Rekap Pemakaian Obat Harian Puskesmas Tugu Tanggal: Puskesmas Tugu Kecamatan Trenggalek Kabupaten Trenggalek

REKAP PEMAKAIAN OBAT HARIAN
PUSKESMAS TUGU
TANGGAL : 01 Desember 2018

PUSKESMAS TUGU
KECAMATAN TRENGGALEK
KABUPATEN TRENGGALEK
NO. SATU TANGGAL

NAMA - O BAT
URUT AN 1
1 2 3 4
1 Acyclovir SK 5 % tube 0
2 Acyclovir tab. 200 mg tab 0
4 Adona Ac 17 injeksi 5 ml amp. 0
5 Alat Suntik Sekali Pakai 1 ml set 1
7 Alat suntik sekali pakai 20 ml set 0
10 Albendazol tablet 400 mg tab. 0
11 Alinamin F inj. amp. 0
12 Alinamin F tab. tab. 0
13 Alkohol swab ktk 0
14 Alopurinol tablet 100 mg tab 0
15 Alopurinol tablet 300 mg tab. 0
16 Ambroxol sirup 15mg/60ml botol 0
17 Ambroxol tablet tab 0
18 Aminofilina Injeksi 24mg/ml-10ml amp 0
19 Aminofilina tablet 200 mg tab. 0
20 Amitriptilin HCl.Tablet Salut 25 mg tab. 0
21 Amlodipin tab. 10 mg tab 0
22 Amlodipin tab. 5 mg kaplet 0
23 Amoksisilin + As. Klavulanat 625 mg cap. 0
24 Amoksisilin kaplet 500 mg kaplet 0
25 Amoksisilin kapsul 250 mg kapsul 0
26 Amoksisilin sir forte 250 mg/5 ml botol 0
27 Amoksisilin Sirup Kering 125 mg/5ml botol 0
28 Ampisillin inj. 1 gr amp. 9
29 Antalgin (Metampiron) Injeksi 250 mg/ml-2ml amp 0
30 Antalgin (Metampiron) Tablet 500 mg tab 0
31 Antasida DOEN susp, Kombinasi : botol 0
32 Antasida DOEN Tablet, Kombinasi : tab 0
33 Anti Bakteri DOEN Salep Kombinasi : tube 0
34 Anti Hemoroid DOEN Kombinasi supp 0
35 Antimigren DOEN kombinasi: Tablet tab. 0
36 Antrain inj. amp. 8
37 Aqua pro Injeksi, bebas pirogen vial 3
38 Aquadest Steril btl. 0
39 Artemeter inj. ampul 0
40 Artesunat inj. vial 0
41 Articulating paper kertas warna penanda oklus 0 0
42 Asam asetilsalisilat (asetosal) tab 80 mg tab 0
43 Asam Askorbat tablet 100 mg tab. 0
45 Asam Benzoat 6%+Asam Salisilat 3% pot. 0
46 Asam Folat tab. 1 mg tab. 0
47 Asam Mefenamat tablet 500 mg kaplet 0
48 Asam Traneksamat inj. 50mg/ml amp 0
49 Asetosal tablet 100 mg tab. 0
50 Asetosal tablet 500 mg tablet 0
51 Aspar K tablet tablet 0
52 Atapulgit tablet 600 mg tab 0
53 Atarax tab tab 0
54 Atropin Sulfat Injeksi 0,25 mg/ml-1ml amp 0
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 1
55 Atropin Sulfat tablet 0,5 mg tab 0
56 Bandage Perawat luka luas ( 15 cm x 4,5 cm ) buah 0
57 Bebat Fracture buah 0
58 Benzatin Benzil Penisilin Ij. 1,2 juta IU/vial vial 0
60 Betahistin Mesilat tab 6 mg tab 0
61 Betametason krim 0,1 % tube 0
62 Biolysin syr. btl 0
63 Bioneuron tab. tab 0
64 Bioplacenton jell tube 0
65 Bisakodil supp. 10mg (Dulcolax supp) dewasa supp 0
66 Bisakodil supp. 5 mg (Dulcolax supp) anak supp 0
67 Bisoprolol tab. 5 mg tab 0
68 Bloodset set 0
69 Bromheksin tab. 8 mg ( Hexon tab.) tab 0
70 Buscotika inj.( Spasi inj .) amp 0
71 Calsium Gluconas injeksi amp 0
72 Canula Oksigin anak biji 0
73 Canula Oksigin dewasa biji 0
74 Captopril 12,5 mg tab. tab 0
75 Captopril tab. 25 mg tab 0
76 Cartridge GeneXpert box 0
77 Catgut / Benang Bedah No.2/0-3/0 buah 0
78 Cefadroksil caps 500mg kapsul 0
79 Cefadroksil syr kering 125 mg botol 0
80 Cefotaxim inj. vial 0
81 Ceftriakson inj. vial 0
82 Cetirizin sirup 5mg / 5 ml btl 0
83 Cimetidine tab. tab. 0
84 Clobazam tab. 10 mg tab 0
85 Clozapin tab. 25 mg tab 0
86 Cyprofloxasin 500 mg tab. 0
87 Deksametason injeksi 5mg/ml-1ml amp 2
88 Deksametason tablet 0,5 mg tab 0
89 Dekstran 70-larutan infus 6% steril btl 0
90 Demacolin syr. btl 0
91 Demacolin tab. tab 0
92 Dexanta tablet tab 0
93 Diazepam Injeksi 5 mg/ml-2ml amp 0
94 Diazepam rectal tube supp 0
95 Diazepam tablet 2 mg tab. 0
96 Diazepam tablet 5 mg tab 0
97 Dietilkarbamazin Sitrat tablet 100 mg tab. 0
98 Difenhidramin HCl. Injeksi 10mg/ml-1ml amp 0
99 Digoxin tablet 0,25 mg tab 0
100 Diltiazem hcl tab 30 mg tab 0
101 Dimenhidrinat tab . 50 mg tab 0
102 Disp.Scalpel buah 0
103 Doksazosin tab 1 mg tab 0
104 Doksisiklin tab. 100 mg tab 0
105 Domperidom susp. 5 mg / ml btl 0
106 Domperidom tab. tab. 0
107 Efavirenz (EFV) 200 mg tab 0
109 Efedrin HCl tablet 25 mg tab. 0
110 Ekstrak Belladon tablet 10 mg tab 0
111 Enervon C tab. tab 0
112 Epinefrina HCl/Bitatrat Injeksi amp 0
113 Eritromisin kaps 250 mg kapsul 0
114 Erytromisin kaps.500 mg kapsul 0
115 Erytromisin sirup. btl 0
116 Etakridin ( Rivanol ) larutan 0,1 % btl/100 ml 0
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 1
117 Etanol 70 % btl./ 1 ltr 0
118 Etanol 70% 100 ml btl. 0
119 Etil Klorida Semprot btl 0
120 Eugenol cairan btl 0
121 Fenitoin Natrium Injeksi 50 mg/ml amp 0
122 Fenitoin Natrium Kapsul 100 mg kapsul 0
124 Fenobarbital Injeksi 50 mg/ml-2ml amp 0
125 Fenobarbital tablet 100 mg tab 0
127 Fenoksimetil Penisilina tablet 250 mg tab 0
128 Fenoksimetil Penisilina tablet 500 mg tab. 0
129 Fenol Gliserol tetes telinga 10 % btl 0
130 Fitomenadion (Vit.K1) Tablet salut gula 10mg tab 0
131 Fitomenadion (Vit.K1)Injeksi 10mg/ml-1ml amp 0
132 Fluoksetin kap. 10 mg tab 0
134 Fluor tablet 0,5 mg tab 0
135 Folley Catheter No.12 pcs 0
142 Furosemid tablet 40 mg tab 0
143 Furosemida inj. Iv/im 10 mg/ml amp 0
144 Garam Oralit 200 ml air sacc 0
145 Gentamisin inj. 80 mg / ml amp 0
146 Gentamycin Salep Kulit tube 0
147 Gentian Violet Larutan 1 % btl 0
148 Glibenclamid tablet 5 mg tab 0
149 Glimepirid tab 2 mg tab 0
150 Gliserilguaiacolat tablet 100 mg tab 0
151 Glukosa Larutan Infus 10 % Steril btl. 0
152 Glukosa Larutan Infus 40 % Steril btl 0
154 Griseofulvin tablet 125 mg, micronized tab 0
155 H2O2 ( Hydrogen Peroxide ) 3% btl / 60 ml 0
157 Haloperidol Decanoas 50 mg/ml inj. amp 0
158 Haloperidol inj.5 mg/ml amp 0
159 Haloperidol tablet 0,5 mg tab 0
161 Haloperidol tablet 5 mg tab 0
162 Handsaplas jumbo buah 0
163 Handscoen obgyn psg 0
164 Hansdcoen buah 30
165 Hansdcoen steril psg 0
166 Hidroklorotiazid ( HCT ) tablet 25 mg tab. 0
167 Hidrokortison Krim 2,5 % tube 0
168 Human tetanus imunoglobulin inj 500 UI (i.m.) amp 0
169 Ibuprifen susp. 100 mg / 5 ml ( novaxipen ) btl 0
170 Ibuprifen susp. 200 mg / 5 ml btl 0
171 Ibuprofen tablet 200 mg tab 0
173 Imipramide tab. 25 mg tab. 0
174 Infusion Set Anak pcs 0
175 Infusion Set Dewasa pcs 3
176 INH tab 100 mg tab 0
177 Iodida Test test 0
178 Iodiol Kapsul kaps lunak 0
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 1
179 Isorbid Dinitrat tablet Sublingual 5 mg tab 0
180 IV. Cateter No.18 G pcs 0
185 Kalamin Lotio btl 0
186 Kalium Permenganat serbuk btl 0
187 Kalsium Laktat (Kalk) tablet 500 mg tab 0
188 Kaltrofen tab tab 0
189 Kaolin Pektin syr botol 0
190 Kapas Pembalut/Adsorben 250 gram rol. 0
191 Karbamazepin tablet 200 mg tab 0
192 Kasa Kompres 40/40 steril rol. 0
193 Kasa Pembalut 2m X 80 cm rol. 0
194 Kasa Pembalut Hidrofil 4 m X 15 cm rol. 0
196 Kasa steril 16x16 ktk 0
197 Kayu Penyangga Fracture buah 0
198 Ketokonazol tab 200 mg tab 0
199 Ketoprofen inj amp 0
200 Ketoprofen supp supp 0
201 Ketoprofen tab. 100 mg tab 0
202 Klofazimin Kapsul 100 mg micronize kaps 0
203 Kloramfenikol injeksi vial 0
204 Kloramfenikol Kapsul 250 mg kaps 0
205 Kloramfenikol Salep mata 1% tube 0
206 Kloramfenikol syr. btl 0
207 Kloramfenikol tetes mata ( Reco ) botol 0
208 Kloramfenikol Tetes telinga 3% btl 0
209 Klorfeniramin Maleat (CTM) tablet 4 mg tab. 0
210 Klorokuin tablet 150 mg tab. 0
211 Klorpromazin HCl.Injeksi 25mg/ml-1ml amp 0
213 Klorpromazin Tablet salut 100 mg tab. 0
214 Klorpromazin Tablet salut 25 mg tab 0
215 Klorpropamid tablet 100 mg tab. 0
216 Kodein Fosfat tablet 10 mg tab 0
217 Kombinasi (Pirimetamin 25 mg + Sulfadoksin 5 tab 0
218 Kombinasi : Ipratropium bromida inhalasi 0,5 tube 0
219 Kombinasi: kaolin 550 mg + pektin 20 mg tab 0
220 Kombipak Kategori 1 paket 0
221 Kotrimoksazol 120 mg tablet tab 0
223 Kotrimoksazol Suspensi btl 0
224 Kuinin ( Kina ) tablet 200 mg tab 0
225 Kuinin Dihidroklorida Injeksi 25 % - 2ml amp 0
226 Ky jelly tube 0
227 Laborat Blood Lancet ktk 0
228 Laborat Cover Glass ktk 0
229 Laborat Dempul / malam putih biji 0
230 Laborat Gluco stik ktk 0
231 Laborat Golongan darah test. biji 0
232 Laborat Kolesterol stik ktk 0
233 Laborat Minyak Emersi lar. 50 ml botol 0
234 Laborat Obyek Glass ktk 0
235 Laborat Obyek Glass Frosted ktk 0
236 Laborat Pipet Eritrosit buah 0
237 Laborat Pipet LED buah 0
238 Laborat Pipet Leukosit buah 0
239 Laborat Plano test ktk 0
240 Laborat Pot dahak buah 0
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 1
241 Laborat Pot urine ( sedang ) buah 0
242 Laborat Rak Pengecatan buah 0
243 Laborat Rak Tabung Khan buah 0
244 Laborat Rak tabung reaksi buah 0
245 Laborat Rapid Test siphilis ktk 0
246 Laborat Reagen HIV strip ktk 0
247 Laborat Tabung Centrifuge buah 0
248 Laborat Tabung Kapiler HCT buah 0
249 Laborat Tabung Reaksi buah 0
250 Laborat Tissu Lensa ktk 0
251 Laborat Uric Acid stik ktk 0
252 Laborat Urine stick 10 P ktk 0
253 Laborat Urine strip ktk 0
254 Laborat Widal test. set. 0
255 Lamivudine 150 mg / hiviral tab 0
256 Larutan Asam Klorida 0,1 N btl. 0
257 Larutan Asam Sulfosalisilat 20 % btl. 0
258 Larutan Bendict btl. 0
259 Larutan EDTA btl. 0
260 Larutan Eosin 2 % btl 0
261 Larutan Giemsa Stain btl 0
262 Larutan mengandung Karbohidrat + Elektrolit (G btl 0
263 Larutan mengandung Karbohidrat + Elektrolit ( btl 0
264 Larutan Metanol btl 0
265 Larutan NaCl 0,9 % btl 0
266 Larutan Rees Eker btl 0
267 Larutan Turk btl 0
268 Larutan Zn. set. 0
269 Lidokain gel 2% tube 0
270 Lidokain komp.Injeksi Kombinasi: amp 0
271 Lidokain spray oral 10% btl 0
272 Linestrenol tab 0,5 mg tab 0
273 Lisol, mengandung Kresol tersabun 50 % btl 0
274 Livron B Plex tab. tab 0
275 Loperamida tab. tab 0
276 Loratadin tab.10 mg tab. 0
277 Lorazepam ( Merlopam ) tab. 2 mg tab 0
278 Lugol 0 0
279 Masker buah 11
280 MDT-MB Adult kusta tab. 0
281 MDT-MB Child kusta tab 0
282 MDT-PB Adult kusta tab 0
283 MDT-PB Child kusta tab. 0
284 Mebendazol tablet 100 mg tab 0
285 Mess buah 0
286 Metformin HCl.tab. 500 mg tab 0
287 Methylprednisolon tab. 4 mg tab 0
288 Metilergometrin Maleat (Metilergometrin) tab 0
289 Metilergometrin Maleat Inj 0,200 mg-1ml amp 0
290 Metoklopramida inj.( Metolon inj ) amp 0
291 Metoklopramida tab. 10 mg tab 0
292 Metronidazol infus btl./ 500ml 0
293 Metronidazol sir 125 mg/5 Ml btl 0
294 Metronidazol tablet 500 mg tab. 0
295 MgSO4 20% 25 ml amp 0
296 MgSO4 40% 25 ml amp 0
297 Mikonazol salp kulit 2 % tube 0
298 Mineral Mix sacc 0
299 Natrium klorida Larutan Infus 0,9 % Steril btl 1
300 Natriun Diklofenak tab. 50mg tab. 0
301 Needle 23 G buah 0
302 Neurobion 5000 inj. psg amp. 0
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 1
303 Neurodex tablet tab 0
304 Nevirapine (NVP) 200 mg tab 0
305 Nicholin inj. amp 0
306 Nifedipin tab 10 mg tab 0
307 Nistatin susp 100.000 UI/ml btl 0
308 Nistatin Tablet salut 500.000 IU tab salut 0
309 Nistatin Tablet Vaginal 100.000 IU/g supp 0
310 Obat anti malaria tab 0
311 Obat Antituberkulosis Anak paket 0
312 Obat Antituberkulosis Kategori 2 paket 0
314 Obat Antituberkulosis Kategori I( FDC) paket 0
315 Obat Antituberkulosis Sisipan paket 0
316 Obat batuk Hitam ( OBH ) btl. 0
317 Obat Gigi Air Raksa Dental Use tube 0
318 Obat Gigi Bonding 5 ml btl. 0
319 Obat Gigi Chlorofenol Kamfer Menthol ( CHKM btl. 0
320 Obat Gigi Composit Anterior btl. 0
321 Obat Gigi Composit Pasterior btl. 0
322 Obat Gigi Devitalisasi Pasta set. 0
323 Obat Gigi Etching 2 gr. btl. 0
324 Obat Gigi Forinokresol ( Pengganti TKF ) btl 0
325 Obat Gigi Glass Ionomer Cemen (GC IX) btl/set. 0
326 Obat Gigi Kalsium Hidroksida Pasta tube 0
327 Obat Gigi Mummifying Pasta btl 0
328 Obat Gigi Semen Seng Fosfat serbuk dan cair btl 0
329 Obat Gigi Silver Amalgam serbuk 65 - 75 % btl 0
330 Obat Gigi Temporary Restoratif btl 0
331 Obat Gigi Temporary Stopping Fletcher (Fletc btl 0
332 Oksimetazolin tts hidung 0,050% tube 0
333 Oksitetrasiklin HCL. Injk.im.50mg/ml-10ml vial 0
334 Oksitetrasiklin HCl. Salep 1 % tube 0
336 Oksitosin Injeksi 10 IU/ml-1ml amp 0
337 Olopatadin tts mata 0,1% tube 0
338 Omeprazol inj 40 mg/10 ml amp 0
339 Omeprazol kaps. 20 mg kaps 0
340 Oseltamivir tab tab 0
341 Oxygen spray portable can 0
342 Papaverin inj. 40 mg / ml - 1 ml amp 0
343 Papaverin tab. 40 mg tab 0
344 Parasetamol drop 100mg/ml btl 0
345 Parasetamol Sirup 120 mg / 5ml btl 0
346 Parasetamol tablet 100 mg tab 0
347 Parasetamol tablet 500 mg tab. 20
348 Pehacain inj. amp. 0
349 Penyangga tangan buah 0
350 Perak Sulfadiazin ( Burnazim salp ) tube 0
351 Permetrin krim 5 % ( Scabimite krim ) tube 0
352 Pil KB Laktasi tab 0
353 Piracetam inj. 3 gr / 15 ml amp 0
354 Piracetam tab. 800 mg tab 0
355 Piralen injeksi amp 0
356 Pirantel tablet 125 mg tab 0
357 Piridoksin HCl. (Vit.B6) tablet 10 mg tab. 0
358 Piroxicam tab. 20 mg tab 0
359 Plester 7,5 x 4,5 ( Isoplast ) rol 0
360 Polikresulen (Kondensasi Metakresol btl 0
361 Povidon Iodida 10 % 300 ml btl 0
363 Prednison tablet 5 mg tab 0
364 Primakuin tablet 15 mg tab 0
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 1
365 Prokain Benzil Penisillin injeksi 3 juta IU/vial vial 0
366 Propanolol HCl tablet 40 mg tab 0
367 Propiltiourasil tablet 100 mg tab 0
368 Ranitidin inj. 25 mg / 2 ml amp 3
369 Ranitidin tab. 150 mg tab 0
370 RDT Leptospira ktk 0
371 RDT Parascreen ( u/ malaria ) ktk 0
372 Reagen CD4 (Control) ktk 0
373 Reagen CD4 (Mebile) ktk 0
374 Reagen HIV Fokus 0 0
375 Reagen HIV Rigsin 0 0
376 Reagen HIV SD buah 0
377 Reagen HIV TPHA 0 0
378 Reagen RDT DBD NSI buah 0
379 Reagen RDT DBD NSI IgG/Igm buah 0
380 Reagent HIV Aids 1 buah 0
383 Retinol (Vitamin A) kapsul 100.000 IU kaps.lunak 0
385 Ringer Lactat Larutan infus steril btl 7
386 Risperidone tab 2 mg tab 0
387 Rohto btl 0
388 Salbutamol cairan ih 0,1% ( Ventolin Nebules ) tube 1
389 Salbutamol tablet 2 mg tab 0
390 Salep 2-4 , Kombinasi tube 0
391 Salisil Bedak 2 % dos 0
392 Serum anti Bisa ular Polivalen Injeksi vial 0
393 Serum Anti Difteri ( ADS ) vial 0
394 Serum Anti Tentanus Injeksi 1.500IU/ampul amp 0
395 Sianokobalamina (vit.B12) Injeksi amp 0
396 Sikzonoate ( Fluphenazine) inj. amp 0
397 Silk (Benang Bedah Sutera ) No. 3/0 buah 0
398 Sinvastatin tab tab 0
399 Sinvastatin tab 20 mg 0 0
400 Sofratul lmbr 0
401 Soloshot 0,05 ml pcs 0
403 Spironolakton tab 25 mg tab 0
404 Sulfadimidin tablet 500 mg tab 0
405 Tablet Hyoscin Butylbromida ( Scopma ) tab 0
406 Tablet Hyoscin Butylbromida ( Spashi tab ) tab 0
407 Tablet tambah Darah kombinasi : Besi II tablet 0
408 Telmisartan tab 80 mg tab 0
409 Teofilin tab 150 mg tab 0
410 Terbutalin tab.2,5 mg (Molasma tablet) tablet 0
411 Tetrakain HCl tetes mata btl 0
412 Tetrasiklin HCl. Kapsul 250 mg kaps 0
414 Thiamfenikol kapsul 500 mg kaplet 0
415 Tiamin HCl/Mononitrat (Vit.B1) tablet 100 mg tab 0
416 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg tab. 0
417 Tiamin HCl. (Vit.B1) Injeksi 100 mg/ml-1ml amp 0
418 Tiopental Natrium serbuk inj. 1000 mg/amp amp 0
419 Tramadol inj. amp 0
420 Tramadol tab. 50 mg tab 0
421 Trifluoperazine 5mg tab 0
422 Triheksifenidil Hidroklorida tablet 2 mg tab 0
423 U pad pcs 0
424 Ulsikur injeksi amp 0
425 Ultrafix 5cmx5m rol 0
426 Urine Bag pcs 0
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 1
427 Valproat sir 250 mg/5 ml btl 0
428 Vicillin injeksi vial 0
429 Vitamin B Komplex tablet tab 0
430 Wing Nedle pcs 0
431 Xillomidon injeksi vial 0
432 Y-Rins btl 0
433 Zidofudine (ZDV) 100 mg tab 0
434 Zidofudine (ZDV) 300 mg+ Lamivudine (3TC) 1 tab 0
435 Zidofudine 60 mg+ Lamivudine 30 mg+Nevirapi tab 0
436 Zinc sir 10 mg/ml btl 0
437 Zinc tablet tab 0
438 Kamolas tab 0
439 Trifastan 500 mg box 0
440 Solathim capsl 0
441 Sintrol kaplet 0
442 Solvitron kapsul 0
443 geebio sacc 0
444 Novaldo amp 0
445 Combivent tube 0
446 Handsaplast standar buah 3
0
BAYAR 0
BPJS 0
GRATIS 0
JAMKESDA 3
8
NAMA OBAT
NAMA NAMA NAMA NAMA NAMA NAMA NAMA
TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL
OBAT OBAT OBAT OBAT OBAT OBAT OBAT
iv20 1 infusd 1 spet5 2 raninj 1 spet2 2 pct 10 hans 1

hs 6 masker 2 ultrafik 1 rl 1
spet5 2 ampij 3 aquapro 1 deksainj 2 masker 3 spet1 1 nebul 1
hs 4 spet2 2
iv20 1 infusd 1 spet5 1 rl 1 antrainj 1 antas 1 pct 10
hans 1 hs 6
spet5 1 naclinfus 1 antrainj 3 spet2 2 raninj 2 hs 4 masker 2
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
PUSKESMAS TUGU
KODE PUSKESMAS : DOKUMEN NOMOR TANGGAL

PUSKESMAS TUGU UPF : …………………………: …………………………
KECAMATAN TRENGGALEK PELAPORAN BULAN/ PERIODE : MARET PUSKESMAS : …………………………: …………………………
KABUPATEN TRENGGALEK PERMINTAAN BULAN/ PERIODE : APRIL
SAT
SISA
NO. NAMA - OBAT U STOK PENE PERSE PEMAKAI STOK PERMIN- PEMBERIAN KET
URUT AN AWAL RIMAAN DIAAN AN STOK OPT TAAN PKD BPJS PKPS LAIN2 JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Acyclovir SK 5 % tube 0 0 0
3 Acyclovir tab. 400 mg tab 0 0 0
5 Alat Suntik Sekali Pakai 1 ml set 0 0 0
10 Albendazol tablet 400 mg tab. 0 0 0
14 Alopurinol tablet 100 mg tab 0 0 0
15 Alopurinol tablet 300 mg tab. 0 0 0
16 Ambroxol sirup 15mg/60ml botol 0 0 0
17 Ambroxol tablet tab 0 0 0
21 Amlodipin tab. 10 mg tab 0 0 0
24 Amoksisilin kaplet 500 mg kaplet 0 0 0
26 Amoksisilin sir forte 250 mg/5 ml botol 0 0 0
27 Amoksisilin Sirup Kering 125 mg/5ml botol 0 0 0
30 Antalgin (Metampiron) Tablet 500 mg tab 0 0 0
31 Antasida DOEN susp, Kombinasi : botol 0 0 0
32 Antasida DOEN Tablet, Kombinasi : tab 0 0 0
34 Anti Hemoroid DOEN Kombinasi supp 0 0 0
44 Asam Askorbat tablet 50 mg tab. 0 0 0
46 Asam Folat tab. 1 mg tab. 0 0 0
47 Asam Mefenamat tablet 500 mg kaplet 0 0 0
49 Asetosal tablet 100 mg tab. 0 0 0
60 Betahistin Mesilat tab 6 mg tab 0 0 0
61 Betametason krim 0,1 % tube 0 0 0
64 Bioplacenton jell tube 0 0 0
65 Bisakodil supp. 10mg (Dulcolax supp) dewas supp 0 0 0
66 Bisakodil supp. 5 mg (Dulcolax supp) anak supp 0 0 0
68 Bloodset set 0 0 0
70 Buscotika inj.( Spasi inj .) amp 0 0 0
75 Captopril tab. 25 mg tab 0 0 0
78 Cefadroksil caps 500mg kapsul 0 0 0
86 Cyprofloxasin 500 mg tab. 0 0 0
87 Deksametason injeksi 5mg/ml-1ml amp 0 0 0
88 Deksametason tablet 0,5 mg tab 0 0 0
91 Demacolin tab. tab 0 0 0
94 Diazepam rectal tube supp 0 0 0
96 Diazepam tablet 5 mg tab 0 0 0
98 Difenhidramin HCl. Injeksi 10mg/ml-1ml amp 0 0 0
99 Digoxin tablet 0,25 mg tab 0 0 0
105 Domperidom susp. 5 mg / ml btl 0 0 0
106 Domperidom tab. tab. 0 0 0
114 Erytromisin kaps.500 mg kapsul 0 0 0
129 Fenol Gliserol tetes telinga 10 % btl 0 0 0
130 Fitomenadion (Vit.K1) Tablet salut gula 10mtab 0 0 0
137 Folley Catheter No.16 pcs 0 0 0
138 Folley Catheter No.18 pcs 0 0 0
142 Furosemid tablet 40 mg tab 0 0 0
144 Garam Oralit 200 ml air sacc 0 0 0
146 Gentamycin Salep Kulit tube 0 0 0
147 Gentian Violet Larutan 1 % btl 0 0 0
148 Glibenclamid tablet 5 mg tab 0 0 0
149 Glimepirid tab 2 mg tab 0 0 0
150 Gliserilguaiacolat tablet 100 mg tab 0 0 0
160 Haloperidol tablet 1,5 mg tab 0 0 0
162 Handsaplas jumbo buah 0 0 0
163 Handscoen obgyn psg 0 0 0
166 Hidroklorotiazid ( HCT ) tablet 25 mg tab. 0 0 0
167 Hidrokortison Krim 2,5 % tube 0 0 0
169 Ibuprifen susp. 100 mg / 5 ml ( novaxipen ) btl 0 0 0
171 Ibuprofen tablet 200 mg tab 0 0 0
172 Ibuprofen tablet 400 mg tab 0 0 0
174 Infusion Set Anak pcs 0 0 0
175 Infusion Set Dewasa pcs 0 0 0
179 Isorbid Dinitrat tablet Sublingual 5 mg tab 0 0 0
181 IV. Cateter No.20 G pcs 0 0 0
185 Kalamin Lotio btl 0 0 0
186 Kalium Permenganat serbuk btl 0 0 0
187 Kalsium Laktat (Kalk) tablet 500 mg tab 0 0 0
189 Kaolin Pektin syr botol 0 0 0
191 Karbamazepin tablet 200 mg tab 0 0 0
194 Kasa Pembalut Hidrofil 4 m X 15 cm rol. 0 0 0
198 Ketokonazol tab 200 mg tab 0 0 0
201 Ketoprofen tab. 100 mg tab 0 0 0
206 Kloramfenikol syr. btl 0 0 0
208 Kloramfenikol Tetes telinga 3% btl 0 0 0
209 Klorfeniramin Maleat (CTM) tablet 4 mg tab. 0 0 0
SAT
SISA
NO. NAMA - OBAT U STOK PENE PERSE PEMAKAI STOK PERMIN- PEMBERIAN KET
URUT AN AWAL RIMAAN DIAAN AN STOK OPT TAAN PKD BPJS PKPS LAIN2 JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
213 Klorpromazin Tablet salut 100 mg tab. 0 0 0
216 Kodein Fosfat tablet 10 mg tab 0 0 0
222 Kotrimoksazol 480 mg tablet tab 0 0 0
223 Kotrimoksazol Suspensi btl 0 0 0
270 Lidokain komp.Injeksi Kombinasi: amp 0 0 0
275 Loperamida tab. tab 0 0 0
276 Loratadin tab.10 mg tab. 0 0 0
285 Mess buah 0 0 0
286 Metformin HCl.tab. 500 mg tab 0 0 0
287 Methylprednisolon tab. 4 mg tab 0 0 0
288 Metilergometrin Maleat (Metilergometrin) tab 0 0 0
289 Metilergometrin Maleat Inj 0,200 mg-1ml amp 0 0 0
290 Metoklopramida inj.( Metolon inj ) amp 0 0 0
291 Metoklopramida tab. 10 mg tab 0 0 0
293 Metronidazol sir 125 mg/5 Ml btl 0 0 0
294 Metronidazol tablet 500 mg tab. 0 0 0
297 Mikonazol salp kulit 2 % tube 0 0 0
300 Natriun Diklofenak tab. 50mg tab. 0 0 0
306 Nifedipin tab 10 mg tab 0 0 0
309 Nistatin Tablet Vaginal 100.000 IU/g supp 0 0 0
314 Obat Antituberkulosis Kategori I( FDC) paket 0 0 0
316 Obat batuk Hitam ( OBH ) btl. 0 0 0
334 Oksitetrasiklin HCl. Salep 1 % tube 0 0 0
339 Omeprazol kaps. 20 mg kaps 0 0 0
344 Parasetamol drop 100mg/ml btl 0 0 0
345 Parasetamol Sirup 120 mg / 5ml btl 0 0 0
347 Parasetamol tablet 500 mg tab. 0 0 0
350 Perak Sulfadiazin ( Burnazim salp ) tube 0 0 0
351 Permetrin krim 5 % ( Scabimite krim ) tube 0 0 0
354 Piracetam tab. 800 mg tab 0 0 0
357 Piridoksin HCl. (Vit.B6) tablet 10 mg tab. 0 0 0 0
358 Piroxicam tab. 20 mg tab 0 0 0 0
360 Polikresulen (Kondensasi Metakresol btl 0 0 0 0
363 Prednison tablet 5 mg tab 0 0 0 0
364 Primakuin tablet 15 mg tab 0 0 0 0
366 Propanolol HCl tablet 40 mg tab 0 0 0 0
367 Propiltiourasil tablet 100 mg tab 0 0 0
368 Ranitidin inj. 25 mg / 2 ml amp 0 0 0
369 Ranitidin tab. 150 mg tab 0 0 0
385 Ringer Lactat Larutan infus steril btl 0 0 0
386 Risperidone tab 2 mg tab 0 0 0
388 Salbutamol cairan ih 0,1% ( Ventolin Nebuletube 0 0 0
389 Salbutamol tablet 2 mg tab 0 0 0
391 Salisil Bedak 2 % dos 0 0 0
395 Sianokobalamina (vit.B12) Injeksi amp 0 0 0
396 Sikzonoate ( Fluphenazine) inj. amp 0 0 0
399 Sinvastatin tab 20 mg 0 0 0 0
407 Tablet tambah Darah kombinasi : Besi II tablet 0 0 0
409 Teofilin tab 150 mg tab 0 0 0
416 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 tab. 0 0 0
422 Triheksifenidil Hidroklorida tablet 2 mg tab 0 0 0
426 Urine Bag pcs 0 0 0
429 Vitamin B Komplex tablet tab 0 0 0
436 Zinc sir 10 mg/ml btl 0 0 0
437 Zinc tablet tab 0 0 0
440 Solathim capsl 0 0 0
442 geebio sacc 0 0 0
442 Novaldo amp 0 0 0
442 Combivent tube ### Err:502 Err:502 0 Err:502
BAYAR GRATIS BPJS JAMKESDA JUMLAH
JUMLAH KUNJUNGAN RESEP 0 0 0 0 0
JUMLAH KUNJUNGAN LOKET - 0
Mengetahui/ Menyetujui Yang Menerima/Pelapor

Kepala Puskesmas Ngulankulon Trenggalek Pimpinan Sub Unit Pelayanan
dr. SUDARMAJI PRIHATIN

NIP.19670108 200604 1 004 NIP.19710423 199603 2 001
REKAP BULANAN PEMAKAIAN OBAT
PUSKESMAS TUGU BULAN AGUSTUS 2018
KODE PUSKESMAS : DOK NOMOR TANGGAL

PUSKESMAS TUGU : UPF
…………………………
: …………………………
KECAMATAN TRENGGALEK PELAPORAN BULAN/ PERINOPEMBEPUSK
: …………………………
: …………………………
KABUPATEN TRENGGALEK PERMINTAAN BULAN/ PERDESEMBER (1)
NO. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Acyclovir SK 5 % tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Acyclovir tab. 200 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Alat Suntik Sekali Pakai 1 ml set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Aminofilina Injeksi 24mg/ml-10ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Amlodipin tab. 10 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Amoksisilin kaplet 500 mg kaplet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Amoksisilin Sirup Kering 125 mg/5ml botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Ampisillin inj. 1 gr amp. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Antasida DOEN susp, Kombinasi : botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Antasida DOEN Tablet, Kombinasi : tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 Antrain inj. amp. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Aqua pro Injeksi, bebas pirogen vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 Asam Askorbat tablet 50 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 Asetosal tablet 500 mg tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 Bloodset set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
73 Canula Oksigin dewasa biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
87 Deksametason injeksi 5mg/ml-1ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
88 Deksametason tablet 0,5 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
91 Demacolin tab. tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
93 Diazepam Injeksi 5 mg/ml-2ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
98 Difenhidramin HCl. Injeksi 10mg/ml-1ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
143 Furosemida inj. Iv/im 10 mg/ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
144 Garam Oralit 200 ml air sacc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
150 Gliserilguaiacolat tablet 100 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
164 Hansdcoen buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
174 Infusion Set Anak pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
175 Infusion Set Dewasa pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
180 IV. Cateter No.18 G pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
189 Kaolin Pektin syr botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
194 Kasa Pembalut Hidrofil 4 m X 15 cm rol. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
209 Klorfeniramin Maleat (CTM) tablet 4 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
218 Kombinasi : Ipratropium bromida inhalasi 0 tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
219 Kombinasi: kaolin 550 mg + pektin 20 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
222 Kotrimoksazol 480 mg tablet tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
270 Lidokain komp.Injeksi Kombinasi: amp 0 0 0 0 0 0 0 0 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. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
275 Loperamida tab. tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
279 Masker buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
286 Metformin HCl.tab. 500 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
290 Metoklopramida inj.( Metolon inj ) amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
294 Metronidazol tablet 500 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
299 Natrium klorida Larutan Infus 0,9 % Steril btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
302 Neurobion 5000 inj. psg amp. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
303 Neurodex tablet tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
316 Obat batuk Hitam ( OBH ) btl. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
339 Omeprazol kaps. 20 mg kaps 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
345 Parasetamol Sirup 120 mg / 5ml btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
347 Parasetamol tablet 500 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
368 Ranitidin inj. 25 mg / 2 ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
369 Ranitidin tab. 150 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
385 Ringer Lactat Larutan infus steril btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
389 Salbutamol tablet 2 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
400 Sofratul lmbr 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
414 Thiamfenikol kapsul 500 mg kaplet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
416 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
428 Vicillin injeksi vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
437 Zinc tablet tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
440 Solathim capsl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
446 Handsaplast standar buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BAYAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BPJS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JAMKESDA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
REKAP BULANAN PEMAKAIAN OBAT
PUSKESMAS REJOWINANGUN BULAN JANUARI 2016
KODE PUSKESMAS : DOKU NOMOR TANGGAL

PUSKESMAS TUGU UPF
: …………………………
: …………………………
KECAMATAN TRENGGALEK PELAPORAN BULAN/ PERIODE : JUNI PUSKE
: …………………………
: …………………………
KABUPATEN TRENGGALEK PERMINTAAN BULAN/ PERIODE: JULI
NO. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Acyclovir SK 5 % tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Acyclovir tab. 200 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Acyclovir tab. 400 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Adona Ac 17 injeksi 5 ml amp. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Alat Suntik Sekali Pakai 1 ml set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Alat suntik sekali pakai 20 ml set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Albendazol tablet 400 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Alinamin F inj. amp. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Alinamin F tab. tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Alkohol swab ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Alopurinol tablet 100 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Alopurinol tablet 300 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Ambroxol sirup 15mg/60ml botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Ambroxol tablet tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Aminofilina Injeksi 24mg/ml-10ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Aminofilina tablet 200 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Amitriptilin HCl.Tablet Salut 25 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Amlodipin tab. 10 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Amlodipin tab. 5 mg kaplet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Amoksisilin + As. Klavulanat 625 mg cap. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Amoksisilin kaplet 500 mg kaplet 0 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 Amoksisilin kapsul 250 mg kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Amoksisilin sir forte 250 mg/5 ml botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Amoksisilin Sirup Kering 125 mg/5ml botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Ampisillin inj. 1 gr amp. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Antalgin (Metampiron) Injeksi 250 mg/ml-2ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Antalgin (Metampiron) Tablet 500 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Antasida DOEN susp, Kombinasi : botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Antasida DOEN Tablet, Kombinasi : tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Anti Bakteri DOEN Salep Kombinasi : tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Anti Hemoroid DOEN Kombinasi supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Antimigren DOEN kombinasi: Tablet tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 Antrain inj. amp. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Aqua pro Injeksi, bebas pirogen vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Aquadest Steril btl. 0 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. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
39 Artemeter inj. ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 Artesunat inj. vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Articulating paper kertas warna penanda oklusi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 Asam asetilsalisilat (asetosal) tab 80 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Asam Askorbat tablet 100 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 Asam Askorbat tablet 50 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 Asam Benzoat 6%+Asam Salisilat 3% pot. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
46 Asam Folat tab. 1 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 Asam Mefenamat tablet 500 mg kaplet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
48 Asam Traneksamat inj. 50mg/ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
49 Asetosal tablet 100 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 Asetosal tablet 500 mg tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
51 Aspar K tablet tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
52 Atapulgit tablet 600 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
53 Atarax tab tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54 Atropin Sulfat Injeksi 0,25 mg/ml-1ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 Atropin Sulfat tablet 0,5 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 Bandage Perawat luka luas ( 15 cm x 4,5 cm ) buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
57 Bebat Fracture buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
58 Benzatin Benzil Penisilin Ij. 1,2 juta IU/vial vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
59 Benzatin Benzil Penisilin Ij. 2,4 juta IU/vial vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
60 Betahistin Mesilat tab 6 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
61 Betametason krim 0,1 % tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
62 Biolysin syr. btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
63 Bioneuron tab. tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
64 Bioplacenton jell tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
65 Bisakodil supp. 10mg (Dulcolax supp) dewasa supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
66 Bisakodil supp. 5 mg (Dulcolax supp) anak supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
67 Bisoprolol tab. 5 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 Bloodset set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
69 Bromheksin tab. 8 mg ( Hexon tab.) tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
70 Buscotika inj.( Spasi inj .) amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
71 Calsium Gluconas injeksi amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
72 Canula Oksigin anak biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
73 Canula Oksigin dewasa biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
74 Captopril 12,5 mg tab. tab 0 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 Captopril tab. 25 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
76 Cartridge GeneXpert box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
77 Catgut / Benang Bedah No.2/0-3/0 buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
78 Cefadroksil caps 500mg kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
79 Cefadroksil syr kering 125 mg botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
80 Cefotaxim inj. vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
81 Ceftriakson inj. vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
82 Cetirizin sirup 5mg / 5 ml btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
83 Cimetidine tab. tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84 Clobazam tab. 10 mg tab 0 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. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
85 Clozapin tab. 25 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
86 Cyprofloxasin 500 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
87 Deksametason injeksi 5mg/ml-1ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
88 Deksametason tablet 0,5 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
89 Dekstran 70-larutan infus 6% steril btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
90 Demacolin syr. btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
91 Demacolin tab. tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
92 Dexanta tablet tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
93 Diazepam Injeksi 5 mg/ml-2ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
94 Diazepam rectal tube supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
95 Diazepam tablet 2 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
96 Diazepam tablet 5 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
97 Dietilkarbamazin Sitrat tablet 100 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
98 Difenhidramin HCl. Injeksi 10mg/ml-1ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
99 Digoxin tablet 0,25 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 Diltiazem hcl tab 30 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
101 Dimenhidrinat tab . 50 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
102 Disp.Scalpel buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
103 Doksazosin tab 1 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
104 Doksisiklin tab. 100 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
105 Domperidom susp. 5 mg / ml btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
106 Domperidom tab. tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
107 Efavirenz (EFV) 200 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
108 Efavirenz (EFV) 600 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
109 Efedrin HCl tablet 25 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
110 Ekstrak Belladon tablet 10 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
111 Enervon C tab. tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
112 Epinefrina HCl/Bitatrat Injeksi amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
113 Eritromisin kaps 250 mg kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
114 Erytromisin kaps.500 mg kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
115 Erytromisin sirup. btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
116 Etakridin ( Rivanol ) larutan 0,1 % btl/100 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
117 Etanol 70 % btl./ 1 ltr 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
118 Etanol 70% 100 ml btl. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
119 Etil Klorida Semprot btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
120 Eugenol cairan btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
121 Fenitoin Natrium Injeksi 50 mg/ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
122 Fenitoin Natrium Kapsul 100 mg kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
123 Fenitoin Natrium Kapsul 30 mg kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
124 Fenobarbital Injeksi 50 mg/ml-2ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
125 Fenobarbital tablet 100 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
126 Fenobarbital tablet 30 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
127 Fenoksimetil Penisilina tablet 250 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
128 Fenoksimetil Penisilina tablet 500 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
129 Fenol Gliserol tetes telinga 10 % btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
130 Fitomenadion (Vit.K1) Tablet salut gula 10mg tab 0 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. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
131 Fitomenadion (Vit.K1)Injeksi 10mg/ml-1ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
132 Fluoksetin kap. 10 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
133 Fluoksetin kap. 20 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
134 Fluor tablet 0,5 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
135 Folley Catheter No.12 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
142 Furosemid tablet 40 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
143 Furosemida inj. Iv/im 10 mg/ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
144 Garam Oralit 200 ml air sacc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
145 Gentamisin inj. 80 mg / ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
146 Gentamycin Salep Kulit tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
147 Gentian Violet Larutan 1 % btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
148 Glibenclamid tablet 5 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
149 Glimepirid tab 2 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
150 Gliserilguaiacolat tablet 100 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
151 Glukosa Larutan Infus 10 % Steril btl. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
152 Glukosa Larutan Infus 40 % Steril btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
153 Glukosa Larutan Infus 5 % Steril btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
154 Griseofulvin tablet 125 mg, micronized tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
155 H2O2 ( Hydrogen Peroxide ) 3% btl / 60 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
156 H2O2 ( Hydrogen Peroxide ) 3% btl / 800 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
157 Haloperidol Decanoas 50 mg/ml inj. amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
158 Haloperidol inj.5 mg/ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
159 Haloperidol tablet 0,5 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
160 Haloperidol tablet 1,5 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
161 Haloperidol tablet 5 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
162 Handsaplas jumbo buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
163 Handscoen obgyn psg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
164 Hansdcoen buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
165 Hansdcoen steril psg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
166 Hidroklorotiazid ( HCT ) tablet 25 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
167 Hidrokortison Krim 2,5 % tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
168 Human tetanus imunoglobulin inj 500 UI (i.m.) amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
169 Ibuprifen susp. 100 mg / 5 ml ( novaxipen ) btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
170 Ibuprifen susp. 200 mg / 5 ml btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
171 Ibuprofen tablet 200 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
172 Ibuprofen tablet 400 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
173 Imipramide tab. 25 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
174 Infusion Set Anak pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
175 Infusion Set Dewasa pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
176 INH tab 100 mg tab 0 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. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
177 Iodida Test test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
178 Iodiol Kapsul kaps lunak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
179 Isorbid Dinitrat tablet Sublingual 5 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
180 IV. Cateter No.18 G pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
185 Kalamin Lotio btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
186 Kalium Permenganat serbuk btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
187 Kalsium Laktat (Kalk) tablet 500 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
188 Kaltrofen tab tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
189 Kaolin Pektin syr botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
190 Kapas Pembalut/Adsorben 250 gram rol. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
191 Karbamazepin tablet 200 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
192 Kasa Kompres 40/40 steril rol. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
193 Kasa Pembalut 2m X 80 cm rol. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
194 Kasa Pembalut Hidrofil 4 m X 15 cm rol. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
195 Kasa Pembalut Hidrofil 4 m X 3 cm rol. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
196 Kasa steril 16x16 ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
197 Kayu Penyangga Fracture buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
198 Ketokonazol tab 200 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
199 Ketoprofen inj amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
200 Ketoprofen supp supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
201 Ketoprofen tab. 100 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
202 Klofazimin Kapsul 100 mg micronize kaps 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
203 Kloramfenikol injeksi vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
204 Kloramfenikol Kapsul 250 mg kaps 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
205 Kloramfenikol Salep mata 1% tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
206 Kloramfenikol syr. btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
207 Kloramfenikol tetes mata ( Reco ) botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
208 Kloramfenikol Tetes telinga 3% btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
209 Klorfeniramin Maleat (CTM) tablet 4 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
210 Klorokuin tablet 150 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
211 Klorpromazin HCl.Injeksi 25mg/ml-1ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
212 Klorpromazin HCl.Injeksi 5mg/ml-2ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
213 Klorpromazin Tablet salut 100 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
214 Klorpromazin Tablet salut 25 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
215 Klorpropamid tablet 100 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
216 Kodein Fosfat tablet 10 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
217 Kombinasi (Pirimetamin 25 mg + Sulfadoksin 500 m tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
218 Kombinasi : Ipratropium bromida inhalasi 0,5 mg tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
219 Kombinasi: kaolin 550 mg + pektin 20 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
220 Kombipak Kategori 1 paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
221 Kotrimoksazol 120 mg tablet tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
222 Kotrimoksazol 480 mg tablet tab 0 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. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
223 Kotrimoksazol Suspensi btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
224 Kuinin ( Kina ) tablet 200 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
225 Kuinin Dihidroklorida Injeksi 25 % - 2ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
226 Ky jelly tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
227 Laborat Blood Lancet ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
228 Laborat Cover Glass ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
229 Laborat Dempul / malam putih biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
230 Laborat Gluco stik ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
231 Laborat Golongan darah test. biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
232 Laborat Kolesterol stik ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
233 Laborat Minyak Emersi lar. 50 ml botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
234 Laborat Obyek Glass ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
235 Laborat Obyek Glass Frosted ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
236 Laborat Pipet Eritrosit buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
237 Laborat Pipet LED buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
238 Laborat Pipet Leukosit buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
239 Laborat Plano test ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
240 Laborat Pot dahak buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
241 Laborat Pot urine ( sedang ) buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
242 Laborat Rak Pengecatan buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
243 Laborat Rak Tabung Khan buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
244 Laborat Rak tabung reaksi buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
245 Laborat Rapid Test siphilis ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
246 Laborat Reagen HIV strip ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
247 Laborat Tabung Centrifuge buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
248 Laborat Tabung Kapiler HCT buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
249 Laborat Tabung Reaksi buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
250 Laborat Tissu Lensa ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
251 Laborat Uric Acid stik ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
252 Laborat Urine stick 10 P ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
253 Laborat Urine strip ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
254 Laborat Widal test. set. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
255 Lamivudine 150 mg / hiviral tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
256 Larutan Asam Klorida 0,1 N btl. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
257 Larutan Asam Sulfosalisilat 20 % btl. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
258 Larutan Bendict btl. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
259 Larutan EDTA btl. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
260 Larutan Eosin 2 % btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
261 Larutan Giemsa Stain btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
262 Larutan mengandung Karbohidrat + Elektrolit (Gluko btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
263 Larutan mengandung Karbohidrat + Elektrolit (Nacl btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
264 Larutan Metanol btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
265 Larutan NaCl 0,9 % btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
266 Larutan Rees Eker btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
267 Larutan Turk btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
268 Larutan Zn. set. 0 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. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
269 Lidokain gel 2% tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
270 Lidokain komp.Injeksi Kombinasi: amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
271 Lidokain spray oral 10% btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
272 Linestrenol tab 0,5 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
273 Lisol, mengandung Kresol tersabun 50 % btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
274 Livron B Plex tab. tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
275 Loperamida tab. tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
276 Loratadin tab.10 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
277 Lorazepam ( Merlopam ) tab. 2 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
278 Lugol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
279 Masker buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
280 MDT-MB Adult kusta tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
281 MDT-MB Child kusta tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
282 MDT-PB Adult kusta tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
283 MDT-PB Child kusta tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
284 Mebendazol tablet 100 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
285 Mess buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
286 Metformin HCl.tab. 500 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
287 Methylprednisolon tab. 4 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
288 Metilergometrin Maleat (Metilergometrin) tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
289 Metilergometrin Maleat Inj 0,200 mg-1ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
290 Metoklopramida inj.( Metolon inj ) amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
291 Metoklopramida tab. 10 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
292 Metronidazol infus btl./ 500ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
293 Metronidazol sir 125 mg/5 Ml btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
294 Metronidazol tablet 500 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
295 MgSO4 20% 25 ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
296 MgSO4 40% 25 ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
297 Mikonazol salp kulit 2 % tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
298 Mineral Mix sacc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
299 Natrium klorida Larutan Infus 0,9 % Steril btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
300 Natriun Diklofenak tab. 50mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
301 Needle 23 G buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
302 Neurobion 5000 inj. psg amp. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
303 Neurodex tablet tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
304 Nevirapine (NVP) 200 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
305 Nicholin inj. amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
306 Nifedipin tab 10 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
307 Nistatin susp 100.000 UI/ml btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
308 Nistatin Tablet salut 500.000 IU tab salut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
309 Nistatin Tablet Vaginal 100.000 IU/g supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
310 Obat anti malaria tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
311 Obat Antituberkulosis Anak paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
312 Obat Antituberkulosis Kategori 2 paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
313 Obat Antituberkulosis Kategori 3 paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
314 Obat Antituberkulosis Kategori I( FDC) paket 0 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. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
315 Obat Antituberkulosis Sisipan paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
316 Obat batuk Hitam ( OBH ) btl. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
317 Obat Gigi Air Raksa Dental Use tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
318 Obat Gigi Bonding 5 ml btl. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
319 Obat Gigi Chlorofenol Kamfer Menthol ( CHKM ) btl. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
320 Obat Gigi Composit Anterior btl. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
321 Obat Gigi Composit Pasterior btl. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
322 Obat Gigi Devitalisasi Pasta set. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
323 Obat Gigi Etching 2 gr. btl. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
324 Obat Gigi Forinokresol ( Pengganti TKF ) btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
325 Obat Gigi Glass Ionomer Cemen (GC IX) btl/set. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
326 Obat Gigi Kalsium Hidroksida Pasta tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
327 Obat Gigi Mummifying Pasta btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
328 Obat Gigi Semen Seng Fosfat serbuk dan cairan btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
329 Obat Gigi Silver Amalgam serbuk 65 - 75 % btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
330 Obat Gigi Temporary Restoratif btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
331 Obat Gigi Temporary Stopping Fletcher (Fletcher) btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
332 Oksimetazolin tts hidung 0,050% tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
333 Oksitetrasiklin HCL. Injk.im.50mg/ml-10ml vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
334 Oksitetrasiklin HCl. Salep 1 % tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
335 Oksitetrasiklin HCl. Salep 3 % tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
336 Oksitosin Injeksi 10 IU/ml-1ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
337 Olopatadin tts mata 0,1% tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
338 Omeprazol inj 40 mg/10 ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
339 Omeprazol kaps. 20 mg kaps 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
340 Oseltamivir tab tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
341 Oxygen spray portable can 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
342 Papaverin inj. 40 mg / ml - 1 ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
343 Papaverin tab. 40 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
344 Parasetamol drop 100mg/ml btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
345 Parasetamol Sirup 120 mg / 5ml btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
346 Parasetamol tablet 100 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
347 Parasetamol tablet 500 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
348 Pehacain inj. amp. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
349 Penyangga tangan buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
350 Perak Sulfadiazin ( Burnazim salp ) tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
351 Permetrin krim 5 % ( Scabimite krim ) tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
352 Pil KB Laktasi tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
353 Piracetam inj. 3 gr / 15 ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
354 Piracetam tab. 800 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
355 Piralen injeksi amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
356 Pirantel tablet 125 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
357 Piridoksin HCl. (Vit.B6) tablet 10 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
358 Piroxicam tab. 20 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
359 Plester 7,5 x 4,5 ( Isoplast ) rol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
360 Polikresulen (Kondensasi Metakresol btl 0 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. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
361 Povidon Iodida 10 % 300 ml btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
362 Povidon Iodida 10 % 60 ml btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
363 Prednison tablet 5 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
364 Primakuin tablet 15 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
365 Prokain Benzil Penisillin injeksi 3 juta IU/vial vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
366 Propanolol HCl tablet 40 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
367 Propiltiourasil tablet 100 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
368 Ranitidin inj. 25 mg / 2 ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
369 Ranitidin tab. 150 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
370 RDT Leptospira ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
371 RDT Parascreen ( u/ malaria ) ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
372 Reagen CD4 (Control) ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
373 Reagen CD4 (Mebile) ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
374 Reagen HIV Fokus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
375 Reagen HIV Rigsin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
376 Reagen HIV SD buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
377 Reagen HIV TPHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
378 Reagen RDT DBD NSI buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
379 Reagen RDT DBD NSI IgG/Igm buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
380 Reagent HIV Aids 1 buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
383 Retinol (Vitamin A) kapsul 100.000 IU kaps.lunak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
384 Retinol (Vitamin A) kapsul 200.000 IU kaps.lunak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
385 Ringer Lactat Larutan infus steril btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
386 Risperidone tab 2 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
387 Rohto btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
388 Salbutamol cairan ih 0,1% ( Ventolin Nebules ) tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
389 Salbutamol tablet 2 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
390 Salep 2-4 , Kombinasi tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
391 Salisil Bedak 2 % dos 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
392 Serum anti Bisa ular Polivalen Injeksi vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
393 Serum Anti Difteri ( ADS ) vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
394 Serum Anti Tentanus Injeksi 1.500IU/ampul amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
395 Sianokobalamina (vit.B12) Injeksi amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
396 Sikzonoate ( Fluphenazine) inj. amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
397 Silk (Benang Bedah Sutera ) No. 3/0 buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
398 Sinvastatin tab tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
399 Sinvastatin tab 20 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
400 Sofratul lmbr 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
401 Soloshot 0,05 ml pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
402 Soloshot 0,5 ml pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
403 Spironolakton tab 25 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
404 Sulfadimidin tablet 500 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
405 Tablet Hyoscin Butylbromida ( Scopma ) tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
406 Tablet Hyoscin Butylbromida ( Spashi tab ) tab 0 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. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
407 Tablet tambah Darah kombinasi : Besi II tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
408 Telmisartan tab 80 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
409 Teofilin tab 150 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
410 Terbutalin tab.2,5 mg (Molasma tablet) tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
411 Tetrakain HCl tetes mata btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
412 Tetrasiklin HCl. Kapsul 250 mg kaps 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
413 Tetrasiklin HCl. Kapsul 500 mg kaps 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
414 Thiamfenikol kapsul 500 mg kaplet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
415 Tiamin HCl/Mononitrat (Vit.B1) tablet 100 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
416 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg tab. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
417 Tiamin HCl. (Vit.B1) Injeksi 100 mg/ml-1ml amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
418 Tiopental Natrium serbuk inj. 1000 mg/amp amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
419 Tramadol inj. amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
420 Tramadol tab. 50 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
421 Trifluoperazine 5mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
422 Triheksifenidil Hidroklorida tablet 2 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
423 U pad pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
424 Ulsikur injeksi amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425 Ultrafix 5cmx5m rol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
426 Urine Bag pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
427 Valproat sir 250 mg/5 ml btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
428 Vicillin injeksi vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
429 Vitamin B Komplex tablet tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
430 Wing Nedle pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
431 Xillomidon injeksi vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
432 Y-Rins btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
433 Zidofudine (ZDV) 100 mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
434 Zidofudine (ZDV) 300 mg+ Lamivudine (3TC) 150 m tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
435 Zidofudine 60 mg+ Lamivudine 30 mg+Nevirapine 5 tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
436 #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
NO. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
NO. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
NO. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
NO. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
NO. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
NO. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
NO. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
NO. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
NO. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
NO. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
NO. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
NO. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
NO. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1048 Zinc sir 10 mg/ml btl #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
1049 Zinc tablet tab #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
1050 Kamolas tab #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
NO. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1051 Trifastan 500 mg box #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
1052 Solathim capsl #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
1053 Sintrol kaplet #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
1054 Solvitron kapsul #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
1055 geebio sacc #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
1056 Novaldo amp #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
1057 Combivent tube #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
1058 Handsaplast standar buah #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
1059 0 0 #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
1080 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1081 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1082 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1083 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1084 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1085 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1086 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1087 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1088 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1089 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1090 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1091 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1092 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1093 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1094 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1095 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1096 0 0 0 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. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1097 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1098 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1099 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1105 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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NO. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
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NO. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
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NO. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
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NO. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
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NO. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NO. SATU
NAMA - O BAT
URUT AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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GRATIS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JAMKESDA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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26 27 28 29 30 31 JUMLAH
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#REF! #REF! #REF! #REF! #REF! #REF! #REF!
26 27 28 29 30 31 JUMLAH

26 27 28 29 30 31 JUMLAH

26 27 28 29 30 31 JUMLAH

26 27 28 29 30 31 JUMLAH

26 27 28 29 30 31 JUMLAH

26 27 28 29 30 31 JUMLAH

26 27 28 29 30 31 JUMLAH

26 27 28 29 30 31 JUMLAH

26 27 28 29 30 31 JUMLAH

26 27 28 29 30 31 JUMLAH

26 27 28 29 30 31 JUMLAH

26 27 28 29 30 31 JUMLAH

26 27 28 29 30 31 JUMLAH

26 27 28 29 30 31 JUMLAH

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0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
26 27 28 29 30 31 JUMLAH
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0
0
0
0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
STOK AWAL DAN PENERIMAAN OBAT
PUSKESMAS TUGU
NO. SATU
NAMA - O BAT JAN FEB MAR
URUT AN 1 2 3
1 2 3 4 5 6
2 Acyclovir tab. 200 mg tab
4 Adona Ac 17 injeksi 5 ml amp.
7 Alat suntik sekali pakai 20 ml set
11 Alinamin F inj. amp.
12 Alinamin F tab. tab.
13 Alkohol swab ktk
18 Aminofilina Injeksi 24mg/ml-10ml amp
19 Aminofilina tablet 200 mg tab.
20 Amitriptilin HCl.Tablet Salut 25 mg tab.
21 Amlodipin tab. 10 mg tab
22 Amlodipin tab. 5 mg kaplet
23 Amoksisilin + As. Klavulanat 625 mg cap.
25 Amoksisilin kapsul 250 mg kapsul
28 Ampisillin inj. 1 gr amp.
29 Antalgin (Metampiron) Injeksi 250 mg/ml-2ml amp
33 Anti Bakteri DOEN Salep Kombinasi : tube
35 Antimigren DOEN kombinasi: Tablet tab.
36 Antrain inj. amp.
37 Aqua pro Injeksi, bebas pirogen vial
38 Aquadest Steril btl.
39 Artemeter inj. ampul
40 Artesunat inj. vial
41 Articulating paper kertas warna penanda oklusi 0
42 Asam asetilsalisilat (asetosal) tab 80 mg tab
43 Asam Askorbat tablet 100 mg tab.
45 Asam Benzoat 6%+Asam Salisilat 3% pot.
46 Asam Folat tab. 1 mg tab.
48 Asam Traneksamat inj. 50mg/ml amp
50 Asetosal tablet 500 mg tablet
51 Aspar K tablet tablet
52 Atapulgit tablet 600 mg tab
53 Atarax tab tab
54 Atropin Sulfat Injeksi 0,25 mg/ml-1ml amp
55 Atropin Sulfat tablet 0,5 mg tab
56 Bandage Perawat luka luas ( 15 cm x 4,5 cm ) buah
57 Bebat Fracture buah
58 Benzatin Benzil Penisilin Ij. 1,2 juta IU/vial vial
59 Benzatin Benzil Penisilin Ij. 2,4 juta IU/vial vial
62 Biolysin syr. btl
63 Bioneuron tab. tab
67 Bisoprolol tab. 5 mg tab
68 Bloodset set 1
69 Bromheksin tab. 8 mg ( Hexon tab.) tab
70 Buscotika inj.( Spasi inj .) amp
71 Calsium Gluconas injeksi amp
72 Canula Oksigin anak biji
73 Canula Oksigin dewasa biji
74 Captopril 12,5 mg tab. tab
76 Cartridge GeneXpert box
77 Catgut / Benang Bedah No.2/0-3/0 buah
79 Cefadroksil syr kering 125 mg botol
80 Cefotaxim inj. vial
81 Ceftriakson inj. vial
82 Cetirizin sirup 5mg / 5 ml btl
83 Cimetidine tab. tab.
84 Clobazam tab. 10 mg tab
85 Clozapin tab. 25 mg tab
89 Dekstran 70-larutan infus 6% steril btl
90 Demacolin syr. btl
92 Dexanta tablet tab
93 Diazepam Injeksi 5 mg/ml-2ml amp
94 Diazepam rectal tube supp
95 Diazepam tablet 2 mg tab.
97 Dietilkarbamazin Sitrat tablet 100 mg tab.
100 Diltiazem hcl tab 30 mg tab
101 Dimenhidrinat tab . 50 mg tab
102 Disp.Scalpel buah
103 Doksazosin tab 1 mg tab
104 Doksisiklin tab. 100 mg tab
107 Efavirenz (EFV) 200 mg tab
108 Efavirenz (EFV) 600 mg tab
109 Efedrin HCl tablet 25 mg tab.
110 Ekstrak Belladon tablet 10 mg tab
111 Enervon C tab. tab
112 Epinefrina HCl/Bitatrat Injeksi amp
113 Eritromisin kaps 250 mg kapsul
115 Erytromisin sirup. btl
116 Etakridin ( Rivanol ) larutan 0,1 % btl/100 ml
117 Etanol 70 % btl./ 1 ltr
118 Etanol 70% 100 ml btl.
119 Etil Klorida Semprot btl
120 Eugenol cairan btl
121 Fenitoin Natrium Injeksi 50 mg/ml amp
122 Fenitoin Natrium Kapsul 100 mg kapsul
123 Fenitoin Natrium Kapsul 30 mg kapsul
124 Fenobarbital Injeksi 50 mg/ml-2ml amp
125 Fenobarbital tablet 100 mg tab
126 Fenobarbital tablet 30 mg tab
127 Fenoksimetil Penisilina tablet 250 mg tab
128 Fenoksimetil Penisilina tablet 500 mg tab.
131 Fitomenadion (Vit.K1)Injeksi 10mg/ml-1ml amp
132 Fluoksetin kap. 10 mg tab
133 Fluoksetin kap. 20 mg tab
134 Fluor tablet 0,5 mg tab
135 Folley Catheter No.12 pcs
143 Furosemida inj. Iv/im 10 mg/ml amp
145 Gentamisin inj. 80 mg / ml amp
149 Glimepirid tab 2 mg tab
151 Glukosa Larutan Infus 10 % Steril btl.
152 Glukosa Larutan Infus 40 % Steril btl
153 Glukosa Larutan Infus 5 % Steril btl
154 Griseofulvin tablet 125 mg, micronized tab
155 H2O2 ( Hydrogen Peroxide ) 3% btl / 60 ml
156 H2O2 ( Hydrogen Peroxide ) 3% btl / 800 ml
157 Haloperidol Decanoas 50 mg/ml inj. amp
158 Haloperidol inj.5 mg/ml amp
159 Haloperidol tablet 0,5 mg tab
160 Haloperidol tablet 1,5 mg tab
161 Haloperidol tablet 5 mg tab
164 Hansdcoen buah
165 Hansdcoen steril psg
168 Human tetanus imunoglobulin inj 500 UI (i.m.) amp
170 Ibuprifen susp. 200 mg / 5 ml btl
172 Ibuprofen tablet 400 mg tab
173 Imipramide tab. 25 mg tab.
174 Infusion Set Anak pcs
176 INH tab 100 mg tab
177 Iodida Test test
178 Iodiol Kapsul kaps lunak
180 IV. Cateter No.18 G pcs
184 IV. Cateter No.26 G pcs
188 Kaltrofen tab tab
190 Kapas Pembalut/Adsorben 250 gram rol.
192 Kasa Kompres 40/40 steril rol.
193 Kasa Pembalut 2m X 80 cm rol.
195 Kasa Pembalut Hidrofil 4 m X 3 cm rol.
196 Kasa steril 16x16 ktk
197 Kayu Penyangga Fracture buah
199 Ketoprofen inj amp
200 Ketoprofen supp supp
202 Klofazimin Kapsul 100 mg micronize kaps
203 Kloramfenikol injeksi vial
204 Kloramfenikol Kapsul 250 mg kaps
205 Kloramfenikol Salep mata 1% tube
207 Kloramfenikol tetes mata ( Reco ) botol
210 Klorokuin tablet 150 mg tab.
211 Klorpromazin HCl.Injeksi 25mg/ml-1ml amp
212 Klorpromazin HCl.Injeksi 5mg/ml-2ml amp
213 Klorpromazin Tablet salut 100 mg tab.
214 Klorpromazin Tablet salut 25 mg tab
215 Klorpropamid tablet 100 mg tab.
217 Kombinasi (Pirimetamin 25 mg + Sulfadoksin 500 m tab
218 Kombinasi : Ipratropium bromida inhalasi 0,5 mg tube
219 Kombinasi: kaolin 550 mg + pektin 20 mg tab
220 Kombipak Kategori 1 paket
221 Kotrimoksazol 120 mg tablet tab
224 Kuinin ( Kina ) tablet 200 mg tab
225 Kuinin Dihidroklorida Injeksi 25 % - 2ml amp
226 Ky jelly tube
227 Laborat Blood Lancet ktk
228 Laborat Cover Glass ktk
229 Laborat Dempul / malam putih biji
230 Laborat Gluco stik ktk
231 Laborat Golongan darah test. biji
232 Laborat Kolesterol stik ktk
233 Laborat Minyak Emersi lar. 50 ml botol
234 Laborat Obyek Glass ktk
235 Laborat Obyek Glass Frosted ktk
236 Laborat Pipet Eritrosit buah
237 Laborat Pipet LED buah
238 Laborat Pipet Leukosit buah
239 Laborat Plano test ktk
240 Laborat Pot dahak buah
241 Laborat Pot urine ( sedang ) buah
242 Laborat Rak Pengecatan buah
243 Laborat Rak Tabung Khan buah
244 Laborat Rak tabung reaksi buah
245 Laborat Rapid Test siphilis ktk
246 Laborat Reagen HIV strip ktk
247 Laborat Tabung Centrifuge buah
248 Laborat Tabung Kapiler HCT buah
249 Laborat Tabung Reaksi buah
250 Laborat Tissu Lensa ktk
251 Laborat Uric Acid stik ktk
252 Laborat Urine stick 10 P ktk
253 Laborat Urine strip ktk
254 Laborat Widal test. set.
255 Lamivudine 150 mg / hiviral tab
256 Larutan Asam Klorida 0,1 N btl.
257 Larutan Asam Sulfosalisilat 20 % btl.
258 Larutan Bendict btl.
259 Larutan EDTA btl.
260 Larutan Eosin 2 % btl
261 Larutan Giemsa Stain btl
262 Larutan mengandung Karbohidrat + Elektrolit (Gluko btl
263 Larutan mengandung Karbohidrat + Elektrolit (Nacl btl
264 Larutan Metanol btl
265 Larutan NaCl 0,9 % btl
266 Larutan Rees Eker btl
267 Larutan Turk btl
268 Larutan Zn. set.
269 Lidokain gel 2% tube
270 Lidokain komp.Injeksi Kombinasi: amp
271 Lidokain spray oral 10% btl
272 Linestrenol tab 0,5 mg tab
273 Lisol, mengandung Kresol tersabun 50 % btl
274 Livron B Plex tab. tab
277 Lorazepam ( Merlopam ) tab. 2 mg tab
278 Lugol 0
279 Masker buah
280 MDT-MB Adult kusta tab.
281 MDT-MB Child kusta tab
282 MDT-PB Adult kusta tab
283 MDT-PB Child kusta tab.
284 Mebendazol tablet 100 mg tab
285 Mess buah 3
292 Metronidazol infus btl./ 500ml
295 MgSO4 20% 25 ml amp
296 MgSO4 40% 25 ml amp
298 Mineral Mix sacc
299 Natrium klorida Larutan Infus 0,9 % Steril btl
301 Needle 23 G buah
302 Neurobion 5000 inj. psg amp.
303 Neurodex tablet tab
304 Nevirapine (NVP) 200 mg tab
305 Nicholin inj. amp
307 Nistatin susp 100.000 UI/ml btl
308 Nistatin Tablet salut 500.000 IU tab salut
310 Obat anti malaria tab
311 Obat Antituberkulosis Anak paket
312 Obat Antituberkulosis Kategori 2 paket
313 Obat Antituberkulosis Kategori 3 paket
314 Obat Antituberkulosis Kategori I( FDC) paket
315 Obat Antituberkulosis Sisipan paket
317 Obat Gigi Air Raksa Dental Use tube
318 Obat Gigi Bonding 5 ml btl.
319 Obat Gigi Chlorofenol Kamfer Menthol ( CHKM ) btl.
320 Obat Gigi Composit Anterior btl.
321 Obat Gigi Composit Pasterior btl.
322 Obat Gigi Devitalisasi Pasta set.
323 Obat Gigi Etching 2 gr. btl.
324 Obat Gigi Forinokresol ( Pengganti TKF ) btl
325 Obat Gigi Glass Ionomer Cemen (GC IX) btl/set.
326 Obat Gigi Kalsium Hidroksida Pasta tube
327 Obat Gigi Mummifying Pasta btl
328 Obat Gigi Semen Seng Fosfat serbuk dan cairan btl
329 Obat Gigi Silver Amalgam serbuk 65 - 75 % btl
330 Obat Gigi Temporary Restoratif btl
331 Obat Gigi Temporary Stopping Fletcher (Fletcher) btl
332 Oksimetazolin tts hidung 0,050% tube
333 Oksitetrasiklin HCL. Injk.im.50mg/ml-10ml vial
335 Oksitetrasiklin HCl. Salep 3 % tube
336 Oksitosin Injeksi 10 IU/ml-1ml amp
337 Olopatadin tts mata 0,1% tube
338 Omeprazol inj 40 mg/10 ml amp
340 Oseltamivir tab tab
341 Oxygen spray portable can
342 Papaverin inj. 40 mg / ml - 1 ml amp
343 Papaverin tab. 40 mg tab
346 Parasetamol tablet 100 mg tab
348 Pehacain inj. amp.
349 Penyangga tangan buah
352 Pil KB Laktasi tab
353 Piracetam inj. 3 gr / 15 ml amp
355 Piralen injeksi amp
356 Pirantel tablet 125 mg tab
359 Plester 7,5 x 4,5 ( Isoplast ) rol
360 Polikresulen (Kondensasi Metakresol btl
361 Povidon Iodida 10 % 300 ml btl
362 Povidon Iodida 10 % 60 ml btl
365 Prokain Benzil Penisillin injeksi 3 juta IU/vial vial
370 RDT Leptospira ktk
371 RDT Parascreen ( u/ malaria ) ktk
372 Reagen CD4 (Control) ktk
373 Reagen CD4 (Mebile) ktk
374 Reagen HIV Fokus 0
375 Reagen HIV Rigsin 0
376 Reagen HIV SD buah
377 Reagen HIV TPHA 0
378 Reagen RDT DBD NSI buah
379 Reagen RDT DBD NSI IgG/Igm buah
380 Reagent HIV Aids 1 buah
383 Retinol (Vitamin A) kapsul 100.000 IU kaps.lunak
384 Retinol (Vitamin A) kapsul 200.000 IU kaps.lunak
387 Rohto btl
390 Salep 2-4 , Kombinasi tube
391 Salisil Bedak 2 % dos
392 Serum anti Bisa ular Polivalen Injeksi vial
393 Serum Anti Difteri ( ADS ) vial
394 Serum Anti Tentanus Injeksi 1.500IU/ampul amp
396 Sikzonoate ( Fluphenazine) inj. amp
397 Silk (Benang Bedah Sutera ) No. 3/0 buah
398 Sinvastatin tab tab
400 Sofratul lmbr
401 Soloshot 0,05 ml pcs
402 Soloshot 0,5 ml pcs
403 Spironolakton tab 25 mg tab
404 Sulfadimidin tablet 500 mg tab
405 Tablet Hyoscin Butylbromida ( Scopma ) tab
406 Tablet Hyoscin Butylbromida ( Spashi tab ) tab
407 Tablet tambah Darah kombinasi : Besi II tablet
408 Telmisartan tab 80 mg tab
410 Terbutalin tab.2,5 mg (Molasma tablet) tablet
411 Tetrakain HCl tetes mata btl
412 Tetrasiklin HCl. Kapsul 250 mg kaps
413 Tetrasiklin HCl. Kapsul 500 mg kaps
414 Thiamfenikol kapsul 500 mg kaplet
415 Tiamin HCl/Mononitrat (Vit.B1) tablet 100 mg tab
417 Tiamin HCl. (Vit.B1) Injeksi 100 mg/ml-1ml amp
418 Tiopental Natrium serbuk inj. 1000 mg/amp amp
419 Tramadol inj. amp
420 Tramadol tab. 50 mg tab
421 Trifluoperazine 5mg tab
423 U pad pcs
424 Ulsikur injeksi amp
425 Ultrafix 5cmx5m rol
426 Urine Bag pcs
427 Valproat sir 250 mg/5 ml btl
428 Vicillin injeksi vial
430 Wing Nedle pcs
431 Xillomidon injeksi vial
432 Y-Rins btl
433 Zidofudine (ZDV) 100 mg tab
434 Zidofudine (ZDV) 300 mg+ Lamivudine (3TC) 150 m tab
435 Zidofudine 60 mg+ Lamivudine 30 mg+Nevirapine 5 tab
436 Zinc sir 10 mg/ml btl 2
437 Zinc tablet tab 39
438 Kamolas tab
439 Trifastan 500 mg box
440 Solathim capsl 415
441 Sintrol kaplet
442 Solvitron kapsul 59
443 geebio sacc
444 Novaldo amp
445 Combivent tube
446 Handsaplast standar buah
0 0 0
0 0
STOK AWAL
APR MAY JUN JUL AUG SEP OCT NOV DEC
4 5 6 7 8 9 10 11 12
7 8 9 10 11 12 13 14 15
PENERIMAAN
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT
1 2 3 4 5 6 7 8 9 10
16 17 18 19 20 21 22 23 24 25
35
20
900
800
45
1000
2500
1000
150
200
1000
1000
1
170
500
1000
100
400
200
10
200
100
30
50
300
300
100
300
1300
60
240
50
2400
100
1000
200
10
200
20
1360
1200
300
5
300
10
STOK AWAL JKN
NOV DEC JAN FEB MAR APR MAY JUN JUL AUG
11 12 1 2 3 4 5 6 7 8
26 27 4 5 6 7 8 9 10 11
PENERIMAAN JKN
SEP OCT NOV DEC JAN FEB MAR APR MAY JUN
9 10 11 12 1 2 3 4 5 6
12 13 14 15 16 17 18 19 20 21
PENERIMAAN JKN
JUL AUG SEP OCT NOV DEC
7 8 9 10 11 12
22 23 24 25 26 27
REKAP PEMAKAIAN OBAT HARIAN
PUSKESMAS REJOWINANGUN
TANGGAL : 02 Februari 2017

PUSKESMAS TUGU
NO. SATU TANGGAL

NAMA - O BAT
URUT AN 2
1 2 3 4
4 Adona Ac 17 injeksi 5 ml amp. 0
7 Alat suntik sekali pakai 20 ml set 0
11 Alinamin F inj. amp. 0
12 Alinamin F tab. tab. 0
13 Alkohol swab ktk 0
18 Aminofilina Injeksi 24mg/ml-10ml amp 0
19 Aminofilina tablet 200 mg tab. 0
20 Amitriptilin HCl.Tablet Salut 25 mg tab. 0
21 Amlodipin tab. 10 mg tab 0
22 Amlodipin tab. 5 mg kaplet 0
23 Amoksisilin + As. Klavulanat 625 mg cap. 0
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
25 Amoksisilin kapsul 250 mg kapsul 0
28 Ampisillin inj. 1 gr amp. 0
29 Antalgin (Metampiron) Injeksi 250 mg/ml-2ml amp 0
33 Anti Bakteri DOEN Salep Kombinasi : tube 0
35 Antimigren DOEN kombinasi: Tablet tab. 0
36 Antrain inj. amp. 0
37 Aqua pro Injeksi, bebas pirogen vial 0
38 Aquadest Steril btl. 0
39 Artemeter inj. ampul 0
40 Artesunat inj. vial 0
41 Articulating paper kertas warna penanda oklusi 0 0
42 Asam asetilsalisilat (asetosal) tab 80 mg tab 0
45 Asam Benzoat 6%+Asam Salisilat 3% pot. 0
46 Asam Folat tab. 1 mg tab. 0
48 Asam Traneksamat inj. 50mg/ml amp 0
50 Asetosal tablet 500 mg tablet 0
51 Aspar K tablet tablet 0
52 Atapulgit tablet 600 mg tab 0
53 Atarax tab tab 0
54 Atropin Sulfat Injeksi 0,25 mg/ml-1ml amp 0
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
55 Atropin Sulfat tablet 0,5 mg tab 0
56 Bandage Perawat luka luas ( 15 cm x 4,5 cm ) buah 0
57 Bebat Fracture buah 0
62 Biolysin syr. btl 0
63 Bioneuron tab. tab 0
67 Bisoprolol tab. 5 mg tab 0
68 Bloodset set 0
69 Bromheksin tab. 8 mg ( Hexon tab.) tab 0
70 Buscotika inj.( Spasi inj .) amp 0
71 Calsium Gluconas injeksi amp 0
72 Canula Oksigin anak biji 0
73 Canula Oksigin dewasa biji 0
74 Captopril 12,5 mg tab. tab 0
76 Cartridge GeneXpert box 0
77 Catgut / Benang Bedah No.2/0-3/0 buah 0
79 Cefadroksil syr kering 125 mg botol 0
80 Cefotaxim inj. vial 0
81 Ceftriakson inj. vial 0
82 Cetirizin sirup 5mg / 5 ml btl 0
83 Cimetidine tab. tab. 0
84 Clobazam tab. 10 mg tab 0
85 Clozapin tab. 25 mg tab 0
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
89 Dekstran 70-larutan infus 6% steril btl 0
90 Demacolin syr. btl 0
92 Dexanta tablet tab 0
93 Diazepam Injeksi 5 mg/ml-2ml amp 0
94 Diazepam rectal tube supp 0
95 Diazepam tablet 2 mg tab. 0
97 Dietilkarbamazin Sitrat tablet 100 mg tab. 0
100 Diltiazem hcl tab 30 mg tab 0
101 Dimenhidrinat tab . 50 mg tab 0
102 Disp.Scalpel buah 0
103 Doksazosin tab 1 mg tab 0
104 Doksisiklin tab. 100 mg tab 0
109 Efedrin HCl tablet 25 mg tab. 0
110 Ekstrak Belladon tablet 10 mg tab 0
111 Enervon C tab. tab 0
112 Epinefrina HCl/Bitatrat Injeksi amp 0
113 Eritromisin kaps 250 mg kapsul 0
115 Erytromisin sirup. btl 0
116 Etakridin ( Rivanol ) larutan 0,1 % btl/100 ml 0
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
117 Etanol 70 % btl./ 1 ltr 0
118 Etanol 70% 100 ml btl. 0
119 Etil Klorida Semprot btl 0
120 Eugenol cairan btl 0
121 Fenitoin Natrium Injeksi 50 mg/ml amp 0
124 Fenobarbital Injeksi 50 mg/ml-2ml amp 0
127 Fenoksimetil Penisilina tablet 250 mg tab 0
128 Fenoksimetil Penisilina tablet 500 mg tab. 0
131 Fitomenadion (Vit.K1)Injeksi 10mg/ml-1ml amp 0
134 Fluor tablet 0,5 mg tab 0
143 Furosemida inj. Iv/im 10 mg/ml amp 0
145 Gentamisin inj. 80 mg / ml amp 0
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
149 Glimepirid tab 2 mg tab 0
151 Glukosa Larutan Infus 10 % Steril btl. 0
154 Griseofulvin tablet 125 mg, micronized tab 0
157 Haloperidol Decanoas 50 mg/ml inj. amp 0
158 Haloperidol inj.5 mg/ml amp 0
161 Haloperidol tablet 5 mg tab 0
164 Hansdcoen buah 0
165 Hansdcoen steril psg 0
168 Human tetanus imunoglobulin inj 500 UI (i.m.) amp 0
170 Ibuprifen susp. 200 mg / 5 ml btl 0
173 Imipramide tab. 25 mg tab. 0
174 Infusion Set Anak pcs 0
176 INH tab 100 mg tab 0
177 Iodida Test test 0
178 Iodiol Kapsul kaps lunak 0
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
188 Kaltrofen tab tab 0
190 Kapas Pembalut/Adsorben 250 gram rol. 0
192 Kasa Kompres 40/40 steril rol. 0
193 Kasa Pembalut 2m X 80 cm rol. 0
196 Kasa steril 16x16 ktk 0
197 Kayu Penyangga Fracture buah 0
199 Ketoprofen inj amp 0
200 Ketoprofen supp supp 0
202 Klofazimin Kapsul 100 mg micronize kaps 0
203 Kloramfenikol injeksi vial 0
204 Kloramfenikol Kapsul 250 mg kaps 0
205 Kloramfenikol Salep mata 1% tube 0
207 Kloramfenikol tetes mata ( Reco ) botol 0
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
210 Klorokuin tablet 150 mg tab. 0
213 Klorpromazin Tablet salut 100 mg tab. 0
214 Klorpromazin Tablet salut 25 mg tab 0
215 Klorpropamid tablet 100 mg tab. 0
217 Kombinasi (Pirimetamin 25 mg + Sulfadoksin 500 mg) tab 0
218 Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2, tube 0
219 Kombinasi: kaolin 550 mg + pektin 20 mg tab 0
220 Kombipak Kategori 1 paket 0
224 Kuinin ( Kina ) tablet 200 mg tab 0
225 Kuinin Dihidroklorida Injeksi 25 % - 2ml amp 0
226 Ky jelly tube 0
227 Laborat Blood Lancet ktk 0
228 Laborat Cover Glass ktk 0
229 Laborat Dempul / malam putih biji 0
230 Laborat Gluco stik ktk 0
231 Laborat Golongan darah test. biji 0
232 Laborat Kolesterol stik ktk 0
233 Laborat Minyak Emersi lar. 50 ml botol 0
234 Laborat Obyek Glass ktk 0
235 Laborat Obyek Glass Frosted ktk 0
236 Laborat Pipet Eritrosit buah 0
237 Laborat Pipet LED buah 0
238 Laborat Pipet Leukosit buah 0
239 Laborat Plano test ktk 0
240 Laborat Pot dahak buah 0
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
241 Laborat Pot urine ( sedang ) buah 0
242 Laborat Rak Pengecatan buah 0
243 Laborat Rak Tabung Khan buah 0
244 Laborat Rak tabung reaksi buah 0
245 Laborat Rapid Test siphilis ktk 0
246 Laborat Reagen HIV strip ktk 0
247 Laborat Tabung Centrifuge buah 0
248 Laborat Tabung Kapiler HCT buah 0
249 Laborat Tabung Reaksi buah 0
250 Laborat Tissu Lensa ktk 0
251 Laborat Uric Acid stik ktk 0
252 Laborat Urine stick 10 P ktk 0
253 Laborat Urine strip ktk 0
254 Laborat Widal test. set. 0
255 Lamivudine 150 mg / hiviral tab 0
256 Larutan Asam Klorida 0,1 N btl. 0
257 Larutan Asam Sulfosalisilat 20 % btl. 0
258 Larutan Bendict btl. 0
259 Larutan EDTA btl. 0
260 Larutan Eosin 2 % btl 0
261 Larutan Giemsa Stain btl 0
262 Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 25,0 g; N btl 0
263 Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl btl 0
264 Larutan Metanol btl 0
265 Larutan NaCl 0,9 % btl 0
266 Larutan Rees Eker btl 0
267 Larutan Turk btl 0
268 Larutan Zn. set. 0
269 Lidokain gel 2% tube 0
270 Lidokain komp.Injeksi Kombinasi: amp 0
271 Lidokain spray oral 10% btl 0
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
272 Linestrenol tab 0,5 mg tab 0
273 Lisol, mengandung Kresol tersabun 50 % btl 0
274 Livron B Plex tab. tab 0
277 Lorazepam ( Merlopam ) tab. 2 mg tab 0
278 Lugol 0 0
279 Masker buah 0
280 MDT-MB Adult kusta tab. 0
281 MDT-MB Child kusta tab 0
282 MDT-PB Adult kusta tab 0
283 MDT-PB Child kusta tab. 0
284 Mebendazol tablet 100 mg tab 0
285 Mess buah 0
292 Metronidazol infus btl./ 500ml 0
295 MgSO4 20% 25 ml amp 0
296 MgSO4 40% 25 ml amp 0
298 Mineral Mix sacc 0
299 Natrium klorida Larutan Infus 0,9 % Steril btl 0
301 Needle 23 G buah 0
302 Neurobion 5000 inj. psg amp. 0
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
303 Neurodex tablet tab 0
304 Nevirapine (NVP) 200 mg tab 0
305 Nicholin inj. amp 0
307 Nistatin susp 100.000 UI/ml btl 0
308 Nistatin Tablet salut 500.000 IU tab salut 0
310 Obat anti malaria tab 0
311 Obat Antituberkulosis Anak paket 0
314 Obat Antituberkulosis Kategori I( FDC) paket 0
315 Obat Antituberkulosis Sisipan paket 0
317 Obat Gigi Air Raksa Dental Use tube 0
318 Obat Gigi Bonding 5 ml btl. 0
319 Obat Gigi Chlorofenol Kamfer Menthol ( CHKM ) btl. 0
320 Obat Gigi Composit Anterior btl. 0
321 Obat Gigi Composit Pasterior btl. 0
322 Obat Gigi Devitalisasi Pasta set. 0
323 Obat Gigi Etching 2 gr. btl. 0
324 Obat Gigi Forinokresol ( Pengganti TKF ) btl 0
325 Obat Gigi Glass Ionomer Cemen (GC IX) btl/set. 0
326 Obat Gigi Kalsium Hidroksida Pasta tube 0
327 Obat Gigi Mummifying Pasta btl 0
328 Obat Gigi Semen Seng Fosfat serbuk dan cairan btl 0
329 Obat Gigi Silver Amalgam serbuk 65 - 75 % btl 0
330 Obat Gigi Temporary Restoratif btl 0
331 Obat Gigi Temporary Stopping Fletcher (Fletcher) btl 0
332 Oksimetazolin tts hidung 0,050% tube 0
333 Oksitetrasiklin HCL. Injk.im.50mg/ml-10ml vial 0
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
336 Oksitosin Injeksi 10 IU/ml-1ml amp 0
337 Olopatadin tts mata 0,1% tube 0
338 Omeprazol inj 40 mg/10 ml amp 0
340 Oseltamivir tab tab 0
341 Oxygen spray portable can 0
342 Papaverin inj. 40 mg / ml - 1 ml amp 0
343 Papaverin tab. 40 mg tab 0
346 Parasetamol tablet 100 mg tab 0
348 Pehacain inj. amp. 0
349 Penyangga tangan buah 0
352 Pil KB Laktasi tab 0
353 Piracetam inj. 3 gr / 15 ml amp 0
355 Piralen injeksi amp 0
356 Pirantel tablet 125 mg tab 0
359 Plester 7,5 x 4,5 ( Isoplast ) rol 0
360 Polikresulen (Kondensasi Metakresol btl 0
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
365 Prokain Benzil Penisillin injeksi 3 juta IU/vial vial 0
370 RDT Leptospira ktk 0
371 RDT Parascreen ( u/ malaria ) ktk 0
372 Reagen CD4 (Control) ktk 0
373 Reagen CD4 (Mebile) ktk 0
374 Reagen HIV Fokus 0 0
375 Reagen HIV Rigsin 0 0
376 Reagen HIV SD buah 0
377 Reagen HIV TPHA 0 0
378 Reagen RDT DBD NSI buah 0
379 Reagen RDT DBD NSI IgG/Igm buah 0
387 Rohto btl 0
390 Salep 2-4 , Kombinasi tube 0
391 Salisil Bedak 2 % dos 0
392 Serum anti Bisa ular Polivalen Injeksi vial 0
393 Serum Anti Difteri ( ADS ) vial 0
394 Serum Anti Tentanus Injeksi 1.500IU/ampul amp 0
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
396 Sikzonoate ( Fluphenazine) inj. amp 0
397 Silk (Benang Bedah Sutera ) No. 3/0 buah 0
398 Sinvastatin tab tab 0
400 Sofratul lmbr 0
403 Spironolakton tab 25 mg tab 0
404 Sulfadimidin tablet 500 mg tab 0
405 Tablet Hyoscin Butylbromida ( Scopma ) tab 0
406 Tablet Hyoscin Butylbromida ( Spashi tab ) tab 0
407 Tablet tambah Darah kombinasi : Besi II tablet 0
408 Telmisartan tab 80 mg tab 0
410 Terbutalin tab.2,5 mg (Molasma tablet) tablet 0
411 Tetrakain HCl tetes mata btl 0
414 Thiamfenikol kapsul 500 mg kaplet 0
415 Tiamin HCl/Mononitrat (Vit.B1) tablet 100 mg tab 0
417 Tiamin HCl. (Vit.B1) Injeksi 100 mg/ml-1ml amp 0
418 Tiopental Natrium serbuk inj. 1000 mg/amp amp 0
419 Tramadol inj. amp 0
420 Tramadol tab. 50 mg tab 0
421 Trifluoperazine 5mg tab 0
423 U pad pcs 0
424 Ulsikur injeksi amp 0
425 Ultrafix 5cmx5m rol 0
426 Urine Bag pcs 0
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
427 Valproat sir 250 mg/5 ml btl 0
428 Vicillin injeksi vial 0
430 Wing Nedle pcs 0
431 Xillomidon injeksi vial 0
432 Y-Rins btl 0
433 Zidofudine (ZDV) 100 mg tab 0
434 Zidofudine (ZDV) 300 mg+ Lamivudine (3TC) 150 mg tab 0
435 Zidofudine 60 mg+ Lamivudine 30 mg+Nevirapine 50 mg tab 0
436 #REF! #REF! #REF!
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
NO. SATU TANGGAL
NAMA - O BAT
URUT AN 2
1048 Zinc sir 10 mg/ml btl #REF!
1049 Zinc tablet tab #REF!
1050 Kamolas tab #REF!
1051 Trifastan 500 mg box #REF!
1052 Solathim capsl #REF!
1053 Sintrol kaplet #REF!
1054 Solvitron kapsul #REF!
1055 geebio sacc #REF!
1056 Novaldo amp #REF!
1057 Combivent tube #REF!
1058 Handsaplast standar buah #REF!
1059 0 0 #REF!
1060 0 0 #REF!
1061 0 0 #REF!
1062 0 0 #REF!
1063 0 0 #REF!
1064 0 0 #REF!
Triheksifenidil Hidroklorida tablet 2 mg tab

BAYAR 0
BPJS 0
GRATIS 0
0
0
6 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
PUSKESMAS
KODE PUSKESMAS : DOKUMEN NOMOR

PUSKESMAS REJOWINANGUN UPF : …………………………
7 KECAMATAN TRENGGALEK PELAPORAN BULAN/ PERIODE : JUNI PUSKESMAS: …………………………
KABUPATEN TRENGGALEK PERMINTAAN BULAN/ PERIODE : JULI
NO. SATU STOK PENE PERSE PEMAKAI SISA STOK PERMIN- PEMBERIAN
NAMA - O BAT
URUT AN AWAL RIMAAN DIAAN AN STOK OPT TAAN PKD ASKES PKPS
1 2 3 4 5 6 7 8 9 10 11 12 13
3 1 Acyclovir SK 5 % tube 0 0 0
4 2 Acyclovir tab. 200 mg tab 0 0 0
5 3 Acyclovir tab. 400 mg tab 0 0 0
6 4 Adona Ac 17 injeksi 5 ml amp. 0 0 0
7 5 Alat Suntik Sekali Pakai 1 ml set 0 0 0
9 7 Alat suntik sekali pakai 20 ml set 0 0 0
12 10 Albendazol tablet 400 mg tab. 0 0 0
13 11 Alinamin F inj. amp. 0 0 0
14 12 Alinamin F tab. tab. 0 0 0
15 13 Alkohol swab ktk 0 0 0
16 14 Alopurinol tablet 100 mg tab 0 0 0
17 15 Alopurinol tablet 300 mg tab. 0 0 0
18 16 Ambroxol sirup 15mg/60ml botol 0 0 0
19 17 Ambroxol tablet tab 0 0 0
20 18 Aminofilina Injeksi 24mg/ml-10ml amp 0 0 0
21 19 Aminofilina tablet 200 mg tab. 0 0 0
22 20 Amitriptilin HCl.Tablet Salut 25 mg tab. 0 0 0
23 21 Amlodipin tab. 10 mg tab 0 0 0
24 22 Amlodipin tab. 5 mg kaplet 0 0 0
25 23 Amoksisilin + As. Klavulanat 625 mg cap. 0 0 0
26 24 Amoksisilin kaplet 500 mg kaplet 0 0 0
27 25 Amoksisilin kapsul 250 mg kapsul 0 0 0
28 26 Amoksisilin sir forte 250 mg/5 ml botol 0 0 0
29 27 Amoksisilin Sirup Kering 125 mg/5ml botol 0 0 0
30 28 Ampisillin inj. 1 gr amp. 0 0 0
31 29 Antalgin (Metampiron) Injeksi 250 mg/ml-2ml amp 0 0 0
32 30 Antalgin (Metampiron) Tablet 500 mg tab 0 0 0
33 31 Antasida DOEN susp, Kombinasi : botol 0 0 0
34 32 Antasida DOEN Tablet, Kombinasi : tab 0 0 0
35 33 Anti Bakteri DOEN Salep Kombinasi : tube 0 0 0
36 34 Anti Hemoroid DOEN Kombinasi supp 0 0 0
37 35 Antimigren DOEN kombinasi: Tablet tab. 0 0 0
38 36 Antrain inj. amp. 0 0 0
39 37 Aqua pro Injeksi, bebas pirogen vial 0 0 0
40 38 Aquadest Steril btl. 0 0 0
41 39 Artemeter inj. ampul 0 0 0
42 40 Artesunat inj. vial 0 0 0
43 41 Articulating paper kertas warna penanda oklusi 0 0 0 0
44 42 Asam asetilsalisilat (asetosal) tab 80 mg tab 0 0 0
45 43 Asam Askorbat tablet 100 mg tab. 0 0 0
46 44 Asam Askorbat tablet 50 mg tab. 0 0 0
47 45 Asam Benzoat 6%+Asam Salisilat 3% pot. 0 0 0
48 46 Asam Folat tab. 1 mg tab. 0 0 0
49 47 Asam Mefenamat tablet 500 mg kaplet 0 0 0
50 48 Asam Traneksamat inj. 50mg/ml amp 0 0 0
51 49 Asetosal tablet 100 mg tab. 0 0 0
52 50 Asetosal tablet 500 mg tablet 0 0 0
53 51 Aspar K tablet tablet 0 0 0
54 52 Atapulgit tablet 600 mg tab 0 0 0
55 53 Atarax tab tab 0 0 0
56 54 Atropin Sulfat Injeksi 0,25 mg/ml-1ml amp 0 0 0
57 55 Atropin Sulfat tablet 0,5 mg tab 0 0 0
58 56 Bandage Perawat luka luas ( 15 cm x 4,5 cm ) buah 0 0 0
59 57 Bebat Fracture buah 0 0 0
60 58 Benzatin Benzil Penisilin Ij. 1,2 juta IU/vial vial 0 0 0
61 59 Benzatin Benzil Penisilin Ij. 2,4 juta IU/vial vial 0 0 0
62 60 Betahistin Mesilat tab 6 mg tab 0 0 0
63 61 Betametason krim 0,1 % tube 0 0 0
64 62 Biolysin syr. btl 0 0 0
65 63 Bioneuron tab. tab 0 0 0
66 64 Bioplacenton jell tube 0 0 0
67 65 Bisakodil supp. 10mg (Dulcolax supp) dewasa supp 0 0 0
68 66 Bisakodil supp. 5 mg (Dulcolax supp) anak supp 0 0 0
69 67 Bisoprolol tab. 5 mg tab 0 0 0
70 68 Bloodset set 0 0 0
71 69 Bromheksin tab. 8 mg ( Hexon tab.) tab 0 0 0
72 70 Buscotika inj.( Spasi inj .) amp 0 0 0
73 71 Calsium Gluconas injeksi amp 0 0 0
74 72 Canula Oksigin anak biji 0 0 0
75 73 Canula Oksigin dewasa biji 0 0 0
76 74 Captopril 12,5 mg tab. tab 0 0 0
77 75 Captopril tab. 25 mg tab 0 0 0
78 76 Cartridge GeneXpert box 0 0 0
79 77 Catgut / Benang Bedah No.2/0-3/0 buah 0 0 0
80 78 Cefadroksil caps 500mg kapsul 0 0 0
81 79 Cefadroksil syr kering 125 mg botol 0 0 0
82 80 Cefotaxim inj. vial 0 0 0
83 81 Ceftriakson inj. vial 0 0 0
84 82 Cetirizin sirup 5mg / 5 ml btl 0 0 0
85 83 Cimetidine tab. tab. 0 0 0
86 84 Clobazam tab. 10 mg tab 0 0 0
87 85 Clozapin tab. 25 mg tab 0 0 0
88 86 Cyprofloxasin 500 mg tab. 0 0 0
89 87 Deksametason injeksi 5mg/ml-1ml amp 0 0 0
90 88 Deksametason tablet 0,5 mg tab 0 0 0
91 89 Dekstran 70-larutan infus 6% steril btl 0 0 0
92 90 Demacolin syr. btl 0 0 0
93 91 Demacolin tab. tab 0 0 0
94 92 Dexanta tablet tab 0 0 0
95 93 Diazepam Injeksi 5 mg/ml-2ml amp 0 0 0
96 94 Diazepam rectal tube supp 0 0 0
97 95 Diazepam tablet 2 mg tab. 0 0 0
98 96 Diazepam tablet 5 mg tab 0 0 0
99 97 Dietilkarbamazin Sitrat tablet 100 mg tab. 0 0 0
100 98 Difenhidramin HCl. Injeksi 10mg/ml-1ml amp 0 0 0
101 99 Digoxin tablet 0,25 mg tab 0 0 0
102 100 Diltiazem hcl tab 30 mg tab 0 0 0
103 101 Dimenhidrinat tab . 50 mg tab 0 0 0
104 102 Disp.Scalpel buah 0 0 0
105 103 Doksazosin tab 1 mg tab 0 0 0
106 104 Doksisiklin tab. 100 mg tab 0 0 0
107 105 Domperidom susp. 5 mg / ml btl 0 0 0
108 106 Domperidom tab. tab. 0 0 0
109 107 Efavirenz (EFV) 200 mg tab 0 0 0
110 108 Efavirenz (EFV) 600 mg tab 0 0 0
111 109 Efedrin HCl tablet 25 mg tab. 0 0 0
112 110 Ekstrak Belladon tablet 10 mg tab 0 0 0
113 111 Enervon C tab. tab 0 0 0
114 112 Epinefrina HCl/Bitatrat Injeksi amp 0 0 0
115 113 Eritromisin kaps 250 mg kapsul 0 0 0
116 114 Erytromisin kaps.500 mg kapsul 0 0 0
117 115 Erytromisin sirup. btl 0 0 0
118 116 Etakridin ( Rivanol ) larutan 0,1 % btl/100 0 0 0
119 117 Etanol 70 % btl./ 1 lt 0 0 0
120 118 Etanol 70% 100 ml btl. 0 0 0
121 119 Etil Klorida Semprot btl 0 0 0
122 120 Eugenol cairan btl 0 0 0
123 121 Fenitoin Natrium Injeksi 50 mg/ml amp 0 0 0
124 122 Fenitoin Natrium Kapsul 100 mg kapsul 0 0 0
125 123 Fenitoin Natrium Kapsul 30 mg kapsul 0 0 0
126 124 Fenobarbital Injeksi 50 mg/ml-2ml amp 0 0 0
127 125 Fenobarbital tablet 100 mg tab 0 0 0
128 126 Fenobarbital tablet 30 mg tab 0 0 0
129 127 Fenoksimetil Penisilina tablet 250 mg tab 0 0 0
130 128 Fenoksimetil Penisilina tablet 500 mg tab. 0 0 0
131 129 Fenol Gliserol tetes telinga 10 % btl 0 0 0
132 130 Fitomenadion (Vit.K1) Tablet salut gula 10mg tab 0 0 0
133 131 Fitomenadion (Vit.K1)Injeksi 10mg/ml-1ml amp 0 0 0
134 132 Fluoksetin kap. 10 mg tab 0 0 0
135 133 Fluoksetin kap. 20 mg tab 0 0 0
136 134 Fluor tablet 0,5 mg tab 0 0 0
137 135 Folley Catheter No.12 pcs 0 0 0
144 142 Furosemid tablet 40 mg tab 0 0 0
145 143 Furosemida inj. Iv/im 10 mg/ml amp 0 0 0
146 144 Garam Oralit 200 ml air sacc 0 0 0
147 145 Gentamisin inj. 80 mg / ml amp 0 0 0
148 146 Gentamycin Salep Kulit tube 0 0 0
149 147 Gentian Violet Larutan 1 % btl 0 0 0
150 148 Glibenclamid tablet 5 mg tab 0 0 0
151 149 Glimepirid tab 2 mg tab 0 0 0
152 150 Gliserilguaiacolat tablet 100 mg tab 0 0 0
153 151 Glukosa Larutan Infus 10 % Steril btl. 0 0 0
154 152 Glukosa Larutan Infus 40 % Steril btl 0 0 0
155 153 Glukosa Larutan Infus 5 % Steril btl 0 0 0
156 154 Griseofulvin tablet 125 mg, micronized tab 0 0 0
157 155 H2O2 ( Hydrogen Peroxide ) 3% btl / 60 0 0 0
158 156 H2O2 ( Hydrogen Peroxide ) 3% btl / 80 0 0 0
159 157 Haloperidol Decanoas 50 mg/ml inj. amp 0 0 0
160 158 Haloperidol inj.5 mg/ml amp 0 0 0
161 159 Haloperidol tablet 0,5 mg tab 0 0 0
162 160 Haloperidol tablet 1,5 mg tab 0 0 0
163 161 Haloperidol tablet 5 mg tab 0 0 0
164 162 Handsaplas jumbo buah 0 0 0
165 163 Handscoen obgyn psg 0 0 0
166 164 Hansdcoen buah 0 0 0
167 165 Hansdcoen steril psg 0 0 0
168 166 Hidroklorotiazid ( HCT ) tablet 25 mg tab. 0 0 0
169 167 Hidrokortison Krim 2,5 % tube 0 0 0
170 168 Human tetanus imunoglobulin inj 500 UI (i.m.) amp 0 0 0
171 169 Ibuprifen susp. 100 mg / 5 ml ( novaxipen ) btl 0 0 0
172 170 Ibuprifen susp. 200 mg / 5 ml btl 0 0 0
173 171 Ibuprofen tablet 200 mg tab 0 0 0
174 172 Ibuprofen tablet 400 mg tab 0 0 0
175 173 Imipramide tab. 25 mg tab. 0 0 0
176 174 Infusion Set Anak pcs 0 0 0
177 175 Infusion Set Dewasa pcs 0 0 0
178 176 INH tab 100 mg tab 0 0 0
179 177 Iodida Test test 0 0 0
180 178 Iodiol Kapsul kaps lun 0 0 0
181 179 Isorbid Dinitrat tablet Sublingual 5 mg tab 0 0 0
182 180 IV. Cateter No.18 G pcs 0 0 0
187 185 Kalamin Lotio btl 0 0 0
188 186 Kalium Permenganat serbuk btl 0 0 0
189 187 Kalsium Laktat (Kalk) tablet 500 mg tab 0 0 0
190 188 Kaltrofen tab tab 0 0 0
191 189 Kaolin Pektin syr botol 0 0 0
192 190 Kapas Pembalut/Adsorben 250 gram rol. 0 0 0
193 191 Karbamazepin tablet 200 mg tab 0 0 0
194 192 Kasa Kompres 40/40 steril rol. 0 0 0
195 193 Kasa Pembalut 2m X 80 cm rol. 0 0 0
196 194 Kasa Pembalut Hidrofil 4 m X 15 cm rol. 0 0 0
197 195 Kasa Pembalut Hidrofil 4 m X 3 cm rol. 0 0 0
198 196 Kasa steril 16x16 ktk 0 0 0
199 197 Kayu Penyangga Fracture buah 0 0 0
200 198 Ketokonazol tab 200 mg tab 0 0 0
201 199 Ketoprofen inj amp 0 0 0
202 200 Ketoprofen supp supp 0 0 0
203 201 Ketoprofen tab. 100 mg tab 0 0 0
204 202 Klofazimin Kapsul 100 mg micronize kaps 0 0 0
205 203 Kloramfenikol injeksi vial 0 0 0
206 204 Kloramfenikol Kapsul 250 mg kaps 0 0 0
207 205 Kloramfenikol Salep mata 1% tube 0 0 0
208 206 Kloramfenikol syr. btl 0 0 0
209 207 Kloramfenikol tetes mata ( Reco ) botol 0 0 0
210 208 Kloramfenikol Tetes telinga 3% btl 0 0 0
211 209 Klorfeniramin Maleat (CTM) tablet 4 mg tab. 0 0 0
212 210 Klorokuin tablet 150 mg tab. 0 0 0
213 211 Klorpromazin HCl.Injeksi 25mg/ml-1ml amp 0 0 0
214 212 Klorpromazin HCl.Injeksi 5mg/ml-2ml amp 0 0 0
215 213 Klorpromazin Tablet salut 100 mg tab. 0 0 0
216 214 Klorpromazin Tablet salut 25 mg tab 0 0 0
217 215 Klorpropamid tablet 100 mg tab. 0 0 0
218 216 Kodein Fosfat tablet 10 mg tab 0 0 0
219 217 Kombinasi (Pirimetamin 25 mg + Sulfadoksin 500 m tab 0 0 0
220 218 Kombinasi : Ipratropium bromida inhalasi 0,5 mg S tube 0 0 0
221 219 Kombinasi: kaolin 550 mg + pektin 20 mg tab 0 0 0
222 220 Kombipak Kategori 1 paket 0 0 0
223 221 Kotrimoksazol 120 mg tablet tab 0 0 0
224 222 Kotrimoksazol 480 mg tablet tab 0 0 0
225 223 Kotrimoksazol Suspensi btl 0 0 0
226 224 Kuinin ( Kina ) tablet 200 mg tab 0 0 0
227 225 Kuinin Dihidroklorida Injeksi 25 % - 2ml amp 0 0 0
228 226 Ky jelly tube 0 0 0
229 227 Laborat Blood Lancet ktk 0 0 0
230 228 Laborat Cover Glass ktk 0 0 0
231 229 Laborat Dempul / malam putih biji 0 0 0
232 230 Laborat Gluco stik ktk 0 0 0
233 231 Laborat Golongan darah test. biji 0 0 0
234 232 Laborat Kolesterol stik ktk 0 0 0
235 233 Laborat Minyak Emersi lar. 50 ml botol 0 0 0
236 234 Laborat Obyek Glass ktk 0 0 0
237 235 Laborat Obyek Glass Frosted ktk 0 0 0
238 236 Laborat Pipet Eritrosit buah 0 0 0
239 237 Laborat Pipet LED buah 0 0 0
240 238 Laborat Pipet Leukosit buah 0 0 0
241 239 Laborat Plano test ktk 0 0 0
242 240 Laborat Pot dahak buah 0 0 0
243 241 Laborat Pot urine ( sedang ) buah 0 0 0
244 242 Laborat Rak Pengecatan buah 0 0 0
245 243 Laborat Rak Tabung Khan buah 0 0 0
246 244 Laborat Rak tabung reaksi buah 0 0 0
247 245 Laborat Rapid Test siphilis ktk 0 0 0
248 246 Laborat Reagen HIV strip ktk 0 0 0
249 247 Laborat Tabung Centrifuge buah 0 0 0
250 248 Laborat Tabung Kapiler HCT buah 0 0 0
251 249 Laborat Tabung Reaksi buah 0 0 0
252 250 Laborat Tissu Lensa ktk 0 0 0
253 251 Laborat Uric Acid stik ktk 0 0 0
254 252 Laborat Urine stick 10 P ktk 0 0 0
255 253 Laborat Urine strip ktk 0 0 0
256 254 Laborat Widal test. set. 0 0 0
257 255 Lamivudine 150 mg / hiviral tab 0 0 0
258 256 Larutan Asam Klorida 0,1 N btl. 0 0 0
259 257 Larutan Asam Sulfosalisilat 20 % btl. 0 0 0
260 258 Larutan Bendict btl. 0 0 0
261 259 Larutan EDTA btl. 0 0 0
262 260 Larutan Eosin 2 % btl 0 0 0
263 261 Larutan Giemsa Stain btl 0 0 0
264 262 Larutan mengandung Karbohidrat + Elektrolit (Glukobtl 0 0 0
265 263 Larutan mengandung Karbohidrat + Elektrolit (Nacl btl 0 0 0
266 264 Larutan Metanol btl 0 0 0
267 265 Larutan NaCl 0,9 % btl 0 0 0
268 266 Larutan Rees Eker btl 0 0 0
269 267 Larutan Turk btl 0 0 0
270 268 Larutan Zn. set. 0 0 0
271 269 Lidokain gel 2% tube 0 0 0
272 270 Lidokain komp.Injeksi Kombinasi: amp 0 0 0
273 271 Lidokain spray oral 10% btl 0 0 0
274 272 Linestrenol tab 0,5 mg tab 0 0 0
275 273 Lisol, mengandung Kresol tersabun 50 % btl 0 0 0
276 274 Livron B Plex tab. tab 0 0 0
277 275 Loperamida tab. tab 0 0 0
278 276 Loratadin tab.10 mg tab. 0 0 0
279 277 Lorazepam ( Merlopam ) tab. 2 mg tab 0 0 0
280 278 Lugol 0 0 0 0
281 279 Masker buah 0 0 0
282 280 MDT-MB Adult kusta tab. 0 0 0
283 281 MDT-MB Child kusta tab 0 0 0
284 282 MDT-PB Adult kusta tab 0 0 0
285 283 MDT-PB Child kusta tab. 0 0 0
286 284 Mebendazol tablet 100 mg tab 0 0 0
287 285 Mess buah 0 0 0
288 286 Metformin HCl.tab. 500 mg tab 0 0 0
289 287 Methylprednisolon tab. 4 mg tab 0 0 0
290 288 Metilergometrin Maleat (Metilergometrin) tab 0 0 0
291 289 Metilergometrin Maleat Inj 0,200 mg-1ml amp 0 0 0
292 290 Metoklopramida inj.( Metolon inj ) amp 0 0 0
293 291 Metoklopramida tab. 10 mg tab 0 0 0
294 292 Metronidazol infus btl./ 50 0 0 0
295 293 Metronidazol sir 125 mg/5 Ml btl 0 0 0
296 294 Metronidazol tablet 500 mg tab. 0 0 0
297 295 MgSO4 20% 25 ml amp 0 0 0
298 296 MgSO4 40% 25 ml amp 0 0 0
299 297 Mikonazol salp kulit 2 % tube 0 0 0
300 298 Mineral Mix sacc 0 0 0
301 299 Natrium klorida Larutan Infus 0,9 % Steril btl 0 0 0
302 300 Natriun Diklofenak tab. 50mg tab. 0 0 0
303 301 Needle 23 G buah 0 0 0
304 302 Neurobion 5000 inj. psg amp. 0 0 0
305 303 Neurodex tablet tab 0 0 0
306 304 Nevirapine (NVP) 200 mg tab 0 0 0
307 305 Nicholin inj. amp 0 0 0
308 306 Nifedipin tab 10 mg tab 0 0 0
309 307 Nistatin susp 100.000 UI/ml btl 0 0 0
310 308 Nistatin Tablet salut 500.000 IU tab salut 0 0 0
311 309 Nistatin Tablet Vaginal 100.000 IU/g supp 0 0 0
312 310 Obat anti malaria tab 0 0 0
313 311 Obat Antituberkulosis Anak paket 0 0 0
314 312 Obat Antituberkulosis Kategori 2 paket 0 0 0
315 313 Obat Antituberkulosis Kategori 3 paket 0 0 0
316 314 Obat Antituberkulosis Kategori I( FDC) paket 0 0 0
317 315 Obat Antituberkulosis Sisipan paket 0 0 0
318 316 Obat batuk Hitam ( OBH ) btl. 0 0 0
319 317 Obat Gigi Air Raksa Dental Use tube 0 0 0
320 318 Obat Gigi Bonding 5 ml btl. 0 0 0
321 319 Obat Gigi Chlorofenol Kamfer Menthol ( CHKM ) btl. 0 0 0
322 320 Obat Gigi Composit Anterior btl. 0 0 0
323 321 Obat Gigi Composit Pasterior btl. 0 0 0
324 322 Obat Gigi Devitalisasi Pasta set. 0 0 0
325 323 Obat Gigi Etching 2 gr. btl. 0 0 0
326 324 Obat Gigi Forinokresol ( Pengganti TKF ) btl 0 0 0
327 325 Obat Gigi Glass Ionomer Cemen (GC IX) btl/set. 0 0 0
328 326 Obat Gigi Kalsium Hidroksida Pasta tube 0 0 0
329 327 Obat Gigi Mummifying Pasta btl 0 0 0
330 328 Obat Gigi Semen Seng Fosfat serbuk dan cairan btl 0 0 0
331 329 Obat Gigi Silver Amalgam serbuk 65 - 75 % btl 0 0 0
332 330 Obat Gigi Temporary Restoratif btl 0 0 0
333 331 Obat Gigi Temporary Stopping Fletcher (Fletcher) btl 0 0 0
334 332 Oksimetazolin tts hidung 0,050% tube 0 0 0
335 333 Oksitetrasiklin HCL. Injk.im.50mg/ml-10ml vial 0 0 0
336 334 Oksitetrasiklin HCl. Salep 1 % tube 0 0 0
337 335 Oksitetrasiklin HCl. Salep 3 % tube 0 0 0
338 336 Oksitosin Injeksi 10 IU/ml-1ml amp 0 0 0
339 337 Olopatadin tts mata 0,1% tube 0 0 0
340 338 Omeprazol inj 40 mg/10 ml amp 0 0 0
341 339 Omeprazol kaps. 20 mg kaps 0 0 0
342 340 Oseltamivir tab tab 0 0 0
343 341 Oxygen spray portable can 0 0 0
344 342 Papaverin inj. 40 mg / ml - 1 ml amp 0 0 0
345 343 Papaverin tab. 40 mg tab 0 0 0
346 344 Parasetamol drop 100mg/ml btl 0 0 0
347 345 Parasetamol Sirup 120 mg / 5ml btl 0 0 0
348 346 Parasetamol tablet 100 mg tab 0 0 0
349 347 Parasetamol tablet 500 mg tab. 0 0 0
350 348 Pehacain inj. amp. 0 0 0
351 349 Penyangga tangan buah 0 0 0
352 350 Perak Sulfadiazin ( Burnazim salp ) tube 0 0 0
353 351 Permetrin krim 5 % ( Scabimite krim ) tube 0 0 0
354 352 Pil KB Laktasi tab 0 0 0
355 353 Piracetam inj. 3 gr / 15 ml amp 0 0 0
356 354 Piracetam tab. 800 mg tab 0 0 0
357 355 Piralen injeksi amp 0 0 0
358 356 Pirantel tablet 125 mg tab 0 0 0 0
359 357 Piridoksin HCl. (Vit.B6) tablet 10 mg tab. 0 0 0 0
360 358 Piroxicam tab. 20 mg tab 0 0 0 0
361 359 Plester 7,5 x 4,5 ( Isoplast ) rol 0 0 0 0
362 360 Polikresulen (Kondensasi Metakresol btl 0 0 0 0
363 361 Povidon Iodida 10 % 300 ml btl 0 0 0 0
364 362 Povidon Iodida 10 % 60 ml btl 0 0 0 0
365 363 Prednison tablet 5 mg tab 0 0 0 0
366 364 Primakuin tablet 15 mg tab 0 0 0 0
367 365 Prokain Benzil Penisillin injeksi 3 juta IU/vial vial 0 0 0 0
368 366 Propanolol HCl tablet 40 mg tab 0 0 0 0
369 367 Propiltiourasil tablet 100 mg tab 0 0 0
370 368 Ranitidin inj. 25 mg / 2 ml amp 0 0 0
371 369 Ranitidin tab. 150 mg tab 0 0 0
372 370 RDT Leptospira ktk 0 0 0
373 371 RDT Parascreen ( u/ malaria ) ktk 0 0 0
374 372 Reagen CD4 (Control) ktk 0 0 0
375 373 Reagen CD4 (Mebile) ktk 0 0 0
376 374 Reagen HIV Fokus 0 0 0 0
377 375 Reagen HIV Rigsin 0 0 0 0
378 376 Reagen HIV SD buah 0 0 0
379 377 Reagen HIV TPHA 0 0 0 0
380 378 Reagen RDT DBD NSI buah 0 0 0
381 379 Reagen RDT DBD NSI IgG/Igm buah 0 0 0
382 380 Reagent HIV Aids 1 buah 0 0 0
385 383 Retinol (Vitamin A) kapsul 100.000 IU kaps.lun 0 0 0
386 384 Retinol (Vitamin A) kapsul 200.000 IU kaps.lun 0 0 0
387 385 Ringer Lactat Larutan infus steril btl 0 0 0
388 386 Risperidone tab 2 mg tab 0 0 0
389 387 Rohto btl 0 0 0
390 388 Salbutamol cairan ih 0,1% ( Ventolin Nebules ) tube 0 0 0
391 389 Salbutamol tablet 2 mg tab 0 0 0
392 390 Salep 2-4 , Kombinasi tube 0 0 0
393 391 Salisil Bedak 2 % dos 0 0 0
394 392 Serum anti Bisa ular Polivalen Injeksi vial 0 0 0
395 393 Serum Anti Difteri ( ADS ) vial 0 0 0
396 394 Serum Anti Tentanus Injeksi 1.500IU/ampul amp 0 0 0
397 395 Sianokobalamina (vit.B12) Injeksi amp 0 0 0
398 396 Sikzonoate ( Fluphenazine) inj. amp 0 0 0
399 397 Silk (Benang Bedah Sutera ) No. 3/0 buah 0 0 0
400 398 Sinvastatin tab tab 0 0 0
401 399 Sinvastatin tab 20 mg 0 0 0 0
402 400 Sofratul lmbr 0 0 0
403 401 Soloshot 0,05 ml pcs 0 0 0
404 402 Soloshot 0,5 ml pcs 0 0 0
405 403 Spironolakton tab 25 mg tab 0 0 0
406 404 Sulfadimidin tablet 500 mg tab 0 0 0
407 405 Tablet Hyoscin Butylbromida ( Scopma ) tab 0 0 0
408 406 Tablet Hyoscin Butylbromida ( Spashi tab ) tab 0 0 0
409 407 Tablet tambah Darah kombinasi : Besi II tablet 0 0 0
410 408 Telmisartan tab 80 mg tab 0 0 0
411 409 Teofilin tab 150 mg tab 0 0 0
412 410 Terbutalin tab.2,5 mg (Molasma tablet) tablet 0 0 0
413 411 Tetrakain HCl tetes mata btl 0 0 0
414 412 Tetrasiklin HCl. Kapsul 250 mg kaps 0 0 0
415 413 Tetrasiklin HCl. Kapsul 500 mg kaps 0 0 0
416 414 Thiamfenikol kapsul 500 mg kaplet 0 0 0
417 415 Tiamin HCl/Mononitrat (Vit.B1) tablet 100 mg tab 0 0 0
418 416 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg tab. 0 0 0
419 417 Tiamin HCl. (Vit.B1) Injeksi 100 mg/ml-1ml amp 0 0 0
420 418 Tiopental Natrium serbuk inj. 1000 mg/amp amp 0 0 0
421 419 Tramadol inj. amp 0 0 0
422 420 Tramadol tab. 50 mg tab 0 0 0
423 421 Trifluoperazine 5mg tab 0 0 0
424 422 Triheksifenidil Hidroklorida tablet 2 mg tab 0 0 0
425 423 U pad pcs 0 0 0
426 424 Ulsikur injeksi amp 0 0 0
427 425 Ultrafix 5cmx5m rol 0 0 0
428 426 Urine Bag pcs 0 0 0
429 427 Valproat sir 250 mg/5 ml btl 0 0 0
430 428 Vicillin injeksi vial 0 0 0
431 429 Vitamin B Komplex tablet tab 0 0 0
432 430 Wing Nedle pcs 0 0 0
433 431 Xillomidon injeksi vial 0 0 0
434 432 Y-Rins btl 0 0 0
435 433 Zidofudine (ZDV) 100 mg tab 0 0 0
436 434 Zidofudine (ZDV) 300 mg+ Lamivudine (3TC) 150 m tab 0 0 0
437 435 Zidofudine 60 mg+ Lamivudine 30 mg+Nevirapine 5 tab 0 0 0
438 436 #REF! #REF! ### Err:502 Err:502 #REF! Err:502






#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
1043 1041 ### Err:502 Err:502 #REF! Err:502
1044 1042 ### Err:502 Err:502 #REF! Err:502

1045 1043 ### Err:502 Err:502 #REF! Err:502
BAYAR TIDAK BAYAR BPJS JUMLAH
JUMLAH KUNJUNGAN RESEP 0 0 0 0
JUMLAH KUNJUNGAN LOKET 0
Yang Menyerahkan
Mengetahui/ Menyetujui Kepala Unit Perbekalan Farmasi Yang Meminta
Kepala Dinkes Kabupaten Trenggalek Kabupaten Trenggalek Pimpinan Puskesmas
TANGGAL
: …………………………
: …………………………
PEMBERIAN
KET
LAIN2 JML
14 15 16
Yang Menerima
Petugas Puskesmas
SINGKATAN NAMA OBAT
PUSKESMAS NGULANKULON
TAHUN 2018
NO.URUT NAMA - OBAT SATUAN singkatan

1 2 3 4
1 Acyclovir SK 5 % tube acycs
2 Acyclovir tab. 200 mg tab acisk
3 Acyclovir tab. 400 mg tab acy4
4 Adona Ac 17 injeksi 5 ml amp. adon
5 Alat Suntik Sekali Pakai 1 ml set spet1
7 Alat suntik sekali pakai 20 ml set spet20
10 Albendazol tablet 400 mg tab. alben
11 Alinamin F inj. amp. alinj
12 Alinamin F tab. tab. alintab
13 Alkohol swab ktk swab
14 Alopurinol tablet 100 mg tab alo
15 Alopurinol tablet 300 mg tab. alo3
16 Ambroxol sirup 15mg/60ml botol ambrks
17 Ambroxol tablet tab ambrok
18 Aminofilina Injeksi 24mg/ml-10ml amp aminj
19 Aminofilina tablet 200 mg tab. amin
20 Amitriptilin HCl.Tablet Salut 25 mg tab. amip
21 Amlodipin tab. 10 mg tab amlo1
22 Amlodipin tab. 5 mg kaplet amlo
23 Amoksisilin + As. Klavulanat 625 mg cap. amklav
24 Amoksisilin kaplet 500 mg kaplet amok5
25 Amoksisilin kapsul 250 mg kapsul amok
26 Amoksisilin sir forte 250 mg/5 ml botol amokf
27 Amoksisilin Sirup Kering 125 mg/5ml botol amoks
28 Ampisillin inj. 1 gr amp. ampij
29 Antalgin (Metampiron) Injeksi 250 mg/ml-2ml amp antalj
30 Antalgin (Metampiron) Tablet 500 mg tab atg
31 Antasida DOEN susp, Kombinasi : botol antasy
32 Antasida DOEN Tablet, Kombinasi : tab anta
33 Anti Bakteri DOEN Salep Kombinasi : tube antibak
34 Anti Hemoroid DOEN Kombinasi supp anusol
1 2 3 4
35 Antimigren DOEN kombinasi: Tablet tab. antimig
36 Antrain inj. amp. antrainj
37 Aqua pro Injeksi, bebas pirogen vial aquapro
38 Aquadest Steril btl. aquades
39 Artemeter inj. ampul atemet
40 Artesunat inj. vial artesun
41 Articulating paper kertas warna penanda oklusi paper
42 Asam asetilsalisilat (asetosal) tab 80 mg tab asetos8
43 Asam Askorbat tablet 100 mg tab. vitc1
44 Asam Askorbat tablet 50 mg tab. vc
45 Asam Benzoat 6%+Asam Salisilat 3% pot. asbenzo
46 Asam Folat tab. 1 mg tab. asf
47 Asam Mefenamat tablet 500 mg kaplet asmef
48 Asam Traneksamat inj. 50mg/ml amp astran
49 Asetosal tablet 100 mg tab. asetos1
50 Asetosal tablet 500 mg tablet asetos5
51 Aspar K tablet tablet aspar
52 Atapulgit tablet 600 mg tab pulgit
53 Atarax tab tab atarax
54 Atropin Sulfat Injeksi 0,25 mg/ml-1ml amp atropinj
55 Atropin Sulfat tablet 0,5 mg tab atrop
56 Bandage Perawat luka luas ( 15 cm x 4,5 cm ) buah bandage
57 Bebat Fracture buah bebat
58 Benzatin Benzil Penisilin Ij. 1,2 juta IU/vial vial benzatin1
59 Benzatin Benzil Penisilin Ij. 2,4 juta IU/vial vial benzatin2
60 Betahistin Mesilat tab 6 mg tab bhistin
61 Betametason krim 0,1 % tube beta
62 Biolysin syr. btl biolis
63 Bioneuron tab. tab bioneur
64 Bioplacenton jell tube bioplas
65 Bisakodil supp. 10mg (Dulcolax supp) dewasa supp dul10
66 Bisakodil supp. 5 mg (Dulcolax supp) anak supp dul5
67 Bisoprolol tab. 5 mg tab bisop
68 Bloodset set blood
69 Bromheksin tab. 8 mg ( Hexon tab.) tab bromhek
70 Buscotika inj.( Spasi inj .) amp buscotica
71 Calsium Gluconas injeksi amp calsi
72 Canula Oksigin anak biji canul
1 2 3 4
73 Canula Oksigin dewasa biji canuld
74 Captopril 12,5 mg tab. tab cap
75 Captopril tab. 25 mg tab cap2
76 Cartridge GeneXpert box gene
77 Catgut / Benang Bedah No.2/0-3/0 buah catgut
78 Cefadroksil caps 500mg kapsul cefad
79 Cefadroksil syr kering 125 mg botol cefads
80 Cefotaxim inj. vial cefo
81 Ceftriakson inj. vial ceftri
82 Cetirizin sirup 5mg / 5 ml btl cetir
83 Cimetidine tab. tab. cimet
84 Clobazam tab. 10 mg tab clobazam
85 Clozapin tab. 25 mg tab clozapin
86 Cyprofloxasin 500 mg tab. cipro
87 Deksametason injeksi 5mg/ml-1ml amp deksainj
88 Deksametason tablet 0,5 mg tab deksa
89 Dekstran 70-larutan infus 6% steril btl dekstran
90 Demacolin syr. btl demas
91 Demacolin tab. tab dema
92 Dexanta tablet tab dexanta
93 Diazepam Injeksi 5 mg/ml-2ml amp diazinj
94 Diazepam rectal tube supp diazrec
95 Diazepam tablet 2 mg tab. diaz
96 Diazepam tablet 5 mg tab diaz5
97 Dietilkarbamazin Sitrat tablet 100 mg tab. diet
98 Difenhidramin HCl. Injeksi 10mg/ml-1ml amp difen
99 Digoxin tablet 0,25 mg tab digox
100 Diltiazem hcl tab 30 mg tab diltiazem
101 Dimenhidrinat tab . 50 mg tab dimen
102 Disp.Scalpel buah scapel
103 Doksazosin tab 1 mg tab doksa
104 Doksisiklin tab. 100 mg tab doksi
105 Domperidom susp. 5 mg / ml btl doms
106 Domperidom tab. tab. dom
107 Efavirenz (EFV) 200 mg tab efa2
108 Efavirenz (EFV) 600 mg tab efa6
109 Efedrin HCl tablet 25 mg tab. ef
110 Ekstrak Belladon tablet 10 mg tab eb
1 2 3 4
111 Enervon C tab. tab ener
112 Epinefrina HCl/Bitatrat Injeksi amp epinef
113 Eritromisin kaps 250 mg kapsul ery2
114 Erytromisin kaps.500 mg kapsul ery
115 Erytromisin sirup. btl eri
116 Etakridin ( Rivanol ) larutan 0,1 % btl/100 ml riv
117 Etanol 70 % btl./ 1 ltr etan
118 Etanol 70% 100 ml btl. etan100
119 Etil Klorida Semprot btl etil
120 Eugenol cairan btl eug
121 Fenitoin Natrium Injeksi 50 mg/ml amp fenitoinj
122 Fenitoin Natrium Kapsul 100 mg kapsul feno1
123 Fenitoin Natrium Kapsul 30 mg kapsul feno3
124 Fenobarbital Injeksi 50 mg/ml-2ml amp fenitoinj2
125 Fenobarbital tablet 100 mg tab feno100
126 Fenobarbital tablet 30 mg tab feno30
127 Fenoksimetil Penisilina tablet 250 mg tab fenok2
128 Fenoksimetil Penisilina tablet 500 mg tab. fenok5
129 Fenol Gliserol tetes telinga 10 % btl fenol
130 Fitomenadion (Vit.K1) Tablet salut gula 10mg tab vk
131 Fitomenadion (Vit.K1)Injeksi 10mg/ml-1ml amp fitkinj
132 Fluoksetin kap. 10 mg tab fluoksetin
133 Fluoksetin kap. 20 mg tab fluoksetin2
134 Fluor tablet 0,5 mg tab fluor
135 Folley Catheter No.12 pcs foli12
142 Furosemid tablet 40 mg tab furo
143 Furosemida inj. Iv/im 10 mg/ml amp furosinj
144 Garam Oralit 200 ml air sacc oralit
145 Gentamisin inj. 80 mg / ml amp gentainj
146 Gentamycin Salep Kulit tube genta
147 Gentian Violet Larutan 1 % btl gv
148 Glibenclamid tablet 5 mg tab gliben
1 2 3 4
149 Glimepirid tab 2 mg tab glime
150 Gliserilguaiacolat tablet 100 mg tab gg
151 Glukosa Larutan Infus 10 % Steril btl. gl10
152 Glukosa Larutan Infus 40 % Steril btl gl40
153 Glukosa Larutan Infus 5 % Steril btl gl5
154 Griseofulvin tablet 125 mg, micronized tab gris
155 H2O2 ( Hydrogen Peroxide ) 3% btl / 60 ml h2o2
156 H2O2 ( Hydrogen Peroxide ) 3% btl / 800 ml h2o28
157 Haloperidol Decanoas 50 mg/ml inj. amp haldol
158 Haloperidol inj.5 mg/ml amp lodomer
159 Haloperidol tablet 0,5 mg tab halo0.5
160 Haloperidol tablet 1,5 mg tab halo1.5
161 Haloperidol tablet 5 mg tab halo5
162 Handsaplas jumbo buah tenso
163 Handscoen obgyn psg hso
164 Hansdcoen buah hs
165 Hansdcoen steril psg hsster
166 Hidroklorotiazid ( HCT ) tablet 25 mg tab. hct
167 Hidrokortison Krim 2,5 % tube hi
168 Human tetanus imunoglobulin inj 500 UI (i.m.) amp tetaninj
169 Ibuprifen susp. 100 mg / 5 ml ( novaxipen ) btl ibus1
170 Ibuprifen susp. 200 mg / 5 ml btl ibus2
171 Ibuprofen tablet 200 mg tab ibu2
172 Ibuprofen tablet 400 mg tab ibu4
173 Imipramide tab. 25 mg tab. imipramide
174 Infusion Set Anak pcs infusa
175 Infusion Set Dewasa pcs infusd
176 INH tab 100 mg tab inh
177 Iodida Test test iodtes
178 Iodiol Kapsul kaps lunak iodiol
179 Isorbid Dinitrat tablet Sublingual 5 mg tab isdn
180 IV. Cateter No.18 G pcs iv18
185 Kalamin Lotio btl kalamin
186 Kalium Permenganat serbuk btl pk
1 2 3 4
187 Kalsium Laktat (Kalk) tablet 500 mg tab kalk
188 Kaltrofen tab tab kalto
189 Kaolin Pektin syr botol nova
190 Kapas Pembalut/Adsorben 250 gram rol. kapas
191 Karbamazepin tablet 200 mg tab cbz
192 Kasa Kompres 40/40 steril rol. kasa40
193 Kasa Pembalut 2m X 80 cm rol. kasa2
194 Kasa Pembalut Hidrofil 4 m X 15 cm rol. kasa4x15
195 Kasa Pembalut Hidrofil 4 m X 3 cm rol. kasa4x3
196 Kasa steril 16x16 ktk kasa16
197 Kayu Penyangga Fracture buah kayu
198 Ketokonazol tab 200 mg tab ketoko
199 Ketoprofen inj amp ketoinj
200 Ketoprofen supp supp ketosup
201 Ketoprofen tab. 100 mg tab keto
202 Klofazimin Kapsul 100 mg micronize kaps klofa
203 Kloramfenikol injeksi vial kloraminj
204 Kloramfenikol Kapsul 250 mg kaps kloram
205 Kloramfenikol Salep mata 1% tube klorsm
206 Kloramfenikol syr. btl klorsy
207 Kloramfenikol tetes mata ( Reco ) botol klortm
208 Kloramfenikol Tetes telinga 3% btl klortt
209 Klorfeniramin Maleat (CTM) tablet 4 mg tab. ctm
210 Klorokuin tablet 150 mg tab. kloro
211 Klorpromazin HCl.Injeksi 25mg/ml-1ml amp cpzinj
212 Klorpromazin HCl.Injeksi 5mg/ml-2ml amp cpzinj5
213 Klorpromazin Tablet salut 100 mg tab. cpz100
214 Klorpromazin Tablet salut 25 mg tab cpz25
215 Klorpropamid tablet 100 mg tab. klorpro
216 Kodein Fosfat tablet 10 mg tab kod
217 Kombinasi
Kombinasi (Pirimetamin
: Ipratropium25 mg + Sulfadoksin
bromida inhalasi 0,5500
mg mg) tab kombi
218 Salbutamol 2,5 mg( Combivent UDV) tube kombidv
219 Kombinasi: kaolin 550 mg + pektin 20 mg tab odi
220 Kombipak Kategori 1 paket kombipak
221 Kotrimoksazol 120 mg tablet tab kotri120
222 Kotrimoksazol 480 mg tablet tab kotri
223 Kotrimoksazol Suspensi btl kotris
224 Kuinin ( Kina ) tablet 200 mg tab kinin
1 2 3 4
225 Kuinin Dihidroklorida Injeksi 25 % - 2ml amp kinininj
226 Ky jelly tube ky
227 Laborat Blood Lancet ktk bl
228 Laborat Cover Glass ktk cg
229 Laborat Dempul / malam putih biji dempul
230 Laborat Gluco stik ktk gluko
231 Laborat Golongan darah test. biji golda
232 Laborat Kolesterol stik ktk koles
233 Laborat Minyak Emersi lar. 50 ml botol emersi
234 Laborat Obyek Glass ktk ob
235 Laborat Obyek Glass Frosted ktk obfrosted
236 Laborat Pipet Eritrosit buah pe
237 Laborat Pipet LED buah led
238 Laborat Pipet Leukosit buah leu
239 Laborat Plano test ktk plano
240 Laborat Pot dahak buah pot
241 Laborat Pot urine ( sedang ) buah pus
242 Laborat Rak Pengecatan buah rak pgct
243 Laborat Rak Tabung Khan buah rak tbkhan
244 Laborat Rak tabung reaksi buah rak tbrk
245 Laborat Rapid Test siphilis ktk sipil
246 Laborat Reagen HIV strip ktk hiv
247 Laborat Tabung Centrifuge buah centri
248 Laborat Tabung Kapiler HCT buah kaphct
249 Laborat Tabung Reaksi buah tabrx
250 Laborat Tissu Lensa ktk tisu
251 Laborat Uric Acid stik ktk asur
252 Laborat Urine stick 10 P ktk us10
253 Laborat Urine strip ktk us
254 Laborat Widal test. set. wt
255 Lamivudine 150 mg / hiviral tab lamiv
256 Larutan Asam Klorida 0,1 N btl. hcl
257 Larutan Asam Sulfosalisilat 20 % btl. sulfo
258 Larutan Bendict btl. ben
259 Larutan EDTA btl. edta
260 Larutan Eosin 2 % btl eosin
261 Larutan Giemsa Stain btl giemsa
262 Larutan mengandung Karbohidrat + Elektrolit (Glukosa: btl largu
25,0 g; NaCl: 4,5 g)
1 2 3 4
263 Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 btl larnacl
264 gr, KCl 1.5
Larutan gr, Na Lactat 2.24 gr, Dekstrosa 27 gr) (KA
Metanol btl metan
265 EN 3B) NaCl 0,9 %
Larutan btl nacl
266 Larutan Rees Eker btl reseker
267 Larutan Turk btl turk
268 Larutan Zn. set. zn
269 Lidokain gel 2% tube lidogel
270 Lidokain komp.Injeksi Kombinasi: amp lido
271 Lidokain spray oral 10% btl lidoral
272 Linestrenol tab 0,5 mg tab lines
273 Lisol, mengandung Kresol tersabun 50 % btl lisol
274 Livron B Plex tab. tab livron
275 Loperamida tab. tab lope
276 Loratadin tab.10 mg tab. lora
277 Lorazepam ( Merlopam ) tab. 2 mg tab lopam
278 Lugol lugol
279 Masker buah masker
280 MDT-MB Adult kusta tab. mbadult
281 MDT-MB Child kusta tab mbchild
282 MDT-PB Adult kusta tab pbadult
283 MDT-PB Child kusta tab. pbchild
284 Mebendazol tablet 100 mg tab meben
285 Mess buah mes
286 Metformin HCl.tab. 500 mg tab metfor
287 Methylprednisolon tab. 4 mg tab metilp
288 Metilergometrin Maleat (Metilergometrin) tab metiler
289 Metilergometrin Maleat Inj 0,200 mg-1ml amp meterginjk
290 Metoklopramida inj.( Metolon inj ) amp metolinj
291 Metoklopramida tab. 10 mg tab meto
292 Metronidazol infus btl./ 500ml metroinfus
293 Metronidazol sir 125 mg/5 Ml btl metros
294 Metronidazol tablet 500 mg tab. metro
295 MgSO4 20% 25 ml amp mgso42
296 MgSO4 40% 25 ml amp mgso425
297 Mikonazol salp kulit 2 % tube miko
298 Mineral Mix sacc minemix
299 Natrium klorida Larutan Infus 0,9 % Steril btl naclinfus
300 Natriun Diklofenak tab. 50mg tab. nadik
1 2 3 4
301 Needle 23 G buah nedle23
302 Neurobion 5000 inj. psg amp. neurobion5
303 Neurodex tablet tab neurodek
304 Nevirapine (NVP) 200 mg tab nvp
305 Nicholin inj. amp nikolinj
306 Nifedipin tab 10 mg tab nife
307 Nistatin susp 100.000 UI/ml btl nistavag
308 Nistatin Tablet salut 500.000 IU tab salut nistatin
309 Nistatin Tablet Vaginal 100.000 IU/g supp nistav
310 Obat anti malaria tab malaria
311 Obat Antituberkulosis Anak paket oata
312 Obat Antituberkulosis Kategori 2 paket oat2
313 Obat Antituberkulosis Kategori 3 paket oat3
314 Obat Antituberkulosis Kategori I( FDC) paket fdc
315 Obat Antituberkulosis Sisipan paket oats
316 Obat batuk Hitam ( OBH ) btl. obh
317 Obat Gigi Air Raksa Dental Use tube gigihg
318 Obat Gigi Bonding 5 ml btl. gigibon
319 Obat Gigi Chlorofenol Kamfer Menthol ( CHKM ) btl. gigichkm
320 Obat Gigi Composit Anterior btl. gigikompos
321 Obat Gigi Composit Pasterior btl. gigikompospas
322 Obat Gigi Devitalisasi Pasta set. gigidevit
323 Obat Gigi Etching 2 gr. btl. gigietcing
324 Obat Gigi Forinokresol ( Pengganti TKF ) btl gigitkf
325 Obat Gigi Glass Ionomer Cemen (GC IX) btl/set. gigigc
326 Obat Gigi Kalsium Hidroksida Pasta tube gigicaoh
327 Obat Gigi Mummifying Pasta btl gigimumiying
328 Obat Gigi Semen Seng Fosfat serbuk dan cairan btl gigisemen
329 Obat Gigi Silver Amalgam serbuk 65 - 75 % btl gigisilver
330 Obat Gigi Temporary Restoratif btl gigitempor
331 Obat Gigi Temporary Stopping Fletcher (Fletcher) btl gigifletcer
332 Oksimetazolin tts hidung 0,050% tube oksimet
333 Oksitetrasiklin HCL. Injk.im.50mg/ml-10ml vial oksinj
334 Oksitetrasiklin HCl. Salep 1 % tube oksi
335 Oksitetrasiklin HCl. Salep 3 % tube oksi3
336 Oksitosin Injeksi 10 IU/ml-1ml amp oksinj2
337 Olopatadin tts mata 0,1% tube olopat
338 Omeprazol inj 40 mg/10 ml amp omezinj
1 2 3 4
339 Omeprazol kaps. 20 mg kaps ome
340 Oseltamivir tab tab osel
341 Oxygen spray portable can os
342 Papaverin inj. 40 mg / ml - 1 ml amp papavinj
343 Papaverin tab. 40 mg tab papav
344 Parasetamol drop 100mg/ml btl pctd
345 Parasetamol Sirup 120 mg / 5ml btl pcts
346 Parasetamol tablet 100 mg tab pct1
347 Parasetamol tablet 500 mg tab. pct
348 Pehacain inj. amp. phc
349 Penyangga tangan buah pt
350 Perak Sulfadiazin ( Burnazim salp ) tube burnazin
351 Permetrin krim 5 % ( Scabimite krim ) tube skabisid
352 Pil KB Laktasi tab pilkb
353 Piracetam inj. 3 gr / 15 ml amp pirainj
354 Piracetam tab. 800 mg tab pira
355 Piralen injeksi amp piralen
356 Pirantel tablet 125 mg tab pirantel
357 Piridoksin HCl. (Vit.B6) tablet 10 mg tab. b6
358 Piroxicam tab. 20 mg tab pirok
359 Plester 7,5 x 4,5 ( Isoplast ) rol isoplas
360 Polikresulen (Kondensasi Metakresol btl poli
361 Povidon Iodida 10 % 300 ml btl povidon
362 Povidon Iodida 10 % 60 ml btl povidon6
363 Prednison tablet 5 mg tab pred
364 Primakuin tablet 15 mg tab prima
365 Prokain Benzil Penisillin injeksi 3 juta IU/vial vial prokain
366 Propanolol HCl tablet 40 mg tab propan
367 Propiltiourasil tablet 100 mg tab ptu
368 Ranitidin inj. 25 mg / 2 ml amp raninj
369 Ranitidin tab. 150 mg tab rani
370 RDT Leptospira ktk leptospira
371 RDT Parascreen ( u/ malaria ) ktk parascreen
372 Reagen CD4 (Control) ktk cd4c
373 Reagen CD4 (Mebile) ktk cd4m
374 Reagen HIV Fokus fokus
375 Reagen HIV Rigsin rigsin
376 Reagen HIV SD buah sd
1 2 3 4
377 Reagen HIV TPHA tpha
378 Reagen RDT DBD NSI buah rdt
379 Reagen RDT DBD NSI IgG/Igm buah dbd
380 Reagent HIV Aids 1 buah hiv1
383 Retinol (Vitamin A) kapsul 100.000 IU kaps.lunak vita1
384 Retinol (Vitamin A) kapsul 200.000 IU kaps.lunak vita2
385 Ringer Lactat Larutan infus steril btl rl
386 Risperidone tab 2 mg tab risper
387 Rohto btl rohto
388 Salbutamol cairan ih 0,1% ( Ventolin Nebules ) tube nebul
389 Salbutamol tablet 2 mg tab salbut
390 Salep 2-4 , Kombinasi tube s24
391 Salisil Bedak 2 % dos talk
392 Serum anti Bisa ular Polivalen Injeksi vial bisa
393 Serum Anti Difteri ( ADS ) vial ads
394 Serum Anti Tentanus Injeksi 1.500IU/ampul amp tetan
395 Sianokobalamina (vit.B12) Injeksi amp b12injk
396 Sikzonoate ( Fluphenazine) inj. amp sikzoinj
397 Silk (Benang Bedah Sutera ) No. 3/0 buah silk
398 Sinvastatin tab tab simvas
399 Sinvastatin tab 20 mg simvas2
400 Sofratul lmbr sofratul
401 Soloshot 0,05 ml pcs solos
402 Soloshot 0,5 ml pcs solos1
403 Spironolakton tab 25 mg tab spiro
404 Sulfadimidin tablet 500 mg tab sulfa
NO DX KODE OBAT
1 HT I10
2 DM E11
3 FLU J00 DEMACOLIN,PCT,CTM
4 FLU BATUK J11 DEMACOLIN,PCT,CTM,GG,OBH,AMBROXOL
5 FLU BATUK+AB J06 DEMACOLIN,PCT,CTM,GG,OBH,AMBROXOL+AB
6 FARINGITIS J02 PCT,CTM +AB
7 TONSILITIS J03 PCT,CTM +AB
8 DIARE A09 LOPE,ORALIT,ZINK
9 DISENTRI A03 LOPE,ORALIT,ZINK + AB
10 MYALGIA M62 IBU,B1
11 MYAGIA+AS URAT,KOLES M13 IBU,B1+ALLOP,SIMVAS
12 DISPEPSIA K30 DEXANTA
13 GASTRITIS K29 ANTASID,RANI,OMZ
14 SUNTIK KB Z304
15 IMPLAN Z307
16 PIL KB Z305
17 IMPLAN Z301
18 HAMIL
19
20
21
22
23
24
25
26
27
28
29
30
makhtur p 13 6 g
12
10
0
14
PETUNJUK PENGISIAN
ISILAH DATA YANG DIPERLUKAN PADA SHEET "DATA" DAN "DATA OBAT"
1 Isi semua data pada Sheet "DATA"
2 Ganti nama Puskesmas sesuai Pos masing2, mis Pustu Ngares
3 Isi kode bulan pada kolom "BLN ke" (kode terlampir)
4 Isi kode minggu pada kolom "MGG ke" (kode terlampir)
5 Isi kode tanggal pada kolom "TGL ke" (kode terlampir)
Khusus untuk tgl 21 des - 31 des (di akhir tahun), kode tanggal ditulis 32 - 42
karena laporan ditutup sampai mendekati akhir tahun
Jika tgl 21 des dst dimasukkan untuk awal tahun, maka kode bulannya adalah "1"
dan kode tanggalnya tetap "21"
Kode "BLN ke", "MGG ke", dan "TGL ke" ditulis setelah mengisi data pada hari tersebut
agar komputer tidak memproses lama sehingga menjadi lemot
6 Isi kode unit pada cell di pojok kanan atas (diatas kolom "AGE")
7 kolom diisi
NO no urut
TANGGAL tanggal kunj pasien
UNIT YG DITUJU otomatis akan muncul
NAMA PENDERITA nama pasien
INDEKS no indeks family folder (map) pasien
NAMA KK nama kepala keluarga dalam family folder
ALAMAT nama desa/ kelurahan pasien
RT RT tempat tinggal pasien
l/p jenis kelamin pasien
UMUR umur pasien, dibedakan dalam kolom umur, thn, hari
KUNJ : sts kunj status (list) pasien, diisi b (baru), atau l (lama)
KUNJ : jns kunj jenis pasien (terlampir)
KK kunj family folder, diisi b (baru), atau l (lama)
DG/LG diisi hanya untuk kunj luar gedung
KET keterangan karcis (khusus untuk loket induk, mis kir, cm)
ANAMNESA keluhan pasien
OBYEKTIF hasil pemeriksaan fisik
DIAGNOSA diagnosa penyakit pasien, masing2 kolom untuk 1 diagnosa
KUNJ KASUS kunj kasus pasien, masing2 kolom untuk 1 kunj kasus
PENGOBATAN obat yang diberikan, terdiri dari nama obat dan jumlah (kode terlampir)
TINDAKAN tindakan yang diberikan untuk pasien (kode terlampir)
NO ASURANSI no anggota asuransi, mis jamkesmas, askes (bila ada)
8 Kolom yang diberi warna jangan diubah

9 Jika jumlah pasien kurang banyak, lakukan insert rows kemudian copy rumus
pada kolom yang berwarna
10 Untuk melihat hasil di sheet "SHP" dan "LB4", atau di file "BP"
ketik kode data yang diinginkan pada kolom yang berwarna
kuning (di pojok kiri atas)
11 Untuk file "obat" otomatis kode bulan akan sama pada file "1 DATA DAN LOKET"
di sheet "SHP"
12 Jika ada obat baru, mohon konfirmasi ke pembuat program sebelum melakukan perubahan
agar perubahan tersebut dapat disosialisasikan ke pengguna program yang lain
sehingga bisa seragam
13 penerimaan dan stok awal obat, isikan pada sheet "DATA OBAT"
sesuai dengan masing2 bulan pada kolom "penerimaan"
dan kolom "stok awal"
14 Untuk mencetak data per bulan, klik autofilter pada kolom "BLN ke",
pilih kode bulan yang diinginkan, kemudian ketik nama bulan pada cel F4
15 Untuk sheet "karcis harian", gantilah tanggal sesuai dengan tanggal berlaku
dengan syarat, untuk bulan februari tanggalnya tetap harus sampai tanggal 29 Februari
16 Untuk file "BP" dan file "OBAT", bukalah hanya ketika membutuhkan untuk melihat data
File "BP" berisi : Sensus Harian Penyakit, Rekap Penyakit per desa, 10 Kunj Kasus Terbanyak
Grafik Kasus Mingguan, Grafik kasus mingguan dengan dilengkapi kunj kasus
Grafik Kunjungan Kasus Mingguan
File "OBAT" berisi : Rekap Harian Obat, LPLPO
17 Semoga program ini dapat dipakai sampai seterusnya

sampai ada program yang lebih lengkap dan lebih simple
18 Jika ada kesulitan, hubungi KIKI (085 649 783 477)
19 Terima kasih atas kerja keras dan kerja samanya
SELAMAT BERKARYA
Kode bulan Kode Status dan Kunj KK
1 JANUARI b
2 FEBRUARI l
3 MARET
4 APRIL Kode Jenis Kunj
5 MEI b
6 JUNI a
7 JULI p
8 AGUSTUS ja
9 SEPTEMBER jp
10 OKTOBER jd
11 NOPEMBER l
12 DESEMBER
Kode Tanggal Kode Kunj Kasus

1 tanggal 1 b
2 tanggal 2 l
3 tanggal 3 kkl
4 tanggal 4
5 tanggal 5
6 tanggal 6 Kode Diagnosa
7 tanggal 7 01
8 tanggal 8 0101
9 tanggal 9 0102
10 tanggal 10 0103
dst…….. 0104
0105
Kode Unit 0106
011 BP induk 02
012 KIA induk 0201
013 Gigi induk 0202
014 MTBS 0203
021 BP sukosari 0204
022 KIA sukosari 0206
023 Gigi sukosari 0209
031 BP ngares 0299
032 KIA ngares 03
033 Gigi ngares 0301
041 BP sumberdadi 0302
042 KIA sumberdadi 0303
043 Gigi sumberdadi 0304
051 BP dawuhan 0305
052 KIA dawuhan 0307
053 Gigi dawuhan 0308
061 BP rejowinangun 0309
062 KIA rejowinangun 0399
063 Gigi rejowinangun 04
081 BP parakan 0401
082 KIA parakan 0402
083 Gigi Parakan 0403
0404
121 Pusling 0405
122 Lansia 0406
123 LP 0407
0408
Kode Tindakan 0409
Kode Nama Tindakan Retribusi 0410
2001 Konsultasi gizi 4,000 0411
6002 Persalinan 200,000 0412
7101 Jahit Luka 1-5 jahitan 10,000 0413
7102 Jahit Luka >5 jahitan 15,000 0414
7103 Angkat Jahitan 1-5 jahitan 5,000 0415
7104 Angkat Jahitan >5 10,000 0416
7105 Insisi Abses 10,000 0417
7106 Tindik Telinga 5,000 0418
7107 Pasang IUD 20,000 0419
7108 Cabut IUD 15,000 0420
7109 Pasang Implan 25,000 0421
7110 Cabut Implan 40,000 0499
7111 Rawat Luka Ringan 10,000 05
7112 Rawat Luka Sedang 25,000 0501
7113 Tindakan Medis Lain 10,000 0502
7114 Pengambilan Benda Asing 25,000 0503
7302 Pembersihan Karang Gigi 2,000 0504
7303 Cabut Gigi Anak 10,000 0505
7304 Cabut Gigi Tertanam 100,000 0599
Cabut Gigi Dewasa 06
7305 15,000
Ringan
7306 Cabut Gigi Dewasa Sulit 30,000 0601
7307 Insisi Abses Gigi 15,000 0602
Tambal Gigi Susu 0604
7308 10,000
Sementara
7309 Tambal Gigi Susu Tetap 15,000 0606
Tambal Gigi Dewasa 0607
7310 10,000
Sementara
7311 Tambal Gigi Dewasa Tetap 15,000 0699
7312 Tambal Gigi dg Sinar 30,000 07
7313 Tambal Gigi Tertanam 100,000 0701
8101 Lab. Urine 3 par 8,000 0702
8102 Lab. Reduksi Urin 3,000 0703
8103 Lab. Albumin Urin 3,000 0704
8201 Lab.Hemoglobin 2,500 0705
8202 Lab. Hematokrit 8,000 0706
8203 Lab. Trombosit 10,000 0707
8301 Lab. Gol. Darah 8,000 0708
8302 Lab. Plano Test 10,000 0799
8401 Lab. Gula Darah 15,000 08
8402 Lab. Asam Urat 20,000 0801
8403 Lab. Kolesterol 23,000 0802
8501 Lab. Malaria 5,000 0803
8502 Lab. BTA 5,000 0804
9106 Dopler 5,000 0807
0808
0899
09
0901
0902
0903
0904
0905
0906
0907
0908
0909
0910
0911
0912
0913
0915
0916
0917
0918
0919
0999
10
1001
1002
1003
1004
1005
1006
1007
1008
1009
1099
11
1101
1102
1103
1104
1105
1106
1107
1109
1110
1199
12
1201
1202
1203
1204
1205
1206
1207
1208
1209
1210
1211
1299
13
1301
1302
1303
1304
1399
1401
1402
1403
1499
1500
1601
1602
1603
1701
1702
1703
1799
1801
1802
1803
1804
1805
1806
1901
1902
1903
1904
1905
1906
1907
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2099
2101
2102
2103
2104
2105
2109
2199
2201
2202
2203
2204
2205
2206
2207
2208
2209
2210
2299
2301
2302
2303
2304
2305
2399
2402
2403
2404
2406
2407
2408
2409
2499
2500
2601
2602
2603
2604
2605
2606
2607
2608
2609
2610
2611
2612
2613
2614
2699
2701
2702
2703
2704
2705
2706
2707
2708
2709
2710
2798
2801
2802
2803
2804
2805
2806
2807
2808
2809
2810
2811
2812
2813
2814
2815
2816
2817
2818
2819
2820
2899
2901
2902
2903
2904
2905
2906
2907
2908
2909
2910
2911
2999
3001
3002
3003
3004
3005
3006
3007
3008
3009
3010
3011
3012
3013
3014
3015
3016
3017
3018
3019
3020
3021
3022
3099
3101
3201
3202
3203
3204
3205
3206
3207
3208
3299
3301
3302
3303
3304
3305
3306
3307
3308
3309
3310
3312
3399
3401
3402
3403
3404
3405
3406
3407
3499
3501
3502
3503
3504
3505
3506
3507
3508
3509
3510
3511
3512
3513
3514
3515
3601
3602
3603
3604
3605
3606
3607
3608
3609
3610
3611
3612
3613
3614
3615
3616
3617
3618
3699
3701
3702
3703
3704
3801
3802
3803
3804
3805
3806
3807
3808
3809
3811
3812
3813
3814
3899
3901
3902
3999
4001
4002
4003
4004
4005
4006
4007
4008
4099
4119
4121
4129
4201
4202
4203
4299
4301
4302
4303
4304
4305
4306
4307
4308
4309
4310
4311
4312
4701
4702
4703
4704
4705
4706
4707
4708
4709
4799
4801
4802
4803
4804
4805
4806
4807
4808
4899
4901
4902
4903
4904
4905
4906
4910
4911
4912
4999
5003
5004
5005
5006
5007
5008
5009
5010
5011
5012
5013
5099
Kode Status dan Kunj KK Kode Minggu
kunj pertama kali dalam 1 tahun TAHUN 2012 JANUARI FEBRUARI
kunj kedua dst dalam 1 tahun MINGGU KE 1 2 3 4 5 6 7
minggu 1 8 15 22 29 5 12
Kode Jenis Kunj senin 2 9 16 23 30 6 13
bayar selasa 3 10 17 24 31 7 14
askes anggota rabu 4 11 18 25 1 8 15
askes peserta kamis 5 12 19 26 2 9 16
jamkesmas anggota jum'at 6 13 20 27 3 10 17
jamkesmas peserta sabtu 7 14 21 28 4 11 18
jamkesda
sktm, gratis, lain-lain TAHUN 2012 JULI AGUSTUS
MINGGU KE 27 28 29 30 31 32 33
minggu 1 8 15 22 29 5 12
senin 2 9 16 23 30 6 13
Kode Kunj Kasus selasa 3 10 17 24 31 7 14
kunj kasus yang pertama kali rabu 4 11 18 25 1 8 15
kunj kasus untuk yang kedua dlm rentang waktu 1 bln kamis 5 12 19 26 2 9 16
kunj kasus yang sama dalam rentang waktu lebih 1 bln jum'at 6 13 20 27 3 10 17
sabtu 7 14 21 28 4 11 18
Kode Diagnosa Kode Obat

PENYAKIT INFEKSI PADA USUS acy4 Acyclovir tab. 400 mg
Kolera acyc Acyclovir SK 5 %
Typus perut adon Adona Ac 17 injeksi 5 ml
Infeksi Bakteri lain spt1 Alat Suntik Sekali Pakai 1 ml
Infeksi Protozoa lain spt2 Alat Suntik Sekali Pakai 2,5 ml
Diare dan Gastroenteritis non spesifik spt5 Alat Suntik Sekali Pakai 5 ml
Amoebiasis abdz Albendazol tablet 400 mg
PENYAKIT TUBERKULOSA alin Alinamin F tab.
TB Paru BTA (+) alop Alopurinol tablet 100 mg
TB Relaps amb Ambroxol tablet
TB Kategori I amni Aminofilina Injeksi 24mg/ml-10ml
TB Klinis Termasuk Rongent (+) BTA (-) amnf Aminofilina tablet 200 mg
Difteria amit Amitriptilin HCl.Tablet Salut 25 mg
TB anak amx2 Amoksisilin kapsul 250 mg
TB Organ lain amx5 Amoksisilin kaplet 500 mg
PENYAKIT BAKTERI amxs Amoksisilin Sirup Kering 125 mg/5ml
Anthrax amp Ampisillin inj. 1 gr
Leptospirosis atgi Antalgin (Metampiron) Injeksi 250 mg/ml-2ml
Pes atg Antalgin (Metampiron) Tablet 500 mg
Kusta PB ant Antasida DOEN Tablet, Kombinasi :
Kusta MB ants Antasida DOEN susp, Kombinasi :
Batuk Rejan abdo Anti Bakteri DOEN Salep Kombinasi :
Tetanus Obstetricus pada kehamilan/persalinan abas Asam Benzoat 6%+Asam Salisilat 3%
Tetanus lain misal dewasa tidak hamil ahem Anti Hemoroid DOEN Kombinasi
Penyakit karena Bakteri lain amig Antimigren DOEN kombinasi: Tablet
PENYAKIT VIRUS apar Antiparkinson DOEN tablet kombinasi :
Trakhoma aqua Aqua pro Injeksi, bebas pirogen
Poliomyelitis Akuta aqds Aquadest Steril
Penyakit gila anjing (Rabies) vitc Asam Askorbat tablet 50 mg
Dengue Fever c25 Asam Askorbat tablet 250 mg
DHF ast1 Asetosal tablet 100 mg
Herpes Simplex ast5 Asetosal tablet 500 mg
Varicella atsi Atropin Sulfat Injeksi 0,25 mg/ml-1ml
Herpes Zoster atst Atropin Sulfat tablet 0,5 mg
Campak amef Asam Mefenamat tablet 500 mg
Viral Warts misal Condiloma Acuminata antr Antrain inj.
Hepatitis A Akuta arte Artesunat inj.
Hepatitis B Akuta artq Artediaquine tab.
Hepatitis selain A,B, Akuta artm Artemeter inj.
Hepatitis Khronika ben1 Benzatin Benzil Penisilin Ij. 1,2 juta IU/vial
HIV (+) ben2 Benzatin Benzil Penisilin Ij. 2,4 juta IU/vial
Parotitis beta Betametason krim 0,1 %
Cytomegalovirus bion Bioneuron tab.
Chikugunya biop Bioplacenton jell
FLU BURUNG biso Bisoprolol tab. 5 mg
AIDS bric Bricasma tab.
SARS busc Buscopan injeksi
Penyakit karena virus lain blos Bloodset
RIKETSIASIS & PENY. KRN ARTOPODA LAIN catg Catgut / Benang Bedah No.2/0-3/0
Malaria Tropika (P Falciparum) coa Canula Oksigin anak
Malaria Tertiana (P Vivax) cod Canula Oksigin dewasa
Malaria Mix (PF Campur P Vivax) cagl Calsium Gluconas injeksi
Malaria klinis cap12 Captopril 12,5 mg tab.
Toxoplasmosis cap25 Captopril tab. 25 mg
Penyakit karena protozoa lain cefo Cefotaxim inj.
PENYAKIT KELAMIN cefa Cefadroksil caps 500mg
Infeksi Gonokok cime Cimetidine tab.
Non Gonokok cors Corosorb tablet
Sipilis cypro Cyprofloxasin 500 mg
TRICHOMONAS dexi Deksametason injeksi 5mg/ml-1ml
Chlamydial Lymphogranuloma venerum dexa Deksametason tablet 0,5 mg
Penyakit kelamin lain deks Dekstran 70-larutan infus 6% steril
PENYAKIT KRN PARASIT DAN AKIBAT KEMUDIANdmps Dekstrometorfan sirup 10 mg/5ml
Penyakit kulit karena jamur dmpt Dektrometorfan tablet 15 mg
Frambusia M dema Demacolin tab.
Cacing pita dems Demacolin syr.
Filariasis dzpi Diazepam Injeksi 5 mg/ml-2ml
Cacing tambang dzp2 Diazepam tablet 2 mg
Ascariasis (cacing gelang) dzp Diazepam tablet 5 mg
Cacing kremi dzpr Diazepam rectal tube
Scabies diet Dietilkarbamazin Sitrat tablet 100 mg
Penyakit ok parasit lain difi Difenhidramin HCl. Injeksi 10mg/ml-1ml
GANGGUAN INDOKRIN digo Digoxin tablet 0,25 mg
GAKI: Gondok Endemik: STRUMA scal Disp.Scalpel
Hipotiroidism Congenital: Kretin doks Doksisiklin tab. 100 mg
Hipotiroidism Subklinik dom DOM tab.
Hipertiroidisme dram Dramamin tablet
type 1: Insulin dependen DM efe Efedrin HCl tablet 25 mg
type 2: Non insulin dependen DM bell Ekstrak Belladon tablet 10 mg
Penyakit gangguan endokrin & metabolik lain epin Epinefrina HCl/Bitatrat Injeksi
PENYAKIT SUSUNAN SYARAF etak Etakridin ( Rivanol ) larutan 0,1 %
Kwashiorkor etan Etanol 70 %
Marasmus etks Etil Klorida Semprot
Marasmic Kwashiorkor eug Eugenol cairan
KEP Berat feni Fenitoin Natrium Injeksi 50 mg/ml
KEP Sedang fen3 Fenitoin Natrium Kapsul 30 mg
KEP Ringan fen1 Fenitoin Natrium Kapsul 100 mg
Def Vitamin A fnbi Fenobarbital Injeksi 50 mg/ml-2ml
Def Thiamina (Vit B1) fnb3 Fenobarbital tablet 30 mg
Def Vitamin C fnb1 Fenobarbital tablet 100 mg
Def Vitamin lain: niacin, asam folat,dll fnp2 Fenoksimetil Penisilina tablet 250 mg
Def Zat gizi mikro lain : Zn, Se, Ca dll fnp5 Fenoksimetil Penisilina tablet 500 mg
Def zat gizi makro lain fgli Fenol Gliserol tetes telinga 10 %
Obesitas vitki Fitomenadion (Vit.K1)Injeksi 10mg/ml-1ml
BBLR < 2500 gram vitk Fitomenadion (Vit.K1) Tablet salut gula 10mg
Pertumbuhan janin lambat fct12 Folly Chateter No. 12
Imaturitas < 28 minggu fct14 Folley Catheter No.14
Preterm: umur kehamilan 28-37 minggu fct16 Folley Catheter No. 16
Berat badan lahir > 4500 gram fct18 Folley Chateter No. 18
Penyakit Gizi lain fct20 Folley Chateter No. 20
PENY. PENYALAHGUINAAN OBAT & GANGGUAN JIWA fct22 Folley Chateter No. 22
Penyalahgunaan Alkohol fct24 Folley Chateter No. 24
Penyalahgunaan tembakau fluor Fluor tablet 0,5 mg
Penyalahgunaan Narkoba furo Furosemid tablet 40 mg
Gangguan Neurotik gamx Gamexan Emulsi 1% ( scabisid cream )
Gangguan kepribadian olit Garam Oralit 200 ml air
Gangguan Psikotik gent Gentamycin Salep Kulit
Retardasi Mental gv Gentian Violet Larutan 1 %
Gangguan jiwa bermula pada bayi, anak/remaja glib Glibenclamid tablet 5 mg
DEPRESI gg Gliserilguaiacolat tablet 100 mg
Gangguan Jiwa lain2 gli5 Glukosa Larutan Infus 5 % Steril
PENY. PADA OTAK & JARINGANNYA gli10 Glukosa Larutan Infus 10 % Steril
Meningitis gli40 Glukosa Larutan Infus 40 % Steril
Encephalitis gris Griseofulvin tablet 125 mg, micronized
Epilepsi halo Haloperidol tablet 0,5 mg
Migraina halo1 Haloperidol tablet 1,5 mg
Bell's Palsy halo5 Haloperidol 5 mg tab.
Polineuropathy hct Hidroklorotiazid ( HCT ) tablet 25 mg
Cerebral Palsy hans Hanscoen
Acute Flaccid Paralysis (LUMPUH LAYU AKUTA) hdro Hidrokortison Krim 2,5 %
Hydrocephalus ibu2 Ibuprofen tablet 200 mg
Peny susunan syaraf lain2 ibu4 Ibuprofen tablet 400 mg
PENY. MATA isa Infusion Set Anak
Hordeolum (Bintilan) isd Infusion Set Dewasa
Radang saluran kelenjar mata iod Iodiol Kapsul
Conjunctivitis isdn Isorbid Dinitrat tablet Sublingual 5 mg
Pterigium ivc18 IV. Cateter No.18 G
Kerattitis ivc20 IV. Cateter No.20 G
Kekeruhan Kornea ivc22 IV. Cateter No.22 G
Iridociclitis termasuk Uveitis ivc24 IV. Cateter No.24 G
Katarak ivc IV. Cateter No.18 G
Glaukoma kalp Kalium Permenganat serbuk
Kebutaan kalk Kalsium Laktat (Kalk) tablet 500 mg
Gangguan Refraksi kalt Kaltrofen injeksi
Penyakit mata lain-2 ads Kapas Pembalut/Adsorben 250 gram
PENY. TELINGA karb Karbamazepin tablet 200 mg
Otitis Externa kkom Kasa Kompres 40/40 steril
Otitis Media kp28 Kasa Pembalut 2m X 80 cm
Tuli kph3 Kasa Pembalut Hidrofil 4 m X 3 cm
Gangguan telinga lain misal Cerumen kph15 Kasa Pembalut Hidrofil 4 m X 15 cm
Penyakit Telinga lain klof Klofazimin Kapsul 100 mg micronize
klor Kloramfenikol Kapsul 250 mg
Angina Pectoris klom Kloramfenikol Salep mata 1%
Gangguan irama Jantung klot Kloramfenikol Tetes telinga 3%
Gagal Jantung kloi Kloramphenikol injeksi
Penyakit Jantung lain-2 klos Kloramphenikol syr.
ctm Klorfeniramin Maleat (CTM) tablet 4 mg
Demam rematik & peny jantung rematik klorq Klorokuin tablet 150 mg
kpri5 Klorpromazin HCl.Injeksi 5mg/ml-2ml
Hipertensi Primer kpri25 Klorpromazin HCl.Injeksi 25mg/ml-1ml
Hipertensi Sekunder kpr25 Klorpromazin Tablet salut 25 mg
Hipotensi cpz Klorpromazin Tablet salut 100 mg
kprd Klorpropamid tablet 100 mg
Wasir (Hemorrhoid) kode Kodein Fosfat tablet 10 mg
Varises pirs Kombinasi (Pirimetamin 25 mg + Sulfadoxin 5
Phlebitis keto Ketokonasol tablet 200mg
Penyakit pembuluh darah lain-2 ktrs Kotrimoksazol Suspensi
ktri Kotrimoksazol 480 mg tablet
Nasopharingitis Akuta (common cold) ISPA ktr1 Kotrimoksazol 120 mg tablet
Pharingitis kui Kuinin Dihidroklorida Injeksi 25 % - 2ml
Tonsilitis kuin Kuinin ( Kina ) tablet 200 mg
Infeksi akut lain pd sal pernafasan atas kyj Ky jelly
Influenza, virus tidak teridentifikasi lbc Laborat Blood Lancet
Peny lain pada sal pernafasan bag atas. lcg Laborat Cover Glass
ltk Laborat Tabung Kapiler HCT
Laringitis & luc Laborat Uric Acid stik
Pneumonia lgs Laborat Gluco stik
Bronkhitis Akuta lgd Laborat Golongan darah test.
Bronkhitis Khronika plano Laborat Plano test
Asma wid Laborat Widal test.
Pleuritis aklo Larutan Asam Klorida 0,1 N
Peny lain dari sal pernafasan bag bawah asul Larutan Asam Sulfosalisilat 20 %
bend Larutan Bendict
Gg pertumbuhan Gigi dan Erupsi eos Larutan Eosin 2 %
Impacted etas Larutan Etanol Asam
Carries Gigi edta Larutan EDTA
Calculus dan Deposit lain giem Larutan Giemsa Stain
Peny Pulpa & Jaringan Perapikal karf Larutan Karbol Fuksin
Peny Gusi & Jaringan Periodental metb Larutan Metilen Biru
Kelainan Dento Fasial termasuk Mal Oklusi meta Larutan Metanol
Gg gigi & struktur penyangga lain: strain, trauma rees Larutan Rees Eker
Kista di rongga mulut turk Larutan Turk
Stomatitis termasuk pada bibir dan mukosa mulut zn Larutan Zn.
Glossitis dan penyakit lidah lain lido Lidokain komp.Injeksi Kombinasi:
Penyakit Gig i/ lidah lain-2 liso Lisol, mengandung Kresol tersabun 50 %
lbp Livron B Plex tab.
Tukak lambung lope Loperamida tab.
Gastritis lora Loratadin tab.10 mg
Dyspepsia mask Masker
Apendicitis Akuta mebe Mebendazol tablet 100 mg
Apendicitis Khronik mgi Metilergometrin Maleat Inj 0,200 mg-1ml
Peny Hati menahun / Cerrhosis Hepatis mgin Metilergometrin Maleat (Metilergometrin)
Penyakit Saluran Pencernaan dan Hati lain-2 mtr2 Metronidazol tablet 250 mg
metf Metformin HCl.tab. 500 mg
Nephrotic Syndrome mklo Metoklopramida tab. 10 mg
Glumerulo Nephritis Akuta mode Modecate inj.
Nephritis Akuta naki Natrium klorida Larutan Infus 0,9 % Steril
Nephritis Khronila nnak Natriun Diklofenak tab. 50mg
Gagal Ginjal Akut need Needle 23 G
Gagal Ginjal Khronika neur Neurobion 5000 inj.
Batu Ginjal dan Ureter neu Neurodex tablet
Batu Kandung Kemih nist5 Nistatin Tablet salut 500.000 IU
Renal Kolik nist1 Nistatin Tablet Vaginal 100.000 IU/g
Cystitis nife Nifedipin tab 10 mg
Peny Saluran Kencing lain-2 nich Nicholin inj.
atk1 Obat Antituberkulosis Kategori I( FDC)
Hypertropy Prostate atk2 Obat Antituberkulosis Kategori 2
Hydrocele atk3 Obat Antituberkulosis Kategori 3
Orchitis ats Obat Antituberkulosis Sisipan
Phymosis ata Obat Antituberkulosis Anak
Hypospadia obh Obat batuk Hitam ( OBH )
Peny Alat kelamin laki-laki lain oxyi Oksitetrasiklin HCL. Injk.im.50mg/ml-10ml
oxys Oksitetrasiklin HCl. Salep 1 %
Peradangan Pinggul (PID ) tidak spesifik oxy3 Oksitetrasiklin HCl. Salep 3 %
Peradangan Vagena dan Vulva oks Oksitosin Injeksi 10 IU/ml-1ml
Bukan peradangan Vagena lain mis, Leukorrhoe neb Obat Nebulizer
Dysmenorrahea ogdu Obat Gigi Air Raksa Dental Use
Oligomenorrhea ogb Obat Gigi Bonding 5 ml
Meno / Metrorhagia chkm Obat Gigi Chlorofenol Kamfer Menthol ( CHK
Menopause dan gejala ikutan lain ogc Obat Gigi Composit
Penyakit Alat Kelamin perempuan lain ogdp Obat Gigi Devitalisasi Pasta
oge Obat Gigi Etching 2 gr.
Keguguran ogf Obat Gigi Forinokresol ( Pengganti TKF )
ogic Obat Gigi Glass Ionomer Cemen (GC IX)
Perdarahan dalam masa kehamilan (diluar inpartu) ogkh Obat Gigi Kalsium Hidroksida Pasta
Keracunan kehamilan ogmp Obat Gigi Mummifying Pasta
Placenta Pravia ogsn Obat Gigi Semen Seng Fosfat serbuk dan ca
Solutio Placenta ogsa Obat Gigi Silver Amalgam serbuk 65 - 75 %
Pendarahan Antepartum lain (menjelang persalinan) ogsg Obat Gigi Spons Gelatin Cubioles 1 x 1 x 1 cm
Rintangan Persalinan : Induksi gagal ogts Obat Gigi Temporary Stopping Fletcher (Fletc
Rintangan Persalinan : Partus lama pka Obat Paket A
Rintangan Persalinan : Malposisi pkb Obat Paket B
Rintangan Persalinan Rintangan lain pkc Obat Paket C
Pendarahan Pastportum pkd Obat Paket D
Infeksi masa hamil persalinan dan nifas pke Obat Paket E
Mastitis pkf Obat Paket F
Hyperemesis Gravidarum pkg Obat Paket G
Rintangan Persalinan : Panggul Sempit pkh Obat Paket H
Kelainan Kandungan langsung lain para Paraformaldehid tablet 1gram
pcts Parasetamol Sirup 120 mg / 5ml
Supervisi kehamilan normal K1 akses pct1 Parasetamol tablet 100 mg
Antenatal skreening : K4 pct5 Parasetamol tablet 500 mg
Hasil Persalinan Tunggal papa Papaverin inj. 40 mg / ml - 1 ml
Lahir hidup menurut penolongan Nakes pirn Pirantel tablet 125 mg
Lahir hidup menurut penolongan Bukan Nakes piri Piridoksin HCl. (Vit.B6) tablet 10 mg
Perawatan Pospartum = masa nifas pira Piralen injeksi
Ibu Menyusui = buteki pirx Piroxicam tab. 20 mg
K1 murni ples Plester 5 yard x 2 inch
K2 poli Polikresulen (Kondensasi Metakresol
K3 povi Povidon Iodida 10 % 300 ml
Kunjungan >= K4 pred Prednison tablet 5 mg
prim Primakuin tablet 15 mg
Resti anemia HB < 10 g% prok Prokain Benzil Penisillin injeksi 3 juta IU/vial
Resti jarak antara anak < 2 tahun ptu Propiltiourasil tablet 100 mg
Resti tinggi badan < 145 cm prop Propanolol HCl tablet 40 mg
Resti penyakit kronis prog Progastic tab.
Multi paritas > 3 anak rpin Reserpin tablet 0,25 mg
Primi tua > 35 tahun a100 Retinol (Vitamin A) kapsul 100.000 IU
Primi muda < 20 tahun a200 Retinol (Vitamin A) kapsul 200.000 IU
Resti masalah sosial JPS, gakin rl Ringer Lactat Larutan infus steril
Reti KEK : LILA < 23.5 cm salb Salbutamol tablet 2 mg
Tekanan darah tinggi > 140 & D > 90 sa24 Salep 2-4 , Kombinasi
Persalinan spontan talk Salisil Bedak 2 %
Persalianan Vakum spir Salisil Spiritus 10 %
Persanan SC abs Serum anti Bisa ular Polivalen Injeksi
Persalinan dengan bantuan lain sati Serum Anti Tentanus Injeksi 1.500IU/ampul
Melahirkan Ganda b12 Sianokobalamina (vit.B12) Injeksi
BB ibu <45 kg silk Silk (Benang Bedah Sutera ) No. 3/0
Preeclampsia / Eclampsia sinv Sinvastatin tab
Kehamilan malposisi sol1 Soloshot 0,5 ml
Riwayat obstetri jelek sol2 Soloshot 0,05 ml
Hiperemesis Graviarum spas Spasminal tablet
Kehamilan resti lain2 sulfa Sulfadimidin tablet 500 mg
fe Tablet tambah Darah kombinasi : Besi II
Konseling KB hyos Tablet kombinasi Hyoscin Butylbromida
KB IUD 10 mg + Methampironum 250 mg (Dormi com
KB Lestari Tubektomi ttrm Tetrakain HCl tetes mata
KB Vasektomi ttr2 Tetrasiklin HCl. Kapsul 250 mg
KB Suntik ttr5 Tetrasiklin HCl. Kapsul 500 mg
KB Pil b1i Tiamin HCl. (Vit.B1) Injeksi 100 mg/ml-1ml
KB Kondom b1 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg
KB Implant tion Tiopental Natrium serbuk inj. 1000 mg/amp
Papaniculou smear thd Triheksifenidil Hidroklorida tablet 2 mg
KEAGALAN KB tens Tensigard
EFEK SAMPING KB ulsi Ulsikur injeksi
KB LAIN2 urbg Urine Bag
bcom Vitamin B Komplex tablet
BCG wing Wing Nedle
TT1 Calon Pengantin xilo Xillomidon injeksi
TT1 Ibu Hamil = T3 zinc Zinc tablet
TT Anak Sekolah acy2 Acyclovir 200 mg
Diphteria clnt Clean touch
Polio 1 ich Ichtyol SK
Viral Encephalitis (MENINGITIS HAJI) dexy Dexycol 500 mg
Campak bayi stes Stesolit rectal
Viral Hepatitis (HB < 0-7 HARI) dulc Dulcolax supp. (dewasa)
Influennza klotm Kloramfenikol tetes mata 0.5%
DPT 1 milk Mineral milk
DPT 2 biol Biolysin syr
DPT 3 mtro Metronidazol tablet 500 mg
Polio 2 dvit Dempul Vitrek
Polio 3 obyg Obyek Glass
Polio 4 urt Urine Rapid Test
HB >7HARI : HB1 genti Gentamycin inj
HB 2 mgso Mgso4 40% 25 ml
HB 3 depo Progesteron Depo inj
TT2 Calon Pengantin mtri Metronidazol 500 mg Infus
TT2 Bumil = T4 uspg Urine Strip(protein +gula)
TT3 bumil = T5 impl Implan KB
Immunisasi lain-2 pilkb Kontrasepsi Pil Komb
cycl Cyclofem
DT Anak Sekolah dula Dulcolax 5mg supp anak
lbts Laborat tissue lensa
Masuk Pendidikan
Melamar Pekerjaan
Masuk / Mendaftarkan TNI
SIM
Peserta Event Olah Raga
Asuransi
Keperluan Administrasi lain misal PNS
Kir Kesehatan Jamaah Haji
Kir Kesehatan lain-2
Encephalocele
Microcephaly
Congenital Hydrocephalus
Spinabifida
Cleft Palate : Palatum Sumbing
Cleft Lip: Bibir Sumbing
Bibir dan Palatum Sumbing
Cacat pada telapak kaki
Polydactily
Syndactily
Down's Syndrome
Cacat Congenital lain2
Trauma lahir
Asfiksi
Tetanus Neonatorum
Kern Icterus
Icteric Neonatus sebab tidak jelas
lleus Meconium
Kematian Fetus tidak jelas : lahir mati & IUFD
Keadaan lain-2 pada masa perinatal
Tumor ganas : Nasopharynx

Tumor ganas : Kaposi's Sarcoma
Tumor ganas : Payudara
Tumor ganas : Cervix
Tumor ganas : Prostate
Tumor ganas lain2
Tumor ganas darah: Leukemia, Thalasemia
Tumor jinak : Lipoma
Tumor jinak : Hemangioma, Lymphangioma
Tumor jinak : Melanocyclic Naevy
Tumor jinak : Payudara
Tumor jinak : Leiomyoma
Tumor jinak : lain-2
Ca Hepar
Ca Paru-2
Kecelakaan lalu lintas + C45

Trauma Kepala Superfisial
Trauma Intrakranial misal : Comotio Cerebri
Fraktur leher
Fraktur bahu dan lengan atas
Fraktur lengan bawah
Fraktur pergelangan tangan dan telapak tangan
Fraktur Femur
Fraktur Tibia, Fibula, Achiles
Fraktur telapak kaki
Trauma tidak disebut bagian tubuh
Luka bakar
Korosi
Keracunan obat, Medikamentosa, Bahan Biologi
Keracunan Pestisida
Keracunan Makanan
Keracunan Bahan Kimia
LECET-2 / V.LACERATUM/SCISSUM
KECELAKAAN & KERACUNAN LAIN2
Anemia: Deff Fe
Anemia :Deff B12
Anemia: Asam Folat
Anemia lain
Impetigo
Abses, Furuncle, Carbuncle
Cellulitis
Lymphadenitis Akuta
Peny kulit infeksi lain
Atopic Dermatitis
Seborrhoic Dermatitis
Penyakit Kontak Alergi
Pruritus
Psoriasis
Urticaria
Acne Vulgaris
Decubitus
Peny kulit lain2
Stroke Non Hemarrhage

Meningeal Hemorrhage: Stroke Haemorrhage
Peny Cerebrovaskuler lain-2
Rhumatoid Arthritis lain

Gout
Kyphosis dan Lordosis
Scoliosis
Osteoporosis dengan atau tanpa Fraktur
Osteomyelitis
Gg Cincin Intravertebra : HNP
Arthritis tidak spesifik
Penyakit otot dan jaringan pengikat lain
Kejang Demam
Pembesaran Kelenjar Limpa
Vertigo
Kematian Kehamilan
Kematian Persalinan
Kematian Pasca Persalinan
Penyeb+C568ab Mortalitas Ibu lain-2
Tetanus Neonatorum
Infeksi lain
Neoplasma
Malnutrisi
Infeksi Pernafasan
Infeksi Gastrointestinal
Trauma lahir
Asfiksia
Cacat Kongenital
Penyakit lain-2 pada bayi
Kecelakaan pada bayi
BBLR
Kecelakaan lalu lintas

Jatuh
Tenggelam
Kontak dengan tanaman dan binatang beracun
Bencana alam, Gunung Api, Gempa bumi, Longsor, Banjir, dll.
Tindakan melukai diri sendiri termasuk bunuh diri
Perkosaan
Kecelakaan Kerja
Kekerasan lain kekerasan dalam rumah tangga ( KDRT )
Penyebab Extermal kesakitan Lain-2
Sunat / Sirkumsisi
Tindakan
Jahit Luka
Follow up tindakan operasi misal buka jahitan, buka pembalut dsb
Donor Darah
Oxygen
Infus
Doppler
Tindakan lain-2
Posyandu Balita
Posyandu Lansia
UKS- TK
UKS- SD
UKS- SMP
UKS- SMA
UKS- Pesantren
Pemeriksaan Kelompok Petani
Pemeriksaan Kelompok Kerja
Pemeriksaan Kelompok Lain-2
Pemeriksaan Rumah dengan Jentik Malaria
Pemeriksaan PCD
Pemeriksaan ACD
Pemeriksaan Epidemilogi Hepatitis
Pemeriksaan Epidemilogi DBD
Pemeriksaan Epidemilogi Diare
Pemeriksaan HIV / AIDS
Pemeriksaan Epidemilogi Malaria
Pemeriksaan Epidemilogi Folio
Pemeriksaan Epidemiologi Flu Burung
Pemeriksaan Epidmiologi SARS
Pemeriksaan Epidemilogi lain
FEBRUARI MARET APRIL MEI JUNI
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
19 26 4 11 18 25 1 8 15 22 29 6 13 20 27 3 10 17 24
20 27 5 12 19 26 2 9 16 23 30 7 14 21 28 4 11 18 25
21 28 6 13 20 27 3 10 17 24 1 8 15 22 29 5 12 19 26
22 29 7 14 21 28 4 11 18 25 2 9 16 23 30 6 13 20 27
23 1 8 15 22 29 5 12 19 26 3 10 17 24 31 7 14 21 28
24 2 9 16 23 30 6 13 20 27 4 11 18 25 1 8 15 22 29
25 3 10 17 24 31 7 14 21 28 5 12 19 26 2 9 16 23 30
AGUSTUS SEPTEMBER OKTOBER NOPEMBER DESEMBER

34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
19 26 2 9 16 23 30 7 14 21 28 4 11 18 25 2 9 16 23
20 27 3 10 17 24 1 8 15 22 29 5 12 19 26 3 10 17 24
21 28 4 11 18 25 2 9 16 23 30 6 13 20 27 4 11 18 25
22 29 5 12 19 26 3 10 17 24 31 7 14 21 28 5 12 19 26
23 30 6 13 20 27 4 11 18 25 1 8 15 22 29 6 13 20 27
24 31 7 14 21 28 5 12 19 26 2 9 16 23 30 7 14 21 28
25 1 8 15 22 29 6 13 20 27 3 10 17 24 1 8 15 22 29
mg/ml-10ml
Salut 25 mg
ng 125 mg/5ml
) Injeksi 250 mg/ml-2ml

) Tablet 500 mg
t, Kombinasi :
, Kombinasi :
alep Kombinasi :
sam Salisilat 3%
mbinasi: Tablet (ergotamin)

tablet kombinasi :
0,25 mg/ml-1ml
ilin Ij. 1,2 juta IU/vial

ilin Ij. 2,4 juta IU/vial
ah No.2/0-3/0
i 5mg/ml-1ml
nfus 6% steril
p 10 mg/5ml
at tablet 100 mg
jeksi 10mg/ml-1ml
arutan 0,1 %
ksi 50 mg/ml
0 mg/ml-2ml
a tablet 250 mg
a tablet 500 mg
Injeksi 10mg/ml-1ml
Tablet salut gula 10mg
( scabisid cream )
s 10 % Steril
s 40 % Steril
5 mg, micronized
T ) tablet 25 mg
Sublingual 5 mg
tablet 500 mg
orben 250 gram

fil 4 m X 3 cm
fil 4 m X 15 cm
0 mg micronize
(CTM) tablet 4 mg
eksi 5mg/ml-2ml
eksi 25mg/ml-1ml
alut 100 mg
min 25 mg + Sulfadoxin 500 mg )
Injeksi 25 % - 2ml
alisilat 20 %
Kombinasi:
resol tersabun 50 %
at Inj 0,200 mg-1ml
at (Metilergometrin)
an Infus 0,9 % Steril
l 100.000 IU/g
Kategori I( FDC)
Kategori 2
Kategori 3
njk.im.50mg/ml-10ml
Kamfer Menthol ( CHKM )
ol ( Pengganti TKF )
mer Cemen (GC IX)
droksida Pasta
ng Fosfat serbuk dan cairan

gam serbuk 65 - 75 %
atin Cubioles 1 x 1 x 1 cm
Stopping Fletcher (Fletcher)
6) tablet 10 mg
sasi Metakresol
lin injeksi 3 juta IU/vial
psul 100.000 IU
psul 200.000 IU
Polivalen Injeksi
Injeksi 1.500IU/ampul
B12) Injeksi
Sutera ) No. 3/0
kombinasi : Besi II
scin Butylbromida
num 250 mg (Dormi compositum)
njeksi 100 mg/ml-1ml

at (Vit.B1) tablet 50 mg
buk inj. 1000 mg/amp
orida tablet 2 mg
DINAS KESEHATAN KABUPATEN TRENGGALEK
KARTU STOK RUANG FARMASI PUSKESMAS NGULANKULON
NAMA Acyclovir SK 5 %
SATUAN tube
ATAU
KEPADA BANYAKNYA
TGL NO BATCH ED SISA KET
SIAPA MASUK KELUAR
PINDAHAN 14 √
UPF 0 0 14 √
1-Nov-18 0 0 14 √
2-Nov-18 0 0 14 √
3-Nov-18 0 0 14 √
4-Nov-18 0 0 14 √
5-Nov-18 0 0 14 √
6-Nov-18 0 0 14 √
7-Nov-18 0 0 14 √
8-Nov-18 0 0 14 √
9-Nov-18 0 0 14 √
10-Nov-18 0 0 14 √
11-Nov-18 0 0 14 √
12-Nov-18 0 0 14 √
13-Nov-18 0 0 14 √
14-Nov-18 0 0 14 √
15-Nov-18 0 0 14 √
16-Nov-18 0 0 14 √
17-Nov-18 0 0 14 √
18-Nov-18 0 0 14 √
19-Nov-18 0 0 14 √
20-Nov-18 0 0 14 √
21-Nov-18 0 0 14 √
22-Nov-18 0 0 14 √
23-Nov-18 0 0 14 √
24-Nov-18 0 0 14 √
25-Nov-18 0 0 14 √
26-Nov-18 0 0 14 √
27-Nov-18 0 0 14 √
28-Nov-18 0 0 14 √
29-Nov-18 0 0 14 √
30-Nov-18 0 0 14 √
1-Dec-18 0 0 14 √
TOTAL 0

Rekap Pemakaian Obat Harian Puskesmas Tugu Tanggal: Puskesmas Tugu Kecamatan Trenggalek Kabupaten Trenggalek

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REKAP PEMAKAIAN OBAT HARIAN

TANGGAL : 01 Desember 2018

NO. SATU TANGGAL

iv20 1 infusd 1 spet5 2 raninj 1 spet2 2 pct 10 hans 1

KODE PUSKESMAS : DOKUMEN NOMOR TANGGAL

Mengetahui/ Menyetujui Yang Menerima/Pelapor

dr. SUDARMAJI PRIHATIN

KODE PUSKESMAS : DOK NOMOR TANGGAL

KODE PUSKESMAS : DOKU NOMOR TANGGAL

#REF! #REF! #REF! #REF! #REF! #REF! #REF!

#REF! #REF! #REF! #REF! #REF! #REF! #REF!

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#REF! #REF! #REF! #REF! #REF! #REF! #REF!

#REF! #REF! #REF! #REF! #REF! #REF! #REF!

TANGGAL : 02 Februari 2017

NO. SATU TANGGAL

Triheksifenidil Hidroklorida tablet 2 mg tab

KODE PUSKESMAS : DOKUMEN NOMOR

869 867 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

870 868 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

871 869 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

872 870 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

873 871 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

874 872 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

875 873 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

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877 875 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

878 876 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

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880 878 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

881 879 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

882 880 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

883 881 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

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886 884 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

887 885 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

888 886 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

889 887 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

890 888 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

891 889 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

892 890 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

893 891 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

894 892 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

896 894 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

897 895 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

898 896 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

899 897 #REF! #REF! ### Err:502 Err:502 #REF! Err:502

900 898 #REF! #REF! ### Err:502 Err:502 #REF! Err:502