Kode Puskesmas : 1

Nama Puskesmas : Merdeka

Bulan Distribusi & NO SBBK
1 2
Abbocath no.20 set -
Abbocath no.24 set -
Alat Suntik Sekali Pakai 1 ml Set -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set -
Alat Suntik Sekali Pakai 5 ml Set -
Albendazol tablet 400 mg Tablet -
Alopurinol 100 mg Tablet -
Alprazolam tablet 0,5 mg Tablet -
Ambroxol sirup 15 mg/ml Botol -
Ambroxol tablet 30 mg Tablet -
Aminofilin 200 mg Tablet -
Amitriptilin HCL 25 mg Tablet -
Amlodipin 5 mg tablet -
Amoksisilin + As.Klavulanat 625 mg tab Tablet -
Amoksisilin 125 mg/5ml Syr kering Botol -
Amoksisilin 250 mg Kapsul -
Amoksisilin 500 mg Kaplet -
Antalgin 500 mg ( Metampiron ) Tablet -
Antasida Doen Tablet -
Antasida sirup Botol -
Anti Bakteri DOEN Tube -
Anti Fungi Pot -
Anti Hemoroid DOEN Unit -
Anti Migren DOEN ( Ergo+Kaffein) Tablet -
Aqua Pro Injeksi 20 ml Flacon -
Asam Ascorbat 50 mg Tablet -
Asam Mefenamat 500 mg Kaplet -
Asetosal 100 mg tablet -
Asetosal 500 mg tablet -
Asiklovir Salep 5 % Tube -
Asiklovir Tablet 200 mg Tablet -
Nama dan Kode Barang Satuan Jumlah
Asiklovir Tablet 400 mg Tablet -
Atenolol 50 mg tablet -
Betametason Krim 0,1 % Tube -
Bisoprolol 5 mg tablet -
Blood Lancet Dos -
Blue Tips Buah -
Carbo Adsorben (Norit) Tablet -
Cat Gut (benang bedah) no 3 Unit -
Cat Gut (benang bedah) no.2 Unit -
Cetirizine tablet 10 mg Tablet -
Deksametason Injeksi Ampul -
Deksametason Tablet 0.5 mg Tablet -
Dekstrometorfan Syrup Botol -
Dekstrometorfan Tablet 15 mg Tablet -
Devitalisasai Pasta Pot -
Diazepam 2 mg Tablet Tablet -
Diazepam Injeksi Ampul -
Difenhidramin Injeksi 10 mg/ml Ampul -
Digoksin Tablet 0,25 mg Tablet -
Diltiazem tablet 30 mg Tablet -
Doksisiklin 100 mg kapsul -
Efedrin HCl Tablet 25 mg Tablet -
Ekstract Belladona Tablet -
Epinefrin HCl /Adrenalin Injeksi Ampul -
Erytromysin 500 mg Kaplet -
Ethambutol Tablet 250 mg Tablet -
Ethambutol Tablet 500 mg Tablet -
Ethanol 70 %- 1000 ml Botol -
Etil Klorida Semprot- 100 ml Botol -
Eugenol Cairan Botol -
FDC 1 & 3 Paket -
FDC 2 Paket -
FDC Anak Paket -
FDC Sisipan Paket -
Fenitoin Natrium 100 mg Tablet -
Fenitoin Natrium 30 mg Tablet -
Fenobarbital 30 mg Tablet -
Fenobarbital Injeksi Ampul -
Fenoksimetil Penisilin 500 mg Tablet -
Fenol Gliserol Tetes Telinga 10% Botol -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul -
Fitomenadion (Vit K ) Tablet Tablet -
Fluconazol tablet 150 mg Tablet -
Furosemid Tablet 40 mg Tablet -
Garam Oralit 200 ml Sachet -
Glass Ionomer Cement (GC 1X) Pot -
Glibenklamid Tablet 5 mg Tablet -
Glikuidon 30 mg tablet -
Glimepiride 1 mg tablet -
Glimepiride 2 mg tablet -
Glipizide 5 mg tablet -
Glukosa Lart. Infus 10% - 500 ml Botol -
Glukosa Lart. Infus 5% - 500 ml Botol -
Griseofulvin Tablet 125 mg Tablet -
Haloperidol Tablet 1,5 Mg Tablet -
Haloperidol Tablet 5 mg Tablet -
Handscoon latex non steril uk M box -
Handscoon latex non steril uk S box -
Hidroklortiazid (HCT) Tablet 25 mg Tablet -
Hidrokortison Krim 2,5% Tube -
Ibuprofen 200 mg Tablet -
Imipramin 25 mg tablet -
Infusion Anak Set -
Infusion Dewasa Set -
Isoniazid Tablet 300 mg Tablet -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
Kalsium Hidroksida Pasta Pot -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet -
Kapas Pembalut/Adsorben 250 g Bgks -
Kaptopril 12.5 mg Tablet -
Kaptopril 25 mg Tablet -
Karbamazepin 200 mg Tablet -
Kasa Kompres 2m x 80 cm Roll -
Kasa Kompres 40/40 Roll -
Kasa Pembalut Hidrofil 4 mx 3cm Roll -
Kasa Pembalut Hidrofil 4 mx15 cm Roll -
Klindamisin 300 mg Kapsul -
Klonidin 0,15 mg tablet -
Kloramfenikol Salep Mata 1% Tube -
Kloramfenikol Kapsul 250 mg Kapsul -
Klorfeniramin Maleat (CTM) 4 mg Tablet -
Klorin larutan Botol -
Klorpromazin HCl Tablet 100 mg Tablet -
Klorpromazin HCl Tablet 25 mg Tablet -
Kodein Fosfat Tablet 10 mg Tablet -
Kotrimoxazol Syrup Botol -
Kotrimoxazol 120 Paediatrik Tablet -
Kotrimoxazol 480 Dewasa Tablet -
L i s o l Botol -
Lidokain inj ampul -
Lidokain Komb 2 % Ampul -
Loratadin 10 mg Tablet -
Lorazepam tablet -
Masker earloop box@50 pcs box -
Metformin HCl tablet 500 mg Tablet -
Metilprednisolon 4 mg tablet -
Metoklopramid inj.5 mg/ml Ampul -
Metoklopramid tablet 10 mg Tablet -
Metronidazol Tablet 250 mg Tablet -
Metronidazol Tablet 500 mg Tablet -
Metylergometrin Maleat Injk Ampul -
Metylergometrin Maleat Tablet Tablet -
Mineral mix sachet -
Monoklor Kamfer Mentol (CHKM) Pot -
Mumifying Pasta Pot -
Myconazol SK Tube -
Natrium Bikarbonat Tablet 500 mg Tablet -
Natrium Diklofenak tablet 25 mg Tablet -
Natrium Klorida 0,9% Infus Botol -
Nifedipin Tablet 10 mg Tablet -
Nistatin Tablet Salut 500 000 IU g Tablet -
Nistatin Vaginal 100 000 IU g Tablet -
Obat Batuk Hitam (OBH) 100 ml Botol -
Oksitetrasiklin HCl 1% SM Tube -
Oksitetrasiklin HCl 3% SK Tube -
Oksitosin Injeksi Ampul -
Parasetamol Syrup 120 mg/5ml Botol -
Parasetamol Tablet 100 mg Tablet -
Parasetamol Tablet 500 mg Tablet -
Piracetam 800 mg Tablet -
Pirantel Tablet 125 mg Tablet -
Pirazinamid 500 mg Tablet -
Piridoksin HCl (Vit B6) 10 mg Tablet -
Piroksikam 20 mg Tablet -
Plester 5 Yard x 2 1nch Roll -
Polikresulen 10-ml / Albotyl Botol -
Povidon Iodida 10 %- 300 ml Botol -
Prednison 5 mg Tablet Tablet -
Prometazin 25 mg tablet -
Propanolol HCl 40 mg Tablet -
Propiltyourasil Tablet 100 mg Tablet -
Ranitidin 150 mg Tablet -
Resin Composit set -
Retinol ( Vit.A ) 100 000 IU Kapsul -
Retinol ( Vit.A ) 200 000 IU Kapsul -
Rifampisin 300 mg Kapsul -
Rifampisin 450 mg Kaplet -
Rifampisin 600 mg Kaplet -
Ringar Laktat Lar. Infus Botol -
Risperidon 1 mg tablet -
Risperidon 2 mg tablet -
Salbutamol 2 mg Tablet -
Salbutamol 4 mg tablet -
Salep 2 - 4 Pot -
Salisil Talk 2%-50 G Dos -
Sefadroksil 500 mg Kapsul -
Sefiksim 400 mg + Azithromicin 1000 mg amplop -
Semen Seng Fosfat Serbuk & Cairan Botol -
Sianokobalamin (Vit.B12) Tablet Tablet -
Silk ( Benang ) No. 3/0 Sachet -
Silver Sulfadiazin crm pot 500g pot -
Simetidin 200 mg Tablet -
Simvastatin tablet 10 mg Tablet -
Siprofloksasin 500 mg Tablet -
Spironolakton 25 mg tablet -
Spons Gelatin Unit -
Sulfasetamid Na. TM 15% Botol -
Tablet Tambah Darah (Besi) Tablet -
Temporary Filling Material Pot -
Teofilin 150 mg tablet -
Terbutalin 2,5 mg tablet -
Tetrasiklin 250 mg Kapsul -
Thiamin HCl 50 mg Tablet Tablet -
Thiamfenikol 500 mg Tablet -
Trifluoperazin 5mg tablet -
Trifluoperazin1 mg tablet -
Triheksifenidil HCl 2 mg Tab Tablet -
Trikresol Formalin (TKF)-10 ml Botol -
Verapamil 80 mg tablet -
Vitamin B Kompleks Tablet Tablet -
Yellow Tips Buah -
Zinc tablet Tablet -
Amonium Oksalat Botol -
Aquabidest 500 ml botol -
Asam Sulfo Salisilat 20 %-100 ml Botol -
Asam urat kit , 30 ml set -
HB Cyanmed 500 ml Botol -
HDL test kit-precipit, 80 ml set -
Immersion Oil Botol -
Indikator pH universal Botol -
Kolesterol test kit, 100 ml set -
Kreatinin test kit, 200 ml set -
Lart.Glukosa, 100 ml Botol -
Lart.Hayem, 100 ml Botol -
Lart.KOH 10%,100 ml Botol -
Larutan Benedict 500 ml Botol -
Larutan Eosin 2 % Botol -
Larutan Giemsa Stain - 100 ml Botol -
Larutan Turk - 100 ml Botol -
Metanol 500 ml Botol -
Natrium Sitrat 100 cc Botol -
Reagen Golongan Darah kotak -
Reagen Z. Nelsen Botol -
SGOT test kit set -
SGPT test kit set -
Trigliserida test kit, 100 ml set -
Ureum test kit set -
Amoksisilin sirup forte 250 mg/ 5 ml botol -
Betametason krim 0,5 mg/g tube -
Cetirizine sirup 5 mg/ 5 ml botol -
Ergotamin tablet 1 mg tablet -
Eritromisin kapsul 250 mg kapsul -
Kloramfenikol salap kulit 2 % tube -
Kloramfenikol tetes mata 0,5 % botol -
Kotrimoksazol tablet forte 960 mg tablet -
Zinc sirup 10 mg/ml botol -
Gliseril Guaicolat tablet -
Object Glass/Slide box -
Pot Dahak Buah -
Sarung tangan panjang Kebidanan pasang -
Sendok obat sirup Paket -
Spuit 10 cc set -
Urine Bag Buah -
Vacutainer Buah -
Vacutainer Needle Buah
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20
Kode Puskesmas : 2
Nama Puskesmas : Ganga Kelor
Bulan Distribusi & NO SBBK
10/02/TPD/I/2014
1
Abbocath no.20 set -
-
Abbocath no.24 set -
-
Alat Suntik Sekali Pakai 1 ml Set 200
200
Alat Suntik Sekali Pakai 2,5 / 3 ml Set 150
150
Alat Suntik Sekali Pakai 5 ml Set -
-
Albendazol tablet 400 mg Tablet -
-
Alopurinol 100 mg Tablet 400 400
Alprazolam tablet 0,5 mg Tablet - -
Ambroxol sirup 15 mg/ml Botol 100 100
Ambroxol tablet 30 mg Tablet 6,000 6,000
Aminofilin 200 mg Tablet 700 700
Amitriptilin HCL 25 mg Tablet - -
Amlodipin 5 mg tablet 300 300
Amoksisilin + As.Klavulanat 625 mg tab Tablet - -
Amoksisilin 125 mg/5ml Syr kering Botol 480 480
Amoksisilin 250 mg Kapsul 6,000 6,000
Amoksisilin 500 mg Kaplet 11,500 11,500
Antalgin 500 mg ( Metampiron ) Tablet 1,500 1,500
Antasida Doen Tablet 5,500 5,500
Antasida sirup Botol - -
Anti Bakteri DOEN Tube 125 125
Anti Fungi Pot 24 24
Anti Hemoroid DOEN Unit - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet 100 100
Aqua Pro Injeksi 20 ml Flacon - -
Asam Ascorbat 50 mg Tablet 2,000 2,000
Asam Mefenamat 500 mg Kaplet - -
Asetosal 100 mg tablet - -
Asetosal 500 mg tablet - -
Asiklovir Salep 5 % Tube 25 25
Asiklovir Tablet 200 mg Tablet 400 400
Asiklovir Tablet 400 mg Tablet 900 900
Atenolol 50 mg tablet - -
Betametason Krim 0,1 % Tube - -
Nama dan Kode Barang Satuan Jumlah
Bisoprolol 5 mg tablet - -
Blood Lancet Dos - -
Blue Tips Buah - -
Carbo Adsorben (Norit) Tablet - -
Cat Gut (benang bedah) no 3 Unit - -
Cat Gut (benang bedah) no.2 Unit - -
Cetirizine tablet 10 mg Tablet - -
Deksametason Injeksi Ampul - -
Deksametason Tablet 0.5 mg Tablet 14,000 14,000
Dekstrometorfan Syrup Botol - -
Dekstrometorfan Tablet 15 mg Tablet 2,000 2,000
Devitalisasai Pasta Pot - -
Diazepam 2 mg Tablet Tablet - -
Diazepam Injeksi Ampul - -
Difenhidramin Injeksi 10 mg/ml Ampul - -
Digoksin Tablet 0,25 mg Tablet 100 100
Diltiazem tablet 30 mg Tablet - -
Doksisiklin 100 mg kapsul - -
Efedrin HCl Tablet 25 mg Tablet 250 250
Ekstract Belladona Tablet 1,000 1,000
Epinefrin HCl /Adrenalin Injeksi Ampul - -
Erytromysin 500 mg Kaplet - -
Ethambutol Tablet 250 mg Tablet - -
Ethambutol Tablet 500 mg Tablet - -
Ethanol 70 %- 1000 ml Botol 4 4
Etil Klorida Semprot- 100 ml Botol 4 4
Eugenol Cairan Botol - -
FDC 1 & 3 Paket - -
FDC 2 Paket - -
FDC Anak Paket - -
FDC Sisipan Paket - -
Fenitoin Natrium 100 mg Tablet - -
Fenitoin Natrium 30 mg Tablet - -
Fenobarbital 30 mg Tablet 300 300
Fenobarbital Injeksi Ampul - -
Fenoksimetil Penisilin 500 mg Tablet 200 200
Fenol Gliserol Tetes Telinga 10% Botol 24 24
Fitomenadion (Vit K ) inj. 10 mg/ml ampul - -
Fitomenadion (Vit K ) Tablet Tablet 200 200
Fluconazol tablet 150 mg Tablet - -
Furosemid Tablet 40 mg Tablet 100 100
Garam Oralit 200 ml Sachet - -
Glass Ionomer Cement (GC 1X) Pot - -
Glibenklamid Tablet 5 mg Tablet 1,500 1,500
Glikuidon 30 mg tablet - -
Glimepiride 1 mg tablet - -
Glimepiride 2 mg tablet - -
Glipizide 5 mg tablet - -
Glukosa Lart. Infus 10% - 500 ml Botol - -
Glukosa Lart. Infus 5% - 500 ml Botol - -
Griseofulvin Tablet 125 mg Tablet - -
Haloperidol Tablet 1,5 Mg Tablet 600 600
Haloperidol Tablet 5 mg Tablet 100 100
Handscoon latex non steril uk M box - -
Handscoon latex non steril uk S box - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 1,000 1,000
Hidrokortison Krim 2,5% Tube 264 264
Ibuprofen 200 mg Tablet 1,000 1,000
Imipramin 25 mg tablet - -
Infusion Anak Set - -
Infusion Dewasa Set - -
Isoniazid Tablet 300 mg Tablet - -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet - -
Kalsium Hidroksida Pasta Pot - -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet 4,000 4,000
Kapas Pembalut/Adsorben 250 g Bgks 3 3
Kaptopril 12.5 mg Tablet - -
Kaptopril 25 mg Tablet 4,500 4,500
Karbamazepin 200 mg Tablet 300 300
Kasa Kompres 2m x 80 cm Roll - -
Kasa Kompres 40/40 Roll - -
Kasa Pembalut Hidrofil 4 mx 3cm Roll - -
Kasa Pembalut Hidrofil 4 mx15 cm Roll - -
Klindamisin 300 mg Kapsul - -
Klonidin 0,15 mg tablet - -
Kloramfenikol Salep Mata 1% Tube 48 48
Kloramfenikol Kapsul 250 mg Kapsul 500 500
Klorfeniramin Maleat (CTM) 4 mg Tablet 13,000 13,000
Klorin larutan Botol - -
Klorpromazin HCl Tablet 100 mg Tablet 750 750
Klorpromazin HCl Tablet 25 mg Tablet - -
Kodein Fosfat Tablet 10 mg Tablet - -
Kotrimoxazol Syrup Botol 250 250
Kotrimoxazol 120 Paediatrik Tablet - -
Kotrimoxazol 480 Dewasa Tablet 2,500 2,500
L i s o l Botol - -
Lidokain inj ampul 30 30
Lidokain Komb 2 % Ampul - -
Loratadin 10 mg Tablet - -
Lorazepam tablet - -
Masker earloop box@50 pcs box - -
Metformin HCl tablet 500 mg Tablet 400 400
Metilprednisolon 4 mg tablet - -
Metoklopramid inj.5 mg/ml Ampul - -
Metoklopramid tablet 10 mg Tablet - -
Metronidazol Tablet 250 mg Tablet 300 300
Metronidazol Tablet 500 mg Tablet - -
Metylergometrin Maleat Injk Ampul - -
Metylergometrin Maleat Tablet Tablet - -
Mineral mix sachet - -
Monoklor Kamfer Mentol (CHKM) Pot - -
Mumifying Pasta Pot - -
Myconazol SK Tube 48 48
Natrium Bikarbonat Tablet 500 mg Tablet - -
Natrium Diklofenak tablet 25 mg Tablet 200 200
Natrium Klorida 0,9% Infus Botol - -
Nifedipin Tablet 10 mg Tablet 400 400
Nistatin Tablet Salut 500 000 IU g Tablet - -
Nistatin Vaginal 100 000 IU g Tablet 20 20
Obat Batuk Hitam (OBH) 100 ml Botol 240 240
Oksitetrasiklin HCl 1% SM Tube - -
Oksitetrasiklin HCl 3% SK Tube 150 150
Oksitosin Injeksi Ampul - -
Parasetamol Syrup 120 mg/5ml Botol 420 420
Parasetamol Tablet 100 mg Tablet 600 600
Parasetamol Tablet 500 mg Tablet 23,500 23,500
Piracetam 800 mg Tablet - -
Pirantel Tablet 125 mg Tablet - -
Pirazinamid 500 mg Tablet - -
Piridoksin HCl (Vit B6) 10 mg Tablet 6,000 6,000
Piroksikam 20 mg Tablet 500 500
Plester 5 Yard x 2 1nch Roll - -
Polikresulen 10-ml / Albotyl Botol - -
Povidon Iodida 10 %- 300 ml Botol 1 1
Prednison 5 mg Tablet Tablet 1,000 1,000
Prometazin 25 mg tablet - -
Propanolol HCl 40 mg Tablet - -
Propiltyourasil Tablet 100 mg Tablet - -
Ranitidin 150 mg Tablet 100 100
Resin Composit set - -
Retinol ( Vit.A ) 100 000 IU Kapsul 500 500
Retinol ( Vit.A ) 200 000 IU Kapsul 4,200 4,200
Rifampisin 300 mg Kapsul - -
Rifampisin 450 mg Kaplet 200 200
Rifampisin 600 mg Kaplet 100 100
Ringar Laktat Lar. Infus Botol - -
Risperidon 1 mg tablet - -
Risperidon 2 mg tablet - -
Salbutamol 2 mg Tablet 500 500
Salbutamol 4 mg tablet - -
Salep 2 - 4 Pot 24 24
Salisil Talk 2%-50 G Dos 200 200
Sefadroksil 500 mg Kapsul 100 100
Sefiksim 400 mg + Azithromicin 1000 mg amplop - -
Semen Seng Fosfat Serbuk & Cairan Botol - -
Sianokobalamin (Vit.B12) Tablet Tablet 2,000 2,000
Silk ( Benang ) No. 3/0 Sachet - -
Silver Sulfadiazin crm pot 500g pot - -
Simetidin 200 mg Tablet 600 600
Simvastatin tablet 10 mg Tablet 500 500
Siprofloksasin 500 mg Tablet 1,000 1,000
Spironolakton 25 mg tablet - -
Spons Gelatin Unit - -
Sulfasetamid Na. TM 15% Botol 48 48
Tablet Tambah Darah (Besi) Tablet 12,600 12,600
Temporary Filling Material Pot - -
Teofilin 150 mg tablet - -
Terbutalin 2,5 mg tablet - -
Tetrasiklin 250 mg Kapsul - -
Thiamin HCl 50 mg Tablet Tablet 1,000 1,000
Thiamfenikol 500 mg Tablet 200 200
Trifluoperazin 5mg tablet - -
Trifluoperazin1 mg tablet - -
Triheksifenidil HCl 2 mg Tab Tablet 1,200 1,200
Trikresol Formalin (TKF)-10 ml Botol - -
Verapamil 80 mg tablet - -
Vitamin B Kompleks Tablet Tablet 1,000 1,000
Yellow Tips Buah - -
Zinc tablet Tablet 600 600
Amonium Oksalat Botol - -
Aquabidest 500 ml botol - -
Asam Sulfo Salisilat 20 %-100 ml Botol - -
Asam urat kit , 30 ml set - -
HB Cyanmed 500 ml Botol - -
HDL test kit-precipit, 80 ml set - -
Immersion Oil Botol - -
Indikator pH universal Botol - -
Kolesterol test kit, 100 ml set - -
Kreatinin test kit, 200 ml set - -
Lart.Glukosa, 100 ml Botol - -
Lart.Hayem, 100 ml Botol - -
Lart.KOH 10%,100 ml Botol - -
Larutan Benedict 500 ml Botol - -
Larutan Eosin 2 % Botol - -
Larutan Giemsa Stain - 100 ml Botol - -
Larutan Turk - 100 ml Botol - -
Metanol 500 ml Botol - -
Natrium Sitrat 100 cc Botol - -
Reagen Golongan Darah kotak - -
Reagen Z. Nelsen Botol - -
SGOT test kit set - -
SGPT test kit set - -
Trigliserida test kit, 100 ml set - -
Ureum test kit set - -
Amoksisilin sirup forte 250 mg/ 5 ml botol - -
Betametason krim 0,5 mg/g tube - -
Cetirizine sirup 5 mg/ 5 ml botol - -
Ergotamin tablet 1 mg tablet - -
Eritromisin kapsul 250 mg kapsul - -
Kloramfenikol salap kulit 2 % tube - -
Kloramfenikol tetes mata 0,5 % botol - -
Kotrimoksazol tablet forte 960 mg tablet - -
Zinc sirup 10 mg/ml botol - -
Gliseril Guaicolat tablet 1,000 1,000
Object Glass/Slide box - -
Pot Dahak Buah - -
Sarung tangan panjang Kebidanan pasang - -
Sendok obat sirup Paket - -
Spuit 10 cc set - -
Urine Bag Buah - -
Vacutainer Buah - -
Vacutainer Needle Buah -
Bulan Distribusi & NO SBBK
2 3 4 5 6 7 8
9 10 11 12 13 14 15
16 17 18 19 20
Kode Puskesmas : 3
Nama Puskesmas : Bogor Tengah
Bulan Distribusi & NO SBBK
02/03/TPD/I/2014
1
Abbocath no.20 set - -
Abbocath no.24 set - -
Alat Suntik Sekali Pakai 1 ml Set - -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set 700 -
Alat Suntik Sekali Pakai 5 ml Set - -
Albendazol tablet 400 mg Tablet - -
Alopurinol 100 mg Tablet 300 -
Alprazolam tablet 0,5 mg Tablet - -
Ambroxol sirup 15 mg/ml Botol 100 -
Ambroxol tablet 30 mg Tablet 10,000 -
Aminofilin 200 mg Tablet 300 200
Amitriptilin HCL 25 mg Tablet - -
Amlodipin 5 mg tablet 1,290 990
Amoksisilin + As.Klavulanat 625 mg tab Tablet - -
Amoksisilin 125 mg/5ml Syr kering Botol 660 -
Amoksisilin 250 mg Kapsul 4,500 -
Amoksisilin 500 mg Kaplet 23,500 -
Antalgin 500 mg ( Metampiron ) Tablet 3,200 -
Antasida Doen Tablet 10,300 -
Antasida sirup Botol 150 -
Anti Bakteri DOEN Tube 50 25
Anti Fungi Pot 24 -
Anti Hemoroid DOEN Unit - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet 100 -
Aqua Pro Injeksi 20 ml Flacon - -
Asam Ascorbat 50 mg Tablet 2,000 -
Asam Mefenamat 500 mg Kaplet 1,200 -
Asetosal 100 mg tablet - -
Asetosal 500 mg tablet - -
Asiklovir Salep 5 % Tube 75 -
Asiklovir Tablet 200 mg Tablet - -
Asiklovir Tablet 400 mg Tablet 500 -
Atenolol 50 mg tablet - -
Betametason Krim 0,1 % Tube - -
Bisoprolol 5 mg tablet - -
Nama dan Kode Barang Satuan Jumlah
Blood Lancet Dos - -
Blue Tips Buah - -
Carbo Adsorben (Norit) Tablet - -
Cat Gut (benang bedah) no 3 Unit 48 24
Cat Gut (benang bedah) no.2 Unit 24 12
Cetirizine tablet 10 mg Tablet 100 -
Deksametason Injeksi Ampul - -
Deksametason Tablet 0.5 mg Tablet 12,000 -
Dekstrometorfan Syrup Botol - -
Dekstrometorfan Tablet 15 mg Tablet - -
Devitalisasai Pasta Pot - -
Diazepam 2 mg Tablet Tablet 1,400 -
Diazepam Injeksi Ampul - -
Difenhidramin Injeksi 10 mg/ml Ampul - -
Digoksin Tablet 0,25 mg Tablet - -
Diltiazem tablet 30 mg Tablet - -
Doksisiklin 100 mg kapsul - -
Efedrin HCl Tablet 25 mg Tablet 250 -
Ekstract Belladona Tablet 1,000 -
Epinefrin HCl /Adrenalin Injeksi Ampul - -
Erytromysin 500 mg Kaplet - -
Ethambutol Tablet 250 mg Tablet - -
Ethambutol Tablet 500 mg Tablet 100 -
Ethanol 70 %- 1000 ml Botol 2 -
Etil Klorida Semprot- 100 ml Botol 2 2
Eugenol Cairan Botol 2 -
FDC 1 & 3 Paket 16 -
FDC 2 Paket - -
FDC Anak Paket - -
FDC Sisipan Paket - -
Fenitoin Natrium 100 mg Tablet - -
Fenitoin Natrium 30 mg Tablet - -
Fenobarbital 30 mg Tablet 200 -
Fenobarbital Injeksi Ampul - -
Fenoksimetil Penisilin 500 mg Tablet - -
Fenol Gliserol Tetes Telinga 10% Botol - -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul - -
Fitomenadion (Vit K ) Tablet Tablet 100 -
Fluconazol tablet 150 mg Tablet - -
Furosemid Tablet 40 mg Tablet - -
Garam Oralit 200 ml Sachet 400 -
Glass Ionomer Cement (GC 1X) Pot 5 -
Glibenklamid Tablet 5 mg Tablet 600 -
Glikuidon 30 mg tablet - -
Glimepiride 1 mg tablet - -
Glimepiride 2 mg tablet - -
Glipizide 5 mg tablet - -
Glukosa Lart. Infus 10% - 500 ml Botol - -
Glukosa Lart. Infus 5% - 500 ml Botol - -
Griseofulvin Tablet 125 mg Tablet 100 -
Haloperidol Tablet 1,5 Mg Tablet - -
Haloperidol Tablet 5 mg Tablet - -
Handscoon latex non steril uk M box - -
Handscoon latex non steril uk S box - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 3,000 -
Hidrokortison Krim 2,5% Tube 288 -
Ibuprofen 200 mg Tablet - -
Imipramin 25 mg tablet - -
Infusion Anak Set - -
Infusion Dewasa Set 10 -
Isoniazid Tablet 300 mg Tablet - -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet - -
Kalsium Hidroksida Pasta Pot - -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet 5,000 -
Kapas Pembalut/Adsorben 250 g Bgks 6 -
Kaptopril 12.5 mg Tablet - -
Kaptopril 25 mg Tablet 3,400 -
Karbamazepin 200 mg Tablet 100 -
Kasa Kompres 2m x 80 cm Roll 65 25
Kasa Kompres 40/40 Roll - -
Kasa Pembalut Hidrofil 4 mx 3cm Roll - -
Kasa Pembalut Hidrofil 4 mx15 cm Roll - -
Klindamisin 300 mg Kapsul - -
Klonidin 0,15 mg tablet - -
Kloramfenikol Salep Mata 1% Tube 96 48
Kloramfenikol Kapsul 250 mg Kapsul 500 -
Klorfeniramin Maleat (CTM) 4 mg Tablet 24,000 -
Klorin larutan Botol - -
Klorpromazin HCl Tablet 100 mg Tablet - -
Klorpromazin HCl Tablet 25 mg Tablet - -
Kodein Fosfat Tablet 10 mg Tablet - -
Kotrimoxazol Syrup Botol 350 -
Kotrimoxazol 120 Paediatrik Tablet 1,100 500
Kotrimoxazol 480 Dewasa Tablet 600 -
L i s o l Botol - -
Lidokain inj ampul - -
Lidokain Komb 2 % Ampul 120 -
Loratadin 10 mg Tablet - -
Lorazepam tablet - -
Masker earloop box@50 pcs box - -
Metformin HCl tablet 500 mg Tablet 900 500
Metilprednisolon 4 mg tablet - -
Metoklopramid inj.5 mg/ml Ampul - -
Metoklopramid tablet 10 mg Tablet - -
Metronidazol Tablet 250 mg Tablet 200 -
Metronidazol Tablet 500 mg Tablet - -
Metylergometrin Maleat Injk Ampul - -
Metylergometrin Maleat Tablet Tablet 100 -
Mineral mix sachet - -
Monoklor Kamfer Mentol (CHKM) Pot 3 -
Mumifying Pasta Pot 1 -
Myconazol SK Tube - -
Natrium Bikarbonat Tablet 500 mg Tablet - -
Natrium Diklofenak tablet 25 mg Tablet - -
Natrium Klorida 0,9% Infus Botol 2 2
Nifedipin Tablet 10 mg Tablet 1,500 -
Nistatin Tablet Salut 500 000 IU g Tablet 100 -
Nistatin Vaginal 100 000 IU g Tablet - -
Obat Batuk Hitam (OBH) 100 ml Botol 360 -
Oksitetrasiklin HCl 1% SM Tube - -
Oksitetrasiklin HCl 3% SK Tube 300 -
Oksitosin Injeksi Ampul - -
Parasetamol Syrup 120 mg/5ml Botol 420 -
Parasetamol Tablet 100 mg Tablet - -
Parasetamol Tablet 500 mg Tablet 41,500 -
Piracetam 800 mg Tablet - -
Pirantel Tablet 125 mg Tablet - -
Pirazinamid 500 mg Tablet 100 -
Piridoksin HCl (Vit B6) 10 mg Tablet 3,000 2,000
Piroksikam 20 mg Tablet 2,500 500
Plester 5 Yard x 2 1nch Roll - -
Polikresulen 10-ml / Albotyl Botol - -
Povidon Iodida 10 %- 300 ml Botol 5 5
Prednison 5 mg Tablet Tablet 4,000 2,000
Prometazin 25 mg tablet - -
Propanolol HCl 40 mg Tablet - -
Propiltyourasil Tablet 100 mg Tablet - -
Ranitidin 150 mg Tablet 500 300
Resin Composit set - -
Retinol ( Vit.A ) 100 000 IU Kapsul 150 -
Retinol ( Vit.A ) 200 000 IU Kapsul 950 -
Rifampisin 300 mg Kapsul - -
Rifampisin 450 mg Kaplet 100 -
Rifampisin 600 mg Kaplet 100 -
Ringar Laktat Lar. Infus Botol 70 40
Risperidon 1 mg tablet - -
Risperidon 2 mg tablet - -
Salbutamol 2 mg Tablet - -
Salbutamol 4 mg tablet - -
Salep 2 - 4 Pot 48 -
Salisil Talk 2%-50 G Dos 200 -
Sefadroksil 500 mg Kapsul 600 -
Sefiksim 400 mg + Azithromicin 1000 mg amplop - -
Semen Seng Fosfat Serbuk & Cairan Botol 4 -
Sianokobalamin (Vit.B12) Tablet Tablet 5,000 2,000
Silk ( Benang ) No. 3/0 Sachet - -
Silver Sulfadiazin crm pot 500g pot - -
Simetidin 200 mg Tablet - -
Simvastatin tablet 10 mg Tablet 1,800 300
Siprofloksasin 500 mg Tablet - -
Spironolakton 25 mg tablet - -
Spons Gelatin Unit 150 -
Sulfasetamid Na. TM 15% Botol - -
Tablet Tambah Darah (Besi) Tablet 600 -
Temporary Filling Material Pot 3 -
Teofilin 150 mg tablet - -
Terbutalin 2,5 mg tablet - -
Tetrasiklin 250 mg Kapsul - -
Thiamin HCl 50 mg Tablet Tablet 2,000 2,000
Thiamfenikol 500 mg Tablet - -
Trifluoperazin 5mg tablet - -
Trifluoperazin1 mg tablet - -
Triheksifenidil HCl 2 mg Tab Tablet - -
Trikresol Formalin (TKF)-10 ml Botol - -
Verapamil 80 mg tablet - -
Vitamin B Kompleks Tablet Tablet - -
Yellow Tips Buah - -
Zinc tablet Tablet 1,000 -
Amonium Oksalat Botol - -
Aquabidest 500 ml botol - -
Asam Sulfo Salisilat 20 %-100 ml Botol - -
Asam urat kit , 30 ml set - -
HB Cyanmed 500 ml Botol - -
HDL test kit-precipit, 80 ml set - -
Immersion Oil Botol - -
Indikator pH universal Botol - -
Kolesterol test kit, 100 ml set - -
Kreatinin test kit, 200 ml set - -
Lart.Glukosa, 100 ml Botol - -
Lart.Hayem, 100 ml Botol - -
Lart.KOH 10%,100 ml Botol - -
Larutan Benedict 500 ml Botol - -
Larutan Eosin 2 % Botol - -
Larutan Giemsa Stain - 100 ml Botol - -
Larutan Turk - 100 ml Botol - -
Metanol 500 ml Botol - -
Natrium Sitrat 100 cc Botol - -
Reagen Golongan Darah kotak - -
Reagen Z. Nelsen Botol - -
SGOT test kit set - -
SGPT test kit set - -
Trigliserida test kit, 100 ml set - -
Ureum test kit set - -
Amoksisilin sirup forte 250 mg/ 5 ml botol - -
Betametason krim 0,5 mg/g tube - -
Cetirizine sirup 5 mg/ 5 ml botol - -
Ergotamin tablet 1 mg tablet - -
Eritromisin kapsul 250 mg kapsul - -
Kloramfenikol salap kulit 2 % tube - -
Kloramfenikol tetes mata 0,5 % botol - -
Kotrimoksazol tablet forte 960 mg tablet - -
Zinc sirup 10 mg/ml botol - -
Gliseril Guaicolat tablet - -
Object Glass/Slide box - -
Pot Dahak Buah - -
Sarung tangan panjang Kebidanan pasang - -
Sendok obat sirup Paket - -
Spuit 10 cc set - -
Urine Bag Buah - -
Vacutainer Buah - -
Vacutainer Needle Buah - -
Bulan Distribusi & NO SBBK
30/03/TPD/II/2014
2 3 4 5 6 7 8
-
-
-
700
-
-
300
-
100
10,000
100
-
300
-
660
4,500
23,500
3,200
10,300
150
25
24
-
100
-
2,000
1,200
-
-
75
-
500
-
-
-
-
-
-
24
12
100
-
12,000
-
-
-
1,400
-
-
-
-
-
250
1,000
-
-
-
100
2
-
2
16
-
-
-
-
-
200
-
-
-
-
100
-
-
400
5
600
-
-
-
-
-
-
100
-
-
-
-
3,000
288
-
-
-
10
-
-
-
5,000
6
-
3,400
100
40
-
-
-
-
-
48
500
24,000
-
-
-
-
350
600
600
-
-
120
-
-
-
400
-
-
-
200
-
-
100
-
3
1
-
-
-
-
1,500
100
-
360
-
300
-
420
-
41,500
-
-
100
1,000
2,000
-
-
-
2,000
-
-
-
200
-
150
950
-
100
100
30
-
-
-
-
48
200
600
-
4
3,000
-
-
-
1,500
-
-
150
-
600
3
-
-
-
-
-
-
-
-
-
-
-
-
1,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
9 10 11 12 13 14 15 16
17 18 19 20
Kode Puskesmas : 4
Nama Puskesmas : Warung Jambu
Bulan Distribusi & NO SBBK
09/04/TPD/I/2013
1 2
Abbocath no.20 set - -
Abbocath no.24 set - -
Alat Suntik Sekali Pakai 1 ml Set - -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set - -
Alat Suntik Sekali Pakai 5 ml Set - -
Albendazol tablet 400 mg Tablet - -
Alopurinol 100 mg Tablet 200 200
Alprazolam tablet 0,5 mg Tablet - -
Ambroxol sirup 15 mg/ml Botol - -
Ambroxol tablet 30 mg Tablet - -
Aminofilin 200 mg Tablet - -
Amitriptilin HCL 25 mg Tablet - -
Amlodipin 5 mg tablet - -
Amoksisilin + As.Klavulanat 625 mg tab Tablet - -
Amoksisilin 125 mg/5ml Syr kering Botol - -
Amoksisilin 250 mg Kapsul - -
Amoksisilin 500 mg Kaplet - -
Antalgin 500 mg ( Metampiron ) Tablet - -
Antasida Doen Tablet - -
Antasida sirup Botol - -
Anti Bakteri DOEN Tube - -
Anti Fungi Pot - -
Anti Hemoroid DOEN Unit - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet - -
Aqua Pro Injeksi 20 ml Flacon - -
Asam Ascorbat 50 mg Tablet - -
Asam Mefenamat 500 mg Kaplet - -
Asetosal 100 mg tablet - -
Asetosal 500 mg tablet - -
Asiklovir Salep 5 % Tube - -
Asiklovir Tablet 200 mg Tablet - -
Asiklovir Tablet 400 mg Tablet - -
Atenolol 50 mg tablet - -
Betametason Krim 0,1 % Tube - -
Bisoprolol 5 mg tablet - -
Nama dan Kode Barang Satuan Jumlah
Blood Lancet Dos - -
Blue Tips Buah - -
Carbo Adsorben (Norit) Tablet - -
Cat Gut (benang bedah) no 3 Unit - -
Cat Gut (benang bedah) no.2 Unit - -
Cetirizine tablet 10 mg Tablet - -
Deksametason Injeksi Ampul - -
Deksametason Tablet 0.5 mg Tablet - -
Dekstrometorfan Syrup Botol - -
Dekstrometorfan Tablet 15 mg Tablet - -
Devitalisasai Pasta Pot - -
Diazepam 2 mg Tablet Tablet - -
Diazepam Injeksi Ampul - -
Difenhidramin Injeksi 10 mg/ml Ampul - -
Digoksin Tablet 0,25 mg Tablet - -
Diltiazem tablet 30 mg Tablet - -
Doksisiklin 100 mg kapsul - -
Efedrin HCl Tablet 25 mg Tablet - -
Ekstract Belladona Tablet - -
Epinefrin HCl /Adrenalin Injeksi Ampul - -
Erytromysin 500 mg Kaplet - -
Ethambutol Tablet 250 mg Tablet - -
Ethambutol Tablet 500 mg Tablet - -
Ethanol 70 %- 1000 ml Botol - -
Etil Klorida Semprot- 100 ml Botol - -
Eugenol Cairan Botol - -
FDC 1 & 3 Paket - -
FDC 2 Paket - -
FDC Anak Paket - -
FDC Sisipan Paket - -
Fenitoin Natrium 100 mg Tablet - -
Fenitoin Natrium 30 mg Tablet - -
Fenobarbital 30 mg Tablet - -
Fenobarbital Injeksi Ampul - -
Fenoksimetil Penisilin 500 mg Tablet - -
Fenol Gliserol Tetes Telinga 10% Botol - -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul - -
Fitomenadion (Vit K ) Tablet Tablet - -
Fluconazol tablet 150 mg Tablet - -
Furosemid Tablet 40 mg Tablet - -
Garam Oralit 200 ml Sachet - -
Glass Ionomer Cement (GC 1X) Pot - -
Glibenklamid Tablet 5 mg Tablet 500 500
Glikuidon 30 mg tablet - -
Glimepiride 1 mg tablet - -
Glimepiride 2 mg tablet - -
Glipizide 5 mg tablet - -
Glukosa Lart. Infus 10% - 500 ml Botol - -
Glukosa Lart. Infus 5% - 500 ml Botol - -
Griseofulvin Tablet 125 mg Tablet 300 300
Haloperidol Tablet 1,5 Mg Tablet - -
Haloperidol Tablet 5 mg Tablet - -
Handscoon latex non steril uk M box - -
Handscoon latex non steril uk S box - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidrokortison Krim 2,5% Tube - -
Ibuprofen 200 mg Tablet 1,000 1,000
Imipramin 25 mg tablet - -
Infusion Anak Set - -
Infusion Dewasa Set - -
Isoniazid Tablet 300 mg Tablet - -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet - -
Kalsium Hidroksida Pasta Pot - -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet - -
Kapas Pembalut/Adsorben 250 g Bgks - -
Kaptopril 12.5 mg Tablet - -
Kaptopril 25 mg Tablet 1,000 1,000
Karbamazepin 200 mg Tablet - -
Kasa Kompres 2m x 80 cm Roll - -
Kasa Kompres 40/40 Roll - -
Kasa Pembalut Hidrofil 4 mx 3cm Roll - -
Kasa Pembalut Hidrofil 4 mx15 cm Roll - -
Klindamisin 300 mg Kapsul - -
Klonidin 0,15 mg tablet - -
Kloramfenikol Salep Mata 1% Tube - -
Kloramfenikol Kapsul 250 mg Kapsul 250 250
Klorfeniramin Maleat (CTM) 4 mg Tablet - -
Klorin larutan Botol - -
Klorpromazin HCl Tablet 100 mg Tablet - -
Klorpromazin HCl Tablet 25 mg Tablet - -
Kodein Fosfat Tablet 10 mg Tablet - -
Kotrimoxazol Syrup Botol - -
Kotrimoxazol 120 Paediatrik Tablet - -
Kotrimoxazol 480 Dewasa Tablet - -
L i s o l Botol - -
Lidokain inj ampul - -
Lidokain Komb 2 % Ampul - -
Loratadin 10 mg Tablet - -
Lorazepam tablet - -
Masker earloop box@50 pcs box - -
Metformin HCl tablet 500 mg Tablet - -
Metilprednisolon 4 mg tablet - -
Metoklopramid inj.5 mg/ml Ampul - -
Metoklopramid tablet 10 mg Tablet - -
Metronidazol Tablet 250 mg Tablet 400 400
Metronidazol Tablet 500 mg Tablet - -
Metylergometrin Maleat Injk Ampul - -
Metylergometrin Maleat Tablet Tablet - -
Mineral mix sachet - -
Monoklor Kamfer Mentol (CHKM) Pot - -
Mumifying Pasta Pot - -
Myconazol SK Tube - -
Natrium Bikarbonat Tablet 500 mg Tablet - -
Natrium Diklofenak tablet 25 mg Tablet - -
Natrium Klorida 0,9% Infus Botol - -
Nifedipin Tablet 10 mg Tablet - -
Nistatin Tablet Salut 500 000 IU g Tablet - -
Nistatin Vaginal 100 000 IU g Tablet - -
Obat Batuk Hitam (OBH) 100 ml Botol - -
Oksitetrasiklin HCl 1% SM Tube - -
Oksitetrasiklin HCl 3% SK Tube - -
Oksitosin Injeksi Ampul - -
Parasetamol Syrup 120 mg/5ml Botol - -
Parasetamol Tablet 100 mg Tablet - -
Parasetamol Tablet 500 mg Tablet - -
Piracetam 800 mg Tablet - -
Pirantel Tablet 125 mg Tablet - -
Pirazinamid 500 mg Tablet - -
Piridoksin HCl (Vit B6) 10 mg Tablet - -
Piroksikam 20 mg Tablet - -
Plester 5 Yard x 2 1nch Roll - -
Polikresulen 10-ml / Albotyl Botol - -
Povidon Iodida 10 %- 300 ml Botol - -
Prednison 5 mg Tablet Tablet - -
Prometazin 25 mg tablet - -
Propanolol HCl 40 mg Tablet - -
Propiltyourasil Tablet 100 mg Tablet - -
Ranitidin 150 mg Tablet - -
Resin Composit set - -
Retinol ( Vit.A ) 100 000 IU Kapsul 650 650
Retinol ( Vit.A ) 200 000 IU Kapsul 5,150 5,150
Rifampisin 300 mg Kapsul - -
Rifampisin 450 mg Kaplet - -
Rifampisin 600 mg Kaplet - -
Ringar Laktat Lar. Infus Botol - -
Risperidon 1 mg tablet - -
Risperidon 2 mg tablet - -
Salbutamol 2 mg Tablet - -
Salbutamol 4 mg tablet - -
Salep 2 - 4 Pot - -
Salisil Talk 2%-50 G Dos - -
Sefadroksil 500 mg Kapsul - -
Sefiksim 400 mg + Azithromicin 1000 mg amplop - -
Semen Seng Fosfat Serbuk & Cairan Botol - -
Sianokobalamin (Vit.B12) Tablet Tablet - -
Silk ( Benang ) No. 3/0 Sachet - -
Silver Sulfadiazin crm pot 500g pot - -
Simetidin 200 mg Tablet - -
Simvastatin tablet 10 mg Tablet 100 100
Siprofloksasin 500 mg Tablet - -
Spironolakton 25 mg tablet - -
Spons Gelatin Unit - -
Sulfasetamid Na. TM 15% Botol - -
Tablet Tambah Darah (Besi) Tablet - -
Temporary Filling Material Pot - -
Teofilin 150 mg tablet - -
Terbutalin 2,5 mg tablet - -
Tetrasiklin 250 mg Kapsul - -
Thiamin HCl 50 mg Tablet Tablet - -
Thiamfenikol 500 mg Tablet - -
Trifluoperazin 5mg tablet - -
Trifluoperazin1 mg tablet - -
Triheksifenidil HCl 2 mg Tab Tablet - -
Trikresol Formalin (TKF)-10 ml Botol - -
Verapamil 80 mg tablet - -
Vitamin B Kompleks Tablet Tablet - -
Yellow Tips Buah - -
Zinc tablet Tablet - -
Amonium Oksalat Botol - -
Aquabidest 500 ml botol - -
Asam Sulfo Salisilat 20 %-100 ml Botol - -
Asam urat kit , 30 ml set - -
HB Cyanmed 500 ml Botol - -
HDL test kit-precipit, 80 ml set - -
Immersion Oil Botol - -
Indikator pH universal Botol - -
Kolesterol test kit, 100 ml set - -
Kreatinin test kit, 200 ml set - -
Lart.Glukosa, 100 ml Botol - -
Lart.Hayem, 100 ml Botol - -
Lart.KOH 10%,100 ml Botol - -
Larutan Benedict 500 ml Botol - -
Larutan Eosin 2 % Botol - -
Larutan Giemsa Stain - 100 ml Botol - -
Larutan Turk - 100 ml Botol - -
Metanol 500 ml Botol - -
Natrium Sitrat 100 cc Botol - -
Reagen Golongan Darah kotak - -
Reagen Z. Nelsen Botol - -
SGOT test kit set - -
SGPT test kit set - -
Trigliserida test kit, 100 ml set - -
Ureum test kit set - -
Amoksisilin sirup forte 250 mg/ 5 ml botol - -
Betametason krim 0,5 mg/g tube - -
Cetirizine sirup 5 mg/ 5 ml botol - -
Ergotamin tablet 1 mg tablet - -
Eritromisin kapsul 250 mg kapsul - -
Kloramfenikol salap kulit 2 % tube - -
Kloramfenikol tetes mata 0,5 % botol - -
Kotrimoksazol tablet forte 960 mg tablet - -
Zinc sirup 10 mg/ml botol - -
Gliseril Guaicolat tablet - -
Object Glass/Slide box - -
Pot Dahak Buah - -
Sarung tangan panjang Kebidanan pasang - -
Sendok obat sirup Paket - -
Spuit 10 cc set - -
Urine Bag Buah - -
Vacutainer Buah - -
Vacutainer Needle Buah - -
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20
Kode Puskesmas : 5
Nama Puskesmas : Gang Aut
Bulan Distribusi & NO SBBK
18/05/TPD/I/2013
1 2
Abbocath no.20 set - -
Abbocath no.24 set - -
Alat Suntik Sekali Pakai 1 ml Set - -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set - -
Alat Suntik Sekali Pakai 5 ml Set - -
Albendazol tablet 400 mg Tablet - -
Alopurinol 100 mg Tablet 600 600
Alprazolam tablet 0,5 mg Tablet - -
Ambroxol sirup 15 mg/ml Botol 500 500
Ambroxol tablet 30 mg Tablet 1,000 1,000
Aminofilin 200 mg Tablet 700 700
Amitriptilin HCL 25 mg Tablet - -
Amlodipin 5 mg tablet 600 600
Amoksisilin + As.Klavulanat 625 mg tab Tablet - -
Amoksisilin 125 mg/5ml Syr kering Botol 850 850
Amoksisilin 250 mg Kapsul 1,800 1,800
Amoksisilin 500 mg Kaplet 7,000 7,000
Antalgin 500 mg ( Metampiron ) Tablet 3,800 3,800
Antasida Doen Tablet 7,200 7,200
Antasida sirup Botol 800 800
Anti Bakteri DOEN Tube 25 25
Anti Fungi Pot 24 24
Anti Hemoroid DOEN Unit - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet - -
Aqua Pro Injeksi 20 ml Flacon - -
Asam Ascorbat 50 mg Tablet 2,000 2,000
Asam Mefenamat 500 mg Kaplet 1,500 1,500
Asetosal 100 mg tablet - -
Asetosal 500 mg tablet - -
Asiklovir Salep 5 % Tube 50 50
Asiklovir Tablet 200 mg Tablet 400 400
Asiklovir Tablet 400 mg Tablet 300 300
Atenolol 50 mg tablet - -
Betametason Krim 0,1 % Tube - -
Bisoprolol 5 mg tablet - -
Nama dan Kode Barang Satuan Jumlah
Blood Lancet Dos - -
Blue Tips Buah - -
Carbo Adsorben (Norit) Tablet - -
Cat Gut (benang bedah) no 3 Unit - -
Cat Gut (benang bedah) no.2 Unit - -
Cetirizine tablet 10 mg Tablet 500 500
Deksametason Injeksi Ampul - -
Deksametason Tablet 0.5 mg Tablet 5,000 5,000
Dekstrometorfan Syrup Botol - -
Dekstrometorfan Tablet 15 mg Tablet - -
Devitalisasai Pasta Pot - -
Diazepam 2 mg Tablet Tablet 600 600
Diazepam Injeksi Ampul - -
Difenhidramin Injeksi 10 mg/ml Ampul - -
Digoksin Tablet 0,25 mg Tablet - -
Diltiazem tablet 30 mg Tablet - -
Doksisiklin 100 mg kapsul - -
Efedrin HCl Tablet 25 mg Tablet 500 500
Ekstract Belladona Tablet - -
Epinefrin HCl /Adrenalin Injeksi Ampul - -
Erytromysin 500 mg Kaplet - -
Ethambutol Tablet 250 mg Tablet - -
Ethambutol Tablet 500 mg Tablet - -
Ethanol 70 %- 1000 ml Botol - -
Etil Klorida Semprot- 100 ml Botol - -
Eugenol Cairan Botol - -
FDC 1 & 3 Paket 3 3
FDC 2 Paket - -
FDC Anak Paket - -
FDC Sisipan Paket - -
Fenitoin Natrium 100 mg Tablet - -
Fenitoin Natrium 30 mg Tablet - -
Fenobarbital 30 mg Tablet - -
Fenobarbital Injeksi Ampul - -
Fenoksimetil Penisilin 500 mg Tablet - -
Fenol Gliserol Tetes Telinga 10% Botol - -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul - -
Fitomenadion (Vit K ) Tablet Tablet 300 300
Fluconazol tablet 150 mg Tablet - -
Furosemid Tablet 40 mg Tablet - -
Garam Oralit 200 ml Sachet 800 800
Glass Ionomer Cement (GC 1X) Pot - -
Glibenklamid Tablet 5 mg Tablet - -
Glikuidon 30 mg tablet - -
Glimepiride 1 mg tablet - -
Glimepiride 2 mg tablet - -
Glipizide 5 mg tablet - -
Glukosa Lart. Infus 10% - 500 ml Botol - -
Glukosa Lart. Infus 5% - 500 ml Botol - -
Griseofulvin Tablet 125 mg Tablet - -
Haloperidol Tablet 1,5 Mg Tablet - -
Haloperidol Tablet 5 mg Tablet - -
Handscoon latex non steril uk M box - -
Handscoon latex non steril uk S box - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidrokortison Krim 2,5% Tube 168 168
Ibuprofen 200 mg Tablet 4,200 4,200
Imipramin 25 mg tablet - -
Infusion Anak Set - -
Infusion Dewasa Set - -
Isoniazid Tablet 300 mg Tablet - -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet - -
Kalsium Hidroksida Pasta Pot - -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet 8,000 8,000
Kapas Pembalut/Adsorben 250 g Bgks 3 3
Kaptopril 12.5 mg Tablet - -
Kaptopril 25 mg Tablet 4,500 4,500
Karbamazepin 200 mg Tablet 500 500
Kasa Kompres 2m x 80 cm Roll - -
Kasa Kompres 40/40 Roll - -
Kasa Pembalut Hidrofil 4 mx 3cm Roll - -
Kasa Pembalut Hidrofil 4 mx15 cm Roll - -
Klindamisin 300 mg Kapsul 800 800
Klonidin 0,15 mg tablet - -
Kloramfenikol Salep Mata 1% Tube 96 96
Kloramfenikol Kapsul 250 mg Kapsul - -
Klorfeniramin Maleat (CTM) 4 mg Tablet 9,000 9,000
Klorin larutan Botol - -
Klorpromazin HCl Tablet 100 mg Tablet - -
Klorpromazin HCl Tablet 25 mg Tablet - -
Kodein Fosfat Tablet 10 mg Tablet 250 250
Kotrimoxazol Syrup Botol - -
Kotrimoxazol 120 Paediatrik Tablet - -
Kotrimoxazol 480 Dewasa Tablet 100 100
L i s o l Botol - -
Lidokain inj ampul - -
Lidokain Komb 2 % Ampul - -
Loratadin 10 mg Tablet 200 200
Lorazepam tablet - -
Masker earloop box@50 pcs box - -
Metformin HCl tablet 500 mg Tablet 500 500
Metilprednisolon 4 mg tablet - -
Metoklopramid inj.5 mg/ml Ampul - -
Metoklopramid tablet 10 mg Tablet - -
Metronidazol Tablet 250 mg Tablet 1,400 1,400
Metronidazol Tablet 500 mg Tablet - -
Metylergometrin Maleat Injk Ampul - -
Metylergometrin Maleat Tablet Tablet - -
Mineral mix sachet - -
Monoklor Kamfer Mentol (CHKM) Pot - -
Mumifying Pasta Pot - -
Myconazol SK Tube 24 24
Natrium Bikarbonat Tablet 500 mg Tablet - -
Natrium Diklofenak tablet 25 mg Tablet 300 300
Natrium Klorida 0,9% Infus Botol - -
Nifedipin Tablet 10 mg Tablet 1,200 1,200
Nistatin Tablet Salut 500 000 IU g Tablet - -
Nistatin Vaginal 100 000 IU g Tablet - -
Obat Batuk Hitam (OBH) 100 ml Botol 360 360
Oksitetrasiklin HCl 1% SM Tube 25 25
Oksitetrasiklin HCl 3% SK Tube 25 25
Oksitosin Injeksi Ampul - -
Parasetamol Syrup 120 mg/5ml Botol 840 840
Parasetamol Tablet 100 mg Tablet - -
Parasetamol Tablet 500 mg Tablet 24,000 24,000
Piracetam 800 mg Tablet - -
Pirantel Tablet 125 mg Tablet - -
Pirazinamid 500 mg Tablet - -
Piridoksin HCl (Vit B6) 10 mg Tablet 2,000 2,000
Piroksikam 20 mg Tablet 1,100 1,100
Plester 5 Yard x 2 1nch Roll - -
Polikresulen 10-ml / Albotyl Botol - -
Povidon Iodida 10 %- 300 ml Botol 1 1
Prednison 5 mg Tablet Tablet 1,000 1,000
Prometazin 25 mg tablet - -
Propanolol HCl 40 mg Tablet - -
Propiltyourasil Tablet 100 mg Tablet - -
Ranitidin 150 mg Tablet 200 200
Resin Composit set - -
Retinol ( Vit.A ) 100 000 IU Kapsul 200 200
Retinol ( Vit.A ) 200 000 IU Kapsul 1,650 1,650
Rifampisin 300 mg Kapsul - -
Rifampisin 450 mg Kaplet - -
Rifampisin 600 mg Kaplet - -
Ringar Laktat Lar. Infus Botol - -
Risperidon 1 mg tablet - -
Risperidon 2 mg tablet - -
Salbutamol 2 mg Tablet 600 600
Salbutamol 4 mg tablet 100 100
Salep 2 - 4 Pot 24 24
Salisil Talk 2%-50 G Dos 300 300
Sefadroksil 500 mg Kapsul 200 200
Sefiksim 400 mg + Azithromicin 1000 mg amplop - -
Semen Seng Fosfat Serbuk & Cairan Botol - -
Sianokobalamin (Vit.B12) Tablet Tablet 8,000 8,000
Silk ( Benang ) No. 3/0 Sachet - -
Silver Sulfadiazin crm pot 500g pot - -
Simetidin 200 mg Tablet 1,000 1,000
Simvastatin tablet 10 mg Tablet 200 200
Siprofloksasin 500 mg Tablet 300 300
Spironolakton 25 mg tablet - -
Spons Gelatin Unit - -
Sulfasetamid Na. TM 15% Botol 24 24
Tablet Tambah Darah (Besi) Tablet 3,600 3,600
Temporary Filling Material Pot - -
Teofilin 150 mg tablet - -
Terbutalin 2,5 mg tablet - -
Tetrasiklin 250 mg Kapsul - -
Thiamin HCl 50 mg Tablet Tablet 1,000 1,000
Thiamfenikol 500 mg Tablet - -
Trifluoperazin 5mg tablet - -
Trifluoperazin1 mg tablet - -
Triheksifenidil HCl 2 mg Tab Tablet 3,000 3,000
Trikresol Formalin (TKF)-10 ml Botol - -
Verapamil 80 mg tablet - -
Vitamin B Kompleks Tablet Tablet - -
Yellow Tips Buah - -
Zinc tablet Tablet 700 700
Amonium Oksalat Botol - -
Aquabidest 500 ml botol 2 2
Asam Sulfo Salisilat 20 %-100 ml Botol - -
Asam urat kit , 30 ml set - -
HB Cyanmed 500 ml Botol - -
HDL test kit-precipit, 80 ml set - -
Immersion Oil Botol - -
Indikator pH universal Botol - -
Kolesterol test kit, 100 ml set - -
Kreatinin test kit, 200 ml set - -
Lart.Glukosa, 100 ml Botol - -
Lart.Hayem, 100 ml Botol - -
Lart.KOH 10%,100 ml Botol - -
Larutan Benedict 500 ml Botol - -
Larutan Eosin 2 % Botol - -
Larutan Giemsa Stain - 100 ml Botol - -
Larutan Turk - 100 ml Botol - -
Metanol 500 ml Botol - -
Natrium Sitrat 100 cc Botol - -
Reagen Golongan Darah kotak - -
Reagen Z. Nelsen Botol - -
SGOT test kit set - -
SGPT test kit set - -
Trigliserida test kit, 100 ml set - -
Ureum test kit set - -
Amoksisilin sirup forte 250 mg/ 5 ml botol - -
Betametason krim 0,5 mg/g tube - -
Cetirizine sirup 5 mg/ 5 ml botol - -
Ergotamin tablet 1 mg tablet - -
Eritromisin kapsul 250 mg kapsul - -
Kloramfenikol salap kulit 2 % tube - -
Kloramfenikol tetes mata 0,5 % botol - -
Kotrimoksazol tablet forte 960 mg tablet - -
Zinc sirup 10 mg/ml botol - -
Gliseril Guaicolat tablet - -
Object Glass/Slide box - -
Pot Dahak Buah - -
Sarung tangan panjang Kebidanan pasang - -
Sendok obat sirup Paket - -
Spuit 10 cc set - -
Urine Bag Buah - -
Vacutainer Buah - -
Vacutainer Needle Buah - -
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20
Kode Puskesmas : 6
Nama Puskesmas : Bogor Selatan
Bulan Distribusi & NO SBBK
03/06/TPD/I/2014
1 2
Abbocath no.20 set - -
Abbocath no.24 set - -
Alat Suntik Sekali Pakai 1 ml Set - -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set - -
Alat Suntik Sekali Pakai 5 ml Set - -
Albendazol tablet 400 mg Tablet - -
Alopurinol 100 mg Tablet - -
Alprazolam tablet 0,5 mg Tablet - -
Ambroxol sirup 15 mg/ml Botol - -
Ambroxol tablet 30 mg Tablet 500 500
Aminofilin 200 mg Tablet - -
Amitriptilin HCL 25 mg Tablet - -
Amlodipin 5 mg tablet - -
Amoksisilin + As.Klavulanat 625 mg tab Tablet - -
Amoksisilin 125 mg/5ml Syr kering Botol - -
Amoksisilin 250 mg Kapsul - -
Amoksisilin 500 mg Kaplet - -
Antalgin 500 mg ( Metampiron ) Tablet 2,000 2,000
Antasida Doen Tablet 2,000 2,000
Antasida sirup Botol - -
Anti Bakteri DOEN Tube 100 100
Anti Fungi Pot - -
Anti Hemoroid DOEN Unit - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet - -
Aqua Pro Injeksi 20 ml Flacon - -
Asam Ascorbat 50 mg Tablet 2,000 2,000
Asam Mefenamat 500 mg Kaplet 1,000 1,000
Asetosal 100 mg tablet - -
Asetosal 500 mg tablet - -
Asiklovir Salep 5 % Tube - -
Asiklovir Tablet 200 mg Tablet - -
Asiklovir Tablet 400 mg Tablet - -
Atenolol 50 mg tablet - -
Betametason Krim 0,1 % Tube 150 150
Bisoprolol 5 mg tablet - -
Nama dan Kode Barang Satuan Jumlah
Blood Lancet Dos - -
Blue Tips Buah - -
Carbo Adsorben (Norit) Tablet - -
Cat Gut (benang bedah) no 3 Unit - -
Cat Gut (benang bedah) no.2 Unit - -
Cetirizine tablet 10 mg Tablet - -
Deksametason Injeksi Ampul - -
Deksametason Tablet 0.5 mg Tablet - -
Dekstrometorfan Syrup Botol - -
Dekstrometorfan Tablet 15 mg Tablet - -
Devitalisasai Pasta Pot 2 2
Diazepam 2 mg Tablet Tablet - -
Diazepam Injeksi Ampul - -
Difenhidramin Injeksi 10 mg/ml Ampul - -
Digoksin Tablet 0,25 mg Tablet - -
Diltiazem tablet 30 mg Tablet - -
Doksisiklin 100 mg kapsul - -
Efedrin HCl Tablet 25 mg Tablet - -
Ekstract Belladona Tablet - -
Epinefrin HCl /Adrenalin Injeksi Ampul - -
Erytromysin 500 mg Kaplet - -
Ethambutol Tablet 250 mg Tablet - -
Ethambutol Tablet 500 mg Tablet - -
Ethanol 70 %- 1000 ml Botol - -
Etil Klorida Semprot- 100 ml Botol 4 4
Eugenol Cairan Botol - -
FDC 1 & 3 Paket - -
FDC 2 Paket - -
FDC Anak Paket - -
FDC Sisipan Paket - -
Fenitoin Natrium 100 mg Tablet - -
Fenitoin Natrium 30 mg Tablet - -
Fenobarbital 30 mg Tablet 500 500
Fenobarbital Injeksi Ampul - -
Fenoksimetil Penisilin 500 mg Tablet - -
Fenol Gliserol Tetes Telinga 10% Botol - -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul - -
Fitomenadion (Vit K ) Tablet Tablet - -
Fluconazol tablet 150 mg Tablet - -
Furosemid Tablet 40 mg Tablet - -
Garam Oralit 200 ml Sachet - -
Glass Ionomer Cement (GC 1X) Pot - -
Glibenklamid Tablet 5 mg Tablet - -
Glikuidon 30 mg tablet - -
Glimepiride 1 mg tablet - -
Glimepiride 2 mg tablet - -
Glipizide 5 mg tablet - -
Glukosa Lart. Infus 10% - 500 ml Botol - -
Glukosa Lart. Infus 5% - 500 ml Botol - -
Griseofulvin Tablet 125 mg Tablet - -
Haloperidol Tablet 1,5 Mg Tablet - -
Haloperidol Tablet 5 mg Tablet - -
Handscoon latex non steril uk M box - -
Handscoon latex non steril uk S box - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidrokortison Krim 2,5% Tube - -
Ibuprofen 200 mg Tablet - -
Imipramin 25 mg tablet - -
Infusion Anak Set - -
Infusion Dewasa Set - -
Isoniazid Tablet 300 mg Tablet - -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet - -
Kalsium Hidroksida Pasta Pot - -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet - -
Kapas Pembalut/Adsorben 250 g Bgks - -
Kaptopril 12.5 mg Tablet - -
Kaptopril 25 mg Tablet - -
Karbamazepin 200 mg Tablet 1,500 1,500
Kasa Kompres 2m x 80 cm Roll - -
Kasa Kompres 40/40 Roll - -
Kasa Pembalut Hidrofil 4 mx 3cm Roll - -
Kasa Pembalut Hidrofil 4 mx15 cm Roll - -
Klindamisin 300 mg Kapsul - -
Klonidin 0,15 mg tablet - -
Kloramfenikol Salep Mata 1% Tube - -
Kloramfenikol Kapsul 250 mg Kapsul - -
Klorfeniramin Maleat (CTM) 4 mg Tablet - -
Klorin larutan Botol - -
Klorpromazin HCl Tablet 100 mg Tablet - -
Klorpromazin HCl Tablet 25 mg Tablet - -
Kodein Fosfat Tablet 10 mg Tablet - -
Kotrimoxazol Syrup Botol - -
Kotrimoxazol 120 Paediatrik Tablet - -
Kotrimoxazol 480 Dewasa Tablet - -
L i s o l Botol - -
Lidokain inj ampul - -
Lidokain Komb 2 % Ampul - -
Loratadin 10 mg Tablet - -
Lorazepam tablet - -
Masker earloop box@50 pcs box - -
Metformin HCl tablet 500 mg Tablet 1,000 1,000
Metilprednisolon 4 mg tablet - -
Metoklopramid inj.5 mg/ml Ampul - -
Metoklopramid tablet 10 mg Tablet - -
Metronidazol Tablet 250 mg Tablet - -
Metronidazol Tablet 500 mg Tablet - -
Metylergometrin Maleat Injk Ampul - -
Metylergometrin Maleat Tablet Tablet - -
Mineral mix sachet - -
Monoklor Kamfer Mentol (CHKM) Pot - -
Mumifying Pasta Pot - -
Myconazol SK Tube 24 24
Natrium Bikarbonat Tablet 500 mg Tablet - -
Natrium Diklofenak tablet 25 mg Tablet - -
Natrium Klorida 0,9% Infus Botol - -
Nifedipin Tablet 10 mg Tablet - -
Nistatin Tablet Salut 500 000 IU g Tablet - -
Nistatin Vaginal 100 000 IU g Tablet - -
Obat Batuk Hitam (OBH) 100 ml Botol - -
Oksitetrasiklin HCl 1% SM Tube - -
Oksitetrasiklin HCl 3% SK Tube - -
Oksitosin Injeksi Ampul - -
Parasetamol Syrup 120 mg/5ml Botol - -
Parasetamol Tablet 100 mg Tablet - -
Parasetamol Tablet 500 mg Tablet 5,000 5,000
Piracetam 800 mg Tablet - -
Pirantel Tablet 125 mg Tablet - -
Pirazinamid 500 mg Tablet 200 200
Piridoksin HCl (Vit B6) 10 mg Tablet - -
Piroksikam 20 mg Tablet - -
Plester 5 Yard x 2 1nch Roll - -
Polikresulen 10-ml / Albotyl Botol - -
Povidon Iodida 10 %- 300 ml Botol - -
Prednison 5 mg Tablet Tablet - -
Prometazin 25 mg tablet - -
Propanolol HCl 40 mg Tablet - -
Propiltyourasil Tablet 100 mg Tablet - -
Ranitidin 150 mg Tablet 300 300
Resin Composit set - -
Retinol ( Vit.A ) 100 000 IU Kapsul 800 800
Retinol ( Vit.A ) 200 000 IU Kapsul 4,750 4,750
Rifampisin 300 mg Kapsul - -
Rifampisin 450 mg Kaplet 200 200
Rifampisin 600 mg Kaplet - -
Ringar Laktat Lar. Infus Botol - -
Risperidon 1 mg tablet - -
Risperidon 2 mg tablet - -
Salbutamol 2 mg Tablet - -
Salbutamol 4 mg tablet - -
Salep 2 - 4 Pot - -
Salisil Talk 2%-50 G Dos - -
Sefadroksil 500 mg Kapsul - -
Sefiksim 400 mg + Azithromicin 1000 mg amplop - -
Semen Seng Fosfat Serbuk & Cairan Botol - -
Sianokobalamin (Vit.B12) Tablet Tablet - -
Silk ( Benang ) No. 3/0 Sachet - -
Silver Sulfadiazin crm pot 500g pot - -
Simetidin 200 mg Tablet - -
Simvastatin tablet 10 mg Tablet 500 500
Siprofloksasin 500 mg Tablet - -
Spironolakton 25 mg tablet - -
Spons Gelatin Unit - -
Sulfasetamid Na. TM 15% Botol - -
Tablet Tambah Darah (Besi) Tablet - -
Temporary Filling Material Pot - -
Teofilin 150 mg tablet - -
Terbutalin 2,5 mg tablet - -
Tetrasiklin 250 mg Kapsul - -
Thiamin HCl 50 mg Tablet Tablet - -
Thiamfenikol 500 mg Tablet - -
Trifluoperazin 5mg tablet - -
Trifluoperazin1 mg tablet - -
Triheksifenidil HCl 2 mg Tab Tablet 300 300
Trikresol Formalin (TKF)-10 ml Botol - -
Verapamil 80 mg tablet - -
Vitamin B Kompleks Tablet Tablet - -
Yellow Tips Buah - -
Zinc tablet Tablet - -
Amonium Oksalat Botol - -
Aquabidest 500 ml botol - -
Asam Sulfo Salisilat 20 %-100 ml Botol - -
Asam urat kit , 30 ml set - -
HB Cyanmed 500 ml Botol - -
HDL test kit-precipit, 80 ml set - -
Immersion Oil Botol - -
Indikator pH universal Botol - -
Kolesterol test kit, 100 ml set - -
Kreatinin test kit, 200 ml set - -
Lart.Glukosa, 100 ml Botol - -
Lart.Hayem, 100 ml Botol - -
Lart.KOH 10%,100 ml Botol - -
Larutan Benedict 500 ml Botol - -
Larutan Eosin 2 % Botol - -
Larutan Giemsa Stain - 100 ml Botol - -
Larutan Turk - 100 ml Botol - -
Metanol 500 ml Botol - -
Natrium Sitrat 100 cc Botol - -
Reagen Golongan Darah kotak - -
Reagen Z. Nelsen Botol - -
SGOT test kit set - -
SGPT test kit set - -
Trigliserida test kit, 100 ml set - -
Ureum test kit set - -
Amoksisilin sirup forte 250 mg/ 5 ml botol - -
Betametason krim 0,5 mg/g tube - -
Cetirizine sirup 5 mg/ 5 ml botol - -
Ergotamin tablet 1 mg tablet - -
Eritromisin kapsul 250 mg kapsul - -
Kloramfenikol salap kulit 2 % tube - -
Kloramfenikol tetes mata 0,5 % botol - -
Kotrimoksazol tablet forte 960 mg tablet - -
Zinc sirup 10 mg/ml botol - -
Gliseril Guaicolat tablet - -
Object Glass/Slide box - -
Pot Dahak Buah - -
Sarung tangan panjang Kebidanan pasang - -
Sendok obat sirup Paket - -
Spuit 10 cc set - -
Urine Bag Buah - -
Vacutainer Buah - -
Vacutainer Needle Buah - -
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20
Kode Puskesmas : 7
Nama Puskesmas : Bondongan
Bulan Distribusi & NO SBBK
23/07/TPD/I/2014
1 2
Abbocath no.20 set - -
Abbocath no.24 set - -
Alat Suntik Sekali Pakai 1 ml Set - -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set - -
Alat Suntik Sekali Pakai 5 ml Set - -
Albendazol tablet 400 mg Tablet - -
Alopurinol 100 mg Tablet - -
Alprazolam tablet 0,5 mg Tablet - -
Ambroxol sirup 15 mg/ml Botol - -
Ambroxol tablet 30 mg Tablet - -
Aminofilin 200 mg Tablet - -
Amitriptilin HCL 25 mg Tablet - -
Amlodipin 5 mg tablet - -
Amoksisilin + As.Klavulanat 625 mg tab Tablet - -
Amoksisilin 125 mg/5ml Syr kering Botol - -
Amoksisilin 250 mg Kapsul - -
Amoksisilin 500 mg Kaplet - -
Antalgin 500 mg ( Metampiron ) Tablet - -
Antasida Doen Tablet - -
Antasida sirup Botol - -
Anti Bakteri DOEN Tube - -
Anti Fungi Pot - -
Anti Hemoroid DOEN Unit - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet - -
Aqua Pro Injeksi 20 ml Flacon - -
Asam Ascorbat 50 mg Tablet - -
Asam Mefenamat 500 mg Kaplet - -
Asetosal 100 mg tablet - -
Asetosal 500 mg tablet - -
Asiklovir Salep 5 % Tube - -
Asiklovir Tablet 200 mg Tablet - -
Asiklovir Tablet 400 mg Tablet - -
Atenolol 50 mg tablet - -
Betametason Krim 0,1 % Tube - -
Bisoprolol 5 mg tablet - -
Nama dan Kode Barang Satuan Jumlah
Blood Lancet Dos - -
Blue Tips Buah - -
Carbo Adsorben (Norit) Tablet - -
Cat Gut (benang bedah) no 3 Unit - -
Cat Gut (benang bedah) no.2 Unit - -
Cetirizine tablet 10 mg Tablet - -
Deksametason Injeksi Ampul - -
Deksametason Tablet 0.5 mg Tablet - -
Dekstrometorfan Syrup Botol - -
Dekstrometorfan Tablet 15 mg Tablet - -
Devitalisasai Pasta Pot - -
Diazepam 2 mg Tablet Tablet - -
Diazepam Injeksi Ampul - -
Difenhidramin Injeksi 10 mg/ml Ampul - -
Digoksin Tablet 0,25 mg Tablet - -
Diltiazem tablet 30 mg Tablet - -
Doksisiklin 100 mg kapsul - -
Efedrin HCl Tablet 25 mg Tablet - -
Ekstract Belladona Tablet - -
Epinefrin HCl /Adrenalin Injeksi Ampul - -
Erytromysin 500 mg Kaplet - -
Ethambutol Tablet 250 mg Tablet - -
Ethambutol Tablet 500 mg Tablet - -
Ethanol 70 %- 1000 ml Botol - -
Etil Klorida Semprot- 100 ml Botol - -
Eugenol Cairan Botol - -
FDC 1 & 3 Paket - -
FDC 2 Paket - -
FDC Anak Paket - -
FDC Sisipan Paket - -
Fenitoin Natrium 100 mg Tablet - -
Fenitoin Natrium 30 mg Tablet - -
Fenobarbital 30 mg Tablet - -
Fenobarbital Injeksi Ampul - -
Fenoksimetil Penisilin 500 mg Tablet - -
Fenol Gliserol Tetes Telinga 10% Botol - -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul - -
Fitomenadion (Vit K ) Tablet Tablet - -
Fluconazol tablet 150 mg Tablet - -
Furosemid Tablet 40 mg Tablet - -
Garam Oralit 200 ml Sachet - -
Glass Ionomer Cement (GC 1X) Pot - -
Glibenklamid Tablet 5 mg Tablet - -
Glikuidon 30 mg tablet - -
Glimepiride 1 mg tablet - -
Glimepiride 2 mg tablet - -
Glipizide 5 mg tablet - -
Glukosa Lart. Infus 10% - 500 ml Botol - -
Glukosa Lart. Infus 5% - 500 ml Botol - -
Griseofulvin Tablet 125 mg Tablet - -
Haloperidol Tablet 1,5 Mg Tablet - -
Haloperidol Tablet 5 mg Tablet - -
Handscoon latex non steril uk M box - -
Handscoon latex non steril uk S box - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidrokortison Krim 2,5% Tube - -
Ibuprofen 200 mg Tablet - -
Imipramin 25 mg tablet - -
Infusion Anak Set - -
Infusion Dewasa Set - -
Isoniazid Tablet 300 mg Tablet - -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet - -
Kalsium Hidroksida Pasta Pot - -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet - -
Kapas Pembalut/Adsorben 250 g Bgks - -
Kaptopril 12.5 mg Tablet - -
Kaptopril 25 mg Tablet - -
Karbamazepin 200 mg Tablet - -
Kasa Kompres 2m x 80 cm Roll - -
Kasa Kompres 40/40 Roll - -
Kasa Pembalut Hidrofil 4 mx 3cm Roll - -
Kasa Pembalut Hidrofil 4 mx15 cm Roll - -
Klindamisin 300 mg Kapsul - -
Klonidin 0,15 mg tablet - -
Kloramfenikol Salep Mata 1% Tube - -
Kloramfenikol Kapsul 250 mg Kapsul - -
Klorfeniramin Maleat (CTM) 4 mg Tablet - -
Klorin larutan Botol - -
Klorpromazin HCl Tablet 100 mg Tablet - -
Klorpromazin HCl Tablet 25 mg Tablet - -
Kodein Fosfat Tablet 10 mg Tablet - -
Kotrimoxazol Syrup Botol - -
Kotrimoxazol 120 Paediatrik Tablet - -
Kotrimoxazol 480 Dewasa Tablet - -
L i s o l Botol - -
Lidokain inj ampul - -
Lidokain Komb 2 % Ampul - -
Loratadin 10 mg Tablet - -
Lorazepam tablet - -
Masker earloop box@50 pcs box - -
Metformin HCl tablet 500 mg Tablet - -
Metilprednisolon 4 mg tablet - -
Metoklopramid inj.5 mg/ml Ampul - -
Metoklopramid tablet 10 mg Tablet - -
Metronidazol Tablet 250 mg Tablet - -
Metronidazol Tablet 500 mg Tablet - -
Metylergometrin Maleat Injk Ampul - -
Metylergometrin Maleat Tablet Tablet - -
Mineral mix sachet - -
Monoklor Kamfer Mentol (CHKM) Pot - -
Mumifying Pasta Pot - -
Myconazol SK Tube - -
Natrium Bikarbonat Tablet 500 mg Tablet - -
Natrium Diklofenak tablet 25 mg Tablet - -
Natrium Klorida 0,9% Infus Botol - -
Nifedipin Tablet 10 mg Tablet - -
Nistatin Tablet Salut 500 000 IU g Tablet - -
Nistatin Vaginal 100 000 IU g Tablet - -
Obat Batuk Hitam (OBH) 100 ml Botol - -
Oksitetrasiklin HCl 1% SM Tube - -
Oksitetrasiklin HCl 3% SK Tube - -
Oksitosin Injeksi Ampul - -
Parasetamol Syrup 120 mg/5ml Botol - -
Parasetamol Tablet 100 mg Tablet - -
Parasetamol Tablet 500 mg Tablet - -
Piracetam 800 mg Tablet - -
Pirantel Tablet 125 mg Tablet - -
Pirazinamid 500 mg Tablet - -
Piridoksin HCl (Vit B6) 10 mg Tablet - -
Piroksikam 20 mg Tablet - -
Plester 5 Yard x 2 1nch Roll - -
Polikresulen 10-ml / Albotyl Botol - -
Povidon Iodida 10 %- 300 ml Botol - -
Prednison 5 mg Tablet Tablet - -
Prometazin 25 mg tablet - -
Propanolol HCl 40 mg Tablet - -
Propiltyourasil Tablet 100 mg Tablet - -
Ranitidin 150 mg Tablet - -
Resin Composit set - -
Retinol ( Vit.A ) 100 000 IU Kapsul 500 500
Retinol ( Vit.A ) 200 000 IU Kapsul 4,100 4,100
Rifampisin 300 mg Kapsul - -
Rifampisin 450 mg Kaplet - -
Rifampisin 600 mg Kaplet - -
Ringar Laktat Lar. Infus Botol - -
Risperidon 1 mg tablet - -
Risperidon 2 mg tablet - -
Salbutamol 2 mg Tablet - -
Salbutamol 4 mg tablet - -
Salep 2 - 4 Pot - -
Salisil Talk 2%-50 G Dos - -
Sefadroksil 500 mg Kapsul - -
Sefiksim 400 mg + Azithromicin 1000 mg amplop - -
Semen Seng Fosfat Serbuk & Cairan Botol - -
Sianokobalamin (Vit.B12) Tablet Tablet - -
Silk ( Benang ) No. 3/0 Sachet - -
Silver Sulfadiazin crm pot 500g pot - -
Simetidin 200 mg Tablet - -
Simvastatin tablet 10 mg Tablet - -
Siprofloksasin 500 mg Tablet - -
Spironolakton 25 mg tablet - -
Spons Gelatin Unit - -
Sulfasetamid Na. TM 15% Botol - -
Tablet Tambah Darah (Besi) Tablet - -
Temporary Filling Material Pot - -
Teofilin 150 mg tablet - -
Terbutalin 2,5 mg tablet - -
Tetrasiklin 250 mg Kapsul - -
Thiamin HCl 50 mg Tablet Tablet - -
Thiamfenikol 500 mg Tablet - -
Trifluoperazin 5mg tablet - -
Trifluoperazin1 mg tablet - -
Triheksifenidil HCl 2 mg Tab Tablet - -
Trikresol Formalin (TKF)-10 ml Botol - -
Verapamil 80 mg tablet - -
Vitamin B Kompleks Tablet Tablet - -
Yellow Tips Buah - -
Zinc tablet Tablet - -
Amonium Oksalat Botol - -
Aquabidest 500 ml botol - -
Asam Sulfo Salisilat 20 %-100 ml Botol - -
Asam urat kit , 30 ml set - -
HB Cyanmed 500 ml Botol - -
HDL test kit-precipit, 80 ml set - -
Immersion Oil Botol - -
Indikator pH universal Botol - -
Kolesterol test kit, 100 ml set - -
Kreatinin test kit, 200 ml set - -
Lart.Glukosa, 100 ml Botol - -
Lart.Hayem, 100 ml Botol - -
Lart.KOH 10%,100 ml Botol - -
Larutan Benedict 500 ml Botol - -
Larutan Eosin 2 % Botol - -
Larutan Giemsa Stain - 100 ml Botol - -
Larutan Turk - 100 ml Botol - -
Metanol 500 ml Botol - -
Natrium Sitrat 100 cc Botol - -
Reagen Golongan Darah kotak - -
Reagen Z. Nelsen Botol - -
SGOT test kit set - -
SGPT test kit set - -
Trigliserida test kit, 100 ml set - -
Ureum test kit set - -
Amoksisilin sirup forte 250 mg/ 5 ml botol - -
Betametason krim 0,5 mg/g tube - -
Cetirizine sirup 5 mg/ 5 ml botol - -
Ergotamin tablet 1 mg tablet - -
Eritromisin kapsul 250 mg kapsul - -
Kloramfenikol salap kulit 2 % tube - -
Kloramfenikol tetes mata 0,5 % botol - -
Kotrimoksazol tablet forte 960 mg tablet - -
Zinc sirup 10 mg/ml botol - -
Gliseril Guaicolat tablet - -
Object Glass/Slide box - -
Pot Dahak Buah - -
Sarung tangan panjang Kebidanan pasang - -
Sendok obat sirup Paket - -
Spuit 10 cc set - -
Urine Bag Buah - -
Vacutainer Buah - -
Vacutainer Needle Buah - -
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20
Kode Puskesmas : 8
Nama Puskesmas : Lawang Gintung
Bulan Distribusi & NO SBBK
28/08/TPD/II/2014
1
Abbocath no.20 set 20 20
Abbocath no.24 set - -
Alat Suntik Sekali Pakai 1 ml Set - -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set 200 200
Alat Suntik Sekali Pakai 5 ml Set - -
Albendazol tablet 400 mg Tablet 100 100
Alopurinol 100 mg Tablet 300 300
Alprazolam tablet 0,5 mg Tablet 200 200
Ambroxol sirup 15 mg/ml Botol 200 200
Ambroxol tablet 30 mg Tablet 10,000 10,000
Aminofilin 200 mg Tablet 1,100 1,100
Amitriptilin HCL 25 mg Tablet - -
Amlodipin 5 mg tablet 2,100 2,100
Amoksisilin + As.Klavulanat 625 mg tab Tablet 200 200
Amoksisilin 125 mg/5ml Syr kering Botol 300 300
Amoksisilin 250 mg Kapsul 4,000 4,000
Amoksisilin 500 mg Kaplet 20,500 20,500
Antalgin 500 mg ( Metampiron ) Tablet 3,500 3,500
Antasida Doen Tablet 16,000 16,000
Antasida sirup Botol 200 200
Anti Bakteri DOEN Tube 150 150
Anti Fungi Pot 24 24
Anti Hemoroid DOEN Unit - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet 700 700
Aqua Pro Injeksi 20 ml Flacon - -
Asam Ascorbat 50 mg Tablet 2,000 2,000
Asam Mefenamat 500 mg Kaplet 4,500 4,500
Asetosal 100 mg tablet - -
Asetosal 500 mg tablet - -
Asiklovir Salep 5 % Tube - -
Asiklovir Tablet 200 mg Tablet 300 300
Asiklovir Tablet 400 mg Tablet 300 300
Atenolol 50 mg tablet - -
Betametason Krim 0,1 % Tube 125 125
Bisoprolol 5 mg tablet - -
Blood Lancet Dos - -
Nama dan Kode Barang Satuan Jumlah
Blue Tips Buah - -
Carbo Adsorben (Norit) Tablet - -
Cat Gut (benang bedah) no 3 Unit - -
Cat Gut (benang bedah) no.2 Unit - -
Cetirizine tablet 10 mg Tablet 600 600
Deksametason Injeksi Ampul - -
Deksametason Tablet 0.5 mg Tablet 25,000 25,000
Dekstrometorfan Syrup Botol 400 400
Dekstrometorfan Tablet 15 mg Tablet 1,000 1,000
Devitalisasai Pasta Pot 1 1
Diazepam 2 mg Tablet Tablet - -
Diazepam Injeksi Ampul - -
Difenhidramin Injeksi 10 mg/ml Ampul - -
Digoksin Tablet 0,25 mg Tablet - -
Diltiazem tablet 30 mg Tablet - -
Doksisiklin 100 mg kapsul 200 200
Efedrin HCl Tablet 25 mg Tablet 2,000 2,000
Ekstract Belladona Tablet - -
Epinefrin HCl /Adrenalin Injeksi Ampul - -
Erytromysin 500 mg Kaplet - -
Ethambutol Tablet 250 mg Tablet 200 200
Ethambutol Tablet 500 mg Tablet - -
Ethanol 70 %- 1000 ml Botol 2 2
Etil Klorida Semprot- 100 ml Botol 6 6
Eugenol Cairan Botol - -
FDC 1 & 3 Paket 10 10
FDC 2 Paket 2 2
FDC Anak Paket 2 2
FDC Sisipan Paket - -
Fenitoin Natrium 100 mg Tablet - -
Fenitoin Natrium 30 mg Tablet - -
Fenobarbital 30 mg Tablet 100 100
Fenobarbital Injeksi Ampul - -
Fenoksimetil Penisilin 500 mg Tablet - -
Fenol Gliserol Tetes Telinga 10% Botol - -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul - -
Fitomenadion (Vit K ) Tablet Tablet 100 100
Fluconazol tablet 150 mg Tablet - -
Furosemid Tablet 40 mg Tablet - -
Garam Oralit 200 ml Sachet - -
Glass Ionomer Cement (GC 1X) Pot - -
Glibenklamid Tablet 5 mg Tablet 1,200 1,200
Glikuidon 30 mg tablet - -
Glimepiride 1 mg tablet - -
Glimepiride 2 mg tablet - -
Glipizide 5 mg tablet - -
Glukosa Lart. Infus 10% - 500 ml Botol - -
Glukosa Lart. Infus 5% - 500 ml Botol - -
Griseofulvin Tablet 125 mg Tablet - -
Haloperidol Tablet 1,5 Mg Tablet - -
Haloperidol Tablet 5 mg Tablet 500 500
Handscoon latex non steril uk M box - -
Handscoon latex non steril uk S box - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidrokortison Krim 2,5% Tube - -
Ibuprofen 200 mg Tablet 1,500 1,500
Imipramin 25 mg tablet - -
Infusion Anak Set - -
Infusion Dewasa Set - -
Isoniazid Tablet 300 mg Tablet - -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet - -
Kalsium Hidroksida Pasta Pot - -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet 2 2
Kapas Pembalut/Adsorben 250 g Bgks 2 2
Kaptopril 12.5 mg Tablet - -
Kaptopril 25 mg Tablet 1,500 1,500
Karbamazepin 200 mg Tablet - -
Kasa Kompres 2m x 80 cm Roll - -
Kasa Kompres 40/40 Roll - -
Kasa Pembalut Hidrofil 4 mx 3cm Roll - -
Kasa Pembalut Hidrofil 4 mx15 cm Roll - -
Klindamisin 300 mg Kapsul - -
Klonidin 0,15 mg tablet - -
Kloramfenikol Salep Mata 1% Tube - -
Kloramfenikol Kapsul 250 mg Kapsul - -
Klorfeniramin Maleat (CTM) 4 mg Tablet 13,000 13,000
Klorin larutan Botol - -
Klorpromazin HCl Tablet 100 mg Tablet 1,000 1,000
Klorpromazin HCl Tablet 25 mg Tablet - -
Kodein Fosfat Tablet 10 mg Tablet - -
Kotrimoxazol Syrup Botol 250 250
Kotrimoxazol 120 Paediatrik Tablet - -
Kotrimoxazol 480 Dewasa Tablet 2,000 2,000
L i s o l Botol 1 1
Lidokain inj ampul - -
Lidokain Komb 2 % Ampul - -
Loratadin 10 mg Tablet - -
Lorazepam tablet - -
Masker earloop box@50 pcs box - -
Metformin HCl tablet 500 mg Tablet 1,800 1,800
Metilprednisolon 4 mg tablet - -
Metoklopramid inj.5 mg/ml Ampul - -
Metoklopramid tablet 10 mg Tablet 400 400
Metronidazol Tablet 250 mg Tablet 400 400
Metronidazol Tablet 500 mg Tablet - -
Metylergometrin Maleat Injk Ampul - -
Metylergometrin Maleat Tablet Tablet - -
Mineral mix sachet - -
Monoklor Kamfer Mentol (CHKM) Pot - -
Mumifying Pasta Pot - -
Myconazol SK Tube 64 64
Natrium Bikarbonat Tablet 500 mg Tablet 1,000 1,000
Natrium Diklofenak tablet 25 mg Tablet - -
Natrium Klorida 0,9% Infus Botol 2 2
Nifedipin Tablet 10 mg Tablet - -
Nistatin Tablet Salut 500 000 IU g Tablet 50 50
Nistatin Vaginal 100 000 IU g Tablet - -
Obat Batuk Hitam (OBH) 100 ml Botol 240 240
Oksitetrasiklin HCl 1% SM Tube - -
Oksitetrasiklin HCl 3% SK Tube 200 200
Oksitosin Injeksi Ampul - -
Parasetamol Syrup 120 mg/5ml Botol 252 252
Parasetamol Tablet 100 mg Tablet 400 400
Parasetamol Tablet 500 mg Tablet 15,000 15,000
Piracetam 800 mg Tablet - -
Pirantel Tablet 125 mg Tablet - -
Pirazinamid 500 mg Tablet - -
Piridoksin HCl (Vit B6) 10 mg Tablet - -
Piroksikam 20 mg Tablet 1,800 1,800
Plester 5 Yard x 2 1nch Roll - -
Polikresulen 10-ml / Albotyl Botol - -
Povidon Iodida 10 %- 300 ml Botol 6 6
Prednison 5 mg Tablet Tablet 4,000 4,000
Prometazin 25 mg tablet - -
Propanolol HCl 40 mg Tablet 100 100
Propiltyourasil Tablet 100 mg Tablet - -
Ranitidin 150 mg Tablet 1,500 1,500
Resin Composit set - -
Retinol ( Vit.A ) 100 000 IU Kapsul 400 400
Retinol ( Vit.A ) 200 000 IU Kapsul 3,350 3,350
Rifampisin 300 mg Kapsul - -
Rifampisin 450 mg Kaplet 1,000 1,000
Rifampisin 600 mg Kaplet - -
Ringar Laktat Lar. Infus Botol - -
Risperidon 1 mg tablet - -
Risperidon 2 mg tablet - -
Salbutamol 2 mg Tablet - -
Salbutamol 4 mg tablet - -
Salep 2 - 4 Pot 72 72
Salisil Talk 2%-50 G Dos 160 160
Sefadroksil 500 mg Kapsul 2,300 2,300
Sefiksim 400 mg + Azithromicin 1000 mg amplop 100 100
Semen Seng Fosfat Serbuk & Cairan Botol - -
Sianokobalamin (Vit.B12) Tablet Tablet 1,000 1,000
Silk ( Benang ) No. 3/0 Sachet - -
Silver Sulfadiazin crm pot 500g pot - -
Simetidin 200 mg Tablet 2,000 2,000
Simvastatin tablet 10 mg Tablet 800 800
Siprofloksasin 500 mg Tablet 500 500
Spironolakton 25 mg tablet - -
Spons Gelatin Unit - -
Sulfasetamid Na. TM 15% Botol 257 257
Tablet Tambah Darah (Besi) Tablet - -
Temporary Filling Material Pot 3 3
Teofilin 150 mg tablet - -
Terbutalin 2,5 mg tablet - -
Tetrasiklin 250 mg Kapsul - -
Thiamin HCl 50 mg Tablet Tablet 1,000 1,000
Thiamfenikol 500 mg Tablet 400 400
Trifluoperazin 5mg tablet - -
Trifluoperazin1 mg tablet - -
Triheksifenidil HCl 2 mg Tab Tablet 1,500 1,500
Trikresol Formalin (TKF)-10 ml Botol - -
Verapamil 80 mg tablet - -
Vitamin B Kompleks Tablet Tablet 1,000 1,000
Yellow Tips Buah - -
Zinc tablet Tablet 1,300 1,300
Amonium Oksalat Botol - -
Aquabidest 500 ml botol - -
Asam Sulfo Salisilat 20 %-100 ml Botol - -
Asam urat kit , 30 ml set - -
HB Cyanmed 500 ml Botol - -
HDL test kit-precipit, 80 ml set - -
Immersion Oil Botol - -
Indikator pH universal Botol - -
Kolesterol test kit, 100 ml set - -
Kreatinin test kit, 200 ml set - -
Lart.Glukosa, 100 ml Botol - -
Lart.Hayem, 100 ml Botol - -
Lart.KOH 10%,100 ml Botol - -
Larutan Benedict 500 ml Botol - -
Larutan Eosin 2 % Botol - -
Larutan Giemsa Stain - 100 ml Botol - -
Larutan Turk - 100 ml Botol - -
Metanol 500 ml Botol - -
Natrium Sitrat 100 cc Botol - -
Reagen Golongan Darah kotak - -
Reagen Z. Nelsen Botol - -
SGOT test kit set - -
SGPT test kit set - -
Trigliserida test kit, 100 ml set - -
Ureum test kit set - -
Amoksisilin sirup forte 250 mg/ 5 ml botol - -
Betametason krim 0,5 mg/g tube - -
Cetirizine sirup 5 mg/ 5 ml botol - -
Ergotamin tablet 1 mg tablet - -
Eritromisin kapsul 250 mg kapsul - -
Kloramfenikol salap kulit 2 % tube - -
Kloramfenikol tetes mata 0,5 % botol - -
Kotrimoksazol tablet forte 960 mg tablet - -
Zinc sirup 10 mg/ml botol - -
Gliseril Guaicolat tablet - -
Object Glass/Slide box - -
Pot Dahak Buah - -
Sarung tangan panjang Kebidanan pasang - -
Sendok obat sirup Paket - -
Spuit 10 cc set - -
Urine Bag Buah - -
Vacutainer Buah - -
Vacutainer Needle Buah - -
Bulan Distribusi & NO SBBK
2 3 4 5 6 7 8
9 10 11 12 13 14 15 16
17 18 19 20
Kode Puskesmas : 9
Nama Puskesmas : Bogor Timur
Bulan Distribusi & NO SBBK
15/09/TPD/I/2013
1 2
Abbocath no.20 set - -
Abbocath no.24 set - -
Alat Suntik Sekali Pakai 1 ml Set - -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set - -
Alat Suntik Sekali Pakai 5 ml Set - -
Albendazol tablet 400 mg Tablet - -
Alopurinol 100 mg Tablet - -
Alprazolam tablet 0,5 mg Tablet - -
Ambroxol sirup 15 mg/ml Botol 300 300
Ambroxol tablet 30 mg Tablet 10,000 10,000
Aminofilin 200 mg Tablet - -
Amitriptilin HCL 25 mg Tablet 200 200
Amlodipin 5 mg tablet 2,100 2,100
Amoksisilin + As.Klavulanat 625 mg tab Tablet - -
Amoksisilin 125 mg/5ml Syr kering Botol 420 420
Amoksisilin 250 mg Kapsul - -
Amoksisilin 500 mg Kaplet - -
Antalgin 500 mg ( Metampiron ) Tablet - -
Antasida Doen Tablet 6,000 6,000
Antasida sirup Botol 300 300
Anti Bakteri DOEN Tube 125 125
Anti Fungi Pot - -
Anti Hemoroid DOEN Unit - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet 200 200
Aqua Pro Injeksi 20 ml Flacon 2 2
Asam Ascorbat 50 mg Tablet 3,000 3,000
Asam Mefenamat 500 mg Kaplet 2,500 2,500
Asetosal 100 mg tablet - -
Asetosal 500 mg tablet - -
Asiklovir Salep 5 % Tube - -
Asiklovir Tablet 200 mg Tablet 400 400
Asiklovir Tablet 400 mg Tablet - -
Atenolol 50 mg tablet - -
Betametason Krim 0,1 % Tube 100 100
Bisoprolol 5 mg tablet - -
Nama dan Kode Barang Satuan Jumlah
Blood Lancet Dos 1,800 1,800
Blue Tips Buah - -
Carbo Adsorben (Norit) Tablet 750 750
Cat Gut (benang bedah) no 3 Unit - -
Cat Gut (benang bedah) no.2 Unit - -
Cetirizine tablet 10 mg Tablet 400 400
Deksametason Injeksi Ampul - -
Deksametason Tablet 0.5 mg Tablet 7,000 7,000
Dekstrometorfan Syrup Botol - -
Dekstrometorfan Tablet 15 mg Tablet - -
Devitalisasai Pasta Pot 2 2
Diazepam 2 mg Tablet Tablet - -
Diazepam Injeksi Ampul - -
Difenhidramin Injeksi 10 mg/ml Ampul - -
Digoksin Tablet 0,25 mg Tablet 200 200
Diltiazem tablet 30 mg Tablet - -
Doksisiklin 100 mg kapsul 500 500
Efedrin HCl Tablet 25 mg Tablet 2,250 2,250
Ekstract Belladona Tablet - -
Epinefrin HCl /Adrenalin Injeksi Ampul - -
Erytromysin 500 mg Kaplet 600 600
Ethambutol Tablet 250 mg Tablet - -
Ethambutol Tablet 500 mg Tablet - -
Ethanol 70 %- 1000 ml Botol 7 7
Etil Klorida Semprot- 100 ml Botol 8 8
Eugenol Cairan Botol 1 1
FDC 1 & 3 Paket 16 16
FDC 2 Paket - -
FDC Anak Paket 5 5
FDC Sisipan Paket - -
Fenitoin Natrium 100 mg Tablet - -
Fenitoin Natrium 30 mg Tablet - -
Fenobarbital 30 mg Tablet - -
Fenobarbital Injeksi Ampul - -
Fenoksimetil Penisilin 500 mg Tablet - -
Fenol Gliserol Tetes Telinga 10% Botol - -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul - -
Fitomenadion (Vit K ) Tablet Tablet - -
Fluconazol tablet 150 mg Tablet - -
Furosemid Tablet 40 mg Tablet 300 300
Garam Oralit 200 ml Sachet - -
Glass Ionomer Cement (GC 1X) Pot 5 5
Glibenklamid Tablet 5 mg Tablet 500 500
Glikuidon 30 mg tablet - -
Glimepiride 1 mg tablet - -
Glimepiride 2 mg tablet - -
Glipizide 5 mg tablet - -
Glukosa Lart. Infus 10% - 500 ml Botol - -
Glukosa Lart. Infus 5% - 500 ml Botol - -
Griseofulvin Tablet 125 mg Tablet - -
Haloperidol Tablet 1,5 Mg Tablet 1,000 1,000
Haloperidol Tablet 5 mg Tablet 1,500 1,500
Handscoon latex non steril uk M box - -
Handscoon latex non steril uk S box - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidrokortison Krim 2,5% Tube 264 264
Ibuprofen 200 mg Tablet 3,300 3,300
Imipramin 25 mg tablet - -
Infusion Anak Set - -
Infusion Dewasa Set - -
Isoniazid Tablet 300 mg Tablet - -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 100 100
Kalsium Hidroksida Pasta Pot - -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet 2,000 2,000
Kapas Pembalut/Adsorben 250 g Bgks 2 2
Kaptopril 12.5 mg Tablet - -
Kaptopril 25 mg Tablet 2,000 2,000
Karbamazepin 200 mg Tablet - -
Kasa Kompres 2m x 80 cm Roll 40 40
Kasa Kompres 40/40 Roll - -
Kasa Pembalut Hidrofil 4 mx 3cm Roll 12 12
Kasa Pembalut Hidrofil 4 mx15 cm Roll 10 10
Klindamisin 300 mg Kapsul 300 300
Klonidin 0,15 mg tablet - -
Kloramfenikol Salep Mata 1% Tube 48 48
Kloramfenikol Kapsul 250 mg Kapsul - -
Klorfeniramin Maleat (CTM) 4 mg Tablet 6,000 6,000
Klorin larutan Botol - -
Klorpromazin HCl Tablet 100 mg Tablet 500 500
Klorpromazin HCl Tablet 25 mg Tablet - -
Kodein Fosfat Tablet 10 mg Tablet - -
Kotrimoxazol Syrup Botol 700 700
Kotrimoxazol 120 Paediatrik Tablet - -
Kotrimoxazol 480 Dewasa Tablet - -
L i s o l Botol - -
Lidokain inj ampul - -
Lidokain Komb 2 % Ampul - -
Loratadin 10 mg Tablet - -
Lorazepam tablet - -
Masker earloop box@50 pcs box - -
Metformin HCl tablet 500 mg Tablet 100 100
Metilprednisolon 4 mg tablet 200 200
Metoklopramid inj.5 mg/ml Ampul - -
Metoklopramid tablet 10 mg Tablet - -
Metronidazol Tablet 250 mg Tablet 300 300
Metronidazol Tablet 500 mg Tablet - -
Metylergometrin Maleat Injk Ampul - -
Metylergometrin Maleat Tablet Tablet 200 200
Mineral mix sachet - -
Monoklor Kamfer Mentol (CHKM) Pot - -
Mumifying Pasta Pot - -
Myconazol SK Tube 144 144
Natrium Bikarbonat Tablet 500 mg Tablet - -
Natrium Diklofenak tablet 25 mg Tablet 300 300
Natrium Klorida 0,9% Infus Botol - -
Nifedipin Tablet 10 mg Tablet - -
Nistatin Tablet Salut 500 000 IU g Tablet - -
Nistatin Vaginal 100 000 IU g Tablet 400 400
Obat Batuk Hitam (OBH) 100 ml Botol 360 360
Oksitetrasiklin HCl 1% SM Tube 50 50
Oksitetrasiklin HCl 3% SK Tube 100 100
Oksitosin Injeksi Ampul - -
Parasetamol Syrup 120 mg/5ml Botol 1,008 1,008
Parasetamol Tablet 100 mg Tablet 500 500
Parasetamol Tablet 500 mg Tablet 20,000 20,000
Piracetam 800 mg Tablet - -
Pirantel Tablet 125 mg Tablet - -
Pirazinamid 500 mg Tablet 100 100
Piridoksin HCl (Vit B6) 10 mg Tablet 2,000 2,000
Piroksikam 20 mg Tablet - -
Plester 5 Yard x 2 1nch Roll 12 12
Polikresulen 10-ml / Albotyl Botol - -
Povidon Iodida 10 %- 300 ml Botol 2 2
Prednison 5 mg Tablet Tablet 3,000 3,000
Prometazin 25 mg tablet - -
Propanolol HCl 40 mg Tablet - -
Propiltyourasil Tablet 100 mg Tablet - -
Ranitidin 150 mg Tablet - -
Resin Composit set 3 3
Retinol ( Vit.A ) 100 000 IU Kapsul 600 600
Retinol ( Vit.A ) 200 000 IU Kapsul 4,700 4,700
Rifampisin 300 mg Kapsul - -
Rifampisin 450 mg Kaplet - -
Rifampisin 600 mg Kaplet 200 200
Ringar Laktat Lar. Infus Botol - -
Risperidon 1 mg tablet - -
Risperidon 2 mg tablet 200 200
Salbutamol 2 mg Tablet - -
Salbutamol 4 mg tablet - -
Salep 2 - 4 Pot - -
Salisil Talk 2%-50 G Dos 50 50
Sefadroksil 500 mg Kapsul 200 200
Sefiksim 400 mg + Azithromicin 1000 mg amplop - -
Semen Seng Fosfat Serbuk & Cairan Botol - -
Sianokobalamin (Vit.B12) Tablet Tablet 5,000 5,000
Silk ( Benang ) No. 3/0 Sachet - -
Silver Sulfadiazin crm pot 500g pot 3 3
Simetidin 200 mg Tablet 200 200
Simvastatin tablet 10 mg Tablet - -
Siprofloksasin 500 mg Tablet - -
Spironolakton 25 mg tablet 100 100
Spons Gelatin Unit - -
Sulfasetamid Na. TM 15% Botol 312 312
Tablet Tambah Darah (Besi) Tablet 10,200 10,200
Temporary Filling Material Pot 5 5
Teofilin 150 mg tablet - -
Terbutalin 2,5 mg tablet - -
Tetrasiklin 250 mg Kapsul - -
Thiamin HCl 50 mg Tablet Tablet 1,000 1,000
Thiamfenikol 500 mg Tablet 500 500
Trifluoperazin 5mg tablet - -
Trifluoperazin1 mg tablet - -
Triheksifenidil HCl 2 mg Tab Tablet 3,000 3,000
Trikresol Formalin (TKF)-10 ml Botol - -
Verapamil 80 mg tablet - -
Vitamin B Kompleks Tablet Tablet - -
Yellow Tips Buah 3,000 3,000
Zinc tablet Tablet 3,400 3,400
Amonium Oksalat Botol 2 2
Aquabidest 500 ml botol 4 4
Asam Sulfo Salisilat 20 %-100 ml Botol 1 1
Asam urat kit , 30 ml set - -
HB Cyanmed 500 ml Botol 6 6
HDL test kit-precipit, 80 ml set - -
Immersion Oil Botol 1 1
Indikator pH universal Botol - -
Kolesterol test kit, 100 ml set - -
Kreatinin test kit, 200 ml set - -
Lart.Glukosa, 100 ml Botol - -
Lart.Hayem, 100 ml Botol - -
Lart.KOH 10%,100 ml Botol - -
Larutan Benedict 500 ml Botol - -
Larutan Eosin 2 % Botol - -
Larutan Giemsa Stain - 100 ml Botol 1 1
Larutan Turk - 100 ml Botol - -
Metanol 500 ml Botol 1 1
Natrium Sitrat 100 cc Botol 2 2
Reagen Golongan Darah kotak - -
Reagen Z. Nelsen Botol - -
SGOT test kit set - -
SGPT test kit set - -
Trigliserida test kit, 100 ml set - -
Ureum test kit set 1 1
Amoksisilin sirup forte 250 mg/ 5 ml botol - -
Betametason krim 0,5 mg/g tube - -
Cetirizine sirup 5 mg/ 5 ml botol - -
Ergotamin tablet 1 mg tablet - -
Eritromisin kapsul 250 mg kapsul - -
Kloramfenikol salap kulit 2 % tube - -
Kloramfenikol tetes mata 0,5 % botol - -
Kotrimoksazol tablet forte 960 mg tablet - -
Zinc sirup 10 mg/ml botol - -
Gliseril Guaicolat tablet - -
Object Glass/Slide box - -
Pot Dahak Buah - -
Sarung tangan panjang Kebidanan pasang - -
Sendok obat sirup Paket - -
Spuit 10 cc set - -
Urine Bag Buah - -
Vacutainer Buah - -
Vacutainer Needle Buah - -
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20
Kode Puskesmas : 10
Nama Puskesmas : Belong
Bulan Distribusi & NO SBBK
16/10/TPD/I/2013
1 2
Abbocath no.20 set - -
Abbocath no.24 set - -
Alat Suntik Sekali Pakai 1 ml Set - -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set - -
Alat Suntik Sekali Pakai 5 ml Set - -
Albendazol tablet 400 mg Tablet - -
Alopurinol 100 mg Tablet 100 100
Alprazolam tablet 0,5 mg Tablet - -
Ambroxol sirup 15 mg/ml Botol 300 300
Ambroxol tablet 30 mg Tablet 2,000 2,000
Aminofilin 200 mg Tablet 200 200
Amitriptilin HCL 25 mg Tablet 100 100
Amlodipin 5 mg tablet 660 660
Amoksisilin + As.Klavulanat 625 mg tab Tablet - -
Amoksisilin 125 mg/5ml Syr kering Botol 150 150
Amoksisilin 250 mg Kapsul - -
Amoksisilin 500 mg Kaplet 3,000 3,000
Antalgin 500 mg ( Metampiron ) Tablet - -
Antasida Doen Tablet 1,500 1,500
Antasida sirup Botol 100 100
Anti Bakteri DOEN Tube 25 25
Anti Fungi Pot 24 24
Anti Hemoroid DOEN Unit - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet - -
Aqua Pro Injeksi 20 ml Flacon - -
Asam Ascorbat 50 mg Tablet 2,000 2,000
Asam Mefenamat 500 mg Kaplet - -
Asetosal 100 mg tablet - -
Asetosal 500 mg tablet - -
Asiklovir Salep 5 % Tube 75 75
Asiklovir Tablet 200 mg Tablet - -
Asiklovir Tablet 400 mg Tablet - -
Atenolol 50 mg tablet - -
Betametason Krim 0,1 % Tube - -
Bisoprolol 5 mg tablet - -
Nama dan Kode Barang Satuan Jumlah
Blood Lancet Dos - -
Blue Tips Buah - -
Carbo Adsorben (Norit) Tablet - -
Cat Gut (benang bedah) no 3 Unit - -
Cat Gut (benang bedah) no.2 Unit - -
Cetirizine tablet 10 mg Tablet - -
Deksametason Injeksi Ampul - -
Deksametason Tablet 0.5 mg Tablet 400 400
Dekstrometorfan Syrup Botol - -
Dekstrometorfan Tablet 15 mg Tablet - -
Devitalisasai Pasta Pot - -
Diazepam 2 mg Tablet Tablet - -
Diazepam Injeksi Ampul - -
Difenhidramin Injeksi 10 mg/ml Ampul - -
Digoksin Tablet 0,25 mg Tablet - -
Diltiazem tablet 30 mg Tablet - -
Doksisiklin 100 mg kapsul - -
Efedrin HCl Tablet 25 mg Tablet - -
Ekstract Belladona Tablet - -
Epinefrin HCl /Adrenalin Injeksi Ampul - -
Erytromysin 500 mg Kaplet - -
Ethambutol Tablet 250 mg Tablet - -
Ethambutol Tablet 500 mg Tablet - -
Ethanol 70 %- 1000 ml Botol 3 3
Etil Klorida Semprot- 100 ml Botol 3 3
Eugenol Cairan Botol 1 1
FDC 1 & 3 Paket 10 10
FDC 2 Paket - -
FDC Anak Paket - -
FDC Sisipan Paket - -
Fenitoin Natrium 100 mg Tablet - -
Fenitoin Natrium 30 mg Tablet - -
Fenobarbital 30 mg Tablet - -
Fenobarbital Injeksi Ampul - -
Fenoksimetil Penisilin 500 mg Tablet - -
Fenol Gliserol Tetes Telinga 10% Botol - -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul - -
Fitomenadion (Vit K ) Tablet Tablet 100 100
Fluconazol tablet 150 mg Tablet - -
Furosemid Tablet 40 mg Tablet 300 300
Garam Oralit 200 ml Sachet - -
Glass Ionomer Cement (GC 1X) Pot 1 1
Glibenklamid Tablet 5 mg Tablet 100 100
Glikuidon 30 mg tablet - -
Glimepiride 1 mg tablet - -
Glimepiride 2 mg tablet - -
Glipizide 5 mg tablet - -
Glukosa Lart. Infus 10% - 500 ml Botol - -
Glukosa Lart. Infus 5% - 500 ml Botol 1 1
Griseofulvin Tablet 125 mg Tablet 400 400
Haloperidol Tablet 1,5 Mg Tablet 600 600
Haloperidol Tablet 5 mg Tablet - -
Handscoon latex non steril uk M box 2 2
Handscoon latex non steril uk S box 1 1
Hidroklortiazid (HCT) Tablet 25 mg Tablet 1,000 1,000
Hidrokortison Krim 2,5% Tube - -
Ibuprofen 200 mg Tablet - -
Imipramin 25 mg tablet - -
Infusion Anak Set - -
Infusion Dewasa Set - -
Isoniazid Tablet 300 mg Tablet - -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 300 300
Kalsium Hidroksida Pasta Pot - -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet 1,000 1,000
Kapas Pembalut/Adsorben 250 g Bgks 2 2
Kaptopril 12.5 mg Tablet - -
Kaptopril 25 mg Tablet 300 300
Karbamazepin 200 mg Tablet - -
Kasa Kompres 2m x 80 cm Roll - -
Kasa Kompres 40/40 Roll - -
Kasa Pembalut Hidrofil 4 mx 3cm Roll - -
Kasa Pembalut Hidrofil 4 mx15 cm Roll - -
Klindamisin 300 mg Kapsul - -
Klonidin 0,15 mg tablet - -
Kloramfenikol Salep Mata 1% Tube - -
Kloramfenikol Kapsul 250 mg Kapsul 250 250
Klorfeniramin Maleat (CTM) 4 mg Tablet 2,000 2,000
Klorin larutan Botol - -
Klorpromazin HCl Tablet 100 mg Tablet - -
Klorpromazin HCl Tablet 25 mg Tablet 1,000 1,000
Kodein Fosfat Tablet 10 mg Tablet 250 250
Kotrimoxazol Syrup Botol - -
Kotrimoxazol 120 Paediatrik Tablet - -
Kotrimoxazol 480 Dewasa Tablet - -
L i s o l Botol - -
Lidokain inj ampul - -
Lidokain Komb 2 % Ampul - -
Loratadin 10 mg Tablet - -
Lorazepam tablet - -
Masker earloop box@50 pcs box 1 1
Metformin HCl tablet 500 mg Tablet 100 100
Metilprednisolon 4 mg tablet - -
Metoklopramid inj.5 mg/ml Ampul - -
Metoklopramid tablet 10 mg Tablet - -
Metronidazol Tablet 250 mg Tablet 200 200
Metronidazol Tablet 500 mg Tablet - -
Metylergometrin Maleat Injk Ampul - -
Metylergometrin Maleat Tablet Tablet - -
Mineral mix sachet - -
Monoklor Kamfer Mentol (CHKM) Pot - -
Mumifying Pasta Pot - -
Myconazol SK Tube - -
Natrium Bikarbonat Tablet 500 mg Tablet - -
Natrium Diklofenak tablet 25 mg Tablet 1,400 1,400
Natrium Klorida 0,9% Infus Botol - -
Nifedipin Tablet 10 mg Tablet 200 200
Nistatin Tablet Salut 500 000 IU g Tablet 100 100
Nistatin Vaginal 100 000 IU g Tablet 30 30
Obat Batuk Hitam (OBH) 100 ml Botol - -
Oksitetrasiklin HCl 1% SM Tube - -
Oksitetrasiklin HCl 3% SK Tube 50 50
Oksitosin Injeksi Ampul - -
Parasetamol Syrup 120 mg/5ml Botol 252 252
Parasetamol Tablet 100 mg Tablet 100 100
Parasetamol Tablet 500 mg Tablet 10,000 10,000
Piracetam 800 mg Tablet - -
Pirantel Tablet 125 mg Tablet - -
Pirazinamid 500 mg Tablet 200 200
Piridoksin HCl (Vit B6) 10 mg Tablet 5,000 5,000
Piroksikam 20 mg Tablet - -
Plester 5 Yard x 2 1nch Roll - -
Polikresulen 10-ml / Albotyl Botol - -
Povidon Iodida 10 %- 300 ml Botol 3 3
Prednison 5 mg Tablet Tablet - -
Prometazin 25 mg tablet - -
Propanolol HCl 40 mg Tablet - -
Propiltyourasil Tablet 100 mg Tablet - -
Ranitidin 150 mg Tablet 3,000 3,000
Resin Composit set 1 1
Retinol ( Vit.A ) 100 000 IU Kapsul 100 100
Retinol ( Vit.A ) 200 000 IU Kapsul 900 900
Rifampisin 300 mg Kapsul - -
Rifampisin 450 mg Kaplet - -
Rifampisin 600 mg Kaplet - -
Ringar Laktat Lar. Infus Botol - -
Risperidon 1 mg tablet - -
Risperidon 2 mg tablet - -
Salbutamol 2 mg Tablet 100 100
Salbutamol 4 mg tablet - -
Salep 2 - 4 Pot - -
Salisil Talk 2%-50 G Dos 60 60
Sefadroksil 500 mg Kapsul 200 200
Sefiksim 400 mg + Azithromicin 1000 mg amplop - -
Semen Seng Fosfat Serbuk & Cairan Botol - -
Sianokobalamin (Vit.B12) Tablet Tablet 4,000 4,000
Silk ( Benang ) No. 3/0 Sachet - -
Silver Sulfadiazin crm pot 500g pot - -
Simetidin 200 mg Tablet - -
Simvastatin tablet 10 mg Tablet 550 550
Siprofloksasin 500 mg Tablet 400 400
Spironolakton 25 mg tablet - -
Spons Gelatin Unit - -
Sulfasetamid Na. TM 15% Botol 96 96
Tablet Tambah Darah (Besi) Tablet 3,600 3,600
Temporary Filling Material Pot - -
Teofilin 150 mg tablet - -
Terbutalin 2,5 mg tablet - -
Tetrasiklin 250 mg Kapsul - -
Thiamin HCl 50 mg Tablet Tablet 1,000 1,000
Thiamfenikol 500 mg Tablet - -
Trifluoperazin 5mg tablet - -
Trifluoperazin1 mg tablet - -
Triheksifenidil HCl 2 mg Tab Tablet 800 800
Trikresol Formalin (TKF)-10 ml Botol - -
Verapamil 80 mg tablet - -
Vitamin B Kompleks Tablet Tablet - -
Yellow Tips Buah - -
Zinc tablet Tablet 900 900
Amonium Oksalat Botol - -
Aquabidest 500 ml botol - -
Asam Sulfo Salisilat 20 %-100 ml Botol - -
Asam urat kit , 30 ml set - -
HB Cyanmed 500 ml Botol - -
HDL test kit-precipit, 80 ml set - -
Immersion Oil Botol - -
Indikator pH universal Botol - -
Kolesterol test kit, 100 ml set - -
Kreatinin test kit, 200 ml set - -
Lart.Glukosa, 100 ml Botol - -
Lart.Hayem, 100 ml Botol - -
Lart.KOH 10%,100 ml Botol - -
Larutan Benedict 500 ml Botol - -
Larutan Eosin 2 % Botol - -
Larutan Giemsa Stain - 100 ml Botol 1 1
Larutan Turk - 100 ml Botol - -
Metanol 500 ml Botol - -
Natrium Sitrat 100 cc Botol - -
Reagen Golongan Darah kotak - -
Reagen Z. Nelsen Botol - -
SGOT test kit set - -
SGPT test kit set - -
Trigliserida test kit, 100 ml set - -
Ureum test kit set - -
Amoksisilin sirup forte 250 mg/ 5 ml botol - -
Betametason krim 0,5 mg/g tube - -
Cetirizine sirup 5 mg/ 5 ml botol - -
Ergotamin tablet 1 mg tablet - -
Eritromisin kapsul 250 mg kapsul - -
Kloramfenikol salap kulit 2 % tube - -
Kloramfenikol tetes mata 0,5 % botol - -
Kotrimoksazol tablet forte 960 mg tablet - -
Zinc sirup 10 mg/ml botol - -
Gliseril Guaicolat tablet - -
Object Glass/Slide box - -
Pot Dahak Buah - -
Sarung tangan panjang Kebidanan pasang - -
Sendok obat sirup Paket - -
Spuit 10 cc set - -
Urine Bag Buah - -
Vacutainer Buah - -
Vacutainer Needle Buah - -
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20
Kode Puskesmas : 11
Nama Puskesmas : Pancasan
Bulan Distribusi & NO SBBK
19/11/TPD/I/2013
1 2
Abbocath no.20 set - -
Abbocath no.24 set - -
Alat Suntik Sekali Pakai 1 ml Set - -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set - -
Alat Suntik Sekali Pakai 5 ml Set - -
Albendazol tablet 400 mg Tablet - -
Alopurinol 100 mg Tablet 500 500
Alprazolam tablet 0,5 mg Tablet - -
Ambroxol sirup 15 mg/ml Botol - -
Ambroxol tablet 30 mg Tablet 7,000 7,000
Aminofilin 200 mg Tablet 300 300
Amitriptilin HCL 25 mg Tablet 200 200
Amlodipin 5 mg tablet 450 450
Amoksisilin + As.Klavulanat 625 mg tab Tablet - -
Amoksisilin 125 mg/5ml Syr kering Botol - -
Amoksisilin 250 mg Kapsul 3,000 3,000
Amoksisilin 500 mg Kaplet - -
Antalgin 500 mg ( Metampiron ) Tablet 5,500 5,500
Antasida Doen Tablet 11,400 11,400
Antasida sirup Botol - -
Anti Bakteri DOEN Tube 250 250
Anti Fungi Pot - -
Anti Hemoroid DOEN Unit - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet - -
Aqua Pro Injeksi 20 ml Flacon - -
Asam Ascorbat 50 mg Tablet 2,000 2,000
Asam Mefenamat 500 mg Kaplet 1,700 1,700
Asetosal 100 mg tablet - -
Asetosal 500 mg tablet - -
Asiklovir Salep 5 % Tube 25 25
Asiklovir Tablet 200 mg Tablet - -
Asiklovir Tablet 400 mg Tablet 200 200
Atenolol 50 mg tablet - -
Betametason Krim 0,1 % Tube - -
Bisoprolol 5 mg tablet - -
Nama dan Kode Barang Satuan Jumlah
Blood Lancet Dos - -
Blue Tips Buah - -
Carbo Adsorben (Norit) Tablet 750 750
Cat Gut (benang bedah) no 3 Unit - -
Cat Gut (benang bedah) no.2 Unit - -
Cetirizine tablet 10 mg Tablet 200 200
Deksametason Injeksi Ampul - -
Deksametason Tablet 0.5 mg Tablet - -
Dekstrometorfan Syrup Botol 200 200
Dekstrometorfan Tablet 15 mg Tablet - -
Devitalisasai Pasta Pot - -
Diazepam 2 mg Tablet Tablet - -
Diazepam Injeksi Ampul - -
Difenhidramin Injeksi 10 mg/ml Ampul - -
Digoksin Tablet 0,25 mg Tablet 100 100
Diltiazem tablet 30 mg Tablet 100 100
Doksisiklin 100 mg kapsul - -
Efedrin HCl Tablet 25 mg Tablet 250 250
Ekstract Belladona Tablet - -
Epinefrin HCl /Adrenalin Injeksi Ampul - -
Erytromysin 500 mg Kaplet - -
Ethambutol Tablet 250 mg Tablet - -
Ethambutol Tablet 500 mg Tablet - -
Ethanol 70 %- 1000 ml Botol - -
Etil Klorida Semprot- 100 ml Botol 10 10
Eugenol Cairan Botol - -
FDC 1 & 3 Paket 32 32
FDC 2 Paket - -
FDC Anak Paket - -
FDC Sisipan Paket - -
Fenitoin Natrium 100 mg Tablet - -
Fenitoin Natrium 30 mg Tablet - -
Fenobarbital 30 mg Tablet - -
Fenobarbital Injeksi Ampul - -
Fenoksimetil Penisilin 500 mg Tablet - -
Fenol Gliserol Tetes Telinga 10% Botol 48 48
Fitomenadion (Vit K ) inj. 10 mg/ml ampul 10 10
Fitomenadion (Vit K ) Tablet Tablet 200 200
Fluconazol tablet 150 mg Tablet - -
Furosemid Tablet 40 mg Tablet - -
Garam Oralit 200 ml Sachet 700 700
Glass Ionomer Cement (GC 1X) Pot - -
Glibenklamid Tablet 5 mg Tablet - -
Glikuidon 30 mg tablet - -
Glimepiride 1 mg tablet - -
Glimepiride 2 mg tablet - -
Glipizide 5 mg tablet - -
Glukosa Lart. Infus 10% - 500 ml Botol - -
Glukosa Lart. Infus 5% - 500 ml Botol - -
Griseofulvin Tablet 125 mg Tablet - -
Haloperidol Tablet 1,5 Mg Tablet 100 100
Haloperidol Tablet 5 mg Tablet - -
Handscoon latex non steril uk M box 2 2
Handscoon latex non steril uk S box - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidrokortison Krim 2,5% Tube 240 240
Ibuprofen 200 mg Tablet - -
Imipramin 25 mg tablet - -
Infusion Anak Set - -
Infusion Dewasa Set - -
Isoniazid Tablet 300 mg Tablet 1,000 1,000
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 300 300
Kalsium Hidroksida Pasta Pot - -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet - -
Kapas Pembalut/Adsorben 250 g Bgks 3 3
Kaptopril 12.5 mg Tablet - -
Kaptopril 25 mg Tablet 1,700 1,700
Karbamazepin 200 mg Tablet - -
Kasa Kompres 2m x 80 cm Roll 1 1
Kasa Kompres 40/40 Roll - -
Kasa Pembalut Hidrofil 4 mx 3cm Roll 13 13
Kasa Pembalut Hidrofil 4 mx15 cm Roll - -
Klindamisin 300 mg Kapsul - -
Klonidin 0,15 mg tablet - -
Kloramfenikol Salep Mata 1% Tube - -
Kloramfenikol Kapsul 250 mg Kapsul - -
Klorfeniramin Maleat (CTM) 4 mg Tablet 16,000 16,000
Klorin larutan Botol - -
Klorpromazin HCl Tablet 100 mg Tablet 750 750
Klorpromazin HCl Tablet 25 mg Tablet - -
Kodein Fosfat Tablet 10 mg Tablet - -
Kotrimoxazol Syrup Botol 250 250
Kotrimoxazol 120 Paediatrik Tablet - -
Kotrimoxazol 480 Dewasa Tablet 1,900 1,900
L i s o l Botol - -
Lidokain inj ampul - -
Lidokain Komb 2 % Ampul 180 180
Loratadin 10 mg Tablet - -
Lorazepam tablet - -
Masker earloop box@50 pcs box 2 2
Metformin HCl tablet 500 mg Tablet - -
Metilprednisolon 4 mg tablet - -
Metoklopramid inj.5 mg/ml Ampul - -
Metoklopramid tablet 10 mg Tablet 100 100
Metronidazol Tablet 250 mg Tablet 700 700
Metronidazol Tablet 500 mg Tablet - -
Metylergometrin Maleat Injk Ampul - -
Metylergometrin Maleat Tablet Tablet - -
Mineral mix sachet - -
Monoklor Kamfer Mentol (CHKM) Pot - -
Mumifying Pasta Pot - -
Myconazol SK Tube 24 24
Natrium Bikarbonat Tablet 500 mg Tablet - -
Natrium Diklofenak tablet 25 mg Tablet 400 400
Natrium Klorida 0,9% Infus Botol - -
Nifedipin Tablet 10 mg Tablet 500 500
Nistatin Tablet Salut 500 000 IU g Tablet 50 50
Nistatin Vaginal 100 000 IU g Tablet - -
Obat Batuk Hitam (OBH) 100 ml Botol - -
Oksitetrasiklin HCl 1% SM Tube - -
Oksitetrasiklin HCl 3% SK Tube 100 100
Oksitosin Injeksi Ampul - -
Parasetamol Syrup 120 mg/5ml Botol 756 756
Parasetamol Tablet 100 mg Tablet - -
Parasetamol Tablet 500 mg Tablet 18,000 18,000
Piracetam 800 mg Tablet - -
Pirantel Tablet 125 mg Tablet - -
Pirazinamid 500 mg Tablet - -
Piridoksin HCl (Vit B6) 10 mg Tablet 5,000 5,000
Piroksikam 20 mg Tablet 3,400 3,400
Plester 5 Yard x 2 1nch Roll - -
Polikresulen 10-ml / Albotyl Botol 3 3
Povidon Iodida 10 %- 300 ml Botol - -
Prednison 5 mg Tablet Tablet 10,000 10,000
Prometazin 25 mg tablet - -
Propanolol HCl 40 mg Tablet - -
Propiltyourasil Tablet 100 mg Tablet - -
Ranitidin 150 mg Tablet 500 500
Resin Composit set - -
Retinol ( Vit.A ) 100 000 IU Kapsul 400 400
Retinol ( Vit.A ) 200 000 IU Kapsul 3,000 3,000
Rifampisin 300 mg Kapsul - -
Rifampisin 450 mg Kaplet - -
Rifampisin 600 mg Kaplet - -
Ringar Laktat Lar. Infus Botol 2 2
Risperidon 1 mg tablet - -
Risperidon 2 mg tablet 200 200
Salbutamol 2 mg Tablet 200 200
Salbutamol 4 mg tablet - -
Salep 2 - 4 Pot 72 72
Salisil Talk 2%-50 G Dos - -
Sefadroksil 500 mg Kapsul 400 400
Sefiksim 400 mg + Azithromicin 1000 mg amplop - -
Semen Seng Fosfat Serbuk & Cairan Botol - -
Sianokobalamin (Vit.B12) Tablet Tablet 11,000 11,000
Silk ( Benang ) No. 3/0 Sachet - -
Silver Sulfadiazin crm pot 500g pot - -
Simetidin 200 mg Tablet 300 300
Simvastatin tablet 10 mg Tablet 400 400
Siprofloksasin 500 mg Tablet - -
Spironolakton 25 mg tablet - -
Spons Gelatin Unit - -
Sulfasetamid Na. TM 15% Botol - -
Tablet Tambah Darah (Besi) Tablet 7,200 7,200
Temporary Filling Material Pot 3 3
Teofilin 150 mg tablet - -
Terbutalin 2,5 mg tablet - -
Tetrasiklin 250 mg Kapsul - -
Thiamin HCl 50 mg Tablet Tablet 1,000 1,000
Thiamfenikol 500 mg Tablet - -
Trifluoperazin 5mg tablet - -
Trifluoperazin1 mg tablet - -
Triheksifenidil HCl 2 mg Tab Tablet 600 600
Trikresol Formalin (TKF)-10 ml Botol - -
Verapamil 80 mg tablet - -
Vitamin B Kompleks Tablet Tablet - -
Yellow Tips Buah - -
Zinc tablet Tablet 700 700
Amonium Oksalat Botol - -
Aquabidest 500 ml botol - -
Asam Sulfo Salisilat 20 %-100 ml Botol - -
Asam urat kit , 30 ml set - -
HB Cyanmed 500 ml Botol - -
HDL test kit-precipit, 80 ml set - -
Immersion Oil Botol - -
Indikator pH universal Botol - -
Kolesterol test kit, 100 ml set - -
Kreatinin test kit, 200 ml set - -
Lart.Glukosa, 100 ml Botol - -
Lart.Hayem, 100 ml Botol - -
Lart.KOH 10%,100 ml Botol - -
Larutan Benedict 500 ml Botol - -
Larutan Eosin 2 % Botol - -
Larutan Giemsa Stain - 100 ml Botol - -
Larutan Turk - 100 ml Botol - -
Metanol 500 ml Botol - -
Natrium Sitrat 100 cc Botol - -
Reagen Golongan Darah kotak - -
Reagen Z. Nelsen Botol - -
SGOT test kit set - -
SGPT test kit set - -
Trigliserida test kit, 100 ml set - -
Ureum test kit set - -
Amoksisilin sirup forte 250 mg/ 5 ml botol - -
Betametason krim 0,5 mg/g tube - -
Cetirizine sirup 5 mg/ 5 ml botol - -
Ergotamin tablet 1 mg tablet - -
Eritromisin kapsul 250 mg kapsul - -
Kloramfenikol salap kulit 2 % tube - -
Kloramfenikol tetes mata 0,5 % botol - -
Kotrimoksazol tablet forte 960 mg tablet - -
Zinc sirup 10 mg/ml botol - -
Gliseril Guaicolat tablet - -
Object Glass/Slide box - -
Pot Dahak Buah - -
Sarung tangan panjang Kebidanan pasang - -
Sendok obat sirup Paket - -
Spuit 10 cc set - -
Urine Bag Buah - -
Vacutainer Buah - -
Vacutainer Needle Buah - -
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20
Kode Puskesmas : 12
Nama Puskesmas : Pasir Mulya
Bulan Distribusi & NO SBBK
06/12/TPD/I/2013
1 2
Abbocath no.20 set - -
Abbocath no.24 set - -
Alat Suntik Sekali Pakai 1 ml Set - -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set 1,400 1,400
Alat Suntik Sekali Pakai 5 ml Set - -
Albendazol tablet 400 mg Tablet - -
Alopurinol 100 mg Tablet 300 300
Alprazolam tablet 0,5 mg Tablet - -
Ambroxol sirup 15 mg/ml Botol 400 400
Ambroxol tablet 30 mg Tablet 4,000 4,000
Aminofilin 200 mg Tablet 300 300
Amitriptilin HCL 25 mg Tablet - -
Amlodipin 5 mg tablet - -
Amoksisilin + As.Klavulanat 625 mg tab Tablet - -
Amoksisilin 125 mg/5ml Syr kering Botol 600 600
Amoksisilin 250 mg Kapsul 1,500 1,500
Amoksisilin 500 mg Kaplet 18,000 18,000
Antalgin 500 mg ( Metampiron ) Tablet 5,000 5,000
Antasida Doen Tablet 9,500 9,500
Antasida sirup Botol - -
Anti Bakteri DOEN Tube 50 50
Anti Fungi Pot 48 48
Anti Hemoroid DOEN Unit - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet - -
Aqua Pro Injeksi 20 ml Flacon - -
Asam Ascorbat 50 mg Tablet 2,000 2,000
Asam Mefenamat 500 mg Kaplet 3,200 3,200
Asetosal 100 mg tablet - -
Asetosal 500 mg tablet - -
Asiklovir Salep 5 % Tube 50 50
Asiklovir Tablet 200 mg Tablet - -
Asiklovir Tablet 400 mg Tablet 100 100
Atenolol 50 mg tablet - -
Betametason Krim 0,1 % Tube 275 275
Bisoprolol 5 mg tablet - -
Blood Lancet Dos 1,000 1,000
Nama dan Kode Barang Satuan Jumlah
Blue Tips Buah - -
Carbo Adsorben (Norit) Tablet - -
Cat Gut (benang bedah) no 3 Unit - -
Cat Gut (benang bedah) no.2 Unit - -
Cetirizine tablet 10 mg Tablet 400 400
Deksametason Injeksi Ampul - -
Deksametason Tablet 0.5 mg Tablet 16,200 16,200
Dekstrometorfan Syrup Botol - -
Dekstrometorfan Tablet 15 mg Tablet 3,500 3,500
Devitalisasai Pasta Pot 3 3
Diazepam 2 mg Tablet Tablet - -
Diazepam Injeksi Ampul - -
Difenhidramin Injeksi 10 mg/ml Ampul - -
Digoksin Tablet 0,25 mg Tablet - -
Diltiazem tablet 30 mg Tablet - -
Doksisiklin 100 mg kapsul - -
Efedrin HCl Tablet 25 mg Tablet 1,750 1,750
Ekstract Belladona Tablet - -
Epinefrin HCl /Adrenalin Injeksi Ampul - -
Erytromysin 500 mg Kaplet 100 100
Ethambutol Tablet 250 mg Tablet - -
Ethambutol Tablet 500 mg Tablet - -
Ethanol 70 %- 1000 ml Botol 11 11
Etil Klorida Semprot- 100 ml Botol 6 6
Eugenol Cairan Botol 1 1
FDC 1 & 3 Paket - -
FDC 2 Paket - -
FDC Anak Paket - -
FDC Sisipan Paket - -
Fenitoin Natrium 100 mg Tablet 100 100
Fenitoin Natrium 30 mg Tablet 300 300
Fenobarbital 30 mg Tablet 600 600
Fenobarbital Injeksi Ampul - -
Fenoksimetil Penisilin 500 mg Tablet - -
Fenol Gliserol Tetes Telinga 10% Botol - -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul - -
Fitomenadion (Vit K ) Tablet Tablet 600 600
Fluconazol tablet 150 mg Tablet - -
Furosemid Tablet 40 mg Tablet - -
Garam Oralit 200 ml Sachet 1,400 1,400
Glass Ionomer Cement (GC 1X) Pot 3 3
Glibenklamid Tablet 5 mg Tablet 700 700
Glikuidon 30 mg tablet - -
Glimepiride 1 mg tablet - -
Glimepiride 2 mg tablet - -
Glipizide 5 mg tablet - -
Glukosa Lart. Infus 10% - 500 ml Botol - -
Glukosa Lart. Infus 5% - 500 ml Botol - -
Griseofulvin Tablet 125 mg Tablet 300 300
Haloperidol Tablet 1,5 Mg Tablet 2,100 2,100
Haloperidol Tablet 5 mg Tablet 800 800
Handscoon latex non steril uk M box 3 3
Handscoon latex non steril uk S box 1 1
Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidrokortison Krim 2,5% Tube 528 528
Ibuprofen 200 mg Tablet 10,500 10,500
Imipramin 25 mg tablet - -
Infusion Anak Set - -
Infusion Dewasa Set - -
Isoniazid Tablet 300 mg Tablet - -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet - -
Kalsium Hidroksida Pasta Pot - -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet - -
Kapas Pembalut/Adsorben 250 g Bgks 12 12
Kaptopril 12.5 mg Tablet 1,000 1,000
Kaptopril 25 mg Tablet 3,500 3,500
Karbamazepin 200 mg Tablet 700 700
Kasa Kompres 2m x 80 cm Roll - -
Kasa Kompres 40/40 Roll - -
Kasa Pembalut Hidrofil 4 mx 3cm Roll - -
Kasa Pembalut Hidrofil 4 mx15 cm Roll - -
Klindamisin 300 mg Kapsul 600 600
Klonidin 0,15 mg tablet - -
Kloramfenikol Salep Mata 1% Tube 48 48
Kloramfenikol Kapsul 250 mg Kapsul - -
Klorfeniramin Maleat (CTM) 4 mg Tablet 14,000 14,000
Klorin larutan Botol - -
Klorpromazin HCl Tablet 100 mg Tablet 1,250 1,250
Klorpromazin HCl Tablet 25 mg Tablet - -
Kodein Fosfat Tablet 10 mg Tablet - -
Kotrimoxazol Syrup Botol - -
Kotrimoxazol 120 Paediatrik Tablet - -
Kotrimoxazol 480 Dewasa Tablet - -
L i s o l Botol - -
Lidokain inj ampul 210 210
Lidokain Komb 2 % Ampul - -
Loratadin 10 mg Tablet - -
Lorazepam tablet - -
Masker earloop box@50 pcs box - -
Metformin HCl tablet 500 mg Tablet - -
Metilprednisolon 4 mg tablet - -
Metoklopramid inj.5 mg/ml Ampul - -
Metoklopramid tablet 10 mg Tablet - -
Metronidazol Tablet 250 mg Tablet 100 100
Metronidazol Tablet 500 mg Tablet - -
Metylergometrin Maleat Injk Ampul - -
Metylergometrin Maleat Tablet Tablet - -
Mineral mix sachet - -
Monoklor Kamfer Mentol (CHKM) Pot - -
Mumifying Pasta Pot 1 1
Myconazol SK Tube 72 72
Natrium Bikarbonat Tablet 500 mg Tablet - -
Natrium Diklofenak tablet 25 mg Tablet 1,000 1,000
Natrium Klorida 0,9% Infus Botol - -
Nifedipin Tablet 10 mg Tablet 200 200
Nistatin Tablet Salut 500 000 IU g Tablet - -
Nistatin Vaginal 100 000 IU g Tablet - -
Obat Batuk Hitam (OBH) 100 ml Botol 1,080 1,080
Oksitetrasiklin HCl 1% SM Tube - -
Oksitetrasiklin HCl 3% SK Tube 150 150
Oksitosin Injeksi Ampul - -
Parasetamol Syrup 120 mg/5ml Botol 1,596 1,596
Parasetamol Tablet 100 mg Tablet 3,000 3,000
Parasetamol Tablet 500 mg Tablet 43,500 43,500
Piracetam 800 mg Tablet - -
Pirantel Tablet 125 mg Tablet - -
Pirazinamid 500 mg Tablet - -
Piridoksin HCl (Vit B6) 10 mg Tablet 3,000 3,000
Piroksikam 20 mg Tablet 800 800
Plester 5 Yard x 2 1nch Roll - -
Polikresulen 10-ml / Albotyl Botol - -
Povidon Iodida 10 %- 300 ml Botol 5 5
Prednison 5 mg Tablet Tablet 1,000 1,000
Prometazin 25 mg tablet - -
Propanolol HCl 40 mg Tablet - -
Propiltyourasil Tablet 100 mg Tablet - -
Ranitidin 150 mg Tablet 3,000 3,000
Resin Composit set - -
Retinol ( Vit.A ) 100 000 IU Kapsul 600 600
Retinol ( Vit.A ) 200 000 IU Kapsul 3,250 3,250
Rifampisin 300 mg Kapsul - -
Rifampisin 450 mg Kaplet - -
Rifampisin 600 mg Kaplet - -
Ringar Laktat Lar. Infus Botol - -
Risperidon 1 mg tablet - -
Risperidon 2 mg tablet 200 200
Salbutamol 2 mg Tablet 900 900
Salbutamol 4 mg tablet - -
Salep 2 - 4 Pot 24 24
Salisil Talk 2%-50 G Dos 264 264
Sefadroksil 500 mg Kapsul - -
Sefiksim 400 mg + Azithromicin 1000 mg amplop - -
Semen Seng Fosfat Serbuk & Cairan Botol 2 2
Sianokobalamin (Vit.B12) Tablet Tablet 3,000 3,000
Silk ( Benang ) No. 3/0 Sachet - -
Silver Sulfadiazin crm pot 500g pot - -
Simetidin 200 mg Tablet 400 400
Simvastatin tablet 10 mg Tablet 150 150
Siprofloksasin 500 mg Tablet 1,400 1,400
Spironolakton 25 mg tablet - -
Spons Gelatin Unit - -
Sulfasetamid Na. TM 15% Botol 72 72
Tablet Tambah Darah (Besi) Tablet 1,200 1,200
Temporary Filling Material Pot - -
Teofilin 150 mg tablet - -
Terbutalin 2,5 mg tablet - -
Tetrasiklin 250 mg Kapsul - -
Thiamin HCl 50 mg Tablet Tablet 1,000 1,000
Thiamfenikol 500 mg Tablet 500 500
Trifluoperazin 5mg tablet - -
Trifluoperazin1 mg tablet - -
Triheksifenidil HCl 2 mg Tab Tablet 1,800 1,800
Trikresol Formalin (TKF)-10 ml Botol - -
Verapamil 80 mg tablet - -
Vitamin B Kompleks Tablet Tablet 1,000 1,000
Yellow Tips Buah - -
Zinc tablet Tablet 1,900 1,900
Amonium Oksalat Botol - -
Aquabidest 500 ml botol - -
Asam Sulfo Salisilat 20 %-100 ml Botol - -
Asam urat kit , 30 ml set - -
HB Cyanmed 500 ml Botol 1 1
HDL test kit-precipit, 80 ml set - -
Immersion Oil Botol - -
Indikator pH universal Botol - -
Kolesterol test kit, 100 ml set - -
Kreatinin test kit, 200 ml set - -
Lart.Glukosa, 100 ml Botol - -
Lart.Hayem, 100 ml Botol - -
Lart.KOH 10%,100 ml Botol - -
Larutan Benedict 500 ml Botol - -
Larutan Eosin 2 % Botol - -
Larutan Giemsa Stain - 100 ml Botol - -
Larutan Turk - 100 ml Botol - -
Metanol 500 ml Botol - -
Natrium Sitrat 100 cc Botol - -
Reagen Golongan Darah kotak - -
Reagen Z. Nelsen Botol 10 10
SGOT test kit set - -
SGPT test kit set - -
Trigliserida test kit, 100 ml set - -
Ureum test kit set - -
Amoksisilin sirup forte 250 mg/ 5 ml botol - -
Betametason krim 0,5 mg/g tube - -
Cetirizine sirup 5 mg/ 5 ml botol - -
Ergotamin tablet 1 mg tablet - -
Eritromisin kapsul 250 mg kapsul - -
Kloramfenikol salap kulit 2 % tube - -
Kloramfenikol tetes mata 0,5 % botol - -
Kotrimoksazol tablet forte 960 mg tablet - -
Zinc sirup 10 mg/ml botol - -
Gliseril Guaicolat tablet - -
Object Glass/Slide box - -
Pot Dahak Buah - -
Sarung tangan panjang Kebidanan pasang 4 4
Sendok obat sirup Paket - -
Spuit 10 cc set - -
Urine Bag Buah - -
Vacutainer Buah - -
Vacutainer Needle Buah - -
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20
Kode Puskesmas : 13
Nama Puskesmas : Tansa
Bulan Distribusi & NO SBBK
11/13/TPD/I/2013
1
Abbocath no.20 set - -
Abbocath no.24 set - -
Alat Suntik Sekali Pakai 1 ml Set - -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set 700 700
Alat Suntik Sekali Pakai 5 ml Set - -
Albendazol tablet 400 mg Tablet - -
Alopurinol 100 mg Tablet 600 600
Alprazolam tablet 0,5 mg Tablet - -
Ambroxol sirup 15 mg/ml Botol 200 200
Ambroxol tablet 30 mg Tablet 6,500 6,500
Aminofilin 200 mg Tablet - -
Amitriptilin HCL 25 mg Tablet 200 200
Amlodipin 5 mg tablet 2,520 2,520
Amoksisilin + As.Klavulanat 625 mg tab Tablet - -
Amoksisilin 125 mg/5ml Syr kering Botol 780 780
Amoksisilin 250 mg Kapsul 1,700 1,700
Amoksisilin 500 mg Kaplet 9,800 9,800
Antalgin 500 mg ( Metampiron ) Tablet 5,300 5,300
Antasida Doen Tablet 15,100 15,100
Antasida sirup Botol 250 250
Anti Bakteri DOEN Tube 125 125
Anti Fungi Pot 48 48
Anti Hemoroid DOEN Unit - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet - -
Aqua Pro Injeksi 20 ml Flacon - -
Asam Ascorbat 50 mg Tablet 2,000 2,000
Asam Mefenamat 500 mg Kaplet 2,000 2,000
Asetosal 100 mg tablet - -
Asetosal 500 mg tablet - -
Asiklovir Salep 5 % Tube 75 75
Asiklovir Tablet 200 mg Tablet - -
Asiklovir Tablet 400 mg Tablet 200 200
Atenolol 50 mg tablet - -
Betametason Krim 0,1 % Tube 125 125
Bisoprolol 5 mg tablet - -
Nama dan Kode Barang Satuan Jumlah
Blood Lancet Dos 500 500
Blue Tips Buah - -
Carbo Adsorben (Norit) Tablet - -
Cat Gut (benang bedah) no 3 Unit 24 24
Cat Gut (benang bedah) no.2 Unit - -
Cetirizine tablet 10 mg Tablet 500 500
Deksametason Injeksi Ampul - -
Deksametason Tablet 0.5 mg Tablet 5,000 5,000
Dekstrometorfan Syrup Botol 100 100
Dekstrometorfan Tablet 15 mg Tablet 500 500
Devitalisasai Pasta Pot 2 2
Diazepam 2 mg Tablet Tablet - -
Diazepam Injeksi Ampul - -
Difenhidramin Injeksi 10 mg/ml Ampul - -
Digoksin Tablet 0,25 mg Tablet 700 700
Diltiazem tablet 30 mg Tablet - -
Doksisiklin 100 mg kapsul - -
Efedrin HCl Tablet 25 mg Tablet 500 500
Ekstract Belladona Tablet - -
Epinefrin HCl /Adrenalin Injeksi Ampul - -
Erytromysin 500 mg Kaplet - -
Ethambutol Tablet 250 mg Tablet - -
Ethambutol Tablet 500 mg Tablet 500 500
Ethanol 70 %- 1000 ml Botol 1 1
Etil Klorida Semprot- 100 ml Botol 5 5
Eugenol Cairan Botol - -
FDC 1 & 3 Paket - -
FDC 2 Paket - -
FDC Anak Paket - -
FDC Sisipan Paket - -
Fenitoin Natrium 100 mg Tablet - -
Fenitoin Natrium 30 mg Tablet - -
Fenobarbital 30 mg Tablet - -
Fenobarbital Injeksi Ampul - -
Fenoksimetil Penisilin 500 mg Tablet - -
Fenol Gliserol Tetes Telinga 10% Botol 24 24
Fitomenadion (Vit K ) inj. 10 mg/ml ampul - -
Fitomenadion (Vit K ) Tablet Tablet - -
Fluconazol tablet 150 mg Tablet - -
Furosemid Tablet 40 mg Tablet 100 100
Garam Oralit 200 ml Sachet 1,700 1,700
Glass Ionomer Cement (GC 1X) Pot 2 2
Glibenklamid Tablet 5 mg Tablet 900 900
Glikuidon 30 mg tablet - -
Glimepiride 1 mg tablet - -
Glimepiride 2 mg tablet - -
Glipizide 5 mg tablet - -
Glukosa Lart. Infus 10% - 500 ml Botol - -
Glukosa Lart. Infus 5% - 500 ml Botol 2 2
Griseofulvin Tablet 125 mg Tablet - -
Haloperidol Tablet 1,5 Mg Tablet 600 600
Haloperidol Tablet 5 mg Tablet 1,100 1,100
Handscoon latex non steril uk M box 1 1
Handscoon latex non steril uk S box 1 1
Hidroklortiazid (HCT) Tablet 25 mg Tablet 1,000 1,000
Hidrokortison Krim 2,5% Tube 48 48
Ibuprofen 200 mg Tablet 6,800 6,800
Imipramin 25 mg tablet - -
Infusion Anak Set - -
Infusion Dewasa Set - -
Isoniazid Tablet 300 mg Tablet 2,000 2,000
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 400 400
Kalsium Hidroksida Pasta Pot - -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet 2,000 2,000
Kapas Pembalut/Adsorben 250 g Bgks - -
Kaptopril 12.5 mg Tablet - -
Kaptopril 25 mg Tablet 3,400 3,400
Karbamazepin 200 mg Tablet - -
Kasa Kompres 2m x 80 cm Roll 20 20
Kasa Kompres 40/40 Roll - -
Kasa Pembalut Hidrofil 4 mx 3cm Roll - -
Kasa Pembalut Hidrofil 4 mx15 cm Roll - -
Klindamisin 300 mg Kapsul 400 400
Klonidin 0,15 mg tablet - -
Kloramfenikol Salep Mata 1% Tube 120 120
Kloramfenikol Kapsul 250 mg Kapsul 500 500
Klorfeniramin Maleat (CTM) 4 mg Tablet 20,000 20,000
Klorin larutan Botol - -
Klorpromazin HCl Tablet 100 mg Tablet 500 500
Klorpromazin HCl Tablet 25 mg Tablet - -
Kodein Fosfat Tablet 10 mg Tablet - -
Kotrimoxazol Syrup Botol 200 200
Kotrimoxazol 120 Paediatrik Tablet - -
Kotrimoxazol 480 Dewasa Tablet 400 400
L i s o l Botol - -
Lidokain inj ampul - -
Lidokain Komb 2 % Ampul 90 90
Loratadin 10 mg Tablet - -
Lorazepam tablet - -
Masker earloop box@50 pcs box 1 1
Metformin HCl tablet 500 mg Tablet - -
Metilprednisolon 4 mg tablet - -
Metoklopramid inj.5 mg/ml Ampul 15 -
Metoklopramid tablet 10 mg Tablet - -
Metronidazol Tablet 250 mg Tablet 400 400
Metronidazol Tablet 500 mg Tablet - -
Metylergometrin Maleat Injk Ampul - -
Metylergometrin Maleat Tablet Tablet - -
Mineral mix sachet - -
Monoklor Kamfer Mentol (CHKM) Pot - -
Mumifying Pasta Pot 48 48
Myconazol SK Tube - -
Natrium Bikarbonat Tablet 500 mg Tablet - -
Natrium Diklofenak tablet 25 mg Tablet - -
Natrium Klorida 0,9% Infus Botol - -
Nifedipin Tablet 10 mg Tablet 5,700 5,700
Nistatin Tablet Salut 500 000 IU g Tablet - -
Nistatin Vaginal 100 000 IU g Tablet 40 40
Obat Batuk Hitam (OBH) 100 ml Botol - -
Oksitetrasiklin HCl 1% SM Tube - -
Oksitetrasiklin HCl 3% SK Tube 100 100
Oksitosin Injeksi Ampul - -
Parasetamol Syrup 120 mg/5ml Botol 672 672
Parasetamol Tablet 100 mg Tablet - -
Parasetamol Tablet 500 mg Tablet 32,500 32,500
Piracetam 800 mg Tablet - -
Pirantel Tablet 125 mg Tablet - -
Pirazinamid 500 mg Tablet 1,100 1,100
Piridoksin HCl (Vit B6) 10 mg Tablet 10,000 10,000
Piroksikam 20 mg Tablet 600 600
Plester 5 Yard x 2 1nch Roll 1 1
Polikresulen 10-ml / Albotyl Botol 1 1
Povidon Iodida 10 %- 300 ml Botol 1 1
Prednison 5 mg Tablet Tablet 1,000 1,000
Prometazin 25 mg tablet - -
Propanolol HCl 40 mg Tablet 100 100
Propiltyourasil Tablet 100 mg Tablet 600 600
Ranitidin 150 mg Tablet 2,000 300
Resin Composit set - -
Retinol ( Vit.A ) 100 000 IU Kapsul 100 100
Retinol ( Vit.A ) 200 000 IU Kapsul 800 800
Rifampisin 300 mg Kapsul - -
Rifampisin 450 mg Kaplet 1,100 1,100
Rifampisin 600 mg Kaplet 600 600
Ringar Laktat Lar. Infus Botol 13 13
Risperidon 1 mg tablet - -
Risperidon 2 mg tablet 400 400
Salbutamol 2 mg Tablet 700 700
Salbutamol 4 mg tablet - -
Salep 2 - 4 Pot 48 48
Salisil Talk 2%-50 G Dos 284 284
Sefadroksil 500 mg Kapsul 500 500
Sefiksim 400 mg + Azithromicin 1000 mg amplop - -
Semen Seng Fosfat Serbuk & Cairan Botol 2 2
Sianokobalamin (Vit.B12) Tablet Tablet 4,000 4,000
Silk ( Benang ) No. 3/0 Sachet - -
Silver Sulfadiazin crm pot 500g pot - -
Simetidin 200 mg Tablet 1,000 1,000
Simvastatin tablet 10 mg Tablet 1,000 1,000
Siprofloksasin 500 mg Tablet 100 100
Spironolakton 25 mg tablet 400 400
Spons Gelatin Unit - -
Sulfasetamid Na. TM 15% Botol 24 24
Tablet Tambah Darah (Besi) Tablet 6,600 6,600
Temporary Filling Material Pot 4 4
Teofilin 150 mg tablet - -
Terbutalin 2,5 mg tablet - -
Tetrasiklin 250 mg Kapsul - -
Thiamin HCl 50 mg Tablet Tablet 1,000 1,000
Thiamfenikol 500 mg Tablet 800 800
Trifluoperazin 5mg tablet - -
Trifluoperazin1 mg tablet - -
Triheksifenidil HCl 2 mg Tab Tablet 1,800 1,800
Trikresol Formalin (TKF)-10 ml Botol - -
Verapamil 80 mg tablet - -
Vitamin B Kompleks Tablet Tablet 1,000 1,000
Yellow Tips Buah - -
Zinc tablet Tablet 1,300 1,300
Amonium Oksalat Botol - -
Aquabidest 500 ml botol 4 -
Asam Sulfo Salisilat 20 %-100 ml Botol - -
Asam urat kit , 30 ml set - -
HB Cyanmed 500 ml Botol - -
HDL test kit-precipit, 80 ml set - -
Immersion Oil Botol 2 2
Indikator pH universal Botol - -
Kolesterol test kit, 100 ml set - -
Kreatinin test kit, 200 ml set - -
Lart.Glukosa, 100 ml Botol - -
Lart.Hayem, 100 ml Botol - -
Lart.KOH 10%,100 ml Botol - -
Larutan Benedict 500 ml Botol - -
Larutan Eosin 2 % Botol - -
Larutan Giemsa Stain - 100 ml Botol 2 2
Larutan Turk - 100 ml Botol - -
Metanol 500 ml Botol 1 1
Natrium Sitrat 100 cc Botol - -
Reagen Golongan Darah kotak - -
Reagen Z. Nelsen Botol 5 5
SGOT test kit set - -
SGPT test kit set - -
Trigliserida test kit, 100 ml set - -
Ureum test kit set - -
Amoksisilin sirup forte 250 mg/ 5 ml botol - -
Betametason krim 0,5 mg/g tube - -
Cetirizine sirup 5 mg/ 5 ml botol - -
Ergotamin tablet 1 mg tablet - -
Eritromisin kapsul 250 mg kapsul - -
Kloramfenikol salap kulit 2 % tube - -
Kloramfenikol tetes mata 0,5 % botol - -
Kotrimoksazol tablet forte 960 mg tablet - -
Zinc sirup 10 mg/ml botol - -
Gliseril Guaicolat tablet - -
Object Glass/Slide box - -
Pot Dahak Buah - -
Sarung tangan panjang Kebidanan pasang - -
Sendok obat sirup Paket - -
Spuit 10 cc set - -
Urine Bag Buah - -
Vacutainer Buah - -
Vacutainer Needle Buah - -
Bulan Distribusi & NO SBBK
29/13/TPD/II/2014
2 3 4 5 6 7 8
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
15
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1,700
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
4
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
9 10 11 12 13 14 15 16
17 18 19 20
Kode Puskesmas : 14
Nama Puskesmas : Bogor Utara
Bulan Distribusi & NO SBBK
04/14/TPD/I/2014
1
Abbocath no.20 set - -
Abbocath no.24 set - -
Alat Suntik Sekali Pakai 1 ml Set - -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set 500 -
Alat Suntik Sekali Pakai 5 ml Set - -
Albendazol tablet 400 mg Tablet - -
Alopurinol 100 mg Tablet 200 -
Alprazolam tablet 0,5 mg Tablet - -
Ambroxol sirup 15 mg/ml Botol 100 -
Ambroxol tablet 30 mg Tablet 8,200 -
Aminofilin 200 mg Tablet 700 -
Amitriptilin HCL 25 mg Tablet - -
Amlodipin 5 mg tablet - -
Amoksisilin + As.Klavulanat 625 mg tab Tablet - -
Amoksisilin 125 mg/5ml Syr kering Botol 480 -
Amoksisilin 250 mg Kapsul 1,600 -
Amoksisilin 500 mg Kaplet 3,700 -
Antalgin 500 mg ( Metampiron ) Tablet 400 -
Antasida Doen Tablet 4,600 -
Antasida sirup Botol - -
Anti Bakteri DOEN Tube 100 -
Anti Fungi Pot 24 -
Anti Hemoroid DOEN Unit - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet - -
Aqua Pro Injeksi 20 ml Flacon - -
Asam Ascorbat 50 mg Tablet 2,000 -
Asam Mefenamat 500 mg Kaplet 1,000 -
Asetosal 100 mg tablet - -
Asetosal 500 mg tablet - -
Asiklovir Salep 5 % Tube 50 -
Asiklovir Tablet 200 mg Tablet - -
Asiklovir Tablet 400 mg Tablet 300 -
Atenolol 50 mg tablet - -
Betametason Krim 0,1 % Tube 125 -
Bisoprolol 5 mg tablet - -
Nama dan Kode Barang Satuan Jumlah
Blood Lancet Dos - -
Blue Tips Buah - -
Carbo Adsorben (Norit) Tablet - -
Cat Gut (benang bedah) no 3 Unit - -
Cat Gut (benang bedah) no.2 Unit - -
Cetirizine tablet 10 mg Tablet 100 -
Deksametason Injeksi Ampul - -
Deksametason Tablet 0.5 mg Tablet 6,700 -
Dekstrometorfan Syrup Botol - -
Dekstrometorfan Tablet 15 mg Tablet 900 -
Devitalisasai Pasta Pot 1 -
Diazepam 2 mg Tablet Tablet - -
Diazepam Injeksi Ampul - -
Difenhidramin Injeksi 10 mg/ml Ampul - -
Digoksin Tablet 0,25 mg Tablet 100 -
Diltiazem tablet 30 mg Tablet - -
Doksisiklin 100 mg kapsul - -
Efedrin HCl Tablet 25 mg Tablet - -
Ekstract Belladona Tablet - -
Epinefrin HCl /Adrenalin Injeksi Ampul - -
Erytromysin 500 mg Kaplet - -
Ethambutol Tablet 250 mg Tablet - -
Ethambutol Tablet 500 mg Tablet - -
Ethanol 70 %- 1000 ml Botol 1 -
Etil Klorida Semprot- 100 ml Botol 5 -
Eugenol Cairan Botol - -
FDC 1 & 3 Paket 16 -
FDC 2 Paket 5 -
FDC Anak Paket - -
FDC Sisipan Paket - -
Fenitoin Natrium 100 mg Tablet - -
Fenitoin Natrium 30 mg Tablet - -
Fenobarbital 30 mg Tablet - -
Fenobarbital Injeksi Ampul - -
Fenoksimetil Penisilin 500 mg Tablet - -
Fenol Gliserol Tetes Telinga 10% Botol - -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul - -
Fitomenadion (Vit K ) Tablet Tablet 200 -
Fluconazol tablet 150 mg Tablet - -
Furosemid Tablet 40 mg Tablet 200 -
Garam Oralit 200 ml Sachet 200 -
Glass Ionomer Cement (GC 1X) Pot - -
Glibenklamid Tablet 5 mg Tablet 800 -
Glikuidon 30 mg tablet - -
Glimepiride 1 mg tablet - -
Glimepiride 2 mg tablet - -
Glipizide 5 mg tablet - -
Glukosa Lart. Infus 10% - 500 ml Botol - -
Glukosa Lart. Infus 5% - 500 ml Botol - -
Griseofulvin Tablet 125 mg Tablet 100 -
Haloperidol Tablet 1,5 Mg Tablet 100 -
Haloperidol Tablet 5 mg Tablet 1,500 -
Handscoon latex non steril uk M box - -
Handscoon latex non steril uk S box - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidrokortison Krim 2,5% Tube 168 -
Ibuprofen 200 mg Tablet 3,500 1,000
Imipramin 25 mg tablet - -
Infusion Anak Set - -
Infusion Dewasa Set - -
Isoniazid Tablet 300 mg Tablet - -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet - -
Kalsium Hidroksida Pasta Pot - -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet 2,000 -
Kapas Pembalut/Adsorben 250 g Bgks 4 -
Kaptopril 12.5 mg Tablet - -
Kaptopril 25 mg Tablet 5,500 -
Karbamazepin 200 mg Tablet - -
Kasa Kompres 2m x 80 cm Roll - -
Kasa Kompres 40/40 Roll - -
Kasa Pembalut Hidrofil 4 mx 3cm Roll - -
Kasa Pembalut Hidrofil 4 mx15 cm Roll - -
Klindamisin 300 mg Kapsul 250 100
Klonidin 0,15 mg tablet - -
Kloramfenikol Salep Mata 1% Tube 48 -
Kloramfenikol Kapsul 250 mg Kapsul - -
Klorfeniramin Maleat (CTM) 4 mg Tablet 12,000 -
Klorin larutan Botol - -
Klorpromazin HCl Tablet 100 mg Tablet 1,500 -
Klorpromazin HCl Tablet 25 mg Tablet - -
Kodein Fosfat Tablet 10 mg Tablet - -
Kotrimoxazol Syrup Botol - -
Kotrimoxazol 120 Paediatrik Tablet - -
Kotrimoxazol 480 Dewasa Tablet - -
L i s o l Botol - -
Lidokain inj ampul - -
Lidokain Komb 2 % Ampul 120 -
Loratadin 10 mg Tablet - -
Lorazepam tablet - -
Masker earloop box@50 pcs box - -
Metformin HCl tablet 500 mg Tablet 500 -
Metilprednisolon 4 mg tablet - -
Metoklopramid inj.5 mg/ml Ampul - -
Metoklopramid tablet 10 mg Tablet - -
Metronidazol Tablet 250 mg Tablet 200 -
Metronidazol Tablet 500 mg Tablet - -
Metylergometrin Maleat Injk Ampul - -
Metylergometrin Maleat Tablet Tablet - -
Mineral mix sachet - -
Monoklor Kamfer Mentol (CHKM) Pot - -
Mumifying Pasta Pot - -
Myconazol SK Tube 24 -
Natrium Bikarbonat Tablet 500 mg Tablet - -
Natrium Diklofenak tablet 25 mg Tablet - -
Natrium Klorida 0,9% Infus Botol - -
Nifedipin Tablet 10 mg Tablet 1,200 -
Nistatin Tablet Salut 500 000 IU g Tablet - -
Nistatin Vaginal 100 000 IU g Tablet 40 -
Obat Batuk Hitam (OBH) 100 ml Botol 360 -
Oksitetrasiklin HCl 1% SM Tube 75 -
Oksitetrasiklin HCl 3% SK Tube 75 -
Oksitosin Injeksi Ampul - -
Parasetamol Syrup 120 mg/5ml Botol 672 -
Parasetamol Tablet 100 mg Tablet - -
Parasetamol Tablet 500 mg Tablet 27,000 -
Piracetam 800 mg Tablet - -
Pirantel Tablet 125 mg Tablet - -
Pirazinamid 500 mg Tablet - -
Piridoksin HCl (Vit B6) 10 mg Tablet 2,000 -
Piroksikam 20 mg Tablet 1,300 300
Plester 5 Yard x 2 1nch Roll 2 -
Polikresulen 10-ml / Albotyl Botol - -
Povidon Iodida 10 %- 300 ml Botol - -
Prednison 5 mg Tablet Tablet - -
Prometazin 25 mg tablet - -
Propanolol HCl 40 mg Tablet - -
Propiltyourasil Tablet 100 mg Tablet - -
Ranitidin 150 mg Tablet 400 -
Resin Composit set - -
Retinol ( Vit.A ) 100 000 IU Kapsul 650 -
Retinol ( Vit.A ) 200 000 IU Kapsul 5,200 -
Rifampisin 300 mg Kapsul - -
Rifampisin 450 mg Kaplet 100 -
Rifampisin 600 mg Kaplet - -
Ringar Laktat Lar. Infus Botol - -
Risperidon 1 mg tablet 20 -
Risperidon 2 mg tablet 50 -
Salbutamol 2 mg Tablet 500 -
Salbutamol 4 mg tablet - -
Salep 2 - 4 Pot 24 -
Salisil Talk 2%-50 G Dos 119 -
Sefadroksil 500 mg Kapsul - -
Sefiksim 400 mg + Azithromicin 1000 mg amplop - -
Semen Seng Fosfat Serbuk & Cairan Botol - -
Sianokobalamin (Vit.B12) Tablet Tablet - -
Silk ( Benang ) No. 3/0 Sachet - -
Silver Sulfadiazin crm pot 500g pot - -
Simetidin 200 mg Tablet 1,300 -
Simvastatin tablet 10 mg Tablet 100 -
Siprofloksasin 500 mg Tablet 400 -
Spironolakton 25 mg tablet - -
Spons Gelatin Unit - -
Sulfasetamid Na. TM 15% Botol 24 -
Tablet Tambah Darah (Besi) Tablet 14,400 -
Temporary Filling Material Pot 2 -
Teofilin 150 mg tablet - -
Terbutalin 2,5 mg tablet - -
Tetrasiklin 250 mg Kapsul - -
Thiamin HCl 50 mg Tablet Tablet 2,000 1,000
Thiamfenikol 500 mg Tablet - -
Trifluoperazin 5mg tablet - -
Trifluoperazin1 mg tablet - -
Triheksifenidil HCl 2 mg Tab Tablet 2,900 -
Trikresol Formalin (TKF)-10 ml Botol - -
Verapamil 80 mg tablet - -
Vitamin B Kompleks Tablet Tablet - -
Yellow Tips Buah - -
Zinc tablet Tablet 1,700 500
Amonium Oksalat Botol - -
Aquabidest 500 ml botol - -
Asam Sulfo Salisilat 20 %-100 ml Botol - -
Asam urat kit , 30 ml set - -
HB Cyanmed 500 ml Botol - -
HDL test kit-precipit, 80 ml set - -
Immersion Oil Botol - -
Indikator pH universal Botol - -
Kolesterol test kit, 100 ml set - -
Kreatinin test kit, 200 ml set - -
Lart.Glukosa, 100 ml Botol - -
Lart.Hayem, 100 ml Botol - -
Lart.KOH 10%,100 ml Botol - -
Larutan Benedict 500 ml Botol - -
Larutan Eosin 2 % Botol - -
Larutan Giemsa Stain - 100 ml Botol - -
Larutan Turk - 100 ml Botol - -
Metanol 500 ml Botol - -
Natrium Sitrat 100 cc Botol - -
Reagen Golongan Darah kotak - -
Reagen Z. Nelsen Botol 5 -
SGOT test kit set - -
SGPT test kit set - -
Trigliserida test kit, 100 ml set - -
Ureum test kit set - -
Amoksisilin sirup forte 250 mg/ 5 ml botol - -
Betametason krim 0,5 mg/g tube - -
Cetirizine sirup 5 mg/ 5 ml botol - -
Ergotamin tablet 1 mg tablet - -
Eritromisin kapsul 250 mg kapsul - -
Kloramfenikol salap kulit 2 % tube - -
Kloramfenikol tetes mata 0,5 % botol - -
Kotrimoksazol tablet forte 960 mg tablet - -
Zinc sirup 10 mg/ml botol - -
Gliseril Guaicolat tablet - -
Object Glass/Slide box - -
Pot Dahak Buah - -
Sarung tangan panjang Kebidanan pasang - -
Sendok obat sirup Paket - -
Spuit 10 cc set - -
Urine Bag Buah - -
Vacutainer Buah - -
Vacutainer Needle Buah - -
Bulan Distribusi & NO SBBK
27/14/TPD/II/2014
2 3 4 5 6 7 8
-
-
-
500
-
-
200
-
100
8,200
700
-
-
-
480
1,600
3,700
400
4,600
-
100
24
-
-
-
2,000
1,000
-
-
50
-
300
-
125
-
-
-
-
-
-
100
-
6,700
-
900
1
-
-
-
100
-
-
-
-
-
-
-
-
1
5
-
16
5
-
-
-
-
-
-
-
-
-
200
-
200
200
-
800
-
-
-
-
-
-
100
100
1,500
-
-
-
168
2,500
-
-
-
-
-
-
2,000
4
-
5,500
-
-
-
-
-
150
-
48
-
12,000
-
1,500
-
-
-
-
-
-
-
120
-
-
-
500
-
-
-
200
-
-
-
-
-
-
24
-
-
-
1,200
-
40
360
75
75
-
672
-
27,000
-
-
-
2,000
1,000
2
-
-
-
-
-
-
400
-
650
5,200
-
100
-
-
20
50
500
-
24
119
-
-
-
-
-
-
1,300
100
400
-
-
24
14,400
2
-
-
-
1,000
-
-
-
2,900
-
-
-
-
1,200
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
5
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
9 10 11 12 13 14 15 16
17 18 19 20
Kode Puskesmas : 15
Nama Puskesmas : Pondok Rumput
Bulan Distribusi & NO SBBK
5/15/TPD/I/2014
1 2
Abbocath no.20 set - -
Abbocath no.24 set - -
Alat Suntik Sekali Pakai 1 ml Set - -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set 400 400
Alat Suntik Sekali Pakai 5 ml Set - -
Albendazol tablet 400 mg Tablet - -
Alopurinol 100 mg Tablet - -
Alprazolam tablet 0,5 mg Tablet - -
Ambroxol sirup 15 mg/ml Botol 300 300
Ambroxol tablet 30 mg Tablet - -
Aminofilin 200 mg Tablet 200 200
Amitriptilin HCL 25 mg Tablet - -
Amlodipin 5 mg tablet 150 150
Amoksisilin + As.Klavulanat 625 mg tab Tablet - -
Amoksisilin 125 mg/5ml Syr kering Botol 540 540
Amoksisilin 250 mg Kapsul 3,700 3,700
Amoksisilin 500 mg Kaplet 5,000 5,000
Antalgin 500 mg ( Metampiron ) Tablet 1,400 1,400
Antasida Doen Tablet 3,300 3,300
Antasida sirup Botol 550 550
Anti Bakteri DOEN Tube 125 125
Anti Fungi Pot 48 48
Anti Hemoroid DOEN Unit - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet 100 100
Aqua Pro Injeksi 20 ml Flacon - -
Asam Ascorbat 50 mg Tablet 1,000 1,000
Asam Mefenamat 500 mg Kaplet 500 500
Asetosal 100 mg tablet - -
Asetosal 500 mg tablet - -
Asiklovir Salep 5 % Tube 25 25
Asiklovir Tablet 200 mg Tablet - -
Asiklovir Tablet 400 mg Tablet 500 500
Atenolol 50 mg tablet - -
Betametason Krim 0,1 % Tube 75 75
Bisoprolol 5 mg tablet - -
Blood Lancet Dos - -
Nama dan Kode Barang Satuan Jumlah
Blue Tips Buah - -
Carbo Adsorben (Norit) Tablet - -
Cat Gut (benang bedah) no 3 Unit - -
Cat Gut (benang bedah) no.2 Unit - -
Cetirizine tablet 10 mg Tablet 300 300
Deksametason Injeksi Ampul - -
Deksametason Tablet 0.5 mg Tablet 7,300 7,300
Dekstrometorfan Syrup Botol - -
Dekstrometorfan Tablet 15 mg Tablet - -
Devitalisasai Pasta Pot - -
Diazepam 2 mg Tablet Tablet 2,600 2,600
Diazepam Injeksi Ampul - -
Difenhidramin Injeksi 10 mg/ml Ampul - -
Digoksin Tablet 0,25 mg Tablet - -
Diltiazem tablet 30 mg Tablet - -
Doksisiklin 100 mg kapsul - -
Efedrin HCl Tablet 25 mg Tablet - -
Ekstract Belladona Tablet - -
Epinefrin HCl /Adrenalin Injeksi Ampul - -
Erytromysin 500 mg Kaplet - -
Ethambutol Tablet 250 mg Tablet - -
Ethambutol Tablet 500 mg Tablet - -
Ethanol 70 %- 1000 ml Botol 2 2
Etil Klorida Semprot- 100 ml Botol 3 3
Eugenol Cairan Botol - -
FDC 1 & 3 Paket - -
FDC 2 Paket - -
FDC Anak Paket - -
FDC Sisipan Paket - -
Fenitoin Natrium 100 mg Tablet - -
Fenitoin Natrium 30 mg Tablet - -
Fenobarbital 30 mg Tablet 700 700
Fenobarbital Injeksi Ampul - -
Fenoksimetil Penisilin 500 mg Tablet - -
Fenol Gliserol Tetes Telinga 10% Botol 24 24
Fitomenadion (Vit K ) inj. 10 mg/ml ampul - -
Fitomenadion (Vit K ) Tablet Tablet 200 200
Fluconazol tablet 150 mg Tablet - -
Furosemid Tablet 40 mg Tablet - -
Garam Oralit 200 ml Sachet - -
Glass Ionomer Cement (GC 1X) Pot - -
Glibenklamid Tablet 5 mg Tablet 1,100 1,100
Glikuidon 30 mg tablet - -
Glimepiride 1 mg tablet 100 100
Glimepiride 2 mg tablet - -
Glipizide 5 mg tablet - -
Glukosa Lart. Infus 10% - 500 ml Botol - -
Glukosa Lart. Infus 5% - 500 ml Botol - -
Griseofulvin Tablet 125 mg Tablet 1,700 1,700
Haloperidol Tablet 1,5 Mg Tablet - -
Haloperidol Tablet 5 mg Tablet 3,300 3,300
Handscoon latex non steril uk M box - -
Handscoon latex non steril uk S box - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 1,000 1,000
Hidrokortison Krim 2,5% Tube - -
Ibuprofen 200 mg Tablet 2,000 2,000
Imipramin 25 mg tablet - -
Infusion Anak Set - -
Infusion Dewasa Set - -
Isoniazid Tablet 300 mg Tablet 1,000 1,000
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 400 400
Kalsium Hidroksida Pasta Pot - -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet 1,000 1,000
Kapas Pembalut/Adsorben 250 g Bgks -
Kaptopril 12.5 mg Tablet - -
Kaptopril 25 mg Tablet 5,900 5,900
Karbamazepin 200 mg Tablet 600 600
Kasa Kompres 2m x 80 cm Roll - -
Kasa Kompres 40/40 Roll - -
Kasa Pembalut Hidrofil 4 mx 3cm Roll - -
Kasa Pembalut Hidrofil 4 mx15 cm Roll - -
Klindamisin 300 mg Kapsul - -
Klonidin 0,15 mg tablet - -
Kloramfenikol Salep Mata 1% Tube 48 48
Kloramfenikol Kapsul 250 mg Kapsul - -
Klorfeniramin Maleat (CTM) 4 mg Tablet 8,000 8,000
Klorin larutan Botol - -
Klorpromazin HCl Tablet 100 mg Tablet 1,250 1,250
Klorpromazin HCl Tablet 25 mg Tablet - -
Kodein Fosfat Tablet 10 mg Tablet - -
Kotrimoxazol Syrup Botol 350 350
Kotrimoxazol 120 Paediatrik Tablet - -
Kotrimoxazol 480 Dewasa Tablet 2,000 2,000
L i s o l Botol 2 2
Lidokain inj ampul - -
Lidokain Komb 2 % Ampul - -
Loratadin 10 mg Tablet - -
Lorazepam tablet - -
Masker earloop box@50 pcs box - -
Metformin HCl tablet 500 mg Tablet 100 100
Metilprednisolon 4 mg tablet - -
Metoklopramid inj.5 mg/ml Ampul - -
Metoklopramid tablet 10 mg Tablet - -
Metronidazol Tablet 250 mg Tablet 600 600
Metronidazol Tablet 500 mg Tablet - -
Metylergometrin Maleat Injk Ampul - -
Metylergometrin Maleat Tablet Tablet - -
Mineral mix sachet - -
Monoklor Kamfer Mentol (CHKM) Pot - -
Mumifying Pasta Pot - -
Myconazol SK Tube 24 24
Natrium Bikarbonat Tablet 500 mg Tablet - -
Natrium Diklofenak tablet 25 mg Tablet 1,300 1,300
Natrium Klorida 0,9% Infus Botol - -
Nifedipin Tablet 10 mg Tablet 1,700 1,700
Nistatin Tablet Salut 500 000 IU g Tablet - -
Nistatin Vaginal 100 000 IU g Tablet - -
Obat Batuk Hitam (OBH) 100 ml Botol 240 240
Oksitetrasiklin HCl 1% SM Tube - -
Oksitetrasiklin HCl 3% SK Tube - -
Oksitosin Injeksi Ampul - -
Parasetamol Syrup 120 mg/5ml Botol - -
Parasetamol Tablet 100 mg Tablet - -
Parasetamol Tablet 500 mg Tablet 19,500 19,500
Piracetam 800 mg Tablet - -
Pirantel Tablet 125 mg Tablet - -
Pirazinamid 500 mg Tablet 200 200
Piridoksin HCl (Vit B6) 10 mg Tablet 8,000 8,000
Piroksikam 20 mg Tablet - -
Plester 5 Yard x 2 1nch Roll - -
Polikresulen 10-ml / Albotyl Botol - -
Povidon Iodida 10 %- 300 ml Botol - -
Prednison 5 mg Tablet Tablet 1,000 1,000
Prometazin 25 mg tablet - -
Propanolol HCl 40 mg Tablet - -
Propiltyourasil Tablet 100 mg Tablet 300 300
Ranitidin 150 mg Tablet 100 100
Resin Composit set - -
Retinol ( Vit.A ) 100 000 IU Kapsul - -
Retinol ( Vit.A ) 200 000 IU Kapsul - -
Rifampisin 300 mg Kapsul - -
Rifampisin 450 mg Kaplet 100 100
Rifampisin 600 mg Kaplet - -
Ringar Laktat Lar. Infus Botol - -
Risperidon 1 mg tablet - -
Risperidon 2 mg tablet - -
Salbutamol 2 mg Tablet 600 600
Salbutamol 4 mg tablet - -
Salep 2 - 4 Pot 72 72
Salisil Talk 2%-50 G Dos 100 100
Sefadroksil 500 mg Kapsul 100 100
Sefiksim 400 mg + Azithromicin 1000 mg amplop - -
Semen Seng Fosfat Serbuk & Cairan Botol - -
Sianokobalamin (Vit.B12) Tablet Tablet 1,000 1,000
Silk ( Benang ) No. 3/0 Sachet - -
Silver Sulfadiazin crm pot 500g pot - -
Simetidin 200 mg Tablet 500 500
Simvastatin tablet 10 mg Tablet 200 200
Siprofloksasin 500 mg Tablet 2,500 2,500
Spironolakton 25 mg tablet - -
Spons Gelatin Unit - -
Sulfasetamid Na. TM 15% Botol 72 72
Tablet Tambah Darah (Besi) Tablet 1,200 1,200
Temporary Filling Material Pot - -
Teofilin 150 mg tablet - -
Terbutalin 2,5 mg tablet - -
Tetrasiklin 250 mg Kapsul - -
Thiamin HCl 50 mg Tablet Tablet 1,000 1,000
Thiamfenikol 500 mg Tablet 100 100
Trifluoperazin 5mg tablet 200 200
Trifluoperazin1 mg tablet - -
Triheksifenidil HCl 2 mg Tab Tablet 4,400 4,400
Trikresol Formalin (TKF)-10 ml Botol - -
Verapamil 80 mg tablet - -
Vitamin B Kompleks Tablet Tablet 1,000 1,000
Yellow Tips Buah - -
Zinc tablet Tablet 1,100 1,100
Amonium Oksalat Botol - -
Aquabidest 500 ml botol - -
Asam Sulfo Salisilat 20 %-100 ml Botol - -
Asam urat kit , 30 ml set - -
HB Cyanmed 500 ml Botol - -
HDL test kit-precipit, 80 ml set - -
Immersion Oil Botol - -
Indikator pH universal Botol - -
Kolesterol test kit, 100 ml set - -
Kreatinin test kit, 200 ml set - -
Lart.Glukosa, 100 ml Botol - -
Lart.Hayem, 100 ml Botol - -
Lart.KOH 10%,100 ml Botol - -
Larutan Benedict 500 ml Botol - -
Larutan Eosin 2 % Botol - -
Larutan Giemsa Stain - 100 ml Botol - -
Larutan Turk - 100 ml Botol - -
Metanol 500 ml Botol - -
Natrium Sitrat 100 cc Botol - -
Reagen Golongan Darah kotak - -
Reagen Z. Nelsen Botol - -
SGOT test kit set - -
SGPT test kit set - -
Trigliserida test kit, 100 ml set - -
Ureum test kit set - -
Amoksisilin sirup forte 250 mg/ 5 ml botol - -
Betametason krim 0,5 mg/g tube - -
Cetirizine sirup 5 mg/ 5 ml botol - -
Ergotamin tablet 1 mg tablet - -
Eritromisin kapsul 250 mg kapsul - -
Kloramfenikol salap kulit 2 % tube - -
Kloramfenikol tetes mata 0,5 % botol - -
Kotrimoksazol tablet forte 960 mg tablet - -
Zinc sirup 10 mg/ml botol - -
Gliseril Guaicolat tablet 1,000 1,000
Object Glass/Slide box - -
Pot Dahak Buah - -
Sarung tangan panjang Kebidanan pasang - -
Sendok obat sirup Paket - -
Spuit 10 cc set - -
Urine Bag Buah - -
Vacutainer Buah - -
Vacutainer Needle Buah - -
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20
Kode Puskesmas : 16
Nama Puskesmas : Sempur
Bulan Distribusi & NO SBBK
01/16/TPD/I/2014
1
Abbocath no.20 set 5 -
Abbocath no.24 set - -
Alat Suntik Sekali Pakai 1 ml Set - -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set - -
Alat Suntik Sekali Pakai 5 ml Set - -
Albendazol tablet 400 mg Tablet - -
Alopurinol 100 mg Tablet 100 -
Alprazolam tablet 0,5 mg Tablet - -
Ambroxol sirup 15 mg/ml Botol 100 -
Ambroxol tablet 30 mg Tablet 5,000 -
Aminofilin 200 mg Tablet 100 -
Amitriptilin HCL 25 mg Tablet - -
Amlodipin 5 mg tablet 1,650 -
Amoksisilin + As.Klavulanat 625 mg tab Tablet - -
Amoksisilin 125 mg/5ml Syr kering Botol 360 -
Amoksisilin 250 mg Kapsul 6,100 -
Amoksisilin 500 mg Kaplet 37,000 -
Antalgin 500 mg ( Metampiron ) Tablet 7,200 1,000
Antasida Doen Tablet 7,200 -
Antasida sirup Botol - -
Anti Bakteri DOEN Tube 100 -
Anti Fungi Pot 168 -
Anti Hemoroid DOEN Unit - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet - -
Aqua Pro Injeksi 20 ml Flacon - -
Asam Ascorbat 50 mg Tablet 3,000 1,000
Asam Mefenamat 500 mg Kaplet 4,100 -
Asetosal 100 mg tablet - -
Asetosal 500 mg tablet - -
Asiklovir Salep 5 % Tube 50 50
Asiklovir Tablet 200 mg Tablet - -
Asiklovir Tablet 400 mg Tablet 100 -
Atenolol 50 mg tablet - -
Betametason Krim 0,1 % Tube 50 -
Bisoprolol 5 mg tablet - -
Nama dan Kode Barang Satuan Jumlah
Blood Lancet Dos - -
Blue Tips Buah 200 -
Carbo Adsorben (Norit) Tablet 750 750
Cat Gut (benang bedah) no 3 Unit - -
Cat Gut (benang bedah) no.2 Unit - -
Cetirizine tablet 10 mg Tablet - -
Deksametason Injeksi Ampul - -
Deksametason Tablet 0.5 mg Tablet 15,600 -
Dekstrometorfan Syrup Botol - -
Dekstrometorfan Tablet 15 mg Tablet 1,500 -
Devitalisasai Pasta Pot - -
Diazepam 2 mg Tablet Tablet 600 -
Diazepam Injeksi Ampul - -
Difenhidramin Injeksi 10 mg/ml Ampul - -
Digoksin Tablet 0,25 mg Tablet - -
Diltiazem tablet 30 mg Tablet 300 -
Doksisiklin 100 mg kapsul 300 -
Efedrin HCl Tablet 25 mg Tablet - -
Ekstract Belladona Tablet - -
Epinefrin HCl /Adrenalin Injeksi Ampul - -
Erytromysin 500 mg Kaplet 2,600 1,000
Ethambutol Tablet 250 mg Tablet - -
Ethambutol Tablet 500 mg Tablet 400 -
Ethanol 70 %- 1000 ml Botol - -
Etil Klorida Semprot- 100 ml Botol 6 -
Eugenol Cairan Botol - -
FDC 1 & 3 Paket 32 -
FDC 2 Paket 1 -
FDC Anak Paket 10 -
FDC Sisipan Paket - -
Fenitoin Natrium 100 mg Tablet - -
Fenitoin Natrium 30 mg Tablet - -
Fenobarbital 30 mg Tablet 100 -
Fenobarbital Injeksi Ampul - -
Fenoksimetil Penisilin 500 mg Tablet - -
Fenol Gliserol Tetes Telinga 10% Botol - -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul - -
Fitomenadion (Vit K ) Tablet Tablet 100 -
Fluconazol tablet 150 mg Tablet 30 -
Furosemid Tablet 40 mg Tablet 100 -
Garam Oralit 200 ml Sachet - -
Glass Ionomer Cement (GC 1X) Pot - -
Glibenklamid Tablet 5 mg Tablet 600 -
Glikuidon 30 mg tablet - -
Glimepiride 1 mg tablet - -
Glimepiride 2 mg tablet - -
Glipizide 5 mg tablet - -
Glukosa Lart. Infus 10% - 500 ml Botol - -
Glukosa Lart. Infus 5% - 500 ml Botol 5 -
Griseofulvin Tablet 125 mg Tablet - -
Haloperidol Tablet 1,5 Mg Tablet - -
Haloperidol Tablet 5 mg Tablet - -
Handscoon latex non steril uk M box 3 -
Handscoon latex non steril uk S box 1 -
Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidrokortison Krim 2,5% Tube 96 -
Ibuprofen 200 mg Tablet 2,000 -
Imipramin 25 mg tablet - -
Infusion Anak Set - -
Infusion Dewasa Set 5 -
Isoniazid Tablet 300 mg Tablet 2,000 -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 100 -
Kalsium Hidroksida Pasta Pot - -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet 3,000 -
Kapas Pembalut/Adsorben 250 g Bgks - -
Kaptopril 12.5 mg Tablet - -
Kaptopril 25 mg Tablet 5,800 -
Karbamazepin 200 mg Tablet - -
Kasa Kompres 2m x 80 cm Roll - -
Kasa Kompres 40/40 Roll 10 -
Kasa Pembalut Hidrofil 4 mx 3cm Roll 10 -
Kasa Pembalut Hidrofil 4 mx15 cm Roll 10 -
Klindamisin 300 mg Kapsul 300 -
Klonidin 0,15 mg tablet - -
Kloramfenikol Salep Mata 1% Tube 48 -
Kloramfenikol Kapsul 250 mg Kapsul - -
Klorfeniramin Maleat (CTM) 4 mg Tablet 14,000 -
Klorin larutan Botol - -
Klorpromazin HCl Tablet 100 mg Tablet 250 -
Klorpromazin HCl Tablet 25 mg Tablet - -
Kodein Fosfat Tablet 10 mg Tablet - -
Kotrimoxazol Syrup Botol 50 -
Kotrimoxazol 120 Paediatrik Tablet 800 300
Kotrimoxazol 480 Dewasa Tablet 1,800 -
L i s o l Botol - -
Lidokain inj ampul - -
Lidokain Komb 2 % Ampul 60 -
Loratadin 10 mg Tablet 300 -
Lorazepam tablet - -
Masker earloop box@50 pcs box 3 -
Metformin HCl tablet 500 mg Tablet 1,100 -
Metilprednisolon 4 mg tablet - -
Metoklopramid inj.5 mg/ml Ampul - -
Metoklopramid tablet 10 mg Tablet - -
Metronidazol Tablet 250 mg Tablet 500 -
Metronidazol Tablet 500 mg Tablet - -
Metylergometrin Maleat Injk Ampul 10 -
Metylergometrin Maleat Tablet Tablet - -
Mineral mix sachet - -
Monoklor Kamfer Mentol (CHKM) Pot - -
Mumifying Pasta Pot - -
Myconazol SK Tube 48 -
Natrium Bikarbonat Tablet 500 mg Tablet - -
Natrium Diklofenak tablet 25 mg Tablet - -
Natrium Klorida 0,9% Infus Botol - -
Nifedipin Tablet 10 mg Tablet 500 -
Nistatin Tablet Salut 500 000 IU g Tablet 50 -
Nistatin Vaginal 100 000 IU g Tablet 30 -
Obat Batuk Hitam (OBH) 100 ml Botol 240 -
Oksitetrasiklin HCl 1% SM Tube 50 -
Oksitetrasiklin HCl 3% SK Tube 300 -
Oksitosin Injeksi Ampul - -
Parasetamol Syrup 120 mg/5ml Botol 756 -
Parasetamol Tablet 100 mg Tablet - -
Parasetamol Tablet 500 mg Tablet 26,000 -
Piracetam 800 mg Tablet - -
Pirantel Tablet 125 mg Tablet - -
Pirazinamid 500 mg Tablet 1,000 -
Piridoksin HCl (Vit B6) 10 mg Tablet 9,000 -
Piroksikam 20 mg Tablet 8,500 -
Plester 5 Yard x 2 1nch Roll - -
Polikresulen 10-ml / Albotyl Botol 5 -
Povidon Iodida 10 %- 300 ml Botol - -
Prednison 5 mg Tablet Tablet 7,000 -
Prometazin 25 mg tablet - -
Propanolol HCl 40 mg Tablet - -
Propiltyourasil Tablet 100 mg Tablet 300 -
Ranitidin 150 mg Tablet 600 -
Resin Composit set - -
Retinol ( Vit.A ) 100 000 IU Kapsul 400 400
Retinol ( Vit.A ) 200 000 IU Kapsul 3,550 3,550
Rifampisin 300 mg Kapsul - -
Rifampisin 450 mg Kaplet 800 -
Rifampisin 600 mg Kaplet - -
Ringar Laktat Lar. Infus Botol - -
Risperidon 1 mg tablet - -
Risperidon 2 mg tablet 30 -
Salbutamol 2 mg Tablet 100 -
Salbutamol 4 mg tablet - -
Salep 2 - 4 Pot 72 -
Salisil Talk 2%-50 G Dos 275 -
Sefadroksil 500 mg Kapsul 500 -
Sefiksim 400 mg + Azithromicin 1000 mg amplop - -
Semen Seng Fosfat Serbuk & Cairan Botol - -
Sianokobalamin (Vit.B12) Tablet Tablet 4,000 -
Silk ( Benang ) No. 3/0 Sachet - -
Silver Sulfadiazin crm pot 500g pot - -
Simetidin 200 mg Tablet - -
Simvastatin tablet 10 mg Tablet 650 200
Siprofloksasin 500 mg Tablet 1,000 -
Spironolakton 25 mg tablet - -
Spons Gelatin Unit - -
Sulfasetamid Na. TM 15% Botol 24 -
Tablet Tambah Darah (Besi) Tablet - -
Temporary Filling Material Pot - -
Teofilin 150 mg tablet - -
Terbutalin 2,5 mg tablet - -
Tetrasiklin 250 mg Kapsul 1,000 -
Thiamin HCl 50 mg Tablet Tablet 2,000 1,000
Thiamfenikol 500 mg Tablet - -
Trifluoperazin 5mg tablet - -
Trifluoperazin1 mg tablet - -
Triheksifenidil HCl 2 mg Tab Tablet 600 -
Trikresol Formalin (TKF)-10 ml Botol - -
Verapamil 80 mg tablet - -
Vitamin B Kompleks Tablet Tablet - -
Yellow Tips Buah - -
Zinc tablet Tablet 800 -
Amonium Oksalat Botol - -
Aquabidest 500 ml botol - -
Asam Sulfo Salisilat 20 %-100 ml Botol - -
Asam urat kit , 30 ml set - -
HB Cyanmed 500 ml Botol - -
HDL test kit-precipit, 80 ml set - -
Immersion Oil Botol - -
Indikator pH universal Botol - -
Kolesterol test kit, 100 ml set - -
Kreatinin test kit, 200 ml set - -
Lart.Glukosa, 100 ml Botol - -
Lart.Hayem, 100 ml Botol - -
Lart.KOH 10%,100 ml Botol - -
Larutan Benedict 500 ml Botol - -
Larutan Eosin 2 % Botol - -
Larutan Giemsa Stain - 100 ml Botol - -
Larutan Turk - 100 ml Botol - -
Metanol 500 ml Botol 1 -
Natrium Sitrat 100 cc Botol 1 -
Reagen Golongan Darah kotak - -
Reagen Z. Nelsen Botol 1 -
SGOT test kit set - -
SGPT test kit set - -
Trigliserida test kit, 100 ml set - -
Ureum test kit set - -
Amoksisilin sirup forte 250 mg/ 5 ml botol - -
Betametason krim 0,5 mg/g tube - -
Cetirizine sirup 5 mg/ 5 ml botol - -
Ergotamin tablet 1 mg tablet - -
Eritromisin kapsul 250 mg kapsul - -
Kloramfenikol salap kulit 2 % tube - -
Kloramfenikol tetes mata 0,5 % botol - -
Kotrimoksazol tablet forte 960 mg tablet - -
Zinc sirup 10 mg/ml botol - -
Gliseril Guaicolat tablet - -
Object Glass/Slide box - -
Pot Dahak Buah - -
Sarung tangan panjang Kebidanan pasang - -
Sendok obat sirup Paket - -
Spuit 10 cc set - -
Urine Bag Buah - -
Vacutainer Buah - -
Vacutainer Needle Buah - -
Bulan Distribusi & NO SBBK
26/16/TPD/II/2014
2 3 4 5 6 7 8
5
-
-
-
-
-
100
-
100
5,000
100
-
1,650
-
360
6,100
37,000
6,200
7,200
-
100
168
-
-
-
2,000
4,100
-
-
-
-
100
-
50
-
-
200
-
-
-
-
-
15,600
-
1,500
-
600
-
-
-
300
300
-
-
-
1,600
-
400
-
6
-
32
1
10
-
-
-
100
-
-
-
-
100
30
100
-
-
600
-
-
-
-
-
5
-
-
-
3
1
-
96
2,000
-
-
5
2,000
100
-
3,000
-
-
5,800
-
-
10
10
10
300
-
48
-
14,000
-
250
-
-
50
500
1,800
-
-
60
300
-
3
1,100
-
-
-
500
-
10
-
-
-
-
48
-
-
-
500
50
30
240
50
300
-
756
-
26,000
-
-
1,000
9,000
8,500
-
5
-
7,000
-
-
300
600
-
-
-
-
800
-
-
-
30
100
-
72
275
500
-
-
4,000
-
-
-
450
1,000
-
-
24
-
-
-
-
1,000
1,000
-
-
-
600
-
-
-
-
800
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1
1
-
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
9 10 11 12 13 14 15 16
17 18 19 20
Kode Puskesmas : 17
Nama Puskesmas : Tegal Gundil
Bulan Distribusi & NO SBBK
21/17/TPD/I/2014
1 2
Abbocath no.20 set - -
Abbocath no.24 set - -
Alat Suntik Sekali Pakai 1 ml Set - -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set - -
Alat Suntik Sekali Pakai 5 ml Set - -
Albendazol tablet 400 mg Tablet - -
Alopurinol 100 mg Tablet - -
Alprazolam tablet 0,5 mg Tablet - -
Ambroxol sirup 15 mg/ml Botol - -
Ambroxol tablet 30 mg Tablet - -
Aminofilin 200 mg Tablet - -
Amitriptilin HCL 25 mg Tablet - -
Amlodipin 5 mg tablet - -
Amoksisilin + As.Klavulanat 625 mg tab Tablet - -
Amoksisilin 125 mg/5ml Syr kering Botol - -
Amoksisilin 250 mg Kapsul - -
Amoksisilin 500 mg Kaplet - -
Antalgin 500 mg ( Metampiron ) Tablet - -
Antasida Doen Tablet - -
Antasida sirup Botol - -
Anti Bakteri DOEN Tube - -
Anti Fungi Pot - -
Anti Hemoroid DOEN Unit - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet - -
Aqua Pro Injeksi 20 ml Flacon - -
Asam Ascorbat 50 mg Tablet - -
Asam Mefenamat 500 mg Kaplet - -
Asetosal 100 mg tablet - -
Asetosal 500 mg tablet - -
Asiklovir Salep 5 % Tube - -
Asiklovir Tablet 200 mg Tablet - -
Asiklovir Tablet 400 mg Tablet - -
Atenolol 50 mg tablet - -
Betametason Krim 0,1 % Tube - -
Bisoprolol 5 mg tablet - -
Nama dan Kode Barang Satuan Jumlah
Blood Lancet Dos - -
Blue Tips Buah - -
Carbo Adsorben (Norit) Tablet - -
Cat Gut (benang bedah) no 3 Unit - -
Cat Gut (benang bedah) no.2 Unit - -
Cetirizine tablet 10 mg Tablet - -
Deksametason Injeksi Ampul - -
Deksametason Tablet 0.5 mg Tablet - -
Dekstrometorfan Syrup Botol - -
Dekstrometorfan Tablet 15 mg Tablet - -
Devitalisasai Pasta Pot - -
Diazepam 2 mg Tablet Tablet - -
Diazepam Injeksi Ampul - -
Difenhidramin Injeksi 10 mg/ml Ampul - -
Digoksin Tablet 0,25 mg Tablet - -
Diltiazem tablet 30 mg Tablet - -
Doksisiklin 100 mg kapsul - -
Efedrin HCl Tablet 25 mg Tablet - -
Ekstract Belladona Tablet - -
Epinefrin HCl /Adrenalin Injeksi Ampul - -
Erytromysin 500 mg Kaplet - -
Ethambutol Tablet 250 mg Tablet - -
Ethambutol Tablet 500 mg Tablet - -
Ethanol 70 %- 1000 ml Botol - -
Etil Klorida Semprot- 100 ml Botol - -
Eugenol Cairan Botol - -
FDC 1 & 3 Paket - -
FDC 2 Paket - -
FDC Anak Paket - -
FDC Sisipan Paket - -
Fenitoin Natrium 100 mg Tablet - -
Fenitoin Natrium 30 mg Tablet - -
Fenobarbital 30 mg Tablet - -
Fenobarbital Injeksi Ampul - -
Fenoksimetil Penisilin 500 mg Tablet - -
Fenol Gliserol Tetes Telinga 10% Botol - -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul - -
Fitomenadion (Vit K ) Tablet Tablet - -
Fluconazol tablet 150 mg Tablet - -
Furosemid Tablet 40 mg Tablet - -
Garam Oralit 200 ml Sachet - -
Glass Ionomer Cement (GC 1X) Pot - -
Glibenklamid Tablet 5 mg Tablet - -
Glikuidon 30 mg tablet - -
Glimepiride 1 mg tablet - -
Glimepiride 2 mg tablet - -
Glipizide 5 mg tablet - -
Glukosa Lart. Infus 10% - 500 ml Botol - -
Glukosa Lart. Infus 5% - 500 ml Botol - -
Griseofulvin Tablet 125 mg Tablet - -
Haloperidol Tablet 1,5 Mg Tablet - -
Haloperidol Tablet 5 mg Tablet - -
Handscoon latex non steril uk M box - -
Handscoon latex non steril uk S box - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidrokortison Krim 2,5% Tube - -
Ibuprofen 200 mg Tablet - -
Imipramin 25 mg tablet - -
Infusion Anak Set - -
Infusion Dewasa Set - -
Isoniazid Tablet 300 mg Tablet - -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet - -
Kalsium Hidroksida Pasta Pot - -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet - -
Kapas Pembalut/Adsorben 250 g Bgks - -
Kaptopril 12.5 mg Tablet - -
Kaptopril 25 mg Tablet - -
Karbamazepin 200 mg Tablet - -
Kasa Kompres 2m x 80 cm Roll - -
Kasa Kompres 40/40 Roll - -
Kasa Pembalut Hidrofil 4 mx 3cm Roll - -
Kasa Pembalut Hidrofil 4 mx15 cm Roll - -
Klindamisin 300 mg Kapsul - -
Klonidin 0,15 mg tablet - -
Kloramfenikol Salep Mata 1% Tube - -
Kloramfenikol Kapsul 250 mg Kapsul - -
Klorfeniramin Maleat (CTM) 4 mg Tablet - -
Klorin larutan Botol - -
Klorpromazin HCl Tablet 100 mg Tablet - -
Klorpromazin HCl Tablet 25 mg Tablet - -
Kodein Fosfat Tablet 10 mg Tablet - -
Kotrimoxazol Syrup Botol - -
Kotrimoxazol 120 Paediatrik Tablet - -
Kotrimoxazol 480 Dewasa Tablet - -
L i s o l Botol - -
Lidokain inj ampul - -
Lidokain Komb 2 % Ampul - -
Loratadin 10 mg Tablet - -
Lorazepam tablet - -
Masker earloop box@50 pcs box - -
Metformin HCl tablet 500 mg Tablet - -
Metilprednisolon 4 mg tablet - -
Metoklopramid inj.5 mg/ml Ampul - -
Metoklopramid tablet 10 mg Tablet - -
Metronidazol Tablet 250 mg Tablet - -
Metronidazol Tablet 500 mg Tablet - -
Metylergometrin Maleat Injk Ampul - -
Metylergometrin Maleat Tablet Tablet - -
Mineral mix sachet - -
Monoklor Kamfer Mentol (CHKM) Pot - -
Mumifying Pasta Pot - -
Myconazol SK Tube - -
Natrium Bikarbonat Tablet 500 mg Tablet - -
Natrium Diklofenak tablet 25 mg Tablet - -
Natrium Klorida 0,9% Infus Botol - -
Nifedipin Tablet 10 mg Tablet - -
Nistatin Tablet Salut 500 000 IU g Tablet - -
Nistatin Vaginal 100 000 IU g Tablet - -
Obat Batuk Hitam (OBH) 100 ml Botol - -
Oksitetrasiklin HCl 1% SM Tube - -
Oksitetrasiklin HCl 3% SK Tube - -
Oksitosin Injeksi Ampul - -
Parasetamol Syrup 120 mg/5ml Botol - -
Parasetamol Tablet 100 mg Tablet - -
Parasetamol Tablet 500 mg Tablet - -
Piracetam 800 mg Tablet - -
Pirantel Tablet 125 mg Tablet - -
Pirazinamid 500 mg Tablet - -
Piridoksin HCl (Vit B6) 10 mg Tablet - -
Piroksikam 20 mg Tablet - -
Plester 5 Yard x 2 1nch Roll - -
Polikresulen 10-ml / Albotyl Botol - -
Povidon Iodida 10 %- 300 ml Botol - -
Prednison 5 mg Tablet Tablet - -
Prometazin 25 mg tablet - -
Propanolol HCl 40 mg Tablet - -
Propiltyourasil Tablet 100 mg Tablet - -
Ranitidin 150 mg Tablet - -
Resin Composit set - -
Retinol ( Vit.A ) 100 000 IU Kapsul 550 550
Retinol ( Vit.A ) 200 000 IU Kapsul 4,500 4,500
Rifampisin 300 mg Kapsul - -
Rifampisin 450 mg Kaplet - -
Rifampisin 600 mg Kaplet - -
Ringar Laktat Lar. Infus Botol - -
Risperidon 1 mg tablet - -
Risperidon 2 mg tablet - -
Salbutamol 2 mg Tablet - -
Salbutamol 4 mg tablet - -
Salep 2 - 4 Pot - -
Salisil Talk 2%-50 G Dos - -
Sefadroksil 500 mg Kapsul - -
Sefiksim 400 mg + Azithromicin 1000 mg amplop - -
Semen Seng Fosfat Serbuk & Cairan Botol - -
Sianokobalamin (Vit.B12) Tablet Tablet - -
Silk ( Benang ) No. 3/0 Sachet - -
Silver Sulfadiazin crm pot 500g pot - -
Simetidin 200 mg Tablet - -
Simvastatin tablet 10 mg Tablet - -
Siprofloksasin 500 mg Tablet - -
Spironolakton 25 mg tablet - -
Spons Gelatin Unit - -
Sulfasetamid Na. TM 15% Botol - -
Tablet Tambah Darah (Besi) Tablet - -
Temporary Filling Material Pot - -
Teofilin 150 mg tablet - -
Terbutalin 2,5 mg tablet - -
Tetrasiklin 250 mg Kapsul - -
Thiamin HCl 50 mg Tablet Tablet - -
Thiamfenikol 500 mg Tablet - -
Trifluoperazin 5mg tablet - -
Trifluoperazin1 mg tablet - -
Triheksifenidil HCl 2 mg Tab Tablet - -
Trikresol Formalin (TKF)-10 ml Botol - -
Verapamil 80 mg tablet - -
Vitamin B Kompleks Tablet Tablet - -
Yellow Tips Buah - -
Zinc tablet Tablet - -
Amonium Oksalat Botol - -
Aquabidest 500 ml botol - -
Asam Sulfo Salisilat 20 %-100 ml Botol - -
Asam urat kit , 30 ml set - -
HB Cyanmed 500 ml Botol - -
HDL test kit-precipit, 80 ml set - -
Immersion Oil Botol - -
Indikator pH universal Botol - -
Kolesterol test kit, 100 ml set - -
Kreatinin test kit, 200 ml set - -
Lart.Glukosa, 100 ml Botol - -
Lart.Hayem, 100 ml Botol - -
Lart.KOH 10%,100 ml Botol - -
Larutan Benedict 500 ml Botol - -
Larutan Eosin 2 % Botol - -
Larutan Giemsa Stain - 100 ml Botol - -
Larutan Turk - 100 ml Botol - -
Metanol 500 ml Botol - -
Natrium Sitrat 100 cc Botol - -
Reagen Golongan Darah kotak - -
Reagen Z. Nelsen Botol - -
SGOT test kit set - -
SGPT test kit set - -
Trigliserida test kit, 100 ml set - -
Ureum test kit set - -
Amoksisilin sirup forte 250 mg/ 5 ml botol - -
Betametason krim 0,5 mg/g tube - -
Cetirizine sirup 5 mg/ 5 ml botol - -
Ergotamin tablet 1 mg tablet - -
Eritromisin kapsul 250 mg kapsul - -
Kloramfenikol salap kulit 2 % tube - -
Kloramfenikol tetes mata 0,5 % botol - -
Kotrimoksazol tablet forte 960 mg tablet - -
Zinc sirup 10 mg/ml botol - -
Gliseril Guaicolat tablet - -
Object Glass/Slide box - -
Pot Dahak Buah - -
Sarung tangan panjang Kebidanan pasang - -
Sendok obat sirup Paket - -
Spuit 10 cc set - -
Urine Bag Buah - -
Vacutainer Buah - -
Vacutainer Needle Buah - -
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20
Kode Puskesmas : 18
Nama Puskesmas : Sindang Brang
Bulan Distribusi & NO SBBK
13/18/TPD/I/2013
1 2
Abbocath no.20 set - -
Abbocath no.24 set - -
Alat Suntik Sekali Pakai 1 ml Set - -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set - -
Alat Suntik Sekali Pakai 5 ml Set - -
Albendazol tablet 400 mg Tablet - -
Alopurinol 100 mg Tablet - -
Alprazolam tablet 0,5 mg Tablet - -
Ambroxol sirup 15 mg/ml Botol - -
Ambroxol tablet 30 mg Tablet - -
Aminofilin 200 mg Tablet - -
Amitriptilin HCL 25 mg Tablet - -
Amlodipin 5 mg tablet - -
Amoksisilin + As.Klavulanat 625 mg tab Tablet - -
Amoksisilin 125 mg/5ml Syr kering Botol - -
Amoksisilin 250 mg Kapsul - -
Amoksisilin 500 mg Kaplet - -
Antalgin 500 mg ( Metampiron ) Tablet - -
Antasida Doen Tablet - -
Antasida sirup Botol - -
Anti Bakteri DOEN Tube - -
Anti Fungi Pot - -
Anti Hemoroid DOEN Unit - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet - -
Aqua Pro Injeksi 20 ml Flacon - -
Asam Ascorbat 50 mg Tablet - -
Asam Mefenamat 500 mg Kaplet - -
Asetosal 100 mg tablet - -
Asetosal 500 mg tablet - -
Asiklovir Salep 5 % Tube - -
Asiklovir Tablet 200 mg Tablet - -
Asiklovir Tablet 400 mg Tablet - -
Atenolol 50 mg tablet - -
Betametason Krim 0,1 % Tube - -
Bisoprolol 5 mg tablet - -
Nama dan Kode Barang Satuan Jumlah
Blood Lancet Dos - -
Blue Tips Buah - -
Carbo Adsorben (Norit) Tablet - -
Cat Gut (benang bedah) no 3 Unit - -
Cat Gut (benang bedah) no.2 Unit - -
Cetirizine tablet 10 mg Tablet - -
Deksametason Injeksi Ampul - -
Deksametason Tablet 0.5 mg Tablet - -
Dekstrometorfan Syrup Botol - -
Dekstrometorfan Tablet 15 mg Tablet - -
Devitalisasai Pasta Pot - -
Diazepam 2 mg Tablet Tablet - -
Diazepam Injeksi Ampul - -
Difenhidramin Injeksi 10 mg/ml Ampul - -
Digoksin Tablet 0,25 mg Tablet - -
Diltiazem tablet 30 mg Tablet - -
Doksisiklin 100 mg kapsul - -
Efedrin HCl Tablet 25 mg Tablet - -
Ekstract Belladona Tablet - -
Epinefrin HCl /Adrenalin Injeksi Ampul - -
Erytromysin 500 mg Kaplet - -
Ethambutol Tablet 250 mg Tablet - -
Ethambutol Tablet 500 mg Tablet - -
Ethanol 70 %- 1000 ml Botol - -
Etil Klorida Semprot- 100 ml Botol - -
Eugenol Cairan Botol - -
FDC 1 & 3 Paket - -
FDC 2 Paket - -
FDC Anak Paket - -
FDC Sisipan Paket - -
Fenitoin Natrium 100 mg Tablet - -
Fenitoin Natrium 30 mg Tablet - -
Fenobarbital 30 mg Tablet - -
Fenobarbital Injeksi Ampul - -
Fenoksimetil Penisilin 500 mg Tablet - -
Fenol Gliserol Tetes Telinga 10% Botol - -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul - -
Fitomenadion (Vit K ) Tablet Tablet - -
Fluconazol tablet 150 mg Tablet - -
Furosemid Tablet 40 mg Tablet - -
Garam Oralit 200 ml Sachet - -
Glass Ionomer Cement (GC 1X) Pot - -
Glibenklamid Tablet 5 mg Tablet - -
Glikuidon 30 mg tablet - -
Glimepiride 1 mg tablet - -
Glimepiride 2 mg tablet - -
Glipizide 5 mg tablet - -
Glukosa Lart. Infus 10% - 500 ml Botol - -
Glukosa Lart. Infus 5% - 500 ml Botol - -
Griseofulvin Tablet 125 mg Tablet - -
Haloperidol Tablet 1,5 Mg Tablet - -
Haloperidol Tablet 5 mg Tablet - -
Handscoon latex non steril uk M box - -
Handscoon latex non steril uk S box - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidrokortison Krim 2,5% Tube - -
Ibuprofen 200 mg Tablet - -
Imipramin 25 mg tablet - -
Infusion Anak Set - -
Infusion Dewasa Set - -
Isoniazid Tablet 300 mg Tablet - -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet - -
Kalsium Hidroksida Pasta Pot - -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet - -
Kapas Pembalut/Adsorben 250 g Bgks - -
Kaptopril 12.5 mg Tablet - -
Kaptopril 25 mg Tablet - -
Karbamazepin 200 mg Tablet - -
Kasa Kompres 2m x 80 cm Roll - -
Kasa Kompres 40/40 Roll - -
Kasa Pembalut Hidrofil 4 mx 3cm Roll - -
Kasa Pembalut Hidrofil 4 mx15 cm Roll - -
Klindamisin 300 mg Kapsul - -
Klonidin 0,15 mg tablet - -
Kloramfenikol Salep Mata 1% Tube - -
Kloramfenikol Kapsul 250 mg Kapsul - -
Klorfeniramin Maleat (CTM) 4 mg Tablet - -
Klorin larutan Botol - -
Klorpromazin HCl Tablet 100 mg Tablet - -
Klorpromazin HCl Tablet 25 mg Tablet - -
Kodein Fosfat Tablet 10 mg Tablet - -
Kotrimoxazol Syrup Botol - -
Kotrimoxazol 120 Paediatrik Tablet - -
Kotrimoxazol 480 Dewasa Tablet - -
L i s o l Botol - -
Lidokain inj ampul - -
Lidokain Komb 2 % Ampul - -
Loratadin 10 mg Tablet - -
Lorazepam tablet - -
Masker earloop box@50 pcs box - -
Metformin HCl tablet 500 mg Tablet - -
Metilprednisolon 4 mg tablet - -
Metoklopramid inj.5 mg/ml Ampul - -
Metoklopramid tablet 10 mg Tablet - -
Metronidazol Tablet 250 mg Tablet - -
Metronidazol Tablet 500 mg Tablet - -
Metylergometrin Maleat Injk Ampul - -
Metylergometrin Maleat Tablet Tablet - -
Mineral mix sachet - -
Monoklor Kamfer Mentol (CHKM) Pot - -
Mumifying Pasta Pot - -
Myconazol SK Tube - -
Natrium Bikarbonat Tablet 500 mg Tablet - -
Natrium Diklofenak tablet 25 mg Tablet - -
Natrium Klorida 0,9% Infus Botol - -
Nifedipin Tablet 10 mg Tablet - -
Nistatin Tablet Salut 500 000 IU g Tablet - -
Nistatin Vaginal 100 000 IU g Tablet - -
Obat Batuk Hitam (OBH) 100 ml Botol - -
Oksitetrasiklin HCl 1% SM Tube - -
Oksitetrasiklin HCl 3% SK Tube - -
Oksitosin Injeksi Ampul - -
Parasetamol Syrup 120 mg/5ml Botol - -
Parasetamol Tablet 100 mg Tablet - -
Parasetamol Tablet 500 mg Tablet - -
Piracetam 800 mg Tablet - -
Pirantel Tablet 125 mg Tablet - -
Pirazinamid 500 mg Tablet - -
Piridoksin HCl (Vit B6) 10 mg Tablet - -
Piroksikam 20 mg Tablet - -
Plester 5 Yard x 2 1nch Roll - -
Polikresulen 10-ml / Albotyl Botol - -
Povidon Iodida 10 %- 300 ml Botol - -
Prednison 5 mg Tablet Tablet - -
Prometazin 25 mg tablet - -
Propanolol HCl 40 mg Tablet - -
Propiltyourasil Tablet 100 mg Tablet - -
Ranitidin 150 mg Tablet - -
Resin Composit set - -
Retinol ( Vit.A ) 100 000 IU Kapsul - -
Retinol ( Vit.A ) 200 000 IU Kapsul - -
Rifampisin 300 mg Kapsul - -
Rifampisin 450 mg Kaplet - -
Rifampisin 600 mg Kaplet - -
Ringar Laktat Lar. Infus Botol - -
Risperidon 1 mg tablet - -
Risperidon 2 mg tablet - -
Salbutamol 2 mg Tablet - -
Salbutamol 4 mg tablet - -
Salep 2 - 4 Pot - -
Salisil Talk 2%-50 G Dos - -
Sefadroksil 500 mg Kapsul - -
Sefiksim 400 mg + Azithromicin 1000 mg amplop - -
Semen Seng Fosfat Serbuk & Cairan Botol - -
Sianokobalamin (Vit.B12) Tablet Tablet - -
Silk ( Benang ) No. 3/0 Sachet - -
Silver Sulfadiazin crm pot 500g pot - -
Simetidin 200 mg Tablet - -
Simvastatin tablet 10 mg Tablet - -
Siprofloksasin 500 mg Tablet - -
Spironolakton 25 mg tablet - -
Spons Gelatin Unit - -
Sulfasetamid Na. TM 15% Botol - -
Tablet Tambah Darah (Besi) Tablet - -
Temporary Filling Material Pot - -
Teofilin 150 mg tablet - -
Terbutalin 2,5 mg tablet - -
Tetrasiklin 250 mg Kapsul - -
Thiamin HCl 50 mg Tablet Tablet - -
Thiamfenikol 500 mg Tablet - -
Trifluoperazin 5mg tablet - -
Trifluoperazin1 mg tablet - -
Triheksifenidil HCl 2 mg Tab Tablet - -
Trikresol Formalin (TKF)-10 ml Botol - -
Verapamil 80 mg tablet - -
Vitamin B Kompleks Tablet Tablet - -
Yellow Tips Buah - -
Zinc tablet Tablet - -
Amonium Oksalat Botol - -
Aquabidest 500 ml botol - -
Asam Sulfo Salisilat 20 %-100 ml Botol - -
Asam urat kit , 30 ml set - -
HB Cyanmed 500 ml Botol - -
HDL test kit-precipit, 80 ml set - -
Immersion Oil Botol - -
Indikator pH universal Botol - -
Kolesterol test kit, 100 ml set - -
Kreatinin test kit, 200 ml set - -
Lart.Glukosa, 100 ml Botol - -
Lart.Hayem, 100 ml Botol - -
Lart.KOH 10%,100 ml Botol - -
Larutan Benedict 500 ml Botol - -
Larutan Eosin 2 % Botol - -
Larutan Giemsa Stain - 100 ml Botol - -
Larutan Turk - 100 ml Botol - -
Metanol 500 ml Botol - -
Natrium Sitrat 100 cc Botol - -
Reagen Golongan Darah kotak - -
Reagen Z. Nelsen Botol - -
SGOT test kit set - -
SGPT test kit set - -
Trigliserida test kit, 100 ml set - -
Ureum test kit set - -
Amoksisilin sirup forte 250 mg/ 5 ml botol - -
Betametason krim 0,5 mg/g tube - -
Cetirizine sirup 5 mg/ 5 ml botol - -
Ergotamin tablet 1 mg tablet - -
Eritromisin kapsul 250 mg kapsul - -
Kloramfenikol salap kulit 2 % tube - -
Kloramfenikol tetes mata 0,5 % botol - -
Kotrimoksazol tablet forte 960 mg tablet - -
Zinc sirup 10 mg/ml botol - -
Gliseril Guaicolat tablet - -
Object Glass/Slide box - -
Pot Dahak Buah - -
Sarung tangan panjang Kebidanan pasang - -
Sendok obat sirup Paket - -
Spuit 10 cc set - -
Urine Bag Buah - -
Vacutainer Buah - -
Vacutainer Needle Buah - -
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20
Kode Puskesmas : 19
Nama Puskesmas : Semplak
Bulan Distribusi & NO SBBK
1 2
Abbocath no.20 set -
Abbocath no.24 set -
Alat Suntik Sekali Pakai 1 ml Set -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set -
Alat Suntik Sekali Pakai 5 ml Set -
Albendazol tablet 400 mg Tablet -
Alopurinol 100 mg Tablet -
Alprazolam tablet 0,5 mg Tablet -
Ambroxol sirup 15 mg/ml Botol -
Ambroxol tablet 30 mg Tablet -
Aminofilin 200 mg Tablet -
Amitriptilin HCL 25 mg Tablet -
Amlodipin 5 mg tablet -
Amoksisilin + As.Klavulanat 625 mg tab Tablet -
Amoksisilin 125 mg/5ml Syr kering Botol -
Amoksisilin 250 mg Kapsul -
Amoksisilin 500 mg Kaplet -
Antalgin 500 mg ( Metampiron ) Tablet -
Antasida Doen Tablet -
Antasida sirup Botol -
Anti Bakteri DOEN Tube -
Anti Fungi Pot -
Anti Hemoroid DOEN Unit -
Anti Migren DOEN ( Ergo+Kaffein) Tablet -
Aqua Pro Injeksi 20 ml Flacon -
Asam Ascorbat 50 mg Tablet -
Asam Mefenamat 500 mg Kaplet -
Asetosal 100 mg tablet -
Asetosal 500 mg tablet -
Asiklovir Salep 5 % Tube -
Asiklovir Tablet 200 mg Tablet -
Asiklovir Tablet 400 mg Tablet -
Atenolol 50 mg tablet -
Betametason Krim 0,1 % Tube -
Bisoprolol 5 mg tablet -
Blood Lancet Dos -
Nama dan Kode Barang Satuan Jumlah
Blue Tips Buah -
Carbo Adsorben (Norit) Tablet -
Cat Gut (benang bedah) no 3 Unit -
Cat Gut (benang bedah) no.2 Unit -
Cetirizine tablet 10 mg Tablet -
Deksametason Injeksi Ampul -
Deksametason Tablet 0.5 mg Tablet -
Dekstrometorfan Syrup Botol -
Dekstrometorfan Tablet 15 mg Tablet -
Devitalisasai Pasta Pot -
Diazepam 2 mg Tablet Tablet -
Diazepam Injeksi Ampul -
Difenhidramin Injeksi 10 mg/ml Ampul -
Digoksin Tablet 0,25 mg Tablet -
Diltiazem tablet 30 mg Tablet -
Doksisiklin 100 mg kapsul -
Efedrin HCl Tablet 25 mg Tablet -
Ekstract Belladona Tablet -
Epinefrin HCl /Adrenalin Injeksi Ampul -
Erytromysin 500 mg Kaplet -
Ethambutol Tablet 250 mg Tablet -
Ethambutol Tablet 500 mg Tablet -
Ethanol 70 %- 1000 ml Botol -
Etil Klorida Semprot- 100 ml Botol -
Eugenol Cairan Botol -
FDC 1 & 3 Paket -
FDC 2 Paket -
FDC Anak Paket -
FDC Sisipan Paket -
Fenitoin Natrium 100 mg Tablet -
Fenitoin Natrium 30 mg Tablet -
Fenobarbital 30 mg Tablet -
Fenobarbital Injeksi Ampul -
Fenoksimetil Penisilin 500 mg Tablet -
Fenol Gliserol Tetes Telinga 10% Botol -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul -
Fitomenadion (Vit K ) Tablet Tablet -
Fluconazol tablet 150 mg Tablet -
Furosemid Tablet 40 mg Tablet -
Garam Oralit 200 ml Sachet -
Glass Ionomer Cement (GC 1X) Pot -
Glibenklamid Tablet 5 mg Tablet -
Glikuidon 30 mg tablet -
Glimepiride 1 mg tablet -
Glimepiride 2 mg tablet -
Glipizide 5 mg tablet -
Glukosa Lart. Infus 10% - 500 ml Botol -
Glukosa Lart. Infus 5% - 500 ml Botol -
Griseofulvin Tablet 125 mg Tablet -
Haloperidol Tablet 1,5 Mg Tablet -
Haloperidol Tablet 5 mg Tablet -
Handscoon latex non steril uk M box -
Handscoon latex non steril uk S box -
Hidroklortiazid (HCT) Tablet 25 mg Tablet -
Hidrokortison Krim 2,5% Tube -
Ibuprofen 200 mg Tablet -
Imipramin 25 mg tablet -
Infusion Anak Set -
Infusion Dewasa Set -
Isoniazid Tablet 300 mg Tablet -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
Kalsium Hidroksida Pasta Pot -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet -
Kapas Pembalut/Adsorben 250 g Bgks -
Kaptopril 12.5 mg Tablet -
Kaptopril 25 mg Tablet -
Karbamazepin 200 mg Tablet -
Kasa Kompres 2m x 80 cm Roll -
Kasa Kompres 40/40 Roll -
Kasa Pembalut Hidrofil 4 mx 3cm Roll -
Kasa Pembalut Hidrofil 4 mx15 cm Roll -
Klindamisin 300 mg Kapsul -
Klonidin 0,15 mg tablet -
Kloramfenikol Salep Mata 1% Tube -
Kloramfenikol Kapsul 250 mg Kapsul -
Klorfeniramin Maleat (CTM) 4 mg Tablet -
Klorin larutan Botol -
Klorpromazin HCl Tablet 100 mg Tablet -
Klorpromazin HCl Tablet 25 mg Tablet -
Kodein Fosfat Tablet 10 mg Tablet -
Kotrimoxazol Syrup Botol -
Kotrimoxazol 120 Paediatrik Tablet -
Kotrimoxazol 480 Dewasa Tablet -
L i s o l Botol -
Lidokain inj ampul -
Lidokain Komb 2 % Ampul -
Loratadin 10 mg Tablet -
Lorazepam tablet -
Masker earloop box@50 pcs box -
Metformin HCl tablet 500 mg Tablet -
Metilprednisolon 4 mg tablet -
Metoklopramid inj.5 mg/ml Ampul -
Metoklopramid tablet 10 mg Tablet -
Metronidazol Tablet 250 mg Tablet -
Metronidazol Tablet 500 mg Tablet -
Metylergometrin Maleat Injk Ampul -
Metylergometrin Maleat Tablet Tablet -
Mineral mix sachet -
Monoklor Kamfer Mentol (CHKM) Pot -
Mumifying Pasta Pot -
Myconazol SK Tube -
Natrium Bikarbonat Tablet 500 mg Tablet -
Natrium Diklofenak tablet 25 mg Tablet -
Natrium Klorida 0,9% Infus Botol -
Nifedipin Tablet 10 mg Tablet -
Nistatin Tablet Salut 500 000 IU g Tablet -
Nistatin Vaginal 100 000 IU g Tablet -
Obat Batuk Hitam (OBH) 100 ml Botol -
Oksitetrasiklin HCl 1% SM Tube -
Oksitetrasiklin HCl 3% SK Tube -
Oksitosin Injeksi Ampul -
Parasetamol Syrup 120 mg/5ml Botol -
Parasetamol Tablet 100 mg Tablet -
Parasetamol Tablet 500 mg Tablet -
Piracetam 800 mg Tablet -
Pirantel Tablet 125 mg Tablet -
Pirazinamid 500 mg Tablet -
Piridoksin HCl (Vit B6) 10 mg Tablet -
Piroksikam 20 mg Tablet -
Plester 5 Yard x 2 1nch Roll -
Polikresulen 10-ml / Albotyl Botol -
Povidon Iodida 10 %- 300 ml Botol -
Prednison 5 mg Tablet Tablet -
Prometazin 25 mg tablet -
Propanolol HCl 40 mg Tablet -
Propiltyourasil Tablet 100 mg Tablet -
Ranitidin 150 mg Tablet -
Resin Composit set -
Retinol ( Vit.A ) 100 000 IU Kapsul -
Retinol ( Vit.A ) 200 000 IU Kapsul -
Rifampisin 300 mg Kapsul -
Rifampisin 450 mg Kaplet -
Rifampisin 600 mg Kaplet -
Ringar Laktat Lar. Infus Botol -
Risperidon 1 mg tablet -
Risperidon 2 mg tablet -
Salbutamol 2 mg Tablet -
Salbutamol 4 mg tablet -
Salep 2 - 4 Pot -
Salisil Talk 2%-50 G Dos -
Sefadroksil 500 mg Kapsul -
Sefiksim 400 mg + Azithromicin 1000 mg amplop -
Semen Seng Fosfat Serbuk & Cairan Botol -
Sianokobalamin (Vit.B12) Tablet Tablet -
Silk ( Benang ) No. 3/0 Sachet -
Silver Sulfadiazin crm pot 500g pot -
Simetidin 200 mg Tablet -
Simvastatin tablet 10 mg Tablet -
Siprofloksasin 500 mg Tablet -
Spironolakton 25 mg tablet -
Spons Gelatin Unit -
Sulfasetamid Na. TM 15% Botol -
Tablet Tambah Darah (Besi) Tablet -
Temporary Filling Material Pot -
Teofilin 150 mg tablet -
Terbutalin 2,5 mg tablet -
Tetrasiklin 250 mg Kapsul -
Thiamin HCl 50 mg Tablet Tablet -
Thiamfenikol 500 mg Tablet -
Trifluoperazin 5mg tablet -
Trifluoperazin1 mg tablet -
Triheksifenidil HCl 2 mg Tab Tablet -
Trikresol Formalin (TKF)-10 ml Botol -
Verapamil 80 mg tablet -
Vitamin B Kompleks Tablet Tablet -
Yellow Tips Buah -
Zinc tablet Tablet -
Amonium Oksalat Botol -
Aquabidest 500 ml botol -
Asam Sulfo Salisilat 20 %-100 ml Botol -
Asam urat kit , 30 ml set -
HB Cyanmed 500 ml Botol -
HDL test kit-precipit, 80 ml set -
Immersion Oil Botol -
Indikator pH universal Botol -
Kolesterol test kit, 100 ml set -
Kreatinin test kit, 200 ml set -
Lart.Glukosa, 100 ml Botol -
Lart.Hayem, 100 ml Botol -
Lart.KOH 10%,100 ml Botol -
Larutan Benedict 500 ml Botol -
Larutan Eosin 2 % Botol -
Larutan Giemsa Stain - 100 ml Botol -
Larutan Turk - 100 ml Botol -
Metanol 500 ml Botol -
Natrium Sitrat 100 cc Botol -
Reagen Golongan Darah kotak -
Reagen Z. Nelsen Botol -
SGOT test kit set -
SGPT test kit set -
Trigliserida test kit, 100 ml set -
Ureum test kit set -
Amoksisilin sirup forte 250 mg/ 5 ml botol -
Betametason krim 0,5 mg/g tube -
Cetirizine sirup 5 mg/ 5 ml botol -
Ergotamin tablet 1 mg tablet -
Eritromisin kapsul 250 mg kapsul -
Kloramfenikol salap kulit 2 % tube -
Kloramfenikol tetes mata 0,5 % botol -
Kotrimoksazol tablet forte 960 mg tablet -
Zinc sirup 10 mg/ml botol -
Gliseril Guaicolat tablet -
Object Glass/Slide box -
Pot Dahak Buah -
Sarung tangan panjang Kebidanan pasang -
Sendok obat sirup Paket -
Spuit 10 cc set -
Urine Bag Buah -
Vacutainer Buah -
Vacutainer Needle Buah -
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20
Kode Puskesmas : 20
Nama Puskesmas : Kayu Manis
Bulan Distribusi & NO SBBK
07/20/TPD/I/14
1 2
Abbocath no.20 set - -
Abbocath no.24 set - -
Alat Suntik Sekali Pakai 1 ml Set 300 300
Alat Suntik Sekali Pakai 2,5 / 3 ml Set 200 200
Alat Suntik Sekali Pakai 5 ml Set - -
Albendazol tablet 400 mg Tablet - -
Alopurinol 100 mg Tablet - -
Alprazolam tablet 0,5 mg Tablet - -
Ambroxol sirup 15 mg/ml Botol 100 100
Ambroxol tablet 30 mg Tablet 12,000 12,000
Aminofilin 200 mg Tablet - -
Amitriptilin HCL 25 mg Tablet - -
Amlodipin 5 mg tablet 780 780
Amoksisilin + As.Klavulanat 625 mg tab Tablet - -
Amoksisilin 125 mg/5ml Syr kering Botol 780 780
Amoksisilin 250 mg Kapsul 8,200 8,200
Amoksisilin 500 mg Kaplet 21,500 21,500
Antalgin 500 mg ( Metampiron ) Tablet 10,400 10,400
Antasida Doen Tablet 23,000 23,000
Antasida sirup Botol 300 300
Anti Bakteri DOEN Tube 125 125
Anti Fungi Pot 96 96
Anti Hemoroid DOEN Unit - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet 400 400
Aqua Pro Injeksi 20 ml Flacon - -
Asam Ascorbat 50 mg Tablet 2,000 2,000
Asam Mefenamat 500 mg Kaplet 3,000 3,000
Asetosal 100 mg tablet - -
Asetosal 500 mg tablet - -
Asiklovir Salep 5 % Tube 25 25
Asiklovir Tablet 200 mg Tablet 500 500
Asiklovir Tablet 400 mg Tablet 900 900
Atenolol 50 mg tablet - -
Betametason Krim 0,1 % Tube - -
Bisoprolol 5 mg tablet 210 210
Blood Lancet Dos - -
Nama dan Kode Barang Satuan Jumlah
Blue Tips Buah - -
Carbo Adsorben (Norit) Tablet - -
Cat Gut (benang bedah) no 3 Unit - -
Cat Gut (benang bedah) no.2 Unit - -
Cetirizine tablet 10 mg Tablet 400 400
Deksametason Injeksi Ampul - -
Deksametason Tablet 0.5 mg Tablet 5,500 5,500
Dekstrometorfan Syrup Botol 150 150
Dekstrometorfan Tablet 15 mg Tablet - -
Devitalisasai Pasta Pot - -
Diazepam 2 mg Tablet Tablet 1,000 1,000
Diazepam Injeksi Ampul - -
Difenhidramin Injeksi 10 mg/ml Ampul - -
Digoksin Tablet 0,25 mg Tablet - -
Diltiazem tablet 30 mg Tablet - -
Doksisiklin 100 mg kapsul - -
Efedrin HCl Tablet 25 mg Tablet - -
Ekstract Belladona Tablet - -
Epinefrin HCl /Adrenalin Injeksi Ampul - -
Erytromysin 500 mg Kaplet 400 400
Ethambutol Tablet 250 mg Tablet - -
Ethambutol Tablet 500 mg Tablet - -
Ethanol 70 %- 1000 ml Botol 8 8
Etil Klorida Semprot- 100 ml Botol 4 4
Eugenol Cairan Botol - -
FDC 1 & 3 Paket 8 8
FDC 2 Paket - -
FDC Anak Paket - -
FDC Sisipan Paket - -
Fenitoin Natrium 100 mg Tablet - -
Fenitoin Natrium 30 mg Tablet - -
Fenobarbital 30 mg Tablet 400 400
Fenobarbital Injeksi Ampul - -
Fenoksimetil Penisilin 500 mg Tablet - -
Fenol Gliserol Tetes Telinga 10% Botol - -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul - -
Fitomenadion (Vit K ) Tablet Tablet 300 300
Fluconazol tablet 150 mg Tablet - -
Furosemid Tablet 40 mg Tablet 100 100
Garam Oralit 200 ml Sachet 2,800 2,800
Glass Ionomer Cement (GC 1X) Pot - -
Glibenklamid Tablet 5 mg Tablet 2,100 2,100
Glikuidon 30 mg tablet - -
Glimepiride 1 mg tablet - -
Glimepiride 2 mg tablet - -
Glipizide 5 mg tablet - -
Glukosa Lart. Infus 10% - 500 ml Botol - -
Glukosa Lart. Infus 5% - 500 ml Botol - -
Griseofulvin Tablet 125 mg Tablet 400 400
Haloperidol Tablet 1,5 Mg Tablet - -
Haloperidol Tablet 5 mg Tablet - -
Handscoon latex non steril uk M box - -
Handscoon latex non steril uk S box - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidrokortison Krim 2,5% Tube 240 240
Ibuprofen 200 mg Tablet 400 400
Imipramin 25 mg tablet - -
Infusion Anak Set - -
Infusion Dewasa Set - -
Isoniazid Tablet 300 mg Tablet - -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet - -
Kalsium Hidroksida Pasta Pot - -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet - -
Kapas Pembalut/Adsorben 250 g Bgks 9 9
Kaptopril 12.5 mg Tablet 3,300 3,300
Kaptopril 25 mg Tablet 13,100 13,100
Karbamazepin 200 mg Tablet 300 300
Kasa Kompres 2m x 80 cm Roll - -
Kasa Kompres 40/40 Roll - -
Kasa Pembalut Hidrofil 4 mx 3cm Roll - -
Kasa Pembalut Hidrofil 4 mx15 cm Roll - -
Klindamisin 300 mg Kapsul - -
Klonidin 0,15 mg tablet - -
Kloramfenikol Salep Mata 1% Tube 216 216
Kloramfenikol Kapsul 250 mg Kapsul 250 250
Klorfeniramin Maleat (CTM) 4 mg Tablet 20,000 20,000
Klorin larutan Botol - -
Klorpromazin HCl Tablet 100 mg Tablet - -
Klorpromazin HCl Tablet 25 mg Tablet - -
Kodein Fosfat Tablet 10 mg Tablet - -
Kotrimoxazol Syrup Botol 350 350
Kotrimoxazol 120 Paediatrik Tablet - -
Kotrimoxazol 480 Dewasa Tablet 1,700 1,700
L i s o l Botol 1 1
Lidokain inj ampul - -
Lidokain Komb 2 % Ampul 90 90
Loratadin 10 mg Tablet - -
Lorazepam tablet - -
Masker earloop box@50 pcs box - -
Metformin HCl tablet 500 mg Tablet 700 700
Metilprednisolon 4 mg tablet - -
Metoklopramid inj.5 mg/ml Ampul - -
Metoklopramid tablet 10 mg Tablet - -
Metronidazol Tablet 250 mg Tablet 2,700 2,700
Metronidazol Tablet 500 mg Tablet - -
Metylergometrin Maleat Injk Ampul - -
Metylergometrin Maleat Tablet Tablet 200 200
Mineral mix sachet - -
Monoklor Kamfer Mentol (CHKM) Pot - -
Mumifying Pasta Pot - -
Myconazol SK Tube - -
Natrium Bikarbonat Tablet 500 mg Tablet - -
Natrium Diklofenak tablet 25 mg Tablet 50 50
Natrium Klorida 0,9% Infus Botol 3 3
Nifedipin Tablet 10 mg Tablet 1,800 1,800
Nistatin Tablet Salut 500 000 IU g Tablet - -
Nistatin Vaginal 100 000 IU g Tablet 80 80
Obat Batuk Hitam (OBH) 100 ml Botol 360 360
Oksitetrasiklin HCl 1% SM Tube 50 50
Oksitetrasiklin HCl 3% SK Tube 250 250
Oksitosin Injeksi Ampul - -
Parasetamol Syrup 120 mg/5ml Botol 1,260 1,260
Parasetamol Tablet 100 mg Tablet - -
Parasetamol Tablet 500 mg Tablet 50,600 50,600
Piracetam 800 mg Tablet 100 100
Pirantel Tablet 125 mg Tablet - -
Pirazinamid 500 mg Tablet - -
Piridoksin HCl (Vit B6) 10 mg Tablet 8,000 8,000
Piroksikam 20 mg Tablet 3,900 3,900
Plester 5 Yard x 2 1nch Roll - -
Polikresulen 10-ml / Albotyl Botol - -
Povidon Iodida 10 %- 300 ml Botol 4 4
Prednison 5 mg Tablet Tablet - -
Prometazin 25 mg tablet - -
Propanolol HCl 40 mg Tablet - -
Propiltyourasil Tablet 100 mg Tablet - -
Ranitidin 150 mg Tablet 900 900
Resin Composit set - -
Retinol ( Vit.A ) 100 000 IU Kapsul 600 600
Retinol ( Vit.A ) 200 000 IU Kapsul 4,800 4,800
Rifampisin 300 mg Kapsul - -
Rifampisin 450 mg Kaplet 600 600
Rifampisin 600 mg Kaplet - -
Ringar Laktat Lar. Infus Botol - -
Risperidon 1 mg tablet - -
Risperidon 2 mg tablet 50 50
Salbutamol 2 mg Tablet 800 800
Salbutamol 4 mg tablet - -
Salep 2 - 4 Pot 130 130
Salisil Talk 2%-50 G Dos 200 200
Sefadroksil 500 mg Kapsul 3,200 3,200
Sefiksim 400 mg + Azithromicin 1000 mg amplop - -
Semen Seng Fosfat Serbuk & Cairan Botol - -
Sianokobalamin (Vit.B12) Tablet Tablet 1,000 1,000
Silk ( Benang ) No. 3/0 Sachet - -
Silver Sulfadiazin crm pot 500g pot 1 1
Simetidin 200 mg Tablet - -
Simvastatin tablet 10 mg Tablet 1,750 1,750
Siprofloksasin 500 mg Tablet 500 500
Spironolakton 25 mg tablet - -
Spons Gelatin Unit - -
Sulfasetamid Na. TM 15% Botol 24 24
Tablet Tambah Darah (Besi) Tablet 30,600 30,600
Temporary Filling Material Pot - -
Teofilin 150 mg tablet - -
Terbutalin 2,5 mg tablet - -
Tetrasiklin 250 mg Kapsul - -
Thiamin HCl 50 mg Tablet Tablet 1,000 1,000
Thiamfenikol 500 mg Tablet 200 200
Trifluoperazin 5mg tablet - -
Trifluoperazin1 mg tablet - -
Triheksifenidil HCl 2 mg Tab Tablet 300 300
Trikresol Formalin (TKF)-10 ml Botol - -
Verapamil 80 mg tablet - -
Vitamin B Kompleks Tablet Tablet 1,000 1,000
Yellow Tips Buah - -
Zinc tablet Tablet 1,700 1,700
Amonium Oksalat Botol 2 2
Aquabidest 500 ml botol - -
Asam Sulfo Salisilat 20 %-100 ml Botol - -
Asam urat kit , 30 ml set - -
HB Cyanmed 500 ml Botol - -
HDL test kit-precipit, 80 ml set - -
Immersion Oil Botol - -
Indikator pH universal Botol - -
Kolesterol test kit, 100 ml set - -
Kreatinin test kit, 200 ml set - -
Lart.Glukosa, 100 ml Botol - -
Lart.Hayem, 100 ml Botol - -
Lart.KOH 10%,100 ml Botol - -
Larutan Benedict 500 ml Botol - -
Larutan Eosin 2 % Botol - -
Larutan Giemsa Stain - 100 ml Botol - -
Larutan Turk - 100 ml Botol - -
Metanol 500 ml Botol - -
Natrium Sitrat 100 cc Botol - -
Reagen Golongan Darah kotak - -
Reagen Z. Nelsen Botol - -
SGOT test kit set - -
SGPT test kit set - -
Trigliserida test kit, 100 ml set - -
Ureum test kit set - -
Amoksisilin sirup forte 250 mg/ 5 ml botol - -
Betametason krim 0,5 mg/g tube - -
Cetirizine sirup 5 mg/ 5 ml botol - -
Ergotamin tablet 1 mg tablet - -
Eritromisin kapsul 250 mg kapsul - -
Kloramfenikol salap kulit 2 % tube - -
Kloramfenikol tetes mata 0,5 % botol - -
Kotrimoksazol tablet forte 960 mg tablet - -
Zinc sirup 10 mg/ml botol - -
Gliseril Guaicolat tablet 1,000 1,000
Object Glass/Slide box - -
Pot Dahak Buah - -
Sarung tangan panjang Kebidanan pasang - -
Sendok obat sirup Paket - -
Spuit 10 cc set - -
Urine Bag Buah - -
Vacutainer Buah - -
Vacutainer Needle Buah - -
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20
Kode Puskesmas : 21
Nama Puskesmas : Cipaku
Bulan Distribusi & NO SBBK
20/21/TPD/I/2014
1
Abbocath no.20 set 500 -
Abbocath no.24 set 550 -
Alat Suntik Sekali Pakai 1 ml Set - -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set - -
Alat Suntik Sekali Pakai 5 ml Set - -
Albendazol tablet 400 mg Tablet - -
Alopurinol 100 mg Tablet 700 -
Alprazolam tablet 0,5 mg Tablet 20,000 -
Ambroxol sirup 15 mg/ml Botol 300 -
Ambroxol tablet 30 mg Tablet - -
Aminofilin 200 mg Tablet 390 -
Amitriptilin HCL 25 mg Tablet - -
Amlodipin 5 mg tablet 1,500 -
Amoksisilin + As.Klavulanat 625 mg tab Tablet 500 -
Amoksisilin 125 mg/5ml Syr kering Botol 17,700 -
Amoksisilin 250 mg Kapsul - -
Amoksisilin 500 mg Kaplet 40,700 -
Antalgin 500 mg ( Metampiron ) Tablet 400 -
Antasida Doen Tablet 200 -
Antasida sirup Botol - -
Anti Bakteri DOEN Tube - -
Anti Fungi Pot - -
Anti Hemoroid DOEN Unit - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet 2,000 -
Aqua Pro Injeksi 20 ml Flacon 3,300 -
Asam Ascorbat 50 mg Tablet - -
Asam Mefenamat 500 mg Kaplet - -
Asetosal 100 mg tablet - -
Asetosal 500 mg tablet - -
Asiklovir Salep 5 % Tube - -
Asiklovir Tablet 200 mg Tablet - -
Asiklovir Tablet 400 mg Tablet 50 -
Atenolol 50 mg tablet - -
Betametason Krim 0,1 % Tube - -
Bisoprolol 5 mg tablet - -
Nama dan Kode Barang Satuan Jumlah
Blood Lancet Dos 2,250 -
Blue Tips Buah 10 -
Carbo Adsorben (Norit) Tablet - -
Cat Gut (benang bedah) no 3 Unit - -
Cat Gut (benang bedah) no.2 Unit - -
Cetirizine tablet 10 mg Tablet 17,500 -
Deksametason Injeksi Ampul 800 -
Deksametason Tablet 0.5 mg Tablet 600 -
Dekstrometorfan Syrup Botol - -
Dekstrometorfan Tablet 15 mg Tablet - -
Devitalisasai Pasta Pot - -
Diazepam 2 mg Tablet Tablet - -
Diazepam Injeksi Ampul - -
Difenhidramin Injeksi 10 mg/ml Ampul - -
Digoksin Tablet 0,25 mg Tablet - -
Diltiazem tablet 30 mg Tablet - -
Doksisiklin 100 mg kapsul - -
Efedrin HCl Tablet 25 mg Tablet - -
Ekstract Belladona Tablet - -
Epinefrin HCl /Adrenalin Injeksi Ampul 600 -
Erytromysin 500 mg Kaplet - -
Ethambutol Tablet 250 mg Tablet 10 -
Ethambutol Tablet 500 mg Tablet 3 -
Ethanol 70 %- 1000 ml Botol - -
Etil Klorida Semprot- 100 ml Botol - -
Eugenol Cairan Botol - -
FDC 1 & 3 Paket - -
FDC 2 Paket - -
FDC Anak Paket 100 -
FDC Sisipan Paket - -
Fenitoin Natrium 100 mg Tablet 100 -
Fenitoin Natrium 30 mg Tablet - -
Fenobarbital 30 mg Tablet - -
Fenobarbital Injeksi Ampul - -
Fenoksimetil Penisilin 500 mg Tablet 30 -
Fenol Gliserol Tetes Telinga 10% Botol 500 -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul - -
Fitomenadion (Vit K ) Tablet Tablet - -
Fluconazol tablet 150 mg Tablet 3,000 -
Furosemid Tablet 40 mg Tablet - -
Garam Oralit 200 ml Sachet 300 -
Glass Ionomer Cement (GC 1X) Pot - -
Glibenklamid Tablet 5 mg Tablet - -
Glikuidon 30 mg tablet - -
Glimepiride 1 mg tablet - -
Glimepiride 2 mg tablet - -
Glipizide 5 mg tablet - -
Glukosa Lart. Infus 10% - 500 ml Botol 100 -
Glukosa Lart. Infus 5% - 500 ml Botol - -
Griseofulvin Tablet 125 mg Tablet - -
Haloperidol Tablet 1,5 Mg Tablet - -
Haloperidol Tablet 5 mg Tablet - -
Handscoon latex non steril uk M box 1,000 -
Handscoon latex non steril uk S box 696 -
Hidroklortiazid (HCT) Tablet 25 mg Tablet 5,000 -
Hidrokortison Krim 2,5% Tube - -
Ibuprofen 200 mg Tablet - -
Imipramin 25 mg tablet 7 -
Infusion Anak Set 1,000 -
Infusion Dewasa Set - -
Isoniazid Tablet 300 mg Tablet - -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 8,000 -
Kalsium Hidroksida Pasta Pot 12 -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet - -
Kapas Pembalut/Adsorben 250 g Bgks 2,400 -
Kaptopril 12.5 mg Tablet 200 -
Kaptopril 25 mg Tablet - -
Karbamazepin 200 mg Tablet - -
Kasa Kompres 2m x 80 cm Roll - -
Kasa Kompres 40/40 Roll - -
Kasa Pembalut Hidrofil 4 mx 3cm Roll 600 -
Kasa Pembalut Hidrofil 4 mx15 cm Roll - -
Klindamisin 300 mg Kapsul - -
Klonidin 0,15 mg tablet 250 -
Kloramfenikol Salep Mata 1% Tube 65,000 -
Kloramfenikol Kapsul 250 mg Kapsul - -
Klorfeniramin Maleat (CTM) 4 mg Tablet - -
Klorin larutan Botol - -
Klorpromazin HCl Tablet 100 mg Tablet - -
Klorpromazin HCl Tablet 25 mg Tablet 1,300 -
Kodein Fosfat Tablet 10 mg Tablet - -
Kotrimoxazol Syrup Botol 1,000 -
Kotrimoxazol 120 Paediatrik Tablet - -
Kotrimoxazol 480 Dewasa Tablet - -
L i s o l Botol - -
Lidokain inj ampul - -
Lidokain Komb 2 % Ampul - -
Loratadin 10 mg Tablet - -
Lorazepam tablet 600 -
Masker earloop box@50 pcs box - -
Metformin HCl tablet 500 mg Tablet - -
Metilprednisolon 4 mg tablet - -
Metoklopramid inj.5 mg/ml Ampul 1,700 -
Metoklopramid tablet 10 mg Tablet - -
Metronidazol Tablet 250 mg Tablet - -
Metronidazol Tablet 500 mg Tablet - -
Metylergometrin Maleat Injk Ampul - -
Metylergometrin Maleat Tablet Tablet - -
Mineral mix sachet - -
Monoklor Kamfer Mentol (CHKM) Pot 96 -
Mumifying Pasta Pot - -
Myconazol SK Tube - -
Natrium Bikarbonat Tablet 500 mg Tablet 20 -
Natrium Diklofenak tablet 25 mg Tablet 1,000 -
Natrium Klorida 0,9% Infus Botol - -
Nifedipin Tablet 10 mg Tablet - -
Nistatin Tablet Salut 500 000 IU g Tablet 960 -
Nistatin Vaginal 100 000 IU g Tablet 500 -
Obat Batuk Hitam (OBH) 100 ml Botol - -
Oksitetrasiklin HCl 1% SM Tube - -
Oksitetrasiklin HCl 3% SK Tube 1,848 -
Oksitosin Injeksi Ampul - -
Parasetamol Syrup 120 mg/5ml Botol 74,000 -
Parasetamol Tablet 100 mg Tablet - -
Parasetamol Tablet 500 mg Tablet - -
Piracetam 800 mg Tablet 400 -
Pirantel Tablet 125 mg Tablet 15,000 -
Pirazinamid 500 mg Tablet - -
Piridoksin HCl (Vit B6) 10 mg Tablet - -
Piroksikam 20 mg Tablet - -
Plester 5 Yard x 2 1nch Roll 2 -
Polikresulen 10-ml / Albotyl Botol 6,000 -
Povidon Iodida 10 %- 300 ml Botol - -
Prednison 5 mg Tablet Tablet - -
Prometazin 25 mg tablet - -
Propanolol HCl 40 mg Tablet - -
Propiltyourasil Tablet 100 mg Tablet - -
Ranitidin 150 mg Tablet - -
Resin Composit set - -
Retinol ( Vit.A ) 100 000 IU Kapsul 450 450
Retinol ( Vit.A ) 200 000 IU Kapsul 3,900 3,600
Rifampisin 300 mg Kapsul - -
Rifampisin 450 mg Kaplet 10 -
Rifampisin 600 mg Kaplet - -
Ringar Laktat Lar. Infus Botol - -
Risperidon 1 mg tablet 500 -
Risperidon 2 mg tablet - -
Salbutamol 2 mg Tablet 144 -
Salbutamol 4 mg tablet 600 -
Salep 2 - 4 Pot 100 -
Salisil Talk 2%-50 G Dos - -
Sefadroksil 500 mg Kapsul - -
Sefiksim 400 mg + Azithromicin 1000 mg amplop 10,000 -
Semen Seng Fosfat Serbuk & Cairan Botol - -
Sianokobalamin (Vit.B12) Tablet Tablet - -
Silk ( Benang ) No. 3/0 Sachet 1,300 -
Silver Sulfadiazin crm pot 500g pot 400 -
Simetidin 200 mg Tablet 600 -
Simvastatin tablet 10 mg Tablet - -
Siprofloksasin 500 mg Tablet - -
Spironolakton 25 mg tablet - -
Spons Gelatin Unit 13,800 -
Sulfasetamid Na. TM 15% Botol - -
Tablet Tambah Darah (Besi) Tablet - -
Temporary Filling Material Pot - -
Teofilin 150 mg tablet - -
Terbutalin 2,5 mg tablet 1,000 -
Tetrasiklin 250 mg Kapsul 300 -
Thiamin HCl 50 mg Tablet Tablet - -
Thiamfenikol 500 mg Tablet - -
Trifluoperazin 5mg tablet - -
Trifluoperazin1 mg tablet - -
Triheksifenidil HCl 2 mg Tab Tablet - -
Trikresol Formalin (TKF)-10 ml Botol - -
Verapamil 80 mg tablet - -
Vitamin B Kompleks Tablet Tablet 3,000 -
Yellow Tips Buah - -
Zinc tablet Tablet 2 -
Amonium Oksalat Botol - -
Aquabidest 500 ml botol - -
Asam Sulfo Salisilat 20 %-100 ml Botol - -
Asam urat kit , 30 ml set - -
HB Cyanmed 500 ml Botol - -
HDL test kit-precipit, 80 ml set - -
Immersion Oil Botol - -
Indikator pH universal Botol - -
Kolesterol test kit, 100 ml set - -
Kreatinin test kit, 200 ml set - -
Lart.Glukosa, 100 ml Botol - -
Lart.Hayem, 100 ml Botol - -
Lart.KOH 10%,100 ml Botol - -
Larutan Benedict 500 ml Botol - -
Larutan Eosin 2 % Botol - -
Larutan Giemsa Stain - 100 ml Botol - -
Larutan Turk - 100 ml Botol - -
Metanol 500 ml Botol - -
Natrium Sitrat 100 cc Botol 3 -
Reagen Golongan Darah kotak - -
Reagen Z. Nelsen Botol - -
SGOT test kit set - -
SGPT test kit set - -
Trigliserida test kit, 100 ml set - -
Ureum test kit set - -
Amoksisilin sirup forte 250 mg/ 5 ml botol - -
Betametason krim 0,5 mg/g tube - -
Cetirizine sirup 5 mg/ 5 ml botol - -
Ergotamin tablet 1 mg tablet - -
Eritromisin kapsul 250 mg kapsul - -
Kloramfenikol salap kulit 2 % tube - -
Kloramfenikol tetes mata 0,5 % botol - -
Kotrimoksazol tablet forte 960 mg tablet - -
Zinc sirup 10 mg/ml botol - -
Gliseril Guaicolat tablet - -
Object Glass/Slide box - -
Pot Dahak Buah - -
Sarung tangan panjang Kebidanan pasang - -
Sendok obat sirup Paket - -
Spuit 10 cc set - -
Urine Bag Buah - -
Vacutainer Buah - -
Vacutainer Needle Buah - -
Bulan Distribusi & NO SBBK
31/21/TPD/II/2014
2 3 4 5 6 7 8
500
550
-
-
-
-
700
20,000
300
-
390
-
1,500
500
17,700
-
40,700
400
200
-
-
-
-
2,000
3,300
-
-
-
-
-
-
50
-
-
-
2,250
10
-
-
-
17,500
800
600
-
-
-
-
-
-
-
-
-
-
-
600
-
10
3
-
-
-
-
-
100
-
100
-
-
-
30
500
-
-
3,000
-
300
-
-
-
-
-
-
100
-
-
-
-
1,000
696
5,000
-
-
7
1,000
-
-
8,000
12
-
2,400
200
-
-
-
-
600
-
-
250
65,000
-
-
-
-
1,300
-
1,000
-
-
-
-
-
-
600
-
-
-
1,700
-
-
-
-
-
-
96
-
-
20
1,000
-
-
960
500
-
-
1,848
-
74,000
-
-
400
15,000
-
-
-
2
6,000
-
-
-
-
-
-
-
-
300
-
10
-
-
500
-
144
600
100
-
-
10,000
-
-
1,300
400
600
-
-
-
13,800
-
-
-
-
1,000
300
-
-
-
-
-
-
-
3,000
-
2
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
3
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
9 10 11 12 13 14 15 16
17 18 19 20
Kode Puskesmas : 22
Nama Puskesmas : Kedung Badak
Bulan Distribusi & NO SBBK
12/22/TPD/I/2013
1 2
Abbocath no.20 set - -
Abbocath no.24 set - -
Alat Suntik Sekali Pakai 1 ml Set - -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set - -
Alat Suntik Sekali Pakai 5 ml Set 100 100
Albendazol tablet 400 mg Tablet - -
Alopurinol 100 mg Tablet 100 100
Alprazolam tablet 0,5 mg Tablet - -
Ambroxol sirup 15 mg/ml Botol 100 100
Ambroxol tablet 30 mg Tablet 7,000 7,000
Aminofilin 200 mg Tablet 300 300
Amitriptilin HCL 25 mg Tablet - -
Amlodipin 5 mg tablet 600 600
Amoksisilin + As.Klavulanat 625 mg tab Tablet - -
Amoksisilin 125 mg/5ml Syr kering Botol 360 360
Amoksisilin 250 mg Kapsul 3,500 3,500
Amoksisilin 500 mg Kaplet 12,300 12,300
Antalgin 500 mg ( Metampiron ) Tablet 5,200 5,200
Antasida Doen Tablet 20,000 20,000
Antasida sirup Botol - -
Anti Bakteri DOEN Tube 300 300
Anti Fungi Pot - -
Anti Hemoroid DOEN Unit - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet - -
Aqua Pro Injeksi 20 ml Flacon - -
Asam Ascorbat 50 mg Tablet 2,000 2,000
Asam Mefenamat 500 mg Kaplet 1,600 1,600
Asetosal 100 mg tablet - -
Asetosal 500 mg tablet - -
Asiklovir Salep 5 % Tube 25 25
Asiklovir Tablet 200 mg Tablet 900 900
Asiklovir Tablet 400 mg Tablet 500 500
Atenolol 50 mg tablet - -
Betametason Krim 0,1 % Tube - -
Bisoprolol 5 mg tablet - -
Nama dan Kode Barang Satuan Jumlah
Blood Lancet Dos - -
Blue Tips Buah - -
Carbo Adsorben (Norit) Tablet - -
Cat Gut (benang bedah) no 3 Unit - -
Cat Gut (benang bedah) no.2 Unit - -
Cetirizine tablet 10 mg Tablet 100 100
Deksametason Injeksi Ampul - -
Deksametason Tablet 0.5 mg Tablet 12,500 12,500
Dekstrometorfan Syrup Botol 250 250
Dekstrometorfan Tablet 15 mg Tablet 1,500 1,500
Devitalisasai Pasta Pot - -
Diazepam 2 mg Tablet Tablet - -
Diazepam Injeksi Ampul - -
Difenhidramin Injeksi 10 mg/ml Ampul - -
Digoksin Tablet 0,25 mg Tablet - -
Diltiazem tablet 30 mg Tablet - -
Doksisiklin 100 mg kapsul - -
Efedrin HCl Tablet 25 mg Tablet 500 500
Ekstract Belladona Tablet 1,000 1,000
Epinefrin HCl /Adrenalin Injeksi Ampul - -
Erytromysin 500 mg Kaplet - -
Ethambutol Tablet 250 mg Tablet - -
Ethambutol Tablet 500 mg Tablet - -
Ethanol 70 %- 1000 ml Botol 5 5
Etil Klorida Semprot- 100 ml Botol 6 6
Eugenol Cairan Botol 3 3
FDC 1 & 3 Paket - -
FDC 2 Paket - -
FDC Anak Paket - -
FDC Sisipan Paket - -
Fenitoin Natrium 100 mg Tablet - -
Fenitoin Natrium 30 mg Tablet - -
Fenobarbital 30 mg Tablet - -
Fenobarbital Injeksi Ampul - -
Fenoksimetil Penisilin 500 mg Tablet - -
Fenol Gliserol Tetes Telinga 10% Botol - -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul - -
Fitomenadion (Vit K ) Tablet Tablet 300 300
Fluconazol tablet 150 mg Tablet - -
Furosemid Tablet 40 mg Tablet - -
Garam Oralit 200 ml Sachet 1,500 1,500
Glass Ionomer Cement (GC 1X) Pot 2 2
Glibenklamid Tablet 5 mg Tablet 1,400 1,400
Glikuidon 30 mg tablet - -
Glimepiride 1 mg tablet - -
Glimepiride 2 mg tablet - -
Glipizide 5 mg tablet - -
Glukosa Lart. Infus 10% - 500 ml Botol - -
Glukosa Lart. Infus 5% - 500 ml Botol - -
Griseofulvin Tablet 125 mg Tablet 700 700
Haloperidol Tablet 1,5 Mg Tablet - -
Haloperidol Tablet 5 mg Tablet - -
Handscoon latex non steril uk M box - -
Handscoon latex non steril uk S box - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidrokortison Krim 2,5% Tube 144 144
Ibuprofen 200 mg Tablet 11,600 11,600
Imipramin 25 mg tablet - -
Infusion Anak Set - -
Infusion Dewasa Set - -
Isoniazid Tablet 300 mg Tablet - -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet - -
Kalsium Hidroksida Pasta Pot - -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet 3,000 3,000
Kapas Pembalut/Adsorben 250 g Bgks - -
Kaptopril 12.5 mg Tablet - -
Kaptopril 25 mg Tablet 6,000 6,000
Karbamazepin 200 mg Tablet - -
Kasa Kompres 2m x 80 cm Roll 40 40
Kasa Kompres 40/40 Roll 40 40
Kasa Pembalut Hidrofil 4 mx 3cm Roll 20 20
Kasa Pembalut Hidrofil 4 mx15 cm Roll 15 15
Klindamisin 300 mg Kapsul - -
Klonidin 0,15 mg tablet - -
Kloramfenikol Salep Mata 1% Tube 24 24
Kloramfenikol Kapsul 250 mg Kapsul - -
Klorfeniramin Maleat (CTM) 4 mg Tablet 28,000 28,000
Klorin larutan Botol - -
Klorpromazin HCl Tablet 100 mg Tablet - -
Klorpromazin HCl Tablet 25 mg Tablet - -
Kodein Fosfat Tablet 10 mg Tablet - -
Kotrimoxazol Syrup Botol 300 300
Kotrimoxazol 120 Paediatrik Tablet 500 500
Kotrimoxazol 480 Dewasa Tablet 3,000 3,000
L i s o l Botol - -
Lidokain inj ampul 210 210
Lidokain Komb 2 % Ampul - -
Loratadin 10 mg Tablet - -
Lorazepam tablet - -
Masker earloop box@50 pcs box - -
Metformin HCl tablet 500 mg Tablet - -
Metilprednisolon 4 mg tablet - -
Metoklopramid inj.5 mg/ml Ampul - -
Metoklopramid tablet 10 mg Tablet - -
Metronidazol Tablet 250 mg Tablet 300 300
Metronidazol Tablet 500 mg Tablet - -
Metylergometrin Maleat Injk Ampul - -
Metylergometrin Maleat Tablet Tablet - -
Mineral mix sachet - -
Monoklor Kamfer Mentol (CHKM) Pot - -
Mumifying Pasta Pot - -
Myconazol SK Tube - -
Natrium Bikarbonat Tablet 500 mg Tablet - -
Natrium Diklofenak tablet 25 mg Tablet 350 350
Natrium Klorida 0,9% Infus Botol - -
Nifedipin Tablet 10 mg Tablet 1,200 1,200
Nistatin Tablet Salut 500 000 IU g Tablet - -
Nistatin Vaginal 100 000 IU g Tablet 60 60
Obat Batuk Hitam (OBH) 100 ml Botol 480 480
Oksitetrasiklin HCl 1% SM Tube - -
Oksitetrasiklin HCl 3% SK Tube 100 100
Oksitosin Injeksi Ampul - -
Parasetamol Syrup 120 mg/5ml Botol 336 336
Parasetamol Tablet 100 mg Tablet - -
Parasetamol Tablet 500 mg Tablet 57,000 57,000
Piracetam 800 mg Tablet - -
Pirantel Tablet 125 mg Tablet - -
Pirazinamid 500 mg Tablet - -
Piridoksin HCl (Vit B6) 10 mg Tablet 17,000 17,000
Piroksikam 20 mg Tablet 1,100 1,100
Plester 5 Yard x 2 1nch Roll - -
Polikresulen 10-ml / Albotyl Botol - -
Povidon Iodida 10 %- 300 ml Botol - -
Prednison 5 mg Tablet Tablet - -
Prometazin 25 mg tablet - -
Propanolol HCl 40 mg Tablet - -
Propiltyourasil Tablet 100 mg Tablet - -
Ranitidin 150 mg Tablet 300 300
Resin Composit set - -
Retinol ( Vit.A ) 100 000 IU Kapsul 650 650
Retinol ( Vit.A ) 200 000 IU Kapsul 5,350 5,350
Rifampisin 300 mg Kapsul - -
Rifampisin 450 mg Kaplet 300 300
Rifampisin 600 mg Kaplet - -
Ringar Laktat Lar. Infus Botol - -
Risperidon 1 mg tablet - -
Risperidon 2 mg tablet - -
Salbutamol 2 mg Tablet 400 400
Salbutamol 4 mg tablet - -
Salep 2 - 4 Pot - -
Salisil Talk 2%-50 G Dos 320 320
Sefadroksil 500 mg Kapsul - -
Sefiksim 400 mg + Azithromicin 1000 mg amplop - -
Semen Seng Fosfat Serbuk & Cairan Botol - -
Sianokobalamin (Vit.B12) Tablet Tablet 3,000 3,000
Silk ( Benang ) No. 3/0 Sachet - -
Silver Sulfadiazin crm pot 500g pot - -
Simetidin 200 mg Tablet - -
Simvastatin tablet 10 mg Tablet 500 500
Siprofloksasin 500 mg Tablet 3,200 3,200
Spironolakton 25 mg tablet - -
Spons Gelatin Unit - -
Sulfasetamid Na. TM 15% Botol 48 48
Tablet Tambah Darah (Besi) Tablet 10,800 10,800
Temporary Filling Material Pot - -
Teofilin 150 mg tablet - -
Terbutalin 2,5 mg tablet - -
Tetrasiklin 250 mg Kapsul - -
Thiamin HCl 50 mg Tablet Tablet 1,000 1,000
Thiamfenikol 500 mg Tablet - -
Trifluoperazin 5mg tablet - -
Trifluoperazin1 mg tablet - -
Triheksifenidil HCl 2 mg Tab Tablet - -
Trikresol Formalin (TKF)-10 ml Botol - -
Verapamil 80 mg tablet - -
Vitamin B Kompleks Tablet Tablet 1,000 1,000
Yellow Tips Buah - -
Zinc tablet Tablet 1,000 1,000
Amonium Oksalat Botol - -
Aquabidest 500 ml botol - -
Asam Sulfo Salisilat 20 %-100 ml Botol - -
Asam urat kit , 30 ml set - -
HB Cyanmed 500 ml Botol - -
HDL test kit-precipit, 80 ml set - -
Immersion Oil Botol - -
Indikator pH universal Botol - -
Kolesterol test kit, 100 ml set - -
Kreatinin test kit, 200 ml set - -
Lart.Glukosa, 100 ml Botol - -
Lart.Hayem, 100 ml Botol - -
Lart.KOH 10%,100 ml Botol - -
Larutan Benedict 500 ml Botol - -
Larutan Eosin 2 % Botol - -
Larutan Giemsa Stain - 100 ml Botol - -
Larutan Turk - 100 ml Botol - -
Metanol 500 ml Botol - -
Natrium Sitrat 100 cc Botol - -
Reagen Golongan Darah kotak - -
Reagen Z. Nelsen Botol - -
SGOT test kit set - -
SGPT test kit set - -
Trigliserida test kit, 100 ml set - -
Ureum test kit set - -
Amoksisilin sirup forte 250 mg/ 5 ml botol - -
Betametason krim 0,5 mg/g tube - -
Cetirizine sirup 5 mg/ 5 ml botol - -
Ergotamin tablet 1 mg tablet - -
Eritromisin kapsul 250 mg kapsul - -
Kloramfenikol salap kulit 2 % tube - -
Kloramfenikol tetes mata 0,5 % botol - -
Kotrimoksazol tablet forte 960 mg tablet - -
Zinc sirup 10 mg/ml botol - -
Gliseril Guaicolat tablet - -
Object Glass/Slide box - -
Pot Dahak Buah - -
Sarung tangan panjang Kebidanan pasang - -
Sendok obat sirup Paket - -
Spuit 10 cc set - -
Urine Bag Buah - -
Vacutainer Buah - -
Vacutainer Needle Buah - -
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20
Kode Puskesmas : 23
Nama Puskesmas : Pula Armin
Bulan Distribusi & NO SBBK
17/23/TPD/I/2013
1 2
Abbocath no.20 set - -
Abbocath no.24 set - -
Alat Suntik Sekali Pakai 1 ml Set - -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set - -
Alat Suntik Sekali Pakai 5 ml Set - -
Albendazol tablet 400 mg Tablet - -
Alopurinol 100 mg Tablet - -
Alprazolam tablet 0,5 mg Tablet - -
Ambroxol sirup 15 mg/ml Botol - -
Ambroxol tablet 30 mg Tablet - -
Aminofilin 200 mg Tablet - -
Amitriptilin HCL 25 mg Tablet - -
Amlodipin 5 mg tablet - -
Amoksisilin + As.Klavulanat 625 mg tab Tablet - -
Amoksisilin 125 mg/5ml Syr kering Botol - -
Amoksisilin 250 mg Kapsul - -
Amoksisilin 500 mg Kaplet - -
Antalgin 500 mg ( Metampiron ) Tablet - -
Antasida Doen Tablet - -
Antasida sirup Botol - -
Anti Bakteri DOEN Tube - -
Anti Fungi Pot - -
Anti Hemoroid DOEN Unit - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet - -
Aqua Pro Injeksi 20 ml Flacon - -
Asam Ascorbat 50 mg Tablet - -
Asam Mefenamat 500 mg Kaplet - -
Asetosal 100 mg tablet - -
Asetosal 500 mg tablet - -
Asiklovir Salep 5 % Tube - -
Asiklovir Tablet 200 mg Tablet - -
Asiklovir Tablet 400 mg Tablet - -
Atenolol 50 mg tablet - -
Betametason Krim 0,1 % Tube - -
Bisoprolol 5 mg tablet - -
Nama dan Kode Barang Satuan Jumlah
Blood Lancet Dos - -
Blue Tips Buah - -
Carbo Adsorben (Norit) Tablet - -
Cat Gut (benang bedah) no 3 Unit - -
Cat Gut (benang bedah) no.2 Unit - -
Cetirizine tablet 10 mg Tablet - -
Deksametason Injeksi Ampul - -
Deksametason Tablet 0.5 mg Tablet - -
Dekstrometorfan Syrup Botol - -
Dekstrometorfan Tablet 15 mg Tablet - -
Devitalisasai Pasta Pot - -
Diazepam 2 mg Tablet Tablet - -
Diazepam Injeksi Ampul - -
Difenhidramin Injeksi 10 mg/ml Ampul - -
Digoksin Tablet 0,25 mg Tablet - -
Diltiazem tablet 30 mg Tablet - -
Doksisiklin 100 mg kapsul - -
Efedrin HCl Tablet 25 mg Tablet - -
Ekstract Belladona Tablet - -
Epinefrin HCl /Adrenalin Injeksi Ampul - -
Erytromysin 500 mg Kaplet - -
Ethambutol Tablet 250 mg Tablet - -
Ethambutol Tablet 500 mg Tablet - -
Ethanol 70 %- 1000 ml Botol - -
Etil Klorida Semprot- 100 ml Botol - -
Eugenol Cairan Botol - -
FDC 1 & 3 Paket 1 1
FDC 2 Paket 8 8
FDC Anak Paket - -
FDC Sisipan Paket - -
Fenitoin Natrium 100 mg Tablet - -
Fenitoin Natrium 30 mg Tablet - -
Fenobarbital 30 mg Tablet - -
Fenobarbital Injeksi Ampul - -
Fenoksimetil Penisilin 500 mg Tablet - -
Fenol Gliserol Tetes Telinga 10% Botol - -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul - -
Fitomenadion (Vit K ) Tablet Tablet - -
Fluconazol tablet 150 mg Tablet - -
Furosemid Tablet 40 mg Tablet - -
Garam Oralit 200 ml Sachet - -
Glass Ionomer Cement (GC 1X) Pot - -
Glibenklamid Tablet 5 mg Tablet - -
Glikuidon 30 mg tablet - -
Glimepiride 1 mg tablet - -
Glimepiride 2 mg tablet - -
Glipizide 5 mg tablet - -
Glukosa Lart. Infus 10% - 500 ml Botol - -
Glukosa Lart. Infus 5% - 500 ml Botol - -
Griseofulvin Tablet 125 mg Tablet - -
Haloperidol Tablet 1,5 Mg Tablet - -
Haloperidol Tablet 5 mg Tablet - -
Handscoon latex non steril uk M box - -
Handscoon latex non steril uk S box - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidrokortison Krim 2,5% Tube - -
Ibuprofen 200 mg Tablet - -
Imipramin 25 mg tablet - -
Infusion Anak Set - -
Infusion Dewasa Set - -
Isoniazid Tablet 300 mg Tablet - -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet - -
Kalsium Hidroksida Pasta Pot - -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet - -
Kapas Pembalut/Adsorben 250 g Bgks - -
Kaptopril 12.5 mg Tablet - -
Kaptopril 25 mg Tablet - -
Karbamazepin 200 mg Tablet - -
Kasa Kompres 2m x 80 cm Roll - -
Kasa Kompres 40/40 Roll - -
Kasa Pembalut Hidrofil 4 mx 3cm Roll - -
Kasa Pembalut Hidrofil 4 mx15 cm Roll - -
Klindamisin 300 mg Kapsul - -
Klonidin 0,15 mg tablet - -
Kloramfenikol Salep Mata 1% Tube - -
Kloramfenikol Kapsul 250 mg Kapsul - -
Klorfeniramin Maleat (CTM) 4 mg Tablet - -
Klorin larutan Botol - -
Klorpromazin HCl Tablet 100 mg Tablet - -
Klorpromazin HCl Tablet 25 mg Tablet - -
Kodein Fosfat Tablet 10 mg Tablet - -
Kotrimoxazol Syrup Botol - -
Kotrimoxazol 120 Paediatrik Tablet - -
Kotrimoxazol 480 Dewasa Tablet - -
L i s o l Botol - -
Lidokain inj ampul - -
Lidokain Komb 2 % Ampul - -
Loratadin 10 mg Tablet - -
Lorazepam tablet - -
Masker earloop box@50 pcs box - -
Metformin HCl tablet 500 mg Tablet - -
Metilprednisolon 4 mg tablet - -
Metoklopramid inj.5 mg/ml Ampul - -
Metoklopramid tablet 10 mg Tablet - -
Metronidazol Tablet 250 mg Tablet - -
Metronidazol Tablet 500 mg Tablet - -
Metylergometrin Maleat Injk Ampul - -
Metylergometrin Maleat Tablet Tablet - -
Mineral mix sachet - -
Monoklor Kamfer Mentol (CHKM) Pot - -
Mumifying Pasta Pot - -
Myconazol SK Tube - -
Natrium Bikarbonat Tablet 500 mg Tablet - -
Natrium Diklofenak tablet 25 mg Tablet - -
Natrium Klorida 0,9% Infus Botol - -
Nifedipin Tablet 10 mg Tablet - -
Nistatin Tablet Salut 500 000 IU g Tablet - -
Nistatin Vaginal 100 000 IU g Tablet - -
Obat Batuk Hitam (OBH) 100 ml Botol - -
Oksitetrasiklin HCl 1% SM Tube - -
Oksitetrasiklin HCl 3% SK Tube - -
Oksitosin Injeksi Ampul - -
Parasetamol Syrup 120 mg/5ml Botol - -
Parasetamol Tablet 100 mg Tablet - -
Parasetamol Tablet 500 mg Tablet - -
Piracetam 800 mg Tablet - -
Pirantel Tablet 125 mg Tablet - -
Pirazinamid 500 mg Tablet - -
Piridoksin HCl (Vit B6) 10 mg Tablet - -
Piroksikam 20 mg Tablet - -
Plester 5 Yard x 2 1nch Roll - -
Polikresulen 10-ml / Albotyl Botol - -
Povidon Iodida 10 %- 300 ml Botol - -
Prednison 5 mg Tablet Tablet - -
Prometazin 25 mg tablet - -
Propanolol HCl 40 mg Tablet - -
Propiltyourasil Tablet 100 mg Tablet - -
Ranitidin 150 mg Tablet - -
Resin Composit set - -
Retinol ( Vit.A ) 100 000 IU Kapsul 450 450
Retinol ( Vit.A ) 200 000 IU Kapsul 3,600 3,600
Rifampisin 300 mg Kapsul - -
Rifampisin 450 mg Kaplet - -
Rifampisin 600 mg Kaplet - -
Ringar Laktat Lar. Infus Botol - -
Risperidon 1 mg tablet - -
Risperidon 2 mg tablet - -
Salbutamol 2 mg Tablet - -
Salbutamol 4 mg tablet - -
Salep 2 - 4 Pot - -
Salisil Talk 2%-50 G Dos - -
Sefadroksil 500 mg Kapsul - -
Sefiksim 400 mg + Azithromicin 1000 mg amplop - -
Semen Seng Fosfat Serbuk & Cairan Botol - -
Sianokobalamin (Vit.B12) Tablet Tablet - -
Silk ( Benang ) No. 3/0 Sachet - -
Silver Sulfadiazin crm pot 500g pot - -
Simetidin 200 mg Tablet - -
Simvastatin tablet 10 mg Tablet - -
Siprofloksasin 500 mg Tablet - -
Spironolakton 25 mg tablet - -
Spons Gelatin Unit - -
Sulfasetamid Na. TM 15% Botol - -
Tablet Tambah Darah (Besi) Tablet - -
Temporary Filling Material Pot - -
Teofilin 150 mg tablet - -
Terbutalin 2,5 mg tablet - -
Tetrasiklin 250 mg Kapsul - -
Thiamin HCl 50 mg Tablet Tablet - -
Thiamfenikol 500 mg Tablet - -
Trifluoperazin 5mg tablet - -
Trifluoperazin1 mg tablet - -
Triheksifenidil HCl 2 mg Tab Tablet - -
Trikresol Formalin (TKF)-10 ml Botol - -
Verapamil 80 mg tablet - -
Vitamin B Kompleks Tablet Tablet - -
Yellow Tips Buah - -
Zinc tablet Tablet - -
Amonium Oksalat Botol - -
Aquabidest 500 ml botol - -
Asam Sulfo Salisilat 20 %-100 ml Botol - -
Asam urat kit , 30 ml set - -
HB Cyanmed 500 ml Botol - -
HDL test kit-precipit, 80 ml set - -
Immersion Oil Botol - -
Indikator pH universal Botol - -
Kolesterol test kit, 100 ml set - -
Kreatinin test kit, 200 ml set - -
Lart.Glukosa, 100 ml Botol - -
Lart.Hayem, 100 ml Botol - -
Lart.KOH 10%,100 ml Botol - -
Larutan Benedict 500 ml Botol - -
Larutan Eosin 2 % Botol - -
Larutan Giemsa Stain - 100 ml Botol - -
Larutan Turk - 100 ml Botol - -
Metanol 500 ml Botol - -
Natrium Sitrat 100 cc Botol - -
Reagen Golongan Darah kotak - -
Reagen Z. Nelsen Botol - -
SGOT test kit set - -
SGPT test kit set - -
Trigliserida test kit, 100 ml set - -
Ureum test kit set - -
Amoksisilin sirup forte 250 mg/ 5 ml botol - -
Betametason krim 0,5 mg/g tube - -
Cetirizine sirup 5 mg/ 5 ml botol - -
Ergotamin tablet 1 mg tablet - -
Eritromisin kapsul 250 mg kapsul - -
Kloramfenikol salap kulit 2 % tube - -
Kloramfenikol tetes mata 0,5 % botol - -
Kotrimoksazol tablet forte 960 mg tablet - -
Zinc sirup 10 mg/ml botol - -
Gliseril Guaicolat tablet - -
Object Glass/Slide box - -
Pot Dahak Buah - -
Sarung tangan panjang Kebidanan pasang - -
Sendok obat sirup Paket - -
Spuit 10 cc set - -
Urine Bag Buah - -
Vacutainer Buah - -
Vacutainer Needle Buah - -
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20
Kode Puskesmas : 24
Nama Puskesmas : Mekar Wangi
Bulan Distribusi & NO SBBK
08/24/TPD/I/14
1 2
Abbocath no.20 set - -
Abbocath no.24 set - -
Alat Suntik Sekali Pakai 1 ml Set - -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set - -
Alat Suntik Sekali Pakai 5 ml Set - -
Albendazol tablet 400 mg Tablet - -
Alopurinol 100 mg Tablet - -
Alprazolam tablet 0,5 mg Tablet - -
Ambroxol sirup 15 mg/ml Botol - -
Ambroxol tablet 30 mg Tablet - -
Aminofilin 200 mg Tablet - -
Amitriptilin HCL 25 mg Tablet - -
Amlodipin 5 mg tablet - -
Amoksisilin + As.Klavulanat 625 mg tab Tablet - -
Amoksisilin 125 mg/5ml Syr kering Botol - -
Amoksisilin 250 mg Kapsul - -
Amoksisilin 500 mg Kaplet - -
Antalgin 500 mg ( Metampiron ) Tablet - -
Antasida Doen Tablet - -
Antasida sirup Botol - -
Anti Bakteri DOEN Tube - -
Anti Fungi Pot - -
Anti Hemoroid DOEN Unit - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet - -
Aqua Pro Injeksi 20 ml Flacon - -
Asam Ascorbat 50 mg Tablet - -
Asam Mefenamat 500 mg Kaplet - -
Asetosal 100 mg tablet - -
Asetosal 500 mg tablet - -
Asiklovir Salep 5 % Tube - -
Asiklovir Tablet 200 mg Tablet - -
Asiklovir Tablet 400 mg Tablet - -
Atenolol 50 mg tablet - -
Betametason Krim 0,1 % Tube - -
Bisoprolol 5 mg tablet - -
Blood Lancet Dos - -
Nama dan Kode Barang Satuan Jumlah
Blue Tips Buah - -
Carbo Adsorben (Norit) Tablet - -
Cat Gut (benang bedah) no 3 Unit - -
Cat Gut (benang bedah) no.2 Unit - -
Cetirizine tablet 10 mg Tablet - -
Deksametason Injeksi Ampul - -
Deksametason Tablet 0.5 mg Tablet - -
Dekstrometorfan Syrup Botol - -
Dekstrometorfan Tablet 15 mg Tablet - -
Devitalisasai Pasta Pot - -
Diazepam 2 mg Tablet Tablet - -
Diazepam Injeksi Ampul - -
Difenhidramin Injeksi 10 mg/ml Ampul - -
Digoksin Tablet 0,25 mg Tablet - -
Diltiazem tablet 30 mg Tablet - -
Doksisiklin 100 mg kapsul - -
Efedrin HCl Tablet 25 mg Tablet - -
Ekstract Belladona Tablet - -
Epinefrin HCl /Adrenalin Injeksi Ampul - -
Erytromysin 500 mg Kaplet - -
Ethambutol Tablet 250 mg Tablet - -
Ethambutol Tablet 500 mg Tablet - -
Ethanol 70 %- 1000 ml Botol - -
Etil Klorida Semprot- 100 ml Botol 2 2
Eugenol Cairan Botol - -
FDC 1 & 3 Paket - -
FDC 2 Paket - -
FDC Anak Paket - -
FDC Sisipan Paket - -
Fenitoin Natrium 100 mg Tablet - -
Fenitoin Natrium 30 mg Tablet - -
Fenobarbital 30 mg Tablet - -
Fenobarbital Injeksi Ampul - -
Fenoksimetil Penisilin 500 mg Tablet - -
Fenol Gliserol Tetes Telinga 10% Botol - -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul - -
Fitomenadion (Vit K ) Tablet Tablet - -
Fluconazol tablet 150 mg Tablet - -
Furosemid Tablet 40 mg Tablet - -
Garam Oralit 200 ml Sachet - -
Glass Ionomer Cement (GC 1X) Pot - -
Glibenklamid Tablet 5 mg Tablet - -
Glikuidon 30 mg tablet - -
Glimepiride 1 mg tablet - -
Glimepiride 2 mg tablet - -
Glipizide 5 mg tablet - -
Glukosa Lart. Infus 10% - 500 ml Botol - -
Glukosa Lart. Infus 5% - 500 ml Botol - -
Griseofulvin Tablet 125 mg Tablet - -
Haloperidol Tablet 1,5 Mg Tablet 300 300
Haloperidol Tablet 5 mg Tablet - -
Handscoon latex non steril uk M box - -
Handscoon latex non steril uk S box - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidrokortison Krim 2,5% Tube - -
Ibuprofen 200 mg Tablet - -
Imipramin 25 mg tablet - -
Infusion Anak Set - -
Infusion Dewasa Set - -
Isoniazid Tablet 300 mg Tablet - -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 300 300
Kalsium Hidroksida Pasta Pot - -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet - -
Kapas Pembalut/Adsorben 250 g Bgks - -
Kaptopril 12.5 mg Tablet - -
Kaptopril 25 mg Tablet - -
Karbamazepin 200 mg Tablet 500 500
Kasa Kompres 2m x 80 cm Roll - -
Kasa Kompres 40/40 Roll - -
Kasa Pembalut Hidrofil 4 mx 3cm Roll - -
Kasa Pembalut Hidrofil 4 mx15 cm Roll - -
Klindamisin 300 mg Kapsul - -
Klonidin 0,15 mg tablet - -
Kloramfenikol Salep Mata 1% Tube - -
Kloramfenikol Kapsul 250 mg Kapsul - -
Klorfeniramin Maleat (CTM) 4 mg Tablet - -
Klorin larutan Botol - -
Klorpromazin HCl Tablet 100 mg Tablet - -
Klorpromazin HCl Tablet 25 mg Tablet - -
Kodein Fosfat Tablet 10 mg Tablet - -
Kotrimoxazol Syrup Botol - -
Kotrimoxazol 120 Paediatrik Tablet - -
Kotrimoxazol 480 Dewasa Tablet - -
L i s o l Botol - -
Lidokain inj ampul 60 60
Lidokain Komb 2 % Ampul - -
Loratadin 10 mg Tablet - -
Lorazepam tablet - -
Masker earloop box@50 pcs box - -
Metformin HCl tablet 500 mg Tablet - -
Metilprednisolon 4 mg tablet - -
Metoklopramid inj.5 mg/ml Ampul - -
Metoklopramid tablet 10 mg Tablet - -
Metronidazol Tablet 250 mg Tablet - -
Metronidazol Tablet 500 mg Tablet - -
Metylergometrin Maleat Injk Ampul - -
Metylergometrin Maleat Tablet Tablet - -
Mineral mix sachet - -
Monoklor Kamfer Mentol (CHKM) Pot - -
Mumifying Pasta Pot - -
Myconazol SK Tube - -
Natrium Bikarbonat Tablet 500 mg Tablet - -
Natrium Diklofenak tablet 25 mg Tablet - -
Natrium Klorida 0,9% Infus Botol - -
Nifedipin Tablet 10 mg Tablet - -
Nistatin Tablet Salut 500 000 IU g Tablet - -
Nistatin Vaginal 100 000 IU g Tablet - -
Obat Batuk Hitam (OBH) 100 ml Botol - -
Oksitetrasiklin HCl 1% SM Tube - -
Oksitetrasiklin HCl 3% SK Tube - -
Oksitosin Injeksi Ampul - -
Parasetamol Syrup 120 mg/5ml Botol - -
Parasetamol Tablet 100 mg Tablet - -
Parasetamol Tablet 500 mg Tablet - -
Piracetam 800 mg Tablet - -
Pirantel Tablet 125 mg Tablet - -
Pirazinamid 500 mg Tablet - -
Piridoksin HCl (Vit B6) 10 mg Tablet - -
Piroksikam 20 mg Tablet - -
Plester 5 Yard x 2 1nch Roll - -
Polikresulen 10-ml / Albotyl Botol - -
Povidon Iodida 10 %- 300 ml Botol - -
Prednison 5 mg Tablet Tablet - -
Prometazin 25 mg tablet - -
Propanolol HCl 40 mg Tablet - -
Propiltyourasil Tablet 100 mg Tablet - -
Ranitidin 150 mg Tablet - -
Resin Composit set - -
Retinol ( Vit.A ) 100 000 IU Kapsul 450 450
Retinol ( Vit.A ) 200 000 IU Kapsul 3,750 3,750
Rifampisin 300 mg Kapsul - -
Rifampisin 450 mg Kaplet 200 200
Rifampisin 600 mg Kaplet - -
Ringar Laktat Lar. Infus Botol - -
Risperidon 1 mg tablet - -
Risperidon 2 mg tablet 300 300
Salbutamol 2 mg Tablet - -
Salbutamol 4 mg tablet - -
Salep 2 - 4 Pot - -
Salisil Talk 2%-50 G Dos - -
Sefadroksil 500 mg Kapsul - -
Sefiksim 400 mg + Azithromicin 1000 mg amplop - -
Semen Seng Fosfat Serbuk & Cairan Botol - -
Sianokobalamin (Vit.B12) Tablet Tablet 2,000 2,000
Silk ( Benang ) No. 3/0 Sachet - -
Silver Sulfadiazin crm pot 500g pot - -
Simetidin 200 mg Tablet - -
Simvastatin tablet 10 mg Tablet - -
Siprofloksasin 500 mg Tablet - -
Spironolakton 25 mg tablet - -
Spons Gelatin Unit - -
Sulfasetamid Na. TM 15% Botol - -
Tablet Tambah Darah (Besi) Tablet 1,200 1,200
Temporary Filling Material Pot - -
Teofilin 150 mg tablet - -
Terbutalin 2,5 mg tablet - -
Tetrasiklin 250 mg Kapsul - -
Thiamin HCl 50 mg Tablet Tablet - -
Thiamfenikol 500 mg Tablet - -
Trifluoperazin 5mg tablet - -
Trifluoperazin1 mg tablet - -
Triheksifenidil HCl 2 mg Tab Tablet 800 800
Trikresol Formalin (TKF)-10 ml Botol - -
Verapamil 80 mg tablet - -
Vitamin B Kompleks Tablet Tablet - -
Yellow Tips Buah - -
Zinc tablet Tablet - -
Amonium Oksalat Botol - -
Aquabidest 500 ml botol - -
Asam Sulfo Salisilat 20 %-100 ml Botol - -
Asam urat kit , 30 ml set - -
HB Cyanmed 500 ml Botol - -
HDL test kit-precipit, 80 ml set - -
Immersion Oil Botol - -
Indikator pH universal Botol - -
Kolesterol test kit, 100 ml set - -
Kreatinin test kit, 200 ml set - -
Lart.Glukosa, 100 ml Botol - -
Lart.Hayem, 100 ml Botol - -
Lart.KOH 10%,100 ml Botol - -
Larutan Benedict 500 ml Botol - -
Larutan Eosin 2 % Botol - -
Larutan Giemsa Stain - 100 ml Botol - -
Larutan Turk - 100 ml Botol - -
Metanol 500 ml Botol - -
Natrium Sitrat 100 cc Botol - -
Reagen Golongan Darah kotak - -
Reagen Z. Nelsen Botol - -
SGOT test kit set - -
SGPT test kit set - -
Trigliserida test kit, 100 ml set - -
Ureum test kit set - -
Amoksisilin sirup forte 250 mg/ 5 ml botol - -
Betametason krim 0,5 mg/g tube - -
Cetirizine sirup 5 mg/ 5 ml botol - -
Ergotamin tablet 1 mg tablet - -
Eritromisin kapsul 250 mg kapsul - -
Kloramfenikol salap kulit 2 % tube - -
Kloramfenikol tetes mata 0,5 % botol - -
Kotrimoksazol tablet forte 960 mg tablet - -
Zinc sirup 10 mg/ml botol - -
Gliseril Guaicolat tablet - -
Object Glass/Slide box - -
Pot Dahak Buah - -
Sarung tangan panjang Kebidanan pasang - -
Sendok obat sirup Paket - -
Spuit 10 cc set - -
Urine Bag Buah - -
Vacutainer Buah - -
Vacutainer Needle Buah - -
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20
Kode Puskesmas : 25
Nama Puskesmas : Lapas
Bulan Distribusi & NO SBBK
1 2
Abbocath no.20 set -
Abbocath no.24 set -
Alat Suntik Sekali Pakai 1 ml Set -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set -
Alat Suntik Sekali Pakai 5 ml Set -
Albendazol tablet 400 mg Tablet -
Alopurinol 100 mg Tablet -
Alprazolam tablet 0,5 mg Tablet -
Ambroxol sirup 15 mg/ml Botol -
Ambroxol tablet 30 mg Tablet -
Aminofilin 200 mg Tablet -
Amitriptilin HCL 25 mg Tablet -
Amlodipin 5 mg tablet -
Amoksisilin + As.Klavulanat 625 mg tab Tablet -
Amoksisilin 125 mg/5ml Syr kering Botol -
Amoksisilin 250 mg Kapsul -
Amoksisilin 500 mg Kaplet -
Antalgin 500 mg ( Metampiron ) Tablet -
Antasida Doen Tablet -
Antasida sirup Botol -
Anti Bakteri DOEN Tube -
Anti Fungi Pot -
Anti Hemoroid DOEN Unit -
Anti Migren DOEN ( Ergo+Kaffein) Tablet -
Aqua Pro Injeksi 20 ml Flacon -
Asam Ascorbat 50 mg Tablet -
Asam Mefenamat 500 mg Kaplet -
Asetosal 100 mg tablet -
Asetosal 500 mg tablet -
Asiklovir Salep 5 % Tube -
Asiklovir Tablet 200 mg Tablet -
Asiklovir Tablet 400 mg Tablet -
Atenolol 50 mg tablet -
Betametason Krim 0,1 % Tube -
Bisoprolol 5 mg tablet -
Blood Lancet Dos -
Nama dan Kode Barang Satuan Jumlah
Blue Tips Buah -
Carbo Adsorben (Norit) Tablet -
Cat Gut (benang bedah) no 3 Unit -
Cat Gut (benang bedah) no.2 Unit -
Cetirizine tablet 10 mg Tablet -
Deksametason Injeksi Ampul -
Deksametason Tablet 0.5 mg Tablet -
Dekstrometorfan Syrup Botol -
Dekstrometorfan Tablet 15 mg Tablet -
Devitalisasai Pasta Pot -
Diazepam 2 mg Tablet Tablet -
Diazepam Injeksi Ampul -
Difenhidramin Injeksi 10 mg/ml Ampul -
Digoksin Tablet 0,25 mg Tablet -
Diltiazem tablet 30 mg Tablet -
Doksisiklin 100 mg kapsul -
Efedrin HCl Tablet 25 mg Tablet -
Ekstract Belladona Tablet -
Epinefrin HCl /Adrenalin Injeksi Ampul -
Erytromysin 500 mg Kaplet -
Ethambutol Tablet 250 mg Tablet -
Ethambutol Tablet 500 mg Tablet -
Ethanol 70 %- 1000 ml Botol -
Etil Klorida Semprot- 100 ml Botol -
Eugenol Cairan Botol -
FDC 1 & 3 Paket -
FDC 2 Paket -
FDC Anak Paket -
FDC Sisipan Paket -
Fenitoin Natrium 100 mg Tablet -
Fenitoin Natrium 30 mg Tablet -
Fenobarbital 30 mg Tablet -
Fenobarbital Injeksi Ampul -
Fenoksimetil Penisilin 500 mg Tablet -
Fenol Gliserol Tetes Telinga 10% Botol -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul -
Fitomenadion (Vit K ) Tablet Tablet -
Fluconazol tablet 150 mg Tablet -
Furosemid Tablet 40 mg Tablet -
Garam Oralit 200 ml Sachet -
Glass Ionomer Cement (GC 1X) Pot -
Glibenklamid Tablet 5 mg Tablet -
Glikuidon 30 mg tablet -
Glimepiride 1 mg tablet -
Glimepiride 2 mg tablet -
Glipizide 5 mg tablet -
Glukosa Lart. Infus 10% - 500 ml Botol -
Glukosa Lart. Infus 5% - 500 ml Botol -
Griseofulvin Tablet 125 mg Tablet -
Haloperidol Tablet 1,5 Mg Tablet -
Haloperidol Tablet 5 mg Tablet -
Handscoon latex non steril uk M box -
Handscoon latex non steril uk S box -
Hidroklortiazid (HCT) Tablet 25 mg Tablet -
Hidrokortison Krim 2,5% Tube -
Ibuprofen 200 mg Tablet -
Imipramin 25 mg tablet -
Infusion Anak Set -
Infusion Dewasa Set -
Isoniazid Tablet 300 mg Tablet -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
Kalsium Hidroksida Pasta Pot -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet -
Kapas Pembalut/Adsorben 250 g Bgks -
Kaptopril 12.5 mg Tablet -
Kaptopril 25 mg Tablet -
Karbamazepin 200 mg Tablet -
Kasa Kompres 2m x 80 cm Roll -
Kasa Kompres 40/40 Roll -
Kasa Pembalut Hidrofil 4 mx 3cm Roll -
Kasa Pembalut Hidrofil 4 mx15 cm Roll -
Klindamisin 300 mg Kapsul -
Klonidin 0,15 mg tablet -
Kloramfenikol Salep Mata 1% Tube -
Kloramfenikol Kapsul 250 mg Kapsul -
Klorfeniramin Maleat (CTM) 4 mg Tablet -
Klorin larutan Botol -
Klorpromazin HCl Tablet 100 mg Tablet -
Klorpromazin HCl Tablet 25 mg Tablet -
Kodein Fosfat Tablet 10 mg Tablet -
Kotrimoxazol Syrup Botol -
Kotrimoxazol 120 Paediatrik Tablet -
Kotrimoxazol 480 Dewasa Tablet -
L i s o l Botol -
Lidokain inj ampul -
Lidokain Komb 2 % Ampul -
Loratadin 10 mg Tablet -
Lorazepam tablet -
Masker earloop box@50 pcs box -
Metformin HCl tablet 500 mg Tablet -
Metilprednisolon 4 mg tablet -
Metoklopramid inj.5 mg/ml Ampul -
Metoklopramid tablet 10 mg Tablet -
Metronidazol Tablet 250 mg Tablet -
Metronidazol Tablet 500 mg Tablet -
Metylergometrin Maleat Injk Ampul -
Metylergometrin Maleat Tablet Tablet -
Mineral mix sachet -
Monoklor Kamfer Mentol (CHKM) Pot -
Mumifying Pasta Pot -
Myconazol SK Tube -
Natrium Bikarbonat Tablet 500 mg Tablet -
Natrium Diklofenak tablet 25 mg Tablet -
Natrium Klorida 0,9% Infus Botol -
Nifedipin Tablet 10 mg Tablet -
Nistatin Tablet Salut 500 000 IU g Tablet -
Nistatin Vaginal 100 000 IU g Tablet -
Obat Batuk Hitam (OBH) 100 ml Botol -
Oksitetrasiklin HCl 1% SM Tube -
Oksitetrasiklin HCl 3% SK Tube -
Oksitosin Injeksi Ampul -
Parasetamol Syrup 120 mg/5ml Botol -
Parasetamol Tablet 100 mg Tablet -
Parasetamol Tablet 500 mg Tablet -
Piracetam 800 mg Tablet -
Pirantel Tablet 125 mg Tablet -
Pirazinamid 500 mg Tablet -
Piridoksin HCl (Vit B6) 10 mg Tablet -
Piroksikam 20 mg Tablet -
Plester 5 Yard x 2 1nch Roll -
Polikresulen 10-ml / Albotyl Botol -
Povidon Iodida 10 %- 300 ml Botol -
Prednison 5 mg Tablet Tablet -
Prometazin 25 mg tablet -
Propanolol HCl 40 mg Tablet -
Propiltyourasil Tablet 100 mg Tablet -
Ranitidin 150 mg Tablet -
Resin Composit set -
Retinol ( Vit.A ) 100 000 IU Kapsul -
Retinol ( Vit.A ) 200 000 IU Kapsul -
Rifampisin 300 mg Kapsul -
Rifampisin 450 mg Kaplet -
Rifampisin 600 mg Kaplet -
Ringar Laktat Lar. Infus Botol -
Risperidon 1 mg tablet -
Risperidon 2 mg tablet -
Salbutamol 2 mg Tablet -
Salbutamol 4 mg tablet -
Salep 2 - 4 Pot -
Salisil Talk 2%-50 G Dos -
Sefadroksil 500 mg Kapsul -
Sefiksim 400 mg + Azithromicin 1000 mg amplop -
Semen Seng Fosfat Serbuk & Cairan Botol -
Sianokobalamin (Vit.B12) Tablet Tablet -
Silk ( Benang ) No. 3/0 Sachet -
Silver Sulfadiazin crm pot 500g pot -
Simetidin 200 mg Tablet -
Simvastatin tablet 10 mg Tablet -
Siprofloksasin 500 mg Tablet -
Spironolakton 25 mg tablet -
Spons Gelatin Unit -
Sulfasetamid Na. TM 15% Botol -
Tablet Tambah Darah (Besi) Tablet -
Temporary Filling Material Pot -
Teofilin 150 mg tablet -
Terbutalin 2,5 mg tablet -
Tetrasiklin 250 mg Kapsul -
Thiamin HCl 50 mg Tablet Tablet -
Thiamfenikol 500 mg Tablet -
Trifluoperazin 5mg tablet -
Trifluoperazin1 mg tablet -
Triheksifenidil HCl 2 mg Tab Tablet -
Trikresol Formalin (TKF)-10 ml Botol -
Verapamil 80 mg tablet -
Vitamin B Kompleks Tablet Tablet -
Yellow Tips Buah -
Zinc tablet Tablet -
Amonium Oksalat Botol -
Aquabidest 500 ml botol -
Asam Sulfo Salisilat 20 %-100 ml Botol -
Asam urat kit , 30 ml set -
HB Cyanmed 500 ml Botol -
HDL test kit-precipit, 80 ml set -
Immersion Oil Botol -
Indikator pH universal Botol -
Kolesterol test kit, 100 ml set -
Kreatinin test kit, 200 ml set -
Lart.Glukosa, 100 ml Botol -
Lart.Hayem, 100 ml Botol -
Lart.KOH 10%,100 ml Botol -
Larutan Benedict 500 ml Botol -
Larutan Eosin 2 % Botol -
Larutan Giemsa Stain - 100 ml Botol -
Larutan Turk - 100 ml Botol -
Metanol 500 ml Botol -
Natrium Sitrat 100 cc Botol -
Reagen Golongan Darah kotak -
Reagen Z. Nelsen Botol -
SGOT test kit set -
SGPT test kit set -
Trigliserida test kit, 100 ml set -
Ureum test kit set -
Amoksisilin sirup forte 250 mg/ 5 ml botol -
Betametason krim 0,5 mg/g tube -
Cetirizine sirup 5 mg/ 5 ml botol -
Ergotamin tablet 1 mg tablet -
Eritromisin kapsul 250 mg kapsul -
Kloramfenikol salap kulit 2 % tube -
Kloramfenikol tetes mata 0,5 % botol -
Kotrimoksazol tablet forte 960 mg tablet -
Zinc sirup 10 mg/ml botol -
Gliseril Guaicolat tablet -
Object Glass/Slide box -
Pot Dahak Buah -
Sarung tangan panjang Kebidanan pasang -
Sendok obat sirup Paket -
Spuit 10 cc set -
Urine Bag Buah -
Vacutainer Buah -
Vacutainer Needle Buah -
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20
Kode Puskesmas : 27
Nama Puskesmas : DKK/PCC
Bulan Distribusi & NO SBBK
1 2
Abbocath no.20 set -
Abbocath no.24 set -
Alat Suntik Sekali Pakai 1 ml Set -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set -
Alat Suntik Sekali Pakai 5 ml Set -
Albendazol tablet 400 mg Tablet -
Alopurinol 100 mg Tablet -
Alprazolam tablet 0,5 mg Tablet -
Ambroxol sirup 15 mg/ml Botol -
Ambroxol tablet 30 mg Tablet -
Aminofilin 200 mg Tablet -
Amitriptilin HCL 25 mg Tablet -
Amlodipin 5 mg tablet -
Amoksisilin + As.Klavulanat 625 mg tab Tablet -
Amoksisilin 125 mg/5ml Syr kering Botol -
Amoksisilin 250 mg Kapsul -
Amoksisilin 500 mg Kaplet -
Antalgin 500 mg ( Metampiron ) Tablet -
Antasida Doen Tablet -
Antasida sirup Botol -
Anti Bakteri DOEN Tube -
Anti Fungi Pot -
Anti Hemoroid DOEN Unit -
Anti Migren DOEN ( Ergo+Kaffein) Tablet -
Aqua Pro Injeksi 20 ml Flacon -
Asam Ascorbat 50 mg Tablet -
Asam Mefenamat 500 mg Kaplet -
Asetosal 100 mg tablet -
Asetosal 500 mg tablet -
Asiklovir Salep 5 % Tube -
Asiklovir Tablet 200 mg Tablet -
Asiklovir Tablet 400 mg Tablet -
Atenolol 50 mg tablet -
Betametason Krim 0,1 % Tube -
Bisoprolol 5 mg tablet -
Blood Lancet Dos -
Nama dan Kode Barang Satuan Jumlah
Blue Tips Buah -
Carbo Adsorben (Norit) Tablet -
Cat Gut (benang bedah) no 3 Unit -
Cat Gut (benang bedah) no.2 Unit -
Cetirizine tablet 10 mg Tablet -
Deksametason Injeksi Ampul -
Deksametason Tablet 0.5 mg Tablet -
Dekstrometorfan Syrup Botol -
Dekstrometorfan Tablet 15 mg Tablet -
Devitalisasai Pasta Pot -
Diazepam 2 mg Tablet Tablet -
Diazepam Injeksi Ampul -
Difenhidramin Injeksi 10 mg/ml Ampul -
Digoksin Tablet 0,25 mg Tablet -
Diltiazem tablet 30 mg Tablet -
Doksisiklin 100 mg kapsul -
Efedrin HCl Tablet 25 mg Tablet -
Ekstract Belladona Tablet -
Epinefrin HCl /Adrenalin Injeksi Ampul -
Erytromysin 500 mg Kaplet -
Ethambutol Tablet 250 mg Tablet -
Ethambutol Tablet 500 mg Tablet -
Ethanol 70 %- 1000 ml Botol -
Etil Klorida Semprot- 100 ml Botol -
Eugenol Cairan Botol -
FDC 1 & 3 Paket -
FDC 2 Paket -
FDC Anak Paket -
FDC Sisipan Paket -
Fenitoin Natrium 100 mg Tablet -
Fenitoin Natrium 30 mg Tablet -
Fenobarbital 30 mg Tablet -
Fenobarbital Injeksi Ampul -
Fenoksimetil Penisilin 500 mg Tablet -
Fenol Gliserol Tetes Telinga 10% Botol -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul -
Fitomenadion (Vit K ) Tablet Tablet -
Fluconazol tablet 150 mg Tablet -
Furosemid Tablet 40 mg Tablet -
Garam Oralit 200 ml Sachet -
Glass Ionomer Cement (GC 1X) Pot -
Glibenklamid Tablet 5 mg Tablet -
Glikuidon 30 mg tablet -
Glimepiride 1 mg tablet -
Glimepiride 2 mg tablet -
Glipizide 5 mg tablet -
Glukosa Lart. Infus 10% - 500 ml Botol -
Glukosa Lart. Infus 5% - 500 ml Botol -
Griseofulvin Tablet 125 mg Tablet -
Haloperidol Tablet 1,5 Mg Tablet -
Haloperidol Tablet 5 mg Tablet -
Handscoon latex non steril uk M box -
Handscoon latex non steril uk S box -
Hidroklortiazid (HCT) Tablet 25 mg Tablet -
Hidrokortison Krim 2,5% Tube -
Ibuprofen 200 mg Tablet -
Imipramin 25 mg tablet -
Infusion Anak Set -
Infusion Dewasa Set -
Isoniazid Tablet 300 mg Tablet -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
Kalsium Hidroksida Pasta Pot -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet -
Kapas Pembalut/Adsorben 250 g Bgks -
Kaptopril 12.5 mg Tablet -
Kaptopril 25 mg Tablet -
Karbamazepin 200 mg Tablet -
Kasa Kompres 2m x 80 cm Roll -
Kasa Kompres 40/40 Roll -
Kasa Pembalut Hidrofil 4 mx 3cm Roll -
Kasa Pembalut Hidrofil 4 mx15 cm Roll -
Klindamisin 300 mg Kapsul -
Klonidin 0,15 mg tablet -
Kloramfenikol Salep Mata 1% Tube -
Kloramfenikol Kapsul 250 mg Kapsul -
Klorfeniramin Maleat (CTM) 4 mg Tablet -
Klorin larutan Botol -
Klorpromazin HCl Tablet 100 mg Tablet -
Klorpromazin HCl Tablet 25 mg Tablet -
Kodein Fosfat Tablet 10 mg Tablet -
Kotrimoxazol Syrup Botol -
Kotrimoxazol 120 Paediatrik Tablet -
Kotrimoxazol 480 Dewasa Tablet -
L i s o l Botol -
Lidokain inj ampul -
Lidokain Komb 2 % Ampul -
Loratadin 10 mg Tablet -
Lorazepam tablet -
Masker earloop box@50 pcs box -
Metformin HCl tablet 500 mg Tablet -
Metilprednisolon 4 mg tablet -
Metoklopramid inj.5 mg/ml Ampul -
Metoklopramid tablet 10 mg Tablet -
Metronidazol Tablet 250 mg Tablet -
Metronidazol Tablet 500 mg Tablet -
Metylergometrin Maleat Injk Ampul -
Metylergometrin Maleat Tablet Tablet -
Mineral mix sachet -
Monoklor Kamfer Mentol (CHKM) Pot -
Mumifying Pasta Pot -
Myconazol SK Tube -
Natrium Bikarbonat Tablet 500 mg Tablet -
Natrium Diklofenak tablet 25 mg Tablet -
Natrium Klorida 0,9% Infus Botol -
Nifedipin Tablet 10 mg Tablet -
Nistatin Tablet Salut 500 000 IU g Tablet -
Nistatin Vaginal 100 000 IU g Tablet -
Obat Batuk Hitam (OBH) 100 ml Botol -
Oksitetrasiklin HCl 1% SM Tube -
Oksitetrasiklin HCl 3% SK Tube -
Oksitosin Injeksi Ampul -
Parasetamol Syrup 120 mg/5ml Botol -
Parasetamol Tablet 100 mg Tablet -
Parasetamol Tablet 500 mg Tablet -
Piracetam 800 mg Tablet -
Pirantel Tablet 125 mg Tablet -
Pirazinamid 500 mg Tablet -
Piridoksin HCl (Vit B6) 10 mg Tablet -
Piroksikam 20 mg Tablet -
Plester 5 Yard x 2 1nch Roll -
Polikresulen 10-ml / Albotyl Botol -
Povidon Iodida 10 %- 300 ml Botol -
Prednison 5 mg Tablet Tablet -
Prometazin 25 mg tablet -
Propanolol HCl 40 mg Tablet -
Propiltyourasil Tablet 100 mg Tablet -
Ranitidin 150 mg Tablet -
Resin Composit set -
Retinol ( Vit.A ) 100 000 IU Kapsul -
Retinol ( Vit.A ) 200 000 IU Kapsul -
Rifampisin 300 mg Kapsul -
Rifampisin 450 mg Kaplet -
Rifampisin 600 mg Kaplet -
Ringar Laktat Lar. Infus Botol -
Risperidon 1 mg tablet -
Risperidon 2 mg tablet -
Salbutamol 2 mg Tablet -
Salbutamol 4 mg tablet -
Salep 2 - 4 Pot -
Salisil Talk 2%-50 G Dos -
Sefadroksil 500 mg Kapsul -
Sefiksim 400 mg + Azithromicin 1000 mg amplop -
Semen Seng Fosfat Serbuk & Cairan Botol -
Sianokobalamin (Vit.B12) Tablet Tablet -
Silk ( Benang ) No. 3/0 Sachet -
Silver Sulfadiazin crm pot 500g pot -
Simetidin 200 mg Tablet -
Simvastatin tablet 10 mg Tablet -
Siprofloksasin 500 mg Tablet -
Spironolakton 25 mg tablet -
Spons Gelatin Unit -
Sulfasetamid Na. TM 15% Botol -
Tablet Tambah Darah (Besi) Tablet -
Temporary Filling Material Pot -
Teofilin 150 mg tablet -
Terbutalin 2,5 mg tablet -
Tetrasiklin 250 mg Kapsul -
Thiamin HCl 50 mg Tablet Tablet -
Thiamfenikol 500 mg Tablet -
Trifluoperazin 5mg tablet -
Trifluoperazin1 mg tablet -
Triheksifenidil HCl 2 mg Tab Tablet -
Trikresol Formalin (TKF)-10 ml Botol -
Verapamil 80 mg tablet -
Vitamin B Kompleks Tablet Tablet -
Yellow Tips Buah -
Zinc tablet Tablet -
Amonium Oksalat Botol -
Aquabidest 500 ml botol -
Asam Sulfo Salisilat 20 %-100 ml Botol -
Asam urat kit , 30 ml set -
HB Cyanmed 500 ml Botol -
HDL test kit-precipit, 80 ml set -
Immersion Oil Botol -
Indikator pH universal Botol -
Kolesterol test kit, 100 ml set -
Kreatinin test kit, 200 ml set -
Lart.Glukosa, 100 ml Botol -
Lart.Hayem, 100 ml Botol -
Lart.KOH 10%,100 ml Botol -
Larutan Benedict 500 ml Botol -
Larutan Eosin 2 % Botol -
Larutan Giemsa Stain - 100 ml Botol -
Larutan Turk - 100 ml Botol -
Metanol 500 ml Botol -
Natrium Sitrat 100 cc Botol -
Reagen Golongan Darah kotak -
Reagen Z. Nelsen Botol -
SGOT test kit set -
SGPT test kit set -
Trigliserida test kit, 100 ml set -
Ureum test kit set -
Amoksisilin sirup forte 250 mg/ 5 ml botol -
Betametason krim 0,5 mg/g tube -
Cetirizine sirup 5 mg/ 5 ml botol -
Ergotamin tablet 1 mg tablet -
Eritromisin kapsul 250 mg kapsul -
Kloramfenikol salap kulit 2 % tube -
Kloramfenikol tetes mata 0,5 % botol -
Kotrimoksazol tablet forte 960 mg tablet -
Zinc sirup 10 mg/ml botol -
Gliseril Guaicolat tablet -
Object Glass/Slide box -
Pot Dahak Buah -
Sarung tangan panjang Kebidanan pasang -
Sendok obat sirup Paket -
Spuit 10 cc set -
Urine Bag Buah -
Vacutainer Buah -
Vacutainer Needle Buah -
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20
Kode Puskesmas : 27
Nama Puskesmas : Labkesda
Bulan Distribusi & NO SBBK
1 2
Abbocath no.20 set -
Abbocath no.24 set -
Alat Suntik Sekali Pakai 1 ml Set -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set -
Alat Suntik Sekali Pakai 5 ml Set -
Albendazol tablet 400 mg Tablet -
Alopurinol 100 mg Tablet -
Alprazolam tablet 0,5 mg Tablet -
Ambroxol sirup 15 mg/ml Botol -
Ambroxol tablet 30 mg Tablet -
Aminofilin 200 mg Tablet -
Amitriptilin HCL 25 mg Tablet -
Amlodipin 5 mg tablet -
Amoksisilin + As.Klavulanat 625 mg tab Tablet -
Amoksisilin 125 mg/5ml Syr kering Botol -
Amoksisilin 250 mg Kapsul -
Amoksisilin 500 mg Kaplet -
Antalgin 500 mg ( Metampiron ) Tablet -
Antasida Doen Tablet -
Antasida sirup Botol -
Anti Bakteri DOEN Tube -
Anti Fungi Pot -
Anti Hemoroid DOEN Unit -
Anti Migren DOEN ( Ergo+Kaffein) Tablet -
Aqua Pro Injeksi 20 ml Flacon -
Asam Ascorbat 50 mg Tablet -
Asam Mefenamat 500 mg Kaplet -
Asetosal 100 mg tablet -
Asetosal 500 mg tablet -
Asiklovir Salep 5 % Tube -
Asiklovir Tablet 200 mg Tablet -
Asiklovir Tablet 400 mg Tablet -
Atenolol 50 mg tablet -
Betametason Krim 0,1 % Tube -
Bisoprolol 5 mg tablet -
Blood Lancet Dos -
Nama dan Kode Barang Satuan Jumlah
Blue Tips Buah -
Carbo Adsorben (Norit) Tablet -
Cat Gut (benang bedah) no 3 Unit -
Cat Gut (benang bedah) no.2 Unit -
Cetirizine tablet 10 mg Tablet -
Deksametason Injeksi Ampul -
Deksametason Tablet 0.5 mg Tablet -
Dekstrometorfan Syrup Botol -
Dekstrometorfan Tablet 15 mg Tablet -
Devitalisasai Pasta Pot -
Diazepam 2 mg Tablet Tablet -
Diazepam Injeksi Ampul -
Difenhidramin Injeksi 10 mg/ml Ampul -
Digoksin Tablet 0,25 mg Tablet -
Diltiazem tablet 30 mg Tablet -
Doksisiklin 100 mg kapsul -
Efedrin HCl Tablet 25 mg Tablet -
Ekstract Belladona Tablet -
Epinefrin HCl /Adrenalin Injeksi Ampul -
Erytromysin 500 mg Kaplet -
Ethambutol Tablet 250 mg Tablet -
Ethambutol Tablet 500 mg Tablet -
Ethanol 70 %- 1000 ml Botol -
Etil Klorida Semprot- 100 ml Botol -
Eugenol Cairan Botol -
FDC 1 & 3 Paket -
FDC 2 Paket -
FDC Anak Paket -
FDC Sisipan Paket -
Fenitoin Natrium 100 mg Tablet -
Fenitoin Natrium 30 mg Tablet -
Fenobarbital 30 mg Tablet -
Fenobarbital Injeksi Ampul -
Fenoksimetil Penisilin 500 mg Tablet -
Fenol Gliserol Tetes Telinga 10% Botol -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul -
Fitomenadion (Vit K ) Tablet Tablet -
Fluconazol tablet 150 mg Tablet -
Furosemid Tablet 40 mg Tablet -
Garam Oralit 200 ml Sachet -
Glass Ionomer Cement (GC 1X) Pot -
Glibenklamid Tablet 5 mg Tablet -
Glikuidon 30 mg tablet -
Glimepiride 1 mg tablet -
Glimepiride 2 mg tablet -
Glipizide 5 mg tablet -
Glukosa Lart. Infus 10% - 500 ml Botol -
Glukosa Lart. Infus 5% - 500 ml Botol -
Griseofulvin Tablet 125 mg Tablet -
Haloperidol Tablet 1,5 Mg Tablet -
Haloperidol Tablet 5 mg Tablet -
Handscoon latex non steril uk M box -
Handscoon latex non steril uk S box -
Hidroklortiazid (HCT) Tablet 25 mg Tablet -
Hidrokortison Krim 2,5% Tube -
Ibuprofen 200 mg Tablet -
Imipramin 25 mg tablet -
Infusion Anak Set -
Infusion Dewasa Set -
Isoniazid Tablet 300 mg Tablet -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
Kalsium Hidroksida Pasta Pot -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet -
Kapas Pembalut/Adsorben 250 g Bgks -
Kaptopril 12.5 mg Tablet -
Kaptopril 25 mg Tablet -
Karbamazepin 200 mg Tablet -
Kasa Kompres 2m x 80 cm Roll -
Kasa Kompres 40/40 Roll -
Kasa Pembalut Hidrofil 4 mx 3cm Roll -
Kasa Pembalut Hidrofil 4 mx15 cm Roll -
Klindamisin 300 mg Kapsul -
Klonidin 0,15 mg tablet -
Kloramfenikol Salep Mata 1% Tube -
Kloramfenikol Kapsul 250 mg Kapsul -
Klorfeniramin Maleat (CTM) 4 mg Tablet -
Klorin larutan Botol -
Klorpromazin HCl Tablet 100 mg Tablet -
Klorpromazin HCl Tablet 25 mg Tablet -
Kodein Fosfat Tablet 10 mg Tablet -
Kotrimoxazol Syrup Botol -
Kotrimoxazol 120 Paediatrik Tablet -
Kotrimoxazol 480 Dewasa Tablet -
L i s o l Botol -
Lidokain inj ampul -
Lidokain Komb 2 % Ampul -
Loratadin 10 mg Tablet -
Lorazepam tablet -
Masker earloop box@50 pcs box -
Metformin HCl tablet 500 mg Tablet -
Metilprednisolon 4 mg tablet -
Metoklopramid inj.5 mg/ml Ampul -
Metoklopramid tablet 10 mg Tablet -
Metronidazol Tablet 250 mg Tablet -
Metronidazol Tablet 500 mg Tablet -
Metylergometrin Maleat Injk Ampul -
Metylergometrin Maleat Tablet Tablet -
Mineral mix sachet -
Monoklor Kamfer Mentol (CHKM) Pot -
Mumifying Pasta Pot -
Myconazol SK Tube -
Natrium Bikarbonat Tablet 500 mg Tablet -
Natrium Diklofenak tablet 25 mg Tablet -
Natrium Klorida 0,9% Infus Botol -
Nifedipin Tablet 10 mg Tablet -
Nistatin Tablet Salut 500 000 IU g Tablet -
Nistatin Vaginal 100 000 IU g Tablet -
Obat Batuk Hitam (OBH) 100 ml Botol -
Oksitetrasiklin HCl 1% SM Tube -
Oksitetrasiklin HCl 3% SK Tube -
Oksitosin Injeksi Ampul -
Parasetamol Syrup 120 mg/5ml Botol -
Parasetamol Tablet 100 mg Tablet -
Parasetamol Tablet 500 mg Tablet -
Piracetam 800 mg Tablet -
Pirantel Tablet 125 mg Tablet -
Pirazinamid 500 mg Tablet -
Piridoksin HCl (Vit B6) 10 mg Tablet -
Piroksikam 20 mg Tablet -
Plester 5 Yard x 2 1nch Roll -
Polikresulen 10-ml / Albotyl Botol -
Povidon Iodida 10 %- 300 ml Botol -
Prednison 5 mg Tablet Tablet -
Prometazin 25 mg tablet -
Propanolol HCl 40 mg Tablet -
Propiltyourasil Tablet 100 mg Tablet -
Ranitidin 150 mg Tablet -
Resin Composit set -
Retinol ( Vit.A ) 100 000 IU Kapsul -
Retinol ( Vit.A ) 200 000 IU Kapsul -
Rifampisin 300 mg Kapsul -
Rifampisin 450 mg Kaplet -
Rifampisin 600 mg Kaplet -
Ringar Laktat Lar. Infus Botol -
Risperidon 1 mg tablet -
Risperidon 2 mg tablet -
Salbutamol 2 mg Tablet -
Salbutamol 4 mg tablet -
Salep 2 - 4 Pot -
Salisil Talk 2%-50 G Dos -
Sefadroksil 500 mg Kapsul -
Sefiksim 400 mg + Azithromicin 1000 mg amplop -
Semen Seng Fosfat Serbuk & Cairan Botol -
Sianokobalamin (Vit.B12) Tablet Tablet -
Silk ( Benang ) No. 3/0 Sachet -
Silver Sulfadiazin crm pot 500g pot -
Simetidin 200 mg Tablet -
Simvastatin tablet 10 mg Tablet -
Siprofloksasin 500 mg Tablet -
Spironolakton 25 mg tablet -
Spons Gelatin Unit -
Sulfasetamid Na. TM 15% Botol -
Tablet Tambah Darah (Besi) Tablet -
Temporary Filling Material Pot -
Teofilin 150 mg tablet -
Terbutalin 2,5 mg tablet -
Tetrasiklin 250 mg Kapsul -
Thiamin HCl 50 mg Tablet Tablet -
Thiamfenikol 500 mg Tablet -
Trifluoperazin 5mg tablet -
Trifluoperazin1 mg tablet -
Triheksifenidil HCl 2 mg Tab Tablet -
Trikresol Formalin (TKF)-10 ml Botol -
Verapamil 80 mg tablet -
Vitamin B Kompleks Tablet Tablet -
Yellow Tips Buah -
Zinc tablet Tablet -
Amonium Oksalat Botol -
Aquabidest 500 ml botol -
Asam Sulfo Salisilat 20 %-100 ml Botol -
Asam urat kit , 30 ml set -
HB Cyanmed 500 ml Botol -
HDL test kit-precipit, 80 ml set -
Immersion Oil Botol -
Indikator pH universal Botol -
Kolesterol test kit, 100 ml set -
Kreatinin test kit, 200 ml set -
Lart.Glukosa, 100 ml Botol -
Lart.Hayem, 100 ml Botol -
Lart.KOH 10%,100 ml Botol -
Larutan Benedict 500 ml Botol -
Larutan Eosin 2 % Botol -
Larutan Giemsa Stain - 100 ml Botol -
Larutan Turk - 100 ml Botol -
Metanol 500 ml Botol -
Natrium Sitrat 100 cc Botol -
Reagen Golongan Darah kotak -
Reagen Z. Nelsen Botol -
SGOT test kit set -
SGPT test kit set -
Trigliserida test kit, 100 ml set -
Ureum test kit set -
Amoksisilin sirup forte 250 mg/ 5 ml botol -
Betametason krim 0,5 mg/g tube -
Cetirizine sirup 5 mg/ 5 ml botol -
Ergotamin tablet 1 mg tablet -
Eritromisin kapsul 250 mg kapsul -
Kloramfenikol salap kulit 2 % tube -
Kloramfenikol tetes mata 0,5 % botol -
Kotrimoksazol tablet forte 960 mg tablet -
Zinc sirup 10 mg/ml botol -
Gliseril Guaicolat tablet -
Object Glass/Slide box -
Pot Dahak Buah -
Sarung tangan panjang Kebidanan pasang -
Sendok obat sirup Paket -
Spuit 10 cc set -
Urine Bag Buah -
Vacutainer Buah -
Vacutainer Needle Buah -
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20
Kode Puskesmas : 28
Nama Puskesmas : P3K
Bulan Distribusi & NO SBBK
1 2
Abbocath no.20 set -
Abbocath no.24 set -
Alat Suntik Sekali Pakai 1 ml Set -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set -
Alat Suntik Sekali Pakai 5 ml Set -
Albendazol tablet 400 mg Tablet -
Alopurinol 100 mg Tablet -
Alprazolam tablet 0,5 mg Tablet -
Ambroxol sirup 15 mg/ml Botol -
Ambroxol tablet 30 mg Tablet -
Aminofilin 200 mg Tablet -
Amitriptilin HCL 25 mg Tablet -
Amlodipin 5 mg tablet -
Amoksisilin + As.Klavulanat 625 mg tab Tablet -
Amoksisilin 125 mg/5ml Syr kering Botol -
Amoksisilin 250 mg Kapsul -
Amoksisilin 500 mg Kaplet -
Antalgin 500 mg ( Metampiron ) Tablet -
Antasida Doen Tablet -
Antasida sirup Botol -
Anti Bakteri DOEN Tube -
Anti Fungi Pot -
Anti Hemoroid DOEN Unit -
Anti Migren DOEN ( Ergo+Kaffein) Tablet -
Aqua Pro Injeksi 20 ml Flacon -
Asam Ascorbat 50 mg Tablet -
Asam Mefenamat 500 mg Kaplet -
Asetosal 100 mg tablet -
Asetosal 500 mg tablet -
Asiklovir Salep 5 % Tube -
Asiklovir Tablet 200 mg Tablet -
Asiklovir Tablet 400 mg Tablet -
Atenolol 50 mg tablet -
Betametason Krim 0,1 % Tube -
Bisoprolol 5 mg tablet -
Blood Lancet Dos -
Nama dan Kode Barang Satuan Jumlah
Blue Tips Buah -
Carbo Adsorben (Norit) Tablet -
Cat Gut (benang bedah) no 3 Unit -
Cat Gut (benang bedah) no.2 Unit -
Cetirizine tablet 10 mg Tablet -
Deksametason Injeksi Ampul -
Deksametason Tablet 0.5 mg Tablet -
Dekstrometorfan Syrup Botol -
Dekstrometorfan Tablet 15 mg Tablet -
Devitalisasai Pasta Pot -
Diazepam 2 mg Tablet Tablet -
Diazepam Injeksi Ampul -
Difenhidramin Injeksi 10 mg/ml Ampul -
Digoksin Tablet 0,25 mg Tablet -
Diltiazem tablet 30 mg Tablet -
Doksisiklin 100 mg kapsul -
Efedrin HCl Tablet 25 mg Tablet -
Ekstract Belladona Tablet -
Epinefrin HCl /Adrenalin Injeksi Ampul -
Erytromysin 500 mg Kaplet -
Ethambutol Tablet 250 mg Tablet -
Ethambutol Tablet 500 mg Tablet -
Ethanol 70 %- 1000 ml Botol -
Etil Klorida Semprot- 100 ml Botol -
Eugenol Cairan Botol -
FDC 1 & 3 Paket -
FDC 2 Paket -
FDC Anak Paket -
FDC Sisipan Paket -
Fenitoin Natrium 100 mg Tablet -
Fenitoin Natrium 30 mg Tablet -
Fenobarbital 30 mg Tablet -
Fenobarbital Injeksi Ampul -
Fenoksimetil Penisilin 500 mg Tablet -
Fenol Gliserol Tetes Telinga 10% Botol -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul -
Fitomenadion (Vit K ) Tablet Tablet -
Fluconazol tablet 150 mg Tablet -
Furosemid Tablet 40 mg Tablet -
Garam Oralit 200 ml Sachet -
Glass Ionomer Cement (GC 1X) Pot -
Glibenklamid Tablet 5 mg Tablet -
Glikuidon 30 mg tablet -
Glimepiride 1 mg tablet -
Glimepiride 2 mg tablet -
Glipizide 5 mg tablet -
Glukosa Lart. Infus 10% - 500 ml Botol -
Glukosa Lart. Infus 5% - 500 ml Botol -
Griseofulvin Tablet 125 mg Tablet -
Haloperidol Tablet 1,5 Mg Tablet -
Haloperidol Tablet 5 mg Tablet -
Handscoon latex non steril uk M box -
Handscoon latex non steril uk S box -
Hidroklortiazid (HCT) Tablet 25 mg Tablet -
Hidrokortison Krim 2,5% Tube -
Ibuprofen 200 mg Tablet -
Imipramin 25 mg tablet -
Infusion Anak Set -
Infusion Dewasa Set -
Isoniazid Tablet 300 mg Tablet -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
Kalsium Hidroksida Pasta Pot -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet -
Kapas Pembalut/Adsorben 250 g Bgks -
Kaptopril 12.5 mg Tablet -
Kaptopril 25 mg Tablet -
Karbamazepin 200 mg Tablet -
Kasa Kompres 2m x 80 cm Roll -
Kasa Kompres 40/40 Roll -
Kasa Pembalut Hidrofil 4 mx 3cm Roll -
Kasa Pembalut Hidrofil 4 mx15 cm Roll -
Klindamisin 300 mg Kapsul -
Klonidin 0,15 mg tablet -
Kloramfenikol Salep Mata 1% Tube -
Kloramfenikol Kapsul 250 mg Kapsul -
Klorfeniramin Maleat (CTM) 4 mg Tablet -
Klorin larutan Botol -
Klorpromazin HCl Tablet 100 mg Tablet -
Klorpromazin HCl Tablet 25 mg Tablet -
Kodein Fosfat Tablet 10 mg Tablet -
Kotrimoxazol Syrup Botol -
Kotrimoxazol 120 Paediatrik Tablet -
Kotrimoxazol 480 Dewasa Tablet -
L i s o l Botol -
Lidokain inj ampul -
Lidokain Komb 2 % Ampul -
Loratadin 10 mg Tablet -
Lorazepam tablet -
Masker earloop box@50 pcs box -
Metformin HCl tablet 500 mg Tablet -
Metilprednisolon 4 mg tablet -
Metoklopramid inj.5 mg/ml Ampul -
Metoklopramid tablet 10 mg Tablet -
Metronidazol Tablet 250 mg Tablet -
Metronidazol Tablet 500 mg Tablet -
Metylergometrin Maleat Injk Ampul -
Metylergometrin Maleat Tablet Tablet -
Mineral mix sachet -
Monoklor Kamfer Mentol (CHKM) Pot -
Mumifying Pasta Pot -
Myconazol SK Tube -
Natrium Bikarbonat Tablet 500 mg Tablet -
Natrium Diklofenak tablet 25 mg Tablet -
Natrium Klorida 0,9% Infus Botol -
Nifedipin Tablet 10 mg Tablet -
Nistatin Tablet Salut 500 000 IU g Tablet -
Nistatin Vaginal 100 000 IU g Tablet -
Obat Batuk Hitam (OBH) 100 ml Botol -
Oksitetrasiklin HCl 1% SM Tube -
Oksitetrasiklin HCl 3% SK Tube -
Oksitosin Injeksi Ampul -
Parasetamol Syrup 120 mg/5ml Botol -
Parasetamol Tablet 100 mg Tablet -
Parasetamol Tablet 500 mg Tablet -
Piracetam 800 mg Tablet -
Pirantel Tablet 125 mg Tablet -
Pirazinamid 500 mg Tablet -
Piridoksin HCl (Vit B6) 10 mg Tablet -
Piroksikam 20 mg Tablet -
Plester 5 Yard x 2 1nch Roll -
Polikresulen 10-ml / Albotyl Botol -
Povidon Iodida 10 %- 300 ml Botol -
Prednison 5 mg Tablet Tablet -
Prometazin 25 mg tablet -
Propanolol HCl 40 mg Tablet -
Propiltyourasil Tablet 100 mg Tablet -
Ranitidin 150 mg Tablet -
Resin Composit set -
Retinol ( Vit.A ) 100 000 IU Kapsul -
Retinol ( Vit.A ) 200 000 IU Kapsul -
Rifampisin 300 mg Kapsul -
Rifampisin 450 mg Kaplet -
Rifampisin 600 mg Kaplet -
Ringar Laktat Lar. Infus Botol -
Risperidon 1 mg tablet -
Risperidon 2 mg tablet -
Salbutamol 2 mg Tablet -
Salbutamol 4 mg tablet -
Salep 2 - 4 Pot -
Salisil Talk 2%-50 G Dos -
Sefadroksil 500 mg Kapsul -
Sefiksim 400 mg + Azithromicin 1000 mg amplop -
Semen Seng Fosfat Serbuk & Cairan Botol -
Sianokobalamin (Vit.B12) Tablet Tablet -
Silk ( Benang ) No. 3/0 Sachet -
Silver Sulfadiazin crm pot 500g pot -
Simetidin 200 mg Tablet -
Simvastatin tablet 10 mg Tablet -
Siprofloksasin 500 mg Tablet -
Spironolakton 25 mg tablet -
Spons Gelatin Unit -
Sulfasetamid Na. TM 15% Botol -
Tablet Tambah Darah (Besi) Tablet -
Temporary Filling Material Pot -
Teofilin 150 mg tablet -
Terbutalin 2,5 mg tablet -
Tetrasiklin 250 mg Kapsul -
Thiamin HCl 50 mg Tablet Tablet -
Thiamfenikol 500 mg Tablet -
Trifluoperazin 5mg tablet -
Trifluoperazin1 mg tablet -
Triheksifenidil HCl 2 mg Tab Tablet -
Trikresol Formalin (TKF)-10 ml Botol -
Verapamil 80 mg tablet -
Vitamin B Kompleks Tablet Tablet -
Yellow Tips Buah -
Zinc tablet Tablet -
Amonium Oksalat Botol -
Aquabidest 500 ml botol -
Asam Sulfo Salisilat 20 %-100 ml Botol -
Asam urat kit , 30 ml set -
HB Cyanmed 500 ml Botol -
HDL test kit-precipit, 80 ml set -
Immersion Oil Botol -
Indikator pH universal Botol -
Kolesterol test kit, 100 ml set -
Kreatinin test kit, 200 ml set -
Lart.Glukosa, 100 ml Botol -
Lart.Hayem, 100 ml Botol -
Lart.KOH 10%,100 ml Botol -
Larutan Benedict 500 ml Botol -
Larutan Eosin 2 % Botol -
Larutan Giemsa Stain - 100 ml Botol -
Larutan Turk - 100 ml Botol -
Metanol 500 ml Botol -
Natrium Sitrat 100 cc Botol -
Reagen Golongan Darah kotak -
Reagen Z. Nelsen Botol -
SGOT test kit set -
SGPT test kit set -
Trigliserida test kit, 100 ml set -
Ureum test kit set -
Amoksisilin sirup forte 250 mg/ 5 ml botol -
Betametason krim 0,5 mg/g tube -
Cetirizine sirup 5 mg/ 5 ml botol -
Ergotamin tablet 1 mg tablet -
Eritromisin kapsul 250 mg kapsul -
Kloramfenikol salap kulit 2 % tube -
Kloramfenikol tetes mata 0,5 % botol -
Kotrimoksazol tablet forte 960 mg tablet -
Zinc sirup 10 mg/ml botol -
Gliseril Guaicolat tablet -
Object Glass/Slide box -
Pot Dahak Buah -
Sarung tangan panjang Kebidanan pasang -
Sendok obat sirup Paket -
Spuit 10 cc set -
Urine Bag Buah -
Vacutainer Buah -
Vacutainer Needle Buah -
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20
Kode Puskesmas : 29
Nama Puskesmas : RS
Bulan Distribusi & NO SBBK
22/29/TPD/I/2014 24/29/TPD/I/2013
1 2
Abbocath no.20 set - - -
Abbocath no.24 set - - -
Alat Suntik Sekali Pakai 1 ml Set - - -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set - - -
Alat Suntik Sekali Pakai 5 ml Set - - -
Albendazol tablet 400 mg Tablet - - -
Alopurinol 100 mg Tablet - - -
Alprazolam tablet 0,5 mg Tablet - - -
Ambroxol sirup 15 mg/ml Botol - - -
Ambroxol tablet 30 mg Tablet - - -
Aminofilin 200 mg Tablet - - -
Amitriptilin HCL 25 mg Tablet - - -
Amlodipin 5 mg tablet - - -
Amoksisilin + As.Klavulanat 625 mg tab Tablet - - -
Amoksisilin 125 mg/5ml Syr kering Botol - - -
Amoksisilin 250 mg Kapsul - - -
Amoksisilin 500 mg Kaplet - - -
Antalgin 500 mg ( Metampiron ) Tablet - - -
Antasida Doen Tablet - - -
Antasida sirup Botol - - -
Anti Bakteri DOEN Tube - - -
Anti Fungi Pot - - -
Anti Hemoroid DOEN Unit - - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet - - -
Aqua Pro Injeksi 20 ml Flacon - - -
Asam Ascorbat 50 mg Tablet - - -
Asam Mefenamat 500 mg Kaplet - - -
Asetosal 100 mg tablet - - -
Asetosal 500 mg tablet - - -
Asiklovir Salep 5 % Tube - - -
Asiklovir Tablet 200 mg Tablet - - -
Asiklovir Tablet 400 mg Tablet - - -
Atenolol 50 mg tablet - - -
Betametason Krim 0,1 % Tube - - -
Bisoprolol 5 mg tablet - - -
Nama dan Kode Barang Satuan Jumlah
Blood Lancet Dos - - -
Blue Tips Buah - - -
Carbo Adsorben (Norit) Tablet - - -
Cat Gut (benang bedah) no 3 Unit - - -
Cat Gut (benang bedah) no.2 Unit - - -
Cetirizine tablet 10 mg Tablet - - -
Deksametason Injeksi Ampul - - -
Deksametason Tablet 0.5 mg Tablet - - -
Dekstrometorfan Syrup Botol - - -
Dekstrometorfan Tablet 15 mg Tablet - - -
Devitalisasai Pasta Pot - - -
Diazepam 2 mg Tablet Tablet - - -
Diazepam Injeksi Ampul - - -
Difenhidramin Injeksi 10 mg/ml Ampul - - -
Digoksin Tablet 0,25 mg Tablet - - -
Diltiazem tablet 30 mg Tablet - - -
Doksisiklin 100 mg kapsul - - -
Efedrin HCl Tablet 25 mg Tablet - - -
Ekstract Belladona Tablet - - -
Epinefrin HCl /Adrenalin Injeksi Ampul - - -
Erytromysin 500 mg Kaplet - - -
Ethambutol Tablet 250 mg Tablet - - -
Ethambutol Tablet 500 mg Tablet - - -
Ethanol 70 %- 1000 ml Botol - - -
Etil Klorida Semprot- 100 ml Botol - - -
Eugenol Cairan Botol - - -
FDC 1 & 3 Paket 32 16 16
FDC 2 Paket - - -
FDC Anak Paket 10 10 -
FDC Sisipan Paket - - -
Fenitoin Natrium 100 mg Tablet - - -
Fenitoin Natrium 30 mg Tablet - - -
Fenobarbital 30 mg Tablet - - -
Fenobarbital Injeksi Ampul - - -
Fenoksimetil Penisilin 500 mg Tablet - - -
Fenol Gliserol Tetes Telinga 10% Botol - - -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul - - -
Fitomenadion (Vit K ) Tablet Tablet - - -
Fluconazol tablet 150 mg Tablet - - -
Furosemid Tablet 40 mg Tablet - - -
Garam Oralit 200 ml Sachet - - -
Glass Ionomer Cement (GC 1X) Pot - - -
Glibenklamid Tablet 5 mg Tablet - - -
Glikuidon 30 mg tablet - - -
Glimepiride 1 mg tablet - - -
Glimepiride 2 mg tablet - - -
Glipizide 5 mg tablet - - -
Glukosa Lart. Infus 10% - 500 ml Botol - - -
Glukosa Lart. Infus 5% - 500 ml Botol - - -
Griseofulvin Tablet 125 mg Tablet - - -
Haloperidol Tablet 1,5 Mg Tablet - - -
Haloperidol Tablet 5 mg Tablet - - -
Handscoon latex non steril uk M box - - -
Handscoon latex non steril uk S box - - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet - - -
Hidrokortison Krim 2,5% Tube - - -
Ibuprofen 200 mg Tablet - - -
Imipramin 25 mg tablet - - -
Infusion Anak Set - - -
Infusion Dewasa Set - - -
Isoniazid Tablet 300 mg Tablet - - -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet - - -
Kalsium Hidroksida Pasta Pot - - -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet - - -
Kapas Pembalut/Adsorben 250 g Bgks - - -
Kaptopril 12.5 mg Tablet - - -
Kaptopril 25 mg Tablet - - -
Karbamazepin 200 mg Tablet - - -
Kasa Kompres 2m x 80 cm Roll - - -
Kasa Kompres 40/40 Roll - - -
Kasa Pembalut Hidrofil 4 mx 3cm Roll - - -
Kasa Pembalut Hidrofil 4 mx15 cm Roll - - -
Klindamisin 300 mg Kapsul - - -
Klonidin 0,15 mg tablet - - -
Kloramfenikol Salep Mata 1% Tube - - -
Kloramfenikol Kapsul 250 mg Kapsul - - -
Klorfeniramin Maleat (CTM) 4 mg Tablet - - -
Klorin larutan Botol - - -
Klorpromazin HCl Tablet 100 mg Tablet - - -
Klorpromazin HCl Tablet 25 mg Tablet - - -
Kodein Fosfat Tablet 10 mg Tablet - - -
Kotrimoxazol Syrup Botol - - -
Kotrimoxazol 120 Paediatrik Tablet - - -
Kotrimoxazol 480 Dewasa Tablet - - -
L i s o l Botol - - -
Lidokain inj ampul - - -
Lidokain Komb 2 % Ampul - - -
Loratadin 10 mg Tablet - - -
Lorazepam tablet - - -
Masker earloop box@50 pcs box - - -
Metformin HCl tablet 500 mg Tablet - - -
Metilprednisolon 4 mg tablet - - -
Metoklopramid inj.5 mg/ml Ampul - - -
Metoklopramid tablet 10 mg Tablet - - -
Metronidazol Tablet 250 mg Tablet - - -
Metronidazol Tablet 500 mg Tablet - - -
Metylergometrin Maleat Injk Ampul - - -
Metylergometrin Maleat Tablet Tablet - - -
Mineral mix sachet - - -
Monoklor Kamfer Mentol (CHKM) Pot - - -
Mumifying Pasta Pot - - -
Myconazol SK Tube - - -
Natrium Bikarbonat Tablet 500 mg Tablet - - -
Natrium Diklofenak tablet 25 mg Tablet - - -
Natrium Klorida 0,9% Infus Botol - - -
Nifedipin Tablet 10 mg Tablet - - -
Nistatin Tablet Salut 500 000 IU g Tablet - - -
Nistatin Vaginal 100 000 IU g Tablet - - -
Obat Batuk Hitam (OBH) 100 ml Botol - - -
Oksitetrasiklin HCl 1% SM Tube - - -
Oksitetrasiklin HCl 3% SK Tube - - -
Oksitosin Injeksi Ampul - - -
Parasetamol Syrup 120 mg/5ml Botol - - -
Parasetamol Tablet 100 mg Tablet - - -
Parasetamol Tablet 500 mg Tablet - - -
Piracetam 800 mg Tablet - - -
Pirantel Tablet 125 mg Tablet - - -
Pirazinamid 500 mg Tablet - - -
Piridoksin HCl (Vit B6) 10 mg Tablet - - -
Piroksikam 20 mg Tablet - - -
Plester 5 Yard x 2 1nch Roll - - -
Polikresulen 10-ml / Albotyl Botol - - -
Povidon Iodida 10 %- 300 ml Botol - - -
Prednison 5 mg Tablet Tablet - - -
Prometazin 25 mg tablet - - -
Propanolol HCl 40 mg Tablet - - -
Propiltyourasil Tablet 100 mg Tablet - - -
Ranitidin 150 mg Tablet - - -
Resin Composit set - - -
Retinol ( Vit.A ) 100 000 IU Kapsul - - -
Retinol ( Vit.A ) 200 000 IU Kapsul - - -
Rifampisin 300 mg Kapsul - - -
Rifampisin 450 mg Kaplet - - -
Rifampisin 600 mg Kaplet - - -
Ringar Laktat Lar. Infus Botol - - -
Risperidon 1 mg tablet - - -
Risperidon 2 mg tablet - - -
Salbutamol 2 mg Tablet - - -
Salbutamol 4 mg tablet - - -
Salep 2 - 4 Pot - - -
Salisil Talk 2%-50 G Dos - - -
Sefadroksil 500 mg Kapsul - - -
Sefiksim 400 mg + Azithromicin 1000 mg amplop - - -
Semen Seng Fosfat Serbuk & Cairan Botol - - -
Sianokobalamin (Vit.B12) Tablet Tablet - - -
Silk ( Benang ) No. 3/0 Sachet - - -
Silver Sulfadiazin crm pot 500g pot - - -
Simetidin 200 mg Tablet - - -
Simvastatin tablet 10 mg Tablet - - -
Siprofloksasin 500 mg Tablet - - -
Spironolakton 25 mg tablet - - -
Spons Gelatin Unit - - -
Sulfasetamid Na. TM 15% Botol - - -
Tablet Tambah Darah (Besi) Tablet - - -
Temporary Filling Material Pot - - -
Teofilin 150 mg tablet - - -
Terbutalin 2,5 mg tablet - - -
Tetrasiklin 250 mg Kapsul - - -
Thiamin HCl 50 mg Tablet Tablet - - -
Thiamfenikol 500 mg Tablet - - -
Trifluoperazin 5mg tablet - - -
Trifluoperazin1 mg tablet - - -
Triheksifenidil HCl 2 mg Tab Tablet - - -
Trikresol Formalin (TKF)-10 ml Botol - - -
Verapamil 80 mg tablet - - -
Vitamin B Kompleks Tablet Tablet - - -
Yellow Tips Buah - - -
Zinc tablet Tablet - - -
Amonium Oksalat Botol - - -
Aquabidest 500 ml botol - - -
Asam Sulfo Salisilat 20 %-100 ml Botol - - -
Asam urat kit , 30 ml set - - -
HB Cyanmed 500 ml Botol - - -
HDL test kit-precipit, 80 ml set - - -
Immersion Oil Botol - - -
Indikator pH universal Botol - - -
Kolesterol test kit, 100 ml set - - -
Kreatinin test kit, 200 ml set - - -
Lart.Glukosa, 100 ml Botol - - -
Lart.Hayem, 100 ml Botol - - -
Lart.KOH 10%,100 ml Botol - - -
Larutan Benedict 500 ml Botol - - -
Larutan Eosin 2 % Botol - - -
Larutan Giemsa Stain - 100 ml Botol - - -
Larutan Turk - 100 ml Botol - - -
Metanol 500 ml Botol - - -
Natrium Sitrat 100 cc Botol - - -
Reagen Golongan Darah kotak - - -
Reagen Z. Nelsen Botol 8 5 3
SGOT test kit set - - -
SGPT test kit set - - -
Trigliserida test kit, 100 ml set - - -
Ureum test kit set - - -
Amoksisilin sirup forte 250 mg/ 5 ml botol - - -
Betametason krim 0,5 mg/g tube - - -
Cetirizine sirup 5 mg/ 5 ml botol - - -
Ergotamin tablet 1 mg tablet - - -
Eritromisin kapsul 250 mg kapsul - - -
Kloramfenikol salap kulit 2 % tube - - -
Kloramfenikol tetes mata 0,5 % botol - - -
Kotrimoksazol tablet forte 960 mg tablet - - -
Zinc sirup 10 mg/ml botol - - -
Gliseril Guaicolat tablet - - -
Object Glass/Slide box 3 - 3
Pot Dahak Buah - - -
Sarung tangan panjang Kebidanan pasang - - -
Sendok obat sirup Paket - - -
Spuit 10 cc set - - -
Urine Bag Buah - - -
Vacutainer Buah - - -
Vacutainer Needle Buah - - -
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20
Kode Puskesmas : 30
Nama Puskesmas : Bp Kejakasaan
Bulan Distribusi & NO SBBK
1 2
Abbocath no.20 set -
Abbocath no.24 set -
Alat Suntik Sekali Pakai 1 ml Set -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set -
Alat Suntik Sekali Pakai 5 ml Set -
Albendazol tablet 400 mg Tablet -
Alopurinol 100 mg Tablet -
Alprazolam tablet 0,5 mg Tablet -
Ambroxol sirup 15 mg/ml Botol -
Ambroxol tablet 30 mg Tablet -
Aminofilin 200 mg Tablet -
Amitriptilin HCL 25 mg Tablet -
Amlodipin 5 mg tablet -
Amoksisilin + As.Klavulanat 625 mg tab Tablet -
Amoksisilin 125 mg/5ml Syr kering Botol -
Amoksisilin 250 mg Kapsul -
Amoksisilin 500 mg Kaplet -
Antalgin 500 mg ( Metampiron ) Tablet -
Antasida Doen Tablet -
Antasida sirup Botol -
Anti Bakteri DOEN Tube -
Anti Fungi Pot -
Anti Hemoroid DOEN Unit -
Anti Migren DOEN ( Ergo+Kaffein) Tablet -
Aqua Pro Injeksi 20 ml Flacon -
Asam Ascorbat 50 mg Tablet -
Asam Mefenamat 500 mg Kaplet -
Asetosal 100 mg tablet -
Asetosal 500 mg tablet -
Asiklovir Salep 5 % Tube -
Asiklovir Tablet 200 mg Tablet -
Asiklovir Tablet 400 mg Tablet -
Atenolol 50 mg tablet -
Betametason Krim 0,1 % Tube -
Bisoprolol 5 mg tablet -
Blood Lancet Dos -
Nama dan Kode Barang Satuan Jumlah
Blue Tips Buah -
Carbo Adsorben (Norit) Tablet -
Cat Gut (benang bedah) no 3 Unit -
Cat Gut (benang bedah) no.2 Unit -
Cetirizine tablet 10 mg Tablet -
Deksametason Injeksi Ampul -
Deksametason Tablet 0.5 mg Tablet -
Dekstrometorfan Syrup Botol -
Dekstrometorfan Tablet 15 mg Tablet -
Devitalisasai Pasta Pot -
Diazepam 2 mg Tablet Tablet -
Diazepam Injeksi Ampul -
Difenhidramin Injeksi 10 mg/ml Ampul -
Digoksin Tablet 0,25 mg Tablet -
Diltiazem tablet 30 mg Tablet -
Doksisiklin 100 mg kapsul -
Efedrin HCl Tablet 25 mg Tablet -
Ekstract Belladona Tablet -
Epinefrin HCl /Adrenalin Injeksi Ampul -
Erytromysin 500 mg Kaplet -
Ethambutol Tablet 250 mg Tablet -
Ethambutol Tablet 500 mg Tablet -
Ethanol 70 %- 1000 ml Botol -
Etil Klorida Semprot- 100 ml Botol -
Eugenol Cairan Botol -
FDC 1 & 3 Paket -
FDC 2 Paket -
FDC Anak Paket -
FDC Sisipan Paket -
Fenitoin Natrium 100 mg Tablet -
Fenitoin Natrium 30 mg Tablet -
Fenobarbital 30 mg Tablet -
Fenobarbital Injeksi Ampul -
Fenoksimetil Penisilin 500 mg Tablet -
Fenol Gliserol Tetes Telinga 10% Botol -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul -
Fitomenadion (Vit K ) Tablet Tablet -
Fluconazol tablet 150 mg Tablet -
Furosemid Tablet 40 mg Tablet -
Garam Oralit 200 ml Sachet -
Glass Ionomer Cement (GC 1X) Pot -
Glibenklamid Tablet 5 mg Tablet -
Glikuidon 30 mg tablet -
Glimepiride 1 mg tablet -
Glimepiride 2 mg tablet -
Glipizide 5 mg tablet -
Glukosa Lart. Infus 10% - 500 ml Botol -
Glukosa Lart. Infus 5% - 500 ml Botol -
Griseofulvin Tablet 125 mg Tablet -
Haloperidol Tablet 1,5 Mg Tablet -
Haloperidol Tablet 5 mg Tablet -
Handscoon latex non steril uk M box -
Handscoon latex non steril uk S box -
Hidroklortiazid (HCT) Tablet 25 mg Tablet -
Hidrokortison Krim 2,5% Tube -
Ibuprofen 200 mg Tablet -
Imipramin 25 mg tablet -
Infusion Anak Set -
Infusion Dewasa Set -
Isoniazid Tablet 300 mg Tablet -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
Kalsium Hidroksida Pasta Pot -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet -
Kapas Pembalut/Adsorben 250 g Bgks -
Kaptopril 12.5 mg Tablet -
Kaptopril 25 mg Tablet -
Karbamazepin 200 mg Tablet -
Kasa Kompres 2m x 80 cm Roll -
Kasa Kompres 40/40 Roll -
Kasa Pembalut Hidrofil 4 mx 3cm Roll -
Kasa Pembalut Hidrofil 4 mx15 cm Roll -
Klindamisin 300 mg Kapsul -
Klonidin 0,15 mg tablet -
Kloramfenikol Salep Mata 1% Tube -
Kloramfenikol Kapsul 250 mg Kapsul -
Klorfeniramin Maleat (CTM) 4 mg Tablet -
Klorin larutan Botol -
Klorpromazin HCl Tablet 100 mg Tablet -
Klorpromazin HCl Tablet 25 mg Tablet -
Kodein Fosfat Tablet 10 mg Tablet -
Kotrimoxazol Syrup Botol -
Kotrimoxazol 120 Paediatrik Tablet -
Kotrimoxazol 480 Dewasa Tablet -
L i s o l Botol -
Lidokain inj ampul -
Lidokain Komb 2 % Ampul -
Loratadin 10 mg Tablet -
Lorazepam tablet -
Masker earloop box@50 pcs box -
Metformin HCl tablet 500 mg Tablet -
Metilprednisolon 4 mg tablet -
Metoklopramid inj.5 mg/ml Ampul -
Metoklopramid tablet 10 mg Tablet -
Metronidazol Tablet 250 mg Tablet -
Metronidazol Tablet 500 mg Tablet -
Metylergometrin Maleat Injk Ampul -
Metylergometrin Maleat Tablet Tablet -
Mineral mix sachet -
Monoklor Kamfer Mentol (CHKM) Pot -
Mumifying Pasta Pot -
Myconazol SK Tube -
Natrium Bikarbonat Tablet 500 mg Tablet -
Natrium Diklofenak tablet 25 mg Tablet -
Natrium Klorida 0,9% Infus Botol -
Nifedipin Tablet 10 mg Tablet -
Nistatin Tablet Salut 500 000 IU g Tablet -
Nistatin Vaginal 100 000 IU g Tablet -
Obat Batuk Hitam (OBH) 100 ml Botol -
Oksitetrasiklin HCl 1% SM Tube -
Oksitetrasiklin HCl 3% SK Tube -
Oksitosin Injeksi Ampul -
Parasetamol Syrup 120 mg/5ml Botol -
Parasetamol Tablet 100 mg Tablet -
Parasetamol Tablet 500 mg Tablet -
Piracetam 800 mg Tablet -
Pirantel Tablet 125 mg Tablet -
Pirazinamid 500 mg Tablet -
Piridoksin HCl (Vit B6) 10 mg Tablet -
Piroksikam 20 mg Tablet -
Plester 5 Yard x 2 1nch Roll -
Polikresulen 10-ml / Albotyl Botol -
Povidon Iodida 10 %- 300 ml Botol -
Prednison 5 mg Tablet Tablet -
Prometazin 25 mg tablet -
Propanolol HCl 40 mg Tablet -
Propiltyourasil Tablet 100 mg Tablet -
Ranitidin 150 mg Tablet -
Resin Composit set -
Retinol ( Vit.A ) 100 000 IU Kapsul -
Retinol ( Vit.A ) 200 000 IU Kapsul -
Rifampisin 300 mg Kapsul -
Rifampisin 450 mg Kaplet -
Rifampisin 600 mg Kaplet -
Ringar Laktat Lar. Infus Botol -
Risperidon 1 mg tablet -
Risperidon 2 mg tablet -
Salbutamol 2 mg Tablet -
Salbutamol 4 mg tablet -
Salep 2 - 4 Pot -
Salisil Talk 2%-50 G Dos -
Sefadroksil 500 mg Kapsul -
Sefiksim 400 mg + Azithromicin 1000 mg amplop -
Semen Seng Fosfat Serbuk & Cairan Botol -
Sianokobalamin (Vit.B12) Tablet Tablet -
Silk ( Benang ) No. 3/0 Sachet -
Silver Sulfadiazin crm pot 500g pot -
Simetidin 200 mg Tablet -
Simvastatin tablet 10 mg Tablet -
Siprofloksasin 500 mg Tablet -
Spironolakton 25 mg tablet -
Spons Gelatin Unit -
Sulfasetamid Na. TM 15% Botol -
Tablet Tambah Darah (Besi) Tablet -
Temporary Filling Material Pot -
Teofilin 150 mg tablet -
Terbutalin 2,5 mg tablet -
Tetrasiklin 250 mg Kapsul -
Thiamin HCl 50 mg Tablet Tablet -
Thiamfenikol 500 mg Tablet -
Trifluoperazin 5mg tablet -
Trifluoperazin1 mg tablet -
Triheksifenidil HCl 2 mg Tab Tablet -
Trikresol Formalin (TKF)-10 ml Botol -
Verapamil 80 mg tablet -
Vitamin B Kompleks Tablet Tablet -
Yellow Tips Buah -
Zinc tablet Tablet -
Amonium Oksalat Botol -
Aquabidest 500 ml botol -
Asam Sulfo Salisilat 20 %-100 ml Botol -
Asam urat kit , 30 ml set -
HB Cyanmed 500 ml Botol -
HDL test kit-precipit, 80 ml set -
Immersion Oil Botol -
Indikator pH universal Botol -
Kolesterol test kit, 100 ml set -
Kreatinin test kit, 200 ml set -
Lart.Glukosa, 100 ml Botol -
Lart.Hayem, 100 ml Botol -
Lart.KOH 10%,100 ml Botol -
Larutan Benedict 500 ml Botol -
Larutan Eosin 2 % Botol -
Larutan Giemsa Stain - 100 ml Botol -
Larutan Turk - 100 ml Botol -
Metanol 500 ml Botol -
Natrium Sitrat 100 cc Botol -
Reagen Golongan Darah kotak -
Reagen Z. Nelsen Botol -
SGOT test kit set -
SGPT test kit set -
Trigliserida test kit, 100 ml set -
Ureum test kit set -
Amoksisilin sirup forte 250 mg/ 5 ml botol -
Betametason krim 0,5 mg/g tube -
Cetirizine sirup 5 mg/ 5 ml botol -
Ergotamin tablet 1 mg tablet -
Eritromisin kapsul 250 mg kapsul -
Kloramfenikol salap kulit 2 % tube -
Kloramfenikol tetes mata 0,5 % botol -
Kotrimoksazol tablet forte 960 mg tablet -
Zinc sirup 10 mg/ml botol -
Gliseril Guaicolat tablet -
Object Glass/Slide box -
Pot Dahak Buah -
Sarung tangan panjang Kebidanan pasang -
Sendok obat sirup Paket -
Spuit 10 cc set -
Urine Bag Buah -
Vacutainer Buah -
Vacutainer Needle Buah -
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20
Kode Puskesmas : 31
Nama Puskesmas : Kesga/P3KL
Bulan Distribusi & NO SBBK
25/26/TPD/II/2014
1
Abbocath no.20 set - -
Abbocath no.24 set - -
Alat Suntik Sekali Pakai 1 ml Set - -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set - -
Alat Suntik Sekali Pakai 5 ml Set - -
Albendazol tablet 400 mg Tablet - -
Alopurinol 100 mg Tablet - -
Alprazolam tablet 0,5 mg Tablet - -
Ambroxol sirup 15 mg/ml Botol - -
Ambroxol tablet 30 mg Tablet - -
Aminofilin 200 mg Tablet - -
Amitriptilin HCL 25 mg Tablet - -
Amlodipin 5 mg tablet - -
Amoksisilin + As.Klavulanat 625 mg tab Tablet - -
Amoksisilin 125 mg/5ml Syr kering Botol - -
Amoksisilin 250 mg Kapsul - -
Amoksisilin 500 mg Kaplet - -
Antalgin 500 mg ( Metampiron ) Tablet - -
Antasida Doen Tablet - -
Antasida sirup Botol - -
Anti Bakteri DOEN Tube - -
Anti Fungi Pot - -
Anti Hemoroid DOEN Unit - -
Anti Migren DOEN ( Ergo+Kaffein) Tablet - -
Aqua Pro Injeksi 20 ml Flacon - -
Asam Ascorbat 50 mg Tablet - -
Asam Mefenamat 500 mg Kaplet - -
Asetosal 100 mg tablet - -
Asetosal 500 mg tablet - -
Asiklovir Salep 5 % Tube - -
Asiklovir Tablet 200 mg Tablet - -
Asiklovir Tablet 400 mg Tablet - -
Atenolol 50 mg tablet - -
Betametason Krim 0,1 % Tube - -
Bisoprolol 5 mg tablet - -
Blood Lancet Dos - -
Nama dan Kode Barang Satuan Jumlah
Blue Tips Buah - -
Carbo Adsorben (Norit) Tablet - -
Cat Gut (benang bedah) no 3 Unit - -
Cat Gut (benang bedah) no.2 Unit - -
Cetirizine tablet 10 mg Tablet - -
Deksametason Injeksi Ampul - -
Deksametason Tablet 0.5 mg Tablet - -
Dekstrometorfan Syrup Botol - -
Dekstrometorfan Tablet 15 mg Tablet - -
Devitalisasai Pasta Pot - -
Diazepam 2 mg Tablet Tablet - -
Diazepam Injeksi Ampul - -
Difenhidramin Injeksi 10 mg/ml Ampul - -
Digoksin Tablet 0,25 mg Tablet - -
Diltiazem tablet 30 mg Tablet - -
Doksisiklin 100 mg kapsul - -
Efedrin HCl Tablet 25 mg Tablet - -
Ekstract Belladona Tablet - -
Epinefrin HCl /Adrenalin Injeksi Ampul - -
Erytromysin 500 mg Kaplet - -
Ethambutol Tablet 250 mg Tablet - -
Ethambutol Tablet 500 mg Tablet - -
Ethanol 70 %- 1000 ml Botol - -
Etil Klorida Semprot- 100 ml Botol - -
Eugenol Cairan Botol - -
FDC 1 & 3 Paket - -
FDC 2 Paket - -
FDC Anak Paket - -
FDC Sisipan Paket - -
Fenitoin Natrium 100 mg Tablet - -
Fenitoin Natrium 30 mg Tablet - -
Fenobarbital 30 mg Tablet - -
Fenobarbital Injeksi Ampul - -
Fenoksimetil Penisilin 500 mg Tablet - -
Fenol Gliserol Tetes Telinga 10% Botol - -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul - -
Fitomenadion (Vit K ) Tablet Tablet - -
Fluconazol tablet 150 mg Tablet - -
Furosemid Tablet 40 mg Tablet - -
Garam Oralit 200 ml Sachet - -
Glass Ionomer Cement (GC 1X) Pot - -
Glibenklamid Tablet 5 mg Tablet - -
Glikuidon 30 mg tablet - -
Glimepiride 1 mg tablet - -
Glimepiride 2 mg tablet - -
Glipizide 5 mg tablet - -
Glukosa Lart. Infus 10% - 500 ml Botol - -
Glukosa Lart. Infus 5% - 500 ml Botol - -
Griseofulvin Tablet 125 mg Tablet - -
Haloperidol Tablet 1,5 Mg Tablet - -
Haloperidol Tablet 5 mg Tablet - -
Handscoon latex non steril uk M box - -
Handscoon latex non steril uk S box - -
Hidroklortiazid (HCT) Tablet 25 mg Tablet - -
Hidrokortison Krim 2,5% Tube - -
Ibuprofen 200 mg Tablet - -
Imipramin 25 mg tablet - -
Infusion Anak Set - -
Infusion Dewasa Set - -
Isoniazid Tablet 300 mg Tablet - -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet - -
Kalsium Hidroksida Pasta Pot - -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet - -
Kapas Pembalut/Adsorben 250 g Bgks - -
Kaptopril 12.5 mg Tablet - -
Kaptopril 25 mg Tablet - -
Karbamazepin 200 mg Tablet - -
Kasa Kompres 2m x 80 cm Roll - -
Kasa Kompres 40/40 Roll - -
Kasa Pembalut Hidrofil 4 mx 3cm Roll - -
Kasa Pembalut Hidrofil 4 mx15 cm Roll - -
Klindamisin 300 mg Kapsul - -
Klonidin 0,15 mg tablet - -
Kloramfenikol Salep Mata 1% Tube - -
Kloramfenikol Kapsul 250 mg Kapsul - -
Klorfeniramin Maleat (CTM) 4 mg Tablet - -
Klorin larutan Botol - -
Klorpromazin HCl Tablet 100 mg Tablet - -
Klorpromazin HCl Tablet 25 mg Tablet - -
Kodein Fosfat Tablet 10 mg Tablet - -
Kotrimoxazol Syrup Botol - -
Kotrimoxazol 120 Paediatrik Tablet - -
Kotrimoxazol 480 Dewasa Tablet - -
L i s o l Botol - -
Lidokain inj ampul - -
Lidokain Komb 2 % Ampul - -
Loratadin 10 mg Tablet - -
Lorazepam tablet - -
Masker earloop box@50 pcs box - -
Metformin HCl tablet 500 mg Tablet - -
Metilprednisolon 4 mg tablet - -
Metoklopramid inj.5 mg/ml Ampul - -
Metoklopramid tablet 10 mg Tablet - -
Metronidazol Tablet 250 mg Tablet - -
Metronidazol Tablet 500 mg Tablet - -
Metylergometrin Maleat Injk Ampul - -
Metylergometrin Maleat Tablet Tablet - -
Mineral mix sachet - -
Monoklor Kamfer Mentol (CHKM) Pot - -
Mumifying Pasta Pot - -
Myconazol SK Tube - -
Natrium Bikarbonat Tablet 500 mg Tablet - -
Natrium Diklofenak tablet 25 mg Tablet - -
Natrium Klorida 0,9% Infus Botol - -
Nifedipin Tablet 10 mg Tablet - -
Nistatin Tablet Salut 500 000 IU g Tablet - -
Nistatin Vaginal 100 000 IU g Tablet - -
Obat Batuk Hitam (OBH) 100 ml Botol - -
Oksitetrasiklin HCl 1% SM Tube - -
Oksitetrasiklin HCl 3% SK Tube - -
Oksitosin Injeksi Ampul - -
Parasetamol Syrup 120 mg/5ml Botol - -
Parasetamol Tablet 100 mg Tablet - -
Parasetamol Tablet 500 mg Tablet - -
Piracetam 800 mg Tablet - -
Pirantel Tablet 125 mg Tablet - -
Pirazinamid 500 mg Tablet - -
Piridoksin HCl (Vit B6) 10 mg Tablet - -
Piroksikam 20 mg Tablet - -
Plester 5 Yard x 2 1nch Roll - -
Polikresulen 10-ml / Albotyl Botol - -
Povidon Iodida 10 %- 300 ml Botol - -
Prednison 5 mg Tablet Tablet - -
Prometazin 25 mg tablet - -
Propanolol HCl 40 mg Tablet - -
Propiltyourasil Tablet 100 mg Tablet - -
Ranitidin 150 mg Tablet - -
Resin Composit set - -
Retinol ( Vit.A ) 100 000 IU Kapsul - -
Retinol ( Vit.A ) 200 000 IU Kapsul - -
Rifampisin 300 mg Kapsul - -
Rifampisin 450 mg Kaplet - -
Rifampisin 600 mg Kaplet - -
Ringar Laktat Lar. Infus Botol - -
Risperidon 1 mg tablet - -
Risperidon 2 mg tablet - -
Salbutamol 2 mg Tablet - -
Salbutamol 4 mg tablet - -
Salep 2 - 4 Pot - -
Salisil Talk 2%-50 G Dos - -
Sefadroksil 500 mg Kapsul - -
Sefiksim 400 mg + Azithromicin 1000 mg amplop - -
Semen Seng Fosfat Serbuk & Cairan Botol - -
Sianokobalamin (Vit.B12) Tablet Tablet - -
Silk ( Benang ) No. 3/0 Sachet - -
Silver Sulfadiazin crm pot 500g pot - -
Simetidin 200 mg Tablet - -
Simvastatin tablet 10 mg Tablet - -
Siprofloksasin 500 mg Tablet - -
Spironolakton 25 mg tablet - -
Spons Gelatin Unit - -
Sulfasetamid Na. TM 15% Botol - -
Tablet Tambah Darah (Besi) Tablet - -
Temporary Filling Material Pot - -
Teofilin 150 mg tablet - -
Terbutalin 2,5 mg tablet - -
Tetrasiklin 250 mg Kapsul - -
Thiamin HCl 50 mg Tablet Tablet - -
Thiamfenikol 500 mg Tablet - -
Trifluoperazin 5mg tablet - -
Trifluoperazin1 mg tablet - -
Triheksifenidil HCl 2 mg Tab Tablet - -
Trikresol Formalin (TKF)-10 ml Botol - -
Verapamil 80 mg tablet - -
Vitamin B Kompleks Tablet Tablet - -
Yellow Tips Buah - -
Zinc tablet Tablet - -
Amonium Oksalat Botol - -
Aquabidest 500 ml botol - -
Asam Sulfo Salisilat 20 %-100 ml Botol - -
Asam urat kit , 30 ml set - -
HB Cyanmed 500 ml Botol - -
HDL test kit-precipit, 80 ml set - -
Immersion Oil Botol - -
Indikator pH universal Botol - -
Kolesterol test kit, 100 ml set - -
Kreatinin test kit, 200 ml set - -
Lart.Glukosa, 100 ml Botol - -
Lart.Hayem, 100 ml Botol - -
Lart.KOH 10%,100 ml Botol - -
Larutan Benedict 500 ml Botol - -
Larutan Eosin 2 % Botol - -
Larutan Giemsa Stain - 100 ml Botol - -
Larutan Turk - 100 ml Botol - -
Metanol 500 ml Botol - -
Natrium Sitrat 100 cc Botol - -
Reagen Golongan Darah kotak - -
Reagen Z. Nelsen Botol - -
SGOT test kit set - -
SGPT test kit set - -
Trigliserida test kit, 100 ml set - -
Ureum test kit set - -
Amoksisilin sirup forte 250 mg/ 5 ml botol - -
Betametason krim 0,5 mg/g tube - -
Cetirizine sirup 5 mg/ 5 ml botol - -
Ergotamin tablet 1 mg tablet - -
Eritromisin kapsul 250 mg kapsul - -
Kloramfenikol salap kulit 2 % tube - -
Kloramfenikol tetes mata 0,5 % botol - -
Kotrimoksazol tablet forte 960 mg tablet - -
Zinc sirup 10 mg/ml botol - -
Gliseril Guaicolat tablet - -
Object Glass/Slide box - -
Pot Dahak Buah - -
Sarung tangan panjang Kebidanan pasang - -
Sendok obat sirup Paket - -
Spuit 10 cc set - -
Urine Bag Buah - -
Vacutainer Buah - -
Vacutainer Needle Buah - -
Bulan Distribusi & NO SBBK
2 3 4 5 6 7 8
9 10 11 12 13 14 15 16
17 18 19 20
Kode Puskesmas : 32
Nama Puskesmas : Kitan masal
Bulan Distribusi & NO SBBK
1 2
Abbocath no.20 set -
Abbocath no.24 set -
Alat Suntik Sekali Pakai 1 ml Set -
Alat Suntik Sekali Pakai 2,5 / 3 ml Set -
Alat Suntik Sekali Pakai 5 ml Set -
Albendazol tablet 400 mg Tablet -
Alopurinol 100 mg Tablet -
Alprazolam tablet 0,5 mg Tablet -
Ambroxol sirup 15 mg/ml Botol -
Ambroxol tablet 30 mg Tablet -
Aminofilin 200 mg Tablet -
Amitriptilin HCL 25 mg Tablet -
Amlodipin 5 mg tablet -
Amoksisilin + As.Klavulanat 625 mg tab Tablet -
Amoksisilin 125 mg/5ml Syr kering Botol -
Amoksisilin 250 mg Kapsul -
Amoksisilin 500 mg Kaplet -
Antalgin 500 mg ( Metampiron ) Tablet -
Antasida Doen Tablet -
Antasida sirup Botol -
Anti Bakteri DOEN Tube -
Anti Fungi Pot -
Anti Hemoroid DOEN Unit -
Anti Migren DOEN ( Ergo+Kaffein) Tablet -
Aqua Pro Injeksi 20 ml Flacon -
Asam Ascorbat 50 mg Tablet -
Asam Mefenamat 500 mg Kaplet -
Asetosal 100 mg tablet -
Asetosal 500 mg tablet -
Asiklovir Salep 5 % Tube -
Asiklovir Tablet 200 mg Tablet -
Asiklovir Tablet 400 mg Tablet -
Atenolol 50 mg tablet -
Betametason Krim 0,1 % Tube -
Bisoprolol 5 mg tablet -
Blood Lancet Dos -
Nama dan Kode Barang Satuan Jumlah
Blue Tips Buah -
Carbo Adsorben (Norit) Tablet -
Cat Gut (benang bedah) no 3 Unit -
Cat Gut (benang bedah) no.2 Unit -
Cetirizine tablet 10 mg Tablet -
Deksametason Injeksi Ampul -
Deksametason Tablet 0.5 mg Tablet -
Dekstrometorfan Syrup Botol -
Dekstrometorfan Tablet 15 mg Tablet -
Devitalisasai Pasta Pot -
Diazepam 2 mg Tablet Tablet -
Diazepam Injeksi Ampul -
Difenhidramin Injeksi 10 mg/ml Ampul -
Digoksin Tablet 0,25 mg Tablet -
Diltiazem tablet 30 mg Tablet -
Doksisiklin 100 mg kapsul -
Efedrin HCl Tablet 25 mg Tablet -
Ekstract Belladona Tablet -
Epinefrin HCl /Adrenalin Injeksi Ampul -
Erytromysin 500 mg Kaplet -
Ethambutol Tablet 250 mg Tablet -
Ethambutol Tablet 500 mg Tablet -
Ethanol 70 %- 1000 ml Botol -
Etil Klorida Semprot- 100 ml Botol -
Eugenol Cairan Botol -
FDC 1 & 3 Paket -
FDC 2 Paket -
FDC Anak Paket -
FDC Sisipan Paket -
Fenitoin Natrium 100 mg Tablet -
Fenitoin Natrium 30 mg Tablet -
Fenobarbital 30 mg Tablet -
Fenobarbital Injeksi Ampul -
Fenoksimetil Penisilin 500 mg Tablet -
Fenol Gliserol Tetes Telinga 10% Botol -
Fitomenadion (Vit K ) inj. 10 mg/ml ampul -
Fitomenadion (Vit K ) Tablet Tablet -
Fluconazol tablet 150 mg Tablet -
Furosemid Tablet 40 mg Tablet -
Garam Oralit 200 ml Sachet -
Glass Ionomer Cement (GC 1X) Pot -
Glibenklamid Tablet 5 mg Tablet -
Glikuidon 30 mg tablet -
Glimepiride 1 mg tablet -
Glimepiride 2 mg tablet -
Glipizide 5 mg tablet -
Glukosa Lart. Infus 10% - 500 ml Botol -
Glukosa Lart. Infus 5% - 500 ml Botol -
Griseofulvin Tablet 125 mg Tablet -
Haloperidol Tablet 1,5 Mg Tablet -
Haloperidol Tablet 5 mg Tablet -
Handscoon latex non steril uk M box -
Handscoon latex non steril uk S box -
Hidroklortiazid (HCT) Tablet 25 mg Tablet -
Hidrokortison Krim 2,5% Tube -
Ibuprofen 200 mg Tablet -
Imipramin 25 mg tablet -
Infusion Anak Set -
Infusion Dewasa Set -
Isoniazid Tablet 300 mg Tablet -
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
Kalsium Hidroksida Pasta Pot -
Kalsium Laktat (Kalk) Tab. 500 mg Tablet -
Kapas Pembalut/Adsorben 250 g Bgks -
Kaptopril 12.5 mg Tablet -
Kaptopril 25 mg Tablet -
Karbamazepin 200 mg Tablet -
Kasa Kompres 2m x 80 cm Roll -
Kasa Kompres 40/40 Roll -
Kasa Pembalut Hidrofil 4 mx 3cm Roll -
Kasa Pembalut Hidrofil 4 mx15 cm Roll -
Klindamisin 300 mg Kapsul -
Klonidin 0,15 mg tablet -
Kloramfenikol Salep Mata 1% Tube -
Kloramfenikol Kapsul 250 mg Kapsul -
Klorfeniramin Maleat (CTM) 4 mg Tablet -
Klorin larutan Botol -
Klorpromazin HCl Tablet 100 mg Tablet -
Klorpromazin HCl Tablet 25 mg Tablet -
Kodein Fosfat Tablet 10 mg Tablet -
Kotrimoxazol Syrup Botol -
Kotrimoxazol 120 Paediatrik Tablet -
Kotrimoxazol 480 Dewasa Tablet -
L i s o l Botol -
Lidokain inj ampul -
Lidokain Komb 2 % Ampul -
Loratadin 10 mg Tablet -
Lorazepam tablet -
Masker earloop box@50 pcs box -
Metformin HCl tablet 500 mg Tablet -
Metilprednisolon 4 mg tablet -
Metoklopramid inj.5 mg/ml Ampul -
Metoklopramid tablet 10 mg Tablet -
Metronidazol Tablet 250 mg Tablet -
Metronidazol Tablet 500 mg Tablet -
Metylergometrin Maleat Injk Ampul -
Metylergometrin Maleat Tablet Tablet -
Mineral mix sachet -
Monoklor Kamfer Mentol (CHKM) Pot -
Mumifying Pasta Pot -
Myconazol SK Tube -
Natrium Bikarbonat Tablet 500 mg Tablet -
Natrium Diklofenak tablet 25 mg Tablet -
Natrium Klorida 0,9% Infus Botol -
Nifedipin Tablet 10 mg Tablet -
Nistatin Tablet Salut 500 000 IU g Tablet -
Nistatin Vaginal 100 000 IU g Tablet -
Obat Batuk Hitam (OBH) 100 ml Botol -
Oksitetrasiklin HCl 1% SM Tube -
Oksitetrasiklin HCl 3% SK Tube -
Oksitosin Injeksi Ampul -
Parasetamol Syrup 120 mg/5ml Botol -
Parasetamol Tablet 100 mg Tablet -
Parasetamol Tablet 500 mg Tablet -
Piracetam 800 mg Tablet -
Pirantel Tablet 125 mg Tablet -
Pirazinamid 500 mg Tablet -
Piridoksin HCl (Vit B6) 10 mg Tablet -
Piroksikam 20 mg Tablet -
Plester 5 Yard x 2 1nch Roll -
Polikresulen 10-ml / Albotyl Botol -
Povidon Iodida 10 %- 300 ml Botol -
Prednison 5 mg Tablet Tablet -
Prometazin 25 mg tablet -
Propanolol HCl 40 mg Tablet -
Propiltyourasil Tablet 100 mg Tablet -
Ranitidin 150 mg Tablet -
Resin Composit set -
Retinol ( Vit.A ) 100 000 IU Kapsul -
Retinol ( Vit.A ) 200 000 IU Kapsul -
Rifampisin 300 mg Kapsul -
Rifampisin 450 mg Kaplet -
Rifampisin 600 mg Kaplet -
Ringar Laktat Lar. Infus Botol -
Risperidon 1 mg tablet -
Risperidon 2 mg tablet -
Salbutamol 2 mg Tablet -
Salbutamol 4 mg tablet -
Salep 2 - 4 Pot -
Salisil Talk 2%-50 G Dos -
Sefadroksil 500 mg Kapsul -
Sefiksim 400 mg + Azithromicin 1000 mg amplop -
Semen Seng Fosfat Serbuk & Cairan Botol -
Sianokobalamin (Vit.B12) Tablet Tablet -
Silk ( Benang ) No. 3/0 Sachet -
Silver Sulfadiazin crm pot 500g pot -
Simetidin 200 mg Tablet -
Simvastatin tablet 10 mg Tablet -
Siprofloksasin 500 mg Tablet -
Spironolakton 25 mg tablet -
Spons Gelatin Unit -
Sulfasetamid Na. TM 15% Botol -
Tablet Tambah Darah (Besi) Tablet -
Temporary Filling Material Pot -
Teofilin 150 mg tablet -
Terbutalin 2,5 mg tablet -
Tetrasiklin 250 mg Kapsul -
Thiamin HCl 50 mg Tablet Tablet -
Thiamfenikol 500 mg Tablet -
Trifluoperazin 5mg tablet -
Trifluoperazin1 mg tablet -
Triheksifenidil HCl 2 mg Tab Tablet -
Trikresol Formalin (TKF)-10 ml Botol -
Verapamil 80 mg tablet -
Vitamin B Kompleks Tablet Tablet -
Yellow Tips Buah -
Zinc tablet Tablet -
Amonium Oksalat Botol -
Aquabidest 500 ml botol -
Asam Sulfo Salisilat 20 %-100 ml Botol -
Asam urat kit , 30 ml set -
HB Cyanmed 500 ml Botol -
HDL test kit-precipit, 80 ml set -
Immersion Oil Botol -
Indikator pH universal Botol -
Kolesterol test kit, 100 ml set -
Kreatinin test kit, 200 ml set -
Lart.Glukosa, 100 ml Botol -
Lart.Hayem, 100 ml Botol -
Lart.KOH 10%,100 ml Botol -
Larutan Benedict 500 ml Botol -
Larutan Eosin 2 % Botol -
Larutan Giemsa Stain - 100 ml Botol -
Larutan Turk - 100 ml Botol -
Metanol 500 ml Botol -
Natrium Sitrat 100 cc Botol -
Reagen Golongan Darah kotak -
Reagen Z. Nelsen Botol -
SGOT test kit set -
SGPT test kit set -
Trigliserida test kit, 100 ml set -
Ureum test kit set -
Amoksisilin sirup forte 250 mg/ 5 ml botol -
Betametason krim 0,5 mg/g tube -
Cetirizine sirup 5 mg/ 5 ml botol -
Ergotamin tablet 1 mg tablet -
Eritromisin kapsul 250 mg kapsul -
Kloramfenikol salap kulit 2 % tube -
Kloramfenikol tetes mata 0,5 % botol -
Kotrimoksazol tablet forte 960 mg tablet -
Zinc sirup 10 mg/ml botol -
Gliseril Guaicolat tablet -
Object Glass/Slide box -
Pot Dahak Buah -
Sarung tangan panjang Kebidanan pasang -
Sendok obat sirup Paket -
Spuit 10 cc set -
Urine Bag Buah -
Vacutainer Buah -
Vacutainer Needle Buah -
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17
18 19 20