2018

No.
Nama Obat & Perbekalan Kesehatan
1 2
OBAT
1 Albendazol tablet 400 mg
2 Albothyl concentrat
3 Alopurinol tablet 100 mg
4 Ambroxol tab 30 mg
5 Aminofilin tablet 200 mg
6 Aminofilina injeksi 24 mg/ml - 10 ml
7 Amitriptilin HCl tablet salut 25 mg
8 Amlodipin tablet 5 mg
9 Amoksisilin kaplet 500 mg
10 Amoksisilin kapsul 250 mg
11 Amoksisilin sirup kering 125 mg/5ml
12 Amoksisilin sirup kering Forte 250 mg/5ml
13 Ampisilin serbuk injeksi im/iv 1000 mg/ml
14 Antalgin (Metampiron) tablet 500 mg
15 Antalgin injeksi 250 mg/ml - 2 ml
16 Antasida DOEN suspensi
17 Antasida DOEN tab,kombinasi:Mg-Hidroksida 200mg+Al. Hidroksida. 200 mg
18 Anti Bakteri DOEN salep kombinasi:Basitrasin 500 IU/g + Polimiksin 10.000 IU/g
19 Anti Hemoroid DOEN Kombinasi
20 Antifungi DOEN Kombinasi:Asam Benzoat 6% + Asam Salisilat 3%
21 Antimigren:Ergotamin Tartrat 1 mg + Kofein 50 mg
22 Antiparkinson DOEN tablet kombinasi:Karbidopa 25 mg + Levodopa 250 mg
23 Aqua pro Injeksi steril 25 ml, bebas pirogen
24 Aquadest steril 500 ml
25 Asam Asetilsalisilat (Asetosal) tablet 100 mg
28 Asam Askorbat (Vit C) tablet 100 mg
30 Asam Mefenamat tablet salut selaput 500 mg
31 Asam Traneksamat injeksi
32 Asam Traneksamat kapsul 250 mg
34 Asiklovir krim 5%
35 Asiklovir tablet 400 mg
36 Atapulgit tablet 600 mg
37 Atropin injeksi im/iv/sk 0,25 mg/ml - 1 ml ( Sulfat )
38 Atropin Sulfat tablet 0,5 mg
39 Bekarbon tablet
40 Benzatin Bensil Penisillin 2,4 juta IU/Vial
41 Betahistin Mesilat tablet 6 mg
42 Betametason krim 0,5 mg/g
43 Bisacodyl suppositoria 10 mg dewasa
44 Bisacodyl supposituria anak
45 Bisacodyl tab. 5 mg
46 Cefotaxime inj. 1.000 mg
47 D 40 Inj
48 Deksametason injeksi iv. 5 mg/ml - 1 ml
49 Deksametason tablet 0,5 mg
50 Dekstran 70 - larutan infus 6% steril
51 Dekstrometorfan sirup 10 mg/5 ml (HBr)
52 Dekstrometorfan tablet 15 mg ( HBr )
53 Diazepam injeksi 5 mg/ml - 2 ml
54 Diazepam lar rektal 10mg/ 2,5 ml (Stesolid)
55 Diazepam tablet 2 mg
57 Dietilkarbamazin Sitrat ta.100 mg
58 Difenhidramin inj im.10 mg/ml-1 ml ( HCl )
59 Digoksin tablet 0,25 mg
60 Dimenhidrinat tablet 50 mg
61 Domperidon tablet 10 mg
62 Efedrin HCl tablet 25 mg ( HCl )
63 Ekstrak Belladon tablet 10 mg
64 Epinefrina ( Adrenalina ) Injeksi 0,1% - 1 ml ( HCl )
65 Erytromycin kapsul 500 mg
67 Erytromycin sirup 200 mg/5 ml
68 Etakridin ( Rivanol ) larutan 0,1%
69 Etanol 70%
70 Fenitoin injeksi 50 mg/ml
71 Fenitoin Natrium kapsul 100 mg
73 Fenobarbital inj im/iv 50 mg/ml 1ml
74 Fenobarbital tablet 100 mg
76 Fenol Gliserol tetes telinga 10%
77 Fitomenadion (Vit.K1) injeksi 2 mg/ml - 1 ml
78 Fitomenadion (Vit.K1) tablet salut gula 10 mg
79 Fluphenazin Decanoate 25mg/ml (Sikzonoate Inj)
80 Furosemid injeksi iv/im 10 mg/ml
81 Furosemid tablet 40 mg
82 Gameksan lotion 1 %
83 Garam Oralit untuk 200 ml air
84 Gentamisin injeksi 40 mg/ml (sbg Sulfat)
86 Gentamisin salep kulit 0,1 %
87 Gentian Violet larutan 1 %
88 Glibenklamid tablet 5 mg
89 Gliseril Guayakolat tablet 100 mg
90 Gliserin 100 ml
91 Glukosa larutan infus 5 %
92 Griseovulvin tablet 125 mg,micronized
93 Haldol Decanoat 50 mg/ml inj
94 Haloperidol 5mg/ml inj
95 Haloperidol tablet 0,5 mg
97 Haloperidol tablet 5 mg
98 Hidrogen Peroksida cairan 3%
99 Hidroklorotiazid (HCT) tablet 25 mg
100 Hidrokortison krim 2,5 %
101 Ibuprofen suspensi 100mg/ 5 ml
102 Ibuprofen tablet 200 mg
104 Isosorbid Dinitrat tablet sublingual 5 mg
105 Kalium Permanganat serbuk
106 Kalsium Glukonat inj 100mg/ml / Ca Gluconas
107 Kalsium Laktat (Kalk) tablet 500 mg
108 Kaptopril tablet 25 mg
110 Karbamazepin tablet 200 mg
111 Karbogliserin tetes telinga 10 %
112 Ketokonazol tablet 200 mg
113 Kloramfenikol injeksi 1000 mg
114 Kloramfenikol kapsul 250 mg
115 Kloramfenikol salep mata 1 %
116 Kloramfenikol suspensi 125 mg/5 ml
117 Kloramfenikol tetes mata 1 %
118 Kloramfenikol tetes telinga 3 %
119 Klorfeniramin Maleat (CTM) tablet 4 mg
120 Klorpromazin injeksi 25 mg/ml - 1 ml ( HCl )
122 Klorpromazin HCl tablet salut 100 mg(HCl)
123 Klorpromazin tablet salut 25 mg ( HCl )
124 Kodein tablet 10 mg
125 Kombinasi ekstrak Plasenta 100 mg, Neomisin Sulfat 5 g/gram tube
126 Kombinasi gameksan 10 mg, Asam usnat 10 mg/g
127 Kombinasi Metampiron, ekstrak Belladona, Papaverin HCl tablet
128 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim 40 mg / 5 ml
129 Kotrimoksazol tablet kombinasi: Sulfametoksazol 400 mg + Trimetoprim 80 mg (Kotrim adult)
130 Kotrimoksazol tablet pediatrik, kombinasi:Sulfametoksazol 100 mg + Trimetoprim 20 mg
131 Larutan elektrolit D5 - 1/2 NS
133 Lidokain HCl 2%
134 Lidokain komp. injeksi, Kombinasi:Lidokain HCl 2% + Epinefrin 1:80.000 - 2 ml
135 Lisol, mengandung Kresol tersabun 50%
136 Loratadin tablet 10 mg
137 Magnesium Sulfat injeksi (iv) 20 % - 25 ml
139 Metamizole inj 1 gr / 2 ml
140 Metformin HCl tablet 500 mg
141 Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg
142 Metilergometrin Maleat inj 0,200 mg-1 ml
143 Metoklopramide inj. 5 mg / 1 ml
144 Metoklopramide tablet 10 mg
145 Metronidazol tablet 250 mg
147 Mikonazol cream
148 Mineral Mix Kombinasi
149 Natrium Bikarbonat tablet 500 mg
150 Natrium Diklofenak tablet 50 mg
151 Natrium Klorida larutan infus 0,9 % steril
152 Nifedipin tablet 10 mg
153 Nistatin tablet salut 500.000 IU/g
154 Nistatin tablet vaginal 100.000 IU/g
155 Obat Batuk Hitam ( O.B.H. ) cairan
156 Oksitetrasiklin HCl salep kulit 3 %
157 Oksitetrasiklin HCl salep mata 1 % ( HCl )
158 Oksitetrasiklin HCl injeksi i.m. 50 mg/ml
159 Oksitosin injeksi 10 IU/ml - 1 ml
160 Omeprazol injeksi 40 mg/ 10 ml
161 Omeprazol kapsul 20 mg
162 Parasetamol sirup 120 mg/5 ml
163 Parasetamol tablet 100 mg
165 Petidin injeksi
166 Pirantel sirup 125mg/5ml
167 Pirantel tablet score ( base ) 125 mg
168 Piridoksin (Vit.B6) tablet 10 mg ( HCl )
169 Piroksikam tablet 20 mg
170 Polikresulen 3,6 mg / ml konsentrat
171 Povidon Iodida 10 %, 30 ml
173 Prednison tablet 5 mg
174 Prokain Penisilin inj 3 jt
175 Propanolol tablet 10 mg (HCl)
176 Propiltiourasil tablet 100 mg (PTU )
177 Propranolol tablet 40 mg (HCl)
178 Ranitidin injeksi 25 mg/ml
179 Ranitidin tablet 150 mg
180 Ringer Asetat larutan infus steril
181 Ringer Laktat larutan infus steril
182 Risperidon 2 mg
183 Salbutamol 2,5 mg respulles (Komb Ipratropium Br 0,5mg+Salbutamol2,5mgnebules) Combivent
184 Salbutamol Inhaler 100 mcg/dosis
185 Salbutamol tablet 2 mg ( sebagai sulfat )
187 Salep 2-4 , Kombinasi:Asam Salisilat 2% + Belerang Endap 4%
188 Salisil Bedak 2 %
189 Scabicid Cream tube 10 gram
190 Sefadroksil kapsul 500 mg
191 Sefadroksil sirup kering 125 mg/ 5 ml
192 Sefiksim kapsul 100 mg
193 Serum Anti Bisa Ular Polivalen injeksi 5 ml (ABU I)
194 Serum Anti Difteri 20.000 SI/vial (A.D.S.)
195 Serum Anti Tetanus Injeksi 1.500 IU/ampul (A.T.S.)
196 Sianokobalamin (Vit.B12) injeksi 500 mcg - ml
197 Simetidin tablet 200 mg
198 Simvastatin tablet 10 mg
199 Siprofloksasin tablet 500 mg (sebagai HCl)
200 Sulfadimidin tablet 500 mg
201 Sulfasetamida Natrium tetes mata 15 %
202 Tetrasiklin kapsul 250 mg
204 Tiamfenikol kapsul 500 mg
205 Tiamin (Viamin B1) tablet 50 mg (HCl / Mononitrat )
206 Tiamin (Vit B1) tablet 100 mg
207 Tiamin (Vitamin B1) injeksi 100 mg/ml-1 ml
208 Triamcinolone acetate krim
209 Trifluoperazine tablet 5 mg
210 Triheksifenidil Hidroklorida tablet 2 mg
211 Vitamin B Kompleks tablet
212 Zinc sirup 10 mg/ml
213 Zinc tablet 20 mg
214 Ketoprofen
SWADANA
1 Simvastatin
2 Ringer Lactat
3 D5 1/2
4 Metamizol Inj
5 Salbutamol 2,5mg+Ipratropium Bromida inhalasi (Combivent)
6 Bisacodril anak (Dulcolax)
7 Dulcolax Supp Infant Bisacodril Suppositoria 10 mg
8 Generik Amplodipin tablet/kapsul/kaplet 10 mg
9 Generik Amoksisilin kapsul/kaplet/tablet scored 500 mg
10 Generik Asam Askorbat (vitamin C) 50 mg
11 Generik Griseofulvin tablet /kapsul/kaplet/ 125 mg
12 Generik Vitamin B Kompleks tablet
13 Ambroxol tab
14 Ampisilin serb inj 1000 mg/vial
15 D 40%
16 Glibenklamide
17 Propiltiourasil
PERBEKALAN KESEHATAN
214 Alat suntik sekali pakai 1 ml
215 Alat suntik sekali pakai 2,5 ml/3 ml
219 Blood Transfusion Set
220 Catgut / Benang Bedah No. 2/0 - 3/0 dengan jarum bedah Khromic
221 Catgut / Benang Bedah No. 3/0 plain
222 Catgut / Benang Bedah No. 3/0 chromic
223 Foley Catheter No. 16
225 Hansaplast
226 Hands shoen non steril No. 7
227 Hands shoen steril No. 7
228 Infusion set anak
229 Infusion set dewasa
230 IV Catether No. 18
234 Jarum jahit bedah No. 9 s/d 14
235 Kapas Berlemak 500 gram
236 Kapas Pembalut / Absorben 250 gram
237 Kasa Kompres 40/40 steril
238 Kasa Pembalut 2 m x 80 cm
239 KI 0.05 ml
240 KI 0.5 ml
241 KI 5 ml
242 Kasa Pembalut Hidrofil 4 m x 3 cm hidrofil/elastic
244 Kasa Steril 16 x 16 cm
245 Maag Slang No. 16
247 Masker
248 Normject 2 ml
249 Normject 5 ml
250 Plester 5 yards x 2 inch
251 Silk (Benang Bedah Sutera) No. 3/0 dengan jarum bedah
252 Safety Box 2,5 L
253 Safety Box 5 L
254 Urine bag steril 2 LT
255 Under Pad
SWADANA
1 Lumatule
2 Benang tali pusat
3 Sarung tangan panjang
4 Selang penghisap lendir bayi
5 Hipavix
6 Underpad
7 Hansaplast ( per kotak @ 10 biji )
8 Mess Aesculap
9 Blood Lancet
10 Alat suntik habis pakai 10 ml ( box @ 100 biji )
12 Folley Catheter no.16
14 Jarum 26
15 Heacting Naid G/T 11
16 Jelly Catheter
17 Gelang bayi
18 Kartu Golda
19 Surflo IV 18
20 Surflo IV 20
21 Surflo IV 22
22 Surflo IV 24
23 Masker Karet
24 Masker Air Lux
25 Masker Tali
26 Handle hand scrub
27 Alkohol Antiseptik Gel
28 Gelang Pasien Dewasa
29 Masker Medical Respirator
30 Gel ECG
31 Hanscun Industri M
32 Hanscun Industri L
33 Hanscun Non Steril ukuran S
34 Hanscun Non Steril ukuran M
35 Hanscun Non Steril ukuran L
36 Paper Print Dirui
37 Paper Print Foto Meter
38 Oneject spuit 0.5 ml
39 Catgut Chromic 3/0 + jaum 1/2 GT 33 mm
40 Handscun Steril
41 Kasa pembalut hidrofil 2 m x 80 cm
43 Plesterin non woven
44 Silk 3/0 + jarum 1/2 GT 35 mm
45 Alkohol Antiseptik Gel Revil
46 Tabung K3 EDTA
47 Yellow Tip
48 Masker Oksigen Dewasa
49 Safety box
50 Kapas
51 TERUMO Disp. Syringe with Needle 5 CC
53 Plesterin 10 cm x 10 m
54 Under Pad
55 Hanscun Steril M
56 Blood Trasfusion Set
REAGEN LABORATORIUM
256 EDTA Powder
257 KOH 10 %
258 Larutan Asam asetat 6%
259 Larutan Asam Klorida 0,1 N
260 Larutan Asam Klorida 2 %
261 Larutan Asam sulfosalisilat
262 Larutan Ba Cl2
263 Larutan Benedict
264 Larutan Eosin 2%
265 Larutan Ether Alkohol
266 Larutan Faucheet
267 Larutan Giemsa Stain
268 Larutan HCl-alkohol /Lart. Etanol asam
269 Larutan Karbol Fuksin
270 Larutan Metilen Biru
271 Larutan Rees Ecker
272 Larutan Shlessinger
273 Larutan Turk
274 Metanol
275 Oil imersion
276 Reagen Asam Urat
277 Reagen Golongan Darah Antigen A
278 Reagen Golongan Darah Antigen B
279 Reagen Gula Darah
280 Reagen Kolesterol
281 Reagen Urin Stik 10 Parameter
282 Reagen Widal (AO, BO,H,O)
283 Xylol
284 Reagen RPR Syphilis/Titer (Plasmatec/RPR tes kit, RPR 0/012)
285 Rapid Syphilis/ Standar Diagnostic (Alere) Bioline
286 Asam Urat Stik
287 Reagent Gula Darah Stik
288 Reagent Colesterol Stik
SWADANA
1 Asam urat stik ( 25 stik )
2 EDTA Powder
3 Gula darah stik ( 25 stik )
4 Urine stik 10 parameter
6 Stik colesterol ( 10 stik )
7 Reagent colesterol
8 Plano test ( 50 strip )
9 Larutan HCl 0.1 N 100 ml
10 Rees Eacher 100 ml
12 Larutan Turk 100 ml
14 Reagent SGOT 5 X 20 ML
15 Reagent SGPT 5 X 20 ML
16 Creatinine
17 Kertas Lakmus Biru
18 Larutan KOH 10 %
19 Giemsa 100 ml
20 Methanol 250 ml
21 Diluent
22 EZ Cleaner
23 Thermal Paper Hematologi
24 Rinse 20 ltr
25 Lyse 500 ml
26 Probe Cleaner 17 ml
27 Urine Stik Dirui
28 Widal ( AO,BO,H,O)
29 Gol Darah A
30 Gol Darah B
31 HBs Ag Strip
32 Darah Kontrol
33 HB Stik
OBAT GIGI
286 Dentorit
287 Etil Klorida spray
288 Eugenol cairan
289 Fluor tablet 0,5 mg
290 Glass Ionomer Cement ART
291 Kalsium Hidroksida Pasta
292 Monochlorkamfer mentol ( CHKM )
293 Mummifying Pasta
294 Povidon Iodine obat kumur
295 Semen Seng Fosfat serbuk dan cairan
296 Silver Amalgam serbuk 65 - 75 %
297 Temporary Stopping Fletcher (Fletcher) serbuk dan cairan
298 Tri Kresol Formalin
SWADANA
1 ETSA
2 Bounding
3 Composit ( A1,A2,A3)
4 Cavit
5 Calsium Hydroxide
6 GIC
OBAT PROGRAM
Flu Burung :
299 Oseltamivir kapsul 75 mg
Gizi :
300 Retinol Kapsul ( Vitamin A ) 100.000 IU
301 Retinol kapsul ( Vitamin A ) 200.000 IU
302 Tablet Tambah Darah ( TTD )
303 Yodiol
Anti Lepra :
304 MB Anak
305 MB Dewasa
306 PB Anak
307 PB Dewasa
Anti Malaria :
308 ACT ( Artesunate + Amodiaquin ) Arsuamoon
309 ACT ( Dehidro Artemisin + Piperaquin ) Arterakine
310 Artemeter inj. 80 mg/ml
311 Artesunate inj.
312 Doksisiklin kapsul 100 mg
313 Kina dihidroklorida inj. 25 %-2ml
314 Kina tablet 200 mg
315 Primakuin tablet 15 mg
Anti TBC :
316 Ethambutol tablet 400 mg
318 FDC KIT I / III
319 FDC kit II
320 OAT Anak
321 OAT Kategori I
322 OAT Kategori II
323 OAT Kategori III
324 OAT Sisipan
325 Pirazinamid tablet 500 mg
Imunisasi :
326 Vaksin BCG bayi
327 Vaksin Campak
328 HB Uniject 0,5 ml
KIA :
329 Kondom
330 IUD
331 Urine Rapid Test
332 Progesteron Depo inj ( 3 bulan )
333 Spuit KB
334 Metronidazole 500 mg inj
335 Calcium Gluconas inj
336 Catgut Chromic 1/0
337 Kantung Urine Dewasa
338 Rapid Test Siphilis
339 Urine Strip
340 Implant KB / Levonogestrel 75 mg
341 Transfusion Set
342 Pil Kontrasepsi ( Microdiol )
ANTI RETROVIRAL:
343 Nevirapine (NVP) 200 mg
344 Zidofudine (ZDV) 300 mg + Lamivudine (3TC) 150 mg
345 Tenofovir 300 mg (TDF) + Emcitritabine 200 mg (FTC)
PENERIMAAN SUB UNIT DARI GUDANG INDUK
Kelas Stok Peneri Perse

Satuan
Terapi Awal maan diaan
Geban Pol
3 4 5 6 7 g Bersal Pojok Rawat Bangs
Plabu Puri S
Bunde in Klitih Inap ri
han
r
1 2 3 4 5 6 7
tablet 6.1.1 637 637
fles 0
tablet 1.2 0 700 700
tablet 800 800
tablet 26.1 400 400 50
ampul 26.1 52 52
tablet 23.2 800 800
tablet 0
kaplet 6.21 400 10000 10400
kapsul 6.21 0
botol 6.21 59 59 2 2
botol 6.21 0
vial 6.21 220 220
tablet 1.2 0
ampul 1.2 0
botol 25.1 0
tablet 25.1 1700 8000 9700 100 50
tube 18.2 0
supp 25.3 10 60 70
pot 18.3 0 0
tablet 7.2 0
tablet 9 0
vial 20.3 62 150 212
botol 30 0
tablet 1.2 0
tablet 1.2 0
tablet 1.2 0
tablet 29 0
tablet 29 300 3000 3300 50
tablet 500 500
ampul 0
kapsul 0
kapsul 0
tube 0
tablet 0
tablet 0 400 400
vial 25.4 0
tablet 25.4 0
tablet 0
vial 6.2.1 0
tablet 0
tube 7 12 19
suppo 0
suppo 0 0
ampul 0
vial 0
ampul 0 0
ampul 3 6 6
tablet 16.4 900 900
botol 11.2 0
botol 26.2 0
tablet 26.2 0
ampul 5 22 22
tube 5 4 4
tablet 5 1600 1600
tablet 5 0
tablet 6.1.2 0
ampul 3 34 34
tablet 17.5 0 0
tablet 500 400 900 20
tablet 400 400
tablet 26.1 0
tablet 25.4 0
ampul 3 0 0
tablet 1970 1970 50
tablet 0
botol 0 0
botol 6.2.4 0
botol 6.2.4 21 24 45 1 1 1
ampul 5 0
kapsul 5 300 1000 1300
kapsul 5 0
ampul 5 0
tablet 5 0
tablet 5 0
botol 28.2 0
ampul 10.2 4 15 19
tablet 10.2 0 0
ampul 0
ampul 67 67
tablet 14 50 100 150
botol 18.5 0
sak 20.1 0 400 400
ampul 0
ampul 0
tube 0
botol 14.2 0
tablet 16.1.1 0 1500 1500
tablet 26.3 3500 10000 13500 100 50 50
botol 20.2 0
botol 20.2 153 153
tablet 0 0
ampul 4 4
ampul 23.4 0
tablet 23.4 400 1100 1500
tablet 23.4 0
tablet 23.4 600 600
botol 7 7
tablet 15 0
tube 18.4 0 0
botol 1.2 0
tablet 1.2 0
tablet 1.2 2100 100 2200 50
tablet 17.1 100 100
botol 13.1 0
botol 5 5
tablet 29 0 0
tablet 4700 4700 50 30 20
tablet 0
tablet 0
botol 15 15
ampul 0
ampul 21 21
kapsul 6.2.2 0
tube 21.21 0 48 48
botol 0 50 50
botol 0 0
botol 13 13
tablet 3 3200 6700 9900 50 50 50
ampul 25.4 0
ampul 25.4 0
tablet 25.4 700 300 1000
tablet 25.4 0 0
tablet 26.2 75 75
tube 0
tube 0
tablet 0
botol 6.2.2 65 65 2
tablet 6.2.2 0 0
tablet 6.2.2 0
botol 0 0
botol 13 13
ampul 0
ampul 14.1 14 90 104
botol 13.2 0
tablet 0
ampul 5 0
ampul 5 3 3
vial 0 0
tablet 600 600
tablet 22.1 140 140
ampul 22.1 0 0
ampul 0
tablet 0
tablet 6.2.2 100 1000 1100
tablet 6.2.2 0
tube 0
sachet 0
tablet 4.1 0
tablet 0 0
botol 20.2 0
tablet 800 800
tablet 0 0
tablet 6.3 41 41
botol 26.3 0 0
tube 18.2 0
tube 21.2.2 0
vial 6.2.2 0
ampul 22.1 46 20 66
vial 0
kapsul 0 0
botol 1.2 60 100 160
tablet 1.2 0
tablet 1.2 6500 14000 20500 100 100 100 30 100
ampul 11 0
botol 6.1.1 0
tablet 6.1.1 0
tablet 29 0 1000 1000
tablet 0
14.2 0
botol 0
botol 0 2 2
tablet 16.4 400 1000 1400
vial 0
tablet 7.1 0
tablet 16.3 0
tablet 7.1 0
ampul 50 400 450
tablet 0
botol 20.2 0
botol 20.2 250 800 1050
tablet 0 0
ampul 26.1 0 0
pot 0
tablet 26.1 0 1300 1300
tablet 26.1 0
pot 18.4 0 0
kotak 18.8 16 30 46
tube 0
kapsul 0
botol 0
kapsul 0
vial 1 1
ampul 0
ampul 7 7
ampul 10.1 0
tablet 0
tablet 0 0
tablet 100 500 600
tablet 0
botol 0
kapsul 21.2 0
kapsul 21.2 100 200 300
kapsul 0 500 500
tablet 29 7200 3500 10700 50 100 50 50
tablet 29 0
ampul 29 0
tube 0
tablet 0
tablet 9 100 1000 1100
tablet 29 1100 7500 8600 100
botol 0
tablet 0
0 0
0 0
0 0
0 0
1 1
709 709
167 167
12 12
50 50
3450 3450
30000 30000 100 50 50
3000 3000 50
5500 5500
4000 4000 50
500 500
1000 1000
50 50
7700 7700
2500 2500
set 32 38 38
set 32 0 300 300
set 32 715 715
set 32 0
set 32 0
set 32 0 0
biji 32 0
biji 32 1 1
biji 0
set 0 0
set 4 4
biji 0
biji 0 0
pasang 0 0
set 23 20 43
set 1 300 301 3
set 89 89
set 0
set 0
set 0
biji 0
bungkus 0
bungkus 2 2
bungkus 0
biji 13 13
set 0
set 0
set 0
rol 40 40
rol 0 0
rol 64 32 96
biji 0
biji 0
biji 0
set 0
set 0
roll 0 0
biji 0
lembar 0
lembar 0
biji 4 4
biji 29 29
210 210
1 1
0 0
47 47
0 0
0 0
553 553
801 801
0
0 0
165 165
13 13
125 125
100 100
36 36
5 5 1
91 91
0 0
300 300
480 480
311 311
184 184
0 0
0 0
232 232
0 0
0 0
300 300
0 0
5 5
0 0
312 312
7300 7300 100
9300 9300
4100 4100
0 0
0 0
0 0
0 0
29 29
56 56 5
135 135
0 0
59 59
3 3
0 0
0 0
0 0
0 0
0 0
100 100
464 464 10 10
30 30
135 135
15 15
71 71
botol 31 1 1
botol 31 0 0
botol 31 0 0
botol 31 0 0
botol 31 0 0
botol 31 0 0
botol 31 0 0
botol 31 0 0
botol 31 0 0
botol 31 0 0
botol 31 0 0
botol 0 0
botol 0 0
botol 0 0
botol 0 0
botol 0 0
botol 0 0
botol 0 0
botol 0 0
botol 0 0
set 0 0
set 0.25 0.25
set 0.25 0.25
set 0 0
set 0 0
set 0 0
set 0.25 0.25
botol 0 0
set 0 0
0 0
50 50
75 75
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
botol 14.1 0 0
botol 14.1 0.75 0.75
botol 14.1 0.75 0.75
tablet 14.1 0 0
set 14.1 0 0
set 14.1 0 0
botol 14.1 2 2
botol 0 0
botol 0 0
botol 0 0
botol 0 0
botol 0 0
botol 0 0
0 0
0 0
0 0
0 0
0 0
0 0
kapsul 0 0
kapsul 0 0
kapsul 4777 4777
tablet 37268 37268 60 30 60
kapsul 0 0
blister 0 0
blister 0 0
blister 0 0
blister 0 0
tablet 0 0
tablet 0 0
ampul 0 0
kotak 0 0
kapsul 0 0
ampul 0 0
tablet 0 0
tablet 0 0
tablet 0 0
tablet 0 0
paket 0 10 10
paket 1 1
paket 0 0
paket 0 0
paket 0 0
paket 0 0
paket 0 0
tablet 0 0
vial 0 0
vial 0 0
ampul 0 0
0 0
botol 0 0
pak 0 0
vial 0 0
bj 0 0
vial 0 0
ampul 0 0
set 0 0
set 0 0
set 0 0
set 0 0
set 0 0
set 0 0
strip 0 0
set 0 0
set 0 0
set 0 0
INDUK
Pemakaian
Pol Pustu Apotik

Kamp Jati Tondo Planda Gigi Plabu
Darure
UGD
Sumb
KIA Rawat
ung Mlerek Wulan an han
jo erejo
Jalan
Baru
8 9 10 11 12 13 14 15 16 17 18 19
100 200
50 50 30 100 200 100
30 100
2
30
20 100
4 5
20
100 50 50 200 200 100
100
20
30 100 200
50 50 100 100 200 100

10
15 5
30
3 5
100 200 500 100

100 100
30
2 2
50 50 100 100
50 30 100 100 100

50 100 100
2 11
64
10
5
50 10
6 400
100
20
15 10 10 10 20 15
0.25 2
60
Jumlah
Sisa
KET
Stok
9 10 11
0 637
0 0
0 700
0 800
50 350
0 52
0 800
0 0
300 10100
0 0
4 55
0 0
0 220
0 0
0 0
0 0
680 9020
0 0
0 70
0 0
0 0
0 0
0 212
0 0
0 0
0 0
0 0
0 0
180 3120
0 500
0 0
0 0
0 0
0 0
0 0
0 400
0 0
0 0
0 0
0 0
0 0
2 17
0 0
0 0
0 0
0 0
0 0
0 6
30 870
0 0
0 0
0 0
0 22
0 4
0 1600
0 0
0 0
0 34
0 0
20 880
0 400
0 0
0 0
0 0
170 1800
0 0
0 0
0 0
12 33
0 0
0 1300
0 0
0 0
0 0
0 0
0 0
0 19
0 0
0 0
0 67
0 150
0 0
20 380
0 0
0 0
0 0
0 0
0 1500
900 12600
0 0
0 153
0 0
0 4
0 0
100 1400
0 0
0 600
1 6
0 0
0 0
0 0
0 0
70 2130
0 100
0 0
0 5
0 0
430 4270
0 0
0 0
0 15
0 0
0 21
0 0
0 48
0 50
0 0
0 13
750 9150
0 0
0 0
0 1000
0 0
0 75
0 0
0 0
0 0
12 53
0 0
0 0
0 0
0 13
0 0
20 84
0 0
0 0
0 0
0 3
0 0
0 600
0 140
0 0
0 0
0 0
30 1070
0 0
0 0
0 0
0 0
0 0
0 0
0 800
0 0
0 41
0 0
0 0
0 0
0 0
0 66
0 0
0 0
8 152
0 0
1330 19170
0 0
0 0
0 0
0 1000
0 0
0 0
0 0
0 2
200 1200
0 0
0 0
0 0
0 0
0 450
0 0
0 0
0 1050
0 0
0 0
0 0
30 1270
0 0
0 0
4 42
0 0
0 0
0 0
0 0
0 1
0 0
0 7
0 0
0 0
0 0
0 600
0 0
0 0
0 0
0 300
0 500
550 10150
0 0
0 0
0 0
0 0
0 1100
480 8120
0 0
0 0
0 0
0 0
0 0
0 1
0 709
0 167
0 12
0 50
0 3450
450 29550
50 2950
0 5500
50 3950
0 500
0 1000
0 50
0 7700
0 2500
0 38
0 300
0 715
0 0
0 0
0 0
0 0
0 1
0 0
0 0
0 4
0 0
0 0
0 0
0 43
3 298
0 89
0 0
0 0
0 0
0 0
0 0
0 2
0 0
13 0
0 0
0 0
0 0
0 40
0 0
64 32
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 4
0 29
0 210
0 1
0 0
0 47
0 0
0 0
10 543
5 796
0 0
0 0
0 165
0 13
0 125
0 100
0 36
1 4
0 91
0 0
0 300
0 480
0 311
0 184
0 0
0 0
60 172
0 0
0 0
0 300
0 0
0 5
0 0
0 312
100 7200
406 8894
100 4000
0 0
0 0
0 0
0 0
0 29
5 51
20 115
0 0
0 59
0 3
0 0
0 0
0 0
0 0
0 0
0 100
100 364
2.25 27.75
135
15
71
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 0.25
0 0.25
0 0
0 0
0 0
0 0.25
0 0
0 0
0 0
0 50
0 75
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0.75
0 0.75
0 0
0 0
0 0
0 2
0 0
0 0
0 0
0 0
0 0
0 0
0
0
0
210
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
No. Nama Obat & Perbekalan Kesehatan
1 2
OBAT
39 Bekarbon tablet
47 D 40 Inj
69 Etanol 70%
90 Gliserin 100 ml
133 Lidokain HCl 2%
147 Mikonazol cream
165 Petidin injeksi
182 Risperidon 2 mg
214 Ketoprofen
SWADANA
1 Simvastatin
2 Ringer Lactat
3 D5 1/2
4 Metamizol Inj
13 Ambroxol tab
15 D 40%
16 Glibenklamide
17 Propiltiourasil
225 Hansaplast
239 KI 0.05 ml
240 KI 0.5 ml
241 KI 5 ml
247 Masker
248 Normject 2 ml
249 Normject 5 ml
253 Safety Box 5 L
255 Under Pad
SWADANA
1 Lumatule
2 Benang tali pusat
5 Hipavix
6 Underpad
8 Mess Aesculap
9 Blood Lancet
14 Jarum 26
16 Jelly Catheter
17 Gelang bayi
18 Kartu Golda
19 Surflo IV 18
20 Surflo IV 20
21 Surflo IV 22
22 Surflo IV 24
23 Masker Karet
24 Masker Air Lux
25 Masker Tali
30 Gel ECG
40 Handscun Steril
46 Tabung K3 EDTA
47 Yellow Tip
49 Safety box
50 Kapas
54 Under Pad
55 Hanscun Steril M
REAGEN LABORATORIUM
256 EDTA Powder
257 KOH 10 %
262 Larutan Ba Cl2
273 Larutan Turk
274 Metanol
275 Oil imersion
283 Xylol
286 Asam Urat Stik
SWADANA
2 EDTA Powder
16 Creatinine
18 Larutan KOH 10 %
19 Giemsa 100 ml
20 Methanol 250 ml
21 Diluent
22 EZ Cleaner
24 Rinse 20 ltr
25 Lyse 500 ml
27 Urine Stik Dirui
29 Gol Darah A
30 Gol Darah B
31 HBs Ag Strip
32 Darah Kontrol
33 HB Stik
OBAT GIGI
286 Dentorit
288 Eugenol cairan
SWADANA
1 ETSA
2 Bounding
4 Cavit
5 Calsium Hydroxide
6 GIC
OBAT PROGRAM
Flu Burung :
Gizi :
303 Yodiol
Anti Lepra :
304 MB Anak
305 MB Dewasa
306 PB Anak
307 PB Dewasa
Anti Malaria :
311 Artesunate inj.
Anti TBC :
318 FDC KIT I / III
319 FDC kit II
320 OAT Anak
321 OAT Kategori I
322 OAT Kategori II
324 OAT Sisipan
Imunisasi :
326 Vaksin BCG bayi
327 Vaksin Campak
KIA :
329 Kondom
330 IUD
333 Spuit KB
339 Urine Strip
341 Transfusion Set
ANTI RETROVIRAL:
Kelas Stok Peneri Persedi

Satuan
Terapi Awal maan aan
Geban Pol
Plabu Puri S
han
r
1 2 3 4 5 6 7
tablet 6.1.1 637 637
fles - -
tablet 1.2 700 700
tablet 800 800
tablet 26.1 350 350
ampul 26.1 52 52
tablet 23.2 800 800
tablet - -
kaplet 6.21 10,100 10,100
kapsul 6.21 - -
botol 6.21 55 55
botol 6.21 - -
vial 6.21 220 220
tablet 1.2 - -
ampul 1.2 - -
botol 25.1 - -
tablet 25.1 9,020 9,020
tube 18.2 - -
supp 25.3 70 70
pot 18.3 - -
tablet 7.2 - -
tablet 9 - -
vial 20.3 212 212
botol 30 - -
tablet 1.2 - -
tablet 1.2 - -
tablet 1.2 - -
tablet 29 - -
tablet 29 3,120 3,120
tablet 500 500
ampul - -
kapsul - -
kapsul - -
tube - -
tablet - -
tablet 400 400
vial 25.4 - -
tablet 25.4 - -
tablet - -
vial 6.2.1 - -
tablet - -
tube 17 17
suppo - -
suppo - -
ampul - -
vial - -
ampul - -
ampul 3 6 6
tablet 16.4 870 870
botol 11.2 - -
botol 26.2 - -
tablet 26.2 - -
ampul 5 22 22
tube 5 4 4
tablet 5 1,600 1,600
tablet 5 - -
tablet 6.1.2 - -
ampul 3 34 34
tablet 17.5 - -
tablet 880 880
tablet 400 400
tablet 26.1 - -
tablet 25.4 - -
ampul 3 - -
tablet 1,800 1,800
tablet - -
botol - -
botol 6.2.4 - -
botol 6.2.4 33 33
ampul 5 - -
kapsul 5 1,300 1,300
kapsul 5 - -
ampul 5 - -
tablet 5 - -
tablet 5 - -
botol 28.2 - -
ampul 10.2 19 19
tablet 10.2 - -
ampul - -
ampul 67 67
tablet 14 150 150
botol 18.5 - -
sak 20.1 380 380
ampul - -
ampul - -
tube - -
botol 14.2 - -
tablet 16.1.1 1,500 1,500
tablet 26.3 12,600 12,600
botol 20.2 - -
botol 20.2 153 153
tablet - -
ampul 4 4
ampul 23.4 - -
tablet 23.4 1,400 1,400
tablet 23.4 - -
tablet 23.4 600 600
botol 6 6
tablet 15 - -
tube 18.4 - -
botol 1.2 - -
tablet 1.2 - -
tablet 1.2 2,130 2,130
tablet 17.1 100 100
botol 13.1 - -
botol 5 5
tablet 29 - -
tablet 4,270 4,270
tablet - -
tablet - -
botol 15 15
ampul - -
ampul 21 21
kapsul 6.2.2 - -
tube 21.21 48 48
botol 50 50
botol - -
botol 13 13
tablet 3 9,150 9,150
ampul 25.4 - -
ampul 25.4 - -
tablet 25.4 1,000 1,000
tablet 25.4 - -
tablet 26.2 75 75
tube - -
tube - -
tablet - -
botol 6.2.2 53 53
tablet 6.2.2 - -
tablet 6.2.2 - -
botol - -
botol 13 13
ampul - -
ampul 14.1 84 84
botol 13.2 - -
tablet - -
ampul 5 - -
ampul 5 3 3
vial - -
tablet 600 600
tablet 22.1 140 140
ampul 22.1 - -
ampul - -
tablet - -
tablet 6.2.2 1,070 1,070
tablet 6.2.2 - -
tube - -
sachet - -
tablet 4.1 - -
tablet - -
botol 20.2 - -
tablet 800 800
tablet - -
tablet 6.3 41 41
botol 26.3 - -
tube 18.2 - -
tube 21.2.2 - -
vial 6.2.2 - -
ampul 22.1 66 66
vial - -
kapsul - -
botol 1.2 152 152
tablet 1.2 - -
tablet 1.2 19,170 19,170
ampul 11 - -
botol 6.1.1 - -
tablet 6.1.1 - -
tablet 29 1,000 1,000
tablet - -
14.2 - -
botol - -
botol 2 2
tablet 16.4 1,200 1,200
vial - -
tablet 7.1 - -
tablet 16.3 - -
tablet 7.1 - -
ampul 450 450
tablet - -
botol 20.2 - -
botol 20.2 1,050 1,050
tablet - -
ampul 26.1 - -
pot - -
tablet 26.1 1,270 1,270
tablet 26.1 - -
pot 18.4 - -
kotak 18.8 42 42
tube - -
kapsul - -
botol - -
kapsul - -
vial 1 1
ampul - -
ampul 7 7
ampul 10.1 - -
tablet - -
tablet - -
tablet 600 600
tablet - -
botol - -
kapsul 21.2 - -
kapsul 21.2 300 300
kapsul 500 500
tablet 29 10,150 10,150
tablet 29 - -
ampul 29 - -
tube - -
tablet - -
tablet 9 1,100 1,100
tablet 29 8,120 8,120
botol - -
tablet - -
- -
- -
-
- -
- -
1 1
709 709
167 167
12 12
50 50
3,450 3,450
29,550 29,550
2,950 2,950
5,500 5,500
3,950 3,950
500 500
1,000 1,000
50 50
7,700 7,700
2,500 2,500
set 32 38 38
set 32 300 300
set 32 715 715
set 32 - -
set 32 - -
set 32 - -
biji 32 - -
biji 32 1 1
biji - -
set - -
set 4 4
biji - -
biji - -
pasang - -
set 43 43
set 298 298
set 89 89
set - -
set - -
set - -
biji - -
bungkus - -
bungkus 2 2
bungkus - -
biji - -
set - -
set - -
set - -
rol 40 40
rol - -
rol 32 32
biji - -
biji - -
biji - -
set - -
set - -
roll - -
biji - -
lembar - -
lembar - -
biji 4 4
biji 29 29
210 210
1 1
- -
47 47
- -
- -
543 543
796 796
- -
- -
165 165
13 13
125 125
100 100
36 36
4 4
91 91
- -
300 300
480 480
311 311
184 184
- -
- -
172 172
- -
- -
300 300
- -
5 5
- -
312 312
7,200 7,200
8,894 8,894
4,000 4,000
- -
- -
- -
- -
29 29
51 51
115 115
- -
59 59
3 3
- -
- -
- -
- -
- -
100 100
364 364
28 28
135 135
15 15
71 71
botol 31 1 1
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
set - -
set 0 0
set 0 0
set - -
set - -
set - -
set 0 0
botol - -
set - -
- -
50 50
75 75
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
botol 14.1 - -
botol 14.1 1 1
botol 14.1 1 1
tablet 14.1 - -
set 14.1 - -
set 14.1 - -
botol 14.1 2 2
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
- -
- -
- -
- -
- -
- -
kapsul - -
kapsul - -
kapsul - -
tablet - -
kapsul - -
blister - -
blister - -
blister - -
blister - -
tablet - -
tablet - -
ampul - -
kotak - -
kapsul - -
ampul - -
tablet - -
tablet - -
tablet - -
tablet - -
paket - -
paket - -
paket - -
paket - -
paket - -
paket - -
paket - -
tablet - -
vial - -
vial - -
ampul - -
-
- -
botol - -
pak - -
vial - -
bj - -
vial - -
ampul - -
set - -
set - -
set - -
set - -
set - -
set - -
strip - -
set - -
set - -
set - -
INDUK
Pemakaian
Pol Pustu
Darure
UGD
jo
Baru
8 9 10 11 12 13 14 15 16 17 18 19
Jumlah
Sisa
KET
Stok
9 10 11
- 637
- -
- 700
- 800
- 350
- 52
- 800
- -
- 10,100
- -
- 55
- -
- 220
- -
- -
- -
- 9,020
- -
- 70
- -
- -
- -
- 212
- -
- -
- -
- -
- -
- 3,120
- 500
- -
- -
- -
- -
- -
- 400
- -
- -
- -
- -
- -
- 17
- -
- -
- -
- -
- -
- 6
- 870
- -
- -
- -
- 22
- 4
- 1,600
- -
- -
- 34
- -
- 880
- 400
- -
- -
- -
- 1,800
- -
- -
- -
- 33
- -
- 1,300
- -
- -
- -
- -
- -
- 19
- -
- -
- 67
- 150
- -
- 380
- -
- -
- -
- -
- 1,500
- 12,600
- -
- 153
- -
- 4
- -
- 1,400
- -
- 600
- 6
- -
- -
- -
- -
- 2,130
- 100
- -
- 5
- -
- 4,270
- -
- -
- 15
- -
- 21
- -
- 48
- 50
- -
- 13
- 9,150
- -
- -
- 1,000
- -
- 75
- -
- -
- -
- 53
- -
- -
- -
- 13
- -
- 84
- -
- -
- -
- 3
- -
- 600
- 140
- -
- -
- -
- 1,070
- -
- -
- -
- -
- -
- -
- 800
- -
- 41
- -
- -
- -
- -
- 66
- -
- -
- 152
- -
- 19,170
- -
- -
- -
- 1,000
- -
- -
- -
- 2
- 1,200
- -
- -
- -
- -
- 450
- -
- -
- 1,050
- -
- -
- -
- 1,270
- -
- -
- 42
- -
- -
- -
- -
- 1
- -
- 7
- -
- -
- -
- 600
- -
- -
- -
- 300
- 500
- 10,150
- -
- -
- -
- -
- 1,100
- 8,120
- -
- -
- -
- -
- -
- 1
- 709
- 167
- 12
- 50
- 3,450
- 29,550
- 2,950
- 5,500
- 3,950
- 500
- 1,000
- 50
- 7,700
- 2,500
- 38
- 300
- 715
- -
- -
- -
- -
- 1
- -
- -
- 4
- -
- -
- -
- 43
- 298
- 89
- -
- -
- -
- -
- -
- 2
- -
- -
- -
- -
- -
- 40
- -
- 32
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 4
- 29
- 210
- 1
- -
- 47
- -
- -
- 543
- 796
- -
- -
- 165
- 13
- 125
- 100
- 36
- 4
- 91
- -
- 300
- 480
- 311
- 184
- -
- -
- 172
- -
- -
- 300
- -
- 5
- -
- 312
- 7,200
- 8,894
- 4,000
- -
- -
- -
- -
- 29
- 51
- 115
- -
- 59
- 3
- -
- -
- -
- -
- -
- 100
- 364
- 28
135
15
71
- 1
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 0
- 0
- -
- -
- -
- 0
- -
- -
- -
- 50
- 75
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 1
- 1
- -
- -
- -
- 2
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1 2
OBAT
39 Bekarbon tablet
47 D 40 Inj
69 Etanol 70%
90 Gliserin 100 ml
133 Lidokain HCl 2%
147 Mikonazol cream
165 Petidin injeksi
182 Risperidon 2 mg
214 Ketoprofen
SWADANA
1 Simvastatin
2 Ringer Lactat
3 D5 1/2
4 Metamizol Inj
13 Ambroxol tab
15 D 40%
16 Glibenklamide
17 Propiltiourasil
225 Hansaplast
239 KI 0.05 ml
240 KI 0.5 ml
241 KI 5 ml
247 Masker
248 Normject 2 ml
249 Normject 5 ml
253 Safety Box 5 L
255 Under Pad
SWADANA
1 Lumatule
2 Benang tali pusat
5 Hipavix
6 Underpad
8 Mess Aesculap
9 Blood Lancet
14 Jarum 26
16 Jelly Catheter
17 Gelang bayi
18 Kartu Golda
19 Surflo IV 18
20 Surflo IV 20
21 Surflo IV 22
22 Surflo IV 24
23 Masker Karet
24 Masker Air Lux
25 Masker Tali
30 Gel ECG
40 Handscun Steril
46 Tabung K3 EDTA
47 Yellow Tip
49 Safety box
50 Kapas
54 Under Pad
55 Hanscun Steril M
REAGEN LABORATORIUM
256 EDTA Powder
257 KOH 10 %
262 Larutan Ba Cl2
273 Larutan Turk
274 Metanol
275 Oil imersion
283 Xylol
286 Asam Urat Stik
SWADANA
2 EDTA Powder
16 Creatinine
18 Larutan KOH 10 %
19 Giemsa 100 ml
20 Methanol 250 ml
21 Diluent
22 EZ Cleaner
24 Rinse 20 ltr
25 Lyse 500 ml
27 Urine Stik Dirui
29 Gol Darah A
30 Gol Darah B
31 HBs Ag Strip
32 Darah Kontrol
33 HB Stik
OBAT GIGI
286 Dentorit
288 Eugenol cairan
SWADANA
1 ETSA
2 Bounding
4 Cavit
5 Calsium Hydroxide
6 GIC
OBAT PROGRAM
Flu Burung :
Gizi :
303 Yodiol
Anti Lepra :
304 MB Anak
305 MB Dewasa
306 PB Anak
307 PB Dewasa
Anti Malaria :
311 Artesunate inj.
Anti TBC :
318 FDC KIT I / III
319 FDC kit II
320 OAT Anak
321 OAT Kategori I
322 OAT Kategori II
324 OAT Sisipan
Imunisasi :
326 Vaksin BCG bayi
327 Vaksin Campak
KIA :
329 Kondom
330 IUD
333 Spuit KB
339 Urine Strip
341 Transfusion Set
ANTI RETROVIRAL:

Satuan
Geban Pol
Plabu Puri S
han
r
1 2 3 4 5 6 7
tablet 6.1.1 637 637
fles - -
tablet 1.2 700 700
tablet 800 800
tablet 26.1 350 350
ampul 26.1 52 52
tablet 23.2 800 800
tablet - -
kaplet 6.21 10,100 10,100
kapsul 6.21 - -
botol 6.21 55 55
botol 6.21 - -
vial 6.21 220 220
tablet 1.2 - -
ampul 1.2 - -
botol 25.1 - -
tablet 25.1 9,020 9,020
tube 18.2 - -
supp 25.3 70 70
pot 18.3 - -
tablet 7.2 - -
tablet 9 - -
vial 20.3 212 212
botol 30 - -
tablet 1.2 - -
tablet 1.2 - -
tablet 1.2 - -
tablet 29 - -
tablet 29 3,120 3,120
tablet 500 500
ampul - -
kapsul - -
kapsul - -
tube - -
tablet - -
tablet 400 400
vial 25.4 - -
tablet 25.4 - -
tablet - -
vial 6.2.1 - -
tablet - -
tube 17 17
suppo - -
suppo - -
ampul - -
vial - -
ampul - -
ampul 3 6 6
tablet 16.4 870 870
botol 11.2 - -
botol 26.2 - -
tablet 26.2 - -
ampul 5 22 22
tube 5 4 4
tablet 5 1,600 1,600
tablet 5 - -
tablet 6.1.2 - -
ampul 3 34 34
tablet 17.5 - -
tablet 880 880
tablet 400 400
tablet 26.1 - -
tablet 25.4 - -
ampul 3 - -
tablet 1,800 1,800
tablet - -
botol - -
botol 6.2.4 - -
botol 6.2.4 33 33
ampul 5 - -
kapsul 5 1,300 1,300
kapsul 5 - -
ampul 5 - -
tablet 5 - -
tablet 5 - -
botol 28.2 - -
ampul 10.2 19 19
tablet 10.2 - -
ampul - -
ampul 67 67
tablet 14 150 150
botol 18.5 - -
sak 20.1 380 380
ampul - -
ampul - -
tube - -
botol 14.2 - -
tablet 16.1.1 1,500 1,500
tablet 26.3 12,600 12,600
botol 20.2 - -
botol 20.2 153 153
tablet - -
ampul 4 4
ampul 23.4 - -
tablet 23.4 1,400 1,400
tablet 23.4 - -
tablet 23.4 600 600
botol 6 6
tablet 15 - -
tube 18.4 - -
botol 1.2 - -
tablet 1.2 - -
tablet 1.2 2,130 2,130
tablet 17.1 100 100
botol 13.1 - -
botol 5 5
tablet 29 - -
tablet 4,270 4,270
tablet - -
tablet - -
botol 15 15
ampul - -
ampul 21 21
kapsul 6.2.2 - -
tube 21.21 48 48
botol 50 50
botol - -
botol 13 13
tablet 3 9,150 9,150
ampul 25.4 - -
ampul 25.4 - -
tablet 25.4 1,000 1,000
tablet 25.4 - -
tablet 26.2 75 75
tube - -
tube - -
tablet - -
botol 6.2.2 53 53
tablet 6.2.2 - -
tablet 6.2.2 - -
botol - -
botol 13 13
ampul - -
ampul 14.1 84 84
botol 13.2 - -
tablet - -
ampul 5 - -
ampul 5 3 3
vial - -
tablet 600 600
tablet 22.1 140 140
ampul 22.1 - -
ampul - -
tablet - -
tablet 6.2.2 1,070 1,070
tablet 6.2.2 - -
tube - -
sachet - -
tablet 4.1 - -
tablet - -
botol 20.2 - -
tablet 800 800
tablet - -
tablet 6.3 41 41
botol 26.3 - -
tube 18.2 - -
tube 21.2.2 - -
vial 6.2.2 - -
ampul 22.1 66 66
vial - -
kapsul - -
botol 1.2 152 152
tablet 1.2 - -
tablet 1.2 19,170 19,170
ampul 11 - -
botol 6.1.1 - -
tablet 6.1.1 - -
tablet 29 1,000 1,000
tablet - -
14.2 - -
botol - -
botol 2 2
tablet 16.4 1,200 1,200
vial - -
tablet 7.1 - -
tablet 16.3 - -
tablet 7.1 - -
ampul 450 450
tablet - -
botol 20.2 - -
botol 20.2 1,050 1,050
tablet - -
ampul 26.1 - -
pot - -
tablet 26.1 1,270 1,270
tablet 26.1 - -
pot 18.4 - -
kotak 18.8 42 42
tube - -
kapsul - -
botol - -
kapsul - -
vial 1 1
ampul - -
ampul 7 7
ampul 10.1 - -
tablet - -
tablet - -
tablet 600 600
tablet - -
botol - -
kapsul 21.2 - -
kapsul 21.2 300 300
kapsul 500 500
tablet 29 10,150 10,150
tablet 29 - -
ampul 29 - -
tube - -
tablet - -
tablet 9 1,100 1,100
tablet 29 8,120 8,120
botol - -
tablet - -
- -
- -
- -
1 1
709 709
167 167
12 12
50 50
3,450 3,450
29,550 29,550
2,950 2,950
5,500 5,500
3,950 3,950
500 500
1,000 1,000
50 50
7,700 7,700
2,500 2,500
set 32 38 38
set 32 300 300
set 32 715 715
set 32 - -
set 32 - -
set 32 - -
biji 32 - -
biji 32 1 1
biji - -
set - -
set 4 4
biji - -
biji - -
pasang - -
set 43 43
set 298 298
set 89 89
set - -
set - -
set - -
biji - -
bungkus - -
bungkus 2 2
bungkus - -
biji - -
set - -
set - -
set - -
rol 40 40
rol - -
rol 32 32
biji - -
biji - -
biji - -
set - -
set - -
roll - -
biji - -
lembar - -
lembar - -
biji 4 4
biji 29 29
210 210
1 1
- -
47 47
- -
- -
543 543
796 796
- -
- -
165 165
13 13
125 125
100 100
36 36
4 4
91 91
- -
300 300
480 480
311 311
184 184
- -
- -
172 172
- -
- -
300 300
- -
5 5
- -
312 312
7,200 7,200
8,894 8,894
4,000 4,000
- -
- -
- -
- -
29 29
51 51
115 115
- -
59 59
3 3
- -
- -
- -
- -
- -
100 100
364 364
28 28
135 135
15 15
71 71
botol 31 1 1
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
set - -
set 0 0
set 0 0
set - -
set - -
set - -
set 0 0
botol - -
set - -
- -
50 50
75 75
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
botol 14.1 - -
botol 14.1 1 1
botol 14.1 1 1
tablet 14.1 - -
set 14.1 - -
set 14.1 - -
botol 14.1 2 2
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
- -
- -
- -
- -
- -
- -
kapsul - -
kapsul - -
kapsul - -
tablet - -
kapsul - -
blister - -
blister - -
blister - -
blister - -
tablet - -
tablet - -
ampul - -
kotak - -
kapsul - -
ampul - -
tablet - -
tablet - -
tablet - -
tablet - -
paket - -
paket - -
paket - -
paket - -
paket - -
paket - -
paket - -
tablet - -
vial - -
vial - -
ampul - -
-
- -
botol - -
pak - -
vial - -
bj - -
vial - -
ampul - -
set - -
set - -
set - -
set - -
set - -
set - -
strip - -
set - -
set - -
set - -
INDUK
Pemakaian
Pol Pustu
Darure
UGD
jo
Baru
8 9 10 11 12 13 14 15 16 17 18 19
Jumlah
Sisa
KET
Stok
9 10 11
- 637
- -
- 700
- 800
- 350
- 52
- 800
- -
- 10,100
- -
- 55
- -
- 220
- -
- -
- -
- 9,020
- -
- 70
- -
- -
- -
- 212
- -
- -
- -
- -
- -
- 3,120
- 500
- -
- -
- -
- -
- -
- 400
- -
- -
- -
- -
- -
- 17
- -
- -
- -
- -
- -
- 6
- 870
- -
- -
- -
- 22
- 4
- 1,600
- -
- -
- 34
- -
- 880
- 400
- -
- -
- -
- 1,800
- -
- -
- -
- 33
- -
- 1,300
- -
- -
- -
- -
- -
- 19
- -
- -
- 67
- 150
- -
- 380
- -
- -
- -
- -
- 1,500
- 12,600
- -
- 153
- -
- 4
- -
- 1,400
- -
- 600
- 6
- -
- -
- -
- -
- 2,130
- 100
- -
- 5
- -
- 4,270
- -
- -
- 15
- -
- 21
- -
- 48
- 50
- -
- 13
- 9,150
- -
- -
- 1,000
- -
- 75
- -
- -
- -
- 53
- -
- -
- -
- 13
- -
- 84
- -
- -
- -
- 3
- -
- 600
- 140
- -
- -
- -
- 1,070
- -
- -
- -
- -
- -
- -
- 800
- -
- 41
- -
- -
- -
- -
- 66
- -
- -
- 152
- -
- 19,170
- -
- -
- -
- 1,000
- -
- -
- -
- 2
- 1,200
- -
- -
- -
- -
- 450
- -
- -
- 1,050
- -
- -
- -
- 1,270
- -
- -
- 42
- -
- -
- -
- -
- 1
- -
- 7
- -
- -
- -
- 600
- -
- -
- -
- 300
- 500
- 10,150
- -
- -
- -
- -
- 1,100
- 8,120
- -
- -
- -
- -
- -
- 1
- 709
- 167
- 12
- 50
- 3,450
- 29,550
- 2,950
- 5,500
- 3,950
- 500
- 1,000
- 50
- 7,700
- 2,500
- 38
- 300
- 715
- -
- -
- -
- -
- 1
- -
- -
- 4
- -
- -
- -
- 43
- 298
- 89
- -
- -
- -
- -
- -
- 2
- -
- -
- -
- -
- -
- 40
- -
- 32
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 4
- 29
- 210
- 1
- -
- 47
- -
- -
- 543
- 796
- -
- -
- 165
- 13
- 125
- 100
- 36
- 4
- 91
- -
- 300
- 480
- 311
- 184
- -
- -
- 172
- -
- -
- 300
- -
- 5
- -
- 312
- 7,200
- 8,894
- 4,000
- -
- -
- -
- -
- 29
- 51
- 115
- -
- 59
- 3
- -
- -
- -
- -
- -
- 100
- 364
- 28
135
15
71
- 1
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 0
- 0
- -
- -
- -
- 0
- -
- -
- -
- 50
- 75
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 1
- 1
- -
- -
- -
- 2
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1 2
OBAT
39 Bekarbon tablet
47 D 40 Inj
69 Etanol 70%
90 Gliserin 100 ml
133 Lidokain HCl 2%
147 Mikonazol cream
165 Petidin injeksi
182 Risperidon 2 mg
214 Ketoprofen
SWADANA
1 Simvastatin
2 Ringer Lactat
3 D5 1/2
4 Metamizol Inj
13 Ambroxol tab
15 D 40%
16 Glibenklamide
17 Propiltiourasil
225 Hansaplast
239 KI 0.05 ml
240 KI 0.5 ml
241 KI 5 ml
247 Masker
248 Normject 2 ml
249 Normject 5 ml
253 Safety Box 5 L
255 Under Pad
SWADANA
1 Lumatule
2 Benang tali pusat
5 Hipavix
6 Underpad
8 Mess Aesculap
9 Blood Lancet
14 Jarum 26
16 Jelly Catheter
17 Gelang bayi
18 Kartu Golda
19 Surflo IV 18
20 Surflo IV 20
21 Surflo IV 22
22 Surflo IV 24
23 Masker Karet
24 Masker Air Lux
25 Masker Tali
30 Gel ECG
40 Handscun Steril
46 Tabung K3 EDTA
47 Yellow Tip
49 Safety box
50 Kapas
54 Under Pad
55 Hanscun Steril M
REAGEN LABORATORIUM
256 EDTA Powder
257 KOH 10 %
262 Larutan Ba Cl2
273 Larutan Turk
274 Metanol
275 Oil imersion
283 Xylol
286 Asam Urat Stik
SWADANA
2 EDTA Powder
16 Creatinine
18 Larutan KOH 10 %
19 Giemsa 100 ml
20 Methanol 250 ml
21 Diluent
22 EZ Cleaner
24 Rinse 20 ltr
25 Lyse 500 ml
27 Urine Stik Dirui
29 Gol Darah A
30 Gol Darah B
31 HBs Ag Strip
32 Darah Kontrol
33 HB Stik
OBAT GIGI
286 Dentorit
288 Eugenol cairan
SWADANA
1 ETSA
2 Bounding
4 Cavit
5 Calsium Hydroxide
6 GIC
OBAT PROGRAM
Flu Burung :
Gizi :
303 Yodiol
Anti Lepra :
304 MB Anak
305 MB Dewasa
306 PB Anak
307 PB Dewasa
Anti Malaria :
311 Artesunate inj.
Anti TBC :
318 FDC KIT I / III
319 FDC kit II
320 OAT Anak
321 OAT Kategori I
322 OAT Kategori II
324 OAT Sisipan
Imunisasi :
326 Vaksin BCG bayi
327 Vaksin Campak
KIA :
329 Kondom
330 IUD
333 Spuit KB
339 Urine Strip
341 Transfusion Set
ANTI RETROVIRAL:

Satuan
Geban Pol
Plabu Puri S
han
r
1 2 3 4 5 6 7
tablet 6.1.1 637 637
fles - -
tablet 1.2 700 700
tablet 800 800
tablet 26.1 350 350
ampul 26.1 52 52
tablet 23.2 800 800
tablet - -
kaplet 6.21 10,100 10,100
kapsul 6.21 - -
botol 6.21 55 55
botol 6.21 - -
vial 6.21 220 220
tablet 1.2 - -
ampul 1.2 - -
botol 25.1 - -
tablet 25.1 9,020 9,020
tube 18.2 - -
supp 25.3 70 70
pot 18.3 - -
tablet 7.2 - -
tablet 9 - -
vial 20.3 212 212
botol 30 - -
tablet 1.2 - -
tablet 1.2 - -
tablet 1.2 - -
tablet 29 - -
tablet 29 3,120 3,120
tablet 500 500
ampul - -
kapsul - -
kapsul - -
tube - -
tablet - -
tablet 400 400
vial 25.4 - -
tablet 25.4 - -
tablet - -
vial 6.2.1 - -
tablet - -
tube 17 17
suppo - -
suppo - -
ampul - -
vial - -
ampul - -
ampul 3 6 6
tablet 16.4 870 870
botol 11.2 - -
botol 26.2 - -
tablet 26.2 - -
ampul 5 22 22
tube 5 4 4
tablet 5 1,600 1,600
tablet 5 - -
tablet 6.1.2 - -
ampul 3 34 34
tablet 17.5 - -
tablet 880 880
tablet 400 400
tablet 26.1 - -
tablet 25.4 - -
ampul 3 - -
tablet 1,800 1,800
tablet - -
botol - -
botol 6.2.4 - -
botol 6.2.4 33 33
ampul 5 - -
kapsul 5 1,300 1,300
kapsul 5 - -
ampul 5 - -
tablet 5 - -
tablet 5 - -
botol 28.2 - -
ampul 10.2 19 19
tablet 10.2 - -
ampul - -
ampul 67 67
tablet 14 150 150
botol 18.5 - -
sak 20.1 380 380
ampul - -
ampul - -
tube - -
botol 14.2 - -
tablet 16.1.1 1,500 1,500
tablet 26.3 12,600 12,600
botol 20.2 - -
botol 20.2 153 153
tablet - -
ampul 4 4
ampul 23.4 - -
tablet 23.4 1,400 1,400
tablet 23.4 - -
tablet 23.4 600 600
botol 6 6
tablet 15 - -
tube 18.4 - -
botol 1.2 - -
tablet 1.2 - -
tablet 1.2 2,130 2,130
tablet 17.1 100 100
botol 13.1 - -
botol 5 5
tablet 29 - -
tablet 4,270 4,270
tablet - -
tablet - -
botol 15 15
ampul - -
ampul 21 21
kapsul 6.2.2 - -
tube 21.21 48 48
botol 50 50
botol - -
botol 13 13
tablet 3 9,150 9,150
ampul 25.4 - -
ampul 25.4 - -
tablet 25.4 1,000 1,000
tablet 25.4 - -
tablet 26.2 75 75
tube - -
tube - -
tablet - -
botol 6.2.2 53 53
tablet 6.2.2 - -
tablet 6.2.2 - -
botol - -
botol 13 13
ampul - -
ampul 14.1 84 84
botol 13.2 - -
tablet - -
ampul 5 - -
ampul 5 3 3
vial - -
tablet 600 600
tablet 22.1 140 140
ampul 22.1 - -
ampul - -
tablet - -
tablet 6.2.2 1,070 1,070
tablet 6.2.2 - -
tube - -
sachet - -
tablet 4.1 - -
tablet - -
botol 20.2 - -
tablet 800 800
tablet - -
tablet 6.3 41 41
botol 26.3 - -
tube 18.2 - -
tube 21.2.2 - -
vial 6.2.2 - -
ampul 22.1 66 66
vial - -
kapsul - -
botol 1.2 152 152
tablet 1.2 - -
tablet 1.2 19,170 19,170
ampul 11 - -
botol 6.1.1 - -
tablet 6.1.1 - -
tablet 29 1,000 1,000
tablet - -
14.2 - -
botol - -
botol 2 2
tablet 16.4 1,200 1,200
vial - -
tablet 7.1 - -
tablet 16.3 - -
tablet 7.1 - -
ampul 450 450
tablet - -
botol 20.2 - -
botol 20.2 1,050 1,050
tablet - -
ampul 26.1 - -
pot - -
tablet 26.1 1,270 1,270
tablet 26.1 - -
pot 18.4 - -
kotak 18.8 42 42
tube - -
kapsul - -
botol - -
kapsul - -
vial 1 1
ampul - -
ampul 7 7
ampul 10.1 - -
tablet - -
tablet - -
tablet 600 600
tablet - -
botol - -
kapsul 21.2 - -
kapsul 21.2 300 300
kapsul 500 500
tablet 29 10,150 10,150
tablet 29 - -
ampul 29 - -
tube - -
tablet - -
tablet 9 1,100 1,100
tablet 29 8,120 8,120
botol - -
tablet - -
- -
- -
-
- -
- -
1 1
709 709
167 167
12 12
50 50
3,450 3,450
29,550 29,550
2,950 2,950
5,500 5,500
3,950 3,950
500 500
1,000 1,000
50 50
7,700 7,700
2,500 2,500
set 32 38 38
set 32 300 300
set 32 715 715
set 32 - -
set 32 - -
set 32 - -
biji 32 - -
biji 32 1 1
biji - -
set - -
set 4 4
biji - -
biji - -
pasang - -
set 43 43
set 298 298
set 89 89
set - -
set - -
set - -
biji - -
bungkus - -
bungkus 2 2
bungkus - -
biji - -
set - -
set - -
set - -
rol 40 40
rol - -
rol 32 32
biji - -
biji - -
biji - -
set - -
set - -
roll - -
biji - -
lembar - -
lembar - -
biji 4 4
biji 29 29
210 210
1 1
- -
47 47
- -
- -
543 543
796 796
- -
- -
165 165
13 13
125 125
100 100
36 36
4 4
91 91
- -
300 300
480 480
311 311
184 184
- -
- -
172 172
- -
- -
300 300
- -
5 5
- -
312 312
7,200 7,200
8,894 8,894
4,000 4,000
- -
- -
- -
- -
29 29
51 51
115 115
- -
59 59
3 3
- -
- -
- -
- -
- -
100 100
364 364
28 28
135 135
15 15
71 71
botol 31 1 1
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
set - -
set 0 0
set 0 0
set - -
set - -
set - -
set 0 0
botol - -
set - -
- -
50 50
75 75
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
botol 14.1 - -
botol 14.1 1 1
botol 14.1 1 1
tablet 14.1 - -
set 14.1 - -
set 14.1 - -
botol 14.1 2 2
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
- -
- -
- -
- -
- -
- -
kapsul - -
kapsul - -
kapsul - -
tablet - -
kapsul - -
blister - -
blister - -
blister - -
blister - -
tablet - -
tablet - -
ampul - -
kotak - -
kapsul - -
ampul - -
tablet - -
tablet - -
tablet - -
tablet - -
paket - -
paket - -
paket - -
paket - -
paket - -
paket - -
paket - -
tablet - -
vial - -
vial - -
ampul - -
-
- -
botol - -
pak - -
vial - -
bj - -
vial - -
ampul - -
set - -
set - -
set - -
set - -
set - -
set - -
strip - -
set - -
set - -
set - -
INDUK
Pemakaian
Pol Pustu
Darure
UGD
jo
Baru
8 9 10 11 12 13 14 15 16 17 18 19
Jumlah
Sisa
KET
Stok
9 10 11
- 637
- -
- 700
- 800
- 350
- 52
- 800
- -
- 10,100
- -
- 55
- -
- 220
- -
- -
- -
- 9,020
- -
- 70
- -
- -
- -
- 212
- -
- -
- -
- -
- -
- 3,120
- 500
- -
- -
- -
- -
- -
- 400
- -
- -
- -
- -
- -
- 17
- -
- -
- -
- -
- -
- 6
- 870
- -
- -
- -
- 22
- 4
- 1,600
- -
- -
- 34
- -
- 880
- 400
- -
- -
- -
- 1,800
- -
- -
- -
- 33
- -
- 1,300
- -
- -
- -
- -
- -
- 19
- -
- -
- 67
- 150
- -
- 380
- -
- -
- -
- -
- 1,500
- 12,600
- -
- 153
- -
- 4
- -
- 1,400
- -
- 600
- 6
- -
- -
- -
- -
- 2,130
- 100
- -
- 5
- -
- 4,270
- -
- -
- 15
- -
- 21
- -
- 48
- 50
- -
- 13
- 9,150
- -
- -
- 1,000
- -
- 75
- -
- -
- -
- 53
- -
- -
- -
- 13
- -
- 84
- -
- -
- -
- 3
- -
- 600
- 140
- -
- -
- -
- 1,070
- -
- -
- -
- -
- -
- -
- 800
- -
- 41
- -
- -
- -
- -
- 66
- -
- -
- 152
- -
- 19,170
- -
- -
- -
- 1,000
- -
- -
- -
- 2
- 1,200
- -
- -
- -
- -
- 450
- -
- -
- 1,050
- -
- -
- -
- 1,270
- -
- -
- 42
- -
- -
- -
- -
- 1
- -
- 7
- -
- -
- -
- 600
- -
- -
- -
- 300
- 500
- 10,150
- -
- -
- -
- -
- 1,100
- 8,120
- -
- -
- -
- -
- -
- 1
- 709
- 167
- 12
- 50
- 3,450
- 29,550
- 2,950
- 5,500
- 3,950
- 500
- 1,000
- 50
- 7,700
- 2,500
- 38
- 300
- 715
- -
- -
- -
- -
- 1
- -
- -
- 4
- -
- -
- -
- 43
- 298
- 89
- -
- -
- -
- -
- -
- 2
- -
- -
- -
- -
- -
- 40
- -
- 32
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 4
- 29
- 210
- 1
- -
- 47
- -
- -
- 543
- 796
- -
- -
- 165
- 13
- 125
- 100
- 36
- 4
- 91
- -
- 300
- 480
- 311
- 184
- -
- -
- 172
- -
- -
- 300
- -
- 5
- -
- 312
- 7,200
- 8,894
- 4,000
- -
- -
- -
- -
- 29
- 51
- 115
- -
- 59
- 3
- -
- -
- -
- -
- -
- 100
- 364
- 28
135
15
71
- 1
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 0
- 0
- -
- -
- -
- 0
- -
- -
- -
- 50
- 75
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 1
- 1
- -
- -
- -
- 2
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1 2
OBAT
39 Bekarbon tablet
47 D 40 Inj
69 Etanol 70%
90 Gliserin 100 ml
133 Lidokain HCl 2%
147 Mikonazol cream
165 Petidin injeksi
182 Risperidon 2 mg
214 Ketoprofen
SWADANA
1 Simvastatin
2 Ringer Lactat
3 D5 1/2
4 Metamizol Inj
13 Ambroxol tab
15 D 40%
16 Glibenklamide
17 Propiltiourasil
225 Hansaplast
239 KI 0.05 ml
240 KI 0.5 ml
241 KI 5 ml
247 Masker
248 Normject 2 ml
249 Normject 5 ml
253 Safety Box 5 L
255 Under Pad
SWADANA
1 Lumatule
2 Benang tali pusat
5 Hipavix
6 Underpad
8 Mess Aesculap
9 Blood Lancet
14 Jarum 26
16 Jelly Catheter
17 Gelang bayi
18 Kartu Golda
19 Surflo IV 18
20 Surflo IV 20
21 Surflo IV 22
22 Surflo IV 24
23 Masker Karet
24 Masker Air Lux
25 Masker Tali
30 Gel ECG
40 Handscun Steril
46 Tabung K3 EDTA
47 Yellow Tip
49 Safety box
50 Kapas
54 Under Pad
55 Hanscun Steril M
REAGEN LABORATORIUM
256 EDTA Powder
257 KOH 10 %
262 Larutan Ba Cl2
273 Larutan Turk
274 Metanol
275 Oil imersion
283 Xylol
286 Asam Urat Stik
SWADANA
2 EDTA Powder
16 Creatinine
18 Larutan KOH 10 %
19 Giemsa 100 ml
20 Methanol 250 ml
21 Diluent
22 EZ Cleaner
24 Rinse 20 ltr
25 Lyse 500 ml
27 Urine Stik Dirui
29 Gol Darah A
30 Gol Darah B
31 HBs Ag Strip
32 Darah Kontrol
33 HB Stik
OBAT GIGI
286 Dentorit
288 Eugenol cairan
SWADANA
1 ETSA
2 Bounding
4 Cavit
5 Calsium Hydroxide
6 GIC
OBAT PROGRAM
Flu Burung :
Gizi :
303 Yodiol
Anti Lepra :
304 MB Anak
305 MB Dewasa
306 PB Anak
307 PB Dewasa
Anti Malaria :
311 Artesunate inj.
Anti TBC :
318 FDC KIT I / III
319 FDC kit II
320 OAT Anak
321 OAT Kategori I
322 OAT Kategori II
324 OAT Sisipan
Imunisasi :
326 Vaksin BCG bayi
327 Vaksin Campak
KIA :
329 Kondom
330 IUD
333 Spuit KB
339 Urine Strip
341 Transfusion Set
ANTI RETROVIRAL:

Satuan
Geban Pol
Plabu Puri S
han
r
1 2 3 4 5 6 7
tablet 6.1.1 637 637
fles - -
tablet 1.2 700 700
tablet 800 800
tablet 26.1 350 350
ampul 26.1 52 52
tablet 23.2 800 800
tablet - -
kaplet 6.21 10,100 10,100
kapsul 6.21 - -
botol 6.21 55 55
botol 6.21 - -
vial 6.21 220 220
tablet 1.2 - -
ampul 1.2 - -
botol 25.1 - -
tablet 25.1 9,020 9,020
tube 18.2 - -
supp 25.3 70 70
pot 18.3 - -
tablet 7.2 - -
tablet 9 - -
vial 20.3 212 212
botol 30 - -
tablet 1.2 - -
tablet 1.2 - -
tablet 1.2 - -
tablet 29 - -
tablet 29 3,120 3,120
tablet 500 500
ampul - -
kapsul - -
kapsul - -
tube - -
tablet - -
tablet 400 400
vial 25.4 - -
tablet 25.4 - -
tablet - -
vial 6.2.1 - -
tablet - -
tube 17 17
suppo - -
suppo - -
ampul - -
vial - -
ampul - -
ampul 3 6 6
tablet 16.4 870 870
botol 11.2 - -
botol 26.2 - -
tablet 26.2 - -
ampul 5 22 22
tube 5 4 4
tablet 5 1,600 1,600
tablet 5 - -
tablet 6.1.2 - -
ampul 3 34 34
tablet 17.5 - -
tablet 880 880
tablet 400 400
tablet 26.1 - -
tablet 25.4 - -
ampul 3 - -
tablet 1,800 1,800
tablet - -
botol - -
botol 6.2.4 - -
botol 6.2.4 33 33
ampul 5 - -
kapsul 5 1,300 1,300
kapsul 5 - -
ampul 5 - -
tablet 5 - -
tablet 5 - -
botol 28.2 - -
ampul 10.2 19 19
tablet 10.2 - -
ampul - -
ampul 67 67
tablet 14 150 150
botol 18.5 - -
sak 20.1 380 380
ampul - -
ampul - -
tube - -
botol 14.2 - -
tablet 16.1.1 1,500 1,500
tablet 26.3 12,600 12,600
botol 20.2 - -
botol 20.2 153 153
tablet - -
ampul 4 4
ampul 23.4 - -
tablet 23.4 1,400 1,400
tablet 23.4 - -
tablet 23.4 600 600
botol 6 6
tablet 15 - -
tube 18.4 - -
botol 1.2 - -
tablet 1.2 - -
tablet 1.2 2,130 2,130
tablet 17.1 100 100
botol 13.1 - -
botol 5 5
tablet 29 - -
tablet 4,270 4,270
tablet - -
tablet - -
botol 15 15
ampul - -
ampul 21 21
kapsul 6.2.2 - -
tube 21.21 48 48
botol 50 50
botol - -
botol 13 13
tablet 3 9,150 9,150
ampul 25.4 - -
ampul 25.4 - -
tablet 25.4 1,000 1,000
tablet 25.4 - -
tablet 26.2 75 75
tube - -
tube - -
tablet - -
botol 6.2.2 53 53
tablet 6.2.2 - -
tablet 6.2.2 - -
botol - -
botol 13 13
ampul - -
ampul 14.1 84 84
botol 13.2 - -
tablet - -
ampul 5 - -
ampul 5 3 3
vial - -
tablet 600 600
tablet 22.1 140 140
ampul 22.1 - -
ampul - -
tablet - -
tablet 6.2.2 1,070 1,070
tablet 6.2.2 - -
tube - -
sachet - -
tablet 4.1 - -
tablet - -
botol 20.2 - -
tablet 800 800
tablet - -
tablet 6.3 41 41
botol 26.3 - -
tube 18.2 - -
tube 21.2.2 - -
vial 6.2.2 - -
ampul 22.1 66 66
vial - -
kapsul - -
botol 1.2 152 152
tablet 1.2 - -
tablet 1.2 19,170 19,170
ampul 11 - -
botol 6.1.1 - -
tablet 6.1.1 - -
tablet 29 1,000 1,000
tablet - -
14.2 - -
botol - -
botol 2 2
tablet 16.4 1,200 1,200
vial - -
tablet 7.1 - -
tablet 16.3 - -
tablet 7.1 - -
ampul 450 450
tablet - -
botol 20.2 - -
botol 20.2 1,050 1,050
tablet - -
ampul 26.1 - -
pot - -
tablet 26.1 1,270 1,270
tablet 26.1 - -
pot 18.4 - -
kotak 18.8 42 42
tube - -
kapsul - -
botol - -
kapsul - -
vial 1 1
ampul - -
ampul 7 7
ampul 10.1 - -
tablet - -
tablet - -
tablet 600 600
tablet - -
botol - -
kapsul 21.2 - -
kapsul 21.2 300 300
kapsul 500 500
tablet 29 10,150 10,150
tablet 29 - -
ampul 29 - -
tube - -
tablet - -
tablet 9 1,100 1,100
tablet 29 8,120 8,120
botol - -
tablet - -
- -
- -
-
- -
- -
1 1
709 709
167 167
12 12
50 50
3,450 3,450
29,550 29,550
2,950 2,950
5,500 5,500
3,950 3,950
500 500
1,000 1,000
50 50
7,700 7,700
2,500 2,500
set 32 38 38
set 32 300 300
set 32 715 715
set 32 - -
set 32 - -
set 32 - -
biji 32 - -
biji 32 1 1
biji - -
set - -
set 4 4
biji - -
biji - -
pasang - -
set 43 43
set 298 298
set 89 89
set - -
set - -
set - -
biji - -
bungkus - -
bungkus 2 2
bungkus - -
biji - -
set - -
set - -
set - -
rol 40 40
rol - -
rol 32 32
biji - -
biji - -
biji - -
set - -
set - -
roll - -
biji - -
lembar - -
lembar - -
biji 4 4
biji 29 29
210 210
1 1
- -
47 47
- -
- -
543 543
796 796
- -
- -
165 165
13 13
125 125
100 100
36 36
4 4
91 91
- -
300 300
480 480
311 311
184 184
- -
- -
172 172
- -
- -
300 300
- -
5 5
- -
312 312
7,200 7,200
8,894 8,894
4,000 4,000
- -
- -
- -
- -
29 29
51 51
115 115
- -
59 59
3 3
- -
- -
- -
- -
- -
100 100
364 364
28 28
135 135
15 15
71 71
botol 31 1 1
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
set - -
set 0 0
set 0 0
set - -
set - -
set - -
set 0 0
botol - -
set - -
- -
50 50
75 75
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
botol 14.1 - -
botol 14.1 1 1
botol 14.1 1 1
tablet 14.1 - -
set 14.1 - -
set 14.1 - -
botol 14.1 2 2
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
- -
- -
- -
- -
- -
- -
kapsul - -
kapsul - -
kapsul - -
tablet - -
kapsul - -
blister - -
blister - -
blister - -
blister - -
tablet - -
tablet - -
ampul - -
kotak - -
kapsul - -
ampul - -
tablet - -
tablet - -
tablet - -
tablet - -
paket - -
paket - -
paket - -
paket - -
paket - -
paket - -
paket - -
tablet - -
vial - -
vial - -
ampul - -
-
- -
botol - -
pak - -
vial - -
bj - -
vial - -
ampul - -
set - -
set - -
set - -
set - -
set - -
set - -
strip - -
set - -
set - -
set - -
INDUK
Pemakaian
Pol Pustu
Darure
UGD
jo
Baru
8 9 10 11 12 13 14 15 16 17 18 19
Jumlah
Sisa
KET
Stok
9 10 11
- 637
- -
- 700
- 800
- 350
- 52
- 800
- -
- 10,100
- -
- 55
- -
- 220
- -
- -
- -
- 9,020
- -
- 70
- -
- -
- -
- 212
- -
- -
- -
- -
- -
- 3,120
- 500
- -
- -
- -
- -
- -
- 400
- -
- -
- -
- -
- -
- 17
- -
- -
- -
- -
- -
- 6
- 870
- -
- -
- -
- 22
- 4
- 1,600
- -
- -
- 34
- -
- 880
- 400
- -
- -
- -
- 1,800
- -
- -
- -
- 33
- -
- 1,300
- -
- -
- -
- -
- -
- 19
- -
- -
- 67
- 150
- -
- 380
- -
- -
- -
- -
- 1,500
- 12,600
- -
- 153
- -
- 4
- -
- 1,400
- -
- 600
- 6
- -
- -
- -
- -
- 2,130
- 100
- -
- 5
- -
- 4,270
- -
- -
- 15
- -
- 21
- -
- 48
- 50
- -
- 13
- 9,150
- -
- -
- 1,000
- -
- 75
- -
- -
- -
- 53
- -
- -
- -
- 13
- -
- 84
- -
- -
- -
- 3
- -
- 600
- 140
- -
- -
- -
- 1,070
- -
- -
- -
- -
- -
- -
- 800
- -
- 41
- -
- -
- -
- -
- 66
- -
- -
- 152
- -
- 19,170
- -
- -
- -
- 1,000
- -
- -
- -
- 2
- 1,200
- -
- -
- -
- -
- 450
- -
- -
- 1,050
- -
- -
- -
- 1,270
- -
- -
- 42
- -
- -
- -
- -
- 1
- -
- 7
- -
- -
- -
- 600
- -
- -
- -
- 300
- 500
- 10,150
- -
- -
- -
- -
- 1,100
- 8,120
- -
- -
- -
- -
- -
- 1
- 709
- 167
- 12
- 50
- 3,450
- 29,550
- 2,950
- 5,500
- 3,950
- 500
- 1,000
- 50
- 7,700
- 2,500
- 38
- 300
- 715
- -
- -
- -
- -
- 1
- -
- -
- 4
- -
- -
- -
- 43
- 298
- 89
- -
- -
- -
- -
- -
- 2
- -
- -
- -
- -
- -
- 40
- -
- 32
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 4
- 29
- 210
- 1
- -
- 47
- -
- -
- 543
- 796
- -
- -
- 165
- 13
- 125
- 100
- 36
- 4
- 91
- -
- 300
- 480
- 311
- 184
- -
- -
- 172
- -
- -
- 300
- -
- 5
- -
- 312
- 7,200
- 8,894
- 4,000
- -
- -
- -
- -
- 29
- 51
- 115
- -
- 59
- 3
- -
- -
- -
- -
- -
- 100
- 364
- 28
135
15
71
- 1
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 0
- 0
- -
- -
- -
- 0
- -
- -
- -
- 50
- 75
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 1
- 1
- -
- -
- -
- 2
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1 2
OBAT
39 Bekarbon tablet
47 D 40 Inj
69 Etanol 70%
90 Gliserin 100 ml
133 Lidokain HCl 2%
147 Mikonazol cream
165 Petidin injeksi
182 Risperidon 2 mg
214 Ketoprofen
SWADANA
1 Simvastatin
2 Ringer Lactat
3 D5 1/2
4 Metamizol Inj
13 Ambroxol tab
15 D 40%
16 Glibenklamide
17 Propiltiourasil
225 Hansaplast
239 KI 0.05 ml
240 KI 0.5 ml
241 KI 5 ml
247 Masker
248 Normject 2 ml
249 Normject 5 ml
253 Safety Box 5 L
255 Under Pad
SWADANA
1 Lumatule
2 Benang tali pusat
5 Hipavix
6 Underpad
8 Mess Aesculap
9 Blood Lancet
14 Jarum 26
16 Jelly Catheter
17 Gelang bayi
18 Kartu Golda
19 Surflo IV 18
20 Surflo IV 20
21 Surflo IV 22
22 Surflo IV 24
23 Masker Karet
24 Masker Air Lux
25 Masker Tali
30 Gel ECG
40 Handscun Steril
46 Tabung K3 EDTA
47 Yellow Tip
49 Safety box
50 Kapas
54 Under Pad
55 Hanscun Steril M
REAGEN LABORATORIUM
256 EDTA Powder
257 KOH 10 %
262 Larutan Ba Cl2
273 Larutan Turk
274 Metanol
275 Oil imersion
283 Xylol
286 Asam Urat Stik
SWADANA
2 EDTA Powder
16 Creatinine
18 Larutan KOH 10 %
19 Giemsa 100 ml
20 Methanol 250 ml
21 Diluent
22 EZ Cleaner
24 Rinse 20 ltr
25 Lyse 500 ml
27 Urine Stik Dirui
29 Gol Darah A
30 Gol Darah B
31 HBs Ag Strip
32 Darah Kontrol
33 HB Stik
OBAT GIGI
286 Dentorit
288 Eugenol cairan
SWADANA
1 ETSA
2 Bounding
4 Cavit
5 Calsium Hydroxide
6 GIC
OBAT PROGRAM
Flu Burung :
Gizi :
303 Yodiol
Anti Lepra :
304 MB Anak
305 MB Dewasa
306 PB Anak
307 PB Dewasa
Anti Malaria :
311 Artesunate inj.
Anti TBC :
318 FDC KIT I / III
319 FDC kit II
320 OAT Anak
321 OAT Kategori I
322 OAT Kategori II
324 OAT Sisipan
Imunisasi :
326 Vaksin BCG bayi
327 Vaksin Campak
KIA :
329 Kondom
330 IUD
333 Spuit KB
339 Urine Strip
341 Transfusion Set
ANTI RETROVIRAL:

Satuan
Geban Pol
Plabu Puri S
han
r
1 2 3 4 5 6 7
tablet 6.1.1 637 637
fles - -
tablet 1.2 700 700
tablet 800 800
tablet 26.1 350 350
ampul 26.1 52 52
tablet 23.2 800 800
tablet - -
kaplet 6.21 10,100 10,100
kapsul 6.21 - -
botol 6.21 55 55
botol 6.21 - -
vial 6.21 220 220
tablet 1.2 - -
ampul 1.2 - -
botol 25.1 - -
tablet 25.1 9,020 9,020
tube 18.2 - -
supp 25.3 70 70
pot 18.3 - -
tablet 7.2 - -
tablet 9 - -
vial 20.3 212 212
botol 30 - -
tablet 1.2 - -
tablet 1.2 - -
tablet 1.2 - -
tablet 29 - -
tablet 29 3,120 3,120
tablet 500 500
ampul - -
kapsul - -
kapsul - -
tube - -
tablet - -
tablet 400 400
vial 25.4 - -
tablet 25.4 - -
tablet - -
vial 6.2.1 - -
tablet - -
tube 17 17
suppo - -
suppo - -
ampul - -
vial - -
ampul - -
ampul 3 6 6
tablet 16.4 870 870
botol 11.2 - -
botol 26.2 - -
tablet 26.2 - -
ampul 5 22 22
tube 5 4 4
tablet 5 1,600 1,600
tablet 5 - -
tablet 6.1.2 - -
ampul 3 34 34
tablet 17.5 - -
tablet 880 880
tablet 400 400
tablet 26.1 - -
tablet 25.4 - -
ampul 3 - -
tablet 1,800 1,800
tablet - -
botol - -
botol 6.2.4 - -
botol 6.2.4 33 33
ampul 5 - -
kapsul 5 1,300 1,300
kapsul 5 - -
ampul 5 - -
tablet 5 - -
tablet 5 - -
botol 28.2 - -
ampul 10.2 19 19
tablet 10.2 - -
ampul - -
ampul 67 67
tablet 14 150 150
botol 18.5 - -
sak 20.1 380 380
ampul - -
ampul - -
tube - -
botol 14.2 - -
tablet 16.1.1 1,500 1,500
tablet 26.3 12,600 12,600
botol 20.2 - -
botol 20.2 153 153
tablet - -
ampul 4 4
ampul 23.4 - -
tablet 23.4 1,400 1,400
tablet 23.4 - -
tablet 23.4 600 600
botol 6 6
tablet 15 - -
tube 18.4 - -
botol 1.2 - -
tablet 1.2 - -
tablet 1.2 2,130 2,130
tablet 17.1 100 100
botol 13.1 - -
botol 5 5
tablet 29 - -
tablet 4,270 4,270
tablet - -
tablet - -
botol 15 15
ampul - -
ampul 21 21
kapsul 6.2.2 - -
tube 21.21 48 48
botol 50 50
botol - -
botol 13 13
tablet 3 9,150 9,150
ampul 25.4 - -
ampul 25.4 - -
tablet 25.4 1,000 1,000
tablet 25.4 - -
tablet 26.2 75 75
tube - -
tube - -
tablet - -
botol 6.2.2 53 53
tablet 6.2.2 - -
tablet 6.2.2 - -
botol - -
botol 13 13
ampul - -
ampul 14.1 84 84
botol 13.2 - -
tablet - -
ampul 5 - -
ampul 5 3 3
vial - -
tablet 600 600
tablet 22.1 140 140
ampul 22.1 - -
ampul - -
tablet - -
tablet 6.2.2 1,070 1,070
tablet 6.2.2 - -
tube - -
sachet - -
tablet 4.1 - -
tablet - -
botol 20.2 - -
tablet 800 800
tablet - -
tablet 6.3 41 41
botol 26.3 - -
tube 18.2 - -
tube 21.2.2 - -
vial 6.2.2 - -
ampul 22.1 66 66
vial - -
kapsul - -
botol 1.2 152 152
tablet 1.2 - -
tablet 1.2 19,170 19,170
ampul 11 - -
botol 6.1.1 - -
tablet 6.1.1 - -
tablet 29 1,000 1,000
tablet - -
14.2 - -
botol - -
botol 2 2
tablet 16.4 1,200 1,200
vial - -
tablet 7.1 - -
tablet 16.3 - -
tablet 7.1 - -
ampul 450 450
tablet - -
botol 20.2 - -
botol 20.2 1,050 1,050
tablet - -
ampul 26.1 - -
pot - -
tablet 26.1 1,270 1,270
tablet 26.1 - -
pot 18.4 - -
kotak 18.8 42 42
tube - -
kapsul - -
botol - -
kapsul - -
vial 1 1
ampul - -
ampul 7 7
ampul 10.1 - -
tablet - -
tablet - -
tablet 600 600
tablet - -
botol - -
kapsul 21.2 - -
kapsul 21.2 300 300
kapsul 500 500
tablet 29 10,150 10,150
tablet 29 - -
ampul 29 - -
tube - -
tablet - -
tablet 9 1,100 1,100
tablet 29 8,120 8,120
botol - -
tablet - -
- -
- -
-
- -
- -
1 1
709 709
167 167
12 12
50 50
3,450 3,450
29,550 29,550
2,950 2,950
5,500 5,500
3,950 3,950
500 500
1,000 1,000
50 50
7,700 7,700
2,500 2,500
set 32 38 38
set 32 300 300
set 32 715 715
set 32 - -
set 32 - -
set 32 - -
biji 32 - -
biji 32 1 1
biji - -
set - -
set 4 4
biji - -
biji - -
pasang - -
set 43 43
set 298 298
set 89 89
set - -
set - -
set - -
biji - -
bungkus - -
bungkus 2 2
bungkus - -
biji - -
set - -
set - -
set - -
rol 40 40
rol - -
rol 32 32
biji - -
biji - -
biji - -
set - -
set - -
roll - -
biji - -
lembar - -
lembar - -
biji 4 4
biji 29 29
210 210
1 1
- -
47 47
- -
- -
543 543
796 796
- -
- -
165 165
13 13
125 125
100 100
36 36
4 4
91 91
- -
300 300
480 480
311 311
184 184
- -
- -
172 172
- -
- -
300 300
- -
5 5
- -
312 312
7,200 7,200
8,894 8,894
4,000 4,000
- -
- -
- -
- -
29 29
51 51
115 115
- -
59 59
3 3
- -
- -
- -
- -
- -
100 100
364 364
28 28
135 135
15 15
71 71
botol 31 1 1
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
set - -
set 0 0
set 0 0
set - -
set - -
set - -
set 0 0
botol - -
set - -
- -
50 50
75 75
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
botol 14.1 - -
botol 14.1 1 1
botol 14.1 1 1
tablet 14.1 - -
set 14.1 - -
set 14.1 - -
botol 14.1 2 2
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
- -
- -
- -
- -
- -
- -
kapsul - -
kapsul - -
kapsul - -
tablet - -
kapsul - -
blister - -
blister - -
blister - -
blister - -
tablet - -
tablet - -
ampul - -
kotak - -
kapsul - -
ampul - -
tablet - -
tablet - -
tablet - -
tablet - -
paket - -
paket - -
paket - -
paket - -
paket - -
paket - -
paket - -
tablet - -
vial - -
vial - -
ampul - -
-
- -
botol - -
pak - -
vial - -
bj - -
vial - -
ampul - -
set - -
set - -
set - -
set - -
set - -
set - -
strip - -
set - -
set - -
set - -
INDUK
Pemakaian
Pol Pustu
Darure
UGD
jo
Baru
8 9 10 11 12 13 14 15 16 17 18 19
Jumlah
Sisa
KET
Stok
9 10 11
- 637
- -
- 700
- 800
- 350
- 52
- 800
- -
- 10,100
- -
- 55
- -
- 220
- -
- -
- -
- 9,020
- -
- 70
- -
- -
- -
- 212
- -
- -
- -
- -
- -
- 3,120
- 500
- -
- -
- -
- -
- -
- 400
- -
- -
- -
- -
- -
- 17
- -
- -
- -
- -
- -
- 6
- 870
- -
- -
- -
- 22
- 4
- 1,600
- -
- -
- 34
- -
- 880
- 400
- -
- -
- -
- 1,800
- -
- -
- -
- 33
- -
- 1,300
- -
- -
- -
- -
- -
- 19
- -
- -
- 67
- 150
- -
- 380
- -
- -
- -
- -
- 1,500
- 12,600
- -
- 153
- -
- 4
- -
- 1,400
- -
- 600
- 6
- -
- -
- -
- -
- 2,130
- 100
- -
- 5
- -
- 4,270
- -
- -
- 15
- -
- 21
- -
- 48
- 50
- -
- 13
- 9,150
- -
- -
- 1,000
- -
- 75
- -
- -
- -
- 53
- -
- -
- -
- 13
- -
- 84
- -
- -
- -
- 3
- -
- 600
- 140
- -
- -
- -
- 1,070
- -
- -
- -
- -
- -
- -
- 800
- -
- 41
- -
- -
- -
- -
- 66
- -
- -
- 152
- -
- 19,170
- -
- -
- -
- 1,000
- -
- -
- -
- 2
- 1,200
- -
- -
- -
- -
- 450
- -
- -
- 1,050
- -
- -
- -
- 1,270
- -
- -
- 42
- -
- -
- -
- -
- 1
- -
- 7
- -
- -
- -
- 600
- -
- -
- -
- 300
- 500
- 10,150
- -
- -
- -
- -
- 1,100
- 8,120
- -
- -
- -
- -
- -
- 1
- 709
- 167
- 12
- 50
- 3,450
- 29,550
- 2,950
- 5,500
- 3,950
- 500
- 1,000
- 50
- 7,700
- 2,500
- 38
- 300
- 715
- -
- -
- -
- -
- 1
- -
- -
- 4
- -
- -
- -
- 43
- 298
- 89
- -
- -
- -
- -
- -
- 2
- -
- -
- -
- -
- -
- 40
- -
- 32
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 4
- 29
- 210
- 1
- -
- 47
- -
- -
- 543
- 796
- -
- -
- 165
- 13
- 125
- 100
- 36
- 4
- 91
- -
- 300
- 480
- 311
- 184
- -
- -
- 172
- -
- -
- 300
- -
- 5
- -
- 312
- 7,200
- 8,894
- 4,000
- -
- -
- -
- -
- 29
- 51
- 115
- -
- 59
- 3
- -
- -
- -
- -
- -
- 100
- 364
- 28
135
15
71
- 1
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 0
- 0
- -
- -
- -
- 0
- -
- -
- -
- 50
- 75
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 1
- 1
- -
- -
- -
- 2
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1 2
OBAT
39 Bekarbon tablet
47 D 40 Inj
69 Etanol 70%
90 Gliserin 100 ml
133 Lidokain HCl 2%
147 Mikonazol cream
165 Petidin injeksi
182 Risperidon 2 mg
214 Ketoprofen
SWADANA
1 Simvastatin
2 Ringer Lactat
3 D5 1/2
4 Metamizol Inj
13 Ambroxol tab
15 D 40%
16 Glibenklamide
17 Propiltiourasil
225 Hansaplast
239 KI 0.05 ml
240 KI 0.5 ml
241 KI 5 ml
247 Masker
248 Normject 2 ml
249 Normject 5 ml
253 Safety Box 5 L
255 Under Pad
SWADANA
1 Lumatule
2 Benang tali pusat
5 Hipavix
6 Underpad
8 Mess Aesculap
9 Blood Lancet
14 Jarum 26
16 Jelly Catheter
17 Gelang bayi
18 Kartu Golda
19 Surflo IV 18
20 Surflo IV 20
21 Surflo IV 22
22 Surflo IV 24
23 Masker Karet
24 Masker Air Lux
25 Masker Tali
30 Gel ECG
40 Handscun Steril
46 Tabung K3 EDTA
47 Yellow Tip
49 Safety box
50 Kapas
54 Under Pad
55 Hanscun Steril M
REAGEN LABORATORIUM
256 EDTA Powder
257 KOH 10 %
262 Larutan Ba Cl2
273 Larutan Turk
274 Metanol
275 Oil imersion
283 Xylol
286 Asam Urat Stik
SWADANA
2 EDTA Powder
16 Creatinine
18 Larutan KOH 10 %
19 Giemsa 100 ml
20 Methanol 250 ml
21 Diluent
22 EZ Cleaner
24 Rinse 20 ltr
25 Lyse 500 ml
27 Urine Stik Dirui
29 Gol Darah A
30 Gol Darah B
31 HBs Ag Strip
32 Darah Kontrol
33 HB Stik
OBAT GIGI
286 Dentorit
288 Eugenol cairan
SWADANA
1 ETSA
2 Bounding
4 Cavit
5 Calsium Hydroxide
6 GIC
OBAT PROGRAM
Flu Burung :
Gizi :
303 Yodiol
Anti Lepra :
304 MB Anak
305 MB Dewasa
306 PB Anak
307 PB Dewasa
Anti Malaria :
311 Artesunate inj.
Anti TBC :
318 FDC KIT I / III
319 FDC kit II
320 OAT Anak
321 OAT Kategori I
322 OAT Kategori II
324 OAT Sisipan
Imunisasi :
326 Vaksin BCG bayi
327 Vaksin Campak
KIA :
329 Kondom
330 IUD
333 Spuit KB
339 Urine Strip
341 Transfusion Set
ANTI RETROVIRAL:

Satuan
Geban Pol
Plabu Puri S
han
r
1 2 3 4 5 6 7
tablet 6.1.1 637 637
fles - -
tablet 1.2 700 700
tablet 800 800
tablet 26.1 350 350
ampul 26.1 52 52
tablet 23.2 800 800
tablet - -
kaplet 6.21 10,100 10,100
kapsul 6.21 - -
botol 6.21 55 55
botol 6.21 - -
vial 6.21 220 220
tablet 1.2 - -
ampul 1.2 - -
botol 25.1 - -
tablet 25.1 9,020 9,020
tube 18.2 - -
supp 25.3 70 70
pot 18.3 - -
tablet 7.2 - -
tablet 9 - -
vial 20.3 212 212
botol 30 - -
tablet 1.2 - -
tablet 1.2 - -
tablet 1.2 - -
tablet 29 - -
tablet 29 3,120 3,120
tablet 500 500
ampul - -
kapsul - -
kapsul - -
tube - -
tablet - -
tablet 400 400
vial 25.4 - -
tablet 25.4 - -
tablet - -
vial 6.2.1 - -
tablet - -
tube 17 17
suppo - -
suppo - -
ampul - -
vial - -
ampul - -
ampul 3 6 6
tablet 16.4 870 870
botol 11.2 - -
botol 26.2 - -
tablet 26.2 - -
ampul 5 22 22
tube 5 4 4
tablet 5 1,600 1,600
tablet 5 - -
tablet 6.1.2 - -
ampul 3 34 34
tablet 17.5 - -
tablet 880 880
tablet 400 400
tablet 26.1 - -
tablet 25.4 - -
ampul 3 - -
tablet 1,800 1,800
tablet - -
botol - -
botol 6.2.4 - -
botol 6.2.4 33 33
ampul 5 - -
kapsul 5 1,300 1,300
kapsul 5 - -
ampul 5 - -
tablet 5 - -
tablet 5 - -
botol 28.2 - -
ampul 10.2 19 19
tablet 10.2 - -
ampul - -
ampul 67 67
tablet 14 150 150
botol 18.5 - -
sak 20.1 380 380
ampul - -
ampul - -
tube - -
botol 14.2 - -
tablet 16.1.1 1,500 1,500
tablet 26.3 12,600 12,600
botol 20.2 - -
botol 20.2 153 153
tablet - -
ampul 4 4
ampul 23.4 - -
tablet 23.4 1,400 1,400
tablet 23.4 - -
tablet 23.4 600 600
botol 6 6
tablet 15 - -
tube 18.4 - -
botol 1.2 - -
tablet 1.2 - -
tablet 1.2 2,130 2,130
tablet 17.1 100 100
botol 13.1 - -
botol 5 5
tablet 29 - -
tablet 4,270 4,270
tablet - -
tablet - -
botol 15 15
ampul - -
ampul 21 21
kapsul 6.2.2 - -
tube 21.21 48 48
botol 50 50
botol - -
botol 13 13
tablet 3 9,150 9,150
ampul 25.4 - -
ampul 25.4 - -
tablet 25.4 1,000 1,000
tablet 25.4 - -
tablet 26.2 75 75
tube - -
tube - -
tablet - -
botol 6.2.2 53 53
tablet 6.2.2 - -
tablet 6.2.2 - -
botol - -
botol 13 13
ampul - -
ampul 14.1 84 84
botol 13.2 - -
tablet - -
ampul 5 - -
ampul 5 3 3
vial - -
tablet 600 600
tablet 22.1 140 140
ampul 22.1 - -
ampul - -
tablet - -
tablet 6.2.2 1,070 1,070
tablet 6.2.2 - -
tube - -
sachet - -
tablet 4.1 - -
tablet - -
botol 20.2 - -
tablet 800 800
tablet - -
tablet 6.3 41 41
botol 26.3 - -
tube 18.2 - -
tube 21.2.2 - -
vial 6.2.2 - -
ampul 22.1 66 66
vial - -
kapsul - -
botol 1.2 152 152
tablet 1.2 - -
tablet 1.2 19,170 19,170
ampul 11 - -
botol 6.1.1 - -
tablet 6.1.1 - -
tablet 29 1,000 1,000
tablet - -
14.2 - -
botol - -
botol 2 2
tablet 16.4 1,200 1,200
vial - -
tablet 7.1 - -
tablet 16.3 - -
tablet 7.1 - -
ampul 450 450
tablet - -
botol 20.2 - -
botol 20.2 1,050 1,050
tablet - -
ampul 26.1 - -
pot - -
tablet 26.1 1,270 1,270
tablet 26.1 - -
pot 18.4 - -
kotak 18.8 42 42
tube - -
kapsul - -
botol - -
kapsul - -
vial 1 1
ampul - -
ampul 7 7
ampul 10.1 - -
tablet - -
tablet - -
tablet 600 600
tablet - -
botol - -
kapsul 21.2 - -
kapsul 21.2 300 300
kapsul 500 500
tablet 29 10,150 10,150
tablet 29 - -
ampul 29 - -
tube - -
tablet - -
tablet 9 1,100 1,100
tablet 29 8,120 8,120
botol - -
tablet - -
- -
- -
-
- -
- -
1 1
709 709
167 167
12 12
50 50
3,450 3,450
29,550 29,550
2,950 2,950
5,500 5,500
3,950 3,950
500 500
1,000 1,000
50 50
7,700 7,700
2,500 2,500
set 32 38 38
set 32 300 300
set 32 715 715
set 32 - -
set 32 - -
set 32 - -
biji 32 - -
biji 32 1 1
biji - -
set - -
set 4 4
biji - -
biji - -
pasang - -
set 43 43
set 298 298
set 89 89
set - -
set - -
set - -
biji - -
bungkus - -
bungkus 2 2
bungkus - -
biji - -
set - -
set - -
set - -
rol 40 40
rol - -
rol 32 32
biji - -
biji - -
biji - -
set - -
set - -
roll - -
biji - -
lembar - -
lembar - -
biji 4 4
biji 29 29
210 210
1 1
- -
47 47
- -
- -
543 543
796 796
- -
- -
165 165
13 13
125 125
100 100
36 36
4 4
91 91
- -
300 300
480 480
311 311
184 184
- -
- -
172 172
- -
- -
300 300
- -
5 5
- -
312 312
7,200 7,200
8,894 8,894
4,000 4,000
- -
- -
- -
- -
29 29
51 51
115 115
- -
59 59
3 3
- -
- -
- -
- -
- -
100 100
364 364
28 28
135 135
15 15
71 71
botol 31 1 1
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
set - -
set 0 0
set 0 0
set - -
set - -
set - -
set 0 0
botol - -
set - -
- -
50 50
75 75
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
botol 14.1 - -
botol 14.1 1 1
botol 14.1 1 1
tablet 14.1 - -
set 14.1 - -
set 14.1 - -
botol 14.1 2 2
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
- -
- -
- -
- -
- -
- -
kapsul - -
kapsul - -
kapsul - -
tablet - -
kapsul - -
blister - -
blister - -
blister - -
blister - -
tablet - -
tablet - -
ampul - -
kotak - -
kapsul - -
ampul - -
tablet - -
tablet - -
tablet - -
tablet - -
paket - -
paket - -
paket - -
paket - -
paket - -
paket - -
paket - -
tablet - -
vial - -
vial - -
ampul - -
-
- -
botol - -
pak - -
vial - -
bj - -
vial - -
ampul - -
set - -
set - -
set - -
set - -
set - -
set - -
strip - -
set - -
set - -
set - -
INDUK
Pemakaian
Pol Pustu
Darure
UGD
jo
Baru
8 9 10 11 12 13 14 15 16 17 18 19
Jumlah
Sisa
KET
Stok
9 10 11
- 637
- -
- 700
- 800
- 350
- 52
- 800
- -
- 10,100
- -
- 55
- -
- 220
- -
- -
- -
- 9,020
- -
- 70
- -
- -
- -
- 212
- -
- -
- -
- -
- -
- 3,120
- 500
- -
- -
- -
- -
- -
- 400
- -
- -
- -
- -
- -
- 17
- -
- -
- -
- -
- -
- 6
- 870
- -
- -
- -
- 22
- 4
- 1,600
- -
- -
- 34
- -
- 880
- 400
- -
- -
- -
- 1,800
- -
- -
- -
- 33
- -
- 1,300
- -
- -
- -
- -
- -
- 19
- -
- -
- 67
- 150
- -
- 380
- -
- -
- -
- -
- 1,500
- 12,600
- -
- 153
- -
- 4
- -
- 1,400
- -
- 600
- 6
- -
- -
- -
- -
- 2,130
- 100
- -
- 5
- -
- 4,270
- -
- -
- 15
- -
- 21
- -
- 48
- 50
- -
- 13
- 9,150
- -
- -
- 1,000
- -
- 75
- -
- -
- -
- 53
- -
- -
- -
- 13
- -
- 84
- -
- -
- -
- 3
- -
- 600
- 140
- -
- -
- -
- 1,070
- -
- -
- -
- -
- -
- -
- 800
- -
- 41
- -
- -
- -
- -
- 66
- -
- -
- 152
- -
- 19,170
- -
- -
- -
- 1,000
- -
- -
- -
- 2
- 1,200
- -
- -
- -
- -
- 450
- -
- -
- 1,050
- -
- -
- -
- 1,270
- -
- -
- 42
- -
- -
- -
- -
- 1
- -
- 7
- -
- -
- -
- 600
- -
- -
- -
- 300
- 500
- 10,150
- -
- -
- -
- -
- 1,100
- 8,120
- -
- -
- -
- -
- -
- 1
- 709
- 167
- 12
- 50
- 3,450
- 29,550
- 2,950
- 5,500
- 3,950
- 500
- 1,000
- 50
- 7,700
- 2,500
- 38
- 300
- 715
- -
- -
- -
- -
- 1
- -
- -
- 4
- -
- -
- -
- 43
- 298
- 89
- -
- -
- -
- -
- -
- 2
- -
- -
- -
- -
- -
- 40
- -
- 32
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 4
- 29
- 210
- 1
- -
- 47
- -
- -
- 543
- 796
- -
- -
- 165
- 13
- 125
- 100
- 36
- 4
- 91
- -
- 300
- 480
- 311
- 184
- -
- -
- 172
- -
- -
- 300
- -
- 5
- -
- 312
- 7,200
- 8,894
- 4,000
- -
- -
- -
- -
- 29
- 51
- 115
- -
- 59
- 3
- -
- -
- -
- -
- -
- 100
- 364
- 28
135
15
71
- 1
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 0
- 0
- -
- -
- -
- 0
- -
- -
- -
- 50
- 75
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 1
- 1
- -
- -
- -
- 2
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1 2
OBAT
39 Bekarbon tablet
47 D 40 Inj
69 Etanol 70%
90 Gliserin 100 ml
133 Lidokain HCl 2%
147 Mikonazol cream
165 Petidin injeksi
182 Risperidon 2 mg
214 Ketoprofen
SWADANA
1 Simvastatin
2 Ringer Lactat
3 D5 1/2
4 Metamizol Inj
13 Ambroxol tab
15 D 40%
16 Glibenklamide
17 Propiltiourasil
225 Hansaplast
239 KI 0.05 ml
240 KI 0.5 ml
241 KI 5 ml
247 Masker
248 Normject 2 ml
249 Normject 5 ml
253 Safety Box 5 L
255 Under Pad
SWADANA
1 Lumatule
2 Benang tali pusat
5 Hipavix
6 Underpad
8 Mess Aesculap
9 Blood Lancet
14 Jarum 26
16 Jelly Catheter
17 Gelang bayi
18 Kartu Golda
19 Surflo IV 18
20 Surflo IV 20
21 Surflo IV 22
22 Surflo IV 24
23 Masker Karet
24 Masker Air Lux
25 Masker Tali
30 Gel ECG
40 Handscun Steril
46 Tabung K3 EDTA
47 Yellow Tip
49 Safety box
50 Kapas
54 Under Pad
55 Hanscun Steril M
REAGEN LABORATORIUM
256 EDTA Powder
257 KOH 10 %
262 Larutan Ba Cl2
273 Larutan Turk
274 Metanol
275 Oil imersion
283 Xylol
286 Asam Urat Stik
SWADANA
2 EDTA Powder
16 Creatinine
18 Larutan KOH 10 %
19 Giemsa 100 ml
20 Methanol 250 ml
21 Diluent
22 EZ Cleaner
24 Rinse 20 ltr
25 Lyse 500 ml
27 Urine Stik Dirui
29 Gol Darah A
30 Gol Darah B
31 HBs Ag Strip
32 Darah Kontrol
33 HB Stik
OBAT GIGI
286 Dentorit
288 Eugenol cairan
SWADANA
1 ETSA
2 Bounding
4 Cavit
5 Calsium Hydroxide
6 GIC
OBAT PROGRAM
Flu Burung :
Gizi :
303 Yodiol
Anti Lepra :
304 MB Anak
305 MB Dewasa
306 PB Anak
307 PB Dewasa
Anti Malaria :
311 Artesunate inj.
Anti TBC :
318 FDC KIT I / III
319 FDC kit II
320 OAT Anak
321 OAT Kategori I
322 OAT Kategori II
324 OAT Sisipan
Imunisasi :
326 Vaksin BCG bayi
327 Vaksin Campak
KIA :
329 Kondom
330 IUD
333 Spuit KB
339 Urine Strip
341 Transfusion Set
ANTI RETROVIRAL:

Satuan
Geban Pol
Plabu Puri S
han
r
1 2 3 4 5 6 7
tablet 6.1.1 637 637
fles - -
tablet 1.2 700 700
tablet 800 800
tablet 26.1 350 350
ampul 26.1 52 52
tablet 23.2 800 800
tablet - -
kaplet 6.21 10,100 10,100
kapsul 6.21 - -
botol 6.21 55 55
botol 6.21 - -
vial 6.21 220 220
tablet 1.2 - -
ampul 1.2 - -
botol 25.1 - -
tablet 25.1 9,020 9,020
tube 18.2 - -
supp 25.3 70 70
pot 18.3 - -
tablet 7.2 - -
tablet 9 - -
vial 20.3 212 212
botol 30 - -
tablet 1.2 - -
tablet 1.2 - -
tablet 1.2 - -
tablet 29 - -
tablet 29 3,120 3,120
tablet 500 500
ampul - -
kapsul - -
kapsul - -
tube - -
tablet - -
tablet 400 400
vial 25.4 - -
tablet 25.4 - -
tablet - -
vial 6.2.1 - -
tablet - -
tube 17 17
suppo - -
suppo - -
ampul - -
vial - -
ampul - -
ampul 3 6 6
tablet 16.4 870 870
botol 11.2 - -
botol 26.2 - -
tablet 26.2 - -
ampul 5 22 22
tube 5 4 4
tablet 5 1,600 1,600
tablet 5 - -
tablet 6.1.2 - -
ampul 3 34 34
tablet 17.5 - -
tablet 880 880
tablet 400 400
tablet 26.1 - -
tablet 25.4 - -
ampul 3 - -
tablet 1,800 1,800
tablet - -
botol - -
botol 6.2.4 - -
botol 6.2.4 33 33
ampul 5 - -
kapsul 5 1,300 1,300
kapsul 5 - -
ampul 5 - -
tablet 5 - -
tablet 5 - -
botol 28.2 - -
ampul 10.2 19 19
tablet 10.2 - -
ampul - -
ampul 67 67
tablet 14 150 150
botol 18.5 - -
sak 20.1 380 380
ampul - -
ampul - -
tube - -
botol 14.2 - -
tablet 16.1.1 1,500 1,500
tablet 26.3 12,600 12,600
botol 20.2 - -
botol 20.2 153 153
tablet - -
ampul 4 4
ampul 23.4 - -
tablet 23.4 1,400 1,400
tablet 23.4 - -
tablet 23.4 600 600
botol 6 6
tablet 15 - -
tube 18.4 - -
botol 1.2 - -
tablet 1.2 - -
tablet 1.2 2,130 2,130
tablet 17.1 100 100
botol 13.1 - -
botol 5 5
tablet 29 - -
tablet 4,270 4,270
tablet - -
tablet - -
botol 15 15
ampul - -
ampul 21 21
kapsul 6.2.2 - -
tube 21.21 48 48
botol 50 50
botol - -
botol 13 13
tablet 3 9,150 9,150
ampul 25.4 - -
ampul 25.4 - -
tablet 25.4 1,000 1,000
tablet 25.4 - -
tablet 26.2 75 75
tube - -
tube - -
tablet - -
botol 6.2.2 53 53
tablet 6.2.2 - -
tablet 6.2.2 - -
botol - -
botol 13 13
ampul - -
ampul 14.1 84 84
botol 13.2 - -
tablet - -
ampul 5 - -
ampul 5 3 3
vial - -
tablet 600 600
tablet 22.1 140 140
ampul 22.1 - -
ampul - -
tablet - -
tablet 6.2.2 1,070 1,070
tablet 6.2.2 - -
tube - -
sachet - -
tablet 4.1 - -
tablet - -
botol 20.2 - -
tablet 800 800
tablet - -
tablet 6.3 41 41
botol 26.3 - -
tube 18.2 - -
tube 21.2.2 - -
vial 6.2.2 - -
ampul 22.1 66 66
vial - -
kapsul - -
botol 1.2 152 152
tablet 1.2 - -
tablet 1.2 19,170 19,170
ampul 11 - -
botol 6.1.1 - -
tablet 6.1.1 - -
tablet 29 1,000 1,000
tablet - -
14.2 - -
botol - -
botol 2 2
tablet 16.4 1,200 1,200
vial - -
tablet 7.1 - -
tablet 16.3 - -
tablet 7.1 - -
ampul 450 450
tablet - -
botol 20.2 - -
botol 20.2 1,050 1,050
tablet - -
ampul 26.1 - -
pot - -
tablet 26.1 1,270 1,270
tablet 26.1 - -
pot 18.4 - -
kotak 18.8 42 42
tube - -
kapsul - -
botol - -
kapsul - -
vial 1 1
ampul - -
ampul 7 7
ampul 10.1 - -
tablet - -
tablet - -
tablet 600 600
tablet - -
botol - -
kapsul 21.2 - -
kapsul 21.2 300 300
kapsul 500 500
tablet 29 10,150 10,150
tablet 29 - -
ampul 29 - -
tube - -
tablet - -
tablet 9 1,100 1,100
tablet 29 8,120 8,120
botol - -
tablet - -
- -
- -
-
- -
- -
1 1
709 709
167 167
12 12
50 50
3,450 3,450
29,550 29,550
2,950 2,950
5,500 5,500
3,950 3,950
500 500
1,000 1,000
50 50
7,700 7,700
2,500 2,500
set 32 38 38
set 32 300 300
set 32 715 715
set 32 - -
set 32 - -
set 32 - -
biji 32 - -
biji 32 1 1
biji - -
set - -
set 4 4
biji - -
biji - -
pasang - -
set 43 43
set 298 298
set 89 89
set - -
set - -
set - -
biji - -
bungkus - -
bungkus 2 2
bungkus - -
biji - -
set - -
set - -
set - -
rol 40 40
rol - -
rol 32 32
biji - -
biji - -
biji - -
set - -
set - -
roll - -
biji - -
lembar - -
lembar - -
biji 4 4
biji 29 29
210 210
1 1
- -
47 47
- -
- -
543 543
796 796
- -
- -
165 165
13 13
125 125
100 100
36 36
4 4
91 91
- -
300 300
480 480
311 311
184 184
- -
- -
172 172
- -
- -
300 300
- -
5 5
- -
312 312
7,200 7,200
8,894 8,894
4,000 4,000
- -
- -
- -
- -
29 29
51 51
115 115
- -
59 59
3 3
- -
- -
- -
- -
- -
100 100
364 364
28 28
135 135
15 15
71 71
botol 31 1 1
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
set - -
set 0 0
set 0 0
set - -
set - -
set - -
set 0 0
botol - -
set - -
- -
50 50
75 75
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
botol 14.1 - -
botol 14.1 1 1
botol 14.1 1 1
tablet 14.1 - -
set 14.1 - -
set 14.1 - -
botol 14.1 2 2
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
- -
- -
- -
- -
- -
- -
kapsul - -
kapsul - -
kapsul - -
tablet - -
kapsul - -
blister - -
blister - -
blister - -
blister - -
tablet - -
tablet - -
ampul - -
kotak - -
kapsul - -
ampul - -
tablet - -
tablet - -
tablet - -
tablet - -
paket - -
paket - -
paket - -
paket - -
paket - -
paket - -
paket - -
tablet - -
vial - -
vial - -
ampul - -
-
- -
botol - -
pak - -
vial - -
bj - -
vial - -
ampul - -
set - -
set - -
set - -
set - -
set - -
set - -
strip - -
set - -
set - -
set - -
INDUK
Pemakaian
Pol Pustu
Darure
UGD
jo
Baru
8 9 10 11 12 13 14 15 16 17 18 19
Jumlah
Sisa
KET
Stok
9 10 11
- 637
- -
- 700
- 800
- 350
- 52
- 800
- -
- 10,100
- -
- 55
- -
- 220
- -
- -
- -
- 9,020
- -
- 70
- -
- -
- -
- 212
- -
- -
- -
- -
- -
- 3,120
- 500
- -
- -
- -
- -
- -
- 400
- -
- -
- -
- -
- -
- 17
- -
- -
- -
- -
- -
- 6
- 870
- -
- -
- -
- 22
- 4
- 1,600
- -
- -
- 34
- -
- 880
- 400
- -
- -
- -
- 1,800
- -
- -
- -
- 33
- -
- 1,300
- -
- -
- -
- -
- -
- 19
- -
- -
- 67
- 150
- -
- 380
- -
- -
- -
- -
- 1,500
- 12,600
- -
- 153
- -
- 4
- -
- 1,400
- -
- 600
- 6
- -
- -
- -
- -
- 2,130
- 100
- -
- 5
- -
- 4,270
- -
- -
- 15
- -
- 21
- -
- 48
- 50
- -
- 13
- 9,150
- -
- -
- 1,000
- -
- 75
- -
- -
- -
- 53
- -
- -
- -
- 13
- -
- 84
- -
- -
- -
- 3
- -
- 600
- 140
- -
- -
- -
- 1,070
- -
- -
- -
- -
- -
- -
- 800
- -
- 41
- -
- -
- -
- -
- 66
- -
- -
- 152
- -
- 19,170
- -
- -
- -
- 1,000
- -
- -
- -
- 2
- 1,200
- -
- -
- -
- -
- 450
- -
- -
- 1,050
- -
- -
- -
- 1,270
- -
- -
- 42
- -
- -
- -
- -
- 1
- -
- 7
- -
- -
- -
- 600
- -
- -
- -
- 300
- 500
- 10,150
- -
- -
- -
- -
- 1,100
- 8,120
- -
- -
- -
- -
- -
- 1
- 709
- 167
- 12
- 50
- 3,450
- 29,550
- 2,950
- 5,500
- 3,950
- 500
- 1,000
- 50
- 7,700
- 2,500
- 38
- 300
- 715
- -
- -
- -
- -
- 1
- -
- -
- 4
- -
- -
- -
- 43
- 298
- 89
- -
- -
- -
- -
- -
- 2
- -
- -
- -
- -
- -
- 40
- -
- 32
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 4
- 29
- 210
- 1
- -
- 47
- -
- -
- 543
- 796
- -
- -
- 165
- 13
- 125
- 100
- 36
- 4
- 91
- -
- 300
- 480
- 311
- 184
- -
- -
- 172
- -
- -
- 300
- -
- 5
- -
- 312
- 7,200
- 8,894
- 4,000
- -
- -
- -
- -
- 29
- 51
- 115
- -
- 59
- 3
- -
- -
- -
- -
- -
- 100
- 364
- 28
135
15
71
- 1
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 0
- 0
- -
- -
- -
- 0
- -
- -
- -
- 50
- 75
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 1
- 1
- -
- -
- -
- 2
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1 2
OBAT
39 Bekarbon tablet
47 D 40 Inj
69 Etanol 70%
90 Gliserin 100 ml
133 Lidokain HCl 2%
147 Mikonazol cream
165 Petidin injeksi
182 Risperidon 2 mg
214 Ketoprofen
SWADANA
1 Simvastatin
2 Ringer Lactat
3 D5 1/2
4 Metamizol Inj
13 Ambroxol tab
15 D 40%
16 Glibenklamide
17 Propiltiourasil
225 Hansaplast
239 KI 0.05 ml
240 KI 0.5 ml
241 KI 5 ml
247 Masker
248 Normject 2 ml
249 Normject 5 ml
253 Safety Box 5 L
255 Under Pad
SWADANA
1 Lumatule
2 Benang tali pusat
5 Hipavix
6 Underpad
8 Mess Aesculap
9 Blood Lancet
14 Jarum 26
16 Jelly Catheter
17 Gelang bayi
18 Kartu Golda
19 Surflo IV 18
20 Surflo IV 20
21 Surflo IV 22
22 Surflo IV 24
23 Masker Karet
24 Masker Air Lux
25 Masker Tali
30 Gel ECG
40 Handscun Steril
46 Tabung K3 EDTA
47 Yellow Tip
49 Safety box
50 Kapas
54 Under Pad
55 Hanscun Steril M
REAGEN LABORATORIUM
256 EDTA Powder
257 KOH 10 %
262 Larutan Ba Cl2
273 Larutan Turk
274 Metanol
275 Oil imersion
283 Xylol
286 Asam Urat Stik
SWADANA
2 EDTA Powder
16 Creatinine
18 Larutan KOH 10 %
19 Giemsa 100 ml
20 Methanol 250 ml
21 Diluent
22 EZ Cleaner
24 Rinse 20 ltr
25 Lyse 500 ml
27 Urine Stik Dirui
29 Gol Darah A
30 Gol Darah B
31 HBs Ag Strip
32 Darah Kontrol
33 HB Stik
OBAT GIGI
286 Dentorit
288 Eugenol cairan
SWADANA
1 ETSA
2 Bounding
4 Cavit
5 Calsium Hydroxide
6 GIC
OBAT PROGRAM
Flu Burung :
Gizi :
303 Yodiol
Anti Lepra :
304 MB Anak
305 MB Dewasa
306 PB Anak
307 PB Dewasa
Anti Malaria :
311 Artesunate inj.
Anti TBC :
318 FDC KIT I / III
319 FDC kit II
320 OAT Anak
321 OAT Kategori I
322 OAT Kategori II
324 OAT Sisipan
Imunisasi :
326 Vaksin BCG bayi
327 Vaksin Campak
KIA :
329 Kondom
330 IUD
333 Spuit KB
339 Urine Strip
341 Transfusion Set
ANTI RETROVIRAL:

Satuan
Geban Pol
Plabu Puri S
han
r
1 2 3 4 5 6 7
tablet 6.1.1 637 637
fles - -
tablet 1.2 700 700
tablet 800 800
tablet 26.1 350 350
ampul 26.1 52 52
tablet 23.2 800 800
tablet - -
kaplet 6.21 10,100 10,100
kapsul 6.21 - -
botol 6.21 55 55
botol 6.21 - -
vial 6.21 220 220
tablet 1.2 - -
ampul 1.2 - -
botol 25.1 - -
tablet 25.1 9,020 9,020
tube 18.2 - -
supp 25.3 70 70
pot 18.3 - -
tablet 7.2 - -
tablet 9 - -
vial 20.3 212 212
botol 30 - -
tablet 1.2 - -
tablet 1.2 - -
tablet 1.2 - -
tablet 29 - -
tablet 29 3,120 3,120
tablet 500 500
ampul - -
kapsul - -
kapsul - -
tube - -
tablet - -
tablet 400 400
vial 25.4 - -
tablet 25.4 - -
tablet - -
vial 6.2.1 - -
tablet - -
tube 17 17
suppo - -
suppo - -
ampul - -
vial - -
ampul - -
ampul 3 6 6
tablet 16.4 870 870
botol 11.2 - -
botol 26.2 - -
tablet 26.2 - -
ampul 5 22 22
tube 5 4 4
tablet 5 1,600 1,600
tablet 5 - -
tablet 6.1.2 - -
ampul 3 34 34
tablet 17.5 - -
tablet 880 880
tablet 400 400
tablet 26.1 - -
tablet 25.4 - -
ampul 3 - -
tablet 1,800 1,800
tablet - -
botol - -
botol 6.2.4 - -
botol 6.2.4 33 33
ampul 5 - -
kapsul 5 1,300 1,300
kapsul 5 - -
ampul 5 - -
tablet 5 - -
tablet 5 - -
botol 28.2 - -
ampul 10.2 19 19
tablet 10.2 - -
ampul - -
ampul 67 67
tablet 14 150 150
botol 18.5 - -
sak 20.1 380 380
ampul - -
ampul - -
tube - -
botol 14.2 - -
tablet 16.1.1 1,500 1,500
tablet 26.3 12,600 12,600
botol 20.2 - -
botol 20.2 153 153
tablet - -
ampul 4 4
ampul 23.4 - -
tablet 23.4 1,400 1,400
tablet 23.4 - -
tablet 23.4 600 600
botol 6 6
tablet 15 - -
tube 18.4 - -
botol 1.2 - -
tablet 1.2 - -
tablet 1.2 2,130 2,130
tablet 17.1 100 100
botol 13.1 - -
botol 5 5
tablet 29 - -
tablet 4,270 4,270
tablet - -
tablet - -
botol 15 15
ampul - -
ampul 21 21
kapsul 6.2.2 - -
tube 21.21 48 48
botol 50 50
botol - -
botol 13 13
tablet 3 9,150 9,150
ampul 25.4 - -
ampul 25.4 - -
tablet 25.4 1,000 1,000
tablet 25.4 - -
tablet 26.2 75 75
tube - -
tube - -
tablet - -
botol 6.2.2 53 53
tablet 6.2.2 - -
tablet 6.2.2 - -
botol - -
botol 13 13
ampul - -
ampul 14.1 84 84
botol 13.2 - -
tablet - -
ampul 5 - -
ampul 5 3 3
vial - -
tablet 600 600
tablet 22.1 140 140
ampul 22.1 - -
ampul - -
tablet - -
tablet 6.2.2 1,070 1,070
tablet 6.2.2 - -
tube - -
sachet - -
tablet 4.1 - -
tablet - -
botol 20.2 - -
tablet 800 800
tablet - -
tablet 6.3 41 41
botol 26.3 - -
tube 18.2 - -
tube 21.2.2 - -
vial 6.2.2 - -
ampul 22.1 66 66
vial - -
kapsul - -
botol 1.2 152 152
tablet 1.2 - -
tablet 1.2 19,170 19,170
ampul 11 - -
botol 6.1.1 - -
tablet 6.1.1 - -
tablet 29 1,000 1,000
tablet - -
14.2 - -
botol - -
botol 2 2
tablet 16.4 1,200 1,200
vial - -
tablet 7.1 - -
tablet 16.3 - -
tablet 7.1 - -
ampul 450 450
tablet - -
botol 20.2 - -
botol 20.2 1,050 1,050
tablet - -
ampul 26.1 - -
pot - -
tablet 26.1 1,270 1,270
tablet 26.1 - -
pot 18.4 - -
kotak 18.8 42 42
tube - -
kapsul - -
botol - -
kapsul - -
vial 1 1
ampul - -
ampul 7 7
ampul 10.1 - -
tablet - -
tablet - -
tablet 600 600
tablet - -
botol - -
kapsul 21.2 - -
kapsul 21.2 300 300
kapsul 500 500
tablet 29 10,150 10,150
tablet 29 - -
ampul 29 - -
tube - -
tablet - -
tablet 9 1,100 1,100
tablet 29 8,120 8,120
botol - -
tablet - -
- -
- -
-
- -
- -
1 1
709 709
167 167
12 12
50 50
3,450 3,450
29,550 29,550
2,950 2,950
5,500 5,500
3,950 3,950
500 500
1,000 1,000
50 50
7,700 7,700
2,500 2,500
set 32 38 38
set 32 300 300
set 32 715 715
set 32 - -
set 32 - -
set 32 - -
biji 32 - -
biji 32 1 1
biji - -
set - -
set 4 4
biji - -
biji - -
pasang - -
set 43 43
set 298 298
set 89 89
set - -
set - -
set - -
biji - -
bungkus - -
bungkus 2 2
bungkus - -
biji - -
set - -
set - -
set - -
rol 40 40
rol - -
rol 32 32
biji - -
biji - -
biji - -
set - -
set - -
roll - -
biji - -
lembar - -
lembar - -
biji 4 4
biji 29 29
210 210
1 1
- -
47 47
- -
- -
543 543
796 796
- -
- -
165 165
13 13
125 125
100 100
36 36
4 4
91 91
- -
300 300
480 480
311 311
184 184
- -
- -
172 172
- -
- -
300 300
- -
5 5
- -
312 312
7,200 7,200
8,894 8,894
4,000 4,000
- -
- -
- -
- -
29 29
51 51
115 115
- -
59 59
3 3
- -
- -
- -
- -
- -
100 100
364 364
28 28
135 135
15 15
71 71
botol 31 1 1
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
set - -
set 0 0
set 0 0
set - -
set - -
set - -
set 0 0
botol - -
set - -
- -
50 50
75 75
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
botol 14.1 - -
botol 14.1 1 1
botol 14.1 1 1
tablet 14.1 - -
set 14.1 - -
set 14.1 - -
botol 14.1 2 2
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
- -
- -
- -
- -
- -
- -
kapsul - -
kapsul - -
kapsul - -
tablet - -
kapsul - -
blister - -
blister - -
blister - -
blister - -
tablet - -
tablet - -
ampul - -
kotak - -
kapsul - -
ampul - -
tablet - -
tablet - -
tablet - -
tablet - -
paket - -
paket - -
paket - -
paket - -
paket - -
paket - -
paket - -
tablet - -
vial - -
vial - -
ampul - -
-
- -
botol - -
pak - -
vial - -
bj - -
vial - -
ampul - -
set - -
set - -
set - -
set - -
set - -
set - -
strip - -
set - -
set - -
set - -
INDUK
Pemakaian
Pol Pustu
Darure
UGD
jo
Baru
8 9 10 11 12 13 14 15 16 17 18 19
Jumlah
Sisa
KET
Stok
9 10 11
- 637
- -
- 700
- 800
- 350
- 52
- 800
- -
- 10,100
- -
- 55
- -
- 220
- -
- -
- -
- 9,020
- -
- 70
- -
- -
- -
- 212
- -
- -
- -
- -
- -
- 3,120
- 500
- -
- -
- -
- -
- -
- 400
- -
- -
- -
- -
- -
- 17
- -
- -
- -
- -
- -
- 6
- 870
- -
- -
- -
- 22
- 4
- 1,600
- -
- -
- 34
- -
- 880
- 400
- -
- -
- -
- 1,800
- -
- -
- -
- 33
- -
- 1,300
- -
- -
- -
- -
- -
- 19
- -
- -
- 67
- 150
- -
- 380
- -
- -
- -
- -
- 1,500
- 12,600
- -
- 153
- -
- 4
- -
- 1,400
- -
- 600
- 6
- -
- -
- -
- -
- 2,130
- 100
- -
- 5
- -
- 4,270
- -
- -
- 15
- -
- 21
- -
- 48
- 50
- -
- 13
- 9,150
- -
- -
- 1,000
- -
- 75
- -
- -
- -
- 53
- -
- -
- -
- 13
- -
- 84
- -
- -
- -
- 3
- -
- 600
- 140
- -
- -
- -
- 1,070
- -
- -
- -
- -
- -
- -
- 800
- -
- 41
- -
- -
- -
- -
- 66
- -
- -
- 152
- -
- 19,170
- -
- -
- -
- 1,000
- -
- -
- -
- 2
- 1,200
- -
- -
- -
- -
- 450
- -
- -
- 1,050
- -
- -
- -
- 1,270
- -
- -
- 42
- -
- -
- -
- -
- 1
- -
- 7
- -
- -
- -
- 600
- -
- -
- -
- 300
- 500
- 10,150
- -
- -
- -
- -
- 1,100
- 8,120
- -
- -
- -
- -
- -
- 1
- 709
- 167
- 12
- 50
- 3,450
- 29,550
- 2,950
- 5,500
- 3,950
- 500
- 1,000
- 50
- 7,700
- 2,500
- 38
- 300
- 715
- -
- -
- -
- -
- 1
- -
- -
- 4
- -
- -
- -
- 43
- 298
- 89
- -
- -
- -
- -
- -
- 2
- -
- -
- -
- -
- -
- 40
- -
- 32
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 4
- 29
- 210
- 1
- -
- 47
- -
- -
- 543
- 796
- -
- -
- 165
- 13
- 125
- 100
- 36
- 4
- 91
- -
- 300
- 480
- 311
- 184
- -
- -
- 172
- -
- -
- 300
- -
- 5
- -
- 312
- 7,200
- 8,894
- 4,000
- -
- -
- -
- -
- 29
- 51
- 115
- -
- 59
- 3
- -
- -
- -
- -
- -
- 100
- 364
- 28
135
15
71
- 1
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 0
- 0
- -
- -
- -
- 0
- -
- -
- -
- 50
- 75
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 1
- 1
- -
- -
- -
- 2
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1 2
OBAT
39 Bekarbon tablet
47 D 40 Inj
69 Etanol 70%
90 Gliserin 100 ml
133 Lidokain HCl 2%
147 Mikonazol cream
165 Petidin injeksi
182 Risperidon 2 mg
214 Ketoprofen
SWADANA
1 Simvastatin
2 Ringer Lactat
3 D5 1/2
4 Metamizol Inj
13 Ambroxol tab
15 D 40%
16 Glibenklamide
17 Propiltiourasil
225 Hansaplast
239 KI 0.05 ml
240 KI 0.5 ml
241 KI 5 ml
247 Masker
248 Normject 2 ml
249 Normject 5 ml
253 Safety Box 5 L
255 Under Pad
SWADANA
1 Lumatule
2 Benang tali pusat
5 Hipavix
6 Underpad
8 Mess Aesculap
9 Blood Lancet
14 Jarum 26
16 Jelly Catheter
17 Gelang bayi
18 Kartu Golda
19 Surflo IV 18
20 Surflo IV 20
21 Surflo IV 22
22 Surflo IV 24
23 Masker Karet
24 Masker Air Lux
25 Masker Tali
30 Gel ECG
40 Handscun Steril
46 Tabung K3 EDTA
47 Yellow Tip
49 Safety box
50 Kapas
54 Under Pad
55 Hanscun Steril M
REAGEN LABORATORIUM
256 EDTA Powder
257 KOH 10 %
262 Larutan Ba Cl2
273 Larutan Turk
274 Metanol
275 Oil imersion
283 Xylol
286 Asam Urat Stik
SWADANA
2 EDTA Powder
16 Creatinine
18 Larutan KOH 10 %
19 Giemsa 100 ml
20 Methanol 250 ml
21 Diluent
22 EZ Cleaner
24 Rinse 20 ltr
25 Lyse 500 ml
27 Urine Stik Dirui
29 Gol Darah A
30 Gol Darah B
31 HBs Ag Strip
32 Darah Kontrol
33 HB Stik
OBAT GIGI
286 Dentorit
288 Eugenol cairan
SWADANA
1 ETSA
2 Bounding
4 Cavit
5 Calsium Hydroxide
6 GIC
OBAT PROGRAM
Flu Burung :
Gizi :
303 Yodiol
Anti Lepra :
304 MB Anak
305 MB Dewasa
306 PB Anak
307 PB Dewasa
Anti Malaria :
311 Artesunate inj.
Anti TBC :
318 FDC KIT I / III
319 FDC kit II
320 OAT Anak
321 OAT Kategori I
322 OAT Kategori II
324 OAT Sisipan
Imunisasi :
326 Vaksin BCG bayi
327 Vaksin Campak
KIA :
329 Kondom
330 IUD
333 Spuit KB
339 Urine Strip
341 Transfusion Set
ANTI RETROVIRAL:

Satuan
Geban Pol
Plabu Puri S
han
r
1 2 3 4 5 6 7
tablet 6.1.1 637 637
fles - -
tablet 1.2 700 700
tablet 800 800
tablet 26.1 350 350
ampul 26.1 52 52
tablet 23.2 800 800
tablet - -
kaplet 6.21 10,100 10,100
kapsul 6.21 - -
botol 6.21 55 55
botol 6.21 - -
vial 6.21 220 220
tablet 1.2 - -
ampul 1.2 - -
botol 25.1 - -
tablet 25.1 9,020 9,020
tube 18.2 - -
supp 25.3 70 70
pot 18.3 - -
tablet 7.2 - -
tablet 9 - -
vial 20.3 212 212
botol 30 - -
tablet 1.2 - -
tablet 1.2 - -
tablet 1.2 - -
tablet 29 - -
tablet 29 3,120 3,120
tablet 500 500
ampul - -
kapsul - -
kapsul - -
tube - -
tablet - -
tablet 400 400
vial 25.4 - -
tablet 25.4 - -
tablet - -
vial 6.2.1 - -
tablet - -
tube 17 17
suppo - -
suppo - -
ampul - -
vial - -
ampul - -
ampul 3 6 6
tablet 16.4 870 870
botol 11.2 - -
botol 26.2 - -
tablet 26.2 - -
ampul 5 22 22
tube 5 4 4
tablet 5 1,600 1,600
tablet 5 - -
tablet 6.1.2 - -
ampul 3 34 34
tablet 17.5 - -
tablet 880 880
tablet 400 400
tablet 26.1 - -
tablet 25.4 - -
ampul 3 - -
tablet 1,800 1,800
tablet - -
botol - -
botol 6.2.4 - -
botol 6.2.4 33 33
ampul 5 - -
kapsul 5 1,300 1,300
kapsul 5 - -
ampul 5 - -
tablet 5 - -
tablet 5 - -
botol 28.2 - -
ampul 10.2 19 19
tablet 10.2 - -
ampul - -
ampul 67 67
tablet 14 150 150
botol 18.5 - -
sak 20.1 380 380
ampul - -
ampul - -
tube - -
botol 14.2 - -
tablet 16.1.1 1,500 1,500
tablet 26.3 12,600 12,600
botol 20.2 - -
botol 20.2 153 153
tablet - -
ampul 4 4
ampul 23.4 - -
tablet 23.4 1,400 1,400
tablet 23.4 - -
tablet 23.4 600 600
botol 6 6
tablet 15 - -
tube 18.4 - -
botol 1.2 - -
tablet 1.2 - -
tablet 1.2 2,130 2,130
tablet 17.1 100 100
botol 13.1 - -
botol 5 5
tablet 29 - -
tablet 4,270 4,270
tablet - -
tablet - -
botol 15 15
ampul - -
ampul 21 21
kapsul 6.2.2 - -
tube 21.21 48 48
botol 50 50
botol - -
botol 13 13
tablet 3 9,150 9,150
ampul 25.4 - -
ampul 25.4 - -
tablet 25.4 1,000 1,000
tablet 25.4 - -
tablet 26.2 75 75
tube - -
tube - -
tablet - -
botol 6.2.2 53 53
tablet 6.2.2 - -
tablet 6.2.2 - -
botol - -
botol 13 13
ampul - -
ampul 14.1 84 84
botol 13.2 - -
tablet - -
ampul 5 - -
ampul 5 3 3
vial - -
tablet 600 600
tablet 22.1 140 140
ampul 22.1 - -
ampul - -
tablet - -
tablet 6.2.2 1,070 1,070
tablet 6.2.2 - -
tube - -
sachet - -
tablet 4.1 - -
tablet - -
botol 20.2 - -
tablet 800 800
tablet - -
tablet 6.3 41 41
botol 26.3 - -
tube 18.2 - -
tube 21.2.2 - -
vial 6.2.2 - -
ampul 22.1 66 66
vial - -
kapsul - -
botol 1.2 152 152
tablet 1.2 - -
tablet 1.2 19,170 19,170
ampul 11 - -
botol 6.1.1 - -
tablet 6.1.1 - -
tablet 29 1,000 1,000
tablet - -
14.2 - -
botol - -
botol 2 2
tablet 16.4 1,200 1,200
vial - -
tablet 7.1 - -
tablet 16.3 - -
tablet 7.1 - -
ampul 450 450
tablet - -
botol 20.2 - -
botol 20.2 1,050 1,050
tablet - -
ampul 26.1 - -
pot - -
tablet 26.1 1,270 1,270
tablet 26.1 - -
pot 18.4 - -
kotak 18.8 42 42
tube - -
kapsul - -
botol - -
kapsul - -
vial 1 1
ampul - -
ampul 7 7
ampul 10.1 - -
tablet - -
tablet - -
tablet 600 600
tablet - -
botol - -
kapsul 21.2 - -
kapsul 21.2 300 300
kapsul 500 500
tablet 29 10,150 10,150
tablet 29 - -
ampul 29 - -
tube - -
tablet - -
tablet 9 1,100 1,100
tablet 29 8,120 8,120
botol - -
tablet - -
- -
- -
-
- -
- -
1 1
709 709
167 167
12 12
50 50
3,450 3,450
29,550 29,550
2,950 2,950
5,500 5,500
3,950 3,950
500 500
1,000 1,000
50 50
7,700 7,700
2,500 2,500
set 32 38 38
set 32 300 300
set 32 715 715
set 32 - -
set 32 - -
set 32 - -
biji 32 - -
biji 32 1 1
biji - -
set - -
set 4 4
biji - -
biji - -
pasang - -
set 43 43
set 298 298
set 89 89
set - -
set - -
set - -
biji - -
bungkus - -
bungkus 2 2
bungkus - -
biji - -
set - -
set - -
set - -
rol 40 40
rol - -
rol 32 32
biji - -
biji - -
biji - -
set - -
set - -
roll - -
biji - -
lembar - -
lembar - -
biji 4 4
biji 29 29
210 210
1 1
- -
47 47
- -
- -
543 543
796 796
- -
- -
165 165
13 13
125 125
100 100
36 36
4 4
91 91
- -
300 300
480 480
311 311
184 184
- -
- -
172 172
- -
- -
300 300
- -
5 5
- -
312 312
7,200 7,200
8,894 8,894
4,000 4,000
- -
- -
- -
- -
29 29
51 51
115 115
- -
59 59
3 3
- -
- -
- -
- -
- -
100 100
364 364
28 28
135 135
15 15
71 71
botol 31 1 1
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
set - -
set 0 0
set 0 0
set - -
set - -
set - -
set 0 0
botol - -
set - -
- -
50 50
75 75
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
botol 14.1 - -
botol 14.1 1 1
botol 14.1 1 1
tablet 14.1 - -
set 14.1 - -
set 14.1 - -
botol 14.1 2 2
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
- -
- -
- -
- -
- -
- -
kapsul - -
kapsul - -
kapsul - -
tablet - -
kapsul - -
blister - -
blister - -
blister - -
blister - -
tablet - -
tablet - -
ampul - -
kotak - -
kapsul - -
ampul - -
tablet - -
tablet - -
tablet - -
tablet - -
paket - -
paket - -
paket - -
paket - -
paket - -
paket - -
paket - -
tablet - -
vial - -
vial - -
ampul - -
-
- -
botol - -
pak - -
vial - -
bj - -
vial - -
ampul - -
set - -
set - -
set - -
set - -
set - -
set - -
strip - -
set - -
set - -
set - -
INDUK
Pemakaian
Pol Pustu
Darure
UGD
jo
Baru
8 9 10 11 12 13 14 15 16 17 18 19
Jumlah
Sisa
KET
Stok
9 10 11
- 637
- -
- 700
- 800
- 350
- 52
- 800
- -
- 10,100
- -
- 55
- -
- 220
- -
- -
- -
- 9,020
- -
- 70
- -
- -
- -
- 212
- -
- -
- -
- -
- -
- 3,120
- 500
- -
- -
- -
- -
- -
- 400
- -
- -
- -
- -
- -
- 17
- -
- -
- -
- -
- -
- 6
- 870
- -
- -
- -
- 22
- 4
- 1,600
- -
- -
- 34
- -
- 880
- 400
- -
- -
- -
- 1,800
- -
- -
- -
- 33
- -
- 1,300
- -
- -
- -
- -
- -
- 19
- -
- -
- 67
- 150
- -
- 380
- -
- -
- -
- -
- 1,500
- 12,600
- -
- 153
- -
- 4
- -
- 1,400
- -
- 600
- 6
- -
- -
- -
- -
- 2,130
- 100
- -
- 5
- -
- 4,270
- -
- -
- 15
- -
- 21
- -
- 48
- 50
- -
- 13
- 9,150
- -
- -
- 1,000
- -
- 75
- -
- -
- -
- 53
- -
- -
- -
- 13
- -
- 84
- -
- -
- -
- 3
- -
- 600
- 140
- -
- -
- -
- 1,070
- -
- -
- -
- -
- -
- -
- 800
- -
- 41
- -
- -
- -
- -
- 66
- -
- -
- 152
- -
- 19,170
- -
- -
- -
- 1,000
- -
- -
- -
- 2
- 1,200
- -
- -
- -
- -
- 450
- -
- -
- 1,050
- -
- -
- -
- 1,270
- -
- -
- 42
- -
- -
- -
- -
- 1
- -
- 7
- -
- -
- -
- 600
- -
- -
- -
- 300
- 500
- 10,150
- -
- -
- -
- -
- 1,100
- 8,120
- -
- -
- -
- -
- -
- 1
- 709
- 167
- 12
- 50
- 3,450
- 29,550
- 2,950
- 5,500
- 3,950
- 500
- 1,000
- 50
- 7,700
- 2,500
- 38
- 300
- 715
- -
- -
- -
- -
- 1
- -
- -
- 4
- -
- -
- -
- 43
- 298
- 89
- -
- -
- -
- -
- -
- 2
- -
- -
- -
- -
- -
- 40
- -
- 32
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 4
- 29
- 210
- 1
- -
- 47
- -
- -
- 543
- 796
- -
- -
- 165
- 13
- 125
- 100
- 36
- 4
- 91
- -
- 300
- 480
- 311
- 184
- -
- -
- 172
- -
- -
- 300
- -
- 5
- -
- 312
- 7,200
- 8,894
- 4,000
- -
- -
- -
- -
- 29
- 51
- 115
- -
- 59
- 3
- -
- -
- -
- -
- -
- 100
- 364
- 28
135
15
71
- 1
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 0
- 0
- -
- -
- -
- 0
- -
- -
- -
- 50
- 75
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 1
- 1
- -
- -
- -
- 2
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1 2
OBAT
39 Bekarbon tablet
47 D 40 Inj
69 Etanol 70%
90 Gliserin 100 ml
133 Lidokain HCl 2%
147 Mikonazol cream
165 Petidin injeksi
182 Risperidon 2 mg
214 Ketoprofen
SWADANA
1 Simvastatin
2 Ringer Lactat
3 D5 1/2
4 Metamizol Inj
13 Ambroxol tab
15 D 40%
16 Glibenklamide
17 Propiltiourasil
225 Hansaplast
239 KI 0.05 ml
240 KI 0.5 ml
241 KI 5 ml
247 Masker
248 Normject 2 ml
249 Normject 5 ml
253 Safety Box 5 L
255 Under Pad
SWADANA
1 Lumatule
2 Benang tali pusat
5 Hipavix
6 Underpad
8 Mess Aesculap
9 Blood Lancet
14 Jarum 26
16 Jelly Catheter
17 Gelang bayi
18 Kartu Golda
19 Surflo IV 18
20 Surflo IV 20
21 Surflo IV 22
22 Surflo IV 24
23 Masker Karet
24 Masker Air Lux
25 Masker Tali
30 Gel ECG
40 Handscun Steril
46 Tabung K3 EDTA
47 Yellow Tip
49 Safety box
50 Kapas
54 Under Pad
55 Hanscun Steril M
REAGEN LABORATORIUM
256 EDTA Powder
257 KOH 10 %
262 Larutan Ba Cl2
273 Larutan Turk
274 Metanol
275 Oil imersion
283 Xylol
286 Asam Urat Stik
SWADANA
2 EDTA Powder
16 Creatinine
18 Larutan KOH 10 %
19 Giemsa 100 ml
20 Methanol 250 ml
21 Diluent
22 EZ Cleaner
24 Rinse 20 ltr
25 Lyse 500 ml
27 Urine Stik Dirui
29 Gol Darah A
30 Gol Darah B
31 HBs Ag Strip
32 Darah Kontrol
33 HB Stik
OBAT GIGI
286 Dentorit
288 Eugenol cairan
SWADANA
1 ETSA
2 Bounding
4 Cavit
5 Calsium Hydroxide
6 GIC
OBAT PROGRAM
Flu Burung :
Gizi :
303 Yodiol
Anti Lepra :
304 MB Anak
305 MB Dewasa
306 PB Anak
307 PB Dewasa
Anti Malaria :
311 Artesunate inj.
Anti TBC :
318 FDC KIT I / III
319 FDC kit II
320 OAT Anak
321 OAT Kategori I
322 OAT Kategori II
324 OAT Sisipan
Imunisasi :
326 Vaksin BCG bayi
327 Vaksin Campak
KIA :
329 Kondom
330 IUD
333 Spuit KB
339 Urine Strip
341 Transfusion Set
ANTI RETROVIRAL:

Satuan
Geban Pol
Plabu Puri S
han
r
1 2 3 4 5 6 7
tablet 6.1.1 637 637
fles - -
tablet 1.2 700 700
tablet 800 800
tablet 26.1 350 350
ampul 26.1 52 52
tablet 23.2 800 800
tablet - -
kaplet 6.21 10,100 10,100
kapsul 6.21 - -
botol 6.21 55 55
botol 6.21 - -
vial 6.21 220 220
tablet 1.2 - -
ampul 1.2 - -
botol 25.1 - -
tablet 25.1 9,020 9,020
tube 18.2 - -
supp 25.3 70 70
pot 18.3 - -
tablet 7.2 - -
tablet 9 - -
vial 20.3 212 212
botol 30 - -
tablet 1.2 - -
tablet 1.2 - -
tablet 1.2 - -
tablet 29 - -
tablet 29 3,120 3,120
tablet 500 500
ampul - -
kapsul - -
kapsul - -
tube - -
tablet - -
tablet 400 400
vial 25.4 - -
tablet 25.4 - -
tablet - -
vial 6.2.1 - -
tablet - -
tube 17 17
suppo - -
suppo - -
ampul - -
vial - -
ampul - -
ampul 3 6 6
tablet 16.4 870 870
botol 11.2 - -
botol 26.2 - -
tablet 26.2 - -
ampul 5 22 22
tube 5 4 4
tablet 5 1,600 1,600
tablet 5 - -
tablet 6.1.2 - -
ampul 3 34 34
tablet 17.5 - -
tablet 880 880
tablet 400 400
tablet 26.1 - -
tablet 25.4 - -
ampul 3 - -
tablet 1,800 1,800
tablet - -
botol - -
botol 6.2.4 - -
botol 6.2.4 33 33
ampul 5 - -
kapsul 5 1,300 1,300
kapsul 5 - -
ampul 5 - -
tablet 5 - -
tablet 5 - -
botol 28.2 - -
ampul 10.2 19 19
tablet 10.2 - -
ampul - -
ampul 67 67
tablet 14 150 150
botol 18.5 - -
sak 20.1 380 380
ampul - -
ampul - -
tube - -
botol 14.2 - -
tablet 16.1.1 1,500 1,500
tablet 26.3 12,600 12,600
botol 20.2 - -
botol 20.2 153 153
tablet - -
ampul 4 4
ampul 23.4 - -
tablet 23.4 1,400 1,400
tablet 23.4 - -
tablet 23.4 600 600
botol 6 6
tablet 15 - -
tube 18.4 - -
botol 1.2 - -
tablet 1.2 - -
tablet 1.2 2,130 2,130
tablet 17.1 100 100
botol 13.1 - -
botol 5 5
tablet 29 - -
tablet 4,270 4,270
tablet - -
tablet - -
botol 15 15
ampul - -
ampul 21 21
kapsul 6.2.2 - -
tube 21.21 48 48
botol 50 50
botol - -
botol 13 13
tablet 3 9,150 9,150
ampul 25.4 - -
ampul 25.4 - -
tablet 25.4 1,000 1,000
tablet 25.4 - -
tablet 26.2 75 75
tube - -
tube - -
tablet - -
botol 6.2.2 53 53
tablet 6.2.2 - -
tablet 6.2.2 - -
botol - -
botol 13 13
ampul - -
ampul 14.1 84 84
botol 13.2 - -
tablet - -
ampul 5 - -
ampul 5 3 3
vial - -
tablet 600 600
tablet 22.1 140 140
ampul 22.1 - -
ampul - -
tablet - -
tablet 6.2.2 1,070 1,070
tablet 6.2.2 - -
tube - -
sachet - -
tablet 4.1 - -
tablet - -
botol 20.2 - -
tablet 800 800
tablet - -
tablet 6.3 41 41
botol 26.3 - -
tube 18.2 - -
tube 21.2.2 - -
vial 6.2.2 - -
ampul 22.1 66 66
vial - -
kapsul - -
botol 1.2 152 152
tablet 1.2 - -
tablet 1.2 19,170 19,170
ampul 11 - -
botol 6.1.1 - -
tablet 6.1.1 - -
tablet 29 1,000 1,000
tablet - -
14.2 - -
botol - -
botol 2 2
tablet 16.4 1,200 1,200
vial - -
tablet 7.1 - -
tablet 16.3 - -
tablet 7.1 - -
ampul 450 450
tablet - -
botol 20.2 - -
botol 20.2 1,050 1,050
tablet - -
ampul 26.1 - -
pot - -
tablet 26.1 1,270 1,270
tablet 26.1 - -
pot 18.4 - -
kotak 18.8 42 42
tube - -
kapsul - -
botol - -
kapsul - -
vial 1 1
ampul - -
ampul 7 7
ampul 10.1 - -
tablet - -
tablet - -
tablet 600 600
tablet - -
botol - -
kapsul 21.2 - -
kapsul 21.2 300 300
kapsul 500 500
tablet 29 10,150 10,150
tablet 29 - -
ampul 29 - -
tube - -
tablet - -
tablet 9 1,100 1,100
tablet 29 8,120 8,120
botol - -
tablet - -
- -
- -
-
- -
- -
1 1
709 709
167 167
12 12
50 50
3,450 3,450
29,550 29,550
2,950 2,950
5,500 5,500
3,950 3,950
500 500
1,000 1,000
50 50
7,700 7,700
2,500 2,500
set 32 38 38
set 32 300 300
set 32 715 715
set 32 - -
set 32 - -
set 32 - -
biji 32 - -
biji 32 1 1
biji - -
set - -
set 4 4
biji - -
biji - -
pasang - -
set 43 43
set 298 298
set 89 89
set - -
set - -
set - -
biji - -
bungkus - -
bungkus 2 2
bungkus - -
biji - -
set - -
set - -
set - -
rol 40 40
rol - -
rol 32 32
biji - -
biji - -
biji - -
set - -
set - -
roll - -
biji - -
lembar - -
lembar - -
biji 4 4
biji 29 29
210 210
1 1
- -
47 47
- -
- -
543 543
796 796
- -
- -
165 165
13 13
125 125
100 100
36 36
4 4
91 91
- -
300 300
480 480
311 311
184 184
- -
- -
172 172
- -
- -
300 300
- -
5 5
- -
312 312
7,200 7,200
8,894 8,894
4,000 4,000
- -
- -
- -
- -
29 29
51 51
115 115
- -
59 59
3 3
- -
- -
- -
- -
- -
100 100
364 364
28 28
135 135
15 15
71 71
botol 31 1 1
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
set - -
set 0 0
set 0 0
set - -
set - -
set - -
set 0 0
botol - -
set - -
- -
50 50
75 75
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
botol 14.1 - -
botol 14.1 1 1
botol 14.1 1 1
tablet 14.1 - -
set 14.1 - -
set 14.1 - -
botol 14.1 2 2
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
- -
- -
- -
- -
- -
- -
kapsul - -
kapsul - -
kapsul - -
tablet - -
kapsul - -
blister - -
blister - -
blister - -
blister - -
tablet - -
tablet - -
ampul - -
kotak - -
kapsul - -
ampul - -
tablet - -
tablet - -
tablet - -
tablet - -
paket - -
paket - -
paket - -
paket - -
paket - -
paket - -
paket - -
tablet - -
vial - -
vial - -
ampul - -
-
- -
botol - -
pak - -
vial - -
bj - -
vial - -
ampul - -
set - -
set - -
set - -
set - -
set - -
set - -
strip - -
set - -
set - -
set - -
INDUK
Pemakaian
Pol Pustu
Darure
UGD
jo
Baru
8 9 10 11 12 13 14 15 16 17 18 19
Jumlah
Sisa
KET
Stok
9 10 11
- 637
- -
- 700
- 800
- 350
- 52
- 800
- -
- 10,100
- -
- 55
- -
- 220
- -
- -
- -
- 9,020
- -
- 70
- -
- -
- -
- 212
- -
- -
- -
- -
- -
- 3,120
- 500
- -
- -
- -
- -
- -
- 400
- -
- -
- -
- -
- -
- 17
- -
- -
- -
- -
- -
- 6
- 870
- -
- -
- -
- 22
- 4
- 1,600
- -
- -
- 34
- -
- 880
- 400
- -
- -
- -
- 1,800
- -
- -
- -
- 33
- -
- 1,300
- -
- -
- -
- -
- -
- 19
- -
- -
- 67
- 150
- -
- 380
- -
- -
- -
- -
- 1,500
- 12,600
- -
- 153
- -
- 4
- -
- 1,400
- -
- 600
- 6
- -
- -
- -
- -
- 2,130
- 100
- -
- 5
- -
- 4,270
- -
- -
- 15
- -
- 21
- -
- 48
- 50
- -
- 13
- 9,150
- -
- -
- 1,000
- -
- 75
- -
- -
- -
- 53
- -
- -
- -
- 13
- -
- 84
- -
- -
- -
- 3
- -
- 600
- 140
- -
- -
- -
- 1,070
- -
- -
- -
- -
- -
- -
- 800
- -
- 41
- -
- -
- -
- -
- 66
- -
- -
- 152
- -
- 19,170
- -
- -
- -
- 1,000
- -
- -
- -
- 2
- 1,200
- -
- -
- -
- -
- 450
- -
- -
- 1,050
- -
- -
- -
- 1,270
- -
- -
- 42
- -
- -
- -
- -
- 1
- -
- 7
- -
- -
- -
- 600
- -
- -
- -
- 300
- 500
- 10,150
- -
- -
- -
- -
- 1,100
- 8,120
- -
- -
- -
- -
- -
- 1
- 709
- 167
- 12
- 50
- 3,450
- 29,550
- 2,950
- 5,500
- 3,950
- 500
- 1,000
- 50
- 7,700
- 2,500
- 38
- 300
- 715
- -
- -
- -
- -
- 1
- -
- -
- 4
- -
- -
- -
- 43
- 298
- 89
- -
- -
- -
- -
- -
- 2
- -
- -
- -
- -
- -
- 40
- -
- 32
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 4
- 29
- 210
- 1
- -
- 47
- -
- -
- 543
- 796
- -
- -
- 165
- 13
- 125
- 100
- 36
- 4
- 91
- -
- 300
- 480
- 311
- 184
- -
- -
- 172
- -
- -
- 300
- -
- 5
- -
- 312
- 7,200
- 8,894
- 4,000
- -
- -
- -
- -
- 29
- 51
- 115
- -
- 59
- 3
- -
- -
- -
- -
- -
- 100
- 364
- 28
135
15
71
- 1
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 0
- 0
- -
- -
- -
- 0
- -
- -
- -
- 50
- 75
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 1
- 1
- -
- -
- -
- 2
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

No. Nama Obat & Perbekalan Kesehatan Satuan
Geban Pol
1 2 3 4 5 6 7 g Bersal Pojok Rawat Bangs
Plabu Puri S
han
r
OBAT 1 2 3 4 5 6 7
1 Albendazol tablet 400 mg tablet 6.1.1 637 637
2 Albothyl concentrat fles - -
3 Alopurinol tablet 100 mg tablet 1.2 700 700
4 Ambroxol tab 30 mg tablet 800 800
5 Aminofilin tablet 200 mg tablet 26.1 350 350
6 Aminofilina injeksi 24 mg/ml - 10 ml ampul 26.1 52 52
7 Amitriptilin HCl tablet salut 25 mg tablet 23.2 800 800
8 Amlodipin tablet 5 mg tablet - -
9 Amoksisilin kaplet 500 mg kaplet 6.21 10,100 10,100
10 Amoksisilin kapsul 250 mg kapsul 6.21 - -
11 Amoksisilin sirup kering 125 mg/5ml botol 6.21 55 55
12 Amoksisilin sirup kering Forte 250 mg/5ml botol 6.21 - -
13 Ampisilin serbuk injeksi im/iv 1000 mg/ml vial 6.21 220 220
14 Antalgin (Metampiron) tablet 500 mg tablet 1.2 - -
15 Antalgin injeksi 250 mg/ml - 2 ml ampul 1.2 - -
16 Antasida DOEN suspensi botol 25.1 - -
17 Antasida DOEN tab,kombinasi:Mg-Hidroksida 200mg+Al. Hidroksida. 200 mg tablet 25.1 9,020 9,020
18 Anti Bakteri DOEN salep kombinasi:Basitrasin 500 IU/g + Polimiksin 10.000 IU/g tube 18.2 - -
19 Anti Hemoroid DOEN Kombinasi supp 25.3 70 70
20 Antifungi DOEN Kombinasi:Asam Benzoat 6% + Asam Salisilat 3% pot 18.3 - -
21 Antimigren:Ergotamin Tartrat 1 mg + Kofein 50 mg tablet 7.2 - -
22 Antiparkinson DOEN tablet kombinasi:Karbidopa 25 mg + Levodopa 250 mg tablet 9 - -
23 Aqua pro Injeksi steril 25 ml, bebas pirogen vial 20.3 212 212
24 Aquadest steril 500 ml botol 30 - -
25 Asam Asetilsalisilat (Asetosal) tablet 100 mg tablet 1.2 - -
28 Asam Askorbat (Vit C) tablet 100 mg tablet 29 - -
29 Asam Askorbat (Vit C) tablet 50 mg tablet 29 3,120 3,120
30 Asam Mefenamat tablet salut selaput 500 mg tablet 500 500
31 Asam Traneksamat injeksi ampul - -
32 Asam Traneksamat kapsul 250 mg kapsul - -
33 Asam Traneksamat kapsul 500 mg kapsul - -
34 Asiklovir krim 5% tube - -
450717847.xls Page 529

35 Asiklovir tablet 400 mg tablet - -
36 Atapulgit tablet 600 mg tablet 400 400
37 Atropin injeksi im/iv/sk 0,25 mg/ml - 1 ml ( Sulfat ) vial 25.4 - -
38 Atropin Sulfat tablet 0,5 mg tablet 25.4 - -
39 Bekarbon tablet tablet - -
40 Benzatin Bensil Penisillin 2,4 juta IU/Vial vial 6.2.1 - -
41 Betahistin Mesilat tablet 6 mg tablet - -
42 Betametason krim 0,5 mg/g tube 17 17
43 Bisacodyl suppositoria 10 mg dewasa suppo - -
44 Bisacodyl supposituria anak suppo - -
45 Bisacodyl tab. 5 mg ampul - -
46 Cefotaxime inj. 1.000 mg vial - -
47 D 40 Inj ampul - -
48 Deksametason injeksi iv. 5 mg/ml - 1 ml ampul 3 6 6
49 Deksametason tablet 0,5 mg tablet 16.4 870 870
50 Dekstran 70 - larutan infus 6% steril botol 11.2 - -
51 Dekstrometorfan sirup 10 mg/5 ml (HBr) botol 26.2 - -
52 Dekstrometorfan tablet 15 mg ( HBr ) tablet 26.2 - -
53 Diazepam injeksi 5 mg/ml - 2 ml ampul 5 22 22
54 Diazepam lar rektal 10mg/ 2,5 ml (Stesolid) tube 5 4 4
55 Diazepam tablet 2 mg tablet 5 1,600 1,600
56 Diazepam tablet 5 mg tablet 5 - -
57 Dietilkarbamazin Sitrat ta.100 mg tablet 6.1.2 - -
58 Difenhidramin inj im.10 mg/ml-1 ml ( HCl ) ampul 3 34 34
59 Digoksin tablet 0,25 mg tablet 17.5 - -
60 Dimenhidrinat tablet 50 mg tablet 880 880
61 Domperidon tablet 10 mg tablet 400 400
62 Efedrin HCl tablet 25 mg ( HCl ) tablet 26.1 - -
63 Ekstrak Belladon tablet 10 mg tablet 25.4 - -
64 Epinefrina ( Adrenalina ) Injeksi 0,1% - 1 ml ( HCl ) ampul 3 - -
65 Erytromycin kapsul 500 mg tablet 1,800 1,800
66 Erytromycin kapsul 250 mg tablet - -
67 Erytromycin sirup 200 mg/5 ml botol - -
68 Etakridin ( Rivanol ) larutan 0,1% botol 6.2.4 - -
69 Etanol 70% botol 6.2.4 33 33
70 Fenitoin injeksi 50 mg/ml ampul 5 - -
71 Fenitoin Natrium kapsul 100 mg kapsul 5 1,300 1,300
72 Fenitoin Natrium kapsul 30 mg kapsul 5 - -
73 Fenobarbital inj im/iv 50 mg/ml 1ml ampul 5 - -
74 Fenobarbital tablet 100 mg tablet 5 - -
75 Fenobarbital tablet 30 mg tablet 5 - -
76 Fenol Gliserol tetes telinga 10% botol 28.2 - -
450717847.xls Page 530

77 Fitomenadion (Vit.K1) injeksi 2 mg/ml - 1 ml ampul 10.2 19 19
78 Fitomenadion (Vit.K1) tablet salut gula 10 mg tablet 10.2 - -
79 Fluphenazin Decanoate 25mg/ml (Sikzonoate Inj) ampul - -
80 Furosemid injeksi iv/im 10 mg/ml ampul 67 67
81 Furosemid tablet 40 mg tablet 14 150 150
82 Gameksan lotion 1 % botol 18.5 - -
83 Garam Oralit untuk 200 ml air sak 20.1 380 380
84 Gentamisin injeksi 40 mg/ml (sbg Sulfat) ampul - -
85 Gentamisin injeksi 80 mg/ml (sbg Sulfat) ampul - -
86 Gentamisin salep kulit 0,1 % tube - -
87 Gentian Violet larutan 1 % botol 14.2 - -
88 Glibenklamid tablet 5 mg tablet 16.1.1 1,500 1,500
89 Gliseril Guayakolat tablet 100 mg tablet 26.3 12,600 12,600
90 Gliserin 100 ml botol 20.2 - -
91 Glukosa larutan infus 5 % botol 20.2 153 153
92 Griseovulvin tablet 125 mg,micronized tablet - -
93 Haldol Decanoat 50 mg/ml inj ampul 4 4
94 Haloperidol 5mg/ml inj ampul 23.4 - -
95 Haloperidol tablet 0,5 mg tablet 23.4 1,400 1,400
96 Haloperidol tablet 1,5 mg tablet 23.4 - -
97 Haloperidol tablet 5 mg tablet 23.4 600 600
98 Hidrogen Peroksida cairan 3% botol 6 6
99 Hidroklorotiazid (HCT) tablet 25 mg tablet 15 - -
100 Hidrokortison krim 2,5 % tube 18.4 - -
101 Ibuprofen suspensi 100mg/ 5 ml botol 1.2 - -
102 Ibuprofen tablet 200 mg tablet 1.2 - -
103 Ibuprofen tablet 400 mg tablet 1.2 2,130 2,130
104 Isosorbid Dinitrat tablet sublingual 5 mg tablet 17.1 100 100
105 Kalium Permanganat serbuk botol 13.1 - -
106 Kalsium Glukonat inj 100mg/ml / Ca Gluconas botol 5 5
107 Kalsium Laktat (Kalk) tablet 500 mg tablet 29 - -
108 Kaptopril tablet 25 mg tablet 4,270 4,270
109 Kaptopril tablet 50 mg tablet - -
110 Karbamazepin tablet 200 mg tablet - -
111 Karbogliserin tetes telinga 10 % botol 15 15
112 Ketokonazol tablet 200 mg ampul - -
113 Kloramfenikol injeksi 1000 mg ampul 21 21
114 Kloramfenikol kapsul 250 mg kapsul 6.2.2 - -
115 Kloramfenikol salep mata 1 % tube 21.21 48 48
116 Kloramfenikol suspensi 125 mg/5 ml botol 50 50
117 Kloramfenikol tetes mata 1 % botol - -
118 Kloramfenikol tetes telinga 3 % botol 13 13
450717847.xls Page 531

119 Klorfeniramin Maleat (CTM) tablet 4 mg tablet 3 9,150 9,150
120 Klorpromazin injeksi 25 mg/ml - 1 ml ( HCl ) ampul 25.4 - -
121 Klorpromazin injeksi 5 mg/ml - 1 ml ( HCl ) ampul 25.4 - -
122 Klorpromazin HCl tablet salut 100 mg(HCl) tablet 25.4 1,000 1,000
123 Klorpromazin tablet salut 25 mg ( HCl ) tablet 25.4 - -
124 Kodein tablet 10 mg tablet 26.2 75 75
125 Kombinasi ekstrak Plasenta 100 mg, Neomisin Sulfat 5 g/gram tube tube - -
126 Kombinasi gameksan 10 mg, Asam usnat 10 mg/g tube - -
127 Kombinasi Metampiron, ekstrak Belladona, Papaverin HCl tablet tablet - -
128 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim 40 mg / 5 ml botol 6.2.2 53 53
129 Kotrimoksazol tablet kombinasi: Sulfametoksazol 400 mg + Trimetoprim 80 mg (Kotrim adult) tablet 6.2.2 - -
130 Kotrimoksazol tablet pediatrik, kombinasi:Sulfametoksazol 100 mg + Trimetoprim 20 mg tablet 6.2.2 - -
131 Larutan elektrolit D5 - 1/2 NS botol - -
132 Larutan elektrolit D5 - 1/4 NS botol 13 13
133 Lidokain HCl 2% ampul - -
134 Lidokain komp. injeksi, Kombinasi:Lidokain HCl 2% + Epinefrin 1:80.000 - 2 ml ampul 14.1 84 84
135 Lisol, mengandung Kresol tersabun 50% botol 13.2 - -
136 Loratadin tablet 10 mg tablet - -
137 Magnesium Sulfat injeksi (iv) 20 % - 25 ml ampul 5 - -
138 Magnesium Sulfat injeksi (iv) 40 % - 25 ml ampul 5 3 3
139 Metamizole inj 1 gr / 2 ml vial - -
140 Metformin HCl tablet 500 mg tablet 600 600
141 Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg tablet 22.1 140 140
142 Metilergometrin Maleat inj 0,200 mg-1 ml ampul 22.1 - -
143 Metoklopramide inj. 5 mg / 1 ml ampul - -
144 Metoklopramide tablet 10 mg tablet - -
145 Metronidazol tablet 250 mg tablet 6.2.2 1,070 1,070
146 Metronidazol tablet 500 mg tablet 6.2.2 - -
147 Mikonazol cream tube - -
148 Mineral Mix Kombinasi sachet - -
149 Natrium Bikarbonat tablet 500 mg tablet 4.1 - -
150 Natrium Diklofenak tablet 50 mg tablet - -
151 Natrium Klorida larutan infus 0,9 % steril botol 20.2 - -
152 Nifedipin tablet 10 mg tablet 800 800
153 Nistatin tablet salut 500.000 IU/g tablet - -
154 Nistatin tablet vaginal 100.000 IU/g tablet 6.3 41 41
155 Obat Batuk Hitam ( O.B.H. ) cairan botol 26.3 - -
156 Oksitetrasiklin HCl salep kulit 3 % tube 18.2 - -
157 Oksitetrasiklin HCl salep mata 1 % ( HCl ) tube 21.2.2 - -
158 Oksitetrasiklin HCl injeksi i.m. 50 mg/ml vial 6.2.2 - -
159 Oksitosin injeksi 10 IU/ml - 1 ml ampul 22.1 66 66
160 Omeprazol injeksi 40 mg/ 10 ml vial - -
450717847.xls Page 532

161 Omeprazol kapsul 20 mg kapsul - -
162 Parasetamol sirup 120 mg/5 ml botol 1.2 152 152
163 Parasetamol tablet 100 mg tablet 1.2 - -
164 Parasetamol tablet 500 mg tablet 1.2 19,170 19,170
165 Petidin injeksi ampul 11 - -
166 Pirantel sirup 125mg/5ml botol 6.1.1 - -
167 Pirantel tablet score ( base ) 125 mg tablet 6.1.1 - -
168 Piridoksin (Vit.B6) tablet 10 mg ( HCl ) tablet 29 1,000 1,000
169 Piroksikam tablet 20 mg tablet - -
170 Polikresulen 3,6 mg / ml konsentrat 14.2 - -
171 Povidon Iodida 10 %, 30 ml botol - -
172 Povidon Iodida 10 %, 300 ml botol 2 2
173 Prednison tablet 5 mg tablet 16.4 1,200 1,200
174 Prokain Penisilin inj 3 jt vial - -
175 Propanolol tablet 10 mg (HCl) tablet 7.1 - -
176 Propiltiourasil tablet 100 mg (PTU ) tablet 16.3 - -
177 Propranolol tablet 40 mg (HCl) tablet 7.1 - -
178 Ranitidin injeksi 25 mg/ml ampul 450 450
179 Ranitidin tablet 150 mg tablet - -
180 Ringer Asetat larutan infus steril botol 20.2 - -
181 Ringer Laktat larutan infus steril botol 20.2 1,050 1,050
182 Risperidon 2 mg tablet - -
183 Salbutamol 2,5 mg respulles (Komb Ipratropium Br 0,5mg+Salbutamol2,5mgnebules) Combivent ampul 26.1 - -
184 Salbutamol Inhaler 100 mcg/dosis pot - -
185 Salbutamol tablet 2 mg ( sebagai sulfat ) tablet 26.1 1,270 1,270
186 Salbutamol tablet 4 mg ( sebagai sulfat ) tablet 26.1 - -
187 Salep 2-4 , Kombinasi:Asam Salisilat 2% + Belerang Endap 4% pot 18.4 - -
188 Salisil Bedak 2 % kotak 18.8 42 42
189 Scabicid Cream tube 10 gram tube - -
190 Sefadroksil kapsul 500 mg kapsul - -
191 Sefadroksil sirup kering 125 mg/ 5 ml botol - -
192 Sefiksim kapsul 100 mg kapsul - -
193 Serum Anti Bisa Ular Polivalen injeksi 5 ml (ABU I) vial 1 1
194 Serum Anti Difteri 20.000 SI/vial (A.D.S.) ampul - -
195 Serum Anti Tetanus Injeksi 1.500 IU/ampul (A.T.S.) ampul 7 7
196 Sianokobalamin (Vit.B12) injeksi 500 mcg - ml ampul 10.1 - -
197 Simetidin tablet 200 mg tablet - -
198 Simvastatin tablet 10 mg tablet - -
199 Siprofloksasin tablet 500 mg (sebagai HCl) tablet 600 600
200 Sulfadimidin tablet 500 mg tablet - -
201 Sulfasetamida Natrium tetes mata 15 % botol - -
202 Tetrasiklin kapsul 250 mg kapsul 21.2 - -
450717847.xls Page 533

203 Tetrasiklin kapsul 500 mg kapsul 21.2 300 300
204 Tiamfenikol kapsul 500 mg kapsul 500 500
205 Tiamin (Viamin B1) tablet 50 mg (HCl / Mononitrat ) tablet 29 10,150 10,150
206 Tiamin (Vit B1) tablet 100 mg tablet 29 - -
207 Tiamin (Vitamin B1) injeksi 100 mg/ml-1 ml ampul 29 - -
208 Triamcinolone acetate krim tube - -
209 Trifluoperazine tablet 5 mg tablet - -
210 Triheksifenidil Hidroklorida tablet 2 mg tablet 9 1,100 1,100
211 Vitamin B Kompleks tablet tablet 29 8,120 8,120
212 Zinc sirup 10 mg/ml botol - -
213 Zinc tablet 20 mg tablet - -
214 Ketoprofen - -
- -
SWADANA -
1 Simvastatin - -
2 Ringer Lactat - -
3 D5 1/2 1 1
4 Metamizol Inj 709 709
5 Salbutamol 2,5mg+Ipratropium Bromida inhalasi (Combivent) 167 167
6 Bisacodril anak (Dulcolax) 12 12
7 Dulcolax Supp Infant Bisacodril Suppositoria 10 mg 50 50
8 Generik Amplodipin tablet/kapsul/kaplet 10 mg 3,450 3,450
9 Generik Amoksisilin kapsul/kaplet/tablet scored 500 mg 29,550 29,550
10 Generik Asam Askorbat (vitamin C) 50 mg 2,950 2,950
11 Generik Griseofulvin tablet /kapsul/kaplet/ 125 mg 5,500 5,500
12 Generik Vitamin B Kompleks tablet 3,950 3,950
13 Ambroxol tab 500 500
14 Ampisilin serb inj 1000 mg/vial 1,000 1,000
15 D 40% 50 50
16 Glibenklamide 7,700 7,700
17 Propiltiourasil 2,500 2,500
214 Alat suntik sekali pakai 1 ml set 32 38 38
215 Alat suntik sekali pakai 2,5 ml/3 ml set 32 300 300
216 Alat suntik sekali pakai 5 ml set 32 715 715
217 Alat suntik sekali pakai 10 ml set 32 - -
218 Alat suntik sekali pakai 20 ml set 32 - -
219 Blood Transfusion Set set 32 - -
450717847.xls Page 534

220 Catgut / Benang Bedah No. 2/0 - 3/0 dengan jarum bedah Khromic biji 32 - -
221 Catgut / Benang Bedah No. 3/0 plain biji 32 1 1
222 Catgut / Benang Bedah No. 3/0 chromic biji - -
223 Foley Catheter No. 16 set - -
224 Foley Catheter No. 18 set 4 4
225 Hansaplast biji - -
226 Hands shoen non steril No. 7 biji - -
227 Hands shoen steril No. 7 pasang - -
228 Infusion set anak set 43 43
229 Infusion set dewasa set 298 298
230 IV Catether No. 18 set 89 89
231 IV Catether No. 20 set - -
234 Jarum jahit bedah No. 9 s/d 14 biji - -
235 Kapas Berlemak 500 gram bungkus - -
236 Kapas Pembalut / Absorben 250 gram bungkus 2 2
237 Kasa Kompres 40/40 steril bungkus - -
238 Kasa Pembalut 2 m x 80 cm biji - -
239 KI 0.05 ml set - -
240 KI 0.5 ml set - -
241 KI 5 ml set - -
242 Kasa Pembalut Hidrofil 4 m x 3 cm hidrofil/elastic rol 40 40
243 Kasa Pembalut Hidrofil 4 m x 15 cm hidrofil/elastic rol - -
244 Kasa Steril 16 x 16 cm rol 32 32
245 Maag Slang No. 16 biji - -
246 Maag Slang No. 18 biji - -
247 Masker biji - -
248 Normject 2 ml set - -
249 Normject 5 ml set - -
250 Plester 5 yards x 2 inch roll - -
251 Silk (Benang Bedah Sutera) No. 3/0 dengan jarum bedah biji - -
252 Safety Box 2,5 L lembar - -
253 Safety Box 5 L lembar - -
254 Urine bag steril 2 LT biji 4 4
255 Under Pad biji 29 29
SWADANA
1 Lumatule 210 210
2 Benang tali pusat 1 1
3 Sarung tangan panjang - -
450717847.xls Page 535

4 Selang penghisap lendir bayi 47 47
5 Hipavix - -
6 Underpad - -
7 Hansaplast ( per kotak @ 10 biji ) 543 543
8 Mess Aesculap 796 796
9 Blood Lancet - -
10 Alat suntik habis pakai 10 ml ( box @ 100 biji ) - -
11 Alat suntik habis pakai 20 ml ( box @ 100 biji ) 165 165
12 Folley Catheter no.16 13 13
13 Folley Catheter no.18 125 125
14 Jarum 26 100 100
15 Heacting Naid G/T 11 36 36
16 Jelly Catheter 4 4
17 Gelang bayi 91 91
18 Kartu Golda - -
19 Surflo IV 18 300 300
20 Surflo IV 20 480 480
21 Surflo IV 22 311 311
22 Surflo IV 24 184 184
23 Masker Karet - -
24 Masker Air Lux - -
25 Masker Tali 172 172
26 Handle hand scrub - -
27 Alkohol Antiseptik Gel - -
28 Gelang Pasien Dewasa 300 300
29 Masker Medical Respirator - -
30 Gel ECG 5 5
31 Hanscun Industri M - -
32 Hanscun Industri L 312 312
33 Hanscun Non Steril ukuran S 7,200 7,200
34 Hanscun Non Steril ukuran M 8,894 8,894
35 Hanscun Non Steril ukuran L 4,000 4,000
36 Paper Print Dirui - -
37 Paper Print Foto Meter - -
38 Oneject spuit 0.5 ml - -
39 Catgut Chromic 3/0 + jaum 1/2 GT 33 mm - -
40 Handscun Steril 29 29
41 Kasa pembalut hidrofil 2 m x 80 cm 51 51
42 Kasa pembalut hidrofil 4 m x 15 cm 115 115
43 Plesterin non woven - -
44 Silk 3/0 + jarum 1/2 GT 35 mm 59 59
45 Alkohol Antiseptik Gel Revil 3 3
450717847.xls Page 536

46 Tabung K3 EDTA - -
47 Yellow Tip - -
48 Masker Oksigen Dewasa - -
49 Safety box - -
50 Kapas - -
51 TERUMO Disp. Syringe with Needle 5 CC 100 100
52 TERUMO Disp. Syringe with Needle 3 CC 364 364
53 Plesterin 10 cm x 10 m 28 28
54 Under Pad 135 135
55 Hanscun Steril M 15 15
56 Blood Trasfusion Set 71 71
REAGEN LABORATORIUM
256 EDTA Powder botol 31 1 1
257 KOH 10 % botol 31 - -
258 Larutan Asam asetat 6% botol 31 - -
259 Larutan Asam Klorida 0,1 N botol 31 - -
260 Larutan Asam Klorida 2 % botol 31 - -
261 Larutan Asam sulfosalisilat botol 31 - -
262 Larutan Ba Cl2 botol 31 - -
263 Larutan Benedict botol 31 - -
264 Larutan Eosin 2% botol 31 - -
265 Larutan Ether Alkohol botol 31 - -
266 Larutan Faucheet botol 31 - -
267 Larutan Giemsa Stain botol - -
268 Larutan HCl-alkohol /Lart. Etanol asam botol - -
269 Larutan Karbol Fuksin botol - -
270 Larutan Metilen Biru botol - -
271 Larutan Rees Ecker botol - -
272 Larutan Shlessinger botol - -
273 Larutan Turk botol - -
274 Metanol botol - -
275 Oil imersion botol - -
276 Reagen Asam Urat set - -
277 Reagen Golongan Darah Antigen A set 0 0
278 Reagen Golongan Darah Antigen B set 0 0
279 Reagen Gula Darah set - -
450717847.xls Page 537

280 Reagen Kolesterol set - -
281 Reagen Urin Stik 10 Parameter set - -
282 Reagen Widal (AO, BO,H,O) set 0 0
283 Xylol botol - -
284 Reagen RPR Syphilis/Titer (Plasmatec/RPR tes kit, RPR 0/012) set - -
285 Rapid Syphilis/ Standar Diagnostic (Alere) Bioline - -
286 Asam Urat Stik 50 50
287 Reagent Gula Darah Stik 75 75
288 Reagent Colesterol Stik - -
SWADANA
1 Asam urat stik ( 25 stik ) - -
2 EDTA Powder - -
3 Gula darah stik ( 25 stik ) - -
4 Urine stik 10 parameter - -
5 Urine stik 3 parameter - -
6 Stik colesterol ( 10 stik ) - -
7 Reagent colesterol - -
8 Plano test ( 50 strip ) - -
9 Larutan HCl 0.1 N 100 ml - -
10 Rees Eacher 100 ml - -
11 Rees Eacher 200 ml - -
12 Larutan Turk 100 ml - -
13 Larutan Turk 250 ml - -
14 Reagent SGOT 5 X 20 ML - -
15 Reagent SGPT 5 X 20 ML - -
16 Creatinine - -
17 Kertas Lakmus Biru - -
18 Larutan KOH 10 % - -
19 Giemsa 100 ml - -
20 Methanol 250 ml - -
21 Diluent - -
22 EZ Cleaner - -
23 Thermal Paper Hematologi - -
24 Rinse 20 ltr - -
25 Lyse 500 ml - -
26 Probe Cleaner 17 ml - -
27 Urine Stik Dirui - -
28 Widal ( AO,BO,H,O) - -
29 Gol Darah A - -
30 Gol Darah B - -
31 HBs Ag Strip - -
450717847.xls Page 538

32 Darah Kontrol - -
33 HB Stik - -
OBAT GIGI
286 Dentorit botol 14.1 - -
287 Etil Klorida spray botol 14.1 1 1
288 Eugenol cairan botol 14.1 1 1
289 Fluor tablet 0,5 mg tablet 14.1 - -
290 Glass Ionomer Cement ART set 14.1 - -
291 Kalsium Hidroksida Pasta set 14.1 - -
292 Monochlorkamfer mentol ( CHKM ) botol 14.1 2 2
293 Mummifying Pasta botol - -
294 Povidon Iodine obat kumur botol - -
295 Semen Seng Fosfat serbuk dan cairan botol - -
296 Silver Amalgam serbuk 65 - 75 % botol - -
297 Temporary Stopping Fletcher (Fletcher) serbuk dan cairan botol - -
298 Tri Kresol Formalin botol - -
SWADANA
1 ETSA - -
2 Bounding - -
3 Composit ( A1,A2,A3) - -
4 Cavit - -
5 Calsium Hydroxide - -
6 GIC - -
OBAT PROGRAM
Flu Burung :
299 Oseltamivir kapsul 75 mg kapsul - -
Gizi :
300 Retinol Kapsul ( Vitamin A ) 100.000 IU kapsul - -
301 Retinol kapsul ( Vitamin A ) 200.000 IU kapsul - -
302 Tablet Tambah Darah ( TTD ) tablet - -
303 Yodiol kapsul - -
Anti Lepra :
304 MB Anak blister - -
305 MB Dewasa blister - -
306 PB Anak blister - -
307 PB Dewasa blister - -
Anti Malaria :
450717847.xls Page 539

308 ACT ( Artesunate + Amodiaquin ) Arsuamoon tablet - -
309 ACT ( Dehidro Artemisin + Piperaquin ) Arterakine tablet - -
310 Artemeter inj. 80 mg/ml ampul - -
311 Artesunate inj. kotak - -
312 Doksisiklin kapsul 100 mg kapsul - -
313 Kina dihidroklorida inj. 25 %-2ml ampul - -
314 Kina tablet 200 mg tablet - -
315 Primakuin tablet 15 mg tablet - -
Anti TBC :
316 Ethambutol tablet 400 mg tablet - -
317 Ethambutol tablet 500 mg tablet - -
318 FDC KIT I / III paket - -
319 FDC kit II paket - -
320 OAT Anak paket - -
321 OAT Kategori I paket - -
322 OAT Kategori II paket - -
323 OAT Kategori III paket - -
324 OAT Sisipan paket - -
325 Pirazinamid tablet 500 mg tablet - -
Imunisasi :
326 Vaksin BCG bayi vial - -
327 Vaksin Campak vial - -
328 HB Uniject 0,5 ml ampul - -
KIA : -
329 Kondom - -
330 IUD botol - -
331 Urine Rapid Test pak - -
332 Progesteron Depo inj ( 3 bulan ) vial - -
333 Spuit KB bj - -
334 Metronidazole 500 mg inj vial - -
335 Calcium Gluconas inj ampul - -
336 Catgut Chromic 1/0 set - -
337 Kantung Urine Dewasa set - -
338 Rapid Test Siphilis set - -
339 Urine Strip set - -
340 Implant KB / Levonogestrel 75 mg set - -
341 Transfusion Set set - -
342 Pil Kontrasepsi ( Microdiol ) strip - -
ANTI RETROVIRAL:
343 Nevirapine (NVP) 200 mg set - -
344 Zidofudine (ZDV) 300 mg + Lamivudine (3TC) 150 mg set - -
345 Tenofovir 300 mg (TDF) + Emcitritabine 200 mg (FTC) set - -
450717847.xls Page 540

450717847.xls Page 541


Nama Obat & Perbekalan Kesehatan Satuan Pemakaian
Geban Pol Po
2 3 4 5 6 7 g Bersal Pojok Rawat Bangs Jati Tondo
Plabu Puri S Kamp Plan
Bunde in Klitih Inap ri ung Mlerek Wulan
han an
r Baru
1 2 3 4 5 6 7 8 9 10
azol tablet 400 mg tablet 6.1.1 637 637
yl concentrat fles - -
nol tablet 100 mg tablet 1.2 700 700
xol tab 30 mg tablet 800 800
ilin tablet 200 mg tablet 26.1 350 350
ilina injeksi 24 mg/ml - 10 ml ampul 26.1 52 52
tilin HCl tablet salut 25 mg tablet 23.2 800 800
pin tablet 5 mg tablet - -
silin kaplet 500 mg kaplet 6.21 10,100 10,100
silin kapsul 250 mg kapsul 6.21 - -
silin sirup kering 125 mg/5ml botol 6.21 55 55
silin sirup kering Forte 250 mg/5ml botol 6.21 - -
in serbuk injeksi im/iv 1000 mg/ml vial 6.21 220 220
n (Metampiron) tablet 500 mg tablet 1.2 - -
n injeksi 250 mg/ml - 2 ml ampul 1.2 - -
da DOEN suspensi botol 25.1 - -
da DOEN tab,kombinasi:Mg-Hidroksida 200mg+Al. Hidroksida. 200 mg tablet 25.1 9,020 9,020
kteri DOEN salep kombinasi:Basitrasin 500 IU/g + Polimiksin 10.000 IU/g tube 18.2 - -
moroid DOEN Kombinasi supp 25.3 70 70
gi DOEN Kombinasi:Asam Benzoat 6% + Asam Salisilat 3% pot 18.3 - -
gren:Ergotamin Tartrat 1 mg + Kofein 50 mg tablet 7.2 - -
kinson DOEN tablet kombinasi:Karbidopa 25 mg + Levodopa 250 mg tablet 9 - -
ro Injeksi steril 25 ml, bebas pirogen vial 20.3 212 212
est steril 500 ml botol 30 - -
Asetilsalisilat (Asetosal) tablet 100 mg tablet 1.2 - -
Askorbat (Vit C) tablet 100 mg tablet 29 - -
Askorbat (Vit C) tablet 50 mg tablet 29 3,120 3,120
Mefenamat tablet salut selaput 500 mg tablet 500 500
Traneksamat injeksi ampul - -
Traneksamat kapsul 250 mg kapsul - -
ir krim 5% tube - -
450717847.xls Page 542

ir tablet 400 mg tablet - -
git tablet 600 mg tablet 400 400
injeksi im/iv/sk 0,25 mg/ml - 1 ml ( Sulfat ) vial 25.4 - -
Sulfat tablet 0,5 mg tablet 25.4 - -
on tablet tablet - -
in Bensil Penisillin 2,4 juta IU/Vial vial 6.2.1 - -
stin Mesilat tablet 6 mg tablet - -
etason krim 0,5 mg/g tube 17 17
dyl suppositoria 10 mg dewasa suppo - -
dyl supposituria anak suppo - -
dyl tab. 5 mg ampul - -
xime inj. 1.000 mg vial - -
j ampul - -
metason injeksi iv. 5 mg/ml - 1 ml ampul 3 6 6
metason tablet 0,5 mg tablet 16.4 870 870
an 70 - larutan infus 6% steril botol 11.2 - -
ometorfan sirup 10 mg/5 ml (HBr) botol 26.2 - -
ometorfan tablet 15 mg ( HBr ) tablet 26.2 - -
am injeksi 5 mg/ml - 2 ml ampul 5 22 22
am lar rektal 10mg/ 2,5 ml (Stesolid) tube 5 4 4
am tablet 2 mg tablet 5 1,600 1,600
am tablet 5 mg tablet 5 - -
rbamazin Sitrat ta.100 mg tablet 6.1.2 - -
dramin inj im.10 mg/ml-1 ml ( HCl ) ampul 3 34 34
n tablet 0,25 mg tablet 17.5 - -
hidrinat tablet 50 mg tablet 880 880
ridon tablet 10 mg tablet 400 400
HCl tablet 25 mg ( HCl ) tablet 26.1 - -
k Belladon tablet 10 mg tablet 25.4 - -
ina ( Adrenalina ) Injeksi 0,1% - 1 ml ( HCl ) ampul 3 - -
mycin kapsul 500 mg tablet 1,800 1,800
mycin kapsul 250 mg tablet - -
mycin sirup 200 mg/5 ml botol - -
in ( Rivanol ) larutan 0,1% botol 6.2.4 - -
70% botol 6.2.4 33 33
n injeksi 50 mg/ml ampul 5 - -
n Natrium kapsul 100 mg kapsul 5 1,300 1,300
n Natrium kapsul 30 mg kapsul 5 - -
arbital inj im/iv 50 mg/ml 1ml ampul 5 - -
arbital tablet 100 mg tablet 5 - -
Gliserol tetes telinga 10% botol 28.2 - -
450717847.xls Page 543

nadion (Vit.K1) injeksi 2 mg/ml - 1 ml ampul 10.2 19 19
nadion (Vit.K1) tablet salut gula 10 mg tablet 10.2 - -
nazin Decanoate 25mg/ml (Sikzonoate Inj) ampul - -
mid injeksi iv/im 10 mg/ml ampul 67 67
mid tablet 40 mg tablet 14 150 150
san lotion 1 % botol 18.5 - -
Oralit untuk 200 ml air sak 20.1 380 380
misin injeksi 40 mg/ml (sbg Sulfat) ampul - -
misin salep kulit 0,1 % tube - -
n Violet larutan 1 % botol 14.2 - -
klamid tablet 5 mg tablet 16.1.1 1,500 1,500
Guayakolat tablet 100 mg tablet 26.3 12,600 12,600
n 100 ml botol 20.2 - -
a larutan infus 5 % botol 20.2 153 153
vulvin tablet 125 mg,micronized tablet - -
Decanoat 50 mg/ml inj ampul 4 4
ridol 5mg/ml inj ampul 23.4 - -
ridol tablet 0,5 mg tablet 23.4 1,400 1,400
ridol tablet 1,5 mg tablet 23.4 - -
ridol tablet 5 mg tablet 23.4 600 600
en Peroksida cairan 3% botol 6 6
orotiazid (HCT) tablet 25 mg tablet 15 - -
ortison krim 2,5 % tube 18.4 - -
en suspensi 100mg/ 5 ml botol 1.2 - -
en tablet 200 mg tablet 1.2 - -
en tablet 400 mg tablet 1.2 2,130 2,130
id Dinitrat tablet sublingual 5 mg tablet 17.1 100 100
Permanganat serbuk botol 13.1 - -
m Glukonat inj 100mg/ml / Ca Gluconas botol 5 5
m Laktat (Kalk) tablet 500 mg tablet 29 - -
ril tablet 25 mg tablet 4,270 4,270
ril tablet 50 mg tablet - -
mazepin tablet 200 mg tablet - -
liserin tetes telinga 10 % botol 15 15
nazol tablet 200 mg ampul - -
fenikol injeksi 1000 mg ampul 21 21
fenikol kapsul 250 mg kapsul 6.2.2 - -
fenikol salep mata 1 % tube 21.21 48 48
fenikol suspensi 125 mg/5 ml botol 50 50
fenikol tetes mata 1 % botol - -
fenikol tetes telinga 3 % botol 13 13
450717847.xls Page 544

iramin Maleat (CTM) tablet 4 mg tablet 3 9,150 9,150
mazin injeksi 25 mg/ml - 1 ml ( HCl ) ampul 25.4 - -
mazin HCl tablet salut 100 mg(HCl) tablet 25.4 1,000 1,000
mazin tablet salut 25 mg ( HCl ) tablet 25.4 - -
tablet 10 mg tablet 26.2 75 75
nasi ekstrak Plasenta 100 mg, Neomisin Sulfat 5 g/gram tube tube - -
nasi gameksan 10 mg, Asam usnat 10 mg/g tube - -
nasi Metampiron, ekstrak Belladona, Papaverin HCl tablet tablet - -
oksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim 40 mg / 5 ml botol 6.2.2 53 53
oksazol tablet kombinasi: Sulfametoksazol 400 mg + Trimetoprim 80 mg (Kotrim adult) tablet 6.2.2 - -
oksazol tablet pediatrik, kombinasi:Sulfametoksazol 100 mg + Trimetoprim 20 mg tablet 6.2.2 - -
n elektrolit D5 - 1/2 NS botol - -
n elektrolit D5 - 1/4 NS botol 13 13
n HCl 2% ampul - -
n komp. injeksi, Kombinasi:Lidokain HCl 2% + Epinefrin 1:80.000 - 2 ml ampul 14.1 84 84
mengandung Kresol tersabun 50% botol 13.2 - -
din tablet 10 mg tablet - -
sium Sulfat injeksi (iv) 20 % - 25 ml ampul 5 - -
sium Sulfat injeksi (iv) 40 % - 25 ml ampul 5 3 3
zole inj 1 gr / 2 ml vial - -
min HCl tablet 500 mg tablet 600 600
gometrin Maleat (Metilergometrin) tablet salut 0,125 mg tablet 22.1 140 140
gometrin Maleat inj 0,200 mg-1 ml ampul 22.1 - -
opramide inj. 5 mg / 1 ml ampul - -
opramide tablet 10 mg tablet - -
idazol tablet 250 mg tablet 6.2.2 1,070 1,070
idazol tablet 500 mg tablet 6.2.2 - -
zol cream tube - -
Mix Kombinasi sachet - -
m Bikarbonat tablet 500 mg tablet 4.1 - -
m Diklofenak tablet 50 mg tablet - -
m Klorida larutan infus 0,9 % steril botol 20.2 - -
in tablet 10 mg tablet 800 800
n tablet salut 500.000 IU/g tablet - -
n tablet vaginal 100.000 IU/g tablet 6.3 41 41
atuk Hitam ( O.B.H. ) cairan botol 26.3 - -
rasiklin HCl salep kulit 3 % tube 18.2 - -
rasiklin HCl salep mata 1 % ( HCl ) tube 21.2.2 - -
rasiklin HCl injeksi i.m. 50 mg/ml vial 6.2.2 - -
sin injeksi 10 IU/ml - 1 ml ampul 22.1 66 66
azol injeksi 40 mg/ 10 ml vial - -
450717847.xls Page 545

azol kapsul 20 mg kapsul - -
tamol sirup 120 mg/5 ml botol 1.2 152 152
tamol tablet 100 mg tablet 1.2 - -
tamol tablet 500 mg tablet 1.2 19,170 19,170
injeksi ampul 11 - -
l sirup 125mg/5ml botol 6.1.1 - -
l tablet score ( base ) 125 mg tablet 6.1.1 - -
sin (Vit.B6) tablet 10 mg ( HCl ) tablet 29 1,000 1,000
kam tablet 20 mg tablet - -
sulen 3,6 mg / ml konsentrat 14.2 - -
n Iodida 10 %, 30 ml botol - -
n Iodida 10 %, 300 ml botol 2 2
son tablet 5 mg tablet 16.4 1,200 1,200
n Penisilin inj 3 jt vial - -
olol tablet 10 mg (HCl) tablet 7.1 - -
ourasil tablet 100 mg (PTU ) tablet 16.3 - -
nolol tablet 40 mg (HCl) tablet 7.1 - -
in injeksi 25 mg/ml ampul 450 450
in tablet 150 mg tablet - -
Asetat larutan infus steril botol 20.2 - -
Laktat larutan infus steril botol 20.2 1,050 1,050
don 2 mg tablet - -
amol 2,5 mg respulles (Komb Ipratropium Br 0,5mg+Salbutamol2,5mgnebules) Combivent ampul 26.1 - -
amol Inhaler 100 mcg/dosis pot - -
amol tablet 2 mg ( sebagai sulfat ) tablet 26.1 1,270 1,270
amol tablet 4 mg ( sebagai sulfat ) tablet 26.1 - -
2-4 , Kombinasi:Asam Salisilat 2% + Belerang Endap 4% pot 18.4 - -
Bedak 2 % kotak 18.8 42 42
d Cream tube 10 gram tube - -
oksil kapsul 500 mg kapsul - -
oksil sirup kering 125 mg/ 5 ml botol - -
m kapsul 100 mg kapsul - -
Anti Bisa Ular Polivalen injeksi 5 ml (ABU I) vial 1 1
Anti Difteri 20.000 SI/vial (A.D.S.) ampul - -
Anti Tetanus Injeksi 1.500 IU/ampul (A.T.S.) ampul 7 7
obalamin (Vit.B12) injeksi 500 mcg - ml ampul 10.1 - -
tatin tablet 10 mg tablet - -
oksasin tablet 500 mg (sebagai HCl) tablet 600 600
midin tablet 500 mg tablet - -
etamida Natrium tetes mata 15 % botol - -
klin kapsul 250 mg kapsul 21.2 - -
450717847.xls Page 546

klin kapsul 500 mg kapsul 21.2 300 300
nikol kapsul 500 mg kapsul 500 500
(Viamin B1) tablet 50 mg (HCl / Mononitrat ) tablet 29 10,150 10,150
(Vit B1) tablet 100 mg tablet 29 - -
(Vitamin B1) injeksi 100 mg/ml-1 ml ampul 29 - -
nolone acetate krim tube - -
perazine tablet 5 mg tablet - -
ifenidil Hidroklorida tablet 2 mg tablet 9 1,100 1,100
n B Kompleks tablet tablet 29 8,120 8,120
up 10 mg/ml botol - -
blet 20 mg tablet - -
ofen - -
- -
ANA -
tatin - -
Lactat - -
1 1
zol Inj 709 709
amol 2,5mg+Ipratropium Bromida inhalasi (Combivent) 167 167
dril anak (Dulcolax) 12 12
ax Supp Infant Bisacodril Suppositoria 10 mg 50 50
k Amplodipin tablet/kapsul/kaplet 10 mg 3,450 3,450
k Amoksisilin kapsul/kaplet/tablet scored 500 mg 29,550 29,550
k Asam Askorbat (vitamin C) 50 mg 2,950 2,950
k Griseofulvin tablet /kapsul/kaplet/ 125 mg 5,500 5,500
k Vitamin B Kompleks tablet 3,950 3,950
xol tab 500 500
in serb inj 1000 mg/vial 1,000 1,000
50 50
klamide 7,700 7,700
ourasil 2,500 2,500
EKALAN KESEHATAN
ntik sekali pakai 1 ml set 32 38 38
ntik sekali pakai 2,5 ml/3 ml set 32 300 300
ntik sekali pakai 10 ml set 32 - -
Transfusion Set set 32 - -
450717847.xls Page 547

/ Benang Bedah No. 2/0 - 3/0 dengan jarum bedah Khromic biji 32 - -
/ Benang Bedah No. 3/0 plain biji 32 1 1
/ Benang Bedah No. 3/0 chromic biji - -
Catheter No. 16 set - -
Catheter No. 18 set 4 4
plast biji - -
shoen non steril No. 7 biji - -
shoen steril No. 7 pasang - -
n set anak set 43 43
n set dewasa set 298 298
ether No. 18 set 89 89
ether No. 20 set - -
ahit bedah No. 9 s/d 14 biji - -
Berlemak 500 gram bungkus - -
Pembalut / Absorben 250 gram bungkus 2 2
ompres 40/40 steril bungkus - -
embalut 2 m x 80 cm biji - -
ml set - -
ml set - -
set - -
embalut Hidrofil 4 m x 3 cm hidrofil/elastic rol 40 40
embalut Hidrofil 4 m x 15 cm hidrofil/elastic rol - -
teril 16 x 16 cm rol 32 32
Slang No. 16 biji - -
biji - -
ct 2 ml set - -
ct 5 ml set - -
5 yards x 2 inch roll - -
enang Bedah Sutera) No. 3/0 dengan jarum bedah biji - -
Box 2,5 L lembar - -
Box 5 L lembar - -
ag steril 2 LT biji 4 4
Pad biji 29 29
ANA
ule 210 210
g tali pusat 1 1
tangan panjang - -
450717847.xls Page 548

penghisap lendir bayi 47 47
- -
ad - -
plast ( per kotak @ 10 biji ) 543 543
esculap 796 796
Lancet - -
untik habis pakai 10 ml ( box @ 100 biji ) - -
untik habis pakai 20 ml ( box @ 100 biji ) 165 165
Catheter no.16 13 13
26 100 100
ng Naid G/T 11 36 36
atheter 4 4
bayi 91 91
Golda - -
V 18 300 300
V 20 480 480
V 22 311 311
V 24 184 184
Karet - -
Air Lux - -
Tali 172 172
hand scrub - -
Antiseptik Gel - -
Pasien Dewasa 300 300
Medical Respirator - -
G 5 5
un Industri M - -
un Industri L 312 312
un Non Steril ukuran S 7,200 7,200
un Non Steril ukuran M 8,894 8,894
un Non Steril ukuran L 4,000 4,000
Print Dirui - -
Print Foto Meter - -
t spuit 0.5 ml - -
Chromic 3/0 + jaum 1/2 GT 33 mm - -
cun Steril 29 29
embalut hidrofil 2 m x 80 cm 51 51
in non woven - -
+ jarum 1/2 GT 35 mm 59 59
Antiseptik Gel Revil 3 3
450717847.xls Page 549

K3 EDTA - -
Tip - -
Oksigen Dewasa - -
box - -
- -
MO Disp. Syringe with Needle 5 CC 100 100
in 10 cm x 10 m 28 28
Pad 135 135
un Steril M 15 15
Trasfusion Set 71 71
EN LABORATORIUM
Powder botol 31 1 1
0% botol 31 - -
n Asam asetat 6% botol 31 - -
n Asam Klorida 0,1 N botol 31 - -
n Asam Klorida 2 % botol 31 - -
n Asam sulfosalisilat botol 31 - -
n Ba Cl2 botol 31 - -
n Benedict botol 31 - -
n Eosin 2% botol 31 - -
n Ether Alkohol botol 31 - -
n Faucheet botol 31 - -
n Giemsa Stain botol - -
n HCl-alkohol /Lart. Etanol asam botol - -
n Karbol Fuksin botol - -
n Metilen Biru botol - -
n Rees Ecker botol - -
n Shlessinger botol - -
n Turk botol - -
ol botol - -
rsion botol - -
n Asam Urat set - -
n Golongan Darah Antigen A set 0 0
n Golongan Darah Antigen B set 0 0
n Gula Darah set - -
450717847.xls Page 550

n Kolesterol set - -
n Urin Stik 10 Parameter set - -
n Widal (AO, BO,H,O) set 0 0
botol - -
n RPR Syphilis/Titer (Plasmatec/RPR tes kit, RPR 0/012) set - -
Syphilis/ Standar Diagnostic (Alere) Bioline - -
Urat Stik 50 50
nt Gula Darah Stik 75 75
nt Colesterol Stik - -
ANA
urat stik ( 25 stik ) - -
Powder - -
arah stik ( 25 stik ) - -
tik 10 parameter - -
tik 3 parameter - -
esterol ( 10 stik ) - -
nt colesterol - -
est ( 50 strip ) - -
n HCl 0.1 N 100 ml - -
acher 100 ml - -
acher 200 ml - -
n Turk 100 ml - -
n Turk 250 ml - -
nt SGOT 5 X 20 ML - -
nt SGPT 5 X 20 ML - -
ine - -
Lakmus Biru - -
n KOH 10 % - -
a 100 ml - -
nol 250 ml - -
- -
aner - -
al Paper Hematologi - -
20 ltr - -
00 ml - -
Cleaner 17 ml - -
Stik Dirui - -
AO,BO,H,O) - -
rah A - -
rah B - -
g Strip - -
450717847.xls Page 551

Kontrol - -
k - -
GIGI
t botol 14.1 - -
rida spray botol 14.1 1 1
ol cairan botol 14.1 1 1
ablet 0,5 mg tablet 14.1 - -
onomer Cement ART set 14.1 - -
m Hidroksida Pasta set 14.1 - -
hlorkamfer mentol ( CHKM ) botol 14.1 2 2
fying Pasta botol - -
n Iodine obat kumur botol - -
Seng Fosfat serbuk dan cairan botol - -
Amalgam serbuk 65 - 75 % botol - -
rary Stopping Fletcher (Fletcher) serbuk dan cairan botol - -
sol Formalin botol - -
ANA
- -
ng - -
sit ( A1,A2,A3) - -
- -
m Hydroxide - -
- -
PROGRAM
rung :
mivir kapsul 75 mg kapsul - -
Kapsul ( Vitamin A ) 100.000 IU kapsul - -

kapsul ( Vitamin A ) 200.000 IU kapsul - -
Tambah Darah ( TTD ) tablet - -
kapsul - -
epra :
ak blister - -
wasa blister - -
ak blister - -
wasa blister - -
alaria :
450717847.xls Page 552

Artesunate + Amodiaquin ) Arsuamoon tablet - -
Dehidro Artemisin + Piperaquin ) Arterakine tablet - -
ter inj. 80 mg/ml ampul - -
nate inj. kotak - -
klin kapsul 100 mg kapsul - -
hidroklorida inj. 25 %-2ml ampul - -
uin tablet 15 mg tablet - -
BC :
butol tablet 400 mg tablet - -
T I / III paket - -
t II paket - -
nak paket - -
ategori I paket - -
ategori II paket - -
ategori III paket - -
sipan paket - -
amid tablet 500 mg tablet - -
asi :
BCG bayi vial - -
Campak vial - -
ject 0,5 ml ampul - -
-
m - -
botol - -
Rapid Test pak - -
teron Depo inj ( 3 bulan ) vial - -
B bj - -
idazole 500 mg inj vial - -
m Gluconas inj ampul - -
Chromic 1/0 set - -
g Urine Dewasa set - -
Test Siphilis set - -
Strip set - -
KB / Levonogestrel 75 mg set - -
usion Set set - -
trasepsi ( Microdiol ) strip - -
RETROVIRAL:
pine (NVP) 200 mg set - -
dine (ZDV) 300 mg + Lamivudine (3TC) 150 mg set - -
vir 300 mg (TDF) + Emcitritabine 200 mg (FTC) set - -
450717847.xls Page 553

450717847.xls Page 554

PENERIMAAN
PENERIMAAN
SUB UNIT
SUBDARI
UNIT GUDANG
DARI GUDANG
INDUKINDUK

Pemakaian
8 8
Geban Pol Po
han an
r Baru
1 2 3 4 5 6 7 8 9 10
ir krim 5% tube - -
450717847.xls Page 555

j ampul - -
70% botol 6.2.4 33 33
450717847.xls Page 556

n 100 ml botol 20.2 - -
450717847.xls Page 557

n HCl 2% ampul - -
zol cream tube - -
450717847.xls Page 558

don 2 mg tablet - -
Bedak 2 % kotak 18.8 42 42
450717847.xls Page 559

ofen - -
- -
ANA -
tatin - -
Lactat - -
1 1
zol Inj 709 709
xol tab 500 500
50 50
klamide 7,700 7,700
ourasil 2,500 2,500
EKALAN KESEHATAN
450717847.xls Page 560

plast biji - -
ml set - -
ml set - -
set - -
biji - -
ct 2 ml set - -
ct 5 ml set - -
Box 5 L lembar - -
Pad biji 29 29
ANA
ule 210 210
g tali pusat 1 1
tangan panjang - -
450717847.xls Page 561

- -
ad - -
esculap 796 796
Lancet - -
26 100 100
atheter 4 4
bayi 91 91
Golda - -
V 18 300 300
V 20 480 480
V 22 311 311
V 24 184 184
Karet - -
Air Lux - -
Tali 172 172
hand scrub - -
Antiseptik Gel - -
G 5 5
un Industri M - -
Print Dirui - -
t spuit 0.5 ml - -
cun Steril 29 29
in non woven - -
+ jarum 1/2 GT 35 mm 59 59
450717847.xls Page 562

K3 EDTA - -
Tip - -
Oksigen Dewasa - -
box - -
- -
in 10 cm x 10 m 28 28
Pad 135 135
un Steril M 15 15
EN LABORATORIUM
Powder botol 31 1 1
0% botol 31 - -
n Turk botol - -
ol botol - -
rsion botol - -
n Asam Urat set - -
450717847.xls Page 563

botol - -
Urat Stik 50 50
ANA
Powder - -
tik 3 parameter - -
nt colesterol - -
n HCl 0.1 N 100 ml - -
acher 100 ml - -
acher 200 ml - -
n Turk 100 ml - -
n Turk 250 ml - -
ine - -
Lakmus Biru - -
n KOH 10 % - -
a 100 ml - -
nol 250 ml - -
- -
aner - -
20 ltr - -
00 ml - -
Cleaner 17 ml - -
Stik Dirui - -
AO,BO,H,O) - -
rah A - -
rah B - -
g Strip - -
450717847.xls Page 564

Kontrol - -
k - -
GIGI
t botol 14.1 - -
ANA
- -
ng - -
sit ( A1,A2,A3) - -
- -
m Hydroxide - -
- -
PROGRAM
rung :

kapsul - -
epra :
ak blister - -
wasa blister - -
ak blister - -
wasa blister - -
alaria :
450717847.xls Page 565

nate inj. kotak - -
BC :
T I / III paket - -
t II paket - -
nak paket - -
ategori I paket - -
sipan paket - -
asi :
BCG bayi vial - -
Campak vial - -
-
m - -
botol - -
Rapid Test pak - -
B bj - -
Chromic 1/0 set - -
Strip set - -
usion Set set - -
RETROVIRAL:
450717847.xls Page 566

450717847.xls Page 567

PENERIMAAN
PENERIMAAN
SUB UNIT DARI
SUBGUDANG
UNIT DARI
INDUK
GUDANG INDUK

Nama Obat & Perbekalan Kesehatan Satuan Pemakaian Pemakaian
8 8
Geban Pol Po
han an
r Baru
1 2 3 4 5 6 7 8 9 10
ir krim 5% tube - -
450717847.xls Page 568

j ampul - -
70% botol 6.2.4 33 33
450717847.xls Page 569

n 100 ml botol 20.2 - -
450717847.xls Page 570

n HCl 2% ampul - -
zol cream tube - -
450717847.xls Page 571

don 2 mg tablet - -
Bedak 2 % kotak 18.8 42 42
450717847.xls Page 572

ofen - -
- -
ANA -
tatin - -
Lactat - -
1 1
zol Inj 709 709
xol tab 500 500
50 50
klamide 7,700 7,700
ourasil 2,500 2,500
EKALAN KESEHATAN
450717847.xls Page 573

plast biji - -
ml set - -
ml set - -
set - -
biji - -
ct 2 ml set - -
ct 5 ml set - -
Box 5 L lembar - -
Pad biji 29 29
ANA
ule 210 210
g tali pusat 1 1
tangan panjang - -
450717847.xls Page 574

- -
ad - -
esculap 796 796
Lancet - -
26 100 100
atheter 4 4
bayi 91 91
Golda - -
V 18 300 300
V 20 480 480
V 22 311 311
V 24 184 184
Karet - -
Air Lux - -
Tali 172 172
hand scrub - -
Antiseptik Gel - -
G 5 5
un Industri M - -
Print Dirui - -
t spuit 0.5 ml - -
cun Steril 29 29
in non woven - -
+ jarum 1/2 GT 35 mm 59 59
450717847.xls Page 575

K3 EDTA - -
Tip - -
Oksigen Dewasa - -
box - -
- -
in 10 cm x 10 m 28 28
Pad 135 135
un Steril M 15 15
EN LABORATORIUM
Powder botol 31 1 1
0% botol 31 - -
n Turk botol - -
ol botol - -
rsion botol - -
n Asam Urat set - -
450717847.xls Page 576

botol - -
Urat Stik 50 50
ANA
Powder - -
tik 3 parameter - -
nt colesterol - -
n HCl 0.1 N 100 ml - -
acher 100 ml - -
acher 200 ml - -
n Turk 100 ml - -
n Turk 250 ml - -
ine - -
Lakmus Biru - -
n KOH 10 % - -
a 100 ml - -
nol 250 ml - -
- -
aner - -
20 ltr - -
00 ml - -
Cleaner 17 ml - -
Stik Dirui - -
AO,BO,H,O) - -
rah A - -
rah B - -
g Strip - -
450717847.xls Page 577

Kontrol - -
k - -
GIGI
t botol 14.1 - -
ANA
- -
ng - -
sit ( A1,A2,A3) - -
- -
m Hydroxide - -
- -
PROGRAM
rung :

kapsul - -
epra :
ak blister - -
wasa blister - -
ak blister - -
wasa blister - -
alaria :
450717847.xls Page 578

nate inj. kotak - -
BC :
T I / III paket - -
t II paket - -
nak paket - -
ategori I paket - -
sipan paket - -
asi :
BCG bayi vial - -
Campak vial - -
-
m - -
botol - -
Rapid Test pak - -
B bj - -
Chromic 1/0 set - -
Strip set - -
usion Set set - -
RETROVIRAL:
450717847.xls Page 579

450717847.xls Page 580

PENERIMAAN SUBPENERIMAAN
UNIT DARI GUDANG
SUB UNIT
INDUK
DARI GUDANG INDUK

8 8
Geban Pol Po
han an
r Baru
1 2 3 4 5 6 7 8 9 10
ir krim 5% tube - -
450717847.xls Page 581

j ampul - -
70% botol 6.2.4 33 33
450717847.xls Page 582

n 100 ml botol 20.2 - -
450717847.xls Page 583

n HCl 2% ampul - -
zol cream tube - -
450717847.xls Page 584

don 2 mg tablet - -
Bedak 2 % kotak 18.8 42 42
450717847.xls Page 585

ofen - -
- -
ANA -
tatin - -
Lactat - -
1 1
zol Inj 709 709
xol tab 500 500
50 50
klamide 7,700 7,700
ourasil 2,500 2,500
EKALAN KESEHATAN
450717847.xls Page 586

plast biji - -
ml set - -
ml set - -
set - -
biji - -
ct 2 ml set - -
ct 5 ml set - -
Box 5 L lembar - -
Pad biji 29 29
ANA
ule 210 210
g tali pusat 1 1
tangan panjang - -
450717847.xls Page 587

- -
ad - -
esculap 796 796
Lancet - -
26 100 100
atheter 4 4
bayi 91 91
Golda - -
V 18 300 300
V 20 480 480
V 22 311 311
V 24 184 184
Karet - -
Air Lux - -
Tali 172 172
hand scrub - -
Antiseptik Gel - -
G 5 5
un Industri M - -
Print Dirui - -
t spuit 0.5 ml - -
cun Steril 29 29
in non woven - -
+ jarum 1/2 GT 35 mm 59 59
450717847.xls Page 588

K3 EDTA - -
Tip - -
Oksigen Dewasa - -
box - -
- -
in 10 cm x 10 m 28 28
Pad 135 135
un Steril M 15 15
EN LABORATORIUM
Powder botol 31 1 1
0% botol 31 - -
n Turk botol - -
ol botol - -
rsion botol - -
n Asam Urat set - -
450717847.xls Page 589

botol - -
Urat Stik 50 50
ANA
Powder - -
tik 3 parameter - -
nt colesterol - -
n HCl 0.1 N 100 ml - -
acher 100 ml - -
acher 200 ml - -
n Turk 100 ml - -
n Turk 250 ml - -
ine - -
Lakmus Biru - -
n KOH 10 % - -
a 100 ml - -
nol 250 ml - -
- -
aner - -
20 ltr - -
00 ml - -
Cleaner 17 ml - -
Stik Dirui - -
AO,BO,H,O) - -
rah A - -
rah B - -
g Strip - -
450717847.xls Page 590

Kontrol - -
k - -
GIGI
t botol 14.1 - -
ANA
- -
ng - -
sit ( A1,A2,A3) - -
- -
m Hydroxide - -
- -
PROGRAM
rung :

kapsul - -
epra :
ak blister - -
wasa blister - -
ak blister - -
wasa blister - -
alaria :
450717847.xls Page 591

nate inj. kotak - -
BC :
T I / III paket - -
t II paket - -
nak paket - -
ategori I paket - -
sipan paket - -
asi :
BCG bayi vial - -
Campak vial - -
-
m - -
botol - -
Rapid Test pak - -
B bj - -
Chromic 1/0 set - -
Strip set - -
usion Set set - -
RETROVIRAL:
450717847.xls Page 592

450717847.xls Page 593

PENERIMAAN SUB UNITPENERIMAAN
DARI GUDANG
SUB
INDUK
UNIT DARI GUDANG INDUK

8 8
Geban Pol Po
han an
r Baru
1 2 3 4 5 6 7 8 9 10
ir krim 5% tube - -
450717847.xls Page 594

j ampul - -
70% botol 6.2.4 33 33
450717847.xls Page 595

n 100 ml botol 20.2 - -
450717847.xls Page 596

n HCl 2% ampul - -
zol cream tube - -
450717847.xls Page 597

don 2 mg tablet - -
Bedak 2 % kotak 18.8 42 42
450717847.xls Page 598

ofen - -
- -
ANA -
tatin - -
Lactat - -
1 1
zol Inj 709 709
xol tab 500 500
50 50
klamide 7,700 7,700
ourasil 2,500 2,500
EKALAN KESEHATAN
450717847.xls Page 599

plast biji - -
ml set - -
ml set - -
set - -
biji - -
ct 2 ml set - -
ct 5 ml set - -
Box 5 L lembar - -
Pad biji 29 29
ANA
ule 210 210
g tali pusat 1 1
tangan panjang - -
450717847.xls Page 600

- -
ad - -
esculap 796 796
Lancet - -
26 100 100
atheter 4 4
bayi 91 91
Golda - -
V 18 300 300
V 20 480 480
V 22 311 311
V 24 184 184
Karet - -
Air Lux - -
Tali 172 172
hand scrub - -
Antiseptik Gel - -
G 5 5
un Industri M - -
Print Dirui - -
t spuit 0.5 ml - -
cun Steril 29 29
in non woven - -
+ jarum 1/2 GT 35 mm 59 59
450717847.xls Page 601

K3 EDTA - -
Tip - -
Oksigen Dewasa - -
box - -
- -
in 10 cm x 10 m 28 28
Pad 135 135
un Steril M 15 15
EN LABORATORIUM
Powder botol 31 1 1
0% botol 31 - -
n Turk botol - -
ol botol - -
rsion botol - -
n Asam Urat set - -
450717847.xls Page 602

botol - -
Urat Stik 50 50
ANA
Powder - -
tik 3 parameter - -
nt colesterol - -
n HCl 0.1 N 100 ml - -
acher 100 ml - -
acher 200 ml - -
n Turk 100 ml - -
n Turk 250 ml - -
ine - -
Lakmus Biru - -
n KOH 10 % - -
a 100 ml - -
nol 250 ml - -
- -
aner - -
20 ltr - -
00 ml - -
Cleaner 17 ml - -
Stik Dirui - -
AO,BO,H,O) - -
rah A - -
rah B - -
g Strip - -
450717847.xls Page 603

Kontrol - -
k - -
GIGI
t botol 14.1 - -
ANA
- -
ng - -
sit ( A1,A2,A3) - -
- -
m Hydroxide - -
- -
PROGRAM
rung :

kapsul - -
epra :
ak blister - -
wasa blister - -
ak blister - -
wasa blister - -
alaria :
450717847.xls Page 604

nate inj. kotak - -
BC :
T I / III paket - -
t II paket - -
nak paket - -
ategori I paket - -
sipan paket - -
asi :
BCG bayi vial - -
Campak vial - -
-
m - -
botol - -
Rapid Test pak - -
B bj - -
Chromic 1/0 set - -
Strip set - -
usion Set set - -
RETROVIRAL:
450717847.xls Page 605

450717847.xls Page 606

PENERIMAAN SUB UNIT DARIPENERIMAAN
GUDANG INDUK
SUB UNIT DARI GUDANG INDUK

8 8
Geban Pol Po
han an
r Baru
1 2 3 4 5 6 7 8 9 10
ir krim 5% tube - -
450717847.xls Page 607

j ampul - -
70% botol 6.2.4 33 33
450717847.xls Page 608

n 100 ml botol 20.2 - -
450717847.xls Page 609

n HCl 2% ampul - -
zol cream tube - -
450717847.xls Page 610

don 2 mg tablet - -
Bedak 2 % kotak 18.8 42 42
450717847.xls Page 611

ofen - -
- -
ANA -
tatin - -
Lactat - -
1 1
zol Inj 709 709
xol tab 500 500
50 50
klamide 7,700 7,700
ourasil 2,500 2,500
EKALAN KESEHATAN
450717847.xls Page 612

plast biji - -
ml set - -
ml set - -
set - -
biji - -
ct 2 ml set - -
ct 5 ml set - -
Box 5 L lembar - -
Pad biji 29 29
ANA
ule 210 210
g tali pusat 1 1
tangan panjang - -
450717847.xls Page 613

- -
ad - -
esculap 796 796
Lancet - -
26 100 100
atheter 4 4
bayi 91 91
Golda - -
V 18 300 300
V 20 480 480
V 22 311 311
V 24 184 184
Karet - -
Air Lux - -
Tali 172 172
hand scrub - -
Antiseptik Gel - -
G 5 5
un Industri M - -
Print Dirui - -
t spuit 0.5 ml - -
cun Steril 29 29
in non woven - -
+ jarum 1/2 GT 35 mm 59 59
450717847.xls Page 614

K3 EDTA - -
Tip - -
Oksigen Dewasa - -
box - -
- -
in 10 cm x 10 m 28 28
Pad 135 135
un Steril M 15 15
EN LABORATORIUM
Powder botol 31 1 1
0% botol 31 - -
n Turk botol - -
ol botol - -
rsion botol - -
n Asam Urat set - -
450717847.xls Page 615

botol - -
Urat Stik 50 50
ANA
Powder - -
tik 3 parameter - -
nt colesterol - -
n HCl 0.1 N 100 ml - -
acher 100 ml - -
acher 200 ml - -
n Turk 100 ml - -
n Turk 250 ml - -
ine - -
Lakmus Biru - -
n KOH 10 % - -
a 100 ml - -
nol 250 ml - -
- -
aner - -
20 ltr - -
00 ml - -
Cleaner 17 ml - -
Stik Dirui - -
AO,BO,H,O) - -
rah A - -
rah B - -
g Strip - -
450717847.xls Page 616

Kontrol - -
k - -
GIGI
t botol 14.1 - -
ANA
- -
ng - -
sit ( A1,A2,A3) - -
- -
m Hydroxide - -
- -
PROGRAM
rung :

kapsul - -
epra :
ak blister - -
wasa blister - -
ak blister - -
wasa blister - -
alaria :
450717847.xls Page 617

nate inj. kotak - -
BC :
T I / III paket - -
t II paket - -
nak paket - -
ategori I paket - -
sipan paket - -
asi :
BCG bayi vial - -
Campak vial - -
-
m - -
botol - -
Rapid Test pak - -
B bj - -
Chromic 1/0 set - -
Strip set - -
usion Set set - -
RETROVIRAL:
450717847.xls Page 618

450717847.xls Page 619

PENERIMAAN SUB UNIT DARI GUDANG
PENERIMAAN
INDUK SUB UNIT DARI GUDANG INDUK

8 8
Geban Pol Po
han an
r Baru
1 2 3 4 5 6 7 8 9 10
ir krim 5% tube - -
450717847.xls Page 620

j ampul - -
70% botol 6.2.4 33 33
450717847.xls Page 621

n 100 ml botol 20.2 - -
450717847.xls Page 622

n HCl 2% ampul - -
zol cream tube - -
450717847.xls Page 623

don 2 mg tablet - -
Bedak 2 % kotak 18.8 42 42
450717847.xls Page 624

ofen - -
- -
ANA -
tatin - -
Lactat - -
1 1
zol Inj 709 709
xol tab 500 500
50 50
klamide 7,700 7,700
ourasil 2,500 2,500
EKALAN KESEHATAN
450717847.xls Page 625

plast biji - -
ml set - -
ml set - -
set - -
biji - -
ct 2 ml set - -
ct 5 ml set - -
Box 5 L lembar - -
Pad biji 29 29
ANA
ule 210 210
g tali pusat 1 1
tangan panjang - -
450717847.xls Page 626

- -
ad - -
esculap 796 796
Lancet - -
26 100 100
atheter 4 4
bayi 91 91
Golda - -
V 18 300 300
V 20 480 480
V 22 311 311
V 24 184 184
Karet - -
Air Lux - -
Tali 172 172
hand scrub - -
Antiseptik Gel - -
G 5 5
un Industri M - -
Print Dirui - -
t spuit 0.5 ml - -
cun Steril 29 29
in non woven - -
+ jarum 1/2 GT 35 mm 59 59
450717847.xls Page 627

K3 EDTA - -
Tip - -
Oksigen Dewasa - -
box - -
- -
in 10 cm x 10 m 28 28
Pad 135 135
un Steril M 15 15
EN LABORATORIUM
Powder botol 31 1 1
0% botol 31 - -
n Turk botol - -
ol botol - -
rsion botol - -
n Asam Urat set - -
450717847.xls Page 628

botol - -
Urat Stik 50 50
ANA
Powder - -
tik 3 parameter - -
nt colesterol - -
n HCl 0.1 N 100 ml - -
acher 100 ml - -
acher 200 ml - -
n Turk 100 ml - -
n Turk 250 ml - -
ine - -
Lakmus Biru - -
n KOH 10 % - -
a 100 ml - -
nol 250 ml - -
- -
aner - -
20 ltr - -
00 ml - -
Cleaner 17 ml - -
Stik Dirui - -
AO,BO,H,O) - -
rah A - -
rah B - -
g Strip - -
450717847.xls Page 629

Kontrol - -
k - -
GIGI
t botol 14.1 - -
ANA
- -
ng - -
sit ( A1,A2,A3) - -
- -
m Hydroxide - -
- -
PROGRAM
rung :

kapsul - -
epra :
ak blister - -
wasa blister - -
ak blister - -
wasa blister - -
alaria :
450717847.xls Page 630

nate inj. kotak - -
BC :
T I / III paket - -
t II paket - -
nak paket - -
ategori I paket - -
sipan paket - -
asi :
BCG bayi vial - -
Campak vial - -
-
m - -
botol - -
Rapid Test pak - -
B bj - -
Chromic 1/0 set - -
Strip set - -
usion Set set - -
RETROVIRAL:
450717847.xls Page 631

450717847.xls Page 632


8 8
Geban Pol Po
han an
r Baru
1 2 3 4 5 6 7 8 9 10
ir krim 5% tube - -
450717847.xls Page 633

j ampul - -
70% botol 6.2.4 33 33
450717847.xls Page 634

n 100 ml botol 20.2 - -
450717847.xls Page 635

n HCl 2% ampul - -
zol cream tube - -
450717847.xls Page 636

don 2 mg tablet - -
Bedak 2 % kotak 18.8 42 42
450717847.xls Page 637

ofen - -
- -
ANA -
tatin - -
Lactat - -
1 1
zol Inj 709 709
xol tab 500 500
50 50
klamide 7,700 7,700
ourasil 2,500 2,500
EKALAN KESEHATAN
450717847.xls Page 638

plast biji - -
ml set - -
ml set - -
set - -
biji - -
ct 2 ml set - -
ct 5 ml set - -
Box 5 L lembar - -
Pad biji 29 29
ANA
ule 210 210
g tali pusat 1 1
tangan panjang - -
450717847.xls Page 639

- -
ad - -
esculap 796 796
Lancet - -
26 100 100
atheter 4 4
bayi 91 91
Golda - -
V 18 300 300
V 20 480 480
V 22 311 311
V 24 184 184
Karet - -
Air Lux - -
Tali 172 172
hand scrub - -
Antiseptik Gel - -
G 5 5
un Industri M - -
Print Dirui - -
t spuit 0.5 ml - -
cun Steril 29 29
in non woven - -
+ jarum 1/2 GT 35 mm 59 59
450717847.xls Page 640

K3 EDTA - -
Tip - -
Oksigen Dewasa - -
box - -
- -
in 10 cm x 10 m 28 28
Pad 135 135
un Steril M 15 15
EN LABORATORIUM
Powder botol 31 1 1
0% botol 31 - -
n Turk botol - -
ol botol - -
rsion botol - -
n Asam Urat set - -
450717847.xls Page 641

botol - -
Urat Stik 50 50
ANA
Powder - -
tik 3 parameter - -
nt colesterol - -
n HCl 0.1 N 100 ml - -
acher 100 ml - -
acher 200 ml - -
n Turk 100 ml - -
n Turk 250 ml - -
ine - -
Lakmus Biru - -
n KOH 10 % - -
a 100 ml - -
nol 250 ml - -
- -
aner - -
20 ltr - -
00 ml - -
Cleaner 17 ml - -
Stik Dirui - -
AO,BO,H,O) - -
rah A - -
rah B - -
g Strip - -
450717847.xls Page 642

Kontrol - -
k - -
GIGI
t botol 14.1 - -
ANA
- -
ng - -
sit ( A1,A2,A3) - -
- -
m Hydroxide - -
- -
PROGRAM
rung :

kapsul - -
epra :
ak blister - -
wasa blister - -
ak blister - -
wasa blister - -
alaria :
450717847.xls Page 643

nate inj. kotak - -
BC :
T I / III paket - -
t II paket - -
nak paket - -
ategori I paket - -
sipan paket - -
asi :
BCG bayi vial - -
Campak vial - -
-
m - -
botol - -
Rapid Test pak - -
B bj - -
Chromic 1/0 set - -
Strip set - -
usion Set set - -
RETROVIRAL:
450717847.xls Page 644

450717847.xls Page 645

PENERIMAAN SUB UNIT DARI GUDANG INDUK PENERIMAAN SUB UNIT DARI GUDANG INDUK

Geban Pol Po
han an
r Baru
1 2 3 4 5 6 7 8 9 10
l concentrat fles - -
ol tab 30 mg tablet 800 800
lin tablet 200 mg tablet 26.1 350 350
lina injeksi 24 mg/ml - 10 ml ampul 26.1 52 52
ilin HCl tablet salut 25 mg tablet 23.2 800 800
n serbuk injeksi im/iv 1000 mg/ml vial 6.21 220 220
a DOEN suspensi botol 25.1 - -
a DOEN tab,kombinasi:Mg-Hidroksida 200mg+Al. Hidroksida. 200 mg tablet 25.1 9,020 9,020
ren:Ergotamin Tartrat 1 mg + Kofein 50 mg tablet 7.2 - -
o Injeksi steril 25 ml, bebas pirogen vial 20.3 212 212
st steril 500 ml botol 30 - -
setilsalisilat (Asetosal) tablet 100 mg tablet 1.2 - -
skorbat (Vit C) tablet 100 mg tablet 29 - -
skorbat (Vit C) tablet 50 mg tablet 29 3,120 3,120
raneksamat injeksi ampul - -
raneksamat kapsul 250 mg kapsul - -
r krim 5% tube - -
450717847.xls Page 646

r tablet 400 mg tablet - -
it tablet 600 mg tablet 400 400
n Bensil Penisillin 2,4 juta IU/Vial vial 6.2.1 - -
tin Mesilat tablet 6 mg tablet - -
tason krim 0,5 mg/g tube 17 17
ime inj. 1.000 mg vial - -
ampul - -
n 70 - larutan infus 6% steril botol 11.2 - -
metorfan sirup 10 mg/5 ml (HBr) botol 26.2 - -
metorfan tablet 15 mg ( HBr ) tablet 26.2 - -
idrinat tablet 50 mg tablet 880 880
Belladon tablet 10 mg tablet 25.4 - -
na ( Adrenalina ) Injeksi 0,1% - 1 ml ( HCl ) ampul 3 - -
ycin kapsul 500 mg tablet 1,800 1,800
ycin kapsul 250 mg tablet - -
ycin sirup 200 mg/5 ml botol - -
n ( Rivanol ) larutan 0,1% botol 6.2.4 - -
70% botol 6.2.4 33 33
rbital inj im/iv 50 mg/ml 1ml ampul 5 - -
rbital tablet 100 mg tablet 5 - -
450717847.xls Page 647

Violet larutan 1 % botol 14.2 - -
lamid tablet 5 mg tablet 16.1.1 1,500 1,500
100 ml botol 20.2 - -
ulvin tablet 125 mg,micronized tablet - -
idol 5mg/ml inj ampul 23.4 - -
idol tablet 0,5 mg tablet 23.4 1,400 1,400
idol tablet 1,5 mg tablet 23.4 - -
idol tablet 5 mg tablet 23.4 600 600
n Peroksida cairan 3% botol 6 6
rtison krim 2,5 % tube 18.4 - -
d Dinitrat tablet sublingual 5 mg tablet 17.1 100 100
il tablet 25 mg tablet 4,270 4,270
il tablet 50 mg tablet - -
azepin tablet 200 mg tablet - -
iserin tetes telinga 10 % botol 15 15
enikol injeksi 1000 mg ampul 21 21
enikol kapsul 250 mg kapsul 6.2.2 - -
enikol salep mata 1 % tube 21.21 48 48
enikol suspensi 125 mg/5 ml botol 50 50
enikol tetes mata 1 % botol - -
enikol tetes telinga 3 % botol 13 13
450717847.xls Page 648

ramin Maleat (CTM) tablet 4 mg tablet 3 9,150 9,150
asi ekstrak Plasenta 100 mg, Neomisin Sulfat 5 g/gram tube tube - -
asi gameksan 10 mg, Asam usnat 10 mg/g tube - -
asi Metampiron, ekstrak Belladona, Papaverin HCl tablet tablet - -
ksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim 40 mg / 5 ml botol 6.2.2 53 53
ksazol tablet kombinasi: Sulfametoksazol 400 mg + Trimetoprim 80 mg (Kotrim adult) tablet 6.2.2 - -
ksazol tablet pediatrik, kombinasi:Sulfametoksazol 100 mg + Trimetoprim 20 mg tablet 6.2.2 - -
elektrolit D5 - 1/2 NS botol - -
elektrolit D5 - 1/4 NS botol 13 13
n HCl 2% ampul - -
engandung Kresol tersabun 50% botol 13.2 - -
pramide inj. 5 mg / 1 ml ampul - -
pramide tablet 10 mg tablet - -
dazol tablet 250 mg tablet 6.2.2 1,070 1,070
dazol tablet 500 mg tablet 6.2.2 - -
zol cream tube - -
Bikarbonat tablet 500 mg tablet 4.1 - -
Diklofenak tablet 50 mg tablet - -
Klorida larutan infus 0,9 % steril botol 20.2 - -
n tablet 10 mg tablet 800 800
tablet salut 500.000 IU/g tablet - -
tablet vaginal 100.000 IU/g tablet 6.3 41 41
asiklin HCl salep kulit 3 % tube 18.2 - -
asiklin HCl salep mata 1 % ( HCl ) tube 21.2.2 - -
asiklin HCl injeksi i.m. 50 mg/ml vial 6.2.2 - -
in injeksi 10 IU/ml - 1 ml ampul 22.1 66 66
450717847.xls Page 649

amol sirup 120 mg/5 ml botol 1.2 152 152
amol tablet 100 mg tablet 1.2 - -
amol tablet 500 mg tablet 1.2 19,170 19,170
sirup 125mg/5ml botol 6.1.1 - -
tablet score ( base ) 125 mg tablet 6.1.1 - -
am tablet 20 mg tablet - -
on tablet 5 mg tablet 16.4 1,200 1,200
Penisilin inj 3 jt vial - -
n injeksi 25 mg/ml ampul 450 450
n tablet 150 mg tablet - -
don 2 mg tablet - -
mol 2,5 mg respulles (Komb Ipratropium Br 0,5mg+Salbutamol2,5mgnebules) Combivent ampul 26.1 - -
mol Inhaler 100 mcg/dosis pot - -
mol tablet 2 mg ( sebagai sulfat ) tablet 26.1 1,270 1,270
mol tablet 4 mg ( sebagai sulfat ) tablet 26.1 - -
-4 , Kombinasi:Asam Salisilat 2% + Belerang Endap 4% pot 18.4 - -
Bedak 2 % kotak 18.8 42 42
ksil kapsul 500 mg kapsul - -
ksil sirup kering 125 mg/ 5 ml botol - -
ksasin tablet 500 mg (sebagai HCl) tablet 600 600
tamida Natrium tetes mata 15 % botol - -
lin kapsul 250 mg kapsul 21.2 - -
450717847.xls Page 650

lin kapsul 500 mg kapsul 21.2 300 300
erazine tablet 5 mg tablet - -
fenidil Hidroklorida tablet 2 mg tablet 9 1,100 1,100
B Kompleks tablet tablet 29 8,120 8,120
fen - -
- -
ANA -
tatin - -
Lactat - -
1 1
zol Inj 709 709
mol 2,5mg+Ipratropium Bromida inhalasi (Combivent) 167 167
x Supp Infant Bisacodril Suppositoria 10 mg 50 50
Amplodipin tablet/kapsul/kaplet 10 mg 3,450 3,450
Amoksisilin kapsul/kaplet/tablet scored 500 mg 29,550 29,550
Asam Askorbat (vitamin C) 50 mg 2,950 2,950
Griseofulvin tablet /kapsul/kaplet/ 125 mg 5,500 5,500
Vitamin B Kompleks tablet 3,950 3,950
ol tab 500 500
n serb inj 1000 mg/vial 1,000 1,000
50 50
lamide 7,700 7,700
ourasil 2,500 2,500
KALAN KESEHATAN
ransfusion Set set 32 - -
450717847.xls Page 651

Benang Bedah No. 2/0 - 3/0 dengan jarum bedah Khromic biji 32 - -
Benang Bedah No. 3/0 plain biji 32 1 1
Benang Bedah No. 3/0 chromic biji - -
atheter No. 16 set - -
atheter No. 18 set 4 4
last biji - -
set anak set 43 43
set dewasa set 298 298
ther No. 18 set 89 89
ther No. 20 set - -
ther No. 22 set - -
ther No. 24 set - -
ml set - -
ml set - -
set - -
eril 16 x 16 cm rol 32 32
lang No. 16 biji - -
biji - -
ct 2 ml set - -
ct 5 ml set - -
nang Bedah Sutera) No. 3/0 dengan jarum bedah biji - -
Box 5 L lembar - -
Pad biji 29 29
ANA
le 210 210
tali pusat 1 1
tangan panjang - -
450717847.xls Page 652

- -
ad - -
last ( per kotak @ 10 biji ) 543 543
esculap 796 796
ancet - -
ntik habis pakai 10 ml ( box @ 100 biji ) - -
ntik habis pakai 20 ml ( box @ 100 biji ) 165 165
26 100 100
g Naid G/T 11 36 36
atheter 4 4
bayi 91 91
olda - -
V 18 300 300
V 20 480 480
V 22 311 311
V 24 184 184
Karet - -
Air Lux - -
Tali 172 172
hand scrub - -
Antiseptik Gel - -
G 5 5
n Industri M - -
n Industri L 312 312
n Non Steril ukuran S 7,200 7,200
n Non Steril ukuran M 8,894 8,894
n Non Steril ukuran L 4,000 4,000
Print Dirui - -
spuit 0.5 ml - -
un Steril 29 29
n non woven - -
+ jarum 1/2 GT 35 mm 59 59
450717847.xls Page 653

K3 EDTA - -
Tip - -
Oksigen Dewasa - -
box - -
- -
n 10 cm x 10 m 28 28
Pad 135 135
n Steril M 15 15
rasfusion Set 71 71
EN LABORATORIUM
owder botol 31 1 1
0% botol 31 - -
Asam asetat 6% botol 31 - -
Asam Klorida 0,1 N botol 31 - -
Asam Klorida 2 % botol 31 - -
Asam sulfosalisilat botol 31 - -
Ba Cl2 botol 31 - -
Benedict botol 31 - -
Eosin 2% botol 31 - -
Ether Alkohol botol 31 - -
Faucheet botol 31 - -
Giemsa Stain botol - -
HCl-alkohol /Lart. Etanol asam botol - -
Karbol Fuksin botol - -
Metilen Biru botol - -
Rees Ecker botol - -
Shlessinger botol - -
Turk botol - -
l botol - -
sion botol - -
Asam Urat set - -
Golongan Darah Antigen A set 0 0
Golongan Darah Antigen B set 0 0
Gula Darah set - -
450717847.xls Page 654

Kolesterol set - -
Urin Stik 10 Parameter set - -
Widal (AO, BO,H,O) set 0 0
botol - -
RPR Syphilis/Titer (Plasmatec/RPR tes kit, RPR 0/012) set - -
Urat Stik 50 50
t Gula Darah Stik 75 75
t Colesterol Stik - -
ANA
rat stik ( 25 stik ) - -
owder - -
rah stik ( 25 stik ) - -
ik 10 parameter - -
ik 3 parameter - -
t colesterol - -
HCl 0.1 N 100 ml - -
acher 100 ml - -
acher 200 ml - -
Turk 100 ml - -
Turk 250 ml - -
t SGOT 5 X 20 ML - -
t SGPT 5 X 20 ML - -
ne - -
Lakmus Biru - -
KOH 10 % - -
100 ml - -
ol 250 ml - -
- -
aner - -
l Paper Hematologi - -
0 ltr - -
0 ml - -
Cleaner 17 ml - -
tik Dirui - -
AO,BO,H,O) - -
ah A - -
ah B - -
Strip - -
450717847.xls Page 655

Kontrol - -
- -
GIGI
botol 14.1 - -
ida spray botol 14.1 1 1
l cairan botol 14.1 1 1
blet 0,5 mg tablet 14.1 - -
ying Pasta botol - -
malgam serbuk 65 - 75 % botol - -
ary Stopping Fletcher (Fletcher) serbuk dan cairan botol - -
ol Formalin botol - -
ANA
- -
ng - -
sit ( A1,A2,A3) - -
- -
m Hydroxide - -
- -
PROGRAM
ung :

ambah Darah ( TTD ) tablet - -
kapsul - -
pra :
k blister - -
wasa blister - -
k blister - -
wasa blister - -
alaria :
450717847.xls Page 656

rtesunate + Amodiaquin ) Arsuamoon tablet - -
er inj. 80 mg/ml ampul - -
ate inj. kotak - -
BC :
utol tablet 400 mg tablet - -
T I / III paket - -
II paket - -
ak paket - -
tegori I paket - -
tegori II paket - -
tegori III paket - -
sipan paket - -
asi :
BCG bayi vial - -
Campak vial - -
ect 0,5 ml ampul - -
-
m - -
botol - -
apid Test pak - -
eron Depo inj ( 3 bulan ) vial - -
B bj - -
dazole 500 mg inj vial - -
Chromic 1/0 set - -
est Siphilis set - -
trip set - -
sion Set set - -
rasepsi ( Microdiol ) strip - -
ETROVIRAL:
ine (NVP) 200 mg set - -
ine (ZDV) 300 mg + Lamivudine (3TC) 150 mg set - -
ir 300 mg (TDF) + Emcitritabine 200 mg (FTC) set - -
450717847.xls Page 657

450717847.xls Page 658


Geban Pol Po
han an
r Baru
1 2 3 4 5 6 7 8 9 10
ol tab 30 mg tablet 800 800
lin tablet 200 mg tablet 26.1 350 350
lina injeksi 24 mg/ml - 10 ml ampul 26.1 52 52
ilin HCl tablet salut 25 mg tablet 23.2 800 800
n serbuk injeksi im/iv 1000 mg/ml vial 6.21 220 220
a DOEN suspensi botol 25.1 - -
a DOEN tab,kombinasi:Mg-Hidroksida 200mg+Al. Hidroksida. 200 mg tablet 25.1 9,020 9,020
ren:Ergotamin Tartrat 1 mg + Kofein 50 mg tablet 7.2 - -
o Injeksi steril 25 ml, bebas pirogen vial 20.3 212 212
st steril 500 ml botol 30 - -
skorbat (Vit C) tablet 100 mg tablet 29 - -
skorbat (Vit C) tablet 50 mg tablet 29 3,120 3,120
raneksamat injeksi ampul - -
r krim 5% tube - -
450717847.xls Page 659

r tablet 400 mg tablet - -
it tablet 600 mg tablet 400 400
n Bensil Penisillin 2,4 juta IU/Vial vial 6.2.1 - -
tin Mesilat tablet 6 mg tablet - -
tason krim 0,5 mg/g tube 17 17
ime inj. 1.000 mg vial - -
ampul - -
n 70 - larutan infus 6% steril botol 11.2 - -
metorfan sirup 10 mg/5 ml (HBr) botol 26.2 - -
metorfan tablet 15 mg ( HBr ) tablet 26.2 - -
idrinat tablet 50 mg tablet 880 880
Belladon tablet 10 mg tablet 25.4 - -
na ( Adrenalina ) Injeksi 0,1% - 1 ml ( HCl ) ampul 3 - -
ycin kapsul 500 mg tablet 1,800 1,800
ycin kapsul 250 mg tablet - -
ycin sirup 200 mg/5 ml botol - -
n ( Rivanol ) larutan 0,1% botol 6.2.4 - -
70% botol 6.2.4 33 33
rbital inj im/iv 50 mg/ml 1ml ampul 5 - -
450717847.xls Page 660

Violet larutan 1 % botol 14.2 - -
lamid tablet 5 mg tablet 16.1.1 1,500 1,500
100 ml botol 20.2 - -
ulvin tablet 125 mg,micronized tablet - -
idol 5mg/ml inj ampul 23.4 - -
idol tablet 0,5 mg tablet 23.4 1,400 1,400
idol tablet 1,5 mg tablet 23.4 - -
idol tablet 5 mg tablet 23.4 600 600
n Peroksida cairan 3% botol 6 6
rtison krim 2,5 % tube 18.4 - -
d Dinitrat tablet sublingual 5 mg tablet 17.1 100 100
il tablet 25 mg tablet 4,270 4,270
il tablet 50 mg tablet - -
azepin tablet 200 mg tablet - -
iserin tetes telinga 10 % botol 15 15
enikol injeksi 1000 mg ampul 21 21
enikol kapsul 250 mg kapsul 6.2.2 - -
enikol salep mata 1 % tube 21.21 48 48
enikol suspensi 125 mg/5 ml botol 50 50
enikol tetes mata 1 % botol - -
enikol tetes telinga 3 % botol 13 13
450717847.xls Page 661

ramin Maleat (CTM) tablet 4 mg tablet 3 9,150 9,150
asi ekstrak Plasenta 100 mg, Neomisin Sulfat 5 g/gram tube tube - -
asi gameksan 10 mg, Asam usnat 10 mg/g tube - -
asi Metampiron, ekstrak Belladona, Papaverin HCl tablet tablet - -
ksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim 40 mg / 5 ml botol 6.2.2 53 53
ksazol tablet kombinasi: Sulfametoksazol 400 mg + Trimetoprim 80 mg (Kotrim adult) tablet 6.2.2 - -
ksazol tablet pediatrik, kombinasi:Sulfametoksazol 100 mg + Trimetoprim 20 mg tablet 6.2.2 - -
elektrolit D5 - 1/2 NS botol - -
elektrolit D5 - 1/4 NS botol 13 13
n HCl 2% ampul - -
engandung Kresol tersabun 50% botol 13.2 - -
pramide inj. 5 mg / 1 ml ampul - -
pramide tablet 10 mg tablet - -
dazol tablet 250 mg tablet 6.2.2 1,070 1,070
dazol tablet 500 mg tablet 6.2.2 - -
zol cream tube - -
Bikarbonat tablet 500 mg tablet 4.1 - -
Diklofenak tablet 50 mg tablet - -
Klorida larutan infus 0,9 % steril botol 20.2 - -
n tablet 10 mg tablet 800 800
tablet salut 500.000 IU/g tablet - -
tablet vaginal 100.000 IU/g tablet 6.3 41 41
asiklin HCl salep kulit 3 % tube 18.2 - -
asiklin HCl salep mata 1 % ( HCl ) tube 21.2.2 - -
asiklin HCl injeksi i.m. 50 mg/ml vial 6.2.2 - -
in injeksi 10 IU/ml - 1 ml ampul 22.1 66 66
450717847.xls Page 662

amol sirup 120 mg/5 ml botol 1.2 152 152
amol tablet 100 mg tablet 1.2 - -
amol tablet 500 mg tablet 1.2 19,170 19,170
sirup 125mg/5ml botol 6.1.1 - -
tablet score ( base ) 125 mg tablet 6.1.1 - -
am tablet 20 mg tablet - -
on tablet 5 mg tablet 16.4 1,200 1,200
Penisilin inj 3 jt vial - -
n injeksi 25 mg/ml ampul 450 450
don 2 mg tablet - -
mol 2,5 mg respulles (Komb Ipratropium Br 0,5mg+Salbutamol2,5mgnebules) Combivent ampul 26.1 - -
mol Inhaler 100 mcg/dosis pot - -
mol tablet 2 mg ( sebagai sulfat ) tablet 26.1 1,270 1,270
mol tablet 4 mg ( sebagai sulfat ) tablet 26.1 - -
-4 , Kombinasi:Asam Salisilat 2% + Belerang Endap 4% pot 18.4 - -
Bedak 2 % kotak 18.8 42 42
ksil kapsul 500 mg kapsul - -
ksil sirup kering 125 mg/ 5 ml botol - -
ksasin tablet 500 mg (sebagai HCl) tablet 600 600
tamida Natrium tetes mata 15 % botol - -
lin kapsul 250 mg kapsul 21.2 - -
450717847.xls Page 663

lin kapsul 500 mg kapsul 21.2 300 300
erazine tablet 5 mg tablet - -
fenidil Hidroklorida tablet 2 mg tablet 9 1,100 1,100
B Kompleks tablet tablet 29 8,120 8,120
fen - -
- -
ANA -
tatin - -
Lactat - -
1 1
zol Inj 709 709
mol 2,5mg+Ipratropium Bromida inhalasi (Combivent) 167 167
x Supp Infant Bisacodril Suppositoria 10 mg 50 50
Amplodipin tablet/kapsul/kaplet 10 mg 3,450 3,450
Amoksisilin kapsul/kaplet/tablet scored 500 mg 29,550 29,550
Asam Askorbat (vitamin C) 50 mg 2,950 2,950
Griseofulvin tablet /kapsul/kaplet/ 125 mg 5,500 5,500
Vitamin B Kompleks tablet 3,950 3,950
ol tab 500 500
n serb inj 1000 mg/vial 1,000 1,000
50 50
lamide 7,700 7,700
ourasil 2,500 2,500
KALAN KESEHATAN
ransfusion Set set 32 - -
450717847.xls Page 664

Benang Bedah No. 2/0 - 3/0 dengan jarum bedah Khromic biji 32 - -
Benang Bedah No. 3/0 plain biji 32 1 1
Benang Bedah No. 3/0 chromic biji - -
atheter No. 16 set - -
atheter No. 18 set 4 4
last biji - -
set anak set 43 43
set dewasa set 298 298
ther No. 18 set 89 89
ther No. 20 set - -
ther No. 22 set - -
ther No. 24 set - -
ml set - -
ml set - -
set - -
eril 16 x 16 cm rol 32 32
biji - -
ct 2 ml set - -
ct 5 ml set - -
nang Bedah Sutera) No. 3/0 dengan jarum bedah biji - -
Box 5 L lembar - -
Pad biji 29 29
ANA
le 210 210
tali pusat 1 1
tangan panjang - -
450717847.xls Page 665

- -
ad - -
last ( per kotak @ 10 biji ) 543 543
esculap 796 796
ancet - -
ntik habis pakai 10 ml ( box @ 100 biji ) - -
ntik habis pakai 20 ml ( box @ 100 biji ) 165 165
26 100 100
g Naid G/T 11 36 36
atheter 4 4
bayi 91 91
olda - -
V 18 300 300
V 20 480 480
V 22 311 311
V 24 184 184
Karet - -
Air Lux - -
Tali 172 172
hand scrub - -
Antiseptik Gel - -
G 5 5
n Industri M - -
n Industri L 312 312
n Non Steril ukuran S 7,200 7,200
n Non Steril ukuran M 8,894 8,894
n Non Steril ukuran L 4,000 4,000
Print Dirui - -
spuit 0.5 ml - -
un Steril 29 29
n non woven - -
+ jarum 1/2 GT 35 mm 59 59
450717847.xls Page 666

K3 EDTA - -
Tip - -
Oksigen Dewasa - -
box - -
- -
n 10 cm x 10 m 28 28
Pad 135 135
n Steril M 15 15
rasfusion Set 71 71
EN LABORATORIUM
owder botol 31 1 1
0% botol 31 - -
Asam asetat 6% botol 31 - -
Asam Klorida 0,1 N botol 31 - -
Asam Klorida 2 % botol 31 - -
Asam sulfosalisilat botol 31 - -
Ba Cl2 botol 31 - -
Benedict botol 31 - -
Eosin 2% botol 31 - -
Ether Alkohol botol 31 - -
Faucheet botol 31 - -
Giemsa Stain botol - -
HCl-alkohol /Lart. Etanol asam botol - -
Karbol Fuksin botol - -
Metilen Biru botol - -
Rees Ecker botol - -
Shlessinger botol - -
Turk botol - -
l botol - -
sion botol - -
Asam Urat set - -
Golongan Darah Antigen A set 0 0
Golongan Darah Antigen B set 0 0
Gula Darah set - -
450717847.xls Page 667

Kolesterol set - -
Urin Stik 10 Parameter set - -
Widal (AO, BO,H,O) set 0 0
botol - -
RPR Syphilis/Titer (Plasmatec/RPR tes kit, RPR 0/012) set - -
Urat Stik 50 50
t Gula Darah Stik 75 75
t Colesterol Stik - -
ANA
rat stik ( 25 stik ) - -
owder - -
rah stik ( 25 stik ) - -
ik 10 parameter - -
ik 3 parameter - -
t colesterol - -
HCl 0.1 N 100 ml - -
acher 100 ml - -
acher 200 ml - -
Turk 100 ml - -
Turk 250 ml - -
t SGOT 5 X 20 ML - -
t SGPT 5 X 20 ML - -
ne - -
Lakmus Biru - -
KOH 10 % - -
100 ml - -
ol 250 ml - -
- -
aner - -
l Paper Hematologi - -
0 ltr - -
0 ml - -
Cleaner 17 ml - -
tik Dirui - -
AO,BO,H,O) - -
ah A - -
ah B - -
Strip - -
450717847.xls Page 668

Kontrol - -
- -
GIGI
botol 14.1 - -
ida spray botol 14.1 1 1
l cairan botol 14.1 1 1
blet 0,5 mg tablet 14.1 - -
ying Pasta botol - -
malgam serbuk 65 - 75 % botol - -
ary Stopping Fletcher (Fletcher) serbuk dan cairan botol - -
ol Formalin botol - -
ANA
- -
ng - -
sit ( A1,A2,A3) - -
- -
m Hydroxide - -
- -
PROGRAM
ung :

ambah Darah ( TTD ) tablet - -
kapsul - -
pra :
k blister - -
wasa blister - -
k blister - -
wasa blister - -
alaria :
450717847.xls Page 669

rtesunate + Amodiaquin ) Arsuamoon tablet - -
er inj. 80 mg/ml ampul - -
ate inj. kotak - -
BC :
T I / III paket - -
II paket - -
ak paket - -
tegori I paket - -
tegori II paket - -
tegori III paket - -
sipan paket - -
asi :
BCG bayi vial - -
Campak vial - -
ect 0,5 ml ampul - -
-
m - -
botol - -
apid Test pak - -
eron Depo inj ( 3 bulan ) vial - -
B bj - -
dazole 500 mg inj vial - -
Chromic 1/0 set - -
est Siphilis set - -
trip set - -
sion Set set - -
rasepsi ( Microdiol ) strip - -
ETROVIRAL:
ine (NVP) 200 mg set - -
ine (ZDV) 300 mg + Lamivudine (3TC) 150 mg set - -
ir 300 mg (TDF) + Emcitritabine 200 mg (FTC) set - -
450717847.xls Page 670

450717847.xls Page 671


Geban Pol Pol

Plabu Puri S Kamp Planda
han an
r Baru
1 2 3 4 5 6 7 8 9 10 11
l tablet 400 mg tablet 6.1.1 637 637
oncentrat fles - -
ab 30 mg tablet 800 800
a injeksi 24 mg/ml - 10 ml ampul 26.1 52 52
HCl tablet salut 25 mg tablet 23.2 800 800
tablet 5 mg tablet - -
n kaplet 500 mg kaplet 6.21 10,100 10,100
n kapsul 250 mg kapsul 6.21 - -
n sirup kering 125 mg/5ml botol 6.21 55 55
n sirup kering Forte 250 mg/5ml botol 6.21 - -
erbuk injeksi im/iv 1000 mg/ml vial 6.21 220 220
Metampiron) tablet 500 mg tablet 1.2 - -
jeksi 250 mg/ml - 2 ml ampul 1.2 - -
DOEN suspensi botol 25.1 - -
DOEN tab,kombinasi:Mg-Hidroksida 200mg+Al. Hidroksida. 200 mg tablet 25.1 9,020 9,020
ri DOEN salep kombinasi:Basitrasin 500 IU/g + Polimiksin 10.000 IU/g tube 18.2 - -
roid DOEN Kombinasi supp 25.3 70 70
DOEN Kombinasi:Asam Benzoat 6% + Asam Salisilat 3% pot 18.3 - -
:Ergotamin Tartrat 1 mg + Kofein 50 mg tablet 7.2 - -
son DOEN tablet kombinasi:Karbidopa 25 mg + Levodopa 250 mg tablet 9 - -
njeksi steril 25 ml, bebas pirogen vial 20.3 212 212
steril 500 ml botol 30 - -
ilsalisilat (Asetosal) tablet 100 mg tablet 1.2 - -
orbat (Vit C) tablet 100 mg tablet 29 - -
orbat (Vit C) tablet 50 mg tablet 29 3,120 3,120
enamat tablet salut selaput 500 mg tablet 500 500
neksamat injeksi ampul - -
neksamat kapsul 250 mg kapsul - -
neksamat kapsul 500 mg kapsul - -
rim 5% tube - -
450717847.xls Page 672

oncentrat fles - -
ablet 400 mg tablet - -
ablet 600 mg tablet 400 400
eksi im/iv/sk 0,25 mg/ml - 1 ml ( Sulfat ) vial 25.4 - -
lfat tablet 0,5 mg tablet 25.4 - -
tablet tablet - -
Bensil Penisillin 2,4 juta IU/Vial vial 6.2.1 - -
Mesilat tablet 6 mg tablet - -
on krim 0,5 mg/g tube 17 17
suppositoria 10 mg dewasa suppo - -
supposituria anak suppo - -
tab. 5 mg ampul - -
e inj. 1.000 mg vial - -
ampul - -
ason injeksi iv. 5 mg/ml - 1 ml ampul 3 6 6
ason tablet 0,5 mg tablet 16.4 870 870
70 - larutan infus 6% steril botol 11.2 - -
etorfan sirup 10 mg/5 ml (HBr) botol 26.2 - -
etorfan tablet 15 mg ( HBr ) tablet 26.2 - -
injeksi 5 mg/ml - 2 ml ampul 5 22 22
lar rektal 10mg/ 2,5 ml (Stesolid) tube 5 4 4
tablet 2 mg tablet 5 1,600 1,600
tablet 5 mg tablet 5 - -
mazin Sitrat ta.100 mg tablet 6.1.2 - -
min inj im.10 mg/ml-1 ml ( HCl ) ampul 3 34 34
nat tablet 50 mg tablet 880 880
on tablet 10 mg tablet 400 400
Cl tablet 25 mg ( HCl ) tablet 26.1 - -
elladon tablet 10 mg tablet 25.4 - -
( Adrenalina ) Injeksi 0,1% - 1 ml ( HCl ) ampul 3 - -
n kapsul 500 mg tablet 1,800 1,800
n kapsul 250 mg tablet - -
n sirup 200 mg/5 ml botol - -
Rivanol ) larutan 0,1% botol 6.2.4 - -
% botol 6.2.4 33 33
jeksi 50 mg/ml ampul 5 - -
atrium kapsul 100 mg kapsul 5 1,300 1,300
atrium kapsul 30 mg kapsul 5 - -
al inj im/iv 50 mg/ml 1ml ampul 5 - -
al tablet 100 mg tablet 5 - -
al tablet 30 mg tablet 5 - -
erol tetes telinga 10% botol 28.2 - -
450717847.xls Page 673

oncentrat fles - -
ion (Vit.K1) injeksi 2 mg/ml - 1 ml ampul 10.2 19 19
ion (Vit.K1) tablet salut gula 10 mg tablet 10.2 - -
in Decanoate 25mg/ml (Sikzonoate Inj) ampul - -
injeksi iv/im 10 mg/ml ampul 67 67
tablet 40 mg tablet 14 150 150
n lotion 1 % botol 18.5 - -
alit untuk 200 ml air sak 20.1 380 380
n injeksi 40 mg/ml (sbg Sulfat) ampul - -
n injeksi 80 mg/ml (sbg Sulfat) ampul - -
n salep kulit 0,1 % tube - -
olet larutan 1 % botol 14.2 - -
mid tablet 5 mg tablet 16.1.1 1,500 1,500
ayakolat tablet 100 mg tablet 26.3 12,600 12,600
0 ml botol 20.2 - -
rutan infus 5 % botol 20.2 153 153
in tablet 125 mg,micronized tablet - -
canoat 50 mg/ml inj ampul 4 4
ol 5mg/ml inj ampul 23.4 - -
ol tablet 0,5 mg tablet 23.4 1,400 1,400
ol tablet 1,5 mg tablet 23.4 - -
ol tablet 5 mg tablet 23.4 600 600
Peroksida cairan 3% botol 6 6
tiazid (HCT) tablet 25 mg tablet 15 - -
on krim 2,5 % tube 18.4 - -
suspensi 100mg/ 5 ml botol 1.2 - -
ablet 200 mg tablet 1.2 - -
ablet 400 mg tablet 1.2 2,130 2,130
Dinitrat tablet sublingual 5 mg tablet 17.1 100 100
rmanganat serbuk botol 13.1 - -
lukonat inj 100mg/ml / Ca Gluconas botol 5 5
aktat (Kalk) tablet 500 mg tablet 29 - -
ablet 25 mg tablet 4,270 4,270
epin tablet 200 mg tablet - -
rin tetes telinga 10 % botol 15 15
ol tablet 200 mg ampul - -
kol injeksi 1000 mg ampul 21 21
kol kapsul 250 mg kapsul 6.2.2 - -
kol salep mata 1 % tube 21.21 48 48
kol suspensi 125 mg/5 ml botol 50 50
kol tetes mata 1 % botol - -
kol tetes telinga 3 % botol 13 13
450717847.xls Page 674

oncentrat fles - -
min Maleat (CTM) tablet 4 mg tablet 3 9,150 9,150
zin injeksi 25 mg/ml - 1 ml ( HCl ) ampul 25.4 - -
zin injeksi 5 mg/ml - 1 ml ( HCl ) ampul 25.4 - -
zin HCl tablet salut 100 mg(HCl) tablet 25.4 1,000 1,000
zin tablet salut 25 mg ( HCl ) tablet 25.4 - -
let 10 mg tablet 26.2 75 75
ekstrak Plasenta 100 mg, Neomisin Sulfat 5 g/gram tube tube - -
gameksan 10 mg, Asam usnat 10 mg/g tube - -
Metampiron, ekstrak Belladona, Papaverin HCl tablet tablet - -
azol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim 40 mg / 5 ml botol 6.2.2 53 53
azol tablet kombinasi: Sulfametoksazol 400 mg + Trimetoprim 80 mg (Kotrim adult) tablet 6.2.2 - -
azol tablet pediatrik, kombinasi:Sulfametoksazol 100 mg + Trimetoprim 20 mg tablet 6.2.2 - -
ektrolit D5 - 1/2 NS botol - -
ektrolit D5 - 1/4 NS botol 13 13
Cl 2% ampul - -
omp. injeksi, Kombinasi:Lidokain HCl 2% + Epinefrin 1:80.000 - 2 ml ampul 14.1 84 84
gandung Kresol tersabun 50% botol 13.2 - -
m Sulfat injeksi (iv) 20 % - 25 ml ampul 5 - -
m Sulfat injeksi (iv) 40 % - 25 ml ampul 5 3 3
e inj 1 gr / 2 ml vial - -
HCl tablet 500 mg tablet 600 600
metrin Maleat (Metilergometrin) tablet salut 0,125 mg tablet 22.1 140 140
metrin Maleat inj 0,200 mg-1 ml ampul 22.1 - -
amide inj. 5 mg / 1 ml ampul - -
amide tablet 10 mg tablet - -
zol tablet 250 mg tablet 6.2.2 1,070 1,070
zol tablet 500 mg tablet 6.2.2 - -
cream tube - -
x Kombinasi sachet - -
karbonat tablet 500 mg tablet 4.1 - -
klofenak tablet 50 mg tablet - -
orida larutan infus 0,9 % steril botol 20.2 - -
ablet 10 mg tablet 800 800
blet salut 500.000 IU/g tablet - -
blet vaginal 100.000 IU/g tablet 6.3 41 41
k Hitam ( O.B.H. ) cairan botol 26.3 - -
klin HCl salep kulit 3 % tube 18.2 - -
klin HCl salep mata 1 % ( HCl ) tube 21.2.2 - -
klin HCl injeksi i.m. 50 mg/ml vial 6.2.2 - -
njeksi 10 IU/ml - 1 ml ampul 22.1 66 66
l injeksi 40 mg/ 10 ml vial - -
450717847.xls Page 675

oncentrat fles - -
l kapsul 20 mg kapsul - -
mol sirup 120 mg/5 ml botol 1.2 152 152
mol tablet 100 mg tablet 1.2 - -
mol tablet 500 mg tablet 1.2 19,170 19,170
eksi ampul 11 - -
up 125mg/5ml botol 6.1.1 - -
blet score ( base ) 125 mg tablet 6.1.1 - -
(Vit.B6) tablet 10 mg ( HCl ) tablet 29 1,000 1,000
m tablet 20 mg tablet - -
en 3,6 mg / ml konsentrat 14.2 - -
dida 10 %, 30 ml botol - -
dida 10 %, 300 ml botol 2 2
tablet 5 mg tablet 16.4 1,200 1,200
enisilin inj 3 jt vial - -
tablet 10 mg (HCl) tablet 7.1 - -
asil tablet 100 mg (PTU ) tablet 16.3 - -
ol tablet 40 mg (HCl) tablet 7.1 - -
njeksi 25 mg/ml ampul 450 450
etat larutan infus steril botol 20.2 - -
ktat larutan infus steril botol 20.2 1,050 1,050
2 mg tablet - -
l 2,5 mg respulles (Komb Ipratropium Br 0,5mg+Salbutamol2,5mgnebules) Combivent ampul 26.1 - -
l Inhaler 100 mcg/dosis pot - -
l tablet 2 mg ( sebagai sulfat ) tablet 26.1 1,270 1,270
l tablet 4 mg ( sebagai sulfat ) tablet 26.1 - -
, Kombinasi:Asam Salisilat 2% + Belerang Endap 4% pot 18.4 - -
ak 2 % kotak 18.8 42 42
ream tube 10 gram tube - -
l kapsul 500 mg kapsul - -
l sirup kering 125 mg/ 5 ml botol - -
apsul 100 mg kapsul - -
i Bisa Ular Polivalen injeksi 5 ml (ABU I) vial 1 1
i Difteri 20.000 SI/vial (A.D.S.) ampul - -
i Tetanus Injeksi 1.500 IU/ampul (A.T.S.) ampul 7 7
lamin (Vit.B12) injeksi 500 mcg - ml ampul 10.1 - -
asin tablet 500 mg (sebagai HCl) tablet 600 600
mida Natrium tetes mata 15 % botol - -
kapsul 250 mg kapsul 21.2 - -
450717847.xls Page 676

oncentrat fles - -
kapsul 500 mg kapsul 21.2 300 300
ol kapsul 500 mg kapsul 500 500
amin B1) tablet 50 mg (HCl / Mononitrat ) tablet 29 10,150 10,150
B1) tablet 100 mg tablet 29 - -
amin B1) injeksi 100 mg/ml-1 ml ampul 29 - -
one acetate krim tube - -
zine tablet 5 mg tablet - -
nidil Hidroklorida tablet 2 mg tablet 9 1,100 1,100
Kompleks tablet tablet 29 8,120 8,120
10 mg/ml botol - -
20 mg tablet - -
n - -
- -
A -
n - -
ctat - -
1 1
Inj 709 709
l 2,5mg+Ipratropium Bromida inhalasi (Combivent) 167 167
anak (Dulcolax) 12 12
upp Infant Bisacodril Suppositoria 10 mg 50 50
mplodipin tablet/kapsul/kaplet 10 mg 3,450 3,450
moksisilin kapsul/kaplet/tablet scored 500 mg 29,550 29,550
sam Askorbat (vitamin C) 50 mg 2,950 2,950
riseofulvin tablet /kapsul/kaplet/ 125 mg 5,500 5,500
tamin B Kompleks tablet 3,950 3,950
ab 500 500
erb inj 1000 mg/vial 1,000 1,000
50 50
mide 7,700 7,700
asil 2,500 2,500
ALAN KESEHATAN
sekali pakai 1 ml set 32 38 38
sekali pakai 2,5 ml/3 ml set 32 300 300
sekali pakai 5 ml set 32 715 715
sekali pakai 10 ml set 32 - -
sekali pakai 20 ml set 32 - -
nsfusion Set set 32 - -
450717847.xls Page 677

oncentrat fles - -
enang Bedah No. 2/0 - 3/0 dengan jarum bedah Khromic biji 32 - -
enang Bedah No. 3/0 plain biji 32 1 1
enang Bedah No. 3/0 chromic biji - -
heter No. 16 set - -
heter No. 18 set 4 4
t biji - -
en non steril No. 7 biji - -
en steril No. 7 pasang - -
et anak set 43 43
et dewasa set 298 298
r No. 18 set 89 89
r No. 20 set - -
r No. 22 set - -
r No. 24 set - -
t bedah No. 9 s/d 14 biji - -
lemak 500 gram bungkus - -
mbalut / Absorben 250 gram bungkus 2 2
pres 40/40 steril bungkus - -
balut 2 m x 80 cm biji - -
set - -
set - -
set - -
balut Hidrofil 4 m x 3 cm hidrofil/elastic rol 40 40
balut Hidrofil 4 m x 15 cm hidrofil/elastic rol - -
l 16 x 16 cm rol 32 32
g No. 16 biji - -
g No. 18 biji - -
biji - -
2 ml set - -
5 ml set - -
ards x 2 inch roll - -
ng Bedah Sutera) No. 3/0 dengan jarum bedah biji - -
x 2,5 L lembar - -
x5L lembar - -
steril 2 LT biji 4 4
biji 29 29
A
210 210
i pusat 1 1
ngan panjang - -
450717847.xls Page 678

oncentrat fles - -
nghisap lendir bayi 47 47
- -
- -
t ( per kotak @ 10 biji ) 543 543
culap 796 796
cet - -
k habis pakai 10 ml ( box @ 100 biji ) - -
k habis pakai 20 ml ( box @ 100 biji ) 165 165
heter no.16 13 13
heter no.18 125 125
100 100
Naid G/T 11 36 36
eter 4 4
yi 91 91
a - -
8 300 300
0 480 480
2 311 311
4 184 184
ret - -
Lux - -
li 172 172
nd scrub - -
tiseptik Gel - -
sien Dewasa 300 300
edical Respirator - -
5 5
ndustri M - -
ndustri L 312 312
Non Steril ukuran S 7,200 7,200
Non Steril ukuran M 8,894 8,894
Non Steril ukuran L 4,000 4,000
t Dirui - -
t Foto Meter - -
uit 0.5 ml - -
romic 3/0 + jaum 1/2 GT 33 mm - -
Steril 29 29
balut hidrofil 2 m x 80 cm 51 51
balut hidrofil 4 m x 15 cm 115 115
on woven - -
arum 1/2 GT 35 mm 59 59
tiseptik Gel Revil 3 3
450717847.xls Page 679

oncentrat fles - -
EDTA - -
- -
igen Dewasa - -
- -
- -
Disp. Syringe with Needle 5 CC 100 100
Disp. Syringe with Needle 3 CC 364 364
0 cm x 10 m 28 28
135 135
Steril M 15 15
fusion Set 71 71
LABORATORIUM
der botol 31 1 1
botol 31 - -
am asetat 6% botol 31 - -
am Klorida 0,1 N botol 31 - -
am Klorida 2 % botol 31 - -
am sulfosalisilat botol 31 - -
a Cl2 botol 31 - -
enedict botol 31 - -
osin 2% botol 31 - -
her Alkohol botol 31 - -
aucheet botol 31 - -
emsa Stain botol - -
Cl-alkohol /Lart. Etanol asam botol - -
arbol Fuksin botol - -
etilen Biru botol - -
ees Ecker botol - -
hlessinger botol - -
rk botol - -
botol - -
n botol - -
sam Urat set - -
olongan Darah Antigen A set 0 0
olongan Darah Antigen B set 0 0
ula Darah set - -
450717847.xls Page 680

oncentrat fles - -
olesterol set - -
rin Stik 10 Parameter set - -
idal (AO, BO,H,O) set 0 0
botol - -
PR Syphilis/Titer (Plasmatec/RPR tes kit, RPR 0/012) set - -
hilis/ Standar Diagnostic (Alere) Bioline - -
Stik 50 50
Gula Darah Stik 75 75
olesterol Stik - -
A
stik ( 25 stik ) - -
der - -
h stik ( 25 stik ) - -
10 parameter - -
3 parameter - -
erol ( 10 stik ) - -
olesterol - -
( 50 strip ) - -
Cl 0.1 N 100 ml - -
her 100 ml - -
her 200 ml - -
rk 100 ml - -
rk 250 ml - -
GOT 5 X 20 ML - -
GPT 5 X 20 ML - -
- -
mus Biru - -
OH 10 % - -
00 ml - -
250 ml - -
- -
r - -
aper Hematologi - -
r - -
ml - -
aner 17 ml - -
Dirui - -
,BO,H,O) - -
A - -
B - -
rip - -
450717847.xls Page 681

oncentrat fles - -
trol - -
- -
GI
botol 14.1 - -
spray botol 14.1 1 1
airan botol 14.1 1 1
t 0,5 mg tablet 14.1 - -
mer Cement ART set 14.1 - -
droksida Pasta set 14.1 - -
kamfer mentol ( CHKM ) botol 14.1 2 2
ng Pasta botol - -
dine obat kumur botol - -
ng Fosfat serbuk dan cairan botol - -
lgam serbuk 65 - 75 % botol - -
Stopping Fletcher (Fletcher) serbuk dan cairan botol - -
Formalin botol - -
A
- -
- -
( A1,A2,A3) - -
- -
ydroxide - -
- -
OGRAM
g:
r kapsul 75 mg kapsul - -
psul ( Vitamin A ) 100.000 IU kapsul - -

psul ( Vitamin A ) 200.000 IU kapsul - -
bah Darah ( TTD ) tablet - -
kapsul - -
a:
blister - -
sa blister - -
blister - -
a blister - -
ria :
450717847.xls Page 682

oncentrat fles - -
sunate + Amodiaquin ) Arsuamoon tablet - -
idro Artemisin + Piperaquin ) Arterakine tablet - -
inj. 80 mg/ml ampul - -
e inj. kotak - -
kapsul 100 mg kapsul - -
oklorida inj. 25 %-2ml ampul - -
200 mg tablet - -
tablet 15 mg tablet - -
:
ol tablet 400 mg tablet - -
ol tablet 500 mg tablet - -
/ III paket - -
paket - -
paket - -
gori I paket - -
gori II paket - -
gori III paket - -
an paket - -
d tablet 500 mg tablet - -
:
G bayi vial - -
mpak vial - -
0,5 ml ampul - -
-
- -
botol - -
d Test pak - -
on Depo inj ( 3 bulan ) vial - -
bj - -
zole 500 mg inj vial - -
luconas inj ampul - -
romic 1/0 set - -
rine Dewasa set - -
Siphilis set - -
set - -
B / Levonogestrel 75 mg set - -
n Set set - -
sepsi ( Microdiol ) strip - -
ROVIRAL:
(NVP) 200 mg set - -
(ZDV) 300 mg + Lamivudine (3TC) 150 mg set - -
300 mg (TDF) + Emcitritabine 200 mg (FTC) set - -
450717847.xls Page 683

oncentrat fles - -
450717847.xls Page 684

1 2
OBAT
39 Bekarbon tablet
47 D 40 Inj
69 Etanol 70%
90 Gliserin 100 ml
133 Lidokain HCl 2%
147 Mikonazol cream
165 Petidin injeksi
182 Risperidon 2 mg
214 Ketoprofen
SWADANA
1 Simvastatin
2 Ringer Lactat
3 D5 1/2
4 Metamizol Inj
13 Ambroxol tab
15 D 40%
16 Glibenklamide
17 Propiltiourasil
225 Hansaplast
239 KI 0.05 ml
240 KI 0.5 ml
241 KI 5 ml
247 Masker
248 Normject 2 ml
249 Normject 5 ml
253 Safety Box 5 L
255 Under Pad
SWADANA
1 Lumatule
2 Benang tali pusat
5 Hipavix
6 Underpad
8 Mess Aesculap
9 Blood Lancet
14 Jarum 26
16 Jelly Catheter
17 Gelang bayi
18 Kartu Golda
19 Surflo IV 18
20 Surflo IV 20
21 Surflo IV 22
22 Surflo IV 24
23 Masker Karet
24 Masker Air Lux
25 Masker Tali
30 Gel ECG
40 Handscun Steril
46 Tabung K3 EDTA
47 Yellow Tip
49 Safety box
50 Kapas
54 Under Pad
55 Hanscun Steril M
REAGEN LABORATORIUM
256 EDTA Powder
257 KOH 10 %
262 Larutan Ba Cl2
273 Larutan Turk
274 Metanol
275 Oil imersion
283 Xylol
286 Asam Urat Stik
SWADANA
2 EDTA Powder
16 Creatinine
18 Larutan KOH 10 %
19 Giemsa 100 ml
20 Methanol 250 ml
21 Diluent
22 EZ Cleaner
24 Rinse 20 ltr
25 Lyse 500 ml
27 Urine Stik Dirui
29 Gol Darah A
30 Gol Darah B
31 HBs Ag Strip
32 Darah Kontrol
33 HB Stik
OBAT GIGI
286 Dentorit
288 Eugenol cairan
SWADANA
1 ETSA
2 Bounding
4 Cavit
5 Calsium Hydroxide
6 GIC
OBAT PROGRAM
Flu Burung :
Gizi :
303 Yodiol
Anti Lepra :
304 MB Anak
305 MB Dewasa
306 PB Anak
307 PB Dewasa
Anti Malaria :
311 Artesunate inj.
Anti TBC :
318 FDC KIT I / III
319 FDC kit II
320 OAT Anak
321 OAT Kategori I
322 OAT Kategori II
324 OAT Sisipan
Imunisasi :
326 Vaksin BCG bayi
327 Vaksin Campak
KIA :
329 Kondom
330 IUD
333 Spuit KB
339 Urine Strip
341 Transfusion Set
ANTI RETROVIRAL:

Satuan
Geban Pol
3 4 5 6 7 Rawat g Bersal Pojok Rawat
Plabu
Jalan Bunde in Klitih Inap
han
r
1 2 3 4 5
tablet 6.1.1 637 637
fles - -
tablet 1.2 700 700
tablet 800 800
tablet 26.1 350 350
ampul 26.1 52 52
tablet 23.2 800 800
tablet - -
kaplet 6.21 10,100 10,100
kapsul 6.21 - -
botol 6.21 55 55
botol 6.21 - -
vial 6.21 220 220
tablet 1.2 - -
ampul 1.2 - -
botol 25.1 - -
tablet 25.1 9,020 9,020
tube 18.2 - -
supp 25.3 70 70
pot 18.3 - -
tablet 7.2 - -
tablet 9 - -
vial 20.3 212 212
botol 30 - -
tablet 1.2 - -
tablet 1.2 - -
tablet 1.2 - -
tablet 29 - -
tablet 29 3,120 3,120
tablet 500 500
ampul - -
kapsul - -
kapsul - -
tube - -
tablet - -
tablet 400 400
vial 25.4 - -
tablet 25.4 - -
tablet - -
vial 6.2.1 - -
tablet - -
tube 17 17
suppo - -
suppo - -
ampul - -
vial - -
ampul - -
ampul 3 6 6
tablet 16.4 870 870
botol 11.2 - -
botol 26.2 - -
tablet 26.2 - -
ampul 5 22 22
tube 5 4 4
tablet 5 1,600 1,600
tablet 5 - -
tablet 6.1.2 - -
ampul 3 34 34
tablet 17.5 - -
tablet 880 880
tablet 400 400
tablet 26.1 - -
tablet 25.4 - -
ampul 3 - -
tablet 1,800 1,800
tablet - -
botol - -
botol 6.2.4 - -
botol 6.2.4 33 33
ampul 5 - -
kapsul 5 1,300 1,300
kapsul 5 - -
ampul 5 - -
tablet 5 - -
tablet 5 - -
botol 28.2 - -
ampul 10.2 19 19
tablet 10.2 - -
ampul - -
ampul 67 67
tablet 14 150 150
botol 18.5 - -
sak 20.1 380 380
ampul - -
ampul - -
tube - -
botol 14.2 - -
tablet 16.1.1 1,500 1,500
tablet 26.3 12,600 12,600
botol 20.2 - -
botol 20.2 153 153
tablet - -
ampul 4 4
ampul 23.4 - -
tablet 23.4 1,400 1,400
tablet 23.4 - -
tablet 23.4 600 600
botol 6 6
tablet 15 - -
tube 18.4 - -
botol 1.2 - -
tablet 1.2 - -
tablet 1.2 2,130 2,130
tablet 17.1 100 100
botol 13.1 - -
botol 5 5
tablet 29 - -
tablet 4,270 4,270
tablet - -
tablet - -
botol 15 15
ampul - -
ampul 21 21
kapsul 6.2.2 - -
tube 21.21 48 48
botol 50 50
botol - -
botol 13 13
tablet 3 9,150 9,150
ampul 25.4 - -
ampul 25.4 - -
tablet 25.4 1,000 1,000
tablet 25.4 - -
tablet 26.2 75 75
tube - -
tube - -
tablet - -
botol 6.2.2 53 53
tablet 6.2.2 - -
tablet 6.2.2 - -
botol - -
botol 13 13
ampul - -
ampul 14.1 84 84
botol 13.2 - -
tablet - -
ampul 5 - -
ampul 5 3 3
vial - -
tablet 600 600
tablet 22.1 140 140
ampul 22.1 - -
ampul - -
tablet - -
tablet 6.2.2 1,070 1,070
tablet 6.2.2 - -
tube - -
sachet - -
tablet 4.1 - -
tablet - -
botol 20.2 - -
tablet 800 800
tablet - -
tablet 6.3 41 41
botol 26.3 - -
tube 18.2 - -
tube 21.2.2 - -
vial 6.2.2 - -
ampul 22.1 66 66
vial - -
kapsul - -
botol 1.2 152 152
tablet 1.2 - -
tablet 1.2 19,170 19,170
ampul 11 - -
botol 6.1.1 - -
tablet 6.1.1 - -
tablet 29 1,000 1,000
tablet - -
14.2 - -
botol - -
botol 2 2
tablet 16.4 1,200 1,200
vial - -
tablet 7.1 - -
tablet 16.3 - -
tablet 7.1 - -
ampul 450 450
tablet - -
botol 20.2 - -
botol 20.2 1,050 1,050
tablet - -
ampul 26.1 - -
pot - -
tablet 26.1 1,270 1,270
tablet 26.1 - -
pot 18.4 - -
kotak 18.8 42 42
tube - -
kapsul - -
botol - -
kapsul - -
vial 1 1
ampul - -
ampul 7 7
ampul 10.1 - -
tablet - -
tablet - -
tablet 600 600
tablet - -
botol - -
kapsul 21.2 - -
kapsul 21.2 300 300
kapsul 500 500 100
tablet 29 10,150 10,150
tablet 29 - -
ampul 29 - -
tube - -
tablet - -
tablet 9 1,100 1,100
tablet 29 8,120 8,120
botol - -
tablet - -
- -
- -
-
- -
- -
1 1
709 709
167 167
12 12
50 50
3,450 3,450
29,550 29,550
2,950 2,950
5,500 5,500
3,950 3,950
500 500
1,000 1,000
50 50
7,700 7,700
2,500 2,500
set 32 38 38
set 32 300 300
set 32 715 715
set 32 - -
set 32 - -
set 32 - -
biji 32 - -
biji 32 1 1
biji - -
set - -
set 4 4
biji - -
biji - -
pasang - -
set 43 43
set 298 298
set 89 89
set - -
set - -
set - -
biji - -
bungkus - -
bungkus 2 2
bungkus - -
biji - -
set - -
set - -
set - -
rol 40 40
rol - -
rol 32 32
biji - -
biji - -
biji - -
set - -
set - -
roll - -
biji - -
lembar - -
lembar - -
biji 4 4
biji 29 29
210 210
1 1
- -
47 47
- -
- -
543 543
796 796
- -
- -
165 165
13 13
125 125
100 100
36 36
4 4
91 91
- -
300 300
480 480
311 311
184 184
- -
- -
172 172
- -
- -
300 300
- -
5 5
- -
312 312
7,200 7,200
8,894 8,894
4,000 4,000
- -
- -
- -
- -
29 29
51 51
115 115
- -
59 59
3 3
- -
- -
- -
- -
- -
100 100
364 364
28 28
135 135
15 15
71 71
botol 31 1 1
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol 31 - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
set - -
set 0 0
set 0 0
set - -
set - -
set - -
set 0 0
botol - -
set - -
- -
50 50
75 75
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
botol 14.1 - -
botol 14.1 1 1
botol 14.1 1 1
tablet 14.1 - -
set 14.1 - -
set 14.1 - -
botol 14.1 2 2
botol - -
botol - -
botol - -
botol - -
botol - -
botol - -
- -
- -
- -
- -
- -
- -
kapsul - -
kapsul - -
kapsul - -
tablet - -
kapsul - -
blister - -
blister - -
blister - -
blister - -
tablet - -
tablet - -
ampul - -
kotak - -
kapsul - -
ampul - -
tablet - -
tablet - -
tablet - -
tablet - -
paket - -
paket - -
paket - -
paket - -
paket - -
paket - -
paket - -
tablet - -
vial - -
vial - -
ampul - -
-
- -
botol - -
pak - -
vial - -
bj - -
vial - -
ampul - -
set - -
set - -
set - -
set - -
set - -
set - -
strip - -
set - -
set - -
set - -
UDANG INDUK
Pemakaian
Kamp Pol Pustu

Bangs Jati Tondo Darure Krang Jipora
Puri S ung Planda Gigi Plabu UGD
ri Mlerek Wulan jo mojo pah
Baru an han
6 7 8 9 10 11 12 13 14 15 16 17
50 100
30
10
100
50
100
100 100
30
50
100
50 100
100
50
Jumlah
Sisa
KET
Stok
9 10 11
18 19
- 637
- -
- 700
- 800
- 350
- 52
- 800
- -
- 10,100
- -
- 55
- -
- 220
- -
- -
- -
150 8,870
- -
- 70
- -
- -
- -
- 212
- -
- -
- -
- -
- -
- 3,120
- 500
- -
- -
- -
- -
- -
- 400
- -
- -
- -
- -
- -
- 17
- -
- -
- -
- -
- -
- 6
30 840
- -
- -
- -
- 22
- 4
- 1,600
- -
- -
- 34
- -
- 880
- 400
- -
- -
- -
- 1,800
- -
- -
- -
- 33
- -
- 1,300
- -
- -
- -
- -
- -
- 19
- -
- -
- 67
- 150
- -
10 370
- -
- -
- -
- -
- 1,500
100 12,500
- -
- 153
- -
- 4
- -
- 1,400
- -
- 600
- 6
- -
- -
- -
- -
- 2,130
- 100
- -
- 5
- -
50 4,220
- -
- -
- 15
- -
- 21
- -
2 46
- 50
- -
- 13
100 9,050
- -
- -
- 1,000
- -
- 75
- -
- -
- -
- 53
- -
- -
- -
- 13
- -
- 84
- -
- -
- -
- 3
- -
- 600
- 140
- -
- -
- -
- 1,070
- -
- -
- -
- -
- -
- -
- 800
- -
- 41
- -
- -
- -
- -
- 66
- -
- -
- 152
- -
200 18,970
- -
- -
- -
30 970
- -
- -
- -
- 2
50 1,150
- -
- -
- -
- -
- 450
- -
- -
- 1,050
- -
- -
- -
- 1,270
- -
- -
- 42
- -
- -
- -
- -
- 1
- -
- 7
- -
- -
- -
- 600
- -
- -
- -
- 300
100 400
100 10,050
- -
- -
- -
- -
- 1,100
- 8,120
- -
- -
- -
- -
- -
- 1
- 709
- 167
- 12
- 50
- 3,450
150 29,400
- 2,950
- 5,500
100 3,850
- 500
- 1,000
- 50
50 7,650
- 2,500
- 38
- 300
- 715
- -
- -
- -
- -
- 1
- -
- -
- 4
- -
- -
- -
- 43
- 298
- 89
- -
- -
- -
- -
- -
- 2
- -
- -
- -
- -
- -
- 40
- -
- 32
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 4
- 29
- 210
- 1
- -
- 47
- -
- -
- 543
- 796
- -
- -
- 165
- 13
- 125
- 100
- 36
- 4
- 91
- -
- 300
- 480
- 311
- 184
- -
- -
- 172
- -
- -
- 300
- -
- 5
- -
- 312
- 7,200
- 8,894
- 4,000
- -
- -
- -
- -
- 29
- 51
- 115
- -
- 59
- 3
- -
- -
- -
- -
- -
- 100
- 364
- 28
135
15
71
- 1
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 0
- 0
- -
- -
- -
- 0
- -
- -
- -
- 50
- 75
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 1
- 1
- -
- -
- -
- 2
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

2018

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No.

Nama Obat & Perbekalan Kesehatan

Kelas Stok Peneri Perse

Pol Pustu Apotik

50 50 30 100 200 100

100 50 50 200 200 100

50 50 100 100 200 100

100 200 500 100

50 30 100 100 100

Kelas Stok Peneri Persedi

Kelas Stok Peneri Persedi

Kelas Stok Peneri Persedi

Kelas Stok Peneri Persedi

Kelas Stok Peneri Persedi

Kelas Stok Peneri Persedi

Kelas Stok Peneri Persedi

Kelas Stok Peneri Persedi

Kelas Stok Peneri Persedi

Kelas Stok Peneri Persedi

Kelas Stok Peneri Persedi

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Kelas Stok Peneri Persedi

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Kapsul ( Vitamin A ) 100.000 IU kapsul - -

450717847.xls Page 552

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Kelas Stok Peneri Persedi

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Kapsul ( Vitamin A ) 100.000 IU kapsul - -

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Kelas Stok Peneri Persedi