Stok Opname Maret 2019

KODE PUSKESMAS : 73130901
PUSKESMAS : BELAWA
KECAMATAN : BELAWA
KAB / KOTA : WAJO
PROVINSI : SULAWESI SELATAN
gudang
LPLPO pemasuka total stok
NO NAMA OBAT / BMHP SATUAN
MARET APBD JKN n pustu dll
1 2 3 4
1 ACT Tab 3 blister @ 8 tablet -
2 Obat Suntik KB I : inj depo 150 mg -
Medroxyprogesteron Acetat 150 mg -
3 Air untuk irigasi 1000 ml botol 1000ml -
4 Albendazol tablet 400 mg 30 tab / ktk 450 450
5 Alopurinol Tablet 100 mg tablet 3,708 1,450 900 1184
6 Alopurinol Tablet 300 mg tablet 500 400
7 Ambroxol tablet 30mg tablet 3,572 1,400 3000 1000
8 Ambroxol sirup 15 mg/ 5 ml btl 60 ml 117 67 25
9 Aminofilin injeksi 24 mg/ml ampul -
10 Aminofilin tablet 200 mg tablet 500 500
11 Amitriptilin tablet salut 25 mg (HCl) tablet 1,336
12 Amlodipin tablet 5 mg tablet 2,764 2250
13 Amlodipin tablet 10 mg tablet 2,575 1,340 1200 420
14 Amoksisilin kapsul 250 mg kapsul 4,658 3,700 628
15 Amoksisilin kaplet 500 mg kaplet 6,237 4,400 507
16 Amoksisilin sirup kering 125 mg/5 ml btl 60 ml 142 105 19
17 Amoksisilin sirup kering forte 250 mg/5 ml btl 60 ml -
18 Ampisillin serbuk inj. i.v. 1000 mg/vial ktk 10 vial -
19 Ampisilin sirup kering 125 mg/ 5 ml btl 60 ml -
20 Antasida DOEN Tab tablet 10,020 2,500 4500 1817
21 Antasida DOEN II suspensi btl 60 ml 119 27 39
22 Anti Bakteri DOEN salep tube @ 5 g -
23 Antifungi DOEN pot @ 30 g -
24 Antihemoroid DOEN supp @ 2 g 114
25 Antimigren tablet -
26 Antiparkinson DOEN tablet tablet -
27 Aqua pro injeksi steril, bebas pirogen vial @ 20 ml -
28 Artemether injeksi 1 ml : 80 ml ampul -
29 Asam asetilsalisilat tablet 80 mg tablet -
32 Asam askorbat (Vit.C) tablet 50 mg tablet 4,694 1,650 1614
33 Asam askorbat (Vit.C) tablet 100 mg tablet -
34 Asam askorbat (Vit.C) tablet 250 mg tablet -
35 Asam Mefenamat kaplet 500 mg tablet 15,175 5,800 7400 1330
36 Attapulgite tablet 600 mg tablet 1,428 400 809
37 Asiklovir krim 5 % tube 5 g 8 8
38 Asiklovir tablet 200 mg tablet -
39 Asiklovir tablet 400 mg tablet 1,191 1,100 50
40 Atropin injeksi 0,25 mg/ml ampul -
41 Betametason krim 0,1 % tube @ 5 g 117 15 23
42 Betametason tetes mata 1 mg/ml botol @ 5 ml -
43 Bisakodil suppositoria 5 mg Suppositoria -
44 Bisakodil suppositoria 10 mg Suppositoria 45
45 Dehidro Atemisin + Piperakuin (DHP) tablet -
46 Deksametason injeksi i.v 0,5 mg/ml ampul 20
47 Deksametason tablet 0,5 mg tablet 37,152 6,800 26900 1452
48 Dekstrometorfan sirup 10 mg/5 ml btl 60 ml -
49 Dekstrometorfan sirup 10 mg/5 ml kombinasi btl 60 ml 29 29
50 Dekstrometorfan tablet 15 mg (HBr) tablet -
51 Diazepam injeksi 5 mg/ml ampul 23
52 Diazepam larutan rektal 5 mg/2,5 ml tube @ 2,5 ml 44
53 Diazepam tablet 2 mg tablet 1,335
54 Diazepam tablet 5 mg tablet -
55 Difenhidramin injeksi i.m 10 mg/ml (HCl) ampul 20
56 Digoksin tablet 0,25 mg tablet 208
57 Diltiazem HCl tablet 30 mg tablet -
58 Dimenhidrinat tablet 50 mg tablet 600 600
59 Doksisiklin 100 mg kapsul -
60 Domperidon tablet 10 mg tablet 687 300 200 100
61 Efedrin tablet 25 mg (HCl) tablet -
62 Ekstraks Belladona tablet 10 mg tablet -
63 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) ampul 20
64 Eritromisin kapsul 250 mg kapsul -
65 Eritromisin kapsul 500 mg tablet 1,166 1,000 30
66 Eritromisin sirup kering 200 mg/ 5 ml btl 60 ml -
67 Etanol 70 % btl 100 ml -
68 Fenilbutason tablet 200 mg tablet -
69 Fenobarbital injeksi i.m/i.v 50 mg/ml ampul -
70 Fenobarbital tablet 30 mg tablet 1,563
71 Fenol Gliserol tetes telinga 10% botol 5 ml -
72 Fitomenadion (Vit K) tablet salut gula 10 mg tablet 2,730 1,450 500 780
73 Fitomenadion (Vit K) injeksi 10 mg/ml ampul -
74 Fitomenadion (Vit K) injeksi i.m.2 mg/ml ampul 14
75 Furosemid tab 40 mg tablet 465 400
76 Garam Oralit serbuk 200 ml sachet 400 300
77 Gentamisin inj.40 mg/ml ampul -
78 Gentian violet larutan 1 % btl 10 ml 28 14
79 Glibenklamida tablet 5 mg tablet 3,032 2,600 360
80 Glimepiride tablet 1 mg tablet 2,877 2,700 170
81 Glimepiride tablet 2 mg tablet -
82 Gliseril Guaiakolat tablet 100 mg tablet 22,264 20200 1132
83 Glukosa larutan infus 10% steril btl 500 ml -
84 Glukosa larutan infus 5% btl 500 ml 40 40
85 Griseofulvin tablet 125mg Micorinized tablet 2,014 1,600 335
86 Haloperidol tablet 1,5 mg tablet 2,690
87 Haloperidol tablet 5 mg tablet -
88 Haloperidol inj 50 mg/ml ampul @ 1 ml 49
89 Hidroklortiazid tablet 25 mg tablet -
90 Hidrokortison krim 2,5% tube @ 5 g 184 179 120
91 Hyosicine-N-Butilbromide tablet 10mg tablet 13 13
92 Ibuprofen sirup 100 mg/ 5 ml btl 60 ml 67 - 36
93 Ibuprofen tablet 200 mg tablet 7,739 5,600 1309
94 Ibuprofen tablet 400 mg tablet 9,092 6,700 871
95 Iodiol kapsul lunak kapsul -
96 Isoniazid tablet 100 mg tablet 1,363 1,200
97 Isoniazid tablet 300 mg tablet -
98 Isosorbid Dinitrat tablet sublingual 5mg tablet 200 200
99 Kalsium Laktat (Kalk) tablet 500 mg tablet 9,264 6,900 1612
100 Kalsium Glukonat injeksi i.v. 10% (100mg/ml) ampul -
101 Kaptopril 25 mg tablet 3,434 2500 934
102 Karbamazepin tablet 200 mg tablet -
103 Ketokonazol tablet 200mg tablet 914 450 325
104 Kloramfenikol kapsul 250 mg kapsul 460 400
105 Kloramfenikol salep kulit 2 % tube @ 15 g 28 16 1
106 Kloramfenikol salep mata 1 % tube @ 5 g 150 112 17
107 Kloramfenikol suspensi 125 mg/5 ml btl 60 ml -
108 Kloramfenikol tetes telinga 3% btl @ 10 ml -
109 Klorfeniramin Maleat (CTM) tablet 4 mg tablet 11,012 6,900 1847
110 Klorpromazin injeksi i.m 5 mg/ml - 2 ml ampul -
111 Klorpromazin tablet salut 25 mg (HCl) tablet 4,328
112 Klorpromazin tablet salut 100 mg (HCl) tablet 4,360
113 Kodein tablet 10 mg tablet -
114 Kodein tablet 20 mg tablet -
115 Kotrimoksazol DOEN (dewasa) tablet 60 60
116 Kotrimoksazol DOEN (Pediatrik) tablet -
117 Kotrimoksazol suspensi btl 60 ml 185 207 20
118 Kuinin dihidroklorida injeksi 25% - 2ml ampul -
119 Kuinin (kina) tablet 222 mg tablet -
120 Lidokain injeksi 2% ampul @ 2 ml 6
Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2
121 ampul -
ml
122 Loratadin tablet 10 mg tablet 2,672 2,100 345
123 Magnesium sulfat inj 20% vial 25 ml 20
124 Magnesium sulfat inj 40% vial 25 ml -
125 Mebendazol sirup 100 mg/ 5ml btl 30 ml -
126 Mebendazol tablet 500 mg tablet -
127 Metampiron injeksi 250 mg/ml ampul -
128 Metampiron tablet 500 mg tablet -
129 Metformin HCl tablet 500 mg tablet 2,680 600 1000 840
Metil Ergometrin Maleat (Metilergometrin) tablet
130 tablet 1,000 600
salut 0,125 mg 200
131 Metilergometrin Maleat injeksi 0.200 mg/ml ampul 30
132 Metoklopramide tablet 5 mg tablet -
133 Metoklopramide tablet 10 mg tablet 2,321 1,500 420
134 Metronidazol tablet 500 mg tablet 4,658 4100 358
135 Metronidazol infus 500 mg/100 ml botol @ 100 ml 5 5
136 Metronidazol sirup 125 mg/5 ml botol @ 60 ml -
137 Mikonazol krim/salep 2 % (Nitrat) tube @ 10 g 200 52 72 58
138 Mineral Mix sachet -
139 Natrium Bikarbonat tablet 500 mg tablet -
140 Natrium Bikarbonat injeksi i.v. 8,4% ampul 25 ml -
141 Natrium Diklofenak tablet 50 mg tablet 1,239 150 740
142 Natrium Diklofenak tablet 25 mg tablet -
143 Natrium Diklofenak Gel emulsi Tube 78 71
144 Natrium Klorida larutan infus 0,9% btl 500 ml 68 57 20
145 Natrium Tiroksin 100 mcg tablet -
146 N.B Topical Oint tube 5 g 17 16
147 Nifedipin tablet 10 mg tablet 508 400 20
148 Nistatin tablet salut 100.000 IU/g tablet 32
149 Nistatin tablet 500.000 IU/g tablet -
150 N-asetil sistein kapsul 200 mg tablet 6,338 4,100 1788
151 Obat antituberkulosis kategori 1 dewasa paket 5
152 Obat antituberkulosis kategori 2 dewasa paket 2 1 3
153 Kombipak Kategori 1 paket -
154 Obat antituberkulosis kategori anak paket 1 1
155 Obat antituberkulosis sisipan dewasa paket -
156 Obat Batuk Hitam ( O.B.H ) cairan btl 100 ml -
157 Obat Batuk Hitam ( OBH Itra) btl 120 ml 40 4
158 Obat gigi : -
159 Bahan Tumpatan sementara (Ceivitron) pot @ 30 g -
160 Etil Klorida Spray btl 100 ml -
161 Eugenol cairan Botol @ 10 ml -
162 Glass Ionomer Cement ART set -
163 Hemospon set -
164 Kalsium Hidroksida Pasta set -
165 Klorfenol kamfer Menthol (CHKM) set -
166 Mummiffying pasta set -
167 Semen seng Fosfat serbuk dan cairan set -
168 Silver Amalgam set -
169 Temporary Stopping Fletcher serbuk dan cairan set -
170 Oksimetazolin tetes hidung 0,025% Botol @ 10 ml -
171 Oksitetrasiklin salep mata 1% (HCl) tube @ 3,5 g -
172 Oksitetrasiklin salep kulit 3% tube @ 5 g -
173 Oksitosin injeksi 10 IU/ml - ml ampul @ 1 ml 195
174 Omeprazol kapsul 20 mg kapsul 3,044 2,460 315
175 Omeprazol injeksi 40 mg/10 ml vial -
176 Paracetamol drops 100 mg/ml btl 15 ml 124 85 16
177 Parasetamol sirup 120 mg/ 5 ml btl 60 ml 214 125 57
178 Parasetamol tablet 100 mg tablet -
179 Parasetamol tablet 500 mg tablet 78,219 200 67850 1905
180 Perak sulfadiazin krim 1% tube @ 35 g -
181 Permetrin krim 5% tube @ 10 g 9 9
182 Pirantel suspensi 125 mg/ 5 ml btl 60 ml -
183 Pirantel tab.Score (base) 125 mg tablet 400 300
184 Piridoksin (Vit. B6) tablet 10 mg (HCl) tablet 32,234 9,000 21000 1634
185 Piroksikam tablet 10 mg tablet -
186 Piroksikam tablet 20 mg tablet -
187 Polikresulen cairan btl 10 ml -
188 Povidon Iodida larutan 10% btl @ 300 ml 30 30
189 Prednison tablet 5 mg tablet 12,473 10,700 1338
190 Primakuin tablet 15 mg tablet -
191 Probenesid 500 mg tablet 800 700
192 Prokain Benzil Penisilin injeksi 3 jt IU vial -
193 Propanolol tablet 10 mg (HCl) tablet -
194 Propranolol 40 mg tablet -
195 Propiltiourasil tablet 100 mg tablet 484 300
196 Ranitidin tablet 150 mg tablet 1,463 300 280
197 Ranitidin injeksi ampul 151
198 Reserpin tablet 0,25 mg tablet -
199 Retinol (Vit.A) 100.000 IU kapsul lunak kapsul 900 850 50
200 Retinol (Vit.A) 200.000 IU kapsul lunak kapsul 2,519 2,250 169
201 Ringer Laktat larutan infus btl 500 ml 236 220
202 Salbutamol tablet 2 mg (sebagai sulfat) tablet -
203 Salbutamol tablet 4 mg (sebagai sulfat) tablet -
204 Salbutamol cairan ih 0,1% botol @ 2,5 ml 8
Salep 2-4,kombinasi : Asam sulfat 2 % + Belerang
205 pot @ 30 g 330 230
endap 4 % 82
206 Salisil bedak serbuk 2 % ktk 50 gram 351 80 190 47
207 Setirizin sirup 5 mg/5 ml Botol @ 60 ml -
208 Setrizin tab 10 mg tablet 170 100 70
209 Sianokobalamin (Vit.B 12) tablet 50 mcg tablet 7,340 6,200 830
210 Sianokobalamin (Vit.B 12) tablet 10 mcg tablet -
211 Sianokobalamin (Vit.B 12) injeksi 500 mcg ampul -
212 Simetidine tablet 200 mg tablet -
213 Simvastatin tablet 10 mg tablet 887 210 530
214 Simvastatin tablet 20 mg tablet 170 150
215 Siprofloksasin tablet 500 mg (HCl) tablet 4,660 1,800 2700
216 Spironolakton tablet 25 mg tablet -
Tablet tambah darah : -
217 _ Besi (II) sulfat 200 mg, asam folat 0,25 mcg tablet -
_ Ferrous Fumarate 180 mg, Folic Acid 400 mcg tablet 9,260 6,120 740
218 Taburia sachet -
219 Tetrakain HCl tetes mata 0,5% (PANTOCAIN) botol 5 ml 20 20
220 Tetrasiklin kapsul 250 mg kapsul -
221 Tiamin (Vit.B1) tablet 50 mg tablet 9,921 6,800 1703
222 Tiamin (Vit.B1) injeksi 100 mg/ml ampul -
223 Triheksifenidil tablet 2 mg tablet 3,846
224 Triheksifenidil tablet 2 mg (Arkine) tablet -
225 Vaksin BCG serb inj. 0,75 mg/ml + pelarut vial 28 28
226 Vaksin campak serb inj. + pelarut vial 13 13
227 Vaksin kombinasi DPT-HB-Hib inj vial 64 64
228 Vaksin jerap difteri tetanus (DT) inj. 40/15 If per ml vial 34 34
229 Vaksin jerap difteri tetanus pertusis (DPT) inj. vial -
230 Vaksin jerap tetanus (tetanus adsorbed toxoid) vial -
231 Vaksin polio t-OPV drops 10 dosis vial 37 37
232 Vaksin polio IPV inj. 0,5 ml vial 17 17
233 Vaksin rabies serb inj. 2,5 IU vial -
234 Vaksin rabies serb inj +booster vial -
235 Vitamin B Kompleks tablet tablet 12,460 800 8000 2055
236 Zinc Tab 20 mg tablet 3,310 2,300 970
237 Zinc drop 10 mg/ml botol @ 15 ml -
238 Zinc sirup 10 mg/ml botol 100 ml -
239 Zinc sirup 20 mg/5 ml botol 60 ml 153 83 68
240 Efavirens (EFV) 600 mg -
241 Nevirapine (NVP) 200 mg -
242 Lamivudin (3TC) 150 mg -
243 Tenofovir (TDF) 300 mg -
244 Zidovudin (ZDV) 100 mg -
245 ZDV+3TC+NVP Ped Triple FDC (60/30/50) -
246 TDF+3TC+EFV (300/300/600) Triple FDC -
247 Zidovudin (300 mg) + Lamivudin (150 mg) -
Multivitamin : -
- Anagens sirup botol 60 ml -
- Becefort sirup botol 60 ml -
- Bioron tablet tablet 2,140 2000
248 - Bioron injeksi ampul -
248
- Corobion tablet tablet -
- Corovit sirup botol 60 ml 6
- Corovit tablet tablet -
- Takana sirup -
249 Livron B plex tablet 3,538 1300 1189
250 Hemafort tablet -
251 Hustab tab tablet 2,620 2,400
252 Hustab P sirup botol 60 ml -
253 Pehacain inj. ampul -
254 Griseofulvin tablet 500mg Micorinized tablet 1,000 1,000
255 Potensik (Diaz,Meatampiron) tablet 800
256 Klobazam tablet 15
257 vaksin MR Flacon 13 13
258 Cefadroxil 500 mg tablet 1,238 900
259 Metformin HCL Tablet 850 mg tablet 500 500
260 Biovitan sirup sirup 80 80
261 Bisakodil tablet 5 mg tablet 299 270
SO kamar ampra SO April SOGDG
APRIL kamar total
EXP pustu
obat gudang obat ampra
- - - -
- - - -
- - - -
- - - -
- 450 450 -
124 50 3,658 2,350 50 50
100 - 500 400 -
172 - 4,572 4,400 -
25 92 67 -
- - - -
- 500 500 -
1336 - 1,336 - -
114 400 2,364 2,250 -
154 (539) 3,114 2,540 -
330 - 4,658 3,700 -
230 1,100 5,137 4,400 -
3 15 127 105 -
- - - -
- - - -
- - - -
903 300 9,720 7,000 -
53 66 27 50 -
- - - -
- - - -
114 - 114 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
980 450 4,244 1,650 -
- - - -
- - - -
545 100 15,075 13,200 -
219 - 1,428 400 -
- 8 - -
- - - -
41 - 1,191 1,150 -
- - - -
79 38 15 -
- - - -
- - - -
45 - 45 - -
- - - -
20 - 20 - -
500 1,500 35,652 33,700 -
- - - -
- 29 - DEXTROFEN -
- - - -
23 - 23 - -
44 - 44 - -
1335 - 1,335 - -
- - - -
20 - 20 - -
208 - 208 - -
- - - -
- 600 600 -
- - - -
87 - 687 500 -
- - - -
- - - -
20 - 20 - -
- - - -
136 - 1,166 1,000 -
- - - -
- - - -
- - - -
- - - -
1563 - 1,563 - -
- - - -
- 2,730 1,950 -
- - - -
14 - 14 - -
65 - 465 400 -
100 300 300 -
- - - -
14 - 28 - -
72 - 3,032 2,600 -
7 - 2,877 2,700 -
- - - -
732 200 22,064 20,200 -
- - - -
- 40 40 -
79 - 2,014 1,600 -
2690 - 2,690 - -
- - - -
49 - 49 - -
- - - -
(115) 299 299 -
- 13 - -
2 29 38 - -
430 400 7,339 5,600 -
821 700 8,392 6,700 -
- - - -
163 - 1,363 1,200 -
- - - -
- 200 200 -
352 400 8,864 6,900 -
2 (2) 2 - -
- 3,434 2,500 -
- - - -
139 - 914 450 -
60 - 460 400 -
3 8 20 16 -
13 8 142 112 -
- - - -
- - - -
665 1,600 9,412 6,900 -
- - - -
4328 - 4,328 - -
4360 - 4,360 - -
- - - -
- - - -
- 60 - -
- - - -
2 (44) 229 207 -
- - - -
- - - -
6 - 6 - -
- - - -
127 100 2,572 2,100 -
20 - - -
- - - -
- - - -
- - - -
- - - -
- - - -
240 - 2,680 1,600 -
200 - 1,000 600 -

30 - 30 - -
- - - -
101 300 2,021 1,500 -
200 4,458 4,100 -
- 5 5 -
- - - -
18 - 200 124 -
- - - -
- - - -
- - - -
349 - 1,239 150 -
- - - -
7 71 71 -
31 57 57 -
- - - -
1 16 16 -
88 - 508 400 -
32 - 32 - -
- - - -
50 400 5,938 4,100 -
5 - - -
4 1 1 -
- - - -
- 1 1 -
- - - -
- - - -
36 4 4 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
195 - 195 - -
239 30 3,014 2,460 -
- - - -
2 21 103 85 -
7 25 189 125 -
- - - -
522 7,742 70,477 68,050 -
- - - -
- 9 9 -
- - - -
100 - 400 300 -
600 31,634 30,000 -
- - - -
- - - -
- - - -
- 30 30 -
335 100 12,373 10,700 -
- - - -
100 - 800 700 -
- - - -
- - - -
- - - -
84 100 384 300 -
383 500 963 300 -
151 - 151 - -
- - - -
- 900 850 -
50 50 2,469 2,250 -
16 - 236 220 -
- - - -
- - - -
8 - 8 - -
18 - 330 230 -
10 24 327 270 -
- - - -
- 170 100 -
310 - 7,340 6,200 -
- - - -
- - - -
- - - -
7 140 747 210 -
20 - 170 150 -
160 - 4,660 4,500 -
- - - -
- - - -
- - - -
500 1,900 7,360 6,120 -
- - - -
- 20 20 -
- - - -
718 700 9,221 6,800 -
- - - -
3846 - 3,846 - -
- - - -
- 28 - -
- 13 - -
- 64 - -
- 34 - -
- - - -
- - - -
- 37 - -
- 17 - -
- - - -
- - - -
905 700 11,760 8,800 -
40 - 3,310 2,300 -
- - - -
- - - -
2 - 153 83 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
40 100 2,040 2,000 -
- - - -
- - - -
1 5 1 - -
- - - -
- - - -
549 500 3,038 1,300 -
- - - -
220 - 2,620 2,400 -
- - - -
- - - -
- 1,000 1,000 -
800 - 800 - -
15 - 15 - -
- 13 - -
138 200 1,038 900 -
- 500 500 -
- 80 80 -
29 - 299 270 -
- - -
- -
- -
STOK OPNAME OBAT DAN BHP
PUSKESMAS BELAWA
TANGGAL 29 maret 2019
PKM
NO. NAMA BARANG SATUAN GUDANG PKD.LR
R.OBAT
APBD JKN
1 ACT Tab 3 blister @ 8 tablet
2 Obat Suntik KB I : inj depo 150 mg
Medroxyprogesteron Acetat 150 mg
3 Air untuk irigasi 1000 ml botol 1000ml
4 Albendazol tablet 400 mg 30 tab / ktk 450
5 Alopurinol Tablet 100 mg tablet 1500 900 124 40
7 Ambroxol tablet 30mg tablet 1400 3000 172
8 Ambroxol sirup 15 mg/ 5 ml btl 60 ml 92 8
9 Aminofilin injeksi 24 mg/ml ampul
10 Aminofilin tablet 200 mg tablet 500
11 Amitriptilin tablet salut 25 mg (HCl) tablet

1336
12 Amlodipin tablet 5 mg tablet 2650 114
13 Amlodipin tablet 10 mg tablet 801 1200 154 95
14 Amoksisilin kapsul 250 mg kapsul 3700 330
15 Amoksisilin kaplet 500 mg kaplet 5500 230
Amoksisilin sirup kering 125 mg/5
16 btl 60 ml 120 3
ml
Amoksisilin sirup kering forte 250
17 btl 60 ml
mg/5 ml
Ampisillin serbuk inj. i.v. 1000
18 ktk 10 vial
mg/vial
19 Ampisilin sirup kering 125 mg/ 5 ml btl 60 ml
20 Antasida DOEN Tab tablet 2800 4500 903 228

21 Antasida DOEN II suspensi btl 60 ml 80 2
22 Anti Bakteri DOEN salep tube @ 5 g
23 Antifungi DOEN pot @ 30 g
25 Antimigren tablet
26 Antiparkinson DOEN tablet tablet
Aqua pro injeksi steril, bebas
27 vial @ 20 ml
pirogen
28 Artemether injeksi 1 ml : 80 ml ampul
29 Asam asetilsalisilat tablet 80 mg tablet
32 Asam askorbat (Vit.C) tablet 50 mg tablet

2100 980 166
Asam askorbat (Vit.C) tablet 100
33 tablet
mg
34 tablet
mg
35 Asam Mefenamat kaplet 500 mg tablet

5900 7400 545 105
36 Attapulgite tablet 600 mg tablet 400 219 40
37 Asiklovir krim 5 % tube 5 g
38 Asiklovir tablet 200 mg tablet
39 Asiklovir tablet 400 mg tablet 1,100 50 41
40 Atropin injeksi 0,25 mg/ml ampul
41 Betametason krim 0,1 % tube @ 5 g 94
42 Betametason tetes mata 1 mg/ml botol @ 5 ml
43 Bisakodil suppositoria 5 mg Suppositoria

Dehidro Atemisin + Piperakuin
45 tablet
(DHP)
Deksametason injeksi i.v 0,5
46 ampul
mg/ml 20
47 Deksametason tablet 0,5 mg tablet 8200 27000 500 193
48 Dekstrometorfan sirup 10 mg/5 ml btl 60 ml
Dekstrometorfan sirup 10 mg/5 ml

49 btl 60 ml
kombinasi 7
50 Dekstrometorfan tablet 15 mg (HBr) tablet

Diazepam larutan rektal 5 mg/2,5
52 tube @ 2,5 ml
ml 44
53 Diazepam tablet 2 mg tablet 1335
54 Diazepam tablet 5 mg tablet
Difenhidramin injeksi i.m 10 mg/ml
55 ampul
(HCl) 20
57 Diltiazem HCl tablet 30 mg tablet
58 Dimenhidrinat tablet 50 mg tablet 600
59 Doksisiklin 100 mg kapsul
60 Domperidon tablet 10 mg tablet 300 200 87
61 Efedrin tablet 25 mg (HCl) tablet
62 Ekstraks Belladona tablet 10 mg tablet
Epinefrin (Adrenalin) injeksi 0,1 %

63 ampul
(sebagai HCl) 20
64 Eritromisin kapsul 250 mg kapsul
65 Eritromisin kapsul 500 mg tablet 1000 136
Eritromisin sirup kering 200 mg/ 5
66 btl 60 ml
ml
67 Etanol 70 % btl 100 ml
68 Fenilbutason tablet 200 mg tablet
69 Fenobarbital injeksi i.m/i.v 50 mg/ml ampul
70 Fenobarbital tablet 30 mg tablet 1563

71 Fenol Gliserol tetes telinga 10% botol 5 ml
Fitomenadion (Vit K) tablet salut
72 tablet
gula 10 mg 1450 500 80
Fitomenadion (Vit K) injeksi 10
73 ampul
mg/ml
Fitomenadion (Vit K) injeksi i.m.2
74 ampul
mg/ml 14
76 Garam Oralit serbuk 200 ml sachet 400
77 Gentamisin inj.40 mg/ml ampul
79 Glibenklamida tablet 5 mg tablet 2600 72 50
80 Glimepiride tablet 1 mg tablet 2700 7 50
81 Glimepiride tablet 2 mg tablet
82 Gliseril Guaiakolat tablet 100 mg tablet

20400 732 148
83 Glukosa larutan infus 10% steril btl 500 ml
84 Glukosa larutan infus 5% btl 500 ml 40
Griseofulvin tablet 125mg
85 tablet
Micorinized 1600 79
86 Haloperidol tablet 1,5 mg tablet 2690
87 Haloperidol tablet 5 mg tablet
89 Hidroklortiazid tablet 25 mg tablet
90 Hidrokortison krim 2,5% tube @ 5 g 100 84
Hyosicine-N-Butilbromide tablet
91 tablet
10mg
92 Ibuprofen sirup 100 mg/ 5 ml btl 60 ml 29 2 5
93 Ibuprofen tablet 200 mg tablet 6000 430 34
94 Ibuprofen tablet 400 mg tablet 7400 821
95 Iodiol kapsul lunak kapsul
96 Isoniazid tablet 100 mg tablet 1200 163
97 Isoniazid tablet 300 mg tablet
Isosorbid Dinitrat tablet sublingual
98 tablet
5mg 200
99 Kalsium Laktat (Kalk) tablet 500 mg tablet

7300 352 314
Kalsium Glukonat injeksi i.v. 10%
100 ampul
(100mg/ml) 2
101 Kaptopril 25 mg tablet 2500 45
102 Karbamazepin tablet 200 mg tablet
103 Ketokonazol tablet 200mg tablet 450 139
Kloramfenikol suspensi 125 mg/5
107 btl 60 ml
ml
108 Kloramfenikol tetes telinga 3% btl @ 10 ml
Klorfeniramin Maleat (CTM) tablet 4
109 tablet
mg 8500 665 158
Klorpromazin injeksi i.m 5 mg/ml - 2
110 ampul
ml
Klorpromazin tablet salut 25 mg
111 tablet
(HCl) 4328
112 tablet
(HCl) 4360
113 Kodein tablet 10 mg tablet
115 Kotrimoksazol DOEN (dewasa) tablet
116 Kotrimoksazol DOEN (Pediatrik) tablet
117 Kotrimoksazol suspensi btl 60 ml 163 2
Kuinin dihidroklorida injeksi 25% -
118 ampul
2ml
119 Kuinin (kina) tablet 222 mg tablet
Lidokain injeksi 2% (HCl) +
121 ampul
Epinefrin 1 : 80.000 - 2 ml
122 Loratadin tablet 10 mg tablet 2200 127 75
123 Magnesium sulfat inj 20% vial 25 ml
125 Mebendazol sirup 100 mg/ 5ml btl 30 ml
126 Mebendazol tablet 500 mg tablet
127 Metampiron injeksi 250 mg/ml ampul
128 Metampiron tablet 500 mg tablet
129 Metformin HCl tablet 500 mg tablet 600 1000 240 120
Metil Ergometrin Maleat

130 (Metilergometrin) tablet salut 0,125 tablet
mg 600 200 70
Metilergometrin Maleat injeksi
131 ampul
0.200 mg/ml 30
132 Metoklopramide tablet 5 mg tablet
133 Metoklopramide tablet 10 mg tablet 1800 101 110
134 Metronidazol tablet 500 mg tablet 4300
135 Metronidazol infus 500 mg/100 ml botol @ 100 ml

5
136 Metronidazol sirup 125 mg/5 ml botol @ 60 ml
137 Mikonazol krim/salep 2 % (Nitrat) tube @ 10 g

52 72 18 4
138 Mineral Mix sachet
139 Natrium Bikarbonat tablet 500 mg tablet
140 Natrium Bikarbonat injeksi i.v. 8,4% ampul 25 ml
141 Natrium Diklofenak tablet 50 mg tablet

150 349 200
143 Natrium Diklofenak Gel emulsi Tube 78
144 Natrium Klorida larutan infus 0,9% btl 500 ml

68
145 Natrium Tiroksin 100 mcg tablet
146 N.B Topical Oint tube 5 g 17
147 Nifedipin tablet 10 mg tablet 400 88
148 Nistatin tablet salut 100.000 IU/g tablet
32
149 Nistatin tablet 500.000 IU/g tablet
150 N-asetil sistein kapsul 200 mg tablet 4,500 50 378
Obat antituberkulosis kategori 1
151 paket
dewasa 5
152 paket
dewasa 2
153 Kombipak Kategori 1 paket
154 Obat antituberkulosis kategori anak paket

1
Obat antituberkulosis sisipan
155 paket
dewasa
156 Obat Batuk Hitam ( O.B.H ) cairan btl 100 ml

158 Obat gigi :
Bahan Tumpatan sementara
159 pot @ 30 g
(Ceivitron)
160 Etil Klorida Spray btl 100 ml
161 Eugenol cairan Botol @ 10 ml
162 Glass Ionomer Cement ART set
163 Hemospon set
164 Kalsium Hidroksida Pasta set
165 Klorfenol kamfer Menthol (CHKM) set
166 Mummiffying pasta set

Semen seng Fosfat serbuk dan
167 set
cairan
168 Silver Amalgam set
Temporary Stopping Fletcher
169 set
serbuk dan cairan
170 Oksimetazolin tetes hidung 0,025% Botol @ 10 ml
171 Oksitetrasiklin salep mata 1% (HCl) tube @ 3,5 g
172 Oksitetrasiklin salep kulit 3% tube @ 5 g

174 Omeprazol kapsul 20 mg kapsul 2490 239
175 Omeprazol injeksi 40 mg/10 ml vial
176 Paracetamol drops 100 mg/ml btl 15 ml 106 2
178 Parasetamol tablet 100 mg tablet
179 Parasetamol tablet 500 mg tablet 300 53838 522 107
180 Perak sulfadiazin krim 1% tube @ 35 g
181 Permetrin krim 5% tube @ 10 g 9
182 Pirantel suspensi 125 mg/ 5 ml btl 60 ml
183 Pirantel tab.Score (base) 125 mg tablet

300 100
Piridoksin (Vit. B6) tablet 10 mg
184 tablet
(HCl) 9600 21000 144
185 Piroksikam tablet 10 mg tablet
187 Polikresulen cairan btl 10 ml
188 Povidon Iodida larutan 10% btl @ 300 ml 30
189 Prednison tablet 5 mg tablet 10800 335 232
190 Primakuin tablet 15 mg tablet
Prokain Benzil Penisilin injeksi 3 jt
192 vial
IU
193 Propanolol tablet 10 mg (HCl) tablet
194 Propranolol 40 mg tablet
196 Ranitidin tablet 150 mg tablet 800 383 40
198 Reserpin tablet 0,25 mg tablet
Retinol (Vit.A) 100.000 IU kapsul
199 kapsul
lunak 850
200 kapsul
lunak 2300 50 149
Salbutamol tablet 2 mg (sebagai
202 tablet
sulfat)
203 tablet
sulfat) 3000 100 40 97
Salep 2-4,kombinasi : Asam sulfat 2

205 pot @ 30 g
% + Belerang endap 4 %
230 18 7
207 Setirizin sirup 5 mg/5 ml Botol @ 60 ml
208 Setrizin tab 10 mg tablet 100
Sianokobalamin (Vit.B 12) tablet 50
209 tablet
mcg 6200 310
210 tablet
mcg
Sianokobalamin (Vit.B 12) injeksi
211 ampul
500 mcg
212 Simetidine tablet 200 mg tablet
215 Siprofloksasin tablet 500 mg (HCl) tablet

1800 2700 160
216 Spironolakton tablet 25 mg tablet
Tablet tambah darah :
_ Besi (II) sulfat 200 mg, asam folat
tablet
217 0,25 mcg
_ Ferrous Fumarate 180 mg, Folic
tablet
Acid 400 mcg 8020 500 170
218 Taburia sachet
219 Tetrakain HCl tetes mata 0,5% botol 5 ml 20
220 Tetrasiklin kapsul 250 mg kapsul
221 Tiamin (Vit.B1) tablet 50 mg tablet 7500 718 250
222 Tiamin (Vit.B1) injeksi 100 mg/ml ampul
223 Triheksifenidil tablet 2 mg tablet 3846
224 Triheksifenidil tablet 2 mg (Arkine) tablet
Vaksin BCG serb inj. 0,75 mg/ml +

225 vial
pelarut 28
226 Vaksin campak serb inj. + pelarut vial

13
227 Vaksin kombinasi DPT-HB-Hib inj vial

64
Vaksin jerap difteri tetanus (DT) inj.
228 vial
40/15 If per ml 34
Vaksin jerap difteri tetanus pertusis
229 vial
(DPT) inj.
Vaksin jerap tetanus (tetanus
230 vial
adsorbed toxoid)
231 Vaksin polio t-OPV drops 10 dosis vial

37
232 Vaksin polio IPV inj. 0,5 ml vial 17
233 Vaksin rabies serb inj. 2,5 IU vial
234 Vaksin rabies serb inj +booster vial
235 Vitamin B Kompleks tablet tablet 9500 905 248
236 Zinc Tab 20 mg tablet 2300 40 190
237 Zinc drop 10 mg/ml botol @ 15 ml
238 Zinc sirup 10 mg/ml botol 100 ml
240 Efavirens (EFV) 600 mg
241 Nevirapine (NVP) 200 mg
242 Lamivudin (3TC) 150 mg
243 Tenofovir (TDF) 300 mg
244 Zidovudin (ZDV) 100 mg
ZDV+3TC+NVP Ped Triple FDC
245
(60/30/50)
TDF+3TC+EFV (300/300/600)
246
Triple FDC
Zidovudin (300 mg) + Lamivudin
247
(150 mg)
Multivitamin :
- Anagens sirup botol 60 ml
- Becefort sirup botol 60 ml
- Bioron tablet tablet 2100 40
248 - Bioron injeksi ampul
corobion tablet
- Corovit sirup botol 60 ml 5 1
- Corovit tablet tablet
- Takana sirup
249 Livron B plex tablet 1800 549 180
250 Hemafort tablet
251 Hustab tab tablet 2400 220
252 Hustab P sirup botol 60 ml
253 Pehacain inj. ampul
254 griseofulvin tablet 500 mg tablet 1000
255 Potensik tablet 800
256 klobazam tablet 15
257 vaksin MR flacon 13
258 Cefadroxil 500 mg tablet 1100 138
259 Metformin HCL Tablet 850 mg 500
260 Biovitan sirup tablet 80
261 Bisakodil tablet 5 mg botol 60 ml 270 29
NAME OBAT DAN BHP
PUSKESMAS BELAWA
SUB UNIT
P.LR PKD.LEPP P.LTG PKD.MLK P.TKD PKD.BLW PKD.MCR PUSKEL JUMLAH
450
230 55 280 170 40 254 110 5 3708
500
4572
5 9 3 117
0
500
1336
2764
40 40 40 135 70 2575
70 118 250 100 90 4658
50 147 10 70 50 180 6237
5 9 5 142
0
255 304 285 105 150 420 70 10020
3 2 3 8 6 15 119
0
0
114
0
0
0
0
0
455 200 215 30 120 248 180 4694
180 275 215 60 120 215 100 60 15175

220 70 35 40 150 174 40 40 1428
7 1 8
0
1191
0
1 5 4 8 2 3 117
0
0
45
20
215 370 70 3 220 245 120 16 37152
10 12 29
0
23
44
1335
0
20
208
0
600
0
70 30 687
0
20
0
30 1166
0
0
0
0
1563
0
180 100 120 50 90 80 80 2730
14
465
400
0
4 5 2 2 28
50 260 3032
30 90 2877
0
172 130 150 100 432 22264

0
40
50 145 100 40 2014

2690
0
49
0
184
13 13
17 5 9 67
276 170 120 60 190 249 210 7739
150 61 160 220 100 100 80 9092
0
1363
0
200
355 104 250 40 90 384 50 25 9264
280 35 190 55 90 209 10 20 3434

0
275 50 914
460
28
5 5 3 150
0
0
74 110 296 20 719 90 380 11012
4328
4360
0
0
10 50 60
0
9 3 8 185
0
0
6
0
40 30 80 120 2672
0
0
0
0
0
0
100 20 110 80 50 300 60 2680
40 90 1000
30
0
60 90 90 70 2321
5 90 60 123 80 4658
5
0
9 16 9 5 11 4 200
0
130 100 80 120 50 60 1239
0
78
68
0
17
20 508
32
0
270 260 250 100 480 50 6338
2
0
0
40
0
0
0
0
0
0
0
0
0
0
0
0
0
195
55 80 30 50 30 70 3044
0
7 1 5 3 124
2 5 10 4 8 11 5 1 214
0
689 30 190 13 100 556 40 180 56565
0
9
0
400
117 170 250 300 100 453 100 32234

0
0
0
30
119 154 215 50 70 358 140 12473
0
800
0
0
0
484
30 40 50 50 70 1463
151
0
50 900
20 2519
236
90 190 150 130 100 130 4027

8
9 11 10 25 11 9 330
8 11 3 3 11 6 351
0
70 170
180 120 45 10 85 90 300 7340
0
0
70 90 60 80 20 150 30 887
170
4660
0
0
160 80 90 150 90 9260

0
20
0
368 90 100 90 190 475 30 110 9921
0
3846
28
13
64
34
37
17
0
0
173 290 207 100 477 160 400 12460
290 80 180 30 50 80 70 3310
0
0
22 10 5 9 7 8 153
0
0
0
0
0
0
0
0
0
2140
0
0
6
0
0
90 40 252 433 194 3538
0
2620
0
0
1000
800
15
13
1238
500
80
299
STOK
NO. NAMA BARANG SATUAN OBAT


4 Albendazol tablet 400 mg 30 tab / ktk
5 Alopurinol Tablet 100 mg tablet 124
6 Alopurinol Tablet 300 mg tablet 100
7 Ambroxol tablet 30mg tablet 172
8 Ambroxol sirup 15 mg/ 5 ml btl 60 ml
10 Aminofilin tablet 200 mg tablet

1336
12 Amlodipin tablet 5 mg tablet 114
13 Amlodipin tablet 10 mg tablet 154
14 Amoksisilin kapsul 250 mg kapsul 330
15 Amoksisilin kaplet 500 mg kaplet 230
16 btl 60 ml
ml 3
17 btl 60 ml
mg/5 ml
18 ktk 10 vial
mg/vial
20 Antasida DOEN Tab tablet 903

21 Antasida DOEN II suspensi btl 60 ml
27 vial @ 20 ml
pirogen

980
33 tablet
mg
34 tablet
mg

545
36 Attapulgite tablet 600 mg tablet 219
39 Asiklovir tablet 400 mg tablet 41
41 Betametason krim 0,1 % tube @ 5 g

45 tablet
(DHP)
46 ampul
mg/ml
47 Deksametason tablet 0,5 mg tablet 500

49 btl 60 ml
kombinasi

52 tube @ 2,5 ml
ml 44
55 ampul
(HCl) 20
58 Dimenhidrinat tablet 50 mg tablet
60 Domperidon tablet 10 mg tablet 87

63 ampul
(sebagai HCl)
65 Eritromisin kapsul 500 mg tablet 136
66 btl 60 ml
ml
70 Fenobarbital tablet 30 mg tablet

72 tablet
gula 10 mg
73 ampul
mg/ml
74 ampul
mg/ml
75 Furosemid tab 40 mg tablet 65
76 Garam Oralit serbuk 200 ml sachet
78 Gentian violet larutan 1 % btl 10 ml 14
79 Glibenklamida tablet 5 mg tablet 72
80 Glimepiride tablet 1 mg tablet 7

732
84 Glukosa larutan infus 5% btl 500 ml
85 tablet
Micorinized 79
86 Haloperidol tablet 1,5 mg tablet
88 Haloperidol inj 50 mg/ml ampul @ 1 ml
90 Hidrokortison krim 2,5% tube @ 5 g
91 tablet
10mg
92 Ibuprofen sirup 100 mg/ 5 ml btl 60 ml 2
93 Ibuprofen tablet 200 mg tablet 430
94 Ibuprofen tablet 400 mg tablet 821
96 Isoniazid tablet 100 mg tablet 163
98 tablet
5mg

352
100 ampul
(100mg/ml)
101 Kaptopril 25 mg tablet
103 Ketokonazol tablet 200mg tablet 139
104 Kloramfenikol kapsul 250 mg kapsul 60
105 Kloramfenikol salep kulit 2 % tube @ 15 g 3
106 Kloramfenikol salep mata 1 % tube @ 5 g 13
107 btl 60 ml
ml
109 tablet
mg 665
110 ampul
ml
111 tablet
(HCl)
112 tablet
(HCl)
117 Kotrimoksazol suspensi btl 60 ml 2
118 ampul
2ml
121 ampul
122 Loratadin tablet 10 mg tablet 127
129 Metformin HCl tablet 500 mg tablet 240

mg 200
131 ampul
0.200 mg/ml
133 Metoklopramide tablet 10 mg tablet 101
134 Metronidazol tablet 500 mg tablet

18

349
143 Natrium Diklofenak Gel emulsi Tube

146 N.B Topical Oint tube 5 g
147 Nifedipin tablet 10 mg tablet 88

150 N-asetil sistein kapsul 200 mg tablet 50
151 paket
dewasa
152 paket
dewasa

155 paket
dewasa
157 Obat Batuk Hitam ( OBH Itra) btl 120 ml

158 Obat gigi :
159 pot @ 30 g
(Ceivitron)
163 Hemospon set

167 set
cairan
169 set
serbuk dan cairan

173 Oksitosin injeksi 10 IU/ml - ml ampul @ 1 ml
174 Omeprazol kapsul 20 mg kapsul 239
176 Paracetamol drops 100 mg/ml btl 15 ml 2
177 Parasetamol sirup 120 mg/ 5 ml btl 60 ml 7
179 Parasetamol tablet 500 mg tablet 522
181 Permetrin krim 5% tube @ 10 g

100
184 tablet
(HCl)
188 Povidon Iodida larutan 10% btl @ 300 ml
189 Prednison tablet 5 mg tablet 335
191 Probenesid 500 mg tablet 100
192 vial
IU
195 Propiltiourasil tablet 100 mg tablet 84
196 Ranitidin tablet 150 mg tablet 383
197 Ranitidin injeksi ampul
199 kapsul
lunak
200 kapsul
lunak 50
201 Ringer Laktat larutan infus btl 500 ml 16
202 tablet
sulfat)
203 tablet
sulfat) 40

205 pot @ 30 g
18
206 Salisil bedak serbuk 2 % ktk 50 gram 10
208 Setrizin tab 10 mg tablet
209 tablet
mcg 310
210 tablet
mcg
211 ampul
500 mcg
213 Simvastatin tablet 10 mg tablet 7
214 Simvastatin tablet 20 mg tablet 20

160
tablet
217 0,25 mcg
tablet
Acid 400 mcg 500
218 Taburia sachet
219 Tetrakain HCl tetes mata 0,5% botol 5 ml
221 Tiamin (Vit.B1) tablet 50 mg tablet 718
223 Triheksifenidil tablet 2 mg tablet

225 vial
pelarut

228 vial
40/15 If per ml
229 vial
(DPT) inj.
230 vial
adsorbed toxoid)

232 Vaksin polio IPV inj. 0,5 ml vial
235 Vitamin B Kompleks tablet tablet 905
236 Zinc Tab 20 mg tablet 40
239 Zinc sirup 20 mg/5 ml botol 60 ml 2
245
(60/30/50)
TDF+3TC+EFV (300/300/600)
246
Triple FDC
247
(150 mg)
Multivitamin :
- Bioron tablet tablet 40
corobion tablet
- Corovit sirup botol 60 ml 1
- Takana sirup
249 Livron B plex tablet 549
250 Hemafort tablet
251 Hustab tab tablet 220
254 griseofulvin tablet 500 mg tablet
257 vaksin MR flacon
258 Cefadroxil 500 mg tablet 138
259 Metformin HCL Tablet 850 mg
260 Biovitan sirup tablet
261 Bisakodil tablet 5 mg botol 60 ml 29
PUSKESMAS BELAWA
PKM
NO. NAMA BARANG SATUAN GUDANG PKD.LR
R.OBAT
APBD JKN
4 Albendazol tablet 400 mg 30 tab / ktk 450
5 Alopurinol Tablet 100 mg tablet 1500 900 124 40
7 Ambroxol tablet 30mg tablet 1400 3000 172
8 Ambroxol sirup 15 mg/ 5 ml btl 60 ml 92 8
10 Aminofilin tablet 200 mg tablet 500

1336
12 Amlodipin tablet 5 mg tablet 2650 114
13 Amlodipin tablet 10 mg tablet 801 1200 154 95
14 Amoksisilin kapsul 250 mg kapsul 3700 330
15 Amoksisilin kaplet 500 mg kaplet 5500 230
16 btl 60 ml 120 3
ml
17 btl 60 ml
mg/5 ml
18 ktk 10 vial
mg/vial
20 Antasida DOEN Tab tablet 2800 4500 903 228

21 Antasida DOEN II suspensi btl 60 ml 80 2
27 vial @ 20 ml
pirogen

2100 980 166
33 tablet
mg
34 tablet
mg

5900 7400 545 105
36 Attapulgite tablet 600 mg tablet 400 219 40
39 Asiklovir tablet 400 mg tablet 1,100 50 41
41 Betametason krim 0,1 % tube @ 5 g 94

45 tablet
(DHP)
46 ampul
mg/ml 20
47 Deksametason tablet 0,5 mg tablet 8200 27000 500 193

49 btl 60 ml
kombinasi 7

52 tube @ 2,5 ml
ml 44
55 ampul
(HCl) 20
58 Dimenhidrinat tablet 50 mg tablet 600
60 Domperidon tablet 10 mg tablet 300 200 87

63 ampul
(sebagai HCl) 20
65 Eritromisin kapsul 500 mg tablet 1000 136
66 btl 60 ml
ml
70 Fenobarbital tablet 30 mg tablet 1563

72 tablet
gula 10 mg 1450 500 80
73 ampul
mg/ml
74 ampul
mg/ml 14
76 Garam Oralit serbuk 200 ml sachet 400
79 Glibenklamida tablet 5 mg tablet 2600 72 50
80 Glimepiride tablet 1 mg tablet 2700 7 50

20400 732 148
84 Glukosa larutan infus 5% btl 500 ml 40
85 tablet
Micorinized 1600 79
86 Haloperidol tablet 1,5 mg tablet 2690
90 Hidrokortison krim 2,5% tube @ 5 g 100 84
91 tablet
10mg
92 Ibuprofen sirup 100 mg/ 5 ml btl 60 ml 29 2 5
93 Ibuprofen tablet 200 mg tablet 6000 430 34
94 Ibuprofen tablet 400 mg tablet 7400 821
96 Isoniazid tablet 100 mg tablet 1200 163
98 tablet
5mg 200

7300 352 314
100 ampul
(100mg/ml) 2
101 Kaptopril 25 mg tablet 2500 45
103 Ketokonazol tablet 200mg tablet 450 139
107 btl 60 ml
ml
109 tablet
mg 8500 665 158
110 ampul
ml
111 tablet
(HCl) 4328
112 tablet
(HCl) 4360
117 Kotrimoksazol suspensi btl 60 ml 163 2
118 ampul
2ml
121 ampul
122 Loratadin tablet 10 mg tablet 2200 127 75
129 Metformin HCl tablet 500 mg tablet 600 1000 240 120

mg 600 200 70
131 ampul
0.200 mg/ml 30
133 Metoklopramide tablet 10 mg tablet 1800 101 110
134 Metronidazol tablet 500 mg tablet 4300

5

52 72 18 4

150 349 200
143 Natrium Diklofenak Gel emulsi Tube 78

68
146 N.B Topical Oint tube 5 g 17
147 Nifedipin tablet 10 mg tablet 400 88
32
150 N-asetil sistein kapsul 200 mg tablet 4,500 50 378
151 paket
dewasa 5
152 paket
dewasa 2

1
155 paket
dewasa

158 Obat gigi :
159 pot @ 30 g
(Ceivitron)
163 Hemospon set

167 set
cairan
169 set
serbuk dan cairan

174 Omeprazol kapsul 20 mg kapsul 2490 239
176 Paracetamol drops 100 mg/ml btl 15 ml 106 2
179 Parasetamol tablet 500 mg tablet 300 53838 522 107
181 Permetrin krim 5% tube @ 10 g 9

300 100
184 tablet
(HCl) 9600 21000 144
188 Povidon Iodida larutan 10% btl @ 300 ml 30
189 Prednison tablet 5 mg tablet 10800 335 232
192 vial
IU
196 Ranitidin tablet 150 mg tablet 800 383 40
199 kapsul
lunak 850
200 kapsul
lunak 2300 50 149
202 tablet
sulfat)
203 tablet
sulfat) 3000 100 40 97

205 pot @ 30 g
230 18 7
208 Setrizin tab 10 mg tablet 100
209 tablet
mcg 6200 310
210 tablet
mcg
211 ampul
500 mcg

1800 2700 160
tablet
217 0,25 mcg
tablet
Acid 400 mcg 8020 500 170
218 Taburia sachet
219 Tetrakain HCl tetes mata 0,5% botol 5 ml 20
221 Tiamin (Vit.B1) tablet 50 mg tablet 7500 718 250
223 Triheksifenidil tablet 2 mg tablet 3846

225 vial
pelarut 28

13

64
228 vial
40/15 If per ml 34
229 vial
(DPT) inj.
230 vial
adsorbed toxoid)

37
232 Vaksin polio IPV inj. 0,5 ml vial 17
235 Vitamin B Kompleks tablet tablet 9500 905 248
236 Zinc Tab 20 mg tablet 2300 40 190
245
(60/30/50)
TDF+3TC+EFV (300/300/600)
246
Triple FDC
247
(150 mg)
Multivitamin :
- Bioron tablet tablet 2100 40
corobion tablet
- Corovit sirup botol 60 ml 5 1
- Takana sirup
249 Livron B plex tablet 1800 549 180
250 Hemafort tablet
251 Hustab tab tablet 2400 220
254 griseofulvin tablet 500 mg tablet 1000
257 vaksin MR flacon 13
258 Cefadroxil 500 mg tablet 1100 138
259 Metformin HCL Tablet 850 mg 500
260 Biovitan sirup tablet 80
261 Bisakodil tablet 5 mg botol 60 ml 270 29
NAME OBAT DAN BHP
PUSKESMAS BELAWA
SUB UNIT
P.LR PKD.LEPP P.LTG PKD.MLK P.TKD PKD.BLW PKD.MCR PUSKEL JUMLAH
450
230 55 280 170 40 254 110 5 3708
500
4572
5 9 3 117
0
500
1336
2764
40 40 40 135 70 2575
70 118 250 100 90 4658
50 147 10 70 50 180 6237
5 9 5 142
0
255 304 285 105 150 420 70 10020
3 2 3 8 6 15 119
0
0
114
0
0
0
0
0
455 200 215 30 120 248 180 4694
180 275 215 60 120 215 100 60 15175

220 70 35 40 150 174 40 40 1428
7 1 8
0
1191
0
1 5 4 8 2 3 117
0
0
45
20
215 370 70 3 220 245 120 16 37152
10 12 29
0
23
44
1335
0
20
208
0
600
0
70 30 687
0
20
0
30 1166
0
0
0
0
1563
0
180 100 120 50 90 80 80 2730
14
465
400
0
4 5 2 2 28
50 260 3032
30 90 2877
0
172 130 150 100 432 22264

0
40
50 145 100 40 2014

2690
0
49
0
184
13 13
17 5 9 67
276 170 120 60 190 249 210 7739
150 61 160 220 100 100 80 9092
0
1363
0
200
355 104 250 40 90 384 50 25 9264
280 35 190 55 90 209 10 20 3434

0
275 50 914
460
28
5 5 3 150
0
0
74 110 296 20 719 90 380 11012
4328
4360
0
0
10 50 60
0
9 3 8 185
0
0
6
0
40 30 80 120 2672
0
0
0
0
0
0
100 20 110 80 50 300 60 2680
40 90 1000
30
0
60 90 90 70 2321
5 90 60 123 80 4658
5
0
9 16 9 5 11 4 200
0
130 100 80 120 50 60 1239
0
78
68
0
17
20 508
32
0
270 260 250 100 480 50 6338
2
0
0
40
0
0
0
0
0
0
0
0
0
0
0
0
0
195
55 80 30 50 30 70 3044
0
7 1 5 3 124
2 5 10 4 8 11 5 1 214
0
689 30 190 13 100 556 40 180 56565
0
9
0
400
117 170 250 300 100 453 100 32234

0
0
0
30
119 154 215 50 70 358 140 12473
0
800
0
0
0
484
30 40 50 50 70 1463
151
0
50 900
20 2519
236
90 190 150 130 100 130 4027

8
9 11 10 25 11 9 330
8 11 3 3 11 6 351
0
70 170
180 120 45 10 85 90 300 7340
0
0
70 90 60 80 20 150 30 887
170
4660
0
0
160 80 90 150 90 9260

0
20
0
368 90 100 90 190 475 30 110 9921
0
3846
28
13
64
34
37
17
0
0
173 290 207 100 477 160 400 12460
290 80 180 30 50 80 70 3310
0
0
22 10 5 9 7 8 153
0
0
0
0
0
0
0
0
0
2140
0
0
6
0
0
90 40 252 433 194 3538
0
2620
0
0
1000
800
15
13
1238
500
80
299
STOK OPNAME PUSKESMAS
PER 31 MARET 2019
GUDANG OBAT
NO NAMA OBAT SATUAN
KAMAR
OBAT
APBD JKN
1 2 3 4 5 6
1 Albendazol tablet 400 mg tablet
2 Alopurinol Tablet 100 mg tablet
3 Alopurinol Tablet 300 mg tablet
4 Ambroxol tablet 30mg tablet
5 Ambroxol sirup 15 mg/ 5 ml btl 60 ml
6 Aminophilin 200 tab tablet
8 Amlodipin tablet 5 mg tablet
9 Amlodipin tablet 10 mg tablet
10 Amoksisilin kapsul 250 mg kapsul
11 Amoksisilin kaplet 500 mg kaplet
12 Amoksisilin sirup kering 125 mg/5 ml btl 60 ml
13 Antasida DOEN Tab tablet
14 Antasida DOEN II suspensi btl 60 ml
16 Antihemoroid DOEN supp @ 2 g
17 Aqua pro injeksi steril, bebas pirogen vial @ 20 ml
20 Attapulgite tablet 600 mg tablet
23 Betametason krim 0,1 % tube @ 5 g
26 Deksametason injeksi i.v 0,5 mg/ml ampul
27 Deksametason tablet 0,5 mg tablet
28 Dekstrometorfan sirup 10 mg/5 ml kombinasi btl 60 ml
29 Diazepam injeksi 5 mg/ml ampul
30 Diazepam larutan rektal 5 mg/2,5 ml tube @ 2,5 ml
33 Difenhidramin inj ampul
34 Digoksin tab tablet
35 Domperidon tablet 10 mg tablet
36 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) ampul
37 Eritromisin kapsul 500 mg tablet
38 Eritromisin sirup kering 200 mg/ 5 ml btl 60 ml
41 Fenobarbital tablet 30 mg tablet
43 Fitomenadion (Vit K) tablet salut gula 10 mg tablet
44 Fitomenadion (Vit K) injeksi i.m.2 mg/ml ampul
45 Furosemid tab 40 mg tablet
46 Garam Oralit serbuk 200 ml sachet
47 Gentian violet larutan 1 % btl 10 ml
48 Glibenklamida tablet 5 mg tablet
51 Glukosa larutan infus 5% btl 500 ml
52 Griseofulvin tablet 125mg Micorinized tablet
53 Haloperidol tablet 1,5 mg tablet
55 Haloperidol inj 50 mg/ml ampul @ 1 ml
56 Hidrokortison krim 2,5% tube @ 5 g
57 Hyosicine-N-Butilbromide tablet 10mg tablet
58 Ibuprofen sirup 100 mg/ 5 ml btl 60 ml
59 Ibuprofen tablet 200 mg tablet
60 Ibuprofen tablet 400 mg tablet
62 Isoniazid tab 100 mg tablet
64 Kalsium Glukonat injeksi i.v. 10% (100mg/ml) ampul
65 Kaptopril 25 mg tablet
66 Ketokonazol tablet 200mg tablet
67 Kloramfenikol kapsul 250 mg kapsul
68 Kloramfenikol salep kulit 2 % tube @ 15 g
69 Kloramfenikol salep mata 1 % tube @ 5 g
70 Klorfeniramin Maleat (CTM) tablet 4 mg tablet
71 Klorpromazin tablet salut 25 mg (HCl) tablet
72 Klorpromazin tablet salut 100 mg (HCl) tablet
75 Kotrimoksazol suspensi btl 60 ml
76 Lidokain injeksi 2% ampul @ 2 ml
77 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2 ml ampul
84 Metformin HCl tablet 500 mg tablet
85 Metil Ergometrin Maleat tablet salut 0,125 mg tablet
86 Metilergometrin Maleat injeksi 0.200 mg/ml ampul
88 Metronidazol tablet 500 mg tablet
93 Natrium Diklofenak Gel emulsi Tube
95 N.B Topical Oint tube 5 g
96 Nifedipin tablet 10 mg tablet
98 N-asetil sistein kapsul 200 mg tablet
99 Obat antituberkulosis kategori 1 dewasa paket
100 Obat antituberkulosis kategori 2 dewasa paket
102 Obat Batuk Hitam ( OBH Itra) btl 120 ml
103 Oksitosin injeksi 10 IU/ml - ml ampul @ 1 ml
104 Omeprazol kapsul 20 mg kapsul
105 Parasetamol drops 100 mg/ml botol 15 ml
106 Parasetamol sirup 120 mg/ 5 ml btl 60 ml
109 Permetrin krim 5% tube @ 10 g
112 Piridoksin (Vit. B6) tablet 10 mg (HCl) tablet
113 Polikresulen cairan (albothyl) btl 10 ml
114 Povidon Iodida larutan 10% btl @ 300 ml
115 Prednison tablet 5 mg tablet
116 Probenesid tablet
117 Propiltiourasil tablet 100 mg tablet
118 Ranitidin tablet 150 mg tablet
119 Ranitidin injeksi ampul
120 Retinol (Vit.A) 100.000 IU kapsul lunak kapsul
121 Retinol (Vit.A) 200.000 IU kapsul lunak kapsul
122 Ringer Laktat larutan infus btl 500 ml
123 Salbutamol tablet 4 mg (sebagai sulfat) tablet
124 Salep 2-4,komb : Asam sulfat 2 % + Belerang endap 4 % pot @ 30 g
125 Salisil bedak serbuk 2 % ktk 50 gram

126 Setirizin sirup 5 mg/ 5 ml botol @60 ml
127 Setirizin 10 mg tablet
128 Sianokobalamin (Vit.B 12) tablet 50 mcg tablet
129 Simvastatin tablet 10 mg tablet
130 Simvastatin tablet 20 mg tablet
132 Ferrous Fumarate 180 mg, Folic Acid 400 mcg tablet
133 Tetrakain HCl tetes mata 0,5% botol 5 ml
134 Tiamin (Vit.B1) tablet 50 mg tablet
136 Vaksin BCG serb inj. 0,75 mg/ml + pelarut vial
139 Vaksin jerap difteri tetanus (DT) inj. 40/15 If per ml vial
140 Vaksin jerap difteri tetanus pertusis (DPT) inj. vial
141 Vaksin jerap tetanus (tetanus adsorbed toxoid) vial
143 Vaksin polio IPV inj. 0,5 ml vial
146 Vitamin B Kompleks tablet tablet
147 Zinc Tab 20 mg tablet
150 Zinc sirup 20 mg/5 ml botol 60 ml
151 Corovit sirup botol @ 60 ml
152 _ Becefort sirup botol @ 60 ml
153 _ Bioron tablet tablet
154 Bioron injeksi ampul
155 _ Livron B plex tablet
156 Hustab tab tablet
157 Griseofulvin tablet 500 mg Micorinized tablet
158 Metil prednisolon tablet
159 sefadroksil 500 mg kapsul
160 Bisakodil tab 5 mg tablet
161 L bio sachet
162 Potensik (diazepam + metamphiron) tablet
163 Klobazam 10 mg tablet
164 Vaksin MR tablet
165 Metformin HCl tablet 850 mg kapsul
166 Biovitan sirup sirup
BMHP
1 Alat suntik 1 ml set 300 20

2 Alat suntik 2,5 ml set 17
5 Alat suntik 10 ml Set 5
6 Alat suntik 20 ml Set 5
8 Alkohol swab ktk 100 lbr 7
9 Aquades steril btl 1000 ml
10 Aquades gallon 20 L 5
11 Aquagel Steril Jelly 82 gram Tube 1
12 Asam Klorida (HCl) 0,1 N btl 1000 ml
13 Asam sulfosalisilat 20 % btl 100 ml
14 Aseptic Gel btl 500 ml 26
15 Bioline Syphilis 3,0 Rapid Twest Ktk 30 test
16 Blood Lancet ktk 100 pcs 4
Blood Lancet (BD Microtainer Contact Actived Lancet 21 G x
17 Pcs
1.8 m)
18 Blood Collection Tube (BD Vacutainer) Tube 1,222
19 Boule cleaning kit set (4 x 150 ml)
20 Control Hematologi Normal vial 1
21 Cover glass 22x22 ktk 10 pak @ 10 pcs 1
24 CutGut Cromic SMI 3/0 HR 30 MM set 12
26 Kit 25 tes
Dengue Test/RDT Ns1
27 Ktk 10 tes
28 Etakridin larutan 0,1 % btl 300 ml
29 Etanol 70 % 1 Liter btl 1000 ml 2
30 Folley Catheher 18 Set 28
31 Folley Catheher 16 Set
32 Folley Catheher 22 Set
33 HbsAg Fast Test ktk 100 tes 100
34 HIV Test 1/2 3.0 ktk 100 tes
35 ID Band Baby Pink ktk 100 pcs 1
36 ID Band Baby Blue ktk 100 pcs 1
37 ID Dws Baby Pink ktk 100 pcs 1
38 ID Dws Baby Blue ktk 100 pcs 1
39 Infuset Anak set
40 Infuset Dewasa set 25 39
41 IV Catheter No. 16 G set
42 IV Catheter No. 18 G set 26 12
47 Iodinat Test btl 10 ml
49 Kapas Pembalut 500 g roll 3
50 Kartu golongan darah lbr 139
52 Kasa 2 x 80 cm roll 48
53 Kasa 4 x 15 cm roll 7
54 Kasa 4 x 10 cm roll
55 Kasa 4 x 5 cm roll 30 16
56 Kasa 4 x 3 cm roll
57 Kasa hidrofil uk. 36 m x 80 cm roll 3
58 Kasa Hydrophil 40 x 80 cm roll
59 Kasa steril 16x16 Lbr 126
60 Kertas Perkamen bks 200 lbr 5
61 Kantong urine steril 2L Pcs 50
62 Labstrip U11 Plus Urine Test Tube 150 strip 2
63 btl 1000 ml
Larutan Turk
64 btl 100 ml
65 btl 100 ml 1
Larutan Giemsa Stain
66 btl 500 ml
67 Larutan Spiritus btl 1000 ml 1
68 Lisol btl 1000 ml 1
69 Dos 25 tes
Malaria Test
70 tes (Dos 10 tes)
71 Masker 3 ply E/L Lbr 2,405
72 Masker 3 ply plus E/L Lbr 324
73 Masker 3 ply T/O Lbr 2,318
74 My Jelly 82 g btl
75 Nasal Oxygen canula child pcs 13
76 Nasal Oxygen canula adult pcs 6
77 Object glass pcs
78 One clean ( Chlorine ) pcs 10
79 Penjepit tali pusat Buah 400
80 Plester hospital 2,5 cm x 4,5 m roll 20
81 Plester hospital 7,5 cm x 4,5 m roll 5
82 Pot sputum buah 3,612
83 Povidon iodida larutan 10 % btl 300 ml
84 Reagensia Ziehl Neelsen 100 ml/btl paket 11
85 Refil strip asam urat btl 25 strip 22
86 Refil strip glukosa btl 25 strip 19
87 Refil strip Hb btl 25 strip 9
88 Refil strip kolesterol btl 10 strip 11
89 Reagen Dual Pack Hematologi set 1
90 Reagen kimia glukosa set (2 x 100 ml) 2
91 Safety Box 5 Lt kuning ktk 41
92 Salmonella Test/Widal Test Set (4x5 ml)
93 Sarung tangan uk. 6 Psg
94 Sarung tangan uk. 6,5 Psg 142
95 Sarung tangan uk. 7 Psg 37
96 Sarung tangan uk. 7,5 Psg
97 Sarung tangan uk. 8 Psg
98 Sarung tangan S pcs 91
99 Sarung tangan M pcs 85
100 Sarung tangan L pcs 100
101 Sphilis RapiD Tes Ktk 30 test 1
102 Silk (benang bedah sutera) no.3/0 dengan jarum bedah set 12
103 Silk Black 3/0 HR 26 MM set

104 Silk 4-0 100M roll 1
105 Silk braided black 6/0 DS 12 mm roll
106 Surgical Blade No. 10 ktk 100 pcs 4
109 Surgical Scrub (hydrex) btl 500ml
110 Tes golongan darah A, B, AB set 2
111 Tes kehamilan (Ultraone) Strip 55
112 Jarum hecting BT 9 bks 12 pcs 1
113 Jarum hecting BR19 bks 12 pcs 1
114 Jarum hecting GT bks 12 pcs 1
115 Jarum hecting GR bks 12 pcs 1
116 Alat suntik 0,5 ml set
117 Alat suntik 0,05 ml set
118 Syphilis test Ktk 30 test
MENGETAHUI
KEPALA PUSKESMAS
drg.Hanny
NIP : 19761024 200701 2 010
PNAME PUSKESMAS Belawa
PER 31 MARET 2019
SUB UNIT
POSK PUSTU POSK JUMLAH KET.

PUSTU POSK PUSTU POSK POSK
LIMPO LIMPO LEPPANGEN PUSKEL
LAUTANG MALAKKE TOKADDE BELAWA MACERO
RILAU RILAU G
7 8 9 10 11 12 10 11 12 13 14
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
4 2 4 2 332
6 23
2 2 7 2 7 261
373
5
5
7
-
5
1
-
-
26
-
4
1,222
-
1
1
12
-
-
-
2
28
-
-
100
-
1
1
1
1
-
1 1 1 4 2 1 4 2 1 81
-
38
2 1 4 1 1 4 1 1 235
1 1 40
92
-
3
139
48
7
-
46
-
1 1 1 1 1 8
-
126
5
50
2
-
-
1
-
1
1
-
-
2,405
324
2,318
-
13
6
-
10
400
1 1 1 1 1 1 26
5
3,612
-
11
22
19
9
11
1
2
41
-
-
142
37
-
-
91
85
100
1
12
-
1
-
4
5
1
-
2
55
1
1
1
1
-
-
-
Belawa, 1 April 2019 Belawa, 1 April 2019
PENGELOLA OBAT PENGELOLA OBAT

PUSKESMAS Belawa PUSKESMAS Belawa
Besse Saddia Besse Saddia

NIP : 19811008 200502 2 004 NIP : 19811008 200502 2 004

Stok Opname Maret 2019

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KODE PUSKESMAS : 73130901

200 - 1,000 600 -

11 Amitriptilin tablet salut 25 mg (HCl) tablet

19 Ampisilin sirup kering 125 mg/ 5 ml btl 60 ml

20 Antasida DOEN Tab tablet 2800 4500 903 228

30 Asam asetilsalisilat tablet 100 mg tablet

31 Asam asetilsalisilat tablet 500 mg tablet

32 Asam askorbat (Vit.C) tablet 50 mg tablet

35 Asam Mefenamat kaplet 500 mg tablet

42 Betametason tetes mata 1 mg/ml botol @ 5 ml

43 Bisakodil suppositoria 5 mg Suppositoria

48 Dekstrometorfan sirup 10 mg/5 ml btl 60 ml

Dekstrometorfan sirup 10 mg/5 ml

50 Dekstrometorfan tablet 15 mg (HBr) tablet

51 Diazepam injeksi 5 mg/ml ampul 23

62 Ekstraks Belladona tablet 10 mg tablet

Epinefrin (Adrenalin) injeksi 0,1 %

69 Fenobarbital injeksi i.m/i.v 50 mg/ml ampul

70 Fenobarbital tablet 30 mg tablet 1563

82 Gliseril Guaiakolat tablet 100 mg tablet

99 Kalsium Laktat (Kalk) tablet 500 mg tablet

Metil Ergometrin Maleat

135 Metronidazol infus 500 mg/100 ml botol @ 100 ml

137 Mikonazol krim/salep 2 % (Nitrat) tube @ 10 g

139 Natrium Bikarbonat tablet 500 mg tablet

140 Natrium Bikarbonat injeksi i.v. 8,4% ampul 25 ml

141 Natrium Diklofenak tablet 50 mg tablet

142 Natrium Diklofenak tablet 25 mg tablet

143 Natrium Diklofenak Gel emulsi Tube 78

144 Natrium Klorida larutan infus 0,9% btl 500 ml

154 Obat antituberkulosis kategori anak paket

156 Obat Batuk Hitam ( O.B.H ) cairan btl 100 ml

157 Obat Batuk Hitam ( OBH Itra) btl 120 ml 30 10

165 Klorfenol kamfer Menthol (CHKM) set

166 Mummiffying pasta set

170 Oksimetazolin tetes hidung 0,025% Botol @ 10 ml

171 Oksitetrasiklin salep mata 1% (HCl) tube @ 3,5 g

172 Oksitetrasiklin salep kulit 3% tube @ 5 g

183 Pirantel tab.Score (base) 125 mg tablet

Salep 2-4,kombinasi : Asam sulfat 2

215 Siprofloksasin tablet 500 mg (HCl) tablet

222 Tiamin (Vit.B1) injeksi 100 mg/ml ampul

223 Triheksifenidil tablet 2 mg tablet 3846

224 Triheksifenidil tablet 2 mg (Arkine) tablet

Vaksin BCG serb inj. 0,75 mg/ml +

226 Vaksin campak serb inj. + pelarut vial

227 Vaksin kombinasi DPT-HB-Hib inj vial

231 Vaksin polio t-OPV drops 10 dosis vial

455 200 215 30 120 248 180 4694

180 275 215 60 120 215 100 60 15175

180 100 120 50 90 80 80 2730

172 130 150 100 432 22264

50 145 100 40 2014

355 104 250 40 90 384 50 25 9264

280 35 190 55 90 209 10 20 3434

74 110 296 20 719 90 380 11012

130 100 80 120 50 60 1239

117 170 250 300 100 453 100 32234

90 190 150 130 100 130 4027

160 80 90 150 90 9260

TANGGAL 29 maret 2019

1 ACT Tab 3 blister @ 8 tablet

Medroxyprogesteron Acetat 150 mg

3 Air untuk irigasi 1000 ml botol 1000ml