KODE PUSKESMAS

PUSKESMAS
KECAMATAN
KAB/KOTA
PROPINSI

NO
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31

:
:
:
:
:

NAMA OBAT
Acyclovir krem
Acyclovir tablet 200 mg
Acyclovir tablet 400 mg
Albendazole tablet 400 mg
Allopurinol tablet 100 mg
Alprazolam 0.5 mg tablet
Ambroksol syrup
Ambroksol tablet 30 mg
Aminofilin inj.24 mg/ml - 10 ml
Aminofilin tablet 200 mg
Amitriptilin HCl tablet 25 mg
Amlodipine 5 mg
Amoksisilin Kaplet 250 mg
Amoksisilin Kaplet 500 mg
Amoksisilin sirup kering 125 mg/5ml
Ampicilin inj 1 g
Ampicillin 1 g inj
Antalgin tablet 500 mg
Antasida Doen suspensi
Antasida DOEN tablet
Anti Hemoroid Supp
Aqua pro Injeksi
Aquadest steril 1000 ml
Aquadest steril 500 ml
Arterakine tablet
As. Askorbat (Vit C 250 mg) tablet
As.Askorbat ( Vit C 50 mg ) tablet
As.Benzoat 6% + As.Salisilat 3% ( AAV )
As.Mefenamat 500 mg
As.Salisilat 2% + Belerang endap 4%
Asam Folat

Ibuh
Payakumbuh Barat
Payakumbuh
Sumatera Barat

SATUAN
Tube/5 gr
tablet
tablet
tablet
tablet
tablet
Btl/60 ml
tablet
Ampul
tablet
tablet
tablet
kapsul
kaplet
Btl/60 ml
vial
vial
tablet
Btl/60 ml
tablet
suppos
Ampul
Btl/1000 ml
Btl/500 ml
tablet
tablet
tablet
Pot
kaplet
Pot
tablet

32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76

Asetosal tablet 100 mg

Asetosal tablet 500 mg
Atropin Sulfat inj.0,25 mg/ml-1ml
Bacitracin + Polimyxin salep
Besi (II) sulfat tab sal kombinasi
Betahistine 6 mg tablet
Betametason krem
Bioplasenton Jell
Borak Glyserin
Bromhexin
Buskopan tablet 10 mg (Hyoscine butyl bromid)

Captopril tab 12,5 mg

Captopril tablet 25 mg
Carbamazepin tablet 200 mg
Cefadroxil 125 mg syrup
Cefadroxil 500 mg kaplet
Cefotaxim Injeksi
Cetirizine 10 mg
Cimetidin tablet
Cyproploksazin tablet 500 mg
Deksametason inj.5mg/ml-1ml
Deksametason tablet 0,5 mg
Dekstran Infus
Dekstrometorfan HBr syrup 10 mg
Dekstrometorfan HBr tablet 5 mg
Diazepam injeksi 5 mg/ml-2ml
Diazepam supp (stesolid)
Diazepam tablet 2 mg
Difenhidramin inj
Digoksin tablet 0,25 mg
Diltiazem Tablet 30 mg
Doksisiklin kapsul 100 mg
Domperidone syrup
Domperidone tablet
Dulcolak Supp Anak
Dulcolak Supp Dewasa
Dulcolax tab
Efedrin HCl tablet 25 mg
Ekstrak Belladon 10 mg
Epinefrin HCl/bitartrat inj.0,1-1 ml
Ergotamin Tartrat 1 mg + Koffein 50 mg
Erythromicyn kapsul 250 mg
Erytromisin kaplet 500 mg
Erytromisin syrup kering
Etakridin ( Rivanol) larutan 0,1 %

tablet
tablet
Ampul
tube
tablet
tablet
tube
Tube/10 gr
Btl/15 ml
tablet
tablet
tablet
tablet
tablet
botol
kaplet
vial
tablet
tablet
tablet
Ampul
tablet
Btl / 500 ml
Btl/60 ml
tablet
Ampul
rectal
tablet
ampul
tablet
tablet
kapsul
botol
tablet
suppos
suppos
tablet
tablet
tablet
ampul
tablet
kapsul
kaplet
Btl/60 ml
Btl/300 ml

77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121

Etakridin ( Rivanol) larutan 0,1 %

Etambutol kaplet 500 mg
Etambutol tablet 250 mg
Fenilbutason tablet 200 mg
Fenitoin kapsul 100 mg
Fenobarbital inj.50mg/ml-2ml
Fenobarbital tablet 30 mg
Fenolgliserin tts telinga 10%
Fitomenadion ( Vit K ) inj.10 mg/ml-1ml
Fitomenadion ( Vit K ) tablet sal 10 mg
Furosemid tablet 40 mg
Garam Oralit utk 200 ml
Gentamicin Injeksi
Gentamisin tts mata
Gentamycin cream
Gentian Violet lar.1%
Glibenklamida tablet 5 mg
Gliseril Guayakolat tablet 100 mg
Glukasa Larutan infus 5 % steril
Glukasa Larutan infus 10% steril
Glukasa Larutan infus 40% steril
Glukonas Kalsicus Injeksi
Griseofulvin tablet 125 mg
Griseovulfin Tab 500 mg
Haloperidol 5 mg
Haloperidol inj (ktk/100 amp)
Haloperidol tablet 0,5 mg
Haloperidol tablet 1,5 mg
HCT tablet 10 mg
Hidrokortison krim 2,5%
Hydrocortison cream 1%
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Ichthyol salep
Imodium tablet
Implan KB
Indo Obat Maag
Isosorbit Dinitrat tablet 5 mg
Kalium Permanganat serbuk
Kalsium Laktat tablet 500 mg
Ketokonazol Cream
Ketokonazol 200 mg tablet
Khlorpromazin inj ( CPZ injeksi)
Klindamisin 300 mg
Klofeniraminan Maleat (CTM) tab 4 mg

Btl/100 ml
tablet
tablet
tablet
kapsul
Ampul
tablet
botol
Ampul
tablet
tablet
sachet
Ampul
Btl/5 ml
tube
Btl/10 ml
tablet
tablet
Btl/500 ml
Btl/500 ml
Ampul
Ampul
tablet
tablet
tablet
Ampul
tablet
tablet
tablet
Tube / 5 gr
tube
tablet
tablet
pot
tablet
buah
tablet
tablet
Ktk/5gr
tablet
Tube / 10 gr
tablet
ampul
kapsul
tablet

122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166

Klonidin tab 0,15 mg

Kloramfenikol kapsul 250 mg
Kloramfenikol salep mata 1%
Kloramfenikol tts mata 0.5%
Kloramfenikol tts telinga 3%
Klorpromazin HCL tablet 100 mg
Kodein Fosfat tablet 10 mg
Kontrasepsi Injeksi Progesteron
Kotrimoksazol Suspensi
Kotrimoksazol tabet pediatrik kombinasi
Kotrimoksazol tablet Adul kombinasi
Lansoprazol capsul
Lidokain com.inj. 2%
Lidokain.inj murni
Lincomycin 500
Lisol mgd kresol tersabun 50%
Loperamide tablet
Loratadin Tablet
Merislon tablet
Metformin tablet 500 mg
Metilergometrin Maleat inj.0,200 mg/ml-1ml
Metilergometrin Maleat tablet salut 0,125 mg
Metoklopramida tablet 10 mg
Metoklopramide syr
Metronidazol tablet 250 mg
Metronidazol tablet 500 mg
Metyl prednisolon 4 mg tablet
MgSO4 20%
MgSO4 40%
Miconazol krem
Mineral Mix
Minyak Ikan salep
Natrium Bikarbonat tablet 500 mg
Natrium Diklofenat tablet 25 mg
Natrium Diklofenat tablet 50 mg
Natrium Fenitoin (fenitoina) kapsul 100 mg
Neo K Injeksi ( Vit K )
Nipedipin tablet
Nistatin 100.000 IU/g tablet vagina
Obat Batuk Hitam,
Obat penurun panas anak
Oksitetrasiklin HCl salep kulit 3%
Oksitetrasiklin HCL salep mata 1%
Oksitosin injeksi 10IU/ml-1ml
Omeprazole 20 mg kapsul

tablet
kapsul
Tube/5 gr
Btl/5 ml
Btl/5 ml
tablet
tablet
vial
Btl/60 ml
tablet
tablet
kapsul
Ampul
Ampul
kapsul
Btl/1 L
tablet
tablet
tablet
tablet
Ampul
tablet
tablet
botol
tablet
tablet
tablet
vial
vial
Tube/10 gr
ktk
pot
tablet
tablet
tablet
kapsul
Ampul
tablet
ovula
Btl/100 ml
sachet
tube
Tube @ 5 gr
ampul
kapsul

167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211

Oseltavimir capsul
Paket TB Anak
Paket TB I ( OAT Kategori I )
Paket TB II
Paket TB Sisipan
Paracetamol Drops 15 ml
Paracetamol tablet 100 mg
Paracetamol tablet 500 mg
Parasetamol syrup
Pehavral
Pil KB Mikrodiol
Pirantel Pamoat tablet 125 mg base
Pirazinamida tablet 500 mg
Prednison tablet 5 mg
Primakina tablet 15 mg
Primperan tabl 5 mg
Procain Benzil Penicillin Injeksi
Propanolol HCl tablet 10 mg
Propanonol tablet 40 mg
Propiltiourasil tablet 100 mg
Pyrantel syr 125mg/5 ml
Pyridoksin HCl ( Vit B.6) tablet 10 mg
Pyroksikam tablet 10 mg
Pyroksikam tablet 20 mg
Quinine Injeksi
Ranitidin Injeksi
Ranitidin tablet
Rapid test Syphilis
Reserpin tablet 0,25 mg
Retinol ( Vit A) kapsul lunak 200.000 IU
Retinol (Vit A) kapsul lunak 100.000 IU
Rifampisin kapsul 450 mg
Ringer Laktat lar.inf steril
Risperidone tablet 2 mg
Salbutamol 2 mg
Salbutamol 4 mg tablet
Salisil Bedak
Scabicid cream
Serum Anti Bisa Ular Polivalen inj.5 ml (ABU I)
Serum Anti Tetanus 1.500 IU ( ATS )
Sianokobalamin tablet ( Vit B 12 )
Simvastatin tablet 10 mg
Stesolid rectal tube 5 mg
Tetrasiklin HCl kapsul 500 mg
Thiamin HCl tablet 50 mg

kapsul
Paket
Paket
Paket
Paket
botol
tablet
tablet
Btl/60 ml
tablet
Ktk
tablet
tablet
tablet
tablet
tablet
vial
tablet
tablet
tablet
botol
tablet
tablet
tablet
Ampul
Ampul
tablet
Ktk / 50 tes
tablet
kapsul
kapsul
kapsul
Btl/500 ml
tablet
tablet
tablet
Bks/50 gr
Tube / 10 gr
vial
Ampul
tablet
tablet
tube
kapsul
tablet

212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245

1
2
3
4
5
6
7
8

Tiamfenikol kapsul 500 mg

Tramadol tab 50 mg
Transamin Injeksi
Triheksilpenidil tablet
VAR
Ventolin tablet
Verapamil tablet 80 mg
Vitamin B kompleks tablet
Voltaren gel
Yodium kapsul lunak
Yodium povidon lart.10% - 1000 ml
Yodium povidon lart.10% - 30 ml
Yodium povidon lart.10% - 300 ml
Zantac 150
Zinc tablet
Zinc sirup
Ventolin inhaler
Amlodipine 10 mg
Amoxicillin sirup forte
Cetirizine sirup
Diazepam tablet 5 mg
Glimepiride 2 mg
Ibuprofen sirup
Kaolin pectin sirup
Kloramfenikol sirup
Omeprazol inj
Pantocain tetes mata
Spironolacton
Tetagam inj
Risperidone tab 1 mg
Burnazin cr
Oximetazolin tetes hidung
Ventolin nebules
Clobazam

Obat gigi
Anestesi gel
Alfogyl
Calsidol/Hydcal
Calsigel
Cavit
Devitalisasi pasta
Disclosing Biting Paper
Double check

kapsul
tablet
ampul
tablet
Kuur/4 set
tablet
tablet
Btl/1000 tab
tube
Btl/100 caps
Btl/1000 ml
Btl/30 ml
Btl/300 ml
tablet
Ktk/100 tab
btl
tablet
btl
btl
tablet
tablet
btl
btl
btl
ampul
btl
tablet
ampul

tablet
tube
tube
ampul

btl
ktk
botol
ktk
Ktk
kotak

9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Etil Klorida semprot

Eugenol cairan
Formocresol
Fuji IX GP
Fuji IX Mini Pack
H2O2 3 %
Kalsium Hidroksida pasta
Kendal Kerlic
Ketac molar
Klorfenol Kamfer Menthol
Mummifying pasta
Needle No.30x21 mm
Paper Point
Semen Seng serbuk dan cairan
Sopira carpul 30 grm uk. 30x16 mm
Spon Gelatin cublcles 1x1x1 cm
Temporary stopping flecther serbuk dan cair

Toot cleansing tinture (Occo)

Topical Anestesi
Trikresol formalin ( TKF) cair
Xylestesin / Scandones
Lidocain jelly
calsi set
flour topical

Btl/100 ml
btl
botol
ktk
btl/1 liter
Ktk/2 tube
Ktk
Bks
Btl / 10ml
Btl / ktk
Ktk/100 bh
Botol
Set @30 gr/btl
pcs
Ktk
Set @100 gr/btl
Botol
Botol/30 gr
Botol
ampul

Reagen, Larutan dan BHP

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19

Abbocath ( IV ) No.18
Abbocath ( IV ) No.20
Abbocath ( IV ) No.22
Abbocath ( IV ) No.24
Alat Suntik 0.05 cc
Alat Suntik 0.5 cc
Alat Suntik 1 cc
Alat Suntik 2.5 cc
Alat Suntik 3 cc
Alat Suntik 5 cc
Anti HBsAg strip(Intake)
Anti Sera A & B
As.Klorida 0,1 N
As.Sulfosalisilat 20%
Biilirubin Direc Indirek (Human)
Blood lancet
Cardio check PA (Lipid panel)
Cat Gut No.1
Catgut / Benang Bedah No.2/0

buah
buah
buah
buah
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
strip
Set
Btl/100 ml
Btl/100 ml
Kotak/set
ktk/100 pcs
strip
pcs
pcs

20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64

Catgut / Benang Bedah No.3/0

Catgut Chromic 3/0 100m
Catgut Chromic 4/0 100m
Deglass / Cover glass 18 x 18 mm
EDTA 10%
Etanol 70% 100 ml
Folley Kateter No 20
Glukotes
Handcound no 7,5
Handschoen M
Handschoen S
Handscound no 6.5
Handscound no 7
HBsAg Strip(Intake)
Infusion set anak
Infusion set dewasa
Iodina test
Jarum Jahit (bedah) No.9 s/d 14
Jarum jahit no. 9 segitiga
Jarum jahit no.10 bulat
Jarum jahit no.10 segitiga
Jarum jahit no.11 segitiga
Jarum jahit no.12 bulat
Jarum jahit no.12 segitiga
Jarum jahit no.13 segitiga
Jarum jahit no.14 segitiga
Jarum Ose
Jelly utk Dopler
Kaca Slide
Kapas pembalut absorben 250 mg
Kapsul kosong No.0
Karet penghisap
Kartu Golongan Darah
Kasa kompres 40/40
Kasa pembalut 2 x 80
Kasa Pembalut hidrofil 4 x 15 cm
Kasa Pembalut hidrofil 4 x 3 cm
Kasa pembalut hydrofil 4 x 5 cm
Kasa pembalut hydrofil 40 x 80 cm
Kertas Lensa
Larutan amonium oksalat
Larutan asam alkohol
Larutan Asam Asetat
Larutan BaCl2 10%
Larutan Bennedict

pcs
Roll
Roll
ktk/50
Btl/1 L
Pcs
strip
pasang
pasang
pasang
pasang
pasang
strip
Set
Set
Btl
biji
biji
biji
biji
biji
biji
biji
biji
biji
buah
Botol/300 ml
buah
Rol/250 gr
Buah
buah
pack
Bks
Bks
Rol
Rol
roll
roll
Ktk
Botol
botol/100 ml
Btl/100 ml
Btl/100 ml
Btl/100 ml

65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109

Larutan Chlorine
Larutan Drafkin
Larutan Eosin 2%
Larutan Etanol Asam
Larutan Fauchet
Larutan Gabbet
Larutan Giemsastain
Larutan Hayem
Larutan Karbokfuksin
Larutan Kiyoun
Larutan Metilen Blue
Larutan Natrium Sitrat
Larutan Turk
Larutan Xylene
Larutan Xylol
Larutan Zein Nelsen
Mantoux test
Masker
Metanol
Natrium Klorida lar.infus 0,9% steril
Nesco cholesterol strip
Nesco Glukose Strip
Nesco Uric Acid
Objeck glass
Pipet erytrosit
Pipet leukosit
Pita LILA
Planotes
Plester 5 yards x 2 inch
Pot Sputum
Reagen Cholesterol
Reagen Gula Darah
Reagen gula darah + std
Reagen Haemoglobin C
Reagen HDL cholesterol
Reagen LDL
Reagen demam berdarah
Reagen Uric Acid
Safety Box
Silk Benang Bedah Sutra No.3/0
Spiritus labor
Standar Westegrenn
Stik Accucheck Active
Strip Gluco DR
Tes Kehamilan

Btl/5 lt
Btl/100 ml
Btl/100 ml
Btl/100 ml
Btl/100 ml
Btl/100 ml
Btl/100 ml
Btl/100 ml
Btl/100 ml
Btl/100 ml
Btl/100 ml
Btl/100 ml
Btl/100 ml
Btl/100 ml
Btl/100 ml
Set / 5 btl
Ktk/10 ampl
lembar
Btl/100 ml
Btl/500 ml
strip
strip
strip
buah
buah
Pcs
strip
Rol
buah
Kotak/set @4vial
Kotak/set @4vial
ktk/4x100
Botol / 1 L
Kotak/set

Kotak/set
pcs
bks
btl
set
strip
Strip
pcs

110
111
112
113
114
115
116
117

Timer
Torniquet
Tranfusi set
Ureum
Urine Bag
Urine gluco protein test strip
Vacuum timer EDTA
Widal (TP O & H )

buah
buah
pcs
Kotak/set
Pcs
Pcs
buah
Set(pasang)

LAPORAN PEMAKAIAN DAN LEMBARAN PERMINTAAN OBAT

LPLPO

JANUARI

FEBRUARI
4
40
0

MARET

APRIL

MEI

JUNI

6
0
0
0
200
21
66
708

1
20
0
0
310
10
53
625

2
40
0
0
230
29
80
790

6
20
80
0
140
44
56
960

9
30
20
0
190
22
72
978

240
55
210
72
1968
25

226
45
189
204
1435
22
0

210
30
177
72
1525
23
0

331
30
166
156
1838
24
0

491
30
174
96
1830
36
8

687
30
22
72
1832
21
0

100
25
746
19
0
0

0
17
482
15
2
0

145
21
2005
32
2
0

205
24
543
0
0
1

110
10
642
0
0
0

120
14
449
9
0
0

0
2499
4
495
6
0

0
4620
0
326
7
0

0
1882
0
304
2
10

0
2421
0
456
1
0

0
1853
1
347
6
40

0
1590
2
801
8
15

260
0
77
637

20

11

20

25

10

1352
179
15

0
1909
102
21

0
1501
212
15

0
0
1679
154
14

0
0
1597
235
14

0
0
1454
70
14

4
300
0
411
880

3
100
0
264
346

6
260
0
246
247

4
120
10
175
617

2
60
0
190
510

0
50
0
170
149

0
120
0

0
75
0

13

19

8
90
0

200
0
325

0
180
9
269

0
260

0
200
0
375

0
270
0
495

0
400
0
340

0
193
0
0
20
0
1
30
0
0

0
245
0
155
0
0
4
40
0
6

0
200
0
10
36
3
30
0
10

0
170
0
0
0
0
1
30
0
5

0
131
0
0
10
0
1
10
0
3

11
0
0
6
0
0
5
0

0
0
10
0
16
40
3
0

69
0
0
34
28
30
8
0

0
0
0
0
26
10
0
0

10
0
0
0
10
10
3
0

0
0
20
0
0
51
4
6
0
0
0
0
0

363

0
382
23
15
10
10
199

0
242
3
1
46
0
97

0
283
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NTAAN OBAT

AGUSTUS

JULI

SEPTEMBER

OKTOBER

NOVEMBER

DESEMBER

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484
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0
0
9
30
0
0
0
0
0
0
0
0
0

29
0
0
0
0
23
0
0
0
0
21
0
0
0
0
18
0
0
0
0
0
0
0
60
0
0
0
0
0
0
0
0
0
-12
53
180
-10
0
0
0
0
0
0
-1
-1

12
1
0
10

0.5
0.5

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
20.5
0
0
0
0
0
0
0
41
0
0
0
0
0
0
0
0
3
0
0
13
1
0
0
150
0

-1
0
0
0
-1
0
0
0
0
0
0
0
-1
0
0
-2
34
-100
0
112
0
-1
0
0
0
0
0
166
0
0
0
0
0
0
0
0
11
0
0
-11
6
0
0
900
0

0.5

1.5
2
100
11
1
0

80

89
0.5

0
0
0
0
0
200
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
1025
0
-1

175
0.5

PERENCAAN OBAT PUSKESMAS IBUH

TAHUN 2016
PUSKESMAS
KECAMATAN
KAB/KOTA
PROPINSI
NO
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46

NAMA OBAT
Acyclovir krem
Acyclovir tablet 200 mg
Acyclovir tablet 400 mg
Albendazole tablet 400 mg
Allopurinol tablet 100 mg
Alprazolam tab 0,5 mg
Ambroksol syrup
Ambroksol tablet 30 mg
Aminofilin tablet 200 mg
Amitriptilin HCl tablet 25 mg
Amlodipin 5 mg
Amlodipin 10 mg
Amoksisilin 250 mg
Amoksisilin Kaplet 500 mg
Amoksisilin sirup kering
Ampicilin inj 1 g
Antalgin tablet 500 mg
Antasida Doen suspensi
Antasida DOEN tablet
Anti Hemoroid Supp
Aqua pro Injeksi
Aquadest steril 1000 ml
Aquadest steril 500 ml
As.Askorbat ( Vit C 50 mg ) tablet
As.Benzoat 6% + As.Salisilat 3% ( AAV )
As.Mefenamat 500 mg
As.Salisilat 2% + Belerang endap 4%
Asam Folat
Asetosal tablet 100 mg
Asetosal tablet 500 mg
Atropin Sulfat inj.0,25 mg/ml-1ml
Bacitracin + Polimyxin salep
Besi (II) sulfat tab sal kombinasi
Betahistine
Betametason krem
Bioplasenton Jell
Borak Glyserin
Buskopan
Bromheksin HCL tab 8 mg
Captopril tab 12,5 mg
Captopril tablet 25 mg
Cefadroxil kaplet 500 mg
Cefadroxil 250 mg
cefadroxil sirup
Carbamazepin tablet 200 mg
Cefotaxim Injeksi

NO
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101

NAMA OBAT
Cetirizine tablet
cetirizine sirup
Ceftriaxon Injeksi
Clonaderm salep
Cyproploksazin tablet 500 mg
Deksametason inj.5mg/ml-1ml
Deksametason tablet 0,5 mg
Dekstran Infus
Dekstrometorfan HBr syrup 10 mg
Dekstrometorfan HBr tablet 5 mg
Diazepam injeksi 5 mg/ml-2ml
Diazepam supp (stesolid)
Diazepam tablet 2 mg
Difenhidramin HCl inj.10 mg/ml-1 ml
Digoksin tablet 0,25 mg
Diltiazem Tablet 30 mg
Dimenhydrinate
Doksisiklin kapsul 100 mg
Domperidone sirup
Domperidone tab
Dulcolak Supp Anak
Dulcolak Supp Dewasa
Dulcolak tablet
Efedrin HCl tablet 25 mg
Ekstrak Belladon 10 mg
Epinefrin HCl/bitartrat inj.0,1-1 ml
Ergotamin Tartrat 1 mg + Koffein 50 mg
Erythromicyn kapsul 250 mg
Erytromisin kaplet 500 mg
Erytromisin syrup kering
Etakridin ( Rivanol) larutan 0,1 %
Etakridin ( Rivanol) larutan 0,1 %
Etambutol kaplet 500 mg
Etambutol tablet 250 mg
Fenilbutason tablet 200 mg
Fenobarbital inj.50mg/ml-2ml
Fenobarbital tablet 30 mg
Fenolgliserin tts telinga 10%
Fitocare minyak kayu putih
Fitomenadion ( Vit K ) inj.10 mg/ml-1ml
Fitomenadion ( Vit K ) tablet sal 10 mg
Fludane Tablet
Furosemid tablet 40 mg
Furosemida tablet 40 mg
Gameksan Emulsi 1%
Garam Oralit utk 200 ml
Gentamicin Injeksi
Gentamisin tts mata
Gentamicin salep kulit
Gentian Violet lar.1%
Glibenklamida tablet 5 mg
Gliseril Guayakolat tablet 100 mg
Glukasa Larutan infus 5 % steril
Glukasa Larutan infus 10% steril
Glukasa Larutan infus 40% steril

NO
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156

NAMA OBAT
Glukonas Kalsicus Injeksi
Griseofulvin tablet 125 mg
Griseofulvin 500 mg
Haloperidol 5 mg
Haldol Injeksi
Haloperidol tablet 0,5 mg
Haloperidol tablet 1,5 mg
HCT tablet 10 mg
Hidrokortison krim 2,5%
hidrocortison 1%
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Ichtyol salp
Imodium tablet
Implan KB
Isoniazida (INH) tab 100 mg
Isoniazida (INH) tab 300 mg
Isosorbit Dinitrat tablet 5 mg
Kalium Permanganat serbuk
Kalsium Laktat tablet 500 mg
Kanamycin Injeksi
Ketokonazole Cream
Ketoconazol tab
Klorpromazin inj CPZ Injeksi
Klindamicin 300 mg
Klofeniraminan Maleat (CTM) tab 4 mg
Klonidin tab 0,15 mg
Kloramfenikol kapsul 250 mg
Kloramfenikol salep mata 1%
Kloramfenikol tts mata 1%
Kloramfenikol tts telinga 3%
Klorpromazin HCL tablet 100 mg
Kodein Fosfat tablet 10 mg
Kontrasepsi Injeksi Progesteron
Kotrimoksazol Suspensi
Kotrimoksazol tabet pediatrik kombinasi
Kotrimoksazol tablet Adul kombinasi 480 mg
Kotrimoksazol tablet 960 mg
Lansoprazol capsul
Levothiroxin tablet
Lidokain com.inj. 2%
Lidokain com.inj. 2% ( Pehacain )
Lidokain.inj murni
Lisol mgd kresol tersabun 50%
Loperamid
Loratadin Tablet
Merislon tablet
Metformin tablet 500 mg
Metilergometrin Maleat inj.0,200 mg/ml-1ml
Metilergometrin Maleat tablet salut 0,125 mg
Metoklopramida tablet 10 mg
Metronidazol Infus
Metronidazol tablet 250 mg
Metronidazol tablet 500 mg
methyl prednisolon 4 mg

NO
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211

NAMA OBAT
MgSO4 20%
MgSO4 40%
Miconazol krem
Minyak Ikan salep
Modicate injeksi
Natrium Bikarbonat tablet 500 mg
Natrium klorida tetes mata (cendo lyteers)
Natrium Diklofenat tablet 25 mg
Natrium Fenitoin (fenitoina) kapsul 100 mg
Neo K Injeksi ( Vit K )
Nipedipin tablet
Nistatin 100.000 IU/g tablet vagina
Norit tablet
Nacl
Obat Batuk Hitam plus
Obat Batuk Hitam,
Oksitetrasiklin HCl salep kulit 3%
Oksitetrasiklin HCL salep mata 1%
Oksitosin injeksi 10IU/ml-1ml
Omeprazol kapsul 20 mg
Oseltavimir capsul
Paket TB Anak
Paket TB I ( OAT Kategori I )
Paket TB II
Paket TB Sisipan
Paracetamol drops
Panadol Syrup
Paracetamol tablet 100 mg
Paracetamol tablet 500 mg
Paracetamol tablet 500 mg
Paraformaldehida tablet 1 gram
Parasetamol syrup
Pirantel Pamoat tablet 125 mg base
Pirazinamida tablet 500 mg
Polycrol tablet
Prednison tablet 5 mg
Primakina tablet 15 mg
Primperan tabl 5 mg
Procain Benzil Penicillin Injeksi
Propanolol HCl tablet 10 mg
Propanonol tablet 10 mg
Propanonol tablet 40 mg
Propiltiourasil tablet 100 mg
Protofen supp (ketoprofen)
Pyrantel sirup
Pyridoksin HCl ( Vit B.6) tablet 10 mg
Pyroxicam tablet 10 mg
Pyroksikam tablet 20 mg
Quinin tablet
Quinine Injeksi
Ranitidin Injeksi
Ranitidin tablet
Rapid test Syphilis
Reserpin tablet 0,25 mg
Retinol ( Vit A) kapsul lunak 200.000 IU

NO
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266

NAMA OBAT
Retinol (Vit A) kapsul lunak 100.000 IU
Rifampisin kapsul 300 mg
Rifampisin kapsul 450 mg
Rifampisin kapsul 600 mg
Ringer Laktat lar.inf steril
Risperidone 2 mg
Salbutamol 2 mg
Salbutamol 4 mg tablet
Salisil Bedak
Salisil spiritus
Scabicid cream
Serum Anti Bisa Ular Polivalen inj.5 ml (ABU I)
Serum Anti Tetanus 1.500 IU ( ATS )
Sianokobalamin tablet ( Vit B 12 )
Simvastatin tablet 10 mg
Streptomycin serbuk Injeksi
Tensivask tablet 5 mg
Terracortril salep kulit
Tetrasiklin HCl kapsul 250 mg
Tetrasiklin HCl kapsul 500 mg
Thiamin HCl tablet 50 mg
Tiamfenikol kapsul 500 mg
Tramadol tab 50 mg
Transamin Injeksi
Transamin tablet 250 mg(as traneksamat)
Transamin tablet 500 mg
Triheksipenidil tablet
Trombo Aspilet tablet
Ulsikur tablet
Valisanbe Tablet 2 mg
VAR
Verapamil tablet 80 mg
Vit C IPI
Vit C Tablet 250 mg
Vitamin B kompleks tablet
Voltaren gel
Yodium kapsul lunak
Yodium povidon lart.10% - 1000 ml
Yodium povidon lart.10% - 30 ml
Yodium povidon lart.10% - 300 ml
Zevit C tablet
Zinc tablet
Zinc sirup
Pantocain tetes mata
Ventolin nebu
Ventolin inhaler
Clobazam
Diazepam 5 mg
Glimepiride 2 mg
Glimepiride 1 mg
kaolin pectin sirup
spironolacton
tetagam inj
Probenesid 500 mg
Nitrofurantoin

NO
267
268
269
270
271
272
273

NAMA OBAT
Glipizid 5 mg
Kloramfenicol salf kulit
Perak sulfadiazin
Permetrin 5%
as.salisilat 5%
cool tar
Betametason tetes mata

OBAT GIGI
1 Alfogyl
2 Anestesi gel
3 Calsidol/Hydcal
4 Cavit
5 Double check
6 Etil Klorida semprot
7 Eugenol cairan
8 Fuji IX GP
9 Glass Ionomer/Fuji IX
10 Hemospon
11 H2O2 3 %
12 Kendal Kerlic
13 Needle No.30x21 mm
14 Semen Seng serbuk dan cairan
15 Sopira carpul 30 grm uk. 30x16 mm
16 Spon Gelatin cublcles 1x1x1 cm
17 Temporary stopping flecther serbuk dan cair
18 Toot cleansing tinture (Occo)
19 Topical Anestesi
20 Scandonest 2%
21 Scandonest 3%

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23

REAGEN
Abbocath ( IV ) No.18
Abbocath ( IV ) No.20
Abbocath ( IV ) No.22
Abbocath ( IV ) No.24
Alat Suntik 0.05 cc
Alat Suntik 0.5 cc
Alat Suntik 1 cc
Alat Suntik 2.5 cc
Alat Suntik 3 cc
Alat Suntik 5 cc
Anti HBsAb strip(Intake)
Anti Sera A & B
As.Klorida 0,1 N
As.Sulfosalisilat 20%
Biilirubin Direc Indirek (Human)
Blood lancet
Cardio check PA (Lipid panel)
Cat Gut No.1
Catgut / Benang Bedah No.2/0
Catgut / Benang Bedah No.3/0
Catgut Chromic 3/0 100m
Catgut Chromic 4/0 100m
Deglass / Cover glass 18 x 18 mm

NO
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78

NAMA OBAT
EDTA 10%
Etanol 70% 100 ml
Folley Kateter No 20
Glukotes
Handcound no 7,5
Handschoen M
Handschoen S
Handscound no 6.5
Handscound no 7
HBsAg Strip(Intake)
Infusion set anak
Infusion set dewasa
Iodina test
Jarum Jahit (bedah) No.9 s/d 14
Jarum jahit no. 9 segitiga
Jarum jahit no.10 bulat
Jarum jahit no.10 segitiga
Jarum jahit no.11 segitiga
Jarum jahit no.12 bulat
Jarum jahit no.12 segitiga
Jarum jahit no.13 segitiga
Jarum jahit no.14 segitiga
Jarum Ose
Jelly utk Dopler
Kaca Slide
Kapas pembalut absorben 250 mg
Kapsul kosong No.0
Karet penghisap
Kartu Golongan Darah
Kasa kompres 40/40
Kasa pembalut 2 x 80
Kasa Pembalut hidrofil 4 x 15 cm
Kasa Pembalut hidrofil 4 x 3 cm
Kasa pembalut hydrofil 4 x 5 cm
Kasa pembalut hydrofil 40 x 80 cm
Kertas Lensa
Larutan amonium oksalat
Larutan asam alkohol
Larutan Asam Asetat
Larutan BaCl2 10%
Larutan Bennedict
Larutan Chlorine
Larutan Drafkin
Larutan Eosin 2%
Larutan Etanol Asam
Larutan Fauchet
Larutan Gabbet
Larutan Giemsastain
Larutan Hayem
Larutan Karbokfuksin
Larutan Kiyoun
Larutan Metilen Blue
Larutan Natrium Sitrat
Larutan Turk
Larutan Xylene

NO
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127

NAMA OBAT
Larutan Xylol
Larutan Zein Nelsen
Mantoux test
Masker
Metanol
Natrium Klorida lar.infus 0,9% steril
Nesco cholesterol strip
Nesco Glukose Strip
Nesco Uric Acid
Objeck glass
Pipet erytrosit
Pipet leukosit
Pita LILA
Planotes
Plester 5 yards x 2 inch
Pot Sputum
Reagen Cholesterol
Reagen Gula Darah
Reagen gula darah + std
Reagen Haemoglobin C
Reagen HDL cholesterol
Reagen LDL
Reagen Malaria
Reagen Uric Acid
Safety Box
Silk Benang Bedah Sutra No.3/0
Spiritus labor
Standar Westegrenn
Stik Accucheck Active
Strip Gluco DR
Tes Kehamilan
Timer
Torniquet
Tranfusi set
Ureum
Umbilical
Urine gluco protein test strip
Vacuum timer EDTA
Widal (TP O & H )
alcohol swabs
family DR Hb
Larutan KOH
Handscoon panjang
dermafilm utk infus
plester antialergi hypofix
nal heacting otot no 9
nal heacting kulit no 9
reagen hematologi analizer dirui bcc-3000b
reagen spektromicrolab 300 mark
Mengetahui :
Kepala Puskesmas

NO

NAMA OBAT
dr.Ade Juselina
NIP.19740902 200604 2 015

Disetujui Oleh
Kepala Dinas Kesehatan

Elzadaswarman,SKM.MPPM
NIP.19640813 198803 1 002

ERENCAAN OBAT PUSKESMAS IBUH

TAHUN 2016
:
:
:
:

Ibuh
Payakumbuh Barat
Payakumbuh
Sumatera Barat
SATUAN

Tube/5 gr
Ktk/50 tab
Ktk/100 tab
Ktk/30 tab
Ktk/100 tab
tablet
Btl/60 ml
Ktk/100 tab
Btl/100 tab
Ktk/100 tab
tablet
tablet
Ktk/120 kaps
Ktk/100 kapl
Btl/60 ml
ktk/10 vial
Ktk/100 tab
Btl/60 ml
Ktk / 100 tab
Ktk/10 supp
Ampul
Btl/1000 ml
Btl/500 ml
Btl/1000 tab
Pot
Ktk/100 tab
Pot
btl/100 tab
Ktk/100 tab
Ktk/100 tab
Ktk/30ampl
Ktk/25 tube
tablet
botol
Ktk/25 tube
Tube/10 gr
Btl/15 ml
ktk/100
ktk/100 tab
ktk/100 tab
Ktk/100 tab
ktk/100 kapl
ktk
botol
Ktk/100 tab
vial

PERMINTAAN
LAMA
BARU
75
500
500
100
1500
1300
1500
23000
5000
1500
4000
2500
1500
35000
700
2500
1000
11000
400
10
3
30000
30
10000
40
1000
200

1500

2000

10
25000
4000
300
30
48
200
1000
3600
8000
4000
2000
100
1000

50

1500

SATUAN
ktk/100 tab
btl
vial
Tube
Ktk/50 tab
Ktk/100 ampul
Btl/1000 tab
Btl / 500 ml
Btl/60 ml
Btl/1000 tab
Ktk/30 amp
rectal
Btl/1000 tab
Ktk/30 amp
Ktk/100 tab
Ktk / 100 tab
BTL/100
Ktk/100 caps
botol
btl
Ktk/6 supp
Ktk/5 supp
Ktk/200 tab
Btl/1000 tab
Btl / 1000 tab
ampul
Btl/100 tab
Ktk / 100 kaps
Ktk/100 tab
Btl/60 ml
Btl/300 ml
Btl/100 ml
Ktk/100 tab
Ktk/200 tab
Btl / 1000 tab
Ktk/30 amp
Btl/1000 tab
btl / 15 ml
btl
Ktk/30 amp
Btl/100 tab
Ktk / 100 tab
Ktk / 200 tab
Btl/250 tab
Btl/100 ml
Ktk/100 sak
Ktk / 5 amp
Btl/5 ml
btl
Btl/10 ml
Ktk/100 tab
Btl/1000 tab
Btl/500 ml
Btl/500 ml
Ktk/10 amp @25ml

PERMINTAAN
LAMA
BARU
1200
200

5000
30
12000

5
5
5000
200
200

100
100

200
48
1000
30
50
200
2000
30
300
500
500
50
5
10

10
8000
300
150
1200

15

15000

1500

400
30
4000

0
5

100
150
72
1500
20000
20

500

SATUAN
Ampul
Ktk/100 tab
Ktk/100
Ktk/100 tab
Ktk / 5 amp
Ktk/100 tab
Ktk/100 tab
Btl/1000 tab
Tube / 5 gr
ktk/24 tube
Btl/100 tab
Btl/100 tab
pot
Ktk/100 tabl
Ktk / 50 pcs
Btl/1000 tab
Btl/1000 tab
Ktk/100 tab
Ktk/5gr
Btl/1000 tab
Ktk / 10 vial
Tube / 10 gr
Ktk/50 tab
Ampul
kapsul
Btl/1000 tab
Ktk/100 tab
Btl/250 kaps
Tube/5 gr
Btl/5 ml
Btl/5 ml
Btl/1000 tab
Btl/250 tab
Ktk / 20 vial
Btl/60 ml
Ktk/100 tab
Ktk/100 tab
ktk
Ktk
Ktk / 28 tab
Ktk/30 ampl
Ktk/20 ampl
Ktk/100 ampl
Btl/1 L
Ktk/100 tab
Ktk
Ktk/100 tab
Ktk/100 tab
Ktk /100 ampl
Ktk/100 tab
Ktk/100 tab
Flase
Ktk/100 tab
Ktk/100 tab
ktk/100 tab

PERMINTAAN
LAMA
BARU
4

700
5
6000
1000
500
48
9000
12000
48

200
48
15000
60
1000
20
300
40000
100

20000

10
0
0

200
150
100
7000
250
200
200
3000
1000

60
200
12
500
5000
20000
50
500
500

1000
1500

1000

0
800

SATUAN
vial
vial
Tube/10 gr
pot
ktk/10 ampul
Btl/1000 tab
btl
Ktk / 50 tab
Btl/100 kaps
Ktk / 5 amp
Ktk/100 tab
Ktk/100 ovula
Btl/750 tab
btl
Btl/100 ml
Btl/100 ml
Tube @ 5 gr
Tube @ 5 gr
Ktk / 100 Amp
Btl/7 kaps
Ktk / 100 caps
Paket
Paket
Paket
Paket
ktk
ktk/3 sacchet
Btl/100 tab
Btl/1000 tab
Ktk/100 tab
Btl/100 tab
Btl/60 ml
Ktk/25x4 tab
Ktk/100 tab
Ktk/240 tab
Btl/1000 tab
Btl/1000 tab
Ktk/100 tab
vial
Ktk/100 tab
Btl/100 tab
Ktk/100 tab
Btl/100 tab
ktk
botol
Btl/1000 tab
Ktk/100
Ktk/120 kaps
Ktk/60 tab
Ktk / 30 amp
Ktk / 10 Ampul
Ktk/100 tab
Ktk / 50 tes
Btl/1000 tab
Btl/50 kaps

PERMINTAAN
LAMA
BARU
5
250
30

20

25
2000

200
300
750
150
800
200
72
200
200
3
25
3

1000

30

200
3000
80000
2000
300

3000

200
200
10
30
20000
5000
3000
60
10
13000

6000

5
15000

SATUAN
Btl/50 kaps
Ktk/100 kaps
Ktk/100 kaps
Ktk/100 tab
Btl/500 ml
tablet
Ktk/100 tab
Ktk / 100 tab
Bks/50 gr
Btl/10 ml
Tube / 10 gr
vial
Ktk/10 ampl
Btl/1000 tab
Ktk/30 tab
vial
Ktk/50 mg
Tube
Btl/1000 kaps
Ktk/100 kaps
Btl/1000 tab
Ktk/100 kaps
Ktk/50 tab
Ktk / 10 Ampul
Ktk / 100 tab
Ktk/100 tab
Ktk/100 tab
Ktk / 100 tab
Ktk/100 tab
Ktk / 100 tab
Kuur/4 set
Ktk/100 tab
Btl / 50 tab
Btl / 250 tab
Btl/1000 tab
tube
Btl/100 caps
Btl/1000 ml
Btl/30 ml
Btl/300 ml
Ktk
Ktk/100 tab
botol
btl
ktk/5 nebu
btl
tablet
ktk/100
ktk/50
ktk /50
btl
ktk/100
ampul
tablet
tablet

PERMINTAAN
LAMA
BARU
700

200
2000
2000
80

100
15000
4000

100
30000

500
6000

50000

5
50

3000
50
5
150
100
500
500
3500
1000
50
300
80
300
300

300

SATUAN
tablet
tube
tube
tube
tube
tube
tube

btl
btl
Ktk
botol
ktk
Btl/100 ml
btl
botol
set/Ktk
Ktk/10
btl/1 liter
Ktk
Ktk/100 bh
Set @30 gr/btl
Ktk/100 bh
Ktk
Set @100 gr/btl
Botol
Botol/30 gr
ampul
ampul

buah
buah
buah
buah
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
strip
Set
Btl/100 ml
Btl/100 ml
Kotak/set
ktk/100 pcs
strip
pcs
pcs
pcs
Roll
Roll
ktk/50

PERMINTAAN
LAMA
BARU
500
50
15
15
15
5
24

30
0
0
0
15

6
10
6
8
5
20
10
15
20
2
4
6

3
200
500

200

200
300
200
100
50
1
4
2
1500

10

10

100

100
2

2000

SATUAN
Btl/1 L
Pcs
strip
pasang
pasang
pasang
pasang
pasang
strip
Set
Set
Btl
biji
biji
biji
biji
biji
biji
biji
biji
biji
buah
Botol/300 ml
buah
Rol/250 gr
Buah
buah
pack
Bks
Bks
Rol
Rol
roll
roll
Ktk
Botol
botol/100 ml
Btl/100 ml
Btl/100 ml
Btl/100 ml
Btl/5 lt
Btl/100 ml
Btl/100 ml
Btl/100 ml
Btl/100 ml
Btl/100 ml
Btl/100 ml
Btl/100 ml
Btl/100 ml
Btl/100 ml
Btl/100 ml
Btl/100 ml
Btl/100 ml
Btl/100 ml

PERMINTAAN
LAMA
BARU
50
50

1000
1500

10
120
20

200
50

50
50
200

20
2

1
20

12
12

SATUAN

PERMINTAAN
LAMA
BARU

Btl/100 ml
Set / 5 btl
Ktk/10 ampl
ktk/100 pcs
Btl/100 ml
Btl/500 ml
strip
strip
strip
buah
buah
Pcs
strip
Rol
buah
Kotak/set @4vial
Kotak/set @4vial
ktk/4x100
Botol / 1 L
Kotak/set

Kotak/set
pcs
bks
btl
set
strip
Strip
pcs
buah
buah
pcs
Kotak/set
Pcs
Pcs
buah
Set(pasang)
ktk/25
pcs
pasang
pcs

paket
paket

Payakumbuh,4 Februari 2016

Pelaksana Pelayanan

100
200
500
500
500
10

20

300
1200

360
5

300

300
15
300
1
125
50
1
30
100
20
100
100
2
0

200
1000
400
300
300
0

4
1

SATUAN

PERMINTAAN
LAMA
BARU

dr.Meldona
NIP.19781102 200901 2 001

Disetujui Oleh
Kepala Dinas Kesehatan

Elzadaswarman,SKM.MPPM
NIP.19640813 198803 1 002