 0 1 1 3
btl - - btl - - - 0 0 0 0 0
tube - - - tube - - - - 0 0 0 0 0

pot - - - pot - - - - 0 0 0 0 0
supp - - - supp - - - - 0 0 0 0 0

tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
vial - - - vial - - - - 0 0 0 0 0
katrid - - - katrid - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab 42.00 10,500.00 470 tab 42.00 19,740.00 - 19,740 1 0 1 1 3
tab - - - tab - - - - 0 0 0 0 0
kapl - - - kapl - - - - 0 0 0 0 0
kapl - - 130 kapl 140.00 18,199.99 - 18,200 1 0 0 1 2
kaps - - - kaps - - - - 0 0 0 0 0
MUTASI KELUAR SALDO AKHIR
Ket
Harga Satuan Harga
unit/bh/set Jumlah unit/bh/set Jumlah
(Rp) Satuan (Rp)
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tube - - - tube - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - 50 tab 550.00 27,500.00 - 27,500 1 0 0 1 2
vial - - - vial - - - - 0 0 0 0 0
vial - - - vial - - - - 0 0 0 0 0
tab - - 200 tab 226.00 45,200.00 - 45,200 1 0 0 1 2
tab - - - tab - - - - 0 0 0 0 0
tube - - - tube - - - - 0 0 0 0 0
tube - - - tube - - - - 0 0 0 0 0
pcs - - - pcs - - - - 0 0 0 0 0
supp - - - supp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tube - - - tube - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab 121.00 22,990.00 (70) tab 121.00 (8,470.00) - (8,470) 1 0 1 1 3
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tube - - - tube - - - - 0 0 0 0 0
tube - - - tube - - - - 0 0 0 0 0
supp - - - supp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - tab - - - - 0 0 0 0 0
amp 781.00 4,686.00 2 amp 781.00 1,562.00 - 1,562 1 0 1 1 3
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
MUTASI KELUAR SALDO AKHIR
Ket
Harga Satuan Harga
unit/bh/set Jumlah unit/bh/set Jumlah
(Rp) Satuan (Rp)
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
sac 577.50 26,565.00 104 sac 577.50 60,060.00 - 60,060 1 0 1 1 3
btl - - - btl - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tube - - - tube - - - - 0 0 0 0 0
tube - - - tube - - - - 0 0 0 0 0
btl - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - 100 tab 82.00 8,200.00 - 8,200 1 0 0 1 2
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab 189.00 15,120.00 120 tab 189.00 22,680.00 - 22,680 1 0 1 1 3
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tube - - - tube - - - - 0 0 0 0 0
tube - - 5 tube 2,325.00 11,625.00 - 11,625 1 0 0 1 2
syringe - - - syringe - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab 190.00 26,600.00 110 tab 190.00 20,900.00 - 20,900 1 0 1 1 3
kaps - - - kaps - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
MUTASI KELUAR SALDO AKHIR
Ket
Harga Satuan Harga
unit/bh/set Jumlah unit/bh/set Jumlah
(Rp) Satuan (Rp)
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab 60.00 8,400.00 250 tab 60.00 15,000.00 - 15,000 1 0 1 1 3
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tube 2,370.00 2,370.00 8 tube 2,370.00 18,960.00 - 18,960 1 0 1 1 3
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
tab 49.00 3,920.00 180 tab 49.00 8,820.00 - 8,820 1 0 1 1 3
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
tube - - - tube - - - - 0 0 0 0 0
tube - - - tube - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0

btl - - - btl - - - - 0 0 0 0 0
blister - - - blister - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0

btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
sase - - - sase - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
syringe - - - syringe - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
MUTASI KELUAR SALDO AKHIR
Ket
Harga Satuan Harga
unit/bh/set Jumlah unit/bh/set Jumlah
(Rp) Satuan (Rp)
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
btl 10,656.00 213,120.00 - btl - - - - 1 0 1 0 2
vial - - - vial - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
supp - - - supp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab 239.00 26,290.00 290 tab 239.00 69,310.00 - 69,310 1 0 1 1 3
tab 77.00 1,540.00 50 tab 77.00 3,850.00 - 3,850 1 0 1 1 3
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
ovula - - - ovula - - - - 0 0 0 0 0
supp - - - supp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - 50 tab 381.70 19,085.00 - 19,085 1 0 0 1 2
tube - - - tube - - - - 0 0 0 0 0
sase - - - sase - - - - 0 0 0 0 0
tube - - - tube - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - 120 tab 100.00 12,000.00 - 12,000 1 0 0 1 2
btl - - - btl - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
ovula - - - ovula - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
paket - - - paket - - - - 0 0 0 0 0
paket - - - paket - - - - 0 0 0 0 0
paket - - - paket - - - - 0 0 0 0 0
paket - - - paket - - - - 0 0 0 0 0
MUTASI KELUAR SALDO AKHIR
Ket
Harga Satuan Harga
unit/bh/set Jumlah unit/bh/set Jumlah
(Rp) Satuan (Rp)
paket - - - paket - - - - 0 0 0 0 0
paket - - - paket - - - - 0 0 0 0 0
btl - - 2 btl 14,003.00 28,006.00 - 28,006 1 0 0 1 2
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tube - - - tube - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tube - - - tube - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
vial - - - vial - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl 1,160.00 3,480.00 14 btl 1,160.00 16,240.00 - 16,240 1 0 1 1 3
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab 159.50 19,140.00 180 tab 159.50 28,710.00 - 28,710 1 0 1 1 3
tab - - - tab - - - - 0 0 0 0 0
tube - - - tube - - - - 0 0 0 0 0
tube - - - tube - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tube - - - tube - - - - 0 0 0 0 0
tube - - - tube - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - 50 tab 199.80 9,990.00 - 9,990 1 0 0 1 2
amp - - - amp - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
vial - - - vial - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab 85.00 18,700.00 100 tab 85.00 8,500.00 - 8,500 1 0 1 1 3
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
MUTASI KELUAR SALDO AKHIR
Ket
Harga Satuan Harga
unit/bh/set Jumlah unit/bh/set Jumlah
(Rp) Satuan (Rp)
kapl - - - kapl - - - - 0 0 0 0 0
kapl - - - kapl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - tab - - - 0 0 0 0 0
pot - - - pot - - - - 0 0 0 0 0
ktk - - - ktk - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
vial - - - vial - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
vial - - - vial - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - 20 tab 203.50 4,070.00 - 4,070 1 0 0 1 2
tab - - - tab - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
MUTASI KELUAR SALDO AKHIR
Ket
Harga Satuan Harga
unit/bh/set Jumlah unit/bh/set Jumlah
(Rp) Satuan (Rp)
btl - - - btl - - - - 0 0 0 0 0
amp - - - amp - - - - 0 0 0 0 0
kaps - - - kaps - - - - 0 0 0 0 0
kapl - - - kapl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
sase - - - sase - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
vial - - - vial - - - - 0 0 0 0 0
tab 57.00 9,690.00 150 tab 57.00 8,550.00 - 8,550 1 0 1 1 3
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
tab - - - tab - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tab - - 50 tab 100.00 5,000.00 - 5,000 1 0 0 1 2
- - - 0 0 0 0 1
- - - 0 0 0 0 1
pcs - - - pcs - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set 874.50 17,489.92 - set - - - - 1 0 1 0 2
set 968.00 4,840.00 - set - - - - 1 0 1 0 2
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
ktk - - - ktk - - - - 0 0 0 0 0
tube - - - tube - - - - 0 0 0 0 0
pcs - - - pcs - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
bks - - - bks - - - - 0 0 0 0 0
pcs - - - pcs - - - - 0 0 0 0 0
pcs - - - pcs - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
box - - - box - - - - 0 0 0 0 0
box - - - box - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
rol - - - rol - - - - 0 0 0 0 0
rol - - - rol - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
pcs - - - pcs - - - - 0 0 0 0 0
pcs - - - pcs - - - - 0 0 0 0 0
btl 82,500.00 82,500.00 3 btl 82,500.00 247,500.00 - 247,500 1 0 1 1 3
psg - - - psg - - - - 0 0 0 0 0
pcs 1,160.00 69,600.00 76 pcs 1,160.00 88,160.00 - 88,160 1 0 1 1 3
MUTASI KELUAR SALDO AKHIR
Ket
Harga Satuan Harga
unit/bh/set Jumlah unit/bh/set Jumlah
(Rp) Satuan (Rp)
psg - - - psg - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
unit - - - unit - - - - 0 0 0 0 0
ktk - - - ktk - - - - 0 0 0 0 0
bks - - - bks - - - - 0 0 0 0 0
bks - - - bks - - - - 0 0 0 0 0
bks - - - bks - - - - 0 0 0 0 0
rol - - - rol - - - - 0 0 0 0 0
rol - - - rol - - - - 0 0 0 0 0
lbr - - 60 lbr 487.50 29,250.00 - 29,250.00 1 0 0 1 2
rol - - - rol - - - - 0 0 0 0 0
rol - - - rol - - - - 0 0 0 0 0
rol - - - rol - - - - 0 0 0 0 0
rol - - - rol - - - - 0 0 0 0 0
rol - - - rol - - - - 0 0 0 0 0
rol - - - rol - - - - 0 0 0 0 0
rol - - - rol - - - - 0 0 0 0 0
rol - - - rol - - - - 0 0 0 0 0
rol - - - rol - - - - 0 0 0 0 0
rol - - - rol - - - - 0 0 0 0 0
rol - - - rol - - - - 0 0 0 0 0
rol - - 10 rol 2,035.00 20,350.00 - 20,350 1 0 0 1 2
rol - - - rol - - - - 0 0 0 0 0
lbr - - - lbr - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
tube - - 1 tube 29,550.00 29,550.00 - 29,550 1 0 0 1 2
set 919.08 5,514.48 - set - - - - 1 0 1 0 2
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
pcs - - - pcs - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
pcs - - - pcs - - - - 0 0 0 0 0
unit - - - unit - - - - 0 0 0 0 0
unit - - - unit - - - - 0 0 0 0 0
rol - - - rol - - - - 0 0 0 0 0
rol - - - rol - - - - 0 0 0 0 0
rol - - - rol - - - - 0 0 0 0 0
rol - - - rol - - - - 0 0 0 0 0
rol - - - rol - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
pcs - - - pcs - - - - 0 0 0 0 0
pcs - - - pcs - - - - 0 0 0 0 0
pcs - - - pcs - - - - 0 0 0 0 0
pcs - - - pcs - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
pcs - - - pcs - - - - 0 0 0 0 0
pcs - - - pcs - - - - 0 0 0 0 0
MUTASI KELUAR SALDO AKHIR
Ket
Harga Satuan Harga
unit/bh/set Jumlah unit/bh/set Jumlah
(Rp) Satuan (Rp)
pcs - - - pcs - - - - 0 0 0 0 0
pcs - - - pcs - - - - 0 0 0 0 0
pcs - - - pcs - - - - 0 0 0 0 0
pcs - - - pcs - - - - 0 0 0 0 0
tube - - - tube - - - - 0 0 0 0 0
tube - - - tube - - - - 0 0 0 0 0
tube - - - tube - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
btl - - - btl - - - - 0 0 0 0 0
pcs - - - pcs - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
set - - - set - - - - 0 0 0 0 0
- - - 0 0 0 0 1
- - - 0 0 0 0 1
pcs 139.86 55,944.00 - pcs - - - 1 0 1 0 2
- - - - - - 0 0 0 0 0
- - - - - - - 0 0 0 0 0
- - - - - - - 0 0 0 0 0
- - - - - - - 0 0 0 0 0
- - - - - - - 0 0 0 0 0
- - - - - - - 0 0 0 0 0
- - - - - - - 0 0 0 0 0
- - - - - - - 0 0 0 0 0
- - - - - - - 0 0 0 0 0
- - - - - - - 0 0 0 0 0
- - - - - - - 0 0 0 0 0
- - - - - - - 0 0 0 0 0
- - - - - - - 0 0 0 0 0
- - - - - - - 0 0 0 0 0
- - - - - - - 0 0 0 0 0
- - - - - - - 0 0 0 0 0

674,739.40 919,337.99 - 919,337.99

919,337.99
PANARUKAN, 31-12-2023 -
AMAN
PENANGGUNG JAWAB UNIT PELAYANAN SOBAT, GAK
ADA SELISIH,
AMAN SOBAT, GAK ADA
LANJUTKAN
SELISIH, LANJUTKAN
PEKERJAAN
PEKERJAAN SOBAT DENGAN
SOBAT
SENANG HATI
YENY SOFIA AKHMAD DENGAN
NIP : SENANG
HATI
AMAN
SOBAT, GAK
ADA SELISIH,
LANJUTKAN
PEKERJAAN
SOBAT
DENGAN
SENANG
HATI
REGISTER RESEP OBAT PELEYAN
DESEMBER 2023

JENIS RESEP JUMLAH


TOTAL RESEP PENULISAN
TGL UMUM JKN OBAT
L P L P L P TOTAL GENERIK

1 - - -
2 - - -
3 - - -
4 - - -
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
16 - - -
17 - - -
18 - - -
19 - - -
20 - - -
21 - - -
22 - - -
23 - - -
24 - - -
25 - - -
26 - - -
27 - - -
28 - - -
29 - - -
30 - - -
31 - - -

TOTAL
- - - - - - - -

Keterangan :
HOME
DAFTAR OBAT & BMHP PELEYAN
HASIL STOK OPNAME 31-12-2023

Data Di
NO NAMA BARANG Satuan Fisik Obat Selisih Keterangan
Kartu Stok
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp - - -
2 Acarbose tab 50 mg tab - - -
3 Acarbose tab 100 mg tab - - -
4 Albendazol suspensi 200 mg/5 ml btl - - -
5 Albendazol tablet 400 mg tab - - -
6 Alinamin F injeksi amp - - -
7 Alinamin F tablet tab - - -
8 Alopurinol tablet 100 mg tab 80 80 -
9 Alopurinol tablet 300 mg tab - - -
10 Alprazolam tablet 0,25 mg tab - - -
11 Alprazolam tablet 0,5 mg tab - - -
12 Alprazolam tablet 1 mg tab - - -
13 Ambroxol sirup 15 mg/ml btl - - -
14 Ambroxol tablet 30 mg tab - - -
15 Aminofilin injeksi 24 mg/ml~10 ml amp - - -
16 Aminofilin tablet 150 mg tab - - -
17 Aminofilin tablet 200 mg tab - - -
18 Amiodarone hidrocloride 200 mg tab - - -
19 Amitriptilin tablet salut 25 mg (HCl) tab - - -
20 Amlodipin tablet 10 mg tab - - -
21 Amlodipin tablet 5 mg tab 20 20 -
22 Amoksisilin + As. Klavulanat 625 mg tablet tab - - -
23 Amoksisilin kapsul/kaplet 250 mg kapl - - -
24 Amoksisilin kapsul/kaplet 500 mg kapl 20 20 -
25 Amoksisilin serbuk injeksi 1000 mg vial - - -
26 Amoksisilin sirup kering 125 mg/5 ml btl - - -
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial - - -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial - - -
Analog insulin rapid acting inj 100 UI/ml (insulin aspart novorapid
29 flexpen) flexpen - - -
30 Antasida tablet kunyah tab 30 30 -
31 Antasida suspensi btl - - -
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin
10.000 IU/g tube - - -
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Salisilat 3% pot - - -
Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg
34
Heksaklorofen 2,5 mg supp - - -
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg Sulfadoksin
tablet 500 mg tab - - -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 mg tab - - -
Antiparkinson DOEN Tab Komb Levodopa 100 mg, Benserazid HCl
37 25 mg tab - - -
38 Aqua pro injeksi steril, bebas pirogen amp - - -
39 Artemether injeksi 80 mg/ml amp - - -
Data Di
NO NAMA BARANG Satuan Fisik Obat Selisih Keterangan
Kartu Stok
40 Artesunate injeksi 60 mg vial - - -
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turbocaina) katrid - - -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab - - -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab - - -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab - - -
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab - - -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab - - -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab 40 40 -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 470 470 -
49 Asam Folat tablet 1 mg tab - - -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl - - -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl - - -
52 Asam pipemidat kapsul 400 mg kaps - - -
53 Asam Traneksamat inj. amp - - -
54 Asam Traneksamat tablet tab - - -
55 Asiklovir krim 5% tube - - -
56 Asiklovir tablet 200 mg tab - - -
57 Asiklovir tablet 400 mg tab - - -
58 Atenolol tablet 100 mg tab - - -
59 Atenolol tablet 50 mg tab - - -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp - - -
61 Atropin Sulfat tablet 0,5 mg tab - - -
62 Attapulgit tablet 600 mg tab 50 50 -
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial - - -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial - - -
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet tambah
darah kombinasi) tab 200 200 -
66 Betahistin Mesilat tablet 6 mg tab - - -
67 Betametason krim 0,1% (sebagai valerat) tube - - -
68 Bioplacenton salep tube - - -
69 Bioplacenton tulle pcs - - -
70 Bisakodil suppositoria 10 mg supp - - -
71 Bisoprolol fumarat 2,5 mg tab - - -
72 Bisoprolol tablet 5 mg tab - - -
73 Bromheksin tablet 8 mg tab - - -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp - - -
75 Candesartan cilexetil 16 mg tab - - -
76 Candesartan cilexetil 8 mg tab - - -
77 Cetirizine sirup 5 mg/5 ml btl - - -
78 Cetirizine tablet 10 mg tab - - -
79 Citicoline 125 mg/ml amp - - -
80 Clobazam tablet 10 mg tab - - -
81 Clobetasol krim 0,05% tube - - -
82 Combifen sirup btl - - -
83 Coparcetin sirup btl - - -
Data Di
NO NAMA BARANG Satuan Fisik Obat Selisih Keterangan
Kartu Stok
84 Coparcetin tablet tab - - -
85 Dapson tablet 100 mg tab - - -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp - - -
87 Deksametason tablet 0,5 mg tab (70) (70) -
88 Dekstran 70 ~ larutan infus 6% steril btl - - -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl - - -
90 Dekstrometorfan tablet 15 mg (HBr) tab - - -
91 Devitalisasi Pasta btl - - -
92 Dexanta tablet tab - - -
93 Diazepam injeksi 5 mg/ml amp - - -
94 Diazepam injeksi 10 mg/ml amp - - -
95 Diazepam larutan rectal 10 mg/2,5 ml tube - - -
96 Diazepam larutan rectal 5 mg/2,5 ml tube - - -
97 Diazepam supp supp - - -
98 Diazepam tablet 2 mg tab - - -
99 Diazepam tablet 5 mg tab - - -
100 Dietilkarbamazin sitrat tablet 100 mg tab - - -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 2 2 -
102 Digoksin injeksi 0,25 mg/ml amp - - -
103 Digoksin tablet 0,25 mg tab - - -
104 Diltiazem HCl tablet 30 mg tab - - -
105 Dimenhidrinat tablet 50 mg tab - - -
106 Doksisiklin kapsul/kaplet 100 mg kaps - - -
107 Domperidon drop 5 mg/ml btl - - -
108 Domperidon suspensi 5 mg/5 ml btl - - -
109 Domperidon tablet 10 mg tab - - -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp - - -
111 Efedrin tablet 25 mg (HCl) tab - - -
112 Ekstraks Belladona tablet 10 mg tab - - -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp - - -
114 Eritromisin kapsul/kaplet 250 mg kaps - - -
115 Eritromisin kapsul/kaplet 500 mg kaps - - -
116 Eritromisin sirup 200 mg/5 ml btl - - -
117 Etambutol tablet 250 mg (HCl) tab - - -
118 Etambutol tablet salut 500 mg (HCl) tab - - -
119 Famotidine tablet 20 mg tab - - -
120 Famotidine tablet 40 mg tab - - -
121 Fe Sirup / Besi sirup btl - - -
122 Fenilbutason tablet 200 mg tab - - -
123 Fenitoin kapsul/kaplet 100 mg kaps - - -
124 Fenitoin Natrium injeksi 50 mg/ml amp - - -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps - - -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp - - -
127 Fenobarbital tablet 100 mg tab - - -
Data Di
NO NAMA BARANG Satuan Fisik Obat Selisih Keterangan
Kartu Stok
128 Fenobarbital tablet 30 mg tab - - -
129 Fenoksimetil Penisilin tablet 250 mg tab - - -
130 Fenoksimetil Penisilin tablet 500 mg tab - - -
131 Fenol Gliserol tetes telinga 10% btl - - -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab - - -
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp - - -
134 Flufenazin inj. i.m. 25 mg/ml amp - - -
135 Flukonazol tablet 150 mg tab - - -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp - - -
137 Furosemid tablet 40 mg tab - - -
138 Garam Oralit I serbuk sac 104 104 -
139 Gastrusid sirup btl - - -
140 Gemfibrozil kapsul/kaplet 300 mg kaps - - -
141 Gemfibrozil tablet 600 mg tab - - -
142 Gentamisin injeksi 40 mg/ml amp - - -
143 Gentamisin injeksi 80 mg/2ml amp - - -
144 Gentamisin salep kulit 0,1% tube - - -
145 Gentamisin salep mata 0,3% tube - - -
146 Gentamisin sulfat tetes mata 0,3% btl - - -
147 Gentian Violet larutan 1% btl - - -
148 Glibenklamida tablet 5 mg tab - - -
149 Gliklazid tablet 30 mg tab - - -
150 Gliklazid tablet 80 mg tab - - -
151 Glimepiride tablet 1 mg tab - - -
152 Glimepiride tablet 2 mg tab - - -
153 Glimepiride tablet 3 mg tab - - -
154 Glimepiride tablet 4 mg tab - - -
155 Glipizid 10 mg tab - - -
156 Glipizid 5 mg tab - - -
157 Gliquidon tablet 30 mg tab - - -
158 Gliseril Gualakolat tablet 100 mg tab 120 120 -
159 Gliserin larutan 50% btl - - -
160 Glukosa larutan infus 5% steril btl - - -
161 Glukosa larutan infus 10% steril btl - - -
162 Glukosa larutan infus 40% steril btl - - -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl - - -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl - - -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl - - -
166 Griseofulvin tablet 125 mg tab - - -
167 Haloperidol inj 50 mg/ml amp - - -
168 Haloperidol Inj i.m. 5 mg/ml amp - - -
169 Haloperidol tablet 0,5 mg tab - - -
170 Haloperidol tablet 1,5 mg tab - - -
171 Haloperidol tablet 2 mg tab - - -
Data Di
NO NAMA BARANG Satuan Fisik Obat Selisih Keterangan
Kartu Stok
172 Haloperidol tablet 5 mg tab - - -
173 Hidroklorotiazid (HCT) tablet 25 mg tab - - -
174 Hidrokortison krim 1% tube - - -
175 Hidrokortison krim 2,5% tube 5 5 -
176 Human tetanus imunuglobin 1 ml (250 iu) syringe - - -
177 Hyoscine~N~Butilbromide injeksi amp - - -
178 Hyoscine~N~Butilbromide tablet 10 mg tab - - -
179 Ibuprofen suspensi 100 mg/5 ml btl - - -
180 Ibuprofen suspensi 200 mg/5 ml btl - - -
181 Ibuprofen tablet 200 mg tab - - -
182 Ibuprofen tablet 400 mg tab 110 110 -
183 Iodiol kapsul lunak kaps - - -
184 Isoniazid tablet 100 mg tab - - -
185 Isoniazid tablet 300 mg tab - - -
186 Isosorbid Dinitrat tablet 10 mg tab - - -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab - - -
188 Itrakonazol kapsul/kaplet 100 mg kaps - - -
189 Kalium Diklofenak tablet 25 mg tab - - -
190 Kalium Diklofenak tablet 50 mg tab - - -
191 Kalium Permanganat Serbuk btl - - -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 250 250 -
193 Kaptopril tablet 12,5 mg tab - - -
194 Kaptopril tablet 25 mg tab - - -
195 Kaptopril tablet 50 mg tab - - -
196 Karbamazepin tablet 200 mg tab - - -
197 Ketokonazol krim 2% tube 8 8 -
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl - - -
199 Ketokonazol tablet 200 mg tab - - -
200 Ketoprofen injeksi 100 mg amp - - -
201 Ketoprofen tablet 100 mg tab - - -
202 Ketorolac injeksi 10 mg/ml amp - - -
203 Ketorolac injeksi 30 mg/ml amp - - -
204 Klindamisin kapsul/kaplet 150 mg kaps - - -
205 Klindamisin kapsul/kaplet 300 mg kaps - - -
206 Klorfeniramin Maleat (CTM) tab 4 mg tab #VALUE! #VALUE! -
207 Klomifen tablet 50 mg tab - - -
208 Klonidin tablet 0,15 mg tab - - -
209 Kloramfenikol kapsul/kaplet 250 mg kaps - - -
210 Kloramfenikol salep mata 1% tube - - -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube - - -
212 Kloramfenikol suspensi 125 mg/5 ml btl - - -
213 Kloramfenikol tetes mata 0,5% btl - - -
214 Kloramfenikol tetes telinga 3% btl - - -
215 Klorokuin tablet 250 mg tab - - -
Data Di
NO NAMA BARANG Satuan Fisik Obat Selisih Keterangan
Kartu Stok
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp - - -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp - - -
218 Klorpromazin tablet salut 100 mg (HCl) tab - - -
219 Klorpromazin tablet salut 25 mg (HCl) tab - - -
220 Kodein tablet 10 mg tab - - -
221 Kodein tablet 15 mg tab - - -
222 Kodein tablet 20 mg tab - - -
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 mcg btl
(Seretide Diskus) - - -
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg
etilnilestradiol 30 mcg (blister) blister - - -
Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametoksazol 400
225
mg, Trimetoprim 80 mg tab - - -
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksazol 800 mg,
Trimetoprim 160 mg tab - - -
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + btl
Trimetoprim 40 mg/5 ml - - -
228 Kuinin (Kina) tablet 200 mg tab - - -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp - - -
230 Lacto B sase - - -
231 Lamivudine tablet 150 mg tab - - -
232 Lanzoprazol kapsul/kaplet 30 mg kaps - - -
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq, Cl 109 btl
mEq, Ca 3 mEq, Asetat 28 mEq) - - -
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 gr, btl
Dekstrosa 18.75 gr) - - -
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektrolit (Nacl btl
1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27 gr) - - -
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektrolit (Nacl btl
2.34 gr, Na Laktat 2.24 gr, KCL 0.75 gr, Dekstrosa 27 gr) - - -
237 Levofloksasin tablet 500 mg tab - - -
238 Levoteroksin sodium 100 mg tab - - -
239 Lidokain injeksi 2% amp - - -
Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml (Lidokain
240 Comp. Inj) amp - - -
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml (Pehacain) amp - - -
242 Lidokain jeli 2% (Xylocain) syringe - - -
243 Lidokain semprot 10% (Xylocain) btl - - -
244 Linkomisin kapsul/kaplet 500 mg kaps - - -
245 Lisinopril tablet 10 mg tab - - -
246 Lisinopril tablet 5 mg (Interpril) tab - - -
247 Lomefloksasin HCL tetes mata (Optiflox) btl - - -
248 Loperamid tablet 2 mg tab - - -
249 Loratadin tablet 10 mg tab - - -
250 Lorazepam tablet 2 mg tab - - -
251 Losartan 50 mg tab - - -
252 Lytacur sirup btl - - -
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial - - -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp - - -
255 Mebendazol sirup 100 mg/5 ml btl - - -
Data Di
NO NAMA BARANG Satuan Fisik Obat Selisih Keterangan
Kartu Stok
256 Mebendazol tablet 100 mg tab - - -
257 Meloksikam suppositoria supp - - -
258 Meloksikam tablet 15 mg tab - - -
259 Meloksikam tablet 7,5 mg tab - - -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp - - -
261 Mersibion injeksi 5000 amp - - -
262 Metamizole Na injeksi 500 mg/ml amp - - -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp - - -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp - - -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp - - -
266 Metampiron injeksi 250 mg (antalgin) amp - - -
267 Metampiron tablet 500 mg (antalgin) tab 290 290 -
268 Metformin HCl tablet 500 mg tab 50 50 -
269 Metformin HCl tablet 850 mg tab - - -
270 Metildopa 250 mg tab - - -
271 Metilergometrin Maleat tablet salut 0,125 mg tab - - -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp - - -
273 Metilprednisolon injeksi 500 mg amp - - -
274 Metilprednisolon tablet 16 mg tab - - -
275 Metilprednisolon tablet 4 mg tab - - -
276 Metilprednisolon tablet 8 mg tab - - -
277 Metoklopramide drop 10 ml btl - - -
278 Metoklopramide injeksi 5 mg/ml amp - - -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp - - -
280 Metoklopramide sirup 5 mg/ 5 ml btl - - -
281 Metoklopramide tablet 10 mg tab - - -
282 Metoklopramide tablet 20 mg tab - - -
283 Metoklopramide tablet 5 mg tab - - -
284 Metronidazol infus 500 mg/100 ml btl - - -
285 Metronidazol ovula 500 mg (Vagizol) ovula - - -
286 Metronidazol suppo 500 mg (Flagyl) supp - - -
287 Metronidazol tablet 250 mg tab - - -
288 Metronidazol tablet 500 mg tab 50 50 -
289 Mikonazol krim/salep 2% (nitrat) tube - - -
290 Mineral Mix, kombinasi sase - - -
291 Momethason krim 0,1% tube - - -
292 Morfin injeksi 10 mg/ml amp - - -
293 Morfin tablet 10 mg tab - - -
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inhalasi) amp - - -
295 Natrium bicarbonat inj i.v. 8,4% amp - - -
296 Natrium Diklofenak tablet 25 mg tab - - -
297 Natrium Diklofenak tablet 50 mg tab 120 120 -
298 Natrium Klorida larutan infus 0,9% (NaCl) btl - - -
299 Neurobion 5000 injeksi amp - - -
Data Di
NO NAMA BARANG Satuan Fisik Obat Selisih Keterangan
Kartu Stok
300 Neurosanbe inj. amp - - -
301 Nevirapin tablet 200 mg tab - - -
302 Nifedipin 20 mg (Adalat Oros) tab - - -
303 Nifedipin 30 mg (Adalat Oros) tab - - -
304 Nifedipin tablet 10 mg tab - - -
305 Nistatin tablet salut 500.000 IU/ g tab - - -
306 Nistatin vaginal tablet 100.000 IU/ g ovula - - -
307 Novabion kaps - - -
308 Obat Antituberkulosis FDC Kategori 1 paket - - -
309 Obat Antituberkulosis FDC Kategori 2 paket - - -
310 Obat Antituberkulosis FDC Kategori Anak paket - - -
311 Obat Antituberkulosis FDC Sisipan paket - - -
312 Obat Antituberkulosis Kategori 1 dewasa paket - - -
313 Obat Antituberkulosis Kategori anak paket - - -
314 Obat Batuk Hitam (OBH) cairan btl 2 2 -
315 Ofloxacin tablet 200 mg tab - - -
316 Ofloxacin tablet 400 mg tab - - -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl - - -
318 Oksitetrasiklin HCl salep mata 1% tube - - -
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp - - -
320 Oksitetrasiklin salep kulit 3% tube - - -
321 Oksitosin injeksi 10 IU/ml~1 ml amp - - -
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp - - -
323 Omeprazol inj 40 mg/10 ml vial - - -
324 Omeprazol kapsul/kaplet 20 mg kaps - - -
325 Ondansentron injeksi 4 mg/2 ml amp - - -
326 Ondansentron tablet 4 mg tab - - -
327 Oseltamivir kapsul/kaplet 75 mg kaps - - -
328 Papaverin injeksi 40 mg/ml amp - - -
329 Papaverin tablet 40 mg tab - - -
330 Parasetamol drops 60 mg/0,6 ml btl - - -
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl - - -
332 Parasetamol sirup 120 mg/5 ml btl 14 14 -
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl - - -
334 Parasetamol tablet 100 mg tab - - -
335 Parasetamol tablet 500 mg tab 180 180 -
336 Parasetamol tablet 500 mg (Sanmol) tab - - -
337 Perak Sulfadiazim Krim 1% tube - - -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube - - -
339 Perfenazin tablet 4 mg (HCl) tab - - -
340 Permetrin krim 5% tube - - -
341 Permetrin krim 5% (Scabimite) tube - - -
342 Petidin injeksi 50 mg/ml amp - - -
343 Pimtracol sirup btl - - -
Data Di
NO NAMA BARANG Satuan Fisik Obat Selisih Keterangan
Kartu Stok
344 Piracetam injeksi 1 g/5 ml amp - - -
345 Piracetam injeksi 3 g/15 ml amp - - -
346 Piracetam tablet 1200 mg tab - - -
347 Piracetam tablet 400 mg tab - - -
348 Piracetam tablet 800 mg tab - - -
349 Pirantel suspensi 125 mg/5 ml btl - - -
350 Pirantel tablet score (base) 125 mg tab - - -
351 Pirazinamid tablet 500 mg tab - - -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50 50 -
353 Piridoksin injeksi 100 mg/ml amp - - -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps - - -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps - - -
356 Polikresulen cairan btl - - -
357 Polikresulen cairan (Albothyl) btl - - -
358 Povidon Iodida larutan 10% 1000 ml btl - - -
359 Povidon Iodida larutan 10% 30 ml btl - - -
360 Povidon Iodida larutan 10% 300 ml btl - - -
361 Povidon Iodida larutan 10% 60 ml btl - - -
362 Pravastatin tablet 20 mg tab - - -
363 Prednison tablet 5 mg tab - - -
364 Primakuin tablet 15 mg tab - - -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial - - -
366 Prolacta baby kaps - - -
367 Propanolol tablet 10 mg (HCl) tab - - -
368 Propanolol tablet 40 mg (HCl) tab - - -
369 Propiltiourasil tablet 100 mg (PTU) tab - - -
370 Ramipril tablet 2,5 mg tab - - -
371 Ramipril tablet 5 mg tab - - -
372 Ranitidin injeksi 25 mg/ml amp - - -
373 Ranitidin injeksi 50 mg/2ml amp - - -
374 Ranitidin tablet 150 mg tab 100 100 -
375 Reserpin tablet 0,10 mg tab - - -
376 Reserpin tablet 0,25 mg tab - - -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps - - -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps - - -
379 Rifampisin kapsul/kaplet 300 mg kapl - - -
380 Rifampisin kapsul/kaplet 600 mg kapl - - -
381 Rifampisin tablet salut 450 mg tab - - -
382 Ringer Laktat (RL) larutan infus btl - - -
383 Risperidon tablet 1 mg tab - - -
384 Risperidon tablet 2 mg tab - - -
385 Risperidon tablet 3 mg tab - - -
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl - - -
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inhaler) btl - - -
Data Di
NO NAMA BARANG Satuan Fisik Obat Selisih Keterangan
Kartu Stok
388 Salbutamol tablet 2 mg (sebagai sulfat) tab - - -
389 Salbutamol tablet 4 mg (sebagai sulfat) tab - - -
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang endap 4% pot - - -
391 Salisil Bedak 2 % ktk - - -
392 Sanbe Plex drop btl - - -
393 Sefadroksil kapsul/kaplet 250 mg kaps - - -
394 Sefadroksil kapsul/kaplet 500 mg kaps - - -
395 Sefadroksil sirup kering 125 mg/5ml btl - - -
396 Sefaleksin kapsul/kaplet 250 mg kaps - - -
397 Sefaleksin kapsul/kaplet 500 mg kaps - - -
398 Sefazolin injeksi 1 g amp - - -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab - - -
400 Sefiksim kapsul/kaplet 100 mg kaps - - -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl - - -
402 Sefotaksim injeksi 0,5 g amp - - -
403 Sefotaksim injeksi 1 g vial - - -
404 Seftazidim injeksi 1 g amp - - -
405 Seftriakson injeksi 1 g amp - - -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp - - -
407 Serum ABU I vial - - -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp - - -
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab - - -
410 Simetidin injeksi (Ulsikur) amp - - -
411 Simetidin tablet 200 mg tab - - -
412 Simvastatin tablet 10 mg tab - - -
413 Simvastatin tablet 20 mg tab - - -
414 Simvastatin tablet 5 mg tab - - -
415 Siprofloksasin infus 2% btl - - -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab - - -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab - - -
418 Spasminal tablet tab - - -
419 Spiramisin tablet 500 mg tab - - -
420 Spironolakton tablet 100 mg tab - - -
421 Spironolakton tablet 25 mg tab - - -
422 Stavudin tablet 30 mg tab - - -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl - - -
424 Sukralfat susp 500 mg/5 ml btl - - -
425 Sulfasalazin tablet 500 mg tab - - -
426 Sulfasetamida Natrium tetes mata 15% btl - - -
427 Suprabion sirup btl - - -
428 Tamoksifen tablet 20 mg tab - - -
429 Teofillin tablet 150 mg (Bronsolvon) tab - - -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab - - -
431 Tetrakain HCl tetes mata 0,5% btl - - -
Data Di
NO NAMA BARANG Satuan Fisik Obat Selisih Keterangan
Kartu Stok
432 Tetrasiklin kapsul/kaplet 250 mg kaps - - -
433 Tetrasiklin kapsul/kaplet 500 mg kaps - - -
434 Thyrosol tablet tab - - -
435 Tiamfenikol kapsul/kaplet 250 mg kaps - - -
436 Tiamfenikol kapsul/kaplet 500 mg kaps - - -
437 Tiamfenikol sirup 125 mg/ml btl - - -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab - - -
439 Tiamin (Vitamin B1) 100 mg tablet tab - - -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp - - -
441 Timolol tetes mata 0,5% btl - - -
442 Tramadol injeksi 50 mg/ml amp - - -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps - - -
444 Trifaneuron kapl - - -
445 Trifluoperazin tablet 5 mg tab - - -
446 Triheksifenidil tablet 2 mg tab - - -
447 Trolit sase - - -
448 Valsartan tablet 80 mg tab - - -
449 Verapamil tablet 80 mg (HCl) tab - - -
450 Vicillin inj. 1 gr vial - - -
451 Vitamin B Kompleks tablet tab 150 150 -
452 Zamel drop btl - - -
453 Zamel sirup btl - - -
454 Zidovudin tablet 100 mg tab - - -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab - - -
456 Zinc drop 10 mg/ml btl - - -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl - - -
458 Zinc tablet 20 mg tab - - -

B BAHAN MEDIS HABIS PAKAI


1 Absorben paper point (Indodent) pcs - - -
2 Alat suntik insulin 1ml set - - -
3 Alat suntik sekali pakai 1 ml set - - -
4 Alat suntik sekali pakai 2,5 ml set - - -
5 Alat suntik sekali pakai 3 ml set - - -
6 Alat suntik sekali pakai 5 ml set - - -
7 Alat suntik sekali pakai 10 ml (OneMed) set - - -
8 Alat suntik sekali pakai 20 ml set - - -
9 Alkohol gel (Aseptic Gel) btl - - -
10 Articulating paper ktk - - -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube - - -
12 Blood lancet pcs - - -
13 Blood tranfusion set set - - -
14 Bonding btl - - -
15 Catgut Chromic no 2/0 set - - -
Data Di
NO NAMA BARANG Satuan Fisik Obat Selisih Keterangan
Kartu Stok
16 Catgut Chromic no 3/0 set - - -
17 Catgut Plain no 2/0 set - - -
18 Catgut Plain no 3/0 set - - -
19 Cotton roll (Prodental) bks - - -
20 Dermafix 10 x 8 cm pcs - - -
21 Dermafix 5 x 7 cm pcs - - -
22 Desinfektan Klorin 500 ml btl - - -
23 Disposafe Safety Box 2,5 L box - - -
24 Disposafe Safety Box 5 L box - - -
25 Etakridin larutan 0,1% (rivanol) btl - - -
26 Etanol 70% cairan (100 ml) btl - - -
27 Etanol 70% cairan (1000 ml) btl - - -
28 Etanol 95% cairan (1 L) btl - - -
29 Etching btl - - -
30 Etil Klorida spray btl - - -
31 Eugenol cairan btl - - -
32 Fixomull stretch 10 cm x 5 m rol - - -
33 Fixomull stretch 5 cm x 5 m rol - - -
34 Foley Catheter (16) set - - -
35 Foley Catheter (18) set - - -
36 Foley Catheter (20) set - - -
37 Foley Catheter (22) set - - -
38 Foley Catheter (24) set - - -
39 Foley Catheter (24) set - - -
40 Formokresol cairan btl - - -
41 Glass Ionomer Cement ART btl - - -
42 Guedel Airway No. 000 / Oropharyngeal pcs - - -
43 Guedel Airway No. 2 / Oropharyngeal pcs - - -
44 Handrub 500 ml btl 3 3 -
45 Handscoon (uk 7~7,5) psg - - -
46 Handscoon (uk S,M,L) pcs 76 76 -
47 Handscoon / Sarung Tangan Obgyn psg - - -
48 H2O2 3% 1000 ml btl - - -
49 H2O2 3% 800 ml btl - - -
50 H2O2 3% 100 ml btl - - -
51 Infusion set anak set - - -
52 Infusion set dewasa set - - -
53 IV Cannula With Safety Wings No. 24 set - - -
54 IV Catheter No. 16 G set - - -
55 IV Catheter No. 18 G set - - -
56 IV Catheter No. 20 G set - - -
57 IV Catheter No. 22 G set - - -
58 IV Catheter No. 24 G set - - -
59 IV Catheter No. 26 G set - - -
Data Di
NO NAMA BARANG Satuan Fisik Obat Selisih Keterangan
Kartu Stok
60 Kacamata Goggle unit - - -
61 Kalsium Hidroksida Pasta ktk - - -
62 Kapas 500 gr bks - - -
63 Kapas Pembalut/Absorben 250 gram bks - - -
64 Kapas Berlemak 500 gram bks - - -
65 Kasa 2 x 80 cm rol - - -
66 Kasa 40 x 40 cm rol - - -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 60 60 -
68 Kasa Hidrofil uk. 36 m x 80 cm rol - - -
69 Kasa Hidrofil uk. 40 m x 80 cm rol - - -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol - - -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol - - -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol - - -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol - - -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol - - -
75 Kasa Pembalut Elastis 3 inchi rol - - -
76 Kasa Pembalut Elastis 4 inchi rol - - -
77 Kasa Pembalut Elastis 6 inchi rol - - -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol - - -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10 10 -
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol - - -
81 Kertas Puyer lbr - - -
82 Kit Gown set - - -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl - - -
84 Komposit resin btl - - -
85 Lysol 1 Liter btl - - -
86 Lubricating jelly tube 1 1 -
87 Masker set - - -
88 Masker Kain set - - -
89 Masker N95 set - - -
90 Masker Nebulizer Anak set - - -
91 Masker Nebulizer Dewasa set - - -
92 Masker Oksigen Anak set - - -
93 Masker Oksigen Bayi set - - -
94 Masker Oksigen Dewasa set - - -
95 Mess silet / Surgical Blade pcs - - -
96 Mummifying Pasta btl - - -
97 Nurse Cap pcs - - -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit - - -
99 Pakaian Pelindung Coverall Reusable unit - - -
100 Plester 5 cm x 4,5 m rol - - -
101 Plester 5 cm x 4,5 m (Leukoplast) rol - - -
102 Plester 7,5 cm x 4,5 m rol - - -
103 Plester 5 cm x 5 m (Ultrafix) rol - - -
Data Di
NO NAMA BARANG Satuan Fisik Obat Selisih Keterangan
Kartu Stok
104 Plester 5 yards x 5 inch rol - - -
105 Semen Seng Fosfat serbuk dan cairan btl - - -
106 Selang Oksigen Anak (Oxyflow) pcs - - -
107 Selang Oksigen Bayi (Oxyflow) pcs - - -
108 Selang Oksigen Dewasa (Oxyflow) pcs - - -
109 Selulosa strip pcs - - -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set - - -
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set - - -
112 Spalk Kaki Anak pcs - - -
113 Spalk Kaki Dewasa pcs - - -
114 Spalk Tangan Anak pcs - - -
115 Spalk Tangan Bayi pcs - - -
116 Spalk Tangan Dewasa pcs - - -
117 Sofra tulle pcs - - -
118 Stomach Tube (NGT) no 16 tube - - -
119 Stomach Tube (NGT) no 18 tube - - -
120 Stomach Tube (NGT) no 20 tube - - -
121 Suction Catheter No. 10 set - - -
122 Temporary Stopping Fletcher serbuk dan cairan btl - - -
123 Tooth cleanshing tincture (OCO) btl - - -
124 Trikresol Formalin (TKF) Cairan btl - - -
125 Ultrasonic Gel btl - - -
126 Underpad pcs - - -
127 Urine Bag set - - -
128 Urocare set - - -
129 Wing Needle No set - - -

C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN


Alkohol swab
1 - - - -
-
2 - - - -
-
3 - - - -
-
4 - - - -
-
5 - - - -
-
6 - - - -
-
7 - - - -
-
8 - - - -
-
9 - - - -
-
10 - - - -
-
11 - - - -
-
12 - - - -
-
13 - - - -
-
14 - - - -
-
15 - - - -
-
16 - - - -
Data Di
NO NAMA BARANG Satuan Fisik Obat Selisih Keterangan
Kartu Stok
-
17 - - - -
HOME

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

0
0

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

1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
1
0
0
0
0
1
0
0
0
0
0
0
0
0
#VALUE!
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PERENCANAAN KEBUTUHAN OBAT & BMHP
PELEYAN TAHUN 2023

Kebutuhan Bulanan Kebutuhan Tahu


Harga
No NAMA BARANG Satuan Jumlah Jumlah Harga Jumlah
Satuan (Rp)
Barang (Rp) Barang

A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp - - -
2 Acarbose tab 50 mg tab - - -
3 Acarbose tab 100 mg tab - - -
4 Albendazol suspensi 200 mg/5 ml btl - - -
5 Albendazol tablet 400 mg tab - - - -
6 Alinamin F injeksi amp - - - -
7 Alinamin F tablet tab - - - -
8 Alopurinol tablet 100 mg tab 87.00 200 17,400.00 2,400
9 Alopurinol tablet 300 mg tab - - - -
10 Alprazolam tablet 0,25 mg tab - - - -
11 Alprazolam tablet 0,5 mg tab - - - -
12 Alprazolam tablet 1 mg tab - - - -
13 Ambroxol sirup 15 mg/ml btl - - - -
14 Ambroxol tablet 30 mg tab - 200 - 2,400
15 Aminofilin injeksi 24 mg/ml~10 ml amp - 1 - 12
16 Aminofilin tablet 150 mg tab - - - -
17 Aminofilin tablet 200 mg tab - - - -
18 Amiodarone hidrocloride 200 mg tab - - - -
19 Amitriptilin tablet salut 25 mg (HCl) tab - - - -
20 Amlodipin tablet 10 mg tab - - - -
21 Amlodipin tablet 5 mg tab 53.00 - - -
22 Amoksisilin + As. Klavulanat 625 mg tablet tab - - - -
23 Amoksisilin kapsul/kaplet 250 mg kapl - - - -
24 Amoksisilin kapsul/kaplet 500 mg kapl 580.00 300 174,000.00 3,600
25 Amoksisilin serbuk injeksi 1000 mg vial - - - -
26 Amoksisilin sirup kering 125 mg/5 ml btl - 10 - 120
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial - - - -
28 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial vial - - - -

29 Analog insulin rapid acting inj 100 UI/ml (insulin aspart


novorapid flexpen) flexpen - - - -
30 Antasida tablet kunyah tab 54.00 300 16,200.00 3,600
31 Antasida suspensi btl - 10 - 120

32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g +


Polimiksin 10.000 IU/g tube - - - -

33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam


Salisilat 3% pot - - - -
Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg
34
Heksaklorofen 2,5 mg supp - - - -

35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg


Sulfadoksin tablet 500 mg tab - - - -
36 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 mg tab - - - -

37 Antiparkinson DOEN Tab Komb Levodopa 100 mg,


Benserazid HCl 25 mg tab - - - -
38 Aqua pro injeksi steril, bebas pirogen amp - - - -
39 Artemether injeksi 80 mg/ml amp - - - -
40 Artesunate injeksi vial
Articaine HCL 4% 60 mg
+ Epinefrin 1:100.000 injeksi - - - -
41 (Turbocaina) katrid - - - -
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab - - - -
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab - - - -
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab - - - -
Kebutuhan Bulanan Kebutuhan Tahu
Harga
No NAMA BARANG Satuan Jumlah Jumlah Harga Jumlah
Satuan (Rp)
Barang (Rp) Barang
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab - - - -
46 Asam Askorbat (Vitamin C) tablet 100 mg tab - - - -
47 Asam Askorbat (Vitamin C) tablet 250 mg tab - - - -
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 42.00 300 12,600.00 3,600
49 Asam Folat tablet 1 mg tab - - - -
50 Asam Mefenamat kapsul/kaplet 250 mg kapl - - - -
51 Asam Mefenamat kapsul/kaplet 500 mg kapl 140.00 300 41,999.99 3,600
52 Asam pipemidat kapsul 400 mg kaps - - - -
53 Asam Traneksamat inj. amp - - - -
54 Asam Traneksamat tablet tab - - - -
55 Asiklovir krim 5% tube - 5 - 60
56 Asiklovir tablet 200 mg tab - - - -
57 Asiklovir tablet 400 mg tab - - - -
58 Atenolol tablet 100 mg tab - - - -
59 Atenolol tablet 50 mg tab - - - -
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp - - - -
61 Atropin Sulfat tablet 0,5 mg tab - - - -
62 Attapulgit tablet 600 mg tab 550.00 100 55,000.00 1,200
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial - - - -
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial - - - -

65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet


(tablet tambah darah kombinasi) tab 226.00 100 22,600.00 1,200
66 Betahistin Mesilat tablet 6 mg tab - - - -
67 Betametason krim 0,1% (sebagai valerat) tube - - - -
68 Bioplacenton salep tube - - - -
69 Bioplacenton tulle pcs - - - -
70 Bisakodil suppositoria 10 mg supp - - - -
71 Bisoprolol fumarat 2,5 mg tab - - - -
72 Bisoprolol tablet 5 mg tab - - - -
73 Bromheksin tablet 8 mg tab - - - -
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp - - - -
75 Candesartan cilexetil 16 mg tab - - - -
76 Candesartan cilexetil 8 mg tab - - - -
77 Cetirizine sirup 5 mg/5 ml btl - - - -
78 Cetirizine tablet 10 mg tab - 100 - 1,200
79 Citicoline 125 mg/ml amp - - - -
80 Clobazam tablet 10 mg tab - - - -
81 Clobetasol krim 0,05% tube - - - -
82 Combifen sirup btl - - - -
83 Coparcetin sirup btl - - - -
84 Coparcetin tablet tab - - - -
85 Dapson tablet 100 mg tab - - - -
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp - 10 - 120
87 Deksametason tablet 0,5 mg tab 121.00 200 24,200.00 2,400
88 Dekstran 70 ~ larutan infus 6% steril btl - - - -
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl - - - -
90 Dekstrometorfan tablet 15 mg (HBr) tab - - - -
91 Devitalisasi Pasta btl - - - -
92 Dexanta tablet tab - - - -
93 Diazepam injeksi 5 mg/ml amp - - - -
94 Diazepam injeksi 10 mg/ml amp - - - -
95 Diazepam larutan rectal 10 mg/2,5 ml tube - - - -
96 Diazepam larutan rectal 5 mg/2,5 ml tube - - - -
97 Diazepam supp supp - - - -
Kebutuhan Bulanan Kebutuhan Tahu
Harga
No NAMA BARANG Satuan Jumlah Jumlah Harga Jumlah
Satuan (Rp)
Barang (Rp) Barang
98 Diazepam tablet 2 mg tab - - - -
99 Diazepam tablet 5 mg tab - - - -
100 Dietilkarbamazin sitrat tablet 100 mg tab - - - -
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 781.00 10 7,810.00 120
102 Digoksin injeksi 0,25 mg/ml amp - - - -
103 Digoksin tablet 0,25 mg tab - - - -
104 Diltiazem HCl tablet 30 mg tab - - - -
105 Dimenhidrinat tablet 50 mg tab - - - -
106 Doksisiklin kapsul/kaplet 100 mg kaps - - - -
107 Domperidon drop 5 mg/ml btl - - - -
108 Domperidon suspensi 5 mg/5 ml btl - - - -
109 Domperidon tablet 10 mg tab - - - -
110 Dopamin injeksi 40 mg/ml (Cetadop) amp - - - -
111 Efedrin tablet 25 mg (HCl) tab - - - -
112 Ekstraks Belladona tablet 10 mg tab - - - -
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp - 1 - 12
114 Eritromisin kapsul/kaplet 250 mg kaps - - - -
115 Eritromisin kapsul/kaplet 500 mg kaps - - - -
116 Eritromisin sirup 200 mg/5 ml btl - - - -
117 Etambutol tablet 250 mg (HCl) tab - - - -
118 Etambutol tablet salut 500 mg (HCl) tab - - - -
119 Famotidine tablet 20 mg tab - - - -
120 Famotidine tablet 40 mg tab - - - -
121 Fe Sirup / Besi sirup btl - - - -
122 Fenilbutason tablet 200 mg tab - - - -
123 Fenitoin kapsul/kaplet 100 mg kaps - - - -
124 Fenitoin Natrium injeksi 50 mg/ml amp - - - -
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps - - - -
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp - - - -
127 Fenobarbital tablet 100 mg tab - - - -
128 Fenobarbital tablet 30 mg tab - - - -
129 Fenoksimetil Penisilin tablet 250 mg tab - - - -
130 Fenoksimetil Penisilin tablet 500 mg tab - - - -
131 Fenol Gliserol tetes telinga 10% btl - - - -
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab - 100 - 1,200
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp - 3 - 36
134 Flufenazin inj. i.m. 25 mg/ml amp - - - -
135 Flukonazol tablet 150 mg tab - - - -
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp - - - -
137 Furosemid tablet 40 mg tab - - - -
138 Garam Oralit I serbuk sac 577.50 50 28,875.00 600
139 Gastrusid sirup btl - - - -
140 Gemfibrozil kapsul/kaplet 300 mg kaps - - - -
141 Gemfibrozil tablet 600 mg tab - - - -
142 Gentamisin injeksi 40 mg/ml amp - - - -
143 Gentamisin injeksi 80 mg/2ml amp - - - -
144 Gentamisin salep kulit 0,1% tube - - - -
145 Gentamisin salep mata 0,3% tube - - - -
146 Gentamisin sulfat tetes mata 0,3% btl - - - -
147 Gentian Violet larutan 1% btl - 3 - 36
148 Glibenklamida tablet 5 mg tab 82.00 100 8,200.00 1,200
149 Gliklazid tablet 30 mg tab - - - -
150 Gliklazid tablet 80 mg tab - - - -
151 Glimepiride tablet 1 mg tab - - - -
Kebutuhan Bulanan Kebutuhan Tahu
Harga
No NAMA BARANG Satuan Jumlah Jumlah Harga Jumlah
Satuan (Rp)
Barang (Rp) Barang
152 Glimepiride tablet 2 mg tab - - - -
153 Glimepiride tablet 3 mg tab - - - -
154 Glimepiride tablet 4 mg tab - - - -
155 Glipizid 10 mg tab - - - -
156 Glipizid 5 mg tab - - - -
157 Gliquidon tablet 30 mg tab - - - -
158 Gliseril Gualakolat tablet 100 mg tab 189.00 300 56,700.00 3,600
159 Gliserin larutan 50% btl - - - -
160 Glukosa larutan infus 5% steril btl - - - -
161 Glukosa larutan infus 10% steril btl - - - -
162 Glukosa larutan infus 40% steril btl - - - -
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl - - - -
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl - - - -
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl - - - -
166 Griseofulvin tablet 125 mg tab - - - -
167 Haloperidol inj 50 mg/ml amp - - - -
168 Haloperidol Inj i.m. 5 mg/ml amp - - - -
169 Haloperidol tablet 0,5 mg tab - - - -
170 Haloperidol tablet 1,5 mg tab - - - -
171 Haloperidol tablet 2 mg tab - - - -
172 Haloperidol tablet 5 mg tab - - - -
173 Hidroklorotiazid (HCT) tablet 25 mg tab - - - -
174 Hidrokortison krim 1% tube - - - -
175 Hidrokortison krim 2,5% tube 2,325.00 10 23,250.00 120
176 Human tetanus imunuglobin 1 ml (250 iu) syringe - - - -
177 Hyoscine~N~Butilbromide injeksi amp - - - -
178 Hyoscine~N~Butilbromide tablet 10 mg tab - - - -
179 Ibuprofen suspensi 100 mg/5 ml btl - - - -
180 Ibuprofen suspensi 200 mg/5 ml btl - - - -
181 Ibuprofen tablet 200 mg tab - - - -
182 Ibuprofen tablet 400 mg tab 190.00 200 38,000.00 2,400
183 Iodiol kapsul lunak kaps - - - -
184 Isoniazid tablet 100 mg tab - - - -
185 Isoniazid tablet 300 mg tab - - - -
186 Isosorbid Dinitrat tablet 10 mg tab - - - -
187 Isosorbid Dinitrat tablet sublingual 5 mg tab - - - -
188 Itrakonazol kapsul/kaplet 100 mg kaps - - - -
189 Kalium Diklofenak tablet 25 mg tab - - - -
190 Kalium Diklofenak tablet 50 mg tab - - - -
191 Kalium Permanganat Serbuk btl - - - -
192 Kalsium Laktat (Kalk) tablet 500 mg tab 60.00 300 18,000.00 3,600
193 Kaptopril tablet 12,5 mg tab - - -
194 Kaptopril tablet 25 mg tab - 200 - 2,400
195 Kaptopril tablet 50 mg tab - - - -
196 Karbamazepin tablet 200 mg tab - - - -
197 Ketokonazol krim 2% tube 2,370.00 - - -
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl - - - -
199 Ketokonazol tablet 200 mg tab - - - -
200 Ketoprofen injeksi 100 mg amp - - - -
201 Ketoprofen tablet 100 mg tab - - - -
202 Ketorolac injeksi 10 mg/ml amp - - - -
203 Ketorolac injeksi 30 mg/ml amp - - - -
204 Klindamisin kapsul/kaplet 150 mg kaps - - - -
205 Klindamisin kapsul/kaplet 300 mg kaps - - - -
Kebutuhan Bulanan Kebutuhan Tahu
Harga
No NAMA BARANG Satuan Jumlah Jumlah Harga Jumlah
Satuan (Rp)
Barang (Rp) Barang
206 Klorfeniramin Maleat (CTM) tab 4 mg tab 49.00 300 14,700.00 3,600
207 Klomifen tablet 50 mg tab - - - -
208 Klonidin tablet 0,15 mg tab - - - -
209 Kloramfenikol kapsul/kaplet 250 mg kaps - - - -
210 Kloramfenikol salep mata 1% tube - - - -
211 Kloramfenikol salep kulit 2% (Bufacetin) tube - - - -
212 Kloramfenikol suspensi 125 mg/5 ml btl - - - -
213 Kloramfenikol tetes mata 0,5% btl - 5 - 60
214 Kloramfenikol tetes telinga 3% btl - 5 - 60
215 Klorokuin tablet 250 mg tab - - - -
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp - - - -
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp - - - -
218 Klorpromazin tablet salut 100 mg (HCl) tab - - - -
219 Klorpromazin tablet salut 25 mg (HCl) tab - - - -
220 Kodein tablet 10 mg tab - - - -
221 Kodein tablet 15 mg tab - - - -
222 Kodein tablet 20 mg tab - - - -

223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 btl


mcg (Seretide Diskus) - - - -

224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg


etilnilestradiol 30 mcg (blister) blister - - - -
Kotrimoksazol 480 mg (dewasa) kombinasi:
225
Sulfametoksazol 400 mg, Trimetoprim 80 mg tab - 100 - 1,200

226 Kotrimoksazol 960 mg (forte) kombinasi:


Sulfametoksazol 800 mg, Trimetoprim 160 mg tab - - - -

227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg btl


+ Trimetoprim 40 mg/5 ml - - - -
228 Kuinin (Kina) tablet 200 mg tab - - - -
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp - - - -
230 Lacto B sase - - - -
231 Lamivudine tablet 150 mg tab - - - -
232 Lanzoprazol kapsul/kaplet 30 mg kaps - - - -

233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq, btl


Cl 109 mEq, Ca 3 mEq, Asetat 28 mEq) - - - -

234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 btl


gr, Dekstrosa 18.75 gr) - - - -
Larutan (KAEN 3B) - mengandung Karbohidrat +
235 Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr, btl
Dekstrosa 27 gr) - - - -
Larutan (KAEN 3A) - mengandung Karbohidrat +
236 Elektrolit (Nacl 2.34 gr, Na Laktat 2.24 gr, KCL 0.75 gr, btl
Dekstrosa 27 gr) - - - -
237 Levofloksasin tablet 500 mg tab - - - -
238 Levoteroksin sodium 100 mg tab - - - -
239 Lidokain injeksi 2% amp - 5 - 60

240 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml


(Lidokain Comp.2%
Lidokain injeksi Inj)(HCl) + Epinefrin 1 : 80.000 ~ 2ml amp - 5 - 60
241 (Pehacain) amp - - - -
242 Lidokain jeli 2% (Xylocain) syringe - - - -
243 Lidokain semprot 10% (Xylocain) btl - - - -
244 Linkomisin kapsul/kaplet 500 mg kaps - - - -
245 Lisinopril tablet 10 mg tab - - - -
246 Lisinopril tablet 5 mg (Interpril) tab - - - -
247 Lomefloksasin HCL tetes mata (Optiflox) btl - - - -
248 Loperamid tablet 2 mg tab - 100 - 1,200
249 Loratadin tablet 10 mg tab - - - -
250 Lorazepam tablet 2 mg tab - - - -
251 Losartan 50 mg tab - - - -
Kebutuhan Bulanan Kebutuhan Tahu
Harga
No NAMA BARANG Satuan Jumlah Jumlah Harga Jumlah
Satuan (Rp)
Barang (Rp) Barang
252 Lytacur sirup btl - - - -
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial - - - -
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp - 1 - 12
255 Mebendazol sirup 100 mg/5 ml btl - - - -
256 Mebendazol tablet 100 mg tab - - - -
257 Meloksikam suppositoria supp - - - -
258 Meloksikam tablet 15 mg tab - - - -
259 Meloksikam tablet 7,5 mg tab - - - -
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp - - - -
261 Mersibion injeksi 5000 amp - - - -
262 Metamizole Na injeksi 500 mg/ml amp - - - -
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp - - - -
264 Metamizole Na injeksi 500 mg/ml (Norages) amp - - - -
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp - - - -
266 Metampiron injeksi 250 mg (antalgin) amp - - - -
267 Metampiron tablet 500 mg (antalgin) tab 239.00 - - -
268 Metformin HCl tablet 500 mg tab 77.00 - - -
269 Metformin HCl tablet 850 mg tab - - - -
270 Metildopa 250 mg tab - - - -
271 Metilergometrin Maleat tablet salut 0,125 mg tab - - - -
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp - - - -
273 Metilprednisolon injeksi 500 mg amp - - - -
274 Metilprednisolon tablet 16 mg tab - - - -
275 Metilprednisolon tablet 4 mg tab - - - -
276 Metilprednisolon tablet 8 mg tab - - - -
277 Metoklopramide drop 10 ml btl - - - -
278 Metoklopramide injeksi 5 mg/ml amp - - - -
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp - - - -
280 Metoklopramide sirup 5 mg/ 5 ml btl - - - -
281 Metoklopramide tablet 10 mg tab - 100 - 1,200
282 Metoklopramide tablet 20 mg tab - - - -
283 Metoklopramide tablet 5 mg tab - - - -
284 Metronidazol infus 500 mg/100 ml btl - - - -
285 Metronidazol ovula 500 mg (Vagizol) ovula - - - -
286 Metronidazol suppo 500 mg (Flagyl) supp - - - -
287 Metronidazol tablet 250 mg tab - - - -
288 Metronidazol tablet 500 mg tab 381.70 100 38,170.00 1,200
289 Mikonazol krim/salep 2% (nitrat) tube - - - -
290 Mineral Mix, kombinasi sase - - - -
291 Momethason krim 0,1% tube - - - -
292 Morfin injeksi 10 mg/ml amp - - - -
293 Morfin tablet 10 inj
mgNebules 100 mg/ml (N~ace cairan tab - - - -
N~asetil sistein
294 inhalasi) amp - - - -
295 Natrium bicarbonat inj i.v. 8,4% amp - - - -
296 Natrium Diklofenak tablet 25 mg tab - - - -
297 Natrium Diklofenak tablet 50 mg tab 100.00 200 20,000.00 2,400
298 Natrium Klorida larutan infus 0,9% (NaCl) btl - 2 - 24
299 Neurobion 5000 injeksi amp - - - -
300 Neurosanbe inj. amp - - - -
301 Nevirapin tablet 200 mg tab - - - -
302 Nifedipin 20 mg (Adalat Oros) tab - - - -
303 Nifedipin 30 mg (Adalat Oros) tab - - - -
304 Nifedipin tablet 10 mg tab - 100 - 1,200
305 Nistatin tablet salut 500.000 IU/ g tab - - - -
Kebutuhan Bulanan Kebutuhan Tahu
Harga
No NAMA BARANG Satuan Jumlah Jumlah Harga Jumlah
Satuan (Rp)
Barang (Rp) Barang
306 Nistatin vaginal tablet 100.000 IU/ g ovula - - - -
307 Novabion kaps - - - -
308 Obat Antituberkulosis FDC Kategori 1 paket - - - -
309 Obat Antituberkulosis FDC Kategori 2 paket - - - -
310 Obat Antituberkulosis FDC Kategori Anak paket - - - -
311 Obat Antituberkulosis FDC Sisipan paket - - - -
312 Obat Antituberkulosis Kategori 1 dewasa paket - - - -
313 Obat Antituberkulosis Kategori anak paket - - - -
314 Obat Batuk Hitam (OBH) cairan btl 14,003.00 - - -
315 Ofloxacin tablet 200 mg tab - - - -
316 Ofloxacin tablet 400 mg tab - - - -
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl - - - -
318 Oksitetrasiklin HCl salep mata 1% tube - 3 - 36
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp - - - -
320 Oksitetrasiklin salep kulit 3% tube - 5 - 60
321 Oksitosin injeksi 10 IU/ml~1 ml amp - 3 - 36
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp - - - -
323 Omeprazol inj 40 mg/10 ml vial - - - -
324 Omeprazol kapsul/kaplet 20 mg kaps - - - -
325 Ondansentron injeksi 4 mg/2 ml amp - - - -
326 Ondansentron tablet 4 mg tab - - - -
327 Oseltamivir kapsul/kaplet 75 mg kaps - - - -
328 Papaverin injeksi 40 mg/ml amp - - - -
329 Papaverin tablet 40 mg tab - - - -
330 Parasetamol drops 60 mg/0,6 ml btl - 5 - 60
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl - - - -
332 Parasetamol sirup 120 mg/5 ml btl 1,160.00 10 11,600.00 120
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl - - - -
334 Parasetamol tablet 100 mg tab - - - -
335 Parasetamol tablet 500 mg tab 159.50 300 47,850.00 3,600
336 Parasetamol tablet 500 mg (Sanmol) tab - - - -
337 Perak Sulfadiazim Krim 1% tube - - - -
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube - - - -
339 Perfenazin tablet 4 mg (HCl) tab - - - -
340 Permetrin krim 5% tube - - - -
341 Permetrin krim 5% (Scabimite) tube - - - -
342 Petidin injeksi 50 mg/ml amp - - - -
343 Pimtracol sirup btl - - - -
344 Piracetam injeksi 1 g/5 ml amp - - - -
345 Piracetam injeksi 3 g/15 ml amp - - - -
346 Piracetam tablet 1200 mg tab - - - -
347 Piracetam tablet 400 mg tab - - - -
348 Piracetam tablet 800 mg tab - - - -
349 Pirantel suspensi 125 mg/5 ml btl - - - -
350 Pirantel tablet score (base) 125 mg tab - - - -
351 Pirazinamid tablet 500 mg tab - - - -
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 199.80 200 39,960.00 2,400
353 Piridoksin injeksi 100 mg/ml amp - - - -
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps - - - -
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps - 200 - 2,400
356 Polikresulen cairan btl - - - -
357 Polikresulen cairan (Albothyl) btl - - - -
358 Povidon Iodida larutan 10% 1000 ml btl - - - -
359 Povidon Iodida larutan 10% 30 ml btl - - - -
Kebutuhan Bulanan Kebutuhan Tahu
Harga
No NAMA BARANG Satuan Jumlah Jumlah Harga Jumlah
Satuan (Rp)
Barang (Rp) Barang
360 Povidon Iodida larutan 10% 300 ml btl - - - -
361 Povidon Iodida larutan 10% 60 ml btl - 1 - 12
362 Pravastatin tablet 20 mg tab - - - -
363 Prednison tablet 5 mg tab - 100 - 1,200
364 Primakuin tablet 15 mg tab - - - -
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial - - - -
366 Prolacta baby kaps - - - -
367 Propanolol tablet 10 mg (HCl) tab - - - -
368 Propanolol tablet 40 mg (HCl) tab - - - -
369 Propiltiourasil tablet 100 mg (PTU) tab - - - -
370 Ramipril tablet 2,5 mg tab - - - -
371 Ramipril tablet 5 mg tab - - - -
372 Ranitidin injeksi 25 mg/ml amp - - - -
373 Ranitidin injeksi 50 mg/2ml amp - - - -
374 Ranitidin tablet 150 mg tab 85.00 100 8,500.00 1,200
375 Reserpin tablet 0,10 mg tab - - - -
376 Reserpin tablet 0,25 mg tab - - - -
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps - - - -
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps - - - -
379 Rifampisin kapsul/kaplet 300 mg kapl - - - -
380 Rifampisin kapsul/kaplet 600 mg kapl - - - -
381 Rifampisin tablet salut 450 mg tab - - - -
382 Ringer Laktat (RL) larutan infus btl - 2 - 24
383 Risperidon tablet 1 mg tab - - - -
384 Risperidon tablet 2 mg tab - - - -
385 Risperidon tablet 3 mg tab - - - -
386 Salbutamol
Salbutamol cairan (As.sulfat)100
inhalasi/aerosol 2,5mcg/dosis
mg (Ventolin Nebules)
(Ventolin btl - - - -
387 Inhaler) btl - - - -
388 Salbutamol tablet 2 mg (sebagai sulfat) tab - - - -
389 Salbutamol
Salep 2~4 , tablet 4 mg (sebagai
Kombinasi: sulfat)2% + Belerang
Asam Salisilat tab - 100 - 1,200
390 endap 4% pot - 5 - 60
391 Salisil Bedak 2 % ktk - 5 - 60
392 Sanbe Plex drop btl - - - -
393 Sefadroksil kapsul/kaplet 250 mg kaps - - - -
394 Sefadroksil kapsul/kaplet 500 mg kaps - - - -
395 Sefadroksil sirup kering 125 mg/5ml btl - - - -
396 Sefaleksin kapsul/kaplet 250 mg kaps - - - -
397 Sefaleksin kapsul/kaplet 500 mg kaps - - - -
398 Sefazolin injeksi 1 g amp - - - -
399 Sefiksim 400 mg + Azitromisin 1000 mg tab - - - -
400 Sefiksim kapsul/kaplet 100 mg kaps - - - -
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl - - - -
402 Sefotaksim injeksi 0,5 g amp - - - -
403 Sefotaksim injeksi 1 g vial - - - -
404 Seftazidim injeksi 1 g amp - - - -
405 Seftriakson injeksi 1 g amp - - - -
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp - - - -
407 Serum ABU I vial - - - -
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp - 10 - 120
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab - 200 - 2,400
410 Simetidin injeksi (Ulsikur) amp - - - -
411 Simetidin tablet 200 mg tab - - - -
412 Simvastatin tablet 10 mg tab - - - -
413 Simvastatin tablet 20 mg tab - 100 - 1,200
Kebutuhan Bulanan Kebutuhan Tahu
Harga
No NAMA BARANG Satuan Jumlah Jumlah Harga Jumlah
Satuan (Rp)
Barang (Rp) Barang
414 Simvastatin tablet 5 mg tab - - - -
415 Siprofloksasin infus 2% btl - - - -
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab - - - -
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab - 100 - 1,200
418 Spasminal tablet tab - - - -
419 Spiramisin tablet 500 mg tab - - - -
420 Spironolakton tablet 100 mg tab - - - -
421 Spironolakton tablet 25 mg tab - - - -
422 Stavudin tablet 30 mg tab - - - -
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl - - - -
424 Sukralfat susp 500 mg/5 ml btl - - - -
425 Sulfasalazin tablet 500 mg tab - - - -
426 Sulfasetamida Natrium tetes mata 15% btl - - - -
427 Suprabion sirup btl - - - -
428 Tamoksifen tablet 20 mg tab - - - -
429 Teofillin tablet 150 mg (Bronsolvon) tab - - - -
430 Terbutalin Sulfat 2,5 mg (Molasma) tab - - - -
431 Tetrakain HCl tetes mata 0,5% btl - - - -
432 Tetrasiklin kapsul/kaplet 250 mg kaps - - - -
433 Tetrasiklin kapsul/kaplet 500 mg kaps - - - -
434 Thyrosol tablet tab - - - -
435 Tiamfenikol kapsul/kaplet 250 mg kaps - - - -
436 Tiamfenikol kapsul/kaplet 500 mg kaps - 100 - 1,200
437 Tiamfenikol sirup 125 mg/ml btl - - - -
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab 203.50 200 40,700.00 2,400
439 Tiamin (Vitamin B1) 100 mg tablet tab - - - -
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp - - - -
441 Timolol tetes mata 0,5% btl - - - -
442 Tramadol injeksi 50 mg/ml amp - - - -
443 Tramadol kapsul/kaplet/tablet 50 mg kaps - - - -
444 Trifaneuron kapl - - - -
445 Trifluoperazin tablet 5 mg tab - - - -
446 Triheksifenidil tablet 2 mg tab - - - -
447 Trolit sase - - - -
448 Valsartan tablet 80 mg tab - - - -
449 Verapamil tablet 80 mg (HCl) tab - - - -
450 Vicillin inj. 1 gr vial - - - -
451 Vitamin B Kompleks tablet tab 57.00 300 17,100.00 3,600
452 Zamel drop btl - - - -
453 Zamel sirup btl - - - -
454 Zidovudin tablet 100 mg tab - - - -
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab - - - -
456 Zinc drop 10 mg/ml btl - - - -
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl - - - -
458 Zinc tablet 20 mg tab 100.00 100 10,000.00 1,200

B BAHAN MEDIS HABIS PAKAI


1 Absorben paper point (Indodent) pcs - - - -
2 Alat suntik insulin 1ml set - - - -
3 Alat suntik sekali pakai 1 ml set - 5 - 60
4 Alat suntik sekali pakai 2,5 ml set - - - -
5 Alat suntik sekali pakai 3 ml set - 50 - 600
6 Alat suntik sekali pakai 5 ml set - 3 - 36
7 Alat suntik sekali pakai 10 ml (OneMed) set - - - -
Kebutuhan Bulanan Kebutuhan Tahu
Harga
No NAMA BARANG Satuan Jumlah Jumlah Harga Jumlah
Satuan (Rp)
Barang (Rp) Barang
8 Alat suntik sekali pakai 20 ml set - - - -
9 Alkohol gel (Aseptic Gel) btl - 1 - 12
10 Articulating paper ktk - - - -
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube - - - -
12 Blood lancet pcs - - - -
13 Blood tranfusion set set - - - -
14 Bonding btl - - - -
15 Catgut Chromic no 2/0 set - - - -
16 Catgut Chromic no 3/0 set - - - -
17 Catgut Plain no 2/0 set - 3 - 36
18 Catgut Plain no 3/0 set - - - -
19 Cotton roll (Prodental) bks - - - -
20 Dermafix 10 x 8 cm pcs - - - -
21 Dermafix 5 x 7 cm pcs - - - -
22 Desinfektan Klorin 500 ml btl - - - -
23 Disposafe Safety Box 2,5 L box - 1 - 12
24 Disposafe Safety Box 5 L box - - - -
25 Etakridin larutan 0,1% (rivanol) btl - - - -
26 Etanol 70% cairan (100 ml) btl - - - -
27 Etanol 70% cairan (1000 ml) btl - 1 - 12
28 Etanol 95% cairan (1 L) btl - - - -
29 Etching btl - - - -
30 Etil Klorida spray btl - 1 - 12
31 Eugenol cairan btl - - - -
32 Fixomull stretch 10 cm x 5 m rol - - - -
33 Fixomull stretch 5 cm x 5 m rol - - - -
34 Foley Catheter (16) set - - - -
35 Foley Catheter (18) set - - - -
36 Foley Catheter (20) set - - - -
37 Foley Catheter (22) set - - - -
38 Foley Catheter (24) set - - - -
39 Foley Catheter (24) set - - - -
40 Formokresol cairan btl - - - -
41 Glass Ionomer Cement ART btl - - - -
42 Guedel Airway No. 000 / Oropharyngeal pcs - - - -
43 Guedel Airway No. 2 / Oropharyngeal pcs - - - -
44 Handrub 500 ml btl 82,500.00 - - -
45 Handscoon (uk 7~7,5) psg - - - -
46 Handscoon (uk S,M,L) pcs 1,160.00 50 58,000.00 600
47 Handscoon / Sarung Tangan Obgyn psg - - - -
48 H2O2 3% 1000 ml btl - - - -
49 H2O2 3% 800 ml btl - - - -
50 H2O2 3% 100 ml btl - - - -
51 Infusion set anak set - 2 - 24
52 Infusion set dewasa set - 2 - 24
53 IV Cannula With Safety Wings No. 24 set - - - -
54 IV Catheter No. 16 G set - - - -
55 IV Catheter No. 18 G set - - - -
56 IV Catheter No. 20 G set - - - -
57 IV Catheter No. 22 G set - - - -
58 IV Catheter No. 24 G set - - - -
59 IV Catheter No. 26 G set - - - -
60 Kacamata Goggle unit - - - -
61 Kalsium Hidroksida Pasta ktk - - - -
Kebutuhan Bulanan Kebutuhan Tahu
Harga
No NAMA BARANG Satuan Jumlah Jumlah Harga Jumlah
Satuan (Rp)
Barang (Rp) Barang
62 Kapas 500 gr bks - - - -
63 Kapas Pembalut/Absorben 250 gram bks - 1 - 12
64 Kapas Berlemak 500 gram bks - - - -
65 Kasa 2 x 80 cm rol - - - -
66 Kasa 40 x 40 cm rol - - - -
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 487.50 50 24,375.00 600
68 Kasa Hidrofil uk. 36 m x 80 cm rol - - - -
69 Kasa Hidrofil uk. 40 m x 80 cm rol - - - -
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol - - - -
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol - - - -
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol - - - -
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol - - - -
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol - - - -
75 Kasa Pembalut Elastis 3 inchi rol - - - -
76 Kasa Pembalut Elastis 4 inchi rol - - - -
77 Kasa Pembalut Elastis 6 inchi rol - - - -
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol - - - -
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 2,035.00 5 10,175.00 60
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol - 5 - 60
81 Kertas Puyer lbr - - -
82 Kit Gown set - - - -
83 Klorfenol Kamfer Menthol (CHKM) cairan btl - - - -
84 Komposit resin btl - - - -
85 Lysol 1 Liter btl - - - -
86 Lubricating jelly tube 29,550.00 - - -
87 Masker set - 50 - 600
88 Masker Kain set - - - -
89 Masker N95 set - - - -
90 Masker Nebulizer Anak set - - - -
91 Masker Nebulizer Dewasa set - - - -
92 Masker Oksigen Anak set - - - -
93 Masker Oksigen Bayi set - - - -
94 Masker Oksigen Dewasa set - - - -
95 Mess silet / Surgical Blade pcs - - - -
96 Mummifying Pasta btl - - - -
97 Nurse Cap pcs - - - -
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit - - - -
99 Pakaian Pelindung Coverall Reusable unit - - - -
100 Plester 5 cm x 4,5 m rol - - - -
101 Plester 5 cm x 4,5 m (Leukoplast) rol - - - -
102 Plester 7,5 cm x 4,5 m rol - - - -
103 Plester 5 cm x 5 m (Ultrafix) rol - - - -
104 Plester 5 yards x 5 inch rol - - - -
105 Semen Seng Fosfat serbuk dan cairan btl - - - -
106 Selang Oksigen Anak (Oxyflow) pcs - - - -
107 Selang Oksigen Bayi (Oxyflow) pcs - - - -
108 Selang Oksigen Dewasa (Oxyflow) pcs - - - -
109 Selulosa strip pcs - - - -
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set - 5 - 60
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set - - - -
112 Spalk Kaki Anak pcs - - - -
113 Spalk Kaki Dewasa pcs - - - -
114 Spalk Tangan Anak pcs - - - -
115 Spalk Tangan Bayi pcs - - - -
Kebutuhan Bulanan Kebutuhan Tahu
Harga
No NAMA BARANG Satuan Jumlah Jumlah Harga Jumlah
Satuan (Rp)
Barang (Rp) Barang
116 Spalk Tangan Dewasa pcs - - - -
117 Sofra tulle pcs - - - -
118 Stomach Tube (NGT) no 16 tube - - - -
119 Stomach Tube (NGT) no 18 tube - - - -
120 Stomach Tube (NGT) no 20 tube - - - -
121 Suction Catheter No. 10 set - - - -
122 Temporary Stopping Fletcher serbuk dan cairan btl - - - -
123 Tooth cleanshing tincture (OCO) btl - - - -
124 Trikresol Formalin (TKF) Cairan btl - - - -
125 Ultrasonic Gel btl - - - -
126 Underpad pcs - - - -
127 Urine Bag set - - - -
128 Urocare set - - - -
129 Wing Needle No set - - - -

C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN


1 Alkohol swab - - - - -
2 - - - - - -
3 - - - - - -
4 - - - - - -
5 - - - - - -
6 - - - - - -
7 - - - - - -
8 - - - - - -
9 - - - - - -
10 - - - - - -
11 - - - - - -
12 - - - - - -
13 - - - - - -
14 - - - - - -
15 - - - - - -
16 - - - - - -
17 - - - - - -

JUMLAH TOTAL 885,964.99


ANGGARAN
SELISIH

KEPALA PUSKESMAS PANARUKAN Pengelola Obat Puskesmas Penangg


Unit Pe

dr.YUNI VEROSITA INDAH PENI Y, S.Farm.,Apt YENY SOF


NIP : 198208202009031010 NIP : 198607222019032002 N
P

Kebutuhan Tahunan
HOME
Jumlah Harga Ket
(Rp)

- 0
- 0
- 0
- 0
- 0
- 0
- 0
208,800 1
- 0
- 0
- 0
- 0
- 0
- 1
- 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
2,088,000 1
- 0
- 1
- 0
- 0

- 0
194,400 1
- 1

- 0

- 0

- 0

- 0
- 0

- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
Kebutuhan Tahunan
HOME
Jumlah Harga Ket
(Rp)
- 0
- 0
- 0
151,200 1
- 0
- 0
504,000 1
- 0
- 0
- 0
- 1
- 0
- 0
- 0
- 0
- 0
- 0
660,000 1
- 0
- 0

271,200 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 1
290,400 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
Kebutuhan Tahunan
HOME
Jumlah Harga Ket
(Rp)
- 0
- 0
- 0
93,720 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 1
- 1
- 0
- 0
- 0
- 0
346,500 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 1
98,400 1
- 0
- 0
- 0
Kebutuhan Tahunan
HOME
Jumlah Harga Ket
(Rp)
- 0
- 0
- 0
- 0
- 0
- 0
680,400 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
279,000 1
- 0
- 0
- 0
- 0
- 0
- 0
456,000 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
216,000 1
- 0
- 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
Kebutuhan Tahunan
HOME
Jumlah Harga Ket
(Rp)
176,400 1
- 0
- 0
- 0
- 0
- 0
- 0
- 1
- 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0

- 0

- 0

- 1

- 0

- 0
- 0
- 0
- 0
- 0
- 0

- 0

- 0

- 0

- 0
- 0
- 0
- 1

- 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 1
- 0
- 0
- 0
Kebutuhan Tahunan
HOME
Jumlah Harga Ket
(Rp)
- 0
- 0
- 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 1
- 0
- 0
- 0
- 0
- 0
- 0
458,040 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
240,000 1
- 1
- 0
- 0
- 0
- 0
- 0
- 1
- 0
Kebutuhan Tahunan
HOME
Jumlah Harga Ket
(Rp)
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 1
- 0
- 1
- 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 1
- 0
139,200 1
- 0
- 0
574,200 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
479,520 1
- 0
- 0
- 1
- 0
- 0
- 0
- 0
Kebutuhan Tahunan
HOME
Jumlah Harga Ket
(Rp)
- 0
- 1
- 0
- 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
102,000 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 1
- 0
- 0
- 0
- 0
- 0
- 0
- 1
- 1
- 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 1
- 1
- 0
- 0
- 0
- 1
Kebutuhan Tahunan
HOME
Jumlah Harga Ket
(Rp)
- 0
- 0
- 0
- 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 1
- 0
488,400 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
205,200 1
- 0
- 0
- 0
- 0
- 0
- 0
120,000 1
1
1
- 0
- 0
- 1
- 0
- 1
- 1
- 0
Kebutuhan Tahunan
HOME
Jumlah Harga Ket
(Rp)
- 0
- 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 1
- 0
- 0
- 0
- 0
- 0
- 1
- 0
- 0
- 0
- 1
- 0
- 0
- 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
696,000 1
- 0
- 0
- 0
- 0
- 1
- 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
Kebutuhan Tahunan
HOME
Jumlah Harga Ket
(Rp)
- 0
- 1
- 0
- 0
- 0
292,500 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
122,100 1
- 1
- 0
- 0
- 0
- 0
- 0
- 0
- 1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 1
- 0
- 0
- 0
- 0
- 0
Kebutuhan Tahunan
HOME
Jumlah Harga Ket
(Rp)
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
1
1
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0

10,631,579.82
-

(10,631,579.82)

Penanggung Jawab
Unit Pelayanan

YENY SOFIA AKHMAD


NIP :
JANUARI
FEBRUARI
MARET
APRIL
MEI
JUNI
JULI
AGUSTUS
SEPTEMBER
OKTOBER
NOPEMBER
DESEMBER
DAFTAR EXPIRED OBAT & BMH
PELEYAN PER 31-12-2023

Jumlah
Satua Tgl Expired Nomor
NO NAMA BARANG Barang
n 1 Batch 1
Total

A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml amp - 30/12/1899 0
2 Acarbose tab 50 mg tab - 30/12/1899 0
3 Acarbose tab 100 mg tab - 30/12/1899 0
4 Albendazol suspensi 200 mg/5 ml btl - 30/12/1899 0
5 Albendazol tablet 400 mg tab - 30/12/1899 0
6 Alinamin F injeksi amp - 30/12/1899 0
7 Alinamin F tablet tab - 30/12/1899 0
8 Alopurinol tablet 100 mg tab 80 30/12/1899 0
9 Alopurinol tablet 300 mg tab - 30/12/1899 0
10 Alprazolam tablet 0,25 mg tab - 30/12/1899 0
11 Alprazolam tablet 0,5 mg tab - 30/12/1899 0
12 Alprazolam tablet 1 mg tab - 30/12/1899 0
13 Ambroxol sirup 15 mg/ml btl - 30/12/1899 0
14 Ambroxol tablet 30 mg tab - 30/12/1899 0
15 Aminofilin injeksi 24 mg/ml~10 ml amp - 30/12/1899 0
16 Aminofilin tablet 150 mg tab - 30/12/1899 0
17 Aminofilin tablet 200 mg tab - 30/12/1899 0
18 Amiodarone hidrocloride 200 mg tab - 30/12/1899 0
19 Amitriptilin tablet salut 25 mg (HCl) tab - 30/12/1899 0
20 Amlodipin tablet 10 mg tab - 30/12/1899 0
21 Amlodipin tablet 5 mg tab 20 30/12/1899 0
22 Amoksisilin + As. Klavulanat 625 mg tablet tab - 30/12/1899 0
23 Amoksisilin kapsul/kaplet 250 mg kapl - 30/12/1899 0
24 Amoksisilin kapsul/kaplet 500 mg kapl 20 30/12/1899 0
25 Amoksisilin serbuk injeksi 1000 mg vial - 30/12/1899 0
26 Amoksisilin sirup kering 125 mg/5 ml btl - 30/12/1899 0
27 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial vial - 30/12/1899 0
28 Ampisilin serbuk
Analog insulin injeksi
rapid i.m./i.v.
acting inj 100500 mg/vial
UI/ml (insulin aspart novorapid
vial - 30/12/1899 0
29 flexpen) flexpen - 30/12/1899 0
30 Antasida tablet kunyah tab 30 30/12/1899 0
31 Antasida suspensi btl - 30/12/1899 0
32 Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin
10.000 IU/g tube - 30/12/1899 0
33 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Salisilat 3% pot - 30/12/1899 0
Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg
34
Heksaklorofen 2,5 mg supp - 30/12/1899 0
35 Antimalaria DOEN kombinasi: Pirimetamin tablet 25 mg Sulfadoksin
tablet 500 mg tab - 30/12/1899 0
36 Antimigren tablet:
Antiparkinson DOEN Ergotamin Tartrat
Tab Komb 1 mg +100
Levodopa Kofein
mg,50 mg
Benserazid HCl tab - 30/12/1899 0
37 25 mg tab - 30/12/1899 0
38 Aqua pro injeksi steril, bebas pirogen amp - 30/12/1899 0
39 Artemether injeksi 80 mg/ml amp - 30/12/1899 0
40 Artesunate injeksi 60 mg vial - 30/12/1899 0
41 Articaine HCL 4% + Epinefrin 1:100.000 injeksi (Turbocaina) katrid - 30/12/1899 0
42 Asam Asetilsalisilat tablet 100 mg (asetosal) tab - 30/12/1899 0
43 Asam Asetilsalisilat tablet 500 mg (asetosal) tab - 30/12/1899 0
44 Asam Asetilsalisilat tablet 80 mg (asetosal) tab - 30/12/1899 0
45 Asam Asetilsalisilat tablet 80 mg (asetosal) (Miniaspi) tab - 30/12/1899 0
46 Asam Askorbat (Vitamin C) tablet 100 mg tab - 30/12/1899 0
47 Asam Askorbat (Vitamin C) tablet 250 mg tab 40 30/12/1899 0
48 Asam Askorbat (Vitamin C) tablet 50 mg tab 470 30/12/1899 0
49 Asam Folat tablet 1 mg tab - 30/12/1899 0
50 Asam Mefenamat kapsul/kaplet 250 mg kapl - 30/12/1899 0
51 Asam Mefenamat kapsul/kaplet 500 mg kapl - 30/12/1899 0
52 Asam pipemidat kapsul 400 mg kaps - 30/12/1899 0
53 Asam Traneksamat inj. amp - 30/12/1899 0
54 Asam Traneksamat tablet tab - 30/12/1899 0
55 Asiklovir krim 5% tube - 30/12/1899 0
56 Asiklovir tablet 200 mg tab - 30/12/1899 0
57 Asiklovir tablet 400 mg tab - 30/12/1899 0
58 Atenolol tablet 100 mg tab - 30/12/1899 0
59 Atenolol tablet 50 mg tab - 30/12/1899 0
60 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (sulfat) amp - 30/12/1899 0
61 Atropin Sulfat tablet 0,5 mg tab - 30/12/1899 0
62 Attapulgit tablet 600 mg tab 50 30/12/1899 0
63 Benzatin Benzil Penisilin 1,2 juta IU/vial vial - 30/12/1899 0
64 Benzatin Benzil Penisilin 2,4 juta IU/vial vial - 30/12/1899 0
65 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet tambah
darah kombinasi) tab 200 30/12/1899 0
66 Betahistin Mesilat tablet 6 mg tab - 30/12/1899 0
67 Betametason krim 0,1% (sebagai valerat) tube - 30/12/1899 0
68 Bioplacenton salep tube - 30/12/1899 0
69 Bioplacenton tulle pcs - 30/12/1899 0
70 Bisakodil suppositoria 10 mg supp - 30/12/1899 0
71 Bisoprolol fumarat 2,5 mg tab - 30/12/1899 0
72 Bisoprolol tablet 5 mg tab - 30/12/1899 0
73 Bromheksin tablet 8 mg tab - 30/12/1899 0
74 Calcium gluconas inj. i.v. 10% 100 mg/ml amp - 30/12/1899 0
75 Candesartan cilexetil 16 mg tab - 30/12/1899 0
76 Candesartan cilexetil 8 mg tab - 30/12/1899 0
77 Cetirizine sirup 5 mg/5 ml btl - 30/12/1899 0
78 Cetirizine tablet 10 mg tab - 30/12/1899 0
79 Citicoline 125 mg/ml amp - 30/12/1899 0
80 Clobazam tablet 10 mg tab - 30/12/1899 0
81 Clobetasol krim 0,05% tube - 30/12/1899 0
82 Combifen sirup btl - 30/12/1899 0
83 Coparcetin sirup btl - 30/12/1899 0
84 Coparcetin tablet tab - 30/12/1899 0
85 Dapson tablet 100 mg tab - 30/12/1899 0
86 Deksametason injeksi i.v. 5 mg/ml~1ml amp - 30/12/1899 0
87 Deksametason tablet 0,5 mg tab (70) 30/12/1899 0
88 Dekstran 70 ~ larutan infus 6% steril btl - 30/12/1899 0
89 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl - 30/12/1899 0
90 Dekstrometorfan tablet 15 mg (HBr) tab - 30/12/1899 0
91 Devitalisasi Pasta btl - 30/12/1899 0
92 Dexanta tablet tab - 30/12/1899 0
93 Diazepam injeksi 5 mg/ml amp - 30/12/1899 0
94 Diazepam injeksi 10 mg/ml amp - 30/12/1899 0
95 Diazepam larutan rectal 10 mg/2,5 ml tube - 30/12/1899 0
96 Diazepam larutan rectal 5 mg/2,5 ml tube - 30/12/1899 0
97 Diazepam supp supp - 30/12/1899 0
98 Diazepam tablet 2 mg tab - 30/12/1899 0
99 Diazepam tablet 5 mg tab - 30/12/1899 0
100 Dietilkarbamazin sitrat tablet 100 mg tab - 30/12/1899 0
101 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 2 30/12/1899 0
102 Digoksin injeksi 0,25 mg/ml amp - 30/12/1899 0
103 Digoksin tablet 0,25 mg tab - 30/12/1899 0
104 Diltiazem HCl tablet 30 mg tab - 30/12/1899 0
105 Dimenhidrinat tablet 50 mg tab - 30/12/1899 0
106 Doksisiklin kapsul/kaplet 100 mg kaps - 30/12/1899 0
107 Domperidon drop 5 mg/ml btl - 30/12/1899 0
108 Domperidon suspensi 5 mg/5 ml btl - 30/12/1899 0
109 Domperidon tablet 10 mg tab - 30/12/1899 0
110 Dopamin injeksi 40 mg/ml (Cetadop) amp - 30/12/1899 0
111 Efedrin tablet 25 mg (HCl) tab - 30/12/1899 0
112 Ekstraks Belladona tablet 10 mg tab - 30/12/1899 0
113 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) amp - 30/12/1899 0
114 Eritromisin kapsul/kaplet 250 mg kaps - 30/12/1899 0
115 Eritromisin kapsul/kaplet 500 mg kaps - 30/12/1899 0
116 Eritromisin sirup 200 mg/5 ml btl - 30/12/1899 0
117 Etambutol tablet 250 mg (HCl) tab - 30/12/1899 0
118 Etambutol tablet salut 500 mg (HCl) tab - 30/12/1899 0
119 Famotidine tablet 20 mg tab - 30/12/1899 0
120 Famotidine tablet 40 mg tab - 30/12/1899 0
121 Fe Sirup / Besi sirup btl - 30/12/1899 0
122 Fenilbutason tablet 200 mg tab - 30/12/1899 0
123 Fenitoin kapsul/kaplet 100 mg kaps - 30/12/1899 0
124 Fenitoin Natrium injeksi 50 mg/ml amp - 30/12/1899 0
125 Fenitoin Natrium kapsul/kaplet 30 mg kaps - 30/12/1899 0
126 Fenobarbital injeksi i.m./i.v. 50 mg/ml amp - 30/12/1899 0
127 Fenobarbital tablet 100 mg tab - 30/12/1899 0
128 Fenobarbital tablet 30 mg tab - 30/12/1899 0
129 Fenoksimetil Penisilin tablet 250 mg tab - 30/12/1899 0
130 Fenoksimetil Penisilin tablet 500 mg tab - 30/12/1899 0
131 Fenol Gliserol tetes telinga 10% btl - 30/12/1899 0
132 Fitomenadion (Vitamin K1) tablet salut gula 10 mg tab - 30/12/1899 0
133 Fitomenadion (Vitamin K1) injeksi 10 mg/ml amp - 30/12/1899 0
134 Flufenazin inj. i.m. 25 mg/ml amp - 30/12/1899 0
135 Flukonazol tablet 150 mg tab - 30/12/1899 0
136 Furosemid injeksi i.v./i.m. 10 mg/ml amp - 30/12/1899 0
137 Furosemid tablet 40 mg tab - 30/12/1899 0
138 Garam Oralit I serbuk sac 104 30/12/1899 0
139 Gastrusid sirup btl - 30/12/1899 0
140 Gemfibrozil kapsul/kaplet 300 mg kaps - 30/12/1899 0
141 Gemfibrozil tablet 600 mg tab - 30/12/1899 0
142 Gentamisin injeksi 40 mg/ml amp - 30/12/1899 0
143 Gentamisin injeksi 80 mg/2ml amp - 30/12/1899 0
144 Gentamisin salep kulit 0,1% tube - 30/12/1899 0
145 Gentamisin salep mata 0,3% tube - 30/12/1899 0
146 Gentamisin sulfat tetes mata 0,3% btl - 30/12/1899 0
147 Gentian Violet larutan 1% btl - 30/12/1899 0
148 Glibenklamida tablet 5 mg tab - 30/12/1899 0
149 Gliklazid tablet 30 mg tab - 30/12/1899 0
150 Gliklazid tablet 80 mg tab - 30/12/1899 0
151 Glimepiride tablet 1 mg tab - 30/12/1899 0
152 Glimepiride tablet 2 mg tab - 30/12/1899 0
153 Glimepiride tablet 3 mg tab - 30/12/1899 0
154 Glimepiride tablet 4 mg tab - 30/12/1899 0
155 Glipizid 10 mg tab - 30/12/1899 0
156 Glipizid 5 mg tab - 30/12/1899 0
157 Gliquidon tablet 30 mg tab - 30/12/1899 0
158 Gliseril Gualakolat tablet 100 mg tab 120 30/12/1899 0
159 Gliserin larutan 50% btl - 30/12/1899 0
160 Glukosa larutan infus 5% steril btl - 30/12/1899 0
161 Glukosa larutan infus 10% steril btl - 30/12/1899 0
162 Glukosa larutan infus 40% steril btl - 30/12/1899 0
163 Glukosa 5% dan NaCl 0,9% (Wida D5~NS TM) btl - 30/12/1899 0
164 Glukosa 5% dan NaCl 0,9% (Wida D5~1/2 NS) btl - 30/12/1899 0
165 Glukosa 5% dan NaCl 0,9% (Wida D5~1/4 NS) btl - 30/12/1899 0
166 Griseofulvin tablet 125 mg tab - 30/12/1899 0
167 Haloperidol inj 50 mg/ml amp - 30/12/1899 0
168 Haloperidol Inj i.m. 5 mg/ml amp - 30/12/1899 0
169 Haloperidol tablet 0,5 mg tab - 30/12/1899 0
170 Haloperidol tablet 1,5 mg tab - 30/12/1899 0
171 Haloperidol tablet 2 mg tab - 30/12/1899 0
172 Haloperidol tablet 5 mg tab - 30/12/1899 0
173 Hidroklorotiazid (HCT) tablet 25 mg tab - 30/12/1899 0
174 Hidrokortison krim 1% tube - 30/12/1899 0
175 Hidrokortison krim 2,5% tube 5 30/12/1899 0
176 Human tetanus imunuglobin 1 ml (250 iu) syringe - 30/12/1899 0
177 Hyoscine~N~Butilbromide injeksi amp - 30/12/1899 0
178 Hyoscine~N~Butilbromide tablet 10 mg tab - 30/12/1899 0
179 Ibuprofen suspensi 100 mg/5 ml btl - 30/12/1899 0
180 Ibuprofen suspensi 200 mg/5 ml btl - 30/12/1899 0
181 Ibuprofen tablet 200 mg tab - 30/12/1899 0
182 Ibuprofen tablet 400 mg tab 110 30/12/1899 0
183 Iodiol kapsul lunak kaps - 30/12/1899 0
184 Isoniazid tablet 100 mg tab - 30/12/1899 0
185 Isoniazid tablet 300 mg tab - 30/12/1899 0
186 Isosorbid Dinitrat tablet 10 mg tab - 30/12/1899 0
187 Isosorbid Dinitrat tablet sublingual 5 mg tab - 30/12/1899 0
188 Itrakonazol kapsul/kaplet 100 mg kaps - 30/12/1899 0
189 Kalium Diklofenak tablet 25 mg tab - 30/12/1899 0
190 Kalium Diklofenak tablet 50 mg tab - 30/12/1899 0
191 Kalium Permanganat Serbuk btl - 30/12/1899 0
192 Kalsium Laktat (Kalk) tablet 500 mg tab 250 30/12/1899 0
193 Kaptopril tablet 12,5 mg tab - 30/12/1899 0
194 Kaptopril tablet 25 mg tab - 30/12/1899 0
195 Kaptopril tablet 50 mg tab - 30/12/1899 0
196 Karbamazepin tablet 200 mg tab - 30/12/1899 0
197 Ketokonazol krim 2% tube 8 30/12/1899 0
198 Ketokonazol scalp solution 2% 80 ml (Zoloral SS) btl - 30/12/1899 0
199 Ketokonazol tablet 200 mg tab - 30/12/1899 0
200 Ketoprofen injeksi 100 mg amp - 30/12/1899 0
201 Ketoprofen tablet 100 mg tab - 30/12/1899 0
202 Ketorolac injeksi 10 mg/ml amp - 30/12/1899 0
203 Ketorolac injeksi 30 mg/ml amp - 30/12/1899 0
204 Klindamisin kapsul/kaplet 150 mg kaps - 30/12/1899 0
205 Klindamisin kapsul/kaplet 300 mg kaps - 30/12/1899 0
206 Klorfeniramin Maleat (CTM) tab 4 mg tab #VALUE! 30/12/1899 0
207 Klomifen tablet 50 mg tab - 30/12/1899 0
208 Klonidin tablet 0,15 mg tab - 30/12/1899 0
209 Kloramfenikol kapsul/kaplet 250 mg kaps - 30/12/1899 0
210 Kloramfenikol salep mata 1% tube - 30/12/1899 0
211 Kloramfenikol salep kulit 2% (Bufacetin) tube - 30/12/1899 0
212 Kloramfenikol suspensi 125 mg/5 ml btl - 30/12/1899 0
213 Kloramfenikol tetes mata 0,5% btl - 30/12/1899 0
214 Kloramfenikol tetes telinga 3% btl - 30/12/1899 0
215 Klorokuin tablet 250 mg tab - 30/12/1899 0
216 Klorpromazin injeksi i.m. 5 mg/ml~2 ml (HCl) amp - 30/12/1899 0
217 Klorpromazin injeksi i.m. 25 mg/ml (HCl) amp - 30/12/1899 0
218 Klorpromazin tablet salut 100 mg (HCl) tab - 30/12/1899 0
219 Klorpromazin tablet salut 25 mg (HCl) tab - 30/12/1899 0
220 Kodein tablet 10 mg tab - 30/12/1899 0
221 Kodein tablet 15 mg tab - 30/12/1899 0
222 Kodein tablet 20 mg tab - 30/12/1899 0
223 Kombinasi salmeterol 50 mcg; flutikason propionate 100 mcg btl
(Seretide Diskus) - 30/12/1899 0
224 Kontrasepsi pil oral, kombinasi: levonorgestrel 150 mcg
etilnilestradiol 30 mcg (blister) blister - 30/12/1899 0
Kotrimoksazol 480 mg (dewasa) kombinasi: Sulfametoksazol 400
225
mg, Trimetoprim 80 mg tab - 30/12/1899 0
226 Kotrimoksazol 960 mg (forte) kombinasi: Sulfametoksazol 800 mg,
Trimetoprim 160 mg tab - 30/12/1899 0
227 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + btl
Trimetoprim 40 mg/5 ml - 30/12/1899 0
228 Kuinin (Kina) tablet 200 mg tab - 30/12/1899 0
229 Kuinin Dihidroklorida injeksi 25% ~ 2 ml amp - 30/12/1899 0
230 Lacto B sase - 30/12/1899 0
231 Lamivudine tablet 150 mg tab - 30/12/1899 0
232 Lanzoprazol kapsul/kaplet 30 mg kaps - 30/12/1899 0
233 Larutan ASERING - mengandung Elektrolit (Na 130 mEq, Cl 109 btl
mEq, Ca 3 mEq, Asetat 28 mEq) - 30/12/1899 0
234 Larutan (KAEN 1B) - mengandung Elektrolit (NaCl 1.125 gr, btl
Dekstrosa 18.75 gr) - 30/12/1899 0
235 Larutan (KAEN 3B) - mengandung Karbohidrat + Elektrolit (Nacl btl
1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27 gr) - 30/12/1899 0
236 Larutan (KAEN 3A) - mengandung Karbohidrat + Elektrolit (Nacl btl
2.34 gr, Na Laktat 2.24 gr, KCL 0.75 gr, Dekstrosa 27 gr) - 30/12/1899 0
237 Levofloksasin tablet 500 mg tab - 30/12/1899 0
238 Levoteroksin sodium 100 mg tab - 30/12/1899 0
239 Lidokain
Lidokain injeksi
injeksi 2%
2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml (Lidokain amp - 30/12/1899 0
240 Comp. Inj) amp - 30/12/1899 0
241 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml (Pehacain) amp - 30/12/1899 0
242 Lidokain jeli 2% (Xylocain) syringe - 30/12/1899 0
243 Lidokain semprot 10% (Xylocain) btl - 30/12/1899 0
244 Linkomisin kapsul/kaplet 500 mg kaps - 30/12/1899 0
245 Lisinopril tablet 10 mg tab - 30/12/1899 0
246 Lisinopril tablet 5 mg (Interpril) tab - 30/12/1899 0
247 Lomefloksasin HCL tetes mata (Optiflox) btl - 30/12/1899 0
248 Loperamid tablet 2 mg tab - 30/12/1899 0
249 Loratadin tablet 10 mg tab - 30/12/1899 0
250 Lorazepam tablet 2 mg tab - 30/12/1899 0
251 Losartan 50 mg tab - 30/12/1899 0
252 Lytacur sirup btl - 30/12/1899 0
253 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial - 30/12/1899 0
254 Magnesium Sulfat inj (IV) 40% ~ 25 ml amp - 30/12/1899 0
255 Mebendazol sirup 100 mg/5 ml btl - 30/12/1899 0
256 Mebendazol tablet 100 mg tab - 30/12/1899 0
257 Meloksikam suppositoria supp - 30/12/1899 0
258 Meloksikam tablet 15 mg tab - 30/12/1899 0
259 Meloksikam tablet 7,5 mg tab - 30/12/1899 0
260 Menadion (Vitamin K3) injeksi 10 mg/ml amp - 30/12/1899 0
261 Mersibion injeksi 5000 amp - 30/12/1899 0
262 Metamizole Na injeksi 500 mg/ml amp - 30/12/1899 0
263 Metamizole Na injeksi 500 mg/ml (Antrain) amp - 30/12/1899 0
264 Metamizole Na injeksi 500 mg/ml (Norages) amp - 30/12/1899 0
265 Metamizole Na injeksi 500 mg/ml (Novalgin) amp - 30/12/1899 0
266 Metampiron injeksi 250 mg (antalgin) amp - 30/12/1899 0
267 Metampiron tablet 500 mg (antalgin) tab 290 30/12/1899 0
268 Metformin HCl tablet 500 mg tab 50 30/12/1899 0
269 Metformin HCl tablet 850 mg tab - 30/12/1899 0
270 Metildopa 250 mg tab - 30/12/1899 0
271 Metilergometrin Maleat tablet salut 0,125 mg tab - 30/12/1899 0
272 Metilergometrin Maleat injeksi 0,200 mg ~ 1 ml amp - 30/12/1899 0
273 Metilprednisolon injeksi 500 mg amp - 30/12/1899 0
274 Metilprednisolon tablet 16 mg tab - 30/12/1899 0
275 Metilprednisolon tablet 4 mg tab - 30/12/1899 0
276 Metilprednisolon tablet 8 mg tab - 30/12/1899 0
277 Metoklopramide drop 10 ml btl - 30/12/1899 0
278 Metoklopramide injeksi 5 mg/ml amp - 30/12/1899 0
279 Metoklopramide injeksi 5 mg/ml (Primperan) amp - 30/12/1899 0
280 Metoklopramide sirup 5 mg/ 5 ml btl - 30/12/1899 0
281 Metoklopramide tablet 10 mg tab - 30/12/1899 0
282 Metoklopramide tablet 20 mg tab - 30/12/1899 0
283 Metoklopramide tablet 5 mg tab - 30/12/1899 0
284 Metronidazol infus 500 mg/100 ml btl - 30/12/1899 0
285 Metronidazol ovula 500 mg (Vagizol) ovula - 30/12/1899 0
286 Metronidazol suppo 500 mg (Flagyl) supp - 30/12/1899 0
287 Metronidazol tablet 250 mg tab - 30/12/1899 0
288 Metronidazol tablet 500 mg tab 50 30/12/1899 0
289 Mikonazol krim/salep 2% (nitrat) tube - 30/12/1899 0
290 Mineral Mix, kombinasi sase - 30/12/1899 0
291 Momethason krim 0,1% tube - 30/12/1899 0
292 Morfin injeksi 10 mg/ml amp - 30/12/1899 0
293 Morfin tablet 10 mg tab - 30/12/1899 0
294 N~asetil sistein inj Nebules 100 mg/ml (N~ace cairan inhalasi) amp - 30/12/1899 0
295 Natrium bicarbonat inj i.v. 8,4% amp - 30/12/1899 0
296 Natrium Diklofenak tablet 25 mg tab - 30/12/1899 0
297 Natrium Diklofenak tablet 50 mg tab 120 30/12/1899 0
298 Natrium Klorida larutan infus 0,9% (NaCl) btl - 30/12/1899 0
299 Neurobion 5000 injeksi amp - 30/12/1899 0
300 Neurosanbe inj. amp - 30/12/1899 0
301 Nevirapin tablet 200 mg tab - 30/12/1899 0
302 Nifedipin 20 mg (Adalat Oros) tab - 30/12/1899 0
303 Nifedipin 30 mg (Adalat Oros) tab - 30/12/1899 0
304 Nifedipin tablet 10 mg tab - 30/12/1899 0
305 Nistatin tablet salut 500.000 IU/ g tab - 30/12/1899 0
306 Nistatin vaginal tablet 100.000 IU/ g ovula - 30/12/1899 0
307 Novabion kaps - 30/12/1899 0
308 Obat Antituberkulosis FDC Kategori 1 paket - 30/12/1899 0
309 Obat Antituberkulosis FDC Kategori 2 paket - 30/12/1899 0
310 Obat Antituberkulosis FDC Kategori Anak paket - 30/12/1899 0
311 Obat Antituberkulosis FDC Sisipan paket - 30/12/1899 0
312 Obat Antituberkulosis Kategori 1 dewasa paket - 30/12/1899 0
313 Obat Antituberkulosis Kategori anak paket - 30/12/1899 0
314 Obat Batuk Hitam (OBH) cairan btl 2 30/12/1899 0
315 Ofloxacin tablet 200 mg tab - 30/12/1899 0
316 Ofloxacin tablet 400 mg tab - 30/12/1899 0
317 Oksimetazolin tetes hidung 0,025% (Ilaidin) btl - 30/12/1899 0
318 Oksitetrasiklin HCl salep mata 1% tube - 30/12/1899 0
319 Oksitetrasiklin injeksi i.m. 50 mg/ml~10 ml amp - 30/12/1899 0
320 Oksitetrasiklin salep kulit 3% tube - 30/12/1899 0
321 Oksitosin injeksi 10 IU/ml~1 ml amp - 30/12/1899 0
322 Oksitosin injeksi 10 IU/ml~1 ml (Syntosinon) amp - 30/12/1899 0
323 Omeprazol inj 40 mg/10 ml vial - 30/12/1899 0
324 Omeprazol kapsul/kaplet 20 mg kaps - 30/12/1899 0
325 Ondansentron injeksi 4 mg/2 ml amp - 30/12/1899 0
326 Ondansentron tablet 4 mg tab - 30/12/1899 0
327 Oseltamivir kapsul/kaplet 75 mg kaps - 30/12/1899 0
328 Papaverin injeksi 40 mg/ml amp - 30/12/1899 0
329 Papaverin tablet 40 mg tab - 30/12/1899 0
330 Parasetamol drops 60 mg/0,6 ml btl - 30/12/1899 0
331 Parasetamol drops 60 mg/0,6 ml (Sanmol) btl - 30/12/1899 0
332 Parasetamol sirup 120 mg/5 ml btl 14 30/12/1899 0
333 Parasetamol sirup 120 mg/5 ml (Sanmol) btl - 30/12/1899 0
334 Parasetamol tablet 100 mg tab - 30/12/1899 0
335 Parasetamol tablet 500 mg tab 180 30/12/1899 0
336 Parasetamol tablet 500 mg (Sanmol) tab - 30/12/1899 0
337 Perak Sulfadiazim Krim 1% tube - 30/12/1899 0
338 Perak Sulfadiazim Krim 1% (Burnazin Cream) tube - 30/12/1899 0
339 Perfenazin tablet 4 mg (HCl) tab - 30/12/1899 0
340 Permetrin krim 5% tube - 30/12/1899 0
341 Permetrin krim 5% (Scabimite) tube - 30/12/1899 0
342 Petidin injeksi 50 mg/ml amp - 30/12/1899 0
343 Pimtracol sirup btl - 30/12/1899 0
344 Piracetam injeksi 1 g/5 ml amp - 30/12/1899 0
345 Piracetam injeksi 3 g/15 ml amp - 30/12/1899 0
346 Piracetam tablet 1200 mg tab - 30/12/1899 0
347 Piracetam tablet 400 mg tab - 30/12/1899 0
348 Piracetam tablet 800 mg tab - 30/12/1899 0
349 Pirantel suspensi 125 mg/5 ml btl - 30/12/1899 0
350 Pirantel tablet score (base) 125 mg tab - 30/12/1899 0
351 Pirazinamid tablet 500 mg tab - 30/12/1899 0
352 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tab 50 30/12/1899 0
353 Piridoksin injeksi 100 mg/ml amp - 30/12/1899 0
354 Piroksikam kapsul/kaplet/tablet 10 mg kaps - 30/12/1899 0
355 Piroksikam kapsul/kaplet/tablet 20 mg kaps - 30/12/1899 0
356 Polikresulen cairan btl - 30/12/1899 0
357 Polikresulen cairan (Albothyl) btl - 30/12/1899 0
358 Povidon Iodida larutan 10% 1000 ml btl - 30/12/1899 0
359 Povidon Iodida larutan 10% 30 ml btl - 30/12/1899 0
360 Povidon Iodida larutan 10% 300 ml btl - 30/12/1899 0
361 Povidon Iodida larutan 10% 60 ml btl - 30/12/1899 0
362 Pravastatin tablet 20 mg tab - 30/12/1899 0
363 Prednison tablet 5 mg tab - 30/12/1899 0
364 Primakuin tablet 15 mg tab - 30/12/1899 0
365 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial vial - 30/12/1899 0
366 Prolacta baby kaps - 30/12/1899 0
367 Propanolol tablet 10 mg (HCl) tab - 30/12/1899 0
368 Propanolol tablet 40 mg (HCl) tab - 30/12/1899 0
369 Propiltiourasil tablet 100 mg (PTU) tab - 30/12/1899 0
370 Ramipril tablet 2,5 mg tab - 30/12/1899 0
371 Ramipril tablet 5 mg tab - 30/12/1899 0
372 Ranitidin injeksi 25 mg/ml amp - 30/12/1899 0
373 Ranitidin injeksi 50 mg/2ml amp - 30/12/1899 0
374 Ranitidin tablet 150 mg tab 100 30/12/1899 0
375 Reserpin tablet 0,10 mg tab - 30/12/1899 0
376 Reserpin tablet 0,25 mg tab - 30/12/1899 0
377 Retinol (Vitamin A) 100.000 IU kapsul lunak kaps - 30/12/1899 0
378 Retinol (Vitamin A) 200.000 IU kapsul lunak kaps - 30/12/1899 0
379 Rifampisin kapsul/kaplet 300 mg kapl - 30/12/1899 0
380 Rifampisin kapsul/kaplet 600 mg kapl - 30/12/1899 0
381 Rifampisin tablet salut 450 mg tab - 30/12/1899 0
382 Ringer Laktat (RL) larutan infus btl - 30/12/1899 0
383 Risperidon tablet 1 mg tab - 30/12/1899 0
384 Risperidon tablet 2 mg tab - 30/12/1899 0
385 Risperidon tablet 3 mg tab - 30/12/1899 0
386 Salbutamol cairan (As.sulfat) 2,5 mg (Ventolin Nebules) btl - 30/12/1899 0
387 Salbutamol inhalasi/aerosol 100 mcg/dosis (Ventolin Inhaler) btl - 30/12/1899 0
388 Salbutamol tablet 2 mg (sebagai sulfat) tab - 30/12/1899 0
389 Salbutamol tablet 4 mg (sebagai sulfat) tab - 30/12/1899 0
390 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang endap 4% pot - 30/12/1899 0
391 Salisil Bedak 2 % ktk - 30/12/1899 0
392 Sanbe Plex drop btl - 30/12/1899 0
393 Sefadroksil kapsul/kaplet 250 mg kaps - 30/12/1899 0
394 Sefadroksil kapsul/kaplet 500 mg kaps - 30/12/1899 0
395 Sefadroksil sirup kering 125 mg/5ml btl - 30/12/1899 0
396 Sefaleksin kapsul/kaplet 250 mg kaps - 30/12/1899 0
397 Sefaleksin kapsul/kaplet 500 mg kaps - 30/12/1899 0
398 Sefazolin injeksi 1 g amp - 30/12/1899 0
399 Sefiksim 400 mg + Azitromisin 1000 mg tab - 30/12/1899 0
400 Sefiksim kapsul/kaplet 100 mg kaps - 30/12/1899 0
401 Sefiksim sirup kering 100 mg/ 5 ml (Helixim) btl - 30/12/1899 0
402 Sefotaksim injeksi 0,5 g amp - 30/12/1899 0
403 Sefotaksim injeksi 1 g vial - 30/12/1899 0
404 Seftazidim injeksi 1 g amp - 30/12/1899 0
405 Seftriakson injeksi 1 g amp - 30/12/1899 0
406 Serum A.T.S. injeksi 1.500 UI/amp (i.m.) amp - 30/12/1899 0
407 Serum ABU I vial - 30/12/1899 0
408 Sianokobalamin (vitamin B12) injeksi 500 mcg/ml amp - 30/12/1899 0
409 Sianokobalamin (vitamin B12) tablet 50 mcg tab - 30/12/1899 0
410 Simetidin injeksi (Ulsikur) amp - 30/12/1899 0
411 Simetidin tablet 200 mg tab - 30/12/1899 0
412 Simvastatin tablet 10 mg tab - 30/12/1899 0
413 Simvastatin tablet 20 mg tab - 30/12/1899 0
414 Simvastatin tablet 5 mg tab - 30/12/1899 0
415 Siprofloksasin infus 2% btl - 30/12/1899 0
416 Siprofloksasin tablet 250 mg (sebagai HCl) tab - 30/12/1899 0
417 Siprofloksasin tablet 500 mg (sebagai HCl) tab - 30/12/1899 0
418 Spasminal tablet tab - 30/12/1899 0
419 Spiramisin tablet 500 mg tab - 30/12/1899 0
420 Spironolakton tablet 100 mg tab - 30/12/1899 0
421 Spironolakton tablet 25 mg tab - 30/12/1899 0
422 Stavudin tablet 30 mg tab - 30/12/1899 0
423 Streptomisin serbuk injeksi i.v. 1000 mg/ml btl - 30/12/1899 0
424 Sukralfat susp 500 mg/5 ml btl - 30/12/1899 0
425 Sulfasalazin tablet 500 mg tab - 30/12/1899 0
426 Sulfasetamida Natrium tetes mata 15% btl - 30/12/1899 0
427 Suprabion sirup btl - 30/12/1899 0
428 Tamoksifen tablet 20 mg tab - 30/12/1899 0
429 Teofillin tablet 150 mg (Bronsolvon) tab - 30/12/1899 0
430 Terbutalin Sulfat 2,5 mg (Molasma) tab - 30/12/1899 0
431 Tetrakain HCl tetes mata 0,5% btl - 30/12/1899 0
432 Tetrasiklin kapsul/kaplet 250 mg kaps - 30/12/1899 0
433 Tetrasiklin kapsul/kaplet 500 mg kaps - 30/12/1899 0
434 Thyrosol tablet tab - 30/12/1899 0
435 Tiamfenikol kapsul/kaplet 250 mg kaps - 30/12/1899 0
436 Tiamfenikol kapsul/kaplet 500 mg kaps - 30/12/1899 0
437 Tiamfenikol sirup 125 mg/ml btl - 30/12/1899 0
438 Tiamin (vitamin B1) tablet 50 mg (HCL/nitrat) tab - 30/12/1899 0
439 Tiamin (Vitamin B1) 100 mg tablet tab - 30/12/1899 0
440 Tiamin (Vitamin B1) injeksi 100 mg/ml amp - 30/12/1899 0
441 Timolol tetes mata 0,5% btl - 30/12/1899 0
442 Tramadol injeksi 50 mg/ml amp - 30/12/1899 0
443 Tramadol kapsul/kaplet/tablet 50 mg kaps - 30/12/1899 0
444 Trifaneuron kapl - 30/12/1899 0
445 Trifluoperazin tablet 5 mg tab - 30/12/1899 0
446 Triheksifenidil tablet 2 mg tab - 30/12/1899 0
447 Trolit sase - 30/12/1899 0
448 Valsartan tablet 80 mg tab - 30/12/1899 0
449 Verapamil tablet 80 mg (HCl) tab - 30/12/1899 0
450 Vicillin inj. 1 gr vial - 30/12/1899 0
451 Vitamin B Kompleks tablet tab 150 30/12/1899 0
452 Zamel drop btl - 30/12/1899 0
453 Zamel sirup btl - 30/12/1899 0
454 Zidovudin tablet 100 mg tab - 30/12/1899 0
455 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg tab - 30/12/1899 0
456 Zinc drop 10 mg/ml btl - 30/12/1899 0
457 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl - 30/12/1899 0
458 Zinc tablet 20 mg tab - 30/12/1899 0

B BAHAN MEDIS HABIS PAKAI


1 Absorben paper point (Indodent) pcs - 30/12/1899 0
2 Alat suntik insulin 1ml set - 30/12/1899 0
3 Alat suntik sekali pakai 1 ml set - 30/12/1899 0
4 Alat suntik sekali pakai 2,5 ml set - 30/12/1899 0
5 Alat suntik sekali pakai 3 ml set - 30/12/1899 0
6 Alat suntik sekali pakai 5 ml set - 30/12/1899 0
7 Alat suntik sekali pakai 10 ml (OneMed) set - 30/12/1899 0
8 Alat suntik sekali pakai 20 ml set - 30/12/1899 0
9 Alkohol gel (Aseptic Gel) btl - 30/12/1899 0
10 Articulating paper ktk - 30/12/1899 0
11 Bahan tumpatan sementara larutan, serbuk (Caviton) tube - 30/12/1899 0
12 Blood lancet pcs - 30/12/1899 0
13 Blood tranfusion set set - 30/12/1899 0
14 Bonding btl - 30/12/1899 0
15 Catgut Chromic no 2/0 set - 30/12/1899 0
16 Catgut Chromic no 3/0 set - 30/12/1899 0
17 Catgut Plain no 2/0 set - 30/12/1899 0
18 Catgut Plain no 3/0 set - 30/12/1899 0
19 Cotton roll (Prodental) bks - 30/12/1899 0
20 Dermafix 10 x 8 cm pcs - 30/12/1899 0
21 Dermafix 5 x 7 cm pcs - 30/12/1899 0
22 Desinfektan Klorin 500 ml btl - 30/12/1899 0
23 Disposafe Safety Box 2,5 L box - 30/12/1899 0
24 Disposafe Safety Box 5 L box - 30/12/1899 0
25 Etakridin larutan 0,1% (rivanol) btl - 30/12/1899 0
26 Etanol 70% cairan (100 ml) btl - 30/12/1899 0
27 Etanol 70% cairan (1000 ml) btl - 30/12/1899 0
28 Etanol 95% cairan (1 L) btl - 30/12/1899 0
29 Etching btl - 30/12/1899 0
30 Etil Klorida spray btl - 30/12/1899 0
31 Eugenol cairan btl - 30/12/1899 0
32 Fixomull stretch 10 cm x 5 m rol - 30/12/1899 0
33 Fixomull stretch 5 cm x 5 m rol - 30/12/1899 0
34 Foley Catheter (16) set - 30/12/1899 0
35 Foley Catheter (18) set - 30/12/1899 0
36 Foley Catheter (20) set - 30/12/1899 0
37 Foley Catheter (22) set - 30/12/1899 0
38 Foley Catheter (24) set - 30/12/1899 0
39 Foley Catheter (24) set - 30/12/1899 0
40 Formokresol cairan btl - 30/12/1899 0
41 Glass Ionomer Cement ART btl - 30/12/1899 0
42 Guedel Airway No. 000 / Oropharyngeal pcs - 30/12/1899 0
43 Guedel Airway No. 2 / Oropharyngeal pcs - 30/12/1899 0
44 Handrub 500 ml btl 3 30/12/1899 0
45 Handscoon (uk 7~7,5) psg - 30/12/1899 0
46 Handscoon (uk S,M,L) pcs 76 30/12/1899 0
47 Handscoon / Sarung Tangan Obgyn psg - 30/12/1899 0
48 H2O2 3% 1000 ml btl - 30/12/1899 0
49 H2O2 3% 800 ml btl - 30/12/1899 0
50 H2O2 3% 100 ml btl - 30/12/1899 0
51 Infusion set anak set - 30/12/1899 0
52 Infusion set dewasa set - 30/12/1899 0
53 IV Cannula With Safety Wings No. 24 set - 30/12/1899 0
54 IV Catheter No. 16 G set - 30/12/1899 0
55 IV Catheter No. 18 G set - 30/12/1899 0
56 IV Catheter No. 20 G set - 30/12/1899 0
57 IV Catheter No. 22 G set - 30/12/1899 0
58 IV Catheter No. 24 G set - 30/12/1899 0
59 IV Catheter No. 26 G set - 30/12/1899 0
60 Kacamata Goggle unit - 30/12/1899 0
61 Kalsium Hidroksida Pasta ktk - 30/12/1899 0
62 Kapas 500 gr bks - 30/12/1899 0
63 Kapas Pembalut/Absorben 250 gram bks - 30/12/1899 0
64 Kapas Berlemak 500 gram bks - 30/12/1899 0
65 Kasa 2 x 80 cm rol - 30/12/1899 0
66 Kasa 40 x 40 cm rol - 30/12/1899 0
67 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 60 30/12/1899 0
68 Kasa Hidrofil uk. 36 m x 80 cm rol - 30/12/1899 0
69 Kasa Hidrofil uk. 40 m x 80 cm rol - 30/12/1899 0
70 Kasa Pembalut Elastis 7,5 cm x 4,55 m rol - 30/12/1899 0
71 Kasa Pembalut Elastis 10 cm x 4,5 m rol - 30/12/1899 0
72 Kasa Pembalut Elastis 10 cm x 4,55 m rol - 30/12/1899 0
73 Kasa Pembalut Elastis 10 cm x 4,5 m (Mediflex) rol - 30/12/1899 0
74 Kasa Pembalut Elastis 7,5 cm x 4,5 m (Mediflex) rol - 30/12/1899 0
75 Kasa Pembalut Elastis 3 inchi rol - 30/12/1899 0
76 Kasa Pembalut Elastis 4 inchi rol - 30/12/1899 0
77 Kasa Pembalut Elastis 6 inchi rol - 30/12/1899 0
78 Kasa Pembalut Elastis 7,5 cm x 4,5 m rol - 30/12/1899 0
79 Kasa Pembalut Hidrofil 4 m x 10 cm rol 10 30/12/1899 0
80 Kasa Pembalut Hidrofil 4 m x 5 cm rol - 30/12/1899 0
81 Kertas Puyer lbr - 30/12/1899 0
82 Kit Gown set - 30/12/1899 0
83 Klorfenol Kamfer Menthol (CHKM) cairan btl - 30/12/1899 0
84 Komposit resin btl - 30/12/1899 0
85 Lysol 1 Liter btl - 30/12/1899 0
86 Lubricating jelly tube 1 30/12/1899 0
87 Masker set - 30/12/1899 0
88 Masker Kain set - 30/12/1899 0
89 Masker N95 set - 30/12/1899 0
90 Masker Nebulizer Anak set - 30/12/1899 0
91 Masker Nebulizer Dewasa set - 30/12/1899 0
92 Masker Oksigen Anak set - 30/12/1899 0
93 Masker Oksigen Bayi set - 30/12/1899 0
94 Masker Oksigen Dewasa set - 30/12/1899 0
95 Mess silet / Surgical Blade pcs - 30/12/1899 0
96 Mummifying Pasta btl - 30/12/1899 0
97 Nurse Cap pcs - 30/12/1899 0
98 Pakaian Pelindung Coverall Disposable / 1 kali pakai unit - 30/12/1899 0
99 Pakaian Pelindung Coverall Reusable unit - 30/12/1899 0
100 Plester 5 cm x 4,5 m rol - 30/12/1899 0
101 Plester 5 cm x 4,5 m (Leukoplast) rol - 30/12/1899 0
102 Plester 7,5 cm x 4,5 m rol - 30/12/1899 0
103 Plester 5 cm x 5 m (Ultrafix) rol - 30/12/1899 0
104 Plester 5 yards x 5 inch rol - 30/12/1899 0
105 Semen Seng Fosfat serbuk dan cairan btl - 30/12/1899 0
106 Selang Oksigen Anak (Oxyflow) pcs - 30/12/1899 0
107 Selang Oksigen Bayi (Oxyflow) pcs - 30/12/1899 0
108 Selang Oksigen Dewasa (Oxyflow) pcs - 30/12/1899 0
109 Selulosa strip pcs - 30/12/1899 0
110 Silk (Benang Bedah Sutera) No. 2/0 + jarum bedah set - 30/12/1899 0
111 Silk (Benang Bedah Sutera) No. 3/0 + jarum bedah set - 30/12/1899 0
112 Spalk Kaki Anak pcs - 30/12/1899 0
113 Spalk Kaki Dewasa pcs - 30/12/1899 0
114 Spalk Tangan Anak pcs - 30/12/1899 0
115 Spalk Tangan Bayi pcs - 30/12/1899 0
116 Spalk Tangan Dewasa pcs - 30/12/1899 0
117 Sofra tulle pcs - 30/12/1899 0
118 Stomach Tube (NGT) no 16 tube - 30/12/1899 0
119 Stomach Tube (NGT) no 18 tube - 30/12/1899 0
120 Stomach Tube (NGT) no 20 tube - 30/12/1899 0
121 Suction Catheter No. 10 set - 30/12/1899 0
122 Temporary Stopping Fletcher serbuk dan cairan btl - 30/12/1899 0
123 Tooth cleanshing tincture (OCO) btl - 30/12/1899 0
124 Trikresol Formalin (TKF) Cairan btl - 30/12/1899 0
125 Ultrasonic Gel btl - 30/12/1899 0
126 Underpad pcs - 30/12/1899 0
127 Urine Bag set - 30/12/1899 0
128 Urocare set - 30/12/1899 0
129 Wing Needle No set - 30/12/1899 0

C OBAT & BAHAN MEDIS HABIS PAKAI TAMBAHAN


Alkohol swab
1 - - 30/12/1899 0
-
2 - - 30/12/1899 0
-
3 - - 30/12/1899 0
-
4 - - 30/12/1899 0
-
5 - - 30/12/1899 0
-
6 - - 30/12/1899 0
-
7 - - 30/12/1899 0
-
8 - - 30/12/1899 0
-
9 - - 30/12/1899 0
-
10 - - 30/12/1899 0
-
11 - - 30/12/1899 0
-
12 - - 30/12/1899 0
-
13 - - 30/12/1899 0
-
14 - - 30/12/1899 0
-
15 - - 30/12/1899 0
-
16 - - 30/12/1899 0
-
17 - - 30/12/1899 0
PIRED OBAT & BMHP
N PER 31-12-2023

Jumlah Tgl Nomor Jumlah Tgl Nomor Jumlah SISA WAKTU


EXPIRED 1
Barang 1 Expired 2 Batch 2 Barang 2 Expired 3 Batch 3 Barang 3 (Hari)

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HOME

STATUS EXPIRED 1

Tdk Ada Tgl ED-nya 0


Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 1
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 1
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 1
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 1
Tdk Ada Tgl ED-nya 0

Tdk Ada Tgl ED-nya 0


Tdk Ada Tgl ED-nya 0

Tdk Ada Tgl ED-nya 0

Tdk Ada Tgl ED-nya 0


Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 1
Tdk Ada Tgl ED-nya 1
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 1
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0

Tdk Ada Tgl ED-nya 1


Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 1
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 1
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 1
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 1
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 1
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 1
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 1
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 1
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya #VALUE!
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0

Tdk Ada Tgl ED-nya 0

Tdk Ada Tgl ED-nya 0

Tdk Ada Tgl ED-nya 0

Tdk Ada Tgl ED-nya 0

Tdk Ada Tgl ED-nya 0


Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0

Tdk Ada Tgl ED-nya 0

Tdk Ada Tgl ED-nya 0

Tdk Ada Tgl ED-nya 0

Tdk Ada Tgl ED-nya 0


Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 1
Tdk Ada Tgl ED-nya 1
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 1
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 1
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 1
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 1
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 1
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
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1
1
Tdk Ada Tgl ED-nya 0
Tdk Ada Tgl ED-nya 0
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0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya

0 0 Tdk Ada Tgl ED-nya

0 0 Tdk Ada Tgl ED-nya

0 0 Tdk Ada Tgl ED-nya

0 0 Tdk Ada Tgl ED-nya

0 0 Tdk Ada Tgl ED-nya


0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya

0 0 Tdk Ada Tgl ED-nya

0 0 Tdk Ada Tgl ED-nya

0 0 Tdk Ada Tgl ED-nya

0 0 Tdk Ada Tgl ED-nya


0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
0 0 Tdk Ada Tgl ED-nya
GOLONGAN
NO NAMA OBAT

1. Albendazol
Sediaan :
1. Suspensi 200 mg/5 ml
2. Tablet 400 mg

2. Alopurinol tablet 100 mg

3. Ambroxol
Sediaan :

1. Tablet 30 mg

4. Aminofilin
Sediaan :
1. Injeksi 24 mg/ml~10 ml
2. Tablet 200 mg

5. Amitriptilin
Sediaan :
1. Tablet salut 25 mg (HCl)
6. Amlodipin
Sediaan :
1. Tablet 10 mg

2. Tablet 5 mg

7. Amoksisilin
Sediaan :
1. Kapsul/kaplet 250 mg
2. Kapsul/kaplet 500 mg
3. Sirup kering 125 mg/5 ml

8. Ampisilin
Sedian :
1. Sirup 125 mg/5ml

9. Antasida DOEN I
Sediaan :
1. Tablet kunyah, kombinasi: Aluminium Hidroksida
200 mg Magnesium Hidroksida 200 mg
2. Suspensi, kombi: Aluminium Hidroksida 200 mg/5
ml Magnesium Hidroksida 200 mg/5 ml

10. Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g


+ Polimiksin 10.000 IU/g
10. Antibakteri DOEN salep kombinasi: Basitrasin 500 IU/g
+ Polimiksin 10.000 IU/g

11. Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam


Salisilat 3%

12. Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50


mg

13. Asam Asetilsalisilat


Sediaan ;
1. tablet 100 mg
2. tablet 500 mg
3. tablet 80 mg (Miniaspi)

14. Asam Askorbat (Vitamin C)


Sediaan :
1. tablet 50 mg
2. tablet 250 mg

15. Asam Folat

Sediaan :
1. Tablet 1 mg

16. Asam Mefenamat


Sediaan :
1. Kapsul/kaplet 500 mg

17. Asiklovir
17.
Sediaan :
1. tablet 200 mg
2. tablet 400 mg

18. Atropin Sulfat


Sediaan :
1. tablet 0,5 mg
2. Injeksi 0,25 mg

19. Attapulgit
Sediaan :
1. Tablet 600 mg (Pularex)

20. Betametason
Sediaan :
1. Krim 0,1% (sebagai valerat)

21. Bioplacenton
Sediaan :
1. Salep kulit

22. Cetirizine
Sediaan
1. Tablet 10 mg
23. Deksametason
Sediaan :
1. Tablet 0,5 mg
2. Injeksi i.v. 5 mg/ml~1ml
24. Diazepam
Sediaan :
1. Tablet 2 mg
2. Tablet 5 mg
3. Tnjeksi 5 mg/ml
4. Injeksi 10 mg/ml
5. Suppositoria

25. Difenhidramin Sediaan :


1. Injeksi i.m. 10 mg/ml (HCl)

26. Digoksin
Sediaan :
1. Tablet 0,25 mg

27. Dimenhidrinat
Sediaan :
1. Tablet 50 mg

28. Domperidon
Sediaan :
1. Tablet 10 mg

29. Epinefrin (adrenalin)


Sediaan :
1. Injeksi 0,1% (sebagai HCl)

30. Eritromisin
Sediaan :
1. Kapsul/kaplet 250 mg
30.

2. Kapsul/kaplet 500 mg
3. Sirup 200 mg/5 ml

31. Eugenol
Sediaan :
1. Cairan
32. Fenobarbital
Sediaan :
1. Injeksi i.m./i.v. 50 mg/ml
2. Tablet 30 mg

33. Fenol Gliserol


Sediaan :
1. tetes telinga 10%

34. Fitomenadion (Vitamin K1)


Sediaan :
1. tablet salut gula 10 mg
2. injeksi 10 mg/ml

35. Furosemid
Sediaan :
1. tablet 40 mg

36. Garam elektrolit kombinasi terdiri dari :


a. Natrium klorida 0,52g
b. Kalium klorida 0,30g
c. Trinatrium sitrat dihidrat 0,58g
d. Glukosa anhidrat 2,7g
Sediaan :
1. Serbuk untuk 200ml air

37. Gemfibrozil
Sediaan :
37.

1. Kapsul/kaplet 300 mg
2. Gemfibrozil tablet 600 mg

38. Gentamisin
Sediaan :
1. Salep mata 0,3%

39. Gentian Violet larutan 1%

40. Glibenklamida
Sediaan :

1. Tablet 5 mg

41. Gliseril Gualakolat


Sediaan :
1. Tablet 100 mg

42. Gliserin larutan 50%

43. Glukosa
Sediaan :
1. Larutan infus 5% steril
2. Larutan infus 10% steril

3. Larutan infus 40% steril


44. Griseofulvin
Sediaan :
1. Tablet 125 mg

45. Haloperidol
Sediaan :
1. Tablet 0,5 mg
2. Tablet 1,5 mg
3. Tablet 5 mg

46. Hidrogen peroksida

47. Hidroklorotiazid (HCT)


Sediaan :
1. Tablet 25 mg

48. Hidrokortison krim 1%

49. Hyoscine~N~Butilbromide injeksi (Buscopan) Sediaan :


1. Ampul 20mg/ml

50. Ibuprofen
Sediaan :
1. Suspensi 100 mg/5 ml
2. Tablet 200 mg
3. Tablet 400 mg

51. Isoniazid tablet 100 mg


52. Isosorbid Dinitrat
Sediaan :
1. Tablet sublingual 5mg

53. Kalsium Laktat (Kalk)


Sediaan :
1. Tablet 500 mg

54. Kaptopril
Sediaan :
1. Tablet 12,5 mg
2. Tablet 25 mg

55. Karbamazepin
Sediaan :
1. Tablet 200 mg

56. Ketokonazol
Sediaan :
1. Tablet 200 mg

57. Klindamisin
Sediaan :
1. Kapsul/kaplet 150 mg
2. Kapsul/kaplet 300 mg
58. Kloramfenikol
Sediaan :
1. Kapsul/kaplet 250 mg
2. Suspensi 125mg/ 5ml
3. Salep mata 1%
4. Tetes telinga 3%

59. Klorfeniramin Maleat (CTM)


Sediaan :
1. tab 4 mg

60. Klorfenol kamfer mentol (CHKM)


Sediaan :
Cairan

61. Klorheksidin
Sediaan :
1. larutan 0,2%
62. Klorpromazin
Sediaan :
1. Tablet salut 25 mg
2. Tablet salut 100 mg
3. Injeksi i.m. 25 mg/ml

63. Kotrimoksazol
Sediaan :
1. Kombinasi: Sulfametoksazol 400 mg, Trimetoprim 80
mg
2. Kombinasi : Sulfametoksazol 200 mg + Trimetoprim
40 mg/5 ml

64. Larutan mengandung Elektrolit (Na 130 mEq, Cl 109


mEq, Ca 3 mEq, Asetat 28 mEq) (ASERING)
64. Larutan mengandung Elektrolit (Na 130 mEq, Cl 109
mEq, Ca 3 mEq, Asetat 28 mEq) (ASERING)

65. Larutan mengandung Elektrolit (NaCl 1.125 gr,


Dekstrosa 18.75 gr) (KAEN 1B)

66. Larutan mengandung Karbohidrat + Elektrolit (Nacl


1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27 gr)
(KAEN 3B)
67. Larutan mengandung Karbohidrat + Elektrolit (Nacl
2.34 gr, Na Laktat 2.24 gr, KCL 0.75 gr, Dekstrosa 27
gr) (KAEN 3A)
68. Lidokain
Sediaan :
1. Semprot 10% (Xylocain)
2. Injeksi 2% (HCl) + Epinefrin 1 : 80.000 ~ 2ml
(Lidokain Comp. Inj)
69. Loperamid
Sediaan :
1. Tablet 2 mg

70. Loratadin
Sediaan :
1. Tablet 10 mg
71. Magnesium Sulfat
Sediaan :

1. Injeksi (IV) 20% ~ 25 ml


2. Injeksi (IV) 40% ~ 25 ml

72. Metamizole Na
Sediaan :
1. Injeksi 500 mg/ml
73. Metampiron
Sediaan :
1. Tablet 500 mg

74. Metilergometrin Maleat


Sediaan :
1. Injeksi 0,200 mg ~ 1 ml
2. Tablet salut 0,125 mg

75. Metilprednisolon
Sediaan :
1. Tablet 4 mg
2. Tablet 8 mg
3. Tablet 16 mg

76. Metoklopramide
Sediaan :
1. Tablet 10 mg
2. Injeksi 5 mg/ml

77. Metronidazol
1. Tablet 250 mg

2. Tablet 500 mg

78. Mikonazol
Sediaan :
1. Krim/salep 2%

79. Natrium Diklofenak


Sediaan :
79.

1. Tablet 25 mg
2. Tablet 50 mg

80. Natrium Klorida larutan infus 0,9% (NaCl)

81. Natrium Tiosulfat


Sediaan :
1. Inj. 25% (IV)

82. Nifedipin
Sediaan :
1. Tablet 10 mg

83. Nistatin
Sediaan :
1. Tablet salut 500.000 IU/g
2. Ovula 100.000 IU/ g

84. Oksitetrasiklin HCl


Sediaan :
1. Salep mata 1%
2. Salep kulit 3%

85. Oksitosin
Sediaan :
1. Injeksi 10 IU /ml~1 ml

86. Omeprazol
Sediaan :
1. Kapsul/kaplet 20 mg

87. Papaverin
87.
Sediaan :
1. Tablet 40 mg

88. Parasetamol
Sediaan :
1. Tablet 100 mg
2. Tablet 500 mg
3. Drops 60 mg/0,6 ml
4. Sirup 120 mg/5 ml

89. Pasta pengisi saluran akar


Sediaan : pasta

90. Piracetam
Sediaan :
1. Tablet 400 mg
2. Tablet 800 mg

91. Pirantel
Sediaan :
1. Suspensi 125 mg/5 ml

92. Piridoksin (Vitamin B6)


Sediaan :
1. Tablet 10 mg (HCL)

93. Povidon Iodida


Sediaan :
1. Larutan 10% 30 ml
2. Larutan 10% 300 ml

94. Prednison
Sediaan :
1. Tablet 5 mg
95. Propanolol
Sediaan :

1. Tablet 10 mg (HCl)

96. Propiltiourasil
Sediaan :
1. Tablet 100 mg (PTU)

97. Ranitidin
Sediaan :
1. Tablet 150 mg
2. Injeksi 25mg /ml

98. Ringer Laktat larutan infus (RL)

99. Salbutamol
Sediaan :
1. Tablet 2 mg
2. Tablet 4 mg

100 Salep 2~4 , Kombinasi: Asam Salisilat 2% + Belerang


endap 4%
101 Salisil Bedak 2 %

102 Sefadroksil
Sediaan :
1. Kapsul/kaplet 500 mg

103 Sefiksim
Sediaan :
1. Kapsul/kaplet 100 mg

104 Sefotaksim
Sediaan :

1. Injeksi 1 g

105 Seftriakson
Sediaan :
1. Injeksi 1 g

106 Sianokobalamin
sediaan :
1. Injeksi 500 mcg

107 Simvastatin
Sediaan :
1. Tablet 10 mg
108 Siprofloksasin
Sediaan :
1. Tablet 500 mg

109 Tetrakain HCl


Sediaan :
1. Tetes mata 0,5%

110 Tetrasiklin
Sediaan :
1. Kapsul/kaplet 500 mg

111 Tiamfenikol
Sediaan :
1. Kapsul/kaplet 500 mg

112 Tiamin (vitamin B1)


Sediaan :
1. Tablet 50 mg (HCL/nitrat)

113 Tramadol
Sediaan :

1. Kapsul 50 mg
114 Vitamin B Kompleks
Sediaan :
1. Tablet

115 Zinc
Sediaan :
1. Tablet 20 mg
2. Sirup 20 mg/5 ml

116 Etil Klorida spray


GOLONGAN OBAT DAN KELAS TERAPI
DOSIS

Protokol khusus

D : 100mg, diberikan setiap 24 jam. Tingkatkan bertahap


sampai 200-300mg setiap 24 jam setelah 1-3mgg.
Maksimal 900mg/24
A <15 tahun: jam dalam dosisidiberikan
10-20 mg/kgbb/24jam terbagi. dalam dosis
terbagi

I:
Digunakan untuk mengobati tracheobronchitis, emfisema
bronkitis pneumokoniosis, radang paru kronis,
bronkiektasis,
D: bronkitis dengan bronkospasme asma.
Dewasa 1 – 4 tab sehari

D:
Dewasa :
100-300mg diberikan setiap 6-8 jam
Anak :
Awal : 3-6mg/kgbb/dosis
Rumatan : 2,5 – 5 mg/kgbb/dosis diberikan setiap 6 jam

D : 25-150mg/24 jam , diberikan dalam dosis terbagi atau


dosis tunggal sebelum tidur
dosis tunggal sebelum tidur

D:
Dosis awal 5 mg sekali sehari, bisa ditingkatkan hingga 10
mg sekali sehari

D : 250 - 500mg/ dosis, diberikan setiap 8 jam


A: 2-10 tahun : 125-250mg/dosis, diberikan setiap 8 jam

D:
250-500mg/dosis, diberikan setiap 6 jam
Sepsis/meningitis : 150-250mg/kgbb/24 jam diberikan
setiap 3-4 jam maks 6-12g/24 jam.
- infeksi ringan-sedang : 50mg-100mg/kg/24 jam
diberikan setiap 6 jam secara Im/IV maks 2-4 g/24 jam
- infeksi berat/meningitis : 200-400mg/kgbb/24 jam
diberikan setiap 6 jam, maks. 6-12g/24 jam

D:
1-2 tab diberikan setiap 6jam

Dioleskan 3-4 jam pada kulit yang sakit.


Dioleskan 3-4 jam pada kulit yang sakit.

Sehari dioleskan 2-3 kali.

D:
Dewasa 2 tab pada permulaan serangan, diikuti satu
tablet tiap 30 menit jika diperlukan.

D : 500-1000mg/dosis, diberikan setiap 4-6jam


A : 15-25 mg/kgbb/dosis, diberikan setiap 4-6 jam
diminum bersama dengan makanan

D:
Kebutuhan :
45-80mg/24 jam
Terapetik :
80-150 mg/dosis, diberikan setiap 8 jam

D:
1mg/dosis, diberikan setiap 8 jam
A:
0,5mg/dosis diberikan setiap 8 jam
Untuk kasus berat : dosis ditingkatkan sesuai dengan
kebutuhan
D:
Awal 500mg, diberikan setiap 8 jam A: >6 bulan :
25mg/kgbb/24 jam dalam dosis terbagi

D : 200 mg setiap 4 jam atau 5 kali sehari berturut – turut


tanpa pemberian dosis malam hari, bila pada infeksi awal
berat maka lama pengobatan dapat diperpanjang selama
10 hari.
D : 200 mg setiap 4 jam atau 5 kali sehari berturut – turut
tanpa pemberian dosis malam hari, bila pada infeksi awal
berat maka lama pengobatan dapat diperpanjang selama
10 hari.

D : 0,6-1,2 /24 jam , diberikan setiap 6-8 jam


D : 0,25 – 1mg/dosis
A : 0,01 mg/kg/dosis bila perlu dapat diulang 1 kali
setelah 2 jam

D:
Dws : 2 tablet post defekasi < maksimal 8 tab /hari
Ank > 6 th: 1 tablet post defekasi < maksimal 6 tab /hari

D : usia >2th : oleskan tipis setiap 12-24 jam sampai ada


perbaikan, jika ada perbaikan frekuensi dikurangi

3-5 kali sehari sesuai kebutuhan

D dan A> 6th : 10mg/ 24 jam

D:
Dewasa :
0,5-10mg/24 jam
Anak :

10-100mikrogram /kgbb/24 jam


Dewasa :
im, iv pelanm, infus awal 0,5-24mg
D : 2-15 mg/dosis diberikan setiap 6-8 jam
A : 0,05-0,10 mg/kgbb/dosis diberikan setiap 6-8 jam

D:
Dewasa :
10-20mg/dosis secara IM/IV diberikan setiap 6-8 jam
Anak : 0,5mg/kgbb/dosis secara IM/IV diberikan setiap 6-
8 jam
D: 1 tab diberikan setiap 8 jam selama 2-3 hari,
Rumatan : ½ -1 tab diberikan sekali setiap 24 jam

D : 50mg/dosis diberikan setiap 8 njam. Maksimal 300mg/


24 jam
A: 1,25mg/kgbb/dosis diberikan setiap 6 jam

A : 1 tab/dosis diberikan setiap 8 jam

D:
Dewasa :
0,3 mg/dosis SC
Anak :
0,01 mg/kg/dosis SC

D dan A> 8th


- 250-500mg/dosis, diberikan setiap 6jam
- 500-1000 mg/dosis diberikan setiap 12 jam
- Infeksi berat dosis dapat ditingkatkan sampai dengan
4g/24jam
A 2-8th :
- 200mg/dosis, diberikan setiap 6jam
- Infeksi berat : dosis ditingkatkan s/d 500mg setiap
6jam
1bl-2th : 125mg diberikan setiap 6 jam

Protokol khusus

D : 50-75mg/dosis, diberikan setiap 8 jam


Malam 60-180mg
A: 5-8mg/kgbb/24 jam

D : 10mg/dosis, diberikan setiap 8 jam


A 6-12 th : 5mg/dosis diberikan setiap 8jam
Bayi baru lahir : 1 mg
Bayi baru lahir prematur : 0,5mg diberikan setiap 12-24
jam
D:
24 jam ( maksimal 40mg/24jam )

Protokol khusus

D : 600-1200mg/24 jam diberikan setiap 12-24 jam


D : 600-1200mg/24 jam diberikan setiap 12-24 jam

D : 2 – 3 kali sehari

Dioleskan di kulit bibir secara topikal.

D:
5mg diberikan sekali setiap 24jam dosis duisesuaikan
tergantung respons. Maksimal 15mg/24 jam

D:
Dws : 2-4 tab tiap 4 jam
Anak 6-12 th : ½ - 1 tab tiap 4 jam, maksimal 6 tab sehari.

D:
Ank : 30 ml untuk satu dosis tunggal sebagai enema.
Dws :
15 ml untuk satu dosis tunggal sebagai enema.

Protokol khusus
500mg , diberikan sekali setiap 24 jam
A: 10mg/kg diberikan sekali setiap 24 jam

D : 2-100mg/24 jam
A: 0,5-2mg/24 jam diberikan setiap 8-12 jam (moderate)
3-5mg/24 jam , diberikan setiap 8-12 jam (severe)

Obat luar

D:
Dewasa :
25-100mg/dosis, diebrikan setaip 12-24 jam , maksimal
100mg/24
Anak : jam
0,5-1,0 mg/kg/dosis, diberikan setiap 12-24 jam

Obat luar

D:
Dewasa :
Maksimal 1200-2400mg/24 jam, diberikan setiap 6-8 jam
Anak :
20 – 40mg/kgbb diberikan setiap 24 jam
D:
2,5- 10 mg sublingual, 5-30 mg / 24 jam, oral

D:
Dewasa : 500-1000 mg / dosis diberikan setiap 12 jam
Anak : 250 mg / dosis

D : 12,5-25mg/24 jam diberikan setiap 8-12 jam

D:
Dewasa :
Hari pertama 100-200mg, diberikan setiap 12-24 jam
ditingkatkan pelan – pelan sampai 150-300mg/dosis,
diberikan setiap 6-8 jam, pada lansia obat diturunkan
Anak:
2mg/kgbb diberikan setiap 8jamsetelah 2-4 minggudosis
dapat ditingkatkan sampai 5-10 mg/kgbb diberikan setiap
8 jam

D:
Dws:
infeksi kulit, 1 tab sehari
kandidosis vagina, 2 tab sehari

D : 150-300mg, diberikan setiap 6 jam


Infeksi serius : 300-450mg diberikan setiap 6 jam

A: 3-6mg/kgbb diberikan setiap 6 jam


D : 50-100mg/kgbb/24 jam, diberikan setiap 6 jam
A:
- 50-75 mg/kgbb/24jam, diberikan setiap 6 jam
- Neonatus <2minggu :25 mg/kgbb/24jam, diberikan
setiap
- 6 jam
Bayi 2 minggu – 1 tahun: 50mg/kgbb/24jam diberikan
setiap 6 jam
Keadaaan khu sus;
Meningitis : 50-75 mg/kgbb/24jam, diberikan setiap 6 jam

D : 3-4 mg/dosis, diberikan setiap 6-8 jam


A : 0,09 mg/kgbb/dosis, diberikan setiap 6 jam

Protokol khusus

Protokol khusus

D ; 100-300mg/dosis diberikan setiap 8 jam . maks :


1000mg/24
A : 1-5th : 0,5jam
mg/kgbb/ diberikan setiap 6-8 jam, maks
40mg/24
6-12 th jam
: 0,5mg/kgbb diberikan setiap 6-8
jam. Maks : 75mg/24 jam

D : 960mg /dosis diberikan setiap 12 jam


A: 36-48 mg kotrimosazol/kg/24 jam diberikan dalam
dosis terbagi setiap 12 jam

Protokol khusus
Protokol khusus

Protokol khusus

Protokol khusus

Protokol khusus

Protokol khusus

D:
Awal : 4mg, diikuti 2mg setiap setelah buang air besar
Maks. 16 mg/24 jam

D : 10mg, diberikan setiap 24 jam

D : 25 ml Mg SO4 40% dalam 500ml RD 5% diberikan :


- Drip selama 10 jam ( 1g/jam) atau

Infusion pump 50mlo/jam (17 tpm)

D:
500 mg iv/im setiap 8 jam
D: 500-1000 mg/dosis, diberikan setiap 8-12 jam
A>5th: 250-500mg/dosis, diberikan setiap 8-12 jam

Protokol khusus

D:
Dewasa :
4-48 mg perhari

D:
Dws : 3 kali sehari ½ - 1 tab
Anak 6 – 14 th :
3 kali sehari ¼ - ½ tab

D : 500mg/dosis, diberikan setiap 6-8jam


A: 15-30mg/kgbb/24 jam diberikan setiap 8 jam

Obat luar
D : oleskan setiap 12 jam selama 10 hari, setelah lesi
berkurang
Kuku : oleskan setiap 12-24 jam

D: 100-150mg/24 jam da
lam dosisi terbagi
A: 0,5-2mg/kgbb/24 jam diberikan setiap 8-12 jam

Protokol khusus

Dewasa :
inj. i.v 12,5 g ( 250mg/ml )

Anak :
inj. Iv. 400mg/kgbb

D : 30-120mg/24 jam , diberikan setiap 8 jam

D ; 1 tab/dosis, diberikan setiap 6 jam


A: Neonatus : 50.000-100.000 IU/dosis
Anak : 200.000-500000 IU dosis<diberikan setiap 4-6 jam

D:
Salep mata :
Oleskan pada mata yang sakit 4 – 6 kali sehari
Salep kulit :
Oleskan 2 – 3 kali sehari pada kulit yang terkena infeksi.

D : 10 IU/dosis secara IV atau IV drip

D : 20 - 40mg diberikan sekali per hari

D : 40mg, diberikan setiap 6-8 jam


D : 40mg, diberikan setiap 6-8 jam

Dosis
D:
500-1000mg /dosis diberikan setiap 4-6 jam, maksimal:
4000mg/24
A: jam
10mg/kgbb/dosis, diberikan setiap 4-6 jam , maksimal
500mg/dosis

Protokol khusus

D:
Gejala pasca trauma 800 mg diminum 3 kali sehari,
selanjutnya 400 mg 3 kali sehari

D:
Dewasa dan anak :
10 mg/kgBB sebagai dosis tunggal

D:
Kebutuhan : 10mg/dosis
Terapeutik 30/dosis
A : Kebutuhan : 1-2 mg/dosis
Terapetrik : 3-5 mg/dosis
Bayi : Kebutuhan : 0,2-0,3 mg/dosis

Obat luar

D : 5-20mg/24 jam, dosis bisa diturunkan perlahan –


lahan
lahan

D:
Dosis awal 40mg/dosisdiberikan setiap 12jam kemudian
60-180 mg/dosis diberikan setiap 12 jam

D:
Awal, 3 kali sehari 1 tab.
Penunjang, 2-3 kali sehari ½ tab

D : 150mg/dosis, diberikan setiap 12jam. 300mg diberikan


sekali setiap 24jam pada malam hari

Protokol khusus

D:
2-4 mg, diberikan setiap 6-8 jam
A : 0,10-0,15mg/kgbb diberikan setiap 6-8 jam

Oleskan pada daerah yang sakit 3 – 4kali sehari


Obat luar

D : 0,5-1 g /dosis, diberikan setiap 12jam


A: 125-250 mg/kgbb/dosis, diberikan setiap 12 jam

D:
Dewasa :
200 mg tiap 12 jam
Anak :
4mg/kgBB tiap 12 jam (untuk BB <45kg)

D : 1-2 g /dosis IV, diberikan 8-12 jam


A : 25-37,5 mg/kg/dosis IM/IV diberikan setiap 6 jam.
Maks. 25-35mg/kg/dsis, diberikaan setiap 4 jam

D dan A> 12 th : 1-2g, diberikan setiap 12-24 jam


Infeksi berat maks 4g

A<12 tahun : 20-50mg/kgbb/24 jam

D : 30-50mikrogram/24 jam, 100mikrogram / minggu


A: awal : 15 mikrogram/dosis

D:
10-20mg, diberikan sekali setiap 24 jam pada malam hari
D: 250-750mg diberikan setiap 12 jam

D:
250-500mg, diberikan setiap 6 jam

D:
Dewasa :
50 mg/kgBB/ hari dalam 3-4 dosis bagi
Bayi :
<2mg dan prematur 25 mg/kgBB

D:
Kebutuhan : 0,3-1mg/dosis
Terapeutik : 25-100mg/dosis diberikan IM sekali setiap 24
jam
A: kebutuhan : 0,1-0,5mg/dosis
Terapeutik 3-15mg/dosis diberikan secara IM/ SC

D:
Dewasa dan anak diatas 14 tahun. Dosis tunggal 50 mg.
Dosis maksimum 400 mg sehari. Dapat menyebabkan
ketergantungan.
D:
Bayi 2-5 bulan 10 mg sehari
Anak 6 bln – 5 th 20 mg sehari
KELAS TERAPI
CATATAN

CP :
- Diminum pada saat perut kosong untuk infeksi cacing dalam rongga
usus
- Diminum bersama makanan berlemak untuk infeksi parasit di jaringan.
P:
dosis dan lama pemberian tergantung pada jenis cacing

I:

- Profilaksis untuk pirai dan batu ginjal kalsium oksalat dan asam urat
- Profilaksis hiperuricemia yang disebabkan pemberian kemoterapi
kanker
CP :
- Tidak untuk nyeri akut
- Diminum sesudah makan, maks 400mg/24 jam pada malam hari
- Disesuaikan dengan konsentrasi asam urat dalam plasma atau urine
Diberikan 2minggu setelah serangan akut asam urat

ESO :
reaksi ringan gastro – intestinal, seperti nyeri uluh hati, dispepsia, dan
kadang mual dan muntah.

I:
Asma bronkial, spasme saluran nafas
KI :
tukak lambung
CP :
diminum sesudah makan

I:
Depresi dengan ansietas dan insomnia
KI :
Glaukoma, infark miokard, fase penyembuhan
ESO :
Aritmia, gangguan konduksi, mengantuk, tanda antikolinergik
CP:
Diminum sebelum makan
P:
Protokol khusus untuk anuresis penderita yang mendapat MAO Ihibitor
minimal berhenti 14 hari baru bisa diberikan amitriptilin

I:
Antihipertensi
P: pemberian obat antihipertensi harus didasarkan pada prinsip dosis
titrasi, mulai dari dosis terkecil hingga tercapai dosis dengan outcome
tekanan darah terbaik

I:
Infeksi yang disebabkan oleh strain – strain bakteri yang peka.
KI:
Penderita hipersensitifatau mempunyai riwayat hipersensitif terhadap
antibiotika
CP: beta laktam ( penisilin, Cephalosporin).
Diminum sesudah makan

CP :
Diminum sebelum/sesudah makan

I:
Mengurangi gejala yang berhubungan dengan kelebihan asam lambung,
gastritis,
ESO : ulkus gaster, ulkus duodenum

Sembelit, diare, mual muntah

I:
Efektif untuk pengobatan infeksi kulit yang disebabkan mikroorganisme yg
sensitif terhadap basitrasin dan polimiksin–B sulfat
I:
Penyakit kulit yang disebabkan oleh jamur.

I:
Migrain
ESO :
Mual, muntah, diare, kulit dingin, pruritus, gangren, nyeri dada seperti
nyeri angina, takikardia, bradikardia, hipotensi atau hipertensi, mialgia,
miosi, pusing, bingung.
ESO :
- iritasi lambung, mual muntah
- pemakaian lama dapat terjadi pendarahan lambung, tukak lambung
- dapat terjadi berkurangnya jumlah trombosit.

I:
scurvy, defisiensi vit. C, pencegahan dan pengobatan perdarahan
pem,buluh darah kepala

I:
Anemia pernisiosa
CP :
Diminum sesudah makan

I:
Analgetika
CP:
Diminum sesudah makan
P:
Tidak boleh diberikan > 1mgg
ESO :
Gangguan saluran cerna

ESO :
Gangguan saluran cerna

I:
Spasmolitik gastro intestinal, keracunan organofosfat, bradikardi
KI :
Glaukoma
CP :
Diminum 30 menit sebelum makan
ESO :
Tidak kokoh berdiri, bingung, pusing, kulit kering, demam, muka memerah,
ruam kulit, takikardia, mengantuk
ESO :
Konstipasi

I:
Peradangan pada kulit, eksim dan alergi
Infeksi kulit berat, dermatitis kontak, dermatitis atopik, dermatitis seboroik
KI :
Infeksi jamur, herpes dll
Infeksi yang tak kunjung sembuh, banyak luka, akne, dermatitis perioral

I:
Untuk penyembuhan luka bakar, luka terinfeksi dan ulkus kulit.

Antihistamin non sedasi

I:
Rinitis alergi perenial, asma bronkial, dermatitis kontak,
KI :
Tukak lambung, osteoporosis, psikosis, psikoneurosis berat, infeksi berat
akut (kecuali juga mendapat antibiotik) penderita TBC aktif< herpes
zooster,
CP : herpes simpleks, infeksi virus lain
Diminum bersama/ sesudah makan
ESO :
Osteoporosis, tukak lambung, efek katabolik, efek diabetes, efek psikotropik
I:
Ansiolitik, sedatif, relaksan otot, antikonvulsan, status epileptikus
KI:
Glaukoma sudut sempit, miastenia gravis
ESO :
Mengantuk reaksi paradoksal
P:
Injeksi IM tidak dianjurkan sebab absorbsinya lambat,kacau dan mungkin
tidak lengkap, nyeri setempat sering terjadi
I:
Antihistamin
ESO :
Mengantuk, pusing, sakit kepala, lelah, mulut kering,sulit buang air kecil.

P:
Hanya untuk gagal jantung dengan atrial fibrilasi atau sinus takikardia,
diminum
ESO : sebelum makan.
Nafsu makan hilang, ganggua penglihatan, takikardia
P:
Monitor kadar obat dan potasium dalam darah , monitor nadi,

I:
Motion sickness, radiation sickness bersama antiemetik lain untuk emesis
pada kemoterapi

I:
Terapi mual dan muntah karena berbagai sebab, terapi simptomatis
dispepsia fungsional
ESO : hiperprolaktinemia, galaktorea dan ginekomastia, reaksi alergi
KI : hipersensitif

I:
Bahan penambah anastesi lokal, syok anafilatik, henti jantung.
ESO :
Dosis berlebih menyebabkan aritmia

CP : diminum bersama dengan makanan


ESO:
- Hepatotoksik
- Dapat meningkatkan kadar teofilin dalam serum
IO:
Merupakan obat penghambat enzim sitokrom P450
P:
Hindari minum bersama dengan susu/minuman asam

I : profilaksis kejang
KI : porphyria
P : hati – hati pada albuminemia

I:
Defisiensi vitamin K, mencegah pendarahan pada neonatus
P:
hindari pada kasus defisiensi G-6PD

P:
Diminum bersama dengan makanan / sesudah makan
KI:
Anuria, kehamilan trimester I, laktasi, koma hepatik
ESO :
Dehidrasi, hipotensi ortostatik, hipokalemi, hiponatremia, hipokloremia
alkalosis
Dehidrasi akibat diare

Hanya untuk hipertrigleridemia, tidak dianjurkan diberikan bersama statin


Hanya untuk hipertrigleridemia, tidak dianjurkan diberikan bersama statin

I:
Konjungtivitis, blefaritis, blefarokonjungtivitis, keratitis,
keratokonjungtivitis, episkleritis, dakriosistitis, ulkus kornea mata

I:
Desinfektan topikal pada kulit yang tidak terbuka.

KI :
Ketroasidosis, porphyria, diabetes mellitus dengan komplikasi ( demam,
trauma, gangren) gangguan fungsi hati, ginjal, tiroid, adrenal, kehamilan,
menyusui,
ESO : bila alergi sulfa
Nausea, vomiting, nyeri epigastrium, pusing sakit kepala, hipoglikemia
CP :
Diminum ½ jam sebelum makan pagi

I:
Meredakan batuk berdahak (sebagai ekspektoran)
KI :
Penderita yang hipersensitif terhadap Gliseril Gualakolat
ESO :
Mengantuk, mual, muntah.

CP :
Obat luar

I:
Mengatasi dehidrasi dan menambah kalori.
KI :
Penderita dengan kondisi hipertensi, asidosis, diabetes militus, penderita
dengan sindrom malabsorbsi glukosa – galaktosa.
Interaksi :
Larutan sebaiknya tidak ditambahkan pada tranfusi darah karena akan
menggumpalkan sel darah merah dan kemungkinan terjadi hemolisis.
P:
Diminum bersamaan dengan makanan/minuman yang mengandung lemak

I:
Psikosis, skizofrenia
CP:
Diminum bersama dengan makanan atau sesudah makan

Disimpan dalam botol dengan sumbat kaca, kedap udara, terlindung dari
cahaya, untuk diencerkan sampai 3%

CP :
Diminum pagi bersamaan dengan makanan
ESO :
Hipokalemia, hiperurikemia, hioponatremia, hipokloremia alkalossis,
hipomagnesimia
KI :
Anuria, terapi bersama litium

I:
Peradangan pada kulit yang disebabkan eksim dan alergi
KI :
Acne rosasea, arthritis, infeksi kulit disebabkan karena virus, bakteri,
jamur,
P: arthritis
Tidak direkomendasikan untuk akne vulgaris , tidak untuk bayi dan anak <
4th
I:
Gangguan spastik pada saluran cerna, kandung empedu dan saluran
kelamin wanita.
I:
Nyeri otot, nyeri haid, menurunkan demam, antiradang dan anti
pembekuann
KI : darah yang lemah.
Alergi terhadap ibuprofen, gangguan perdarahan, luka lambung / usus,
sariawan
CP :
Diminum bersama dengan makanan

I:
Terapi tuberculosis dalam kombinasi dengan
streptomisin,ethambutol,rifampisin, atau tuberculostatik lainnya
I:
Serangan angina pectoris,
Pencegahan jangka pendek

I:
Pencegahan dan pengobatan kalsium defisiensi selama kehamilan dan
menyusui
Kelaianan metabolisme kalsium ( osteoprorosis, osteomalacia,
hipofosfatemia, profilaksis osteoporosis )
I:
Hipertensi dan kelainan pada organ jantung seperti gagal jantung
KI :
Renovaskuler disease, kehamilan
CP :
Diminum 1 jam sebelum makan atau 2 jam sesudah makan

KI :
Prophyria. Riwayat depresi sumsum tulang belakang, abnormalitas
konduksi
ESO: AV

SJS
CP :

Diminum bersama dengan makanan


P:
monitor kadar obat dalam darah

ESO :
Dispepsia, nausea, diare.
Interaksi Obat :
Absorbsi ketokonazole maksimal bila diberikan pada waktu makan.
Absorbsinya terganggu kalau sekresi asam lambung berkurang. Pada
pasien yg diberi penetral asam (antasida) harus diberikan 2 jam atau lebih
setelah ketokonazole.

CP :
Diminum bersama dengan makanan
ESO :
Diare, ruam kulit, ikterus
P:
Merupakan penghambat enzim sitokrom P450
Hindari minum bersama dengan susu/minuman asam
I:
Untuk demam tifoid dan meningitis
Mata : infeksi pada mata (keratitis, konjungtivitis)
Telinga : infersi superfisialpada telinga luar oleh kuman gram + atau gram –
yang
KI : peka terhadap kloramfenikol
Kehamilan, menyusui, gangguan fungsi ginjal
ES: aplstik anemia, grey syndrome, mual, muntah, diare, stomatitis,
glossitis,
P: neuritis perifer, optic neuritis
Hati – hati pada penurunan fungsi hati dan ginjal

I:
Pengobatan pada gejala alergi seperti bersin, ninorhea, urtikaria, pruritus
dll
ESO : mengantu

I:
Psikosis skizofrenia (terutama psikomotor yang meningkat)
KI : Depresi susum tulang, kesadaran menurun
CP:
Diminum bersama dengan makanan atau sesudah makan
ES :
Hipotensi ortostatik, gejala ekstrapiramidal, depresi sumsum tulang,
mengantuk, gejala antikolinergik.
I:
ISK menahun atau kambuhan, penumonia
KI:
Hipersensitivitas, kehamilan trimester III
ESO :
Alergi,Steven Johnson Syndrome

I:
Pengobatan asidosis mengenai dehidrasi dan hilangnya dasar dari tubuh.
ESO :
Demam, infeksi didaerah yang di injeksikan,

I:
Mengembalikan keseimbangan elektrolit pada dehidrasi.
KI :
Hipernatremia, asidosis, hipokalemia.

I:
Digunakan untuk menjaga air dan elektrolit dalam kasus pasien tidak bisa
menggunakan obat secara oral.
I:
Digunakan untuk menjaga air dan elektrolit dalam kasus pasien tidak bisa
menggunakan obat secara oral.
I : Anastesi lokal

I:
Diare akut untuk dewasa
KI : hipersensitivitas anak < 12 th , kolitis akut
ES :
Nyeri perut, megakolon toksik, mulut kering, pusing
P:
Insufisiensi hati untuk anak – anak lansia, penyakit radang usus

Antihistamin non sedasi

I : Eklampsia
P : Bila terjadi keracunan magnesium sulfatdiberikan antidotum calcium
gluconate inj. 10% sebanyak 10ml i.v pelan selama 3menit atau lebih.

I:
Analgetika, antipiretik
ES :
Ruam kulit dan alergi
KI :
Hipersensitifitas
ESO : Hipersensitifitas

I:
- Penanganan aktif pada tahap 3 kelahiran
- Pendarahan uterin yang terjadi setelah pemisahan plasenta, uterin
atony
- Subinvolusi dari puerperal uterus, lochiometra
- Pendarahan uterin disebabkan bedah caesar

I:
Anti inflamasi, peradangan bronkial, artritis, penyakit autoimun, eksim
KI :
Hipersensitif,TB,DM,infeksi jamur, infeksi virus, osteoporosis berat
ESO :
Moonface, tukak lambung, hipertensi, kelemahan otot.

I:
Mual dan muntah, rasa terbakar berhubungan dengan refluks esofagitus.
KI :
Gastrointestinal hemorage, penderita epilepsi / pasien yang menerima obat
yang dapat menyebabkan ekstrapyramidal.
I:
Pasca operasi kebidanana/kandungan dengan infeksi berat/anaerob,
tetanus. Infeksitrichomoral vaginitis, bakterial vaginotis, pseudomembran
kolitis,
KI : disentri amuba, amubiasis intestinal dan hepar
- Kehamilan trimester I
- Masa laktasi
- kelain an SSP aktif
- riwayat kelainan darah
- riwayat alergi obat
CP: diminum bersama dengan makanan/ sesudah makan

I:
Tinea yang eksudatif, infeksi jamur pada kulit, infeksi mulut dan usus
ES :
Iritasi, rasa terbakar, bila terjadi eritema dan terbakar segera hentikan

I: Rhematoid arthritis, osteoarthritis, menghambat produksi prostaglandin.


KI :
Wanita hamil dan menyusui, tukak lambung atau usus halus, asma.
ESO : iritasi lambung

I:
Untuk mengembalikan keseimbangan elektrolit pada dehidrasi.
KI :
Hipernatremia, asidosis, Hipokalemia.

I : keracunan sianida

CP : diberikan Iv pelan lebih dari 10 menit

I:
Penambahan pada terapi payah jantung refraktor yang berat, preeklampsia
dan
KI : tokolitik
Renovaskular disease

I:
Infeksi jamur candidiasis

I;
Salep mata :
Konjungtivitis dan infeksi lainnya.
Salep kulit ;
Infeksi kulit permukaan yang sensitif terhadap oksitetrasiklin.

I:
Induksi persalinan, stimulasi kontraksi uterus
ESO :
Reaksi anafilaktik, hemoragi pasca partum (HPP), aritmia, mual,muntah,
ruptura uterus
I:
Untuk terapi jangka pendek pada kasus tukak lambung , tukak duodenum
dan refluks1 esofagitis
Diberikan jam sebelum makan.

I:
Kolik kandung empedu dan ginjal
CP :
diminum 30 menit sebelum makan

I:
Antipiretika dan analgetika
ESO :
Dosis tinggi jangka panjang hepatotoksis, nefrotoksis

I:
Gejala involusi, alkoholisme kronis, gejala pasca trauma
ESO :
Gelisah, insomnia, gangguan gastrointestinal,

I:
Askariasis, cacing tambang, enterotiasis dan infeksi nematoda jaringan.
ESO :
Gangguan saluran cerna, sakit kepala, mengantuk, insomnia.

I:
Defisiensi vitamin B6
P:
Piridoksin diberikan secara terapetik untuk pasien yang sedang mendapat
pengobatan INH

I:
Antisptik

I:
Terapi substitusi pada insufisiensi adrenal sekunder, antiimlamasi dan
antialergi
KI :
Tukak lambung, osteoporosis berat, mikosis sitemik, hepprs simpleks,
herpes zoster, varicella, galukoma, TBC, DM
CP :
Diminum bersama makan/ sesudah makan

KI :
AV blok

CP:
Diminumpada saat lambung kosong
P:
Tekanan darah dan EKG harus selalu dimonitor

I:
Hipertiroidsm

I:
Hiperasiditas, sindrom Zollinger Ellison, ulkus peptikum, esofagitis,
dispepsia
KI :
Hipersensitif
ESO :
Hepatitis, leukopenoia, trombositopenia, agranulositosis ( jarang ), pusing,
sakit kepala, bingung, kulit kemerahan
I:
Untuk mengembalikan keseimbangan elektrolit pada dehidrasi.
Interaksi obat:
Jangan dicampur dengan larutan yang mengandung fosfat.

I:
Bronkodilator
ESO :
Palpitasi, nyeri dada
CP :
diminum sebelum makan/ bersama dengan makanan

I:
Luka, gatal – gatal, kulit bersisik, skabies, eksim, pedikulosis
ESO :
kulit kering, iritasi ringan
P:
Hati – hati pada pemberian pada daerah yang luas atau pada anak < 12
tahun
I:
Biang keringat
I:
Infeksi saluran pernafasan
KI :
hipersensitif
ESO :
gangguan pencernaan

I:
Infeksi saluran pernafasan, infeksi saluran kemih, infeksi kulit
KI :
Hipersensitifitas
ESO :
Gangguan saluran cerna

I:
Infeksi untuk kuman sensitif terhadap sefotaksim

KI :
Hipersensitifitas

I:
Infeksi saluran nafas,THT, infeksi saluran kemih,sepsis, meningitis, infeksi
intra
P : abdominal
pada gangguan fungsi ginjal diperlukan penyesuaian dosis

I:
Defisiensi sianokobalamin

I:
Pengobatan dislipidemia, mengurangi resiko terjadinya gangguan pada
jantung
ESO : dan stroke.
Sakit kepala, gangguan pencernaan, gangguan tidur, penipisan rambut.
Sebagai terapi tambahan terhadap terapi diet pada pasien hiperlipidemia
dengan:
a. Kadar LDL >160mg/dl untuk pasien tanpa komplikasi diabetes
mellitus
b. Kadar/PJK
LDL > 100mg/dl untuk pasien PJK.
Kadar LDL > 130mg/dl untuk pasien diabetes mellitus. Setelah 6 bulan
dilakukan evaluasi ketaatan pasien terhadap kontrol diet dan pemeriksaan
laboratorium LDL dilampirkan setiap 6 bulan
KI:
- Tidak digunakan pada pasien usia< 18th
- Hipersensitifitas
- Hamil dan menyusui
Asien yang mempunyam lainnya ai kecenderungan untuk kejang

IO :
- kalsium, besi, aluminium, magnesiaum, dan logam lainnya.
ESO:
Iritasi saluran cerna

I:
Anastesi lokal jangka pendek untuk kornea dan konjungtiva.

P:
Tidak diperbolehkan untuk wanita hamil, wanita menyusui dan anak-anak
< 6th,

I:
Titus, paratitus, bakteri gram negatif
KI :
Hipersensitifitas, gangguan saluran cerna, sariawan
ESO :
Diskrasia darah, gangguan saluran pencernaan.

I:
Defisiensi B1

ESO :
Pusing, sedasi, lelah, sakit kepala, berkeringat, kulit kemerahan, mulut
kering, mual, muntah, dispepsia dan obstipasi.
I:
pengobatan nyeri akut dan kronik yang berat, termasuk nyeri pasca
pembedahan, nyeri akibat tindakan diagnostik.
I:
Kekurangan vitamin B, mempercepat proses penyembuhan setelah
pengobatan dengan antibiotika dan sulfonamida.

CP :
Digunakan minimal 10 hari walaupun diare sudah berhenti.
ESO :
Menyebabkan penurunan konsentrasi lipoprotein plasma dan absorbsi
tembaga.
I:
Anestesi lokal untuk pemakaian luar. Bukan untuk dihirup atau diminum.
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