PEMAKAIAN HARIAN OBAT DAN BMHP

PUSKESMAS PERUMNAS II

BULAN : JULI
TAHUN : 2017
NO NAMA OBAT/BMHP SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

1 Albendazol tablet 400 mg tablet 10

2 Alopurinol tablet 100 mg tablet 10 10 10 20 10 10 10 20 10
3 Alopurinol
Ambroksol tablet 300
sirup 15 mgmg
/ 5 ml / tablet 15 10 10 10 25 20 10 10 10
4 botol 14 7 4 10 4 3 3 2 1 4 3 1 1 3 2 4 3 1
5 Ambroksol tablet 30 mg tablet 40 90 60 20 45 20 30 60 30 30 30 110 90 90 100 80 50 100 140 150
6 Aminofilin tablet 200 mg tablet
7 Amlodipine tablet 5 mg tablet 20 30 20 10 10 20 10 20 20 5 10 40 20 10 30 10 40 10 10
8 Amlodipine tablet 10 mg tablet 20 20 20 10 10 20 20 10 30 20 50 10 20 10 10
9 Amitriptilin HCl tablet salut 25 mg tablet

10 Amoksisilin kapsul 250 mg kapsul 165 30 30 45 45 90 60 15 60 45 45 45 75 60 45 30 75 75

11 Amoksisilin kaplet 500 mg kaplet 300 239 300 255 127 150 179 139 150 135 255 270 330 225 240 195 150 225 480 285
12 Amoksisilin sirup Kering 125 mg / 5 ml botol
5 1 1 4 3 1 3 2 5 5 2 2 5 5 5 1 1 4 5 3
13 Antalgin tablet 500 mg tablet
14 Antasida DOEN I tablet kombinasi tablet 80 134 78 83 42 70 74 73 10 12 30 20 45 66 66 80 50 79 85 62
15 Antasida DOEN II suspensi kombinasi tablet
4 2 4 1 4 2 4 3 3 2 1 1 3
16 Anti diare tablet / ( Pularex tablet ) tablet
20 30 25 20 10 20 20 24 20 3 23 23 50 28 60 30 20
17 Anti diare suspensi / botol 2
18 Antifungi DOEN salep kombinasi pot

19 Anti Hemmoroid DOEN suppositoria / Supp.

20 Antimigren DOEN tablet kombinasi tablet

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

22 Vitamin C tablet 250 mg tablet 14 39 10 50 24 40 53 54 102 15 18 30 4 3 85 48 34 10 36 30

23 Asam mefenamat 500 mg / tablet 50 10 40 40 50 50 80 10 20 20 30 30 20 20
24 Asetosal tablet 100 mg tablet
25 Asiklovir krim 5 % - 5 g tube 1 1 1 4 4 2 4 1 3 1 1 2 2 2 1 2 2
26 Asiklovir tablet 200 mg tablet 15 15
27 Asiklovir tablet 400 mg tablet 20 10 15 60 15 45 15 15 15 15 15
28 Betametason krim 0,1% tube 4 3 9 1 3 2 2 1 1 1 1 3 2 7
29 Bisakodil tablet 5 mg / tablet 10 3
30 Cetirizine tablet 10 mg tablet 60 15 60 45 5 80 60 75 20 5 10 20 30 30 5 15 20 25 25
31 Deksametason
Diazepam rectaltablet
tube 0,5 mg ml tablet 95 48 60 105 65 142 50 75 55 50 20 70 40 10 40 15 10 40 40
5 mg/2,5
32 tube
33 Diazepam tablet 2 mg tablet 3 5
34 Dietilkarbamazin Sitrat tablet 100 mg tablet

35 Digoksin tablet 0,25 mg tablet

36 Doksisiklin kapsul 100 mg kapsul
37 Domperidon tablet 10 mg tablet 20 20 40 10 10 10 30 20 5 10
38 Domperidon suspensi 5 mg/ 5ml Botol 2 2 2 3
39 Efedrin HCl tablet 25 mg tablet
40 Ekstrak belladon tablet 10 mg tablet
41 Eritromisin HCl tablet 500 mg / tablet 20 15 60 45
42 Eritromisin sirup 200 mg / 5 ml botol 1 1 45 1
43 Etambutol tablet 250 mg tablet 15
44 Fenobarbital tablet 30 mg tablet 3 1 3 1 1
45 Fenol gliserol tetes telinga 10 % - 5 ml botol
Fitomenadion ( Vit K1 ) Tablet salut 10
46 tablet
mg 10 10 10 10 10 10 7
47 Furosemid tablet 40 mg tablet 30
48 Garam Oralit 200 ml air Sachet 10 10 24 10 13 5 20 15 3 5 5 28 6 15 35 15 3 5
49 Gentamisin salep kulit 0,1 % tube 5 3 2 1 1 1 3 2 1 2
50 Gentian Violet larutan 1% - 10 ml botol
51 Glibenklamid Tablet 5 mg tablet 10 10 20 10
52 Glimepiride 2 mg tablet 10 10 20
53 Gliseril guayakolat tablet 100 mg tablet 100 68 108 84 30 90 65 83 78 54 82 44 124 104 57 96 68 39 239 120
Glukosa larutan infus 5 % steril - 500
54 botol
ml
Griseofulvin tablet 125 mg,
55 tablet
micronized 25 40 20 20 10 30 10 10
56 Haloperidol tablet 5 mg tablet
57 Hidroklorotiazid ( HCT ) Tablet 25 mg tablet
58 Hidrokortsion Krim 2,5% tube 4 2 1 3 2 1 1 3 3 2 2 2
59 Hyosin Butilbromid tablet 10 mg tablet 10
60 Ibuprofen Tablet 200 mg tablet 20 30 10 10 20 10 20 10 20 20 20 10 10 40
61 Ibuprofen Tablet 400 mg tablet
62 Ibuprofen sirup 100 mg/5 ml botol 20
63 Isoniazide tablet 100 mg tablet
64 Isoniazide tablet 300 mg tablet
65 Isosorbid dinitrat tablet 5 mg tablet

66 Kalsium laktat ( Kalk ) tablet 500 mg tablet

62 60 53 228 15 44 65 9 62 263 32 20 11 44 315 150 35 27 54
67 Kaptopril tablet 12,5 mg tablet 10 20 20 20 20 20 20 40 10
68 Kaptopril tablet 25 mg tablet 10 20 20
69 Ketokonazol tablet 200 mg tablet 1
70 Kloramfenikol tetes mata / botol 1 1 4 1 2 1 1 2 1
71 Kloramfenikol Kapsul 250 mg kapsul 15 15 15
72 Kloramfenikol salep mata 1% - 5 gram tube
2 1 2 3 1 2
73 Kloramfenikol suspensi 125 mg / 5 ml botol

74 Kloramfenikol tetes telinga 3% botol 2 4 1 3 1 2 1 1 1 1 2

Klorfeniramini Maleat ( CTM ) Tablet 4
75 tablet
mg 221 48 106 109 96 136 222 105 120 61 149 89 208 171 219 216 97 190 264 208
76 Kodein tablet 10 mg tablet
Kotrimoksazol DOEN I (dewasa) Tablet
77 tablet
Kombinasi 20 50 90 15 20 15 30 30 30 45 30 15 15 25
 Kotrimoksazol suspensi kombinasi 240
78 botol
mg/5 ml 1 1 1 2 2 1 1 1 2
79 Loratadin tablet 10 mg tablet
80 Metformin HCl tablet 500 mg tablet 15 70 20 30 15 10 10 80
Metilergometrin Maleat Tab.Salut
81 0,125 mg tablet
82 Metoklorpramid tablet 10 mg tablet
83 Metronidazol tablet 250 mg tablet 15 15 15
84 Metronidazol tablet 500 mg tablet 15 90 105 15 15 30 30 45 135 90 90 75 60 30 1 40 40 20
85 Mikonazol salep kulit 2% ) / tube 2 5 1 7 2 2 1 5 3 1 1
86 Multivitamin sirup / botol 7 2 2 5 3 2 1 1 3 3 4 2 5 7 9 4 6
87 Multivitamin tablet / tablet
88 Natrium Bikarbonat Tablet 500 mg tablet
89 Natrium diklofenak tablet 50 mg tablet 70 50 60 80 60 10 20 40 70 10 10 20 40 20 70 40 60 70 50 20
Natrium Klorida Larutan Infus 0,9%
90 botol
steril
91 Nifedipin tablet 10 mg tablet

92 Nistatin 100.000 IU/gram tablet tablet

vaginal vaginal 5 3
93 Nistatin tablet 500.000 IU tablet 5
94 Nistatin suspensi 100.000 IU / ml botol
95 OAT Kombipak kategori 1 Paket
96 OAT FDC kategori 1 Paket
97 OAT FDC kategori 2 Paket
98 OAT kategori Anak Paket

99 Obat batuk hitam ( OBH ) - 100 ml / botol

100 Oksitetrasiklin salep kulit 3 % tube 1 1 1 4 1 5 1 1

101 Oksitetrasiklin HCl salep mata 1% tube 1 1 3 1 2 1 3
102 Omeprazole kapsul 20 mg kapsul 10 10 10 10 10 10 20 20 10 20 10
103 Parasetamol sirup 120 mg / 5 ml botol 6 9 9 12 6 5 8 8 5 4 5 12 12 9 7 1 6 4 7 7
104 Parasetamol tablet 500 mg tablet 450 352 324 342 214 269 341 260 203 205 267 268 344 410 394 296 280 280 560 450
105 Pirantel Pamoat tablet 125 mg tablet
106 Pirazinamid tablet 500 mg tablet
107 Piridoksin HCl ( Vit. B6 ) tablet 10 mg tablet
30 94 60 145 50 56 88 47 32 8 36 37 76 73 91 60 72 60 29

Polikresulen (kondensasi Metakresol

108 Sulfonat dan Metanal) 360 mg botol
/gram / ( Albothyl )

109 Prednison tablet 5 mg tablet 124 59 45 84 50 51 36 47 17 14 52 52 89 34 55 105 58 61 97 97

110 Propanolol HCl tablet 10 mg tablet
111 Ranitidin tablet 150 mg / tablet 55 10 40 30 10 20 40 24 20 10 10 20 10 10 10 30 40 70
112 Retinol ( Vit. A ) 100.000 IU kapsul kapsul 3
113 Retinol ( Vit. A ) 200.000 IU kapsul kapsul 2 12 6 2 3
114 Ringer laktat larutan Infus steril botol
115 Salbutamol tablet 2 mg tablet
116 Salbutamol tablet 4 mg tablet 10 5 10 10 10 10
117 Salep 2- 4 kombinasi pot 1 1 1 1 2 2 1
118 Salep luka bakar / Levertran salep tube
1 1
119 Salisil talk 2% - 50 gr kotak 4 1 1 9 4 4 6 2 1 1 2 3 1 1 3 4 1
Sianokobalamin ( Vit. B12 ) tablet 50
120 tablet
mcg
121 Simvastatin tablet 10 mg tablet 20 10 30 20 10 10 40 20 10 20 30 10
122 Siprofloksasin tablet 500 mg tablet 10 10 10 10 10 20 10 20 45 40 10 10
123 Tablet tambah darah kombinasi / tablet 20 30 150 30 10 50 165 30 10 40 10 35 170 5 10 45 30
124 Tetrasiklin HCl kapsul 250 mg kapsul
125 Tetrasiklin HCl kapsul 500 mg kapsul
126 Tiamfenikol kapsul 500 mg / kapsul 15 15 15 15 30
Tiamin HCl/ Mononitrat ( Vit B1 ) tab.
127 tablet
50 mg 83 48 86 54 47 37 33 45 53 37 58 41 47 28 99 51 78 45 82 108
Triamsinolon Asetonida krim 0,1% - 5g
128 / tube
129 Vitamin B komplek tablet tablet 117 192 114 140 60 30 163 83 110 31 137 27 144 76 132 106 58 70 189 144
130 Zink tablet dispersibel 20 mg tablet 30 10 1 5 10 20 58
131 Obat Kusta ( MB Dewasa ) Blister
132 Obat Kusta ( MB Anak ) Blister

133 OBH Plus - 100 ml / OBH INDOPPLUS botol

134 Anti influenza tablet dewasa / FLUNAX tablet

Obat batuk kering tablet dewasa /

135 ADITUSIN tablet

Obat batuk sirup anak / COPARCETIN

136 SIRUP botol

137 Borax gliserin botol 1 1 1 2 1 2 1 1 2 2 1

138 Anti koagulan gel / THROMBOGEL Tube

139 Asam Folat

200 310 70
140 Clindamisin 300 mg

141 Betahistin mesilat

OBAT GIGI
1 Devitalisasi pasta ( non arsen ) botol
2 Etil klorida semprot 100 ml botol
3 Eugenol-10 ml botol
4 Glass ionomer cement ART Set
5 Kalsium hidroksida pasta kotak
6 Klorfenol Kamfer Menthol ( CHKM ) botol
7 Mummifying pasta botol
8 Semen seng fosfat serbuk dan cairan botol
Temporary Stopping Fletcher serbuk
9 Set
dan cairan
10 Glass ionomer cement ART - 10 g Set

REAGEN
1 Reagen Zeil Nelsen Kit
2 Larutan HCL 0,1 N - 100 ml Botol
Rapit/urin stick 10'/100 strip ( Btl/100
3 Strip
strip )
4 Antigen A,B,AB,Rhesus set/ 4 vial
5 Rapit test kehamilan ( Box/50 strip ) Strip

INJEKSI
 Aminofilin injeksi 24mg / ml - 10 ml /
1 ampul
2 Atropin Sulfat Injeksi 1 mg / ml ampul
3 Deksametason injeksi 5 mg/ml ampul
4 Difenhidramin HCl Injeksi 10 mg/ml ampul
Epinefrina HCl / Bitartrat Injeksi 0,1%
5 ampul
-Fitomenadion
1 ml (Vit K1) Injeksi 10
6 ampul
mg/ml - 1 ml
7 Lidokain HCL 2% + ampul
8 Magnesium Sulfat injeksi vial
Metilergometrin Maleat Injeksi 0,200
9 ampul
mg - 1 ml
10 Oksitosin injeksi 10 IU / ml - 1 ml ampul
Lidokain Injeksi 2%
11 ampul
BAHAN HABIS PAKAI
Etakridin ( Rivanol ) larutan 0,1 % -
1 botol
300 ml
2 Etanol 70 % - 1000 ml botol
Lidokain jelly 2% ( Xylocain Jelly ) - 10
3 tube
gr.
4 Hidrogen Peroksida 3% - 800 ml botol
5 Jelly untuk USG / Doppler - 80 gr tube
6 Lisol 50% - 1000 ml botol
7 Povidon Iodida 10% - 30 ml botol
8 Povidon Iodida 10% - 300 ml botol
9 Etanol 70 % - 100 ml botol
ALAT KESEHATAN
1 Abbocath ( IV cateter ) No. 20 Set
2 Abbocath ( IV cateter ) No. 22 Set
3 Abbocath ( IV cateter ) No. 24 Set
4 Alat suntik sekali pakai 0,05 ml Set
5 Alat suntik sekali pakai 0,5 ml Set
6 Alat suntik sekali pakai 1 ml Set
7 Alat suntik sekali pakai 2,5 ml Set
8 Alat suntik sekali pakai 5 ml Set
9 Box slide, kapasitas 100 Buah
Catgut/Benang Bedah No.2/0 (Plain &
10 Sachet
Cromic)
11 Catgut No.3/0 ( Plain with needle ) Sachet
12 Infusion set Anak Set
13 Infusion set Dewasa Set
14 Kapas pembalut / absorben 250 g bungkus
15 Kasa Pembalut 40 m x 80 cm Rol
16 Kasa Hidrofil Steril 16 x 16 Kotak
17 Kasa kompres 40/40 steril Rol
18 Kasa Pembalut 2 m x 80 cm Rol
19 Kasa Pembalut Hidrofil 4 m x 10 cm Rol
20 Kasa Pembalut Hidropil 4 m x 3 cm Rol
21 Kasa Pembalut Hidropil 4 m x 5 cm Rol
22 Kasa Pembalut Hidropil 4 m x 15 cm Rol
23 Masker Surgical Tie-on buah
24 Masker Surgical plus - 3 ply Ear loop buah
25 Objek glass / Slide buah
26 Ose kaca buah
27 Pita Lila buah
28 Plester 5 yard x 0,5 inc Rol
29 Pot Sputum pot
30 Sarung Tangan Examination ( L ) pasang
31 Sarung Tangan Examination ( M ) pasang
32 Sarung Tangan Examination ( S ) pasang
33 Sendok Obat buah
34 Silk ( Benag bedah sutra ) No. 3/0 set
35 Alkohol Swab lbr
36 Micropore 1/2' Rol
37 Jarum/needle 24 box/100
38 Pot urin 50 ml buah
39 Blood lanset 28G box/100
40 Safety Box 5 L dg waterprof Buah
 PEMAKAIAN HARIAN OBAT DAN BMHP
PUSKESMAS PERUMNAS II

BULAN : FEBRUARI
TAHU : 2016
NO NAMA OBAT/BMHP SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

1 Albendazol tablet 400 mg tablet

2 Alopurinol tablet 100 mg tablet
3 Alopurinol
Ambroksol tablet 300
mgmg tablet
sirup 15 / 5 ml /
4 botol
5 Ambroksol tablet 30 mg tablet
6 Aminofilin tablet 200 mg tablet
 7 Amlodipine tablet 5 mg tablet
8 Amlodipine tablet 10 mg tablet
9 Amitriptilin HCl tablet salut 25 mg tablet
10 Amoksisilin kapsul 250 mg kapsul
11 Amoksisilin kaplet 500 mg kaplet
12 Amoksisilin sirup Kering 125 mg / 5 ml botol
13 Antalgin tablet 500 mg tablet
14 Antasida DOEN I tablet kombinasi tablet
15 Antasida DOEN II suspensi kombinasi tablet
16 Anti diare tablet / ( Pularex tablet ) tablet
17 Anti diare suspensi / botol
18 Antifungi DOEN salep kombinasi pot
19 Anti Hemmoroid DOEN suppositoria / Supp.
20 Antimigren DOEN tablet kombinasi tablet
21 Asam askorbat ( Vit.C ) tablet 50 mg tablet
22 Vitamin C tablet 250 mg tablet
23 Asam mefenamat 500 mg / tablet
24 Asetosal tablet 100 mg tablet
25 Asiklovir krim 5 % - 5 g tube
26 Asiklovir tablet 200 mg tablet
27 Asiklovir tablet 400 mg tablet
28 Betametason krim 0,1% tube
29 Bisakodil tablet 5 mg / tablet
30 Cetirizine tablet 10 mg tablet
31 Deksametason
Diazepam rectaltablet
tube 0,5 mg ml tablet
5 mg/2,5
32 tube
33 Diazepam tablet 2 mg tablet
34 Dietilkarbamazin Sitrat tablet 100 mg tablet
35 Digoksin tablet 0,25 mg tablet
36 Doksisiklin kapsul 100 mg kapsul
37 Domperidon tablet 10 mg tablet
38 Domperidon suspensi 5 mg/ 5ml Botol
39 Efedrin HCl tablet 25 mg tablet
40 Ekstrak belladon tablet 10 mg tablet
41 Eritromisin HCl tablet 500 mg / tablet
42 Eritromisin sirup 200 mg / 5 ml botol
43 Etambutol tablet 250 mg tablet
44 Fenobarbital tablet 30 mg tablet
45 Fenol gliserol tetes telinga 10 % - 5 ml botol
Fitomenadion ( Vit K1 ) Tablet salut 10
46 tablet
mg
47 Furosemid tablet 40 mg tablet
48 Garam Oralit 200 ml air Sachet
49 Gentamisin salep kulit 0,1 % tube
50 Gentian Violet larutan 1% - 10 ml botol
51 Glibenklamid Tablet 5 mg tablet
52 Glimepiride 2 mg tablet
53 Gliseril guayakolat tablet 100 mg tablet
Glukosa larutan infus 5 % steril - 500
54 botol
ml
Griseofulvin tablet 125 mg,
55 tablet
micronized
56 Haloperidol tablet 5 mg tablet
57 Hidroklorotiazid ( HCT ) Tablet 25 mg tablet
58 Hidrokortsion Krim 2,5% tube
59 Hyosin Butilbromid tablet 10 mg tablet
60 Ibuprofen Tablet 200 mg tablet
61 Ibuprofen Tablet 400 mg tablet
62 Ibuprofen sirup 100 mg/5 ml botol
63 Isoniazide tablet 100 mg tablet
64 Isoniazide tablet 300 mg tablet
65 Isosorbid dinitrat tablet 5 mg tablet
66 Kalsium laktat ( Kalk ) tablet 500 mg tablet
67 Kaptopril tablet 12,5 mg tablet
68 Kaptopril tablet 25 mg tablet
69 Ketokonazol tablet 200 mg tablet
70 Kloramfenikol tetes mata / botol
71 Kloramfenikol Kapsul 250 mg kapsul
72 Kloramfenikol salep mata 1% - 5 gram tube
73 Kloramfenikol suspensi 125 mg / 5 ml botol
74 Kloramfenikol tetes telinga 3% botol
Klorfeniramini Maleat ( CTM ) Tablet 4
75 tablet
mg
76 Kodein tablet 10 mg tablet
Kotrimoksazol DOEN I (dewasa) Tablet
77 tablet
Kombinasi
Kotrimoksazol suspensi kombinasi 240
78 botol
mg/5 ml
79 Loratadin tablet 10 mg tablet
80 Metformin HCl tablet 500 mg tablet
Metilergometrin Maleat Tab.Salut
81 tablet
0,125 mg
82 Metoklorpramid tablet 10 mg tablet
83 Metronidazol tablet 250 mg tablet
84 Metronidazol tablet 500 mg tablet
85 Mikonazol salep kulit 2% ) / tube
86 Multivitamin sirup / botol
87 Multivitamin tablet / tablet
88 Natrium Bikarbonat Tablet 500 mg tablet
89 Natrium diklofenak tablet 50 mg tablet
Natrium Klorida Larutan Infus 0,9%
90 botol
steril
91 Nifedipin tablet 10 mg tablet
Nistatin 100.000 IU/gram tablet tablet
92 vaginal vaginal
93 Nistatin tablet 500.000 IU tablet
94 Nistatin suspensi 100.000 IU / ml botol
95 OAT Kombipak kategori 1 Paket
96 OAT FDC kategori 1 Paket
97 OAT FDC kategori 2 Paket
98 OAT kategori Anak Paket
99 Obat batuk hitam ( OBH ) - 100 ml / botol
100 Oksitetrasiklin salep kulit 3 % tube
101 Oksitetrasiklin HCl salep mata 1% tube
102 Omeprazole kapsul 20 mg kapsul
103 Parasetamol sirup 120 mg / 5 ml botol
104 Parasetamol tablet 500 mg tablet
105 Pirantel Pamoat tablet 125 mg tablet
106 Pirazinamid tablet 500 mg tablet
107 Piridoksin HCl(kondensasi
( Vit. B6 ) tablet 10 mg tablet
Polikresulen Metakresol
108 Sulfonat dan Metanal) 360 mg botol
/gram / ( Albothyl )
109 Prednison tablet 5 mg tablet
110 Propanolol HCl tablet 10 mg tablet
111 Ranitidin tablet 150 mg / tablet
112 Retinol ( Vit. A ) 100.000 IU kapsul kapsul
113 Retinol ( Vit. A ) 200.000 IU kapsul kapsul
114 Ringer laktat larutan Infus steril botol
115 Salbutamol tablet 2 mg tablet
116 Salbutamol tablet 4 mg tablet
117 Salep 2- 4 kombinasi pot
118 Salep luka bakar / Levertran salep tube
119 Salisil talk 2% - 50 gr kotak
Sianokobalamin ( Vit. B12 ) tablet 50
120 tablet
mcg
121 Simvastatin tablet 10 mg tablet
122 Siprofloksasin tablet 500 mg tablet
123 Tablet tambah darah kombinasi / tablet
124 Tetrasiklin HCl kapsul 250 mg kapsul
125 Tetrasiklin HCl kapsul 500 mg kapsul
126 Tiamfenikol kapsul 500 mg / kapsul
Tiamin HCl/ Mononitrat ( Vit B1 ) tab.
127 tablet
50 mg
Triamsinolon Asetonida krim 0,1% - 5g
128 / tube
129 Vitamin B komplek tablet tablet
130 Zink tablet dispersibel 20 mg tablet
131 Obat Kusta ( MB Dewasa ) Blister
132 Obat Kusta ( MB Anak ) Blister
133 OBH Plus - 100 ml / OBH INDOPPLUS botol
134 Anti influenza tablet dewasa / FLUNAX tablet
Obat batuk kering tablet dewasa /
135 ADITUSIN
tablet
Obat batuk sirup anak / COPARCETIN
136 SIRUP
botol
137 Borax gliserin botol
138 Anti koagulan gel / THROMBOGEL Tube
 OBAT GIGI
1 Devitalisasi pasta ( non arsen ) botol
2 Etil klorida semprot 100 ml botol
3 Eugenol-10 ml botol
4 Glass ionomer cement ART Set
5 Kalsium hidroksida pasta kotak
6 Klorfenol Kamfer Menthol ( CHKM ) botol
7 Mummifying pasta botol
8 Semen seng fosfat serbuk dan cairan botol
Temporary Stopping Fletcher serbuk
9 Set
dan cairan
10 Glass ionomer cement ART - 10 g Set

REAGEN
1 Reagen Zeil Nelsen Kit
2 Larutan HCL 0,1 N - 100 ml Botol
Rapit/urin stick 10'/100 strip ( Btl/100
3 Strip
strip )
4 Antigen A,B,AB,Rhesus set/ 4 vial
5 Rapit test kehamilan ( Box/50 strip ) Strip

INJEKSI
Aminofilin injeksi 24mg / ml - 10 ml /
1 ampul
2 Atropin Sulfat Injeksi 1 mg / ml ampul
3 Deksametason injeksi 5 mg/ml ampul
4 Difenhidramin HCl Injeksi 10 mg/ml ampul
Epinefrina HCl / Bitartrat Injeksi 0,1%
5 ampul
-Fitomenadion
1 ml (Vit K1) Injeksi 10
6 ampul
mg/ml - 1 ml
7 Lidokain HCL 2% + ampul
8 Magnesium Sulfat injeksi vial
Metilergometrin Maleat Injeksi 0,200
9 ampul
mg - 1 ml
10 Oksitosin injeksi 10 IU / ml - 1 ml ampul
Lidokain Injeksi 2%
11 ampul
BAHAN HABIS PAKAI
 Etakridin ( Rivanol ) larutan 0,1 % -
1 botol
300 ml
2 Etanol 70 % - 1000 ml botol
Lidokain jelly 2% ( Xylocain Jelly ) - 10
3 tube
gr.
4 Hidrogen Peroksida 3% - 800 ml botol
5 Jelly untuk USG / Doppler - 80 gr tube
6 Lisol 50% - 1000 ml botol
7 Povidon Iodida 10% - 30 ml botol
8 Povidon Iodida 10% - 300 ml botol
9 Etanol 70 % - 100 ml botol
ALAT KESEHATAN
1 Abbocath ( IV cateter ) No. 20 Set
2 Abbocath ( IV cateter ) No. 22 Set
3 Abbocath ( IV cateter ) No. 24 Set
4 Alat suntik sekali pakai 0,05 ml Set
5 Alat suntik sekali pakai 0,5 ml Set
6 Alat suntik sekali pakai 1 ml Set
7 Alat suntik sekali pakai 2,5 ml Set
8 Alat suntik sekali pakai 5 ml Set
9 Box slide, kapasitas 100 Buah
Catgut/Benang Bedah No.2/0 (Plain & Sachet
10 Cromic)
11 Catgut No.3/0 ( Plain with needle ) Sachet
12 Infusion set Anak Set
13 Infusion set Dewasa Set
14 Kapas pembalut / absorben 250 g bungkus
15 Kasa Pembalut 40 m x 80 cm Rol
16 Kasa Hidrofil Steril 16 x 16 Kotak
17 Kasa kompres 40/40 steril Rol
18 Kasa Pembalut 2 m x 80 cm Rol
19 Kasa Pembalut Hidrofil 4 m x 10 cm Rol
20 Kasa Pembalut Hidropil 4 m x 3 cm Rol
21 Kasa Pembalut Hidropil 4 m x 5 cm Rol
22 Kasa Pembalut Hidropil 4 m x 15 cm Rol
23 Masker Surgical Tie-on buah
24 Masker Surgical plus - 3 ply Ear loop buah
25 Objek glass / Slide buah
26 Ose kaca buah
27 Pita Lila buah
28 Plester 5 yard x 0,5 inc Rol
29 Pot Sputum pot
30 Sarung Tangan Examination ( L ) pasang
31 Sarung Tangan Examination ( M ) pasang
32 Sarung Tangan Examination ( S ) pasang
33 Sendok Obat buah
34 Silk ( Benag bedah sutra ) No. 3/0 set
35 Alkohol Swab lbr
36 Micropore 1/2' Rol
37 Jarum/needle 24 box/100
38 Pot urin 50 ml buah
39 Blood lanset 28G box/100
40 Safety Box 5 L dg waterprof Buah
 PEMAKAIAN HARIAN OBAT DAN BMHP
PUSKESMAS PERUMNAS II

BULAN : MARET
TAHU : 2016
NO NAMA OBAT/BMHP SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

1 Albendazol tablet 400 mg tablet

2 Alopurinol tablet 100 mg tablet
3 Alopurinol
Ambroksol tablet 300
mgmg tablet
sirup 15 / 5 ml /
4 botol
5 Ambroksol tablet 30 mg tablet
6 Aminofilin tablet 200 mg tablet
7 Amlodipine tablet 5 mg tablet
8 Amlodipine tablet 10 mg tablet
9 Amitriptilin HCl tablet salut 25 mg tablet
10 Amoksisilin kapsul 250 mg kapsul
11 Amoksisilin kaplet 500 mg kaplet
12 Amoksisilin sirup Kering 125 mg / 5 ml botol
13 Antalgin tablet 500 mg tablet
14 Antasida DOEN I tablet kombinasi tablet
15 Antasida DOEN II suspensi kombinasi tablet
16 Anti diare tablet / ( Pularex tablet ) tablet
17 Anti diare suspensi / botol
18 Antifungi DOEN salep kombinasi pot
19 Anti Hemmoroid DOEN suppositoria / Supp.
20 Antimigren DOEN tablet kombinasi tablet
21 Asam askorbat ( Vit.C ) tablet 50 mg tablet
22 Vitamin C tablet 250 mg tablet
23 Asam mefenamat 500 mg / tablet
24 Asetosal tablet 100 mg tablet
25 Asiklovir krim 5 % - 5 g tube
26 Asiklovir tablet 200 mg tablet
27 Asiklovir tablet 400 mg tablet
28 Betametason krim 0,1% tube
29 Bisakodil tablet 5 mg / tablet
30 Cetirizine tablet 10 mg tablet
31 Deksametason
Diazepam rectaltablet
tube 0,5 mg ml tablet
5 mg/2,5
32 tube
33 Diazepam tablet 2 mg tablet
34 Dietilkarbamazin Sitrat tablet 100 mg tablet
35 Digoksin tablet 0,25 mg tablet
36 Doksisiklin kapsul 100 mg kapsul
37 Domperidon tablet 10 mg tablet
38 Domperidon suspensi 5 mg/ 5ml Botol
39 Efedrin HCl tablet 25 mg tablet
40 Ekstrak belladon tablet 10 mg tablet
41 Eritromisin HCl tablet 500 mg / tablet
42 Eritromisin sirup 200 mg / 5 ml botol
43 Etambutol tablet 250 mg tablet
44 Fenobarbital tablet 30 mg tablet
45 Fenol gliserol tetes telinga 10 % - 5 ml botol
Fitomenadion ( Vit K1 ) Tablet salut 10
46 tablet
mg
47 Furosemid tablet 40 mg tablet
48 Garam Oralit 200 ml air Sachet
49 Gentamisin salep kulit 0,1 % tube
50 Gentian Violet larutan 1% - 10 ml botol
51 Glibenklamid Tablet 5 mg tablet
52 Glimepiride 2 mg tablet
53 Gliseril guayakolat tablet 100 mg tablet
Glukosa larutan infus 5 % steril - 500
54 botol
ml
Griseofulvin tablet 125 mg,
55 micronized tablet
56 Haloperidol tablet 5 mg tablet
57 Hidroklorotiazid ( HCT ) Tablet 25 mg tablet
58 Hidrokortsion Krim 2,5% tube
59 Hyosin Butilbromid tablet 10 mg tablet
60 Ibuprofen Tablet 200 mg tablet
61 Ibuprofen Tablet 400 mg tablet
62 Ibuprofen sirup 100 mg/5 ml botol
63 Isoniazide tablet 100 mg tablet
64 Isoniazide tablet 300 mg tablet
65 Isosorbid dinitrat tablet 5 mg tablet
66 Kalsium laktat ( Kalk ) tablet 500 mg tablet
67 Kaptopril tablet 12,5 mg tablet
68 Kaptopril tablet 25 mg tablet
69 Ketokonazol tablet 200 mg tablet
70 Kloramfenikol tetes mata / botol
71 Kloramfenikol Kapsul 250 mg kapsul
72 Kloramfenikol salep mata 1% - 5 gram tube
73 Kloramfenikol suspensi 125 mg / 5 ml botol
74 Kloramfenikol tetes telinga 3% botol
Klorfeniramini Maleat ( CTM ) Tablet 4
75 tablet
mg
76 Kodein tablet 10 mg tablet
Kotrimoksazol DOEN I (dewasa) Tablet
77 tablet
Kombinasi
Kotrimoksazol suspensi kombinasi 240
78 botol
mg/5 ml
79 Loratadin tablet 10 mg tablet
80 Metformin HCl tablet 500 mg tablet
Metilergometrin Maleat Tab.Salut
81 tablet
0,125 mg
82 Metoklorpramid tablet 10 mg tablet
83 Metronidazol tablet 250 mg tablet
84 Metronidazol tablet 500 mg tablet
85 Mikonazol salep kulit 2% ) / tube
86 Multivitamin sirup / botol
87 Multivitamin tablet / tablet
88 Natrium Bikarbonat Tablet 500 mg tablet
89 Natrium diklofenak tablet 50 mg tablet
Natrium Klorida Larutan Infus 0,9%
90 botol
steril
91 Nifedipin tablet 10 mg tablet
Nistatin 100.000 IU/gram tablet tablet
92 vaginal vaginal
93 Nistatin tablet 500.000 IU tablet
94 Nistatin suspensi 100.000 IU / ml botol
95 OAT Kombipak kategori 1 Paket
96 OAT FDC kategori 1 Paket
97 OAT FDC kategori 2 Paket
98 OAT kategori Anak Paket
99 Obat batuk hitam ( OBH ) - 100 ml / botol
100 Oksitetrasiklin salep kulit 3 % tube
101 Oksitetrasiklin HCl salep mata 1% tube
102 Omeprazole kapsul 20 mg kapsul
103 Parasetamol sirup 120 mg / 5 ml botol
104 Parasetamol tablet 500 mg tablet
105 Pirantel Pamoat tablet 125 mg tablet
106 Pirazinamid tablet 500 mg tablet
107 Piridoksin HCl(kondensasi
( Vit. B6 ) tablet 10 mg tablet
Polikresulen Metakresol
108 Sulfonat dan Metanal) 360 mg botol
/gram / ( Albothyl )
109 Prednison tablet 5 mg tablet
110 Propanolol HCl tablet 10 mg tablet
111 Ranitidin tablet 150 mg / tablet
112 Retinol ( Vit. A ) 100.000 IU kapsul kapsul
113 Retinol ( Vit. A ) 200.000 IU kapsul kapsul
114 Ringer laktat larutan Infus steril botol
115 Salbutamol tablet 2 mg tablet
116 Salbutamol tablet 4 mg tablet
117 Salep 2- 4 kombinasi pot
118 Salep luka bakar / Levertran salep tube
119 Salisil talk 2% - 50 gr kotak
Sianokobalamin ( Vit. B12 ) tablet 50
120 tablet
mcg
121 Simvastatin tablet 10 mg tablet
122 Siprofloksasin tablet 500 mg tablet
123 Tablet tambah darah kombinasi / tablet
124 Tetrasiklin HCl kapsul 250 mg kapsul
125 Tetrasiklin HCl kapsul 500 mg kapsul
126 Tiamfenikol kapsul 500 mg / kapsul
Tiamin HCl/ Mononitrat ( Vit B1 ) tab.
127 tablet
50 mg
Triamsinolon Asetonida krim 0,1% - 5g
128 / tube
129 Vitamin B komplek tablet tablet
130 Zink tablet dispersibel 20 mg tablet
131 Obat Kusta ( MB Dewasa ) Blister
132 Obat Kusta ( MB Anak ) Blister
133 OBH Plus - 100 ml / OBH INDOPPLUS botol
134 Anti influenza tablet dewasa / FLUNAX tablet
Obat batuk kering tablet dewasa /
135 ADITUSIN tablet
Obat batuk sirup anak / COPARCETIN
136 SIRUP botol
137 Borax gliserin botol
138 Anti koagulan gel / THROMBOGEL Tube

OBAT GIGI
1 Devitalisasi pasta ( non arsen ) botol
2 Etil klorida semprot 100 ml botol
3 Eugenol-10 ml botol
4 Glass ionomer cement ART Set
5 Kalsium hidroksida pasta kotak
6 Klorfenol Kamfer Menthol ( CHKM ) botol
7 Mummifying pasta botol
8 Semen seng fosfat serbuk dan cairan botol
Temporary Stopping Fletcher serbuk
9 Set
dan cairan
10 Glass ionomer cement ART - 10 g Set

REAGEN
1 Reagen Zeil Nelsen Kit
2 Larutan HCL 0,1 N - 100 ml Botol
 Rapit/urin stick 10'/100 strip ( Btl/100
3 Strip
strip )
4 Antigen A,B,AB,Rhesus set/ 4 vial
5 Rapit test kehamilan ( Box/50 strip ) Strip

INJEKSI
Aminofilin injeksi 24mg / ml - 10 ml /
1 ampul
2 Atropin Sulfat Injeksi 1 mg / ml ampul
3 Deksametason injeksi 5 mg/ml ampul
4 Difenhidramin HCl Injeksi 10 mg/ml ampul
Epinefrina HCl / Bitartrat Injeksi 0,1%
5 ampul
-Fitomenadion
1 ml (Vit K1) Injeksi 10
6 ampul
mg/ml - 1 ml
7 Lidokain HCL 2% + ampul
8 Magnesium Sulfat injeksi vial
Metilergometrin Maleat Injeksi 0,200
9 ampul
mg - 1 ml
10 Oksitosin injeksi 10 IU / ml - 1 ml ampul
Lidokain Injeksi 2%
11 ampul
BAHAN HABIS PAKAI
Etakridin ( Rivanol ) larutan 0,1 % -
1 botol
300 ml
2 Etanol 70 % - 1000 ml botol
Lidokain jelly 2% ( Xylocain Jelly ) - 10
3 tube
gr.
4 Hidrogen Peroksida 3% - 800 ml botol
5 Jelly untuk USG / Doppler - 80 gr tube
6 Lisol 50% - 1000 ml botol
7 Povidon Iodida 10% - 30 ml botol
8 Povidon Iodida 10% - 300 ml botol
9 Etanol 70 % - 100 ml botol
ALAT KESEHATAN
1 Abbocath ( IV cateter ) No. 20 Set
2 Abbocath ( IV cateter ) No. 22 Set
3 Abbocath ( IV cateter ) No. 24 Set
4 Alat suntik sekali pakai 0,05 ml Set
5 Alat suntik sekali pakai 0,5 ml Set
6 Alat suntik sekali pakai 1 ml Set
 7 Alat suntik sekali pakai 2,5 ml Set
8 Alat suntik sekali pakai 5 ml Set
9 Box slide, kapasitas 100 Buah
Catgut/Benang Bedah No.2/0 (Plain & Sachet
10 Cromic)
11 Catgut No.3/0 ( Plain with needle ) Sachet
12 Infusion set Anak Set
13 Infusion set Dewasa Set
14 Kapas pembalut / absorben 250 g bungkus
15 Kasa Pembalut 40 m x 80 cm Rol
16 Kasa Hidrofil Steril 16 x 16 Kotak
17 Kasa kompres 40/40 steril Rol
18 Kasa Pembalut 2 m x 80 cm Rol
19 Kasa Pembalut Hidrofil 4 m x 10 cm Rol
20 Kasa Pembalut Hidropil 4 m x 3 cm Rol
21 Kasa Pembalut Hidropil 4 m x 5 cm Rol
22 Kasa Pembalut Hidropil 4 m x 15 cm Rol
23 Masker Surgical Tie-on buah
24 Masker Surgical plus - 3 ply Ear loop buah
25 Objek glass / Slide buah
26 Ose kaca buah
27 Pita Lila buah
28 Plester 5 yard x 0,5 inc Rol
29 Pot Sputum pot
30 Sarung Tangan Examination ( L ) pasang
31 Sarung Tangan Examination ( M ) pasang
32 Sarung Tangan Examination ( S ) pasang
33 Sendok Obat buah
34 Silk ( Benag bedah sutra ) No. 3/0 set
35 Alkohol Swab lbr
36 Micropore 1/2' Rol
37 Jarum/needle 24 box/100
38 Pot urin 50 ml buah
39 Blood lanset 28G box/100
 40 Safety Box 5 L dg waterprof Buah

PEMAKAIAN HARIAN OBAT DAN BMHP

PUSKESMAS PERUMNAS II

BULAN : APRIL
TAHU : 2016
NO NAMA OBAT/BMHP SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

1 Albendazol tablet 400 mg tablet

2 Alopurinol tablet 100 mg tablet
3 Alopurinol
Ambroksol tablet 300
mgmg tablet
sirup 15 / 5 ml /
4 botol
5 Ambroksol tablet 30 mg tablet
6 Aminofilin tablet 200 mg tablet
7 Amlodipine tablet 5 mg tablet
8 Amlodipine tablet 10 mg tablet
 9 Amitriptilin HCl tablet salut 25 mg tablet
10 Amoksisilin kapsul 250 mg kapsul
11 Amoksisilin kaplet 500 mg kaplet
12 Amoksisilin sirup Kering 125 mg / 5 ml botol
13 Antalgin tablet 500 mg tablet
14 Antasida DOEN I tablet kombinasi tablet
15 Antasida DOEN II suspensi kombinasi tablet
16 Anti diare tablet / ( Pularex tablet ) tablet
17 Anti diare suspensi / botol
18 Antifungi DOEN salep kombinasi pot
19 Anti Hemmoroid DOEN suppositoria / Supp.
20 Antimigren DOEN tablet kombinasi tablet
21 Asam askorbat ( Vit.C ) tablet 50 mg tablet
22 Vitamin C tablet 250 mg tablet
23 Asam mefenamat 500 mg / tablet
24 Asetosal tablet 100 mg tablet
25 Asiklovir krim 5 % - 5 g tube
26 Asiklovir tablet 200 mg tablet
27 Asiklovir tablet 400 mg tablet
28 Betametason krim 0,1% tube
29 Bisakodil tablet 5 mg / tablet
30 Cetirizine tablet 10 mg tablet
31 Deksametason
Diazepam rectaltablet
tube 0,5 mg ml tablet
5 mg/2,5
32 tube
33 Diazepam tablet 2 mg tablet
34 Dietilkarbamazin Sitrat tablet 100 mg tablet
35 Digoksin tablet 0,25 mg tablet
36 Doksisiklin kapsul 100 mg kapsul
37 Domperidon tablet 10 mg tablet
38 Domperidon suspensi 5 mg/ 5ml Botol
39 Efedrin HCl tablet 25 mg tablet
40 Ekstrak belladon tablet 10 mg tablet
41 Eritromisin HCl tablet 500 mg / tablet
42 Eritromisin sirup 200 mg / 5 ml botol
43 Etambutol tablet 250 mg tablet
44 Fenobarbital tablet 30 mg tablet
45 Fenol gliserol tetes telinga 10 % - 5 ml botol
Fitomenadion ( Vit K1 ) Tablet salut 10
46 tablet
mg
47 Furosemid tablet 40 mg tablet
48 Garam Oralit 200 ml air Sachet
49 Gentamisin salep kulit 0,1 % tube
50 Gentian Violet larutan 1% - 10 ml botol
51 Glibenklamid Tablet 5 mg tablet
52 Glimepiride 2 mg tablet
53 Gliseril guayakolat tablet 100 mg tablet
Glukosa larutan infus 5 % steril - 500
54 botol
ml
Griseofulvin tablet 125 mg,
55 tablet
micronized
56 Haloperidol tablet 5 mg tablet
57 Hidroklorotiazid ( HCT ) Tablet 25 mg tablet
58 Hidrokortsion Krim 2,5% tube
59 Hyosin Butilbromid tablet 10 mg tablet
60 Ibuprofen Tablet 200 mg tablet
61 Ibuprofen Tablet 400 mg tablet
62 Ibuprofen sirup 100 mg/5 ml botol
63 Isoniazide tablet 100 mg tablet
64 Isoniazide tablet 300 mg tablet
65 Isosorbid dinitrat tablet 5 mg tablet
66 Kalsium laktat ( Kalk ) tablet 500 mg tablet
67 Kaptopril tablet 12,5 mg tablet
68 Kaptopril tablet 25 mg tablet
69 Ketokonazol tablet 200 mg tablet
70 Kloramfenikol tetes mata / botol
71 Kloramfenikol Kapsul 250 mg kapsul
72 Kloramfenikol salep mata 1% - 5 gram tube
73 Kloramfenikol suspensi 125 mg / 5 ml botol
74 Kloramfenikol tetes telinga 3% botol
 Klorfeniramini Maleat ( CTM ) Tablet 4
75 tablet
mg
76 Kodein tablet 10 mg tablet
Kotrimoksazol DOEN I (dewasa) Tablet
77 tablet
Kombinasi
Kotrimoksazol suspensi kombinasi 240
78 botol
mg/5 ml
79 Loratadin tablet 10 mg tablet
80 Metformin HCl tablet 500 mg tablet
Metilergometrin Maleat Tab.Salut
81 tablet
0,125 mg
82 Metoklorpramid tablet 10 mg tablet
83 Metronidazol tablet 250 mg tablet
84 Metronidazol tablet 500 mg tablet
85 Mikonazol salep kulit 2% ) / tube
86 Multivitamin sirup / botol
87 Multivitamin tablet / tablet
88 Natrium Bikarbonat Tablet 500 mg tablet
89 Natrium diklofenak tablet 50 mg tablet
Natrium Klorida Larutan Infus 0,9%
90 botol
steril
91 Nifedipin tablet 10 mg tablet
Nistatin 100.000 IU/gram tablet tablet
92 vaginal vaginal
93 Nistatin tablet 500.000 IU tablet
94 Nistatin suspensi 100.000 IU / ml botol
95 OAT Kombipak kategori 1 Paket
96 OAT FDC kategori 1 Paket
97 OAT FDC kategori 2 Paket
98 OAT kategori Anak Paket
99 Obat batuk hitam ( OBH ) - 100 ml / botol
100 Oksitetrasiklin salep kulit 3 % tube
101 Oksitetrasiklin HCl salep mata 1% tube
102 Omeprazole kapsul 20 mg kapsul
103 Parasetamol sirup 120 mg / 5 ml botol
104 Parasetamol tablet 500 mg tablet
105 Pirantel Pamoat tablet 125 mg tablet
106 Pirazinamid tablet 500 mg tablet
107 Piridoksin HCl ( Vit. B6 ) tablet 10 mg tablet
 Polikresulen (kondensasi Metakresol
108 Sulfonat dan Metanal) 360 mg botol
/gram / ( Albothyl )
109 Prednison tablet 5 mg tablet
110 Propanolol HCl tablet 10 mg tablet
111 Ranitidin tablet 150 mg / tablet
112 Retinol ( Vit. A ) 100.000 IU kapsul kapsul
113 Retinol ( Vit. A ) 200.000 IU kapsul kapsul
114 Ringer laktat larutan Infus steril botol
115 Salbutamol tablet 2 mg tablet
116 Salbutamol tablet 4 mg tablet
117 Salep 2- 4 kombinasi pot
118 Salep luka bakar / Levertran salep tube
119 Salisil talk 2% - 50 gr kotak
Sianokobalamin ( Vit. B12 ) tablet 50
120 tablet
mcg
121 Simvastatin tablet 10 mg tablet
122 Siprofloksasin tablet 500 mg tablet
123 Tablet tambah darah kombinasi / tablet
124 Tetrasiklin HCl kapsul 250 mg kapsul
125 Tetrasiklin HCl kapsul 500 mg kapsul
126 Tiamfenikol kapsul 500 mg / kapsul
Tiamin HCl/ Mononitrat ( Vit B1 ) tab.
127 tablet
50 mg
Triamsinolon Asetonida krim 0,1% - 5g
128 / tube
129 Vitamin B komplek tablet tablet
130 Zink tablet dispersibel 20 mg tablet
131 Obat Kusta ( MB Dewasa ) Blister
132 Obat Kusta ( MB Anak ) Blister
133 OBH Plus - 100 ml / OBH INDOPPLUS botol
134 Anti influenza tablet dewasa / FLUNAX tablet
Obat batuk kering tablet dewasa /
135 ADITUSIN tablet
Obat batuk sirup anak / COPARCETIN
136 SIRUP
botol
137 Borax gliserin botol
138 Anti koagulan gel / THROMBOGEL Tube

OBAT GIGI
 1 Devitalisasi pasta ( non arsen ) botol
2 Etil klorida semprot 100 ml botol
3 Eugenol-10 ml botol
4 Glass ionomer cement ART Set
5 Kalsium hidroksida pasta kotak
6 Klorfenol Kamfer Menthol ( CHKM ) botol
7 Mummifying pasta botol
8 Semen seng fosfat serbuk dan cairan botol
Temporary Stopping Fletcher serbuk
9 Set
dan cairan
10 Glass ionomer cement ART - 10 g Set

REAGEN
1 Reagen Zeil Nelsen Kit
2 Larutan HCL 0,1 N - 100 ml Botol
Rapit/urin stick 10'/100 strip ( Btl/100
3 Strip
strip )
4 Antigen A,B,AB,Rhesus set/ 4 vial
5 Rapit test kehamilan ( Box/50 strip ) Strip

INJEKSI
Aminofilin injeksi 24mg / ml - 10 ml /
1 ampul
2 Atropin Sulfat Injeksi 1 mg / ml ampul
3 Deksametason injeksi 5 mg/ml ampul
4 Difenhidramin HCl Injeksi 10 mg/ml ampul
Epinefrina HCl / Bitartrat Injeksi 0,1%
5 ampul
-Fitomenadion
1 ml (Vit K1) Injeksi 10
6 ampul
mg/ml - 1 ml
7 Lidokain HCL 2% + ampul
8 Magnesium Sulfat injeksi vial
Metilergometrin Maleat Injeksi 0,200
9 ampul
mg - 1 ml
10 Oksitosin injeksi 10 IU / ml - 1 ml ampul
Lidokain Injeksi 2%
11 ampul
BAHAN HABIS PAKAI
Etakridin ( Rivanol ) larutan 0,1 % -
1 botol
300 ml
2 Etanol 70 % - 1000 ml botol
 Lidokain jelly 2% ( Xylocain Jelly ) - 10
3 tube
gr.
4 Hidrogen Peroksida 3% - 800 ml botol
5 Jelly untuk USG / Doppler - 80 gr tube
6 Lisol 50% - 1000 ml botol
7 Povidon Iodida 10% - 30 ml botol
8 Povidon Iodida 10% - 300 ml botol
9 Etanol 70 % - 100 ml botol
ALAT KESEHATAN
1 Abbocath ( IV cateter ) No. 20 Set
2 Abbocath ( IV cateter ) No. 22 Set
3 Abbocath ( IV cateter ) No. 24 Set
4 Alat suntik sekali pakai 0,05 ml Set
5 Alat suntik sekali pakai 0,5 ml Set
6 Alat suntik sekali pakai 1 ml Set
7 Alat suntik sekali pakai 2,5 ml Set
8 Alat suntik sekali pakai 5 ml Set
9 Box slide, kapasitas 100 Buah
Catgut/Benang Bedah No.2/0 (Plain & Sachet
10 Cromic)
11 Catgut No.3/0 ( Plain with needle ) Sachet
12 Infusion set Anak Set
13 Infusion set Dewasa Set
14 Kapas pembalut / absorben 250 g bungkus
15 Kasa Pembalut 40 m x 80 cm Rol
16 Kasa Hidrofil Steril 16 x 16 Kotak
17 Kasa kompres 40/40 steril Rol
18 Kasa Pembalut 2 m x 80 cm Rol
19 Kasa Pembalut Hidrofil 4 m x 10 cm Rol
20 Kasa Pembalut Hidropil 4 m x 3 cm Rol
21 Kasa Pembalut Hidropil 4 m x 5 cm Rol
22 Kasa Pembalut Hidropil 4 m x 15 cm Rol
23 Masker Surgical Tie-on buah
24 Masker Surgical plus - 3 ply Ear loop buah
25 Objek glass / Slide buah
26 Ose kaca buah
27 Pita Lila buah
28 Plester 5 yard x 0,5 inc Rol
29 Pot Sputum pot
30 Sarung Tangan Examination ( L ) pasang
31 Sarung Tangan Examination ( M ) pasang
32 Sarung Tangan Examination ( S ) pasang
33 Sendok Obat buah
34 Silk ( Benag bedah sutra ) No. 3/0 set
35 Alkohol Swab lbr
36 Micropore 1/2' Rol
37 Jarum/needle 24 box/100
38 Pot urin 50 ml buah
39 Blood lanset 28G box/100
40 Safety Box 5 L dg waterprof Buah
 PEMAKAIAN HARIAN OBAT DAN BMHP
PUSKESMAS PERUMNAS II

BULAN : MEI
TAHU : 2016
NO NAMA OBAT/BMHP SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

1 Albendazol tablet 400 mg tablet

2 Alopurinol tablet 100 mg tablet
3 Alopurinol
Ambroksol tablet 300
mgmg tablet
sirup 15 / 5 ml /
4 botol
5 Ambroksol tablet 30 mg tablet
6 Aminofilin tablet 200 mg tablet
7 Amlodipine tablet 5 mg tablet
8 Amlodipine tablet 10 mg tablet
9 Amitriptilin HCl tablet salut 25 mg tablet
10 Amoksisilin kapsul 250 mg kapsul
11 Amoksisilin kaplet 500 mg kaplet
12 Amoksisilin sirup Kering 125 mg / 5 ml botol
13 Antalgin tablet 500 mg tablet
14 Antasida DOEN I tablet kombinasi tablet
15 Antasida DOEN II suspensi kombinasi tablet
16 Anti diare tablet / ( Pularex tablet ) tablet
17 Anti diare suspensi / botol
18 Antifungi DOEN salep kombinasi pot
19 Anti Hemmoroid DOEN suppositoria / Supp.
20 Antimigren DOEN tablet kombinasi tablet
21 Asam askorbat ( Vit.C ) tablet 50 mg tablet
22 Vitamin C tablet 250 mg tablet
23 Asam mefenamat 500 mg / tablet
24 Asetosal tablet 100 mg tablet
25 Asiklovir krim 5 % - 5 g tube
26 Asiklovir tablet 200 mg tablet
27 Asiklovir tablet 400 mg tablet
28 Betametason krim 0,1% tube
29 Bisakodil tablet 5 mg / tablet
30 Cetirizine tablet 10 mg tablet
31 Deksametason
Diazepam rectaltablet
tube 0,5 mg ml tablet
5 mg/2,5
32 tube
33 Diazepam tablet 2 mg tablet
34 Dietilkarbamazin Sitrat tablet 100 mg tablet
35 Digoksin tablet 0,25 mg tablet
36 Doksisiklin kapsul 100 mg kapsul
37 Domperidon tablet 10 mg tablet
38 Domperidon suspensi 5 mg/ 5ml Botol
39 Efedrin HCl tablet 25 mg tablet
40 Ekstrak belladon tablet 10 mg tablet
41 Eritromisin HCl tablet 500 mg / tablet
42 Eritromisin sirup 200 mg / 5 ml botol
43 Etambutol tablet 250 mg tablet
44 Fenobarbital tablet 30 mg tablet
45 Fenol gliserol tetes telinga 10 % - 5 ml botol
Fitomenadion ( Vit K1 ) Tablet salut 10
46 tablet
mg
47 Furosemid tablet 40 mg tablet
48 Garam Oralit 200 ml air Sachet
49 Gentamisin salep kulit 0,1 % tube
50 Gentian Violet larutan 1% - 10 ml botol
51 Glibenklamid Tablet 5 mg tablet
52 Glimepiride 2 mg tablet
53 Gliseril guayakolat tablet 100 mg tablet
Glukosa larutan infus 5 % steril - 500
54 ml botol
 Griseofulvin tablet 125 mg,
55 tablet
micronized
56 Haloperidol tablet 5 mg tablet
57 Hidroklorotiazid ( HCT ) Tablet 25 mg tablet
58 Hidrokortsion Krim 2,5% tube
59 Hyosin Butilbromid tablet 10 mg tablet
60 Ibuprofen Tablet 200 mg tablet
61 Ibuprofen Tablet 400 mg tablet
62 Ibuprofen sirup 100 mg/5 ml botol
63 Isoniazide tablet 100 mg tablet
64 Isoniazide tablet 300 mg tablet
65 Isosorbid dinitrat tablet 5 mg tablet
66 Kalsium laktat ( Kalk ) tablet 500 mg tablet
67 Kaptopril tablet 12,5 mg tablet
68 Kaptopril tablet 25 mg tablet
69 Ketokonazol tablet 200 mg tablet
70 Kloramfenikol tetes mata / botol
71 Kloramfenikol Kapsul 250 mg kapsul
72 Kloramfenikol salep mata 1% - 5 gram tube
73 Kloramfenikol suspensi 125 mg / 5 ml botol
74 Kloramfenikol tetes telinga 3% botol
Klorfeniramini Maleat ( CTM ) Tablet 4
75 tablet
mg
76 Kodein tablet 10 mg tablet
Kotrimoksazol DOEN I (dewasa) Tablet
77 tablet
Kombinasi
Kotrimoksazol suspensi kombinasi 240
78 botol
mg/5 ml
79 Loratadin tablet 10 mg tablet
80 Metformin HCl tablet 500 mg tablet
Metilergometrin Maleat Tab.Salut
81 tablet
0,125 mg
82 Metoklorpramid tablet 10 mg tablet
83 Metronidazol tablet 250 mg tablet
84 Metronidazol tablet 500 mg tablet
85 Mikonazol salep kulit 2% ) / tube
86 Multivitamin sirup / botol
87 Multivitamin tablet / tablet
88 Natrium Bikarbonat Tablet 500 mg tablet
89 Natrium diklofenak tablet 50 mg tablet
Natrium Klorida Larutan Infus 0,9%
90 botol
steril
91 Nifedipin tablet 10 mg tablet
Nistatin 100.000 IU/gram tablet tablet
92 vaginal vaginal
93 Nistatin tablet 500.000 IU tablet
94 Nistatin suspensi 100.000 IU / ml botol
95 OAT Kombipak kategori 1 Paket
96 OAT FDC kategori 1 Paket
97 OAT FDC kategori 2 Paket
98 OAT kategori Anak Paket
99 Obat batuk hitam ( OBH ) - 100 ml / botol
100 Oksitetrasiklin salep kulit 3 % tube
101 Oksitetrasiklin HCl salep mata 1% tube
102 Omeprazole kapsul 20 mg kapsul
103 Parasetamol sirup 120 mg / 5 ml botol
104 Parasetamol tablet 500 mg tablet
105 Pirantel Pamoat tablet 125 mg tablet
106 Pirazinamid tablet 500 mg tablet
107 Piridoksin HCl(kondensasi
( Vit. B6 ) tablet 10 mg tablet
Polikresulen Metakresol
108 Sulfonat dan Metanal) 360 mg botol
/gram / ( Albothyl )
109 Prednison tablet 5 mg tablet
110 Propanolol HCl tablet 10 mg tablet
111 Ranitidin tablet 150 mg / tablet
112 Retinol ( Vit. A ) 100.000 IU kapsul kapsul
113 Retinol ( Vit. A ) 200.000 IU kapsul kapsul
114 Ringer laktat larutan Infus steril botol
115 Salbutamol tablet 2 mg tablet
116 Salbutamol tablet 4 mg tablet
117 Salep 2- 4 kombinasi pot
118 Salep luka bakar / Levertran salep tube
119 Salisil talk 2% - 50 gr kotak
Sianokobalamin ( Vit. B12 ) tablet 50
120 mcg tablet
121 Simvastatin tablet 10 mg tablet
122 Siprofloksasin tablet 500 mg tablet
123 Tablet tambah darah kombinasi / tablet
124 Tetrasiklin HCl kapsul 250 mg kapsul
125 Tetrasiklin HCl kapsul 500 mg kapsul
126 Tiamfenikol kapsul 500 mg / kapsul
Tiamin HCl/ Mononitrat ( Vit B1 ) tab.
127 tablet
50 mg
Triamsinolon Asetonida krim 0,1% - 5g
128 / tube
129 Vitamin B komplek tablet tablet
130 Zink tablet dispersibel 20 mg tablet
131 Obat Kusta ( MB Dewasa ) Blister
132 Obat Kusta ( MB Anak ) Blister
133 OBH Plus - 100 ml / OBH INDOPPLUS botol
134 Anti influenza tablet dewasa / FLUNAX tablet
Obat batuk kering tablet dewasa /
135 ADITUSIN tablet
Obat batuk sirup anak / COPARCETIN
136 SIRUP botol
137 Borax gliserin botol
138 Anti koagulan gel / THROMBOGEL Tube

OBAT GIGI
1 Devitalisasi pasta ( non arsen ) botol
2 Etil klorida semprot 100 ml botol
3 Eugenol-10 ml botol
4 Glass ionomer cement ART Set
5 Kalsium hidroksida pasta kotak
6 Klorfenol Kamfer Menthol ( CHKM ) botol
7 Mummifying pasta botol
8 Semen seng fosfat serbuk dan cairan botol
Temporary Stopping Fletcher serbuk
9 Set
dan cairan
10 Glass ionomer cement ART - 10 g Set

REAGEN
1 Reagen Zeil Nelsen Kit
2 Larutan HCL 0,1 N - 100 ml Botol
Rapit/urin stick 10'/100 strip ( Btl/100
3 Strip
strip )
4 Antigen A,B,AB,Rhesus set/ 4 vial
5 Rapit test kehamilan ( Box/50 strip ) Strip

INJEKSI
Aminofilin injeksi 24mg / ml - 10 ml /
1 ampul
2 Atropin Sulfat Injeksi 1 mg / ml ampul
3 Deksametason injeksi 5 mg/ml ampul
4 Difenhidramin HCl Injeksi 10 mg/ml ampul
Epinefrina HCl / Bitartrat Injeksi 0,1%
5 ampul
-Fitomenadion
1 ml (Vit K1) Injeksi 10
6 mg/ml - 1 ml ampul
7 Lidokain HCL 2% + ampul
8 Magnesium Sulfat injeksi vial
Metilergometrin Maleat Injeksi 0,200
9 ampul
mg - 1 ml
10 Oksitosin injeksi 10 IU / ml - 1 ml ampul
Lidokain Injeksi 2%
11 ampul
BAHAN HABIS PAKAI
Etakridin ( Rivanol ) larutan 0,1 % -
1 botol
300 ml
2 Etanol 70 % - 1000 ml botol
Lidokain jelly 2% ( Xylocain Jelly ) - 10
3 tube
gr.
4 Hidrogen Peroksida 3% - 800 ml botol
5 Jelly untuk USG / Doppler - 80 gr tube
6 Lisol 50% - 1000 ml botol
7 Povidon Iodida 10% - 30 ml botol
8 Povidon Iodida 10% - 300 ml botol
9 Etanol 70 % - 100 ml botol
ALAT KESEHATAN
1 Abbocath ( IV cateter ) No. 20 Set
2 Abbocath ( IV cateter ) No. 22 Set
3 Abbocath ( IV cateter ) No. 24 Set
4 Alat suntik sekali pakai 0,05 ml Set
5 Alat suntik sekali pakai 0,5 ml Set
 6 Alat suntik sekali pakai 1 ml Set
7 Alat suntik sekali pakai 2,5 ml Set
8 Alat suntik sekali pakai 5 ml Set
9 Box slide, kapasitas 100 Buah
Catgut/Benang Bedah No.2/0 (Plain & Sachet
10 Cromic)
11 Catgut No.3/0 ( Plain with needle ) Sachet
12 Infusion set Anak Set
13 Infusion set Dewasa Set
14 Kapas pembalut / absorben 250 g bungkus
15 Kasa Pembalut 40 m x 80 cm Rol
16 Kasa Hidrofil Steril 16 x 16 Kotak
17 Kasa kompres 40/40 steril Rol
18 Kasa Pembalut 2 m x 80 cm Rol
19 Kasa Pembalut Hidrofil 4 m x 10 cm Rol
20 Kasa Pembalut Hidropil 4 m x 3 cm Rol
21 Kasa Pembalut Hidropil 4 m x 5 cm Rol
22 Kasa Pembalut Hidropil 4 m x 15 cm Rol
23 Masker Surgical Tie-on buah
24 Masker Surgical plus - 3 ply Ear loop buah
25 Objek glass / Slide buah
26 Ose kaca buah
27 Pita Lila buah
28 Plester 5 yard x 0,5 inc Rol
29 Pot Sputum pot
30 Sarung Tangan Examination ( L ) pasang
31 Sarung Tangan Examination ( M ) pasang
32 Sarung Tangan Examination ( S ) pasang
33 Sendok Obat buah
34 Silk ( Benag bedah sutra ) No. 3/0 set
35 Alkohol Swab lbr
36 Micropore 1/2' Rol
37 Jarum/needle 24 box/100
38 Pot urin 50 ml buah
 39 Blood lanset 28G box/100
40 Safety Box 5 L dg waterprof Buah

PEMAKAIAN HARIAN OBAT DAN BMHP

PUSKESMAS PERUMNAS II

BULAN : JUNI
TAHUN : 2017
NO NAMA OBAT/BMHP SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

1 Albendazol tablet 400 mg tablet

 2 Alopurinol tablet 100 mg tablet
3 Alopurinol
Ambroksol tablet 300
mgmg tablet 30
sirup 15 / 5 ml /
4 botol 3 4
5 Ambroksol tablet 30 mg tablet 70 120
6 Aminofilin tablet 200 mg tablet
7 Amlodipine tablet 5 mg tablet 10 10
8 Amlodipine tablet 10 mg tablet 20
9 Amitriptilin HCl tablet salut 25 mg tablet
10 Amoksisilin kapsul 250 mg kapsul 90 15
11 Amoksisilin kaplet 500 mg kaplet 210 255
12 Amoksisilin sirup Kering 125 mg / 5 ml botol 1 3
13 Antalgin tablet 500 mg tablet
14 Antasida DOEN I tablet kombinasi tablet 20
15 Antasida DOEN II suspensi kombinasi tablet 1
16 Anti diare tablet / ( Pularex tablet ) tablet 20 40
17 Anti diare suspensi / botol
18 Antifungi DOEN salep kombinasi pot
19 Anti Hemmoroid DOEN suppositoria / Supp.
20 Antimigren DOEN tablet kombinasi tablet
21 Asam askorbat ( Vit.C ) tablet 50 mg tablet
22 Vitamin C tablet 250 mg tablet 33 40
23 Asam mefenamat 500 mg / tablet 30 20
24 Asetosal tablet 100 mg tablet
25 Asiklovir krim 5 % - 5 g tube 2 4
26 Asiklovir tablet 200 mg tablet 15
27 Asiklovir tablet 400 mg tablet 20 15
28 Betametason krim 0,1% tube 3 1
29 Bisakodil tablet 5 mg / tablet
30 Cetirizine tablet 10 mg tablet 45 35
31 Deksametason
Diazepam rectaltablet
tube 0,5 mg ml tablet 5 45
5 mg/2,5
32 tube
33 Diazepam tablet 2 mg tablet
34 Dietilkarbamazin Sitrat tablet 100 mg tablet
35 Digoksin tablet 0,25 mg tablet
36 Doksisiklin kapsul 100 mg kapsul
37 Domperidon tablet 10 mg tablet
38 Domperidon suspensi 5 mg/ 5ml Botol
39 Efedrin HCl tablet 25 mg tablet
40 Ekstrak belladon tablet 10 mg tablet
41 Eritromisin HCl tablet 500 mg / tablet
42 Eritromisin sirup 200 mg / 5 ml botol
43 Etambutol tablet 250 mg tablet
44 Fenobarbital tablet 30 mg tablet
45 Fenol gliserol tetes telinga 10 % - 5 ml botol
Fitomenadion ( Vit K1 ) Tablet salut 10
46 tablet
mg
47 Furosemid tablet 40 mg tablet
48 Garam Oralit 200 ml air Sachet 10 15
49 Gentamisin salep kulit 0,1 % tube
50 Gentian Violet larutan 1% - 10 ml botol
51 Glibenklamid Tablet 5 mg tablet
52 Glimepiride 2 mg tablet 10
53 Gliseril guayakolat tablet 100 mg tablet 78
Glukosa larutan infus 5 % steril - 500
54 botol
ml
Griseofulvin tablet 125 mg,
55 tablet 10
micronized
56 Haloperidol tablet 5 mg tablet
57 Hidroklorotiazid ( HCT ) Tablet 25 mg tablet
58 Hidrokortsion Krim 2,5% tube 6
59 Hyosin Butilbromid tablet 10 mg tablet
60 Ibuprofen Tablet 200 mg tablet
61 Ibuprofen Tablet 400 mg tablet 50
62 Ibuprofen sirup 100 mg/5 ml botol
63 Isoniazide tablet 100 mg tablet
64 Isoniazide tablet 300 mg tablet
65 Isosorbid dinitrat tablet 5 mg tablet
66 Kalsium laktat ( Kalk ) tablet 500 mg tablet 368
67 Kaptopril tablet 12,5 mg tablet
68 Kaptopril tablet 25 mg tablet
69 Ketokonazol tablet 200 mg tablet
70 Kloramfenikol tetes mata / botol
71 Kloramfenikol Kapsul 250 mg kapsul
72 Kloramfenikol salep mata 1% - 5 gram tube
73 Kloramfenikol suspensi 125 mg / 5 ml botol
74 Kloramfenikol tetes telinga 3% botol 2
Klorfeniramini Maleat ( CTM ) Tablet 4
75 tablet 196
mg
76 Kodein tablet 10 mg tablet
Kotrimoksazol DOEN I (dewasa) Tablet
77 tablet
Kombinasi
Kotrimoksazol suspensi kombinasi 240
78 botol
mg/5 ml
79 Loratadin tablet 10 mg tablet
80 Metformin HCl tablet 500 mg tablet
Metilergometrin Maleat Tab.Salut
81 tablet
0,125 mg
82 Metoklorpramid tablet 10 mg tablet
83 Metronidazol tablet 250 mg tablet 15
84 Metronidazol tablet 500 mg tablet 15
85 Mikonazol salep kulit 2% ) / tube 1
86 Multivitamin sirup / botol 3
87 Multivitamin tablet / tablet
88 Natrium Bikarbonat Tablet 500 mg tablet
89 Natrium diklofenak tablet 50 mg tablet 20
Natrium Klorida Larutan Infus 0,9%
90 botol
steril
91 Nifedipin tablet 10 mg tablet
Nistatin 100.000 IU/gram tablet tablet
92 vaginal vaginal
93 Nistatin tablet 500.000 IU tablet
94 Nistatin suspensi 100.000 IU / ml botol
95 OAT Kombipak kategori 1 Paket
96 OAT FDC kategori 1 Paket
97 OAT FDC kategori 2 Paket
98 OAT kategori Anak Paket
99 Obat batuk hitam ( OBH ) - 100 ml / botol
100 Oksitetrasiklin salep kulit 3 % tube
101 Oksitetrasiklin HCl salep mata 1% tube 2
102 Omeprazole kapsul 20 mg kapsul
103 Parasetamol sirup 120 mg / 5 ml botol 4
104 Parasetamol tablet 500 mg tablet 238
105 Pirantel Pamoat tablet 125 mg tablet
106 Pirazinamid tablet 500 mg tablet
107 Piridoksin HCl(kondensasi
( Vit. B6 ) tablet 10 mg tablet 153
Polikresulen Metakresol
108 Sulfonat dan Metanal) 360 mg botol
/gram / ( Albothyl )
109 Prednison tablet 5 mg tablet 28
110 Propanolol HCl tablet 10 mg tablet
111 Ranitidin tablet 150 mg / tablet 30
112 Retinol ( Vit. A ) 100.000 IU kapsul kapsul
113 Retinol ( Vit. A ) 200.000 IU kapsul kapsul
114 Ringer laktat larutan Infus steril botol
115 Salbutamol tablet 2 mg tablet
116 Salbutamol tablet 4 mg tablet
117 Salep 2- 4 kombinasi pot
118 Salep luka bakar / Levertran salep tube 1
119 Salisil talk 2% - 50 gr kotak 4
Sianokobalamin ( Vit. B12 ) tablet 50
120 tablet
mcg
121 Simvastatin tablet 10 mg tablet
122 Siprofloksasin tablet 500 mg tablet 15
123 Tablet tambah darah kombinasi / tablet 390
124 Tetrasiklin HCl kapsul 250 mg kapsul
125 Tetrasiklin HCl kapsul 500 mg kapsul
126 Tiamfenikol kapsul 500 mg / kapsul 10
Tiamin HCl/ Mononitrat ( Vit B1 ) tab.
127 tablet 31
50 mg
Triamsinolon Asetonida krim 0,1% - 5g
128 / tube
129 Vitamin B komplek tablet tablet 110
130 Zink tablet dispersibel 20 mg tablet
131 Obat Kusta ( MB Dewasa ) Blister
132 Obat Kusta ( MB Anak ) Blister
133 OBH Plus - 100 ml / OBH INDOPPLUS botol
134 Anti influenza tablet dewasa / FLUNAX tablet
Obat batuk kering tablet dewasa /
135 ADITUSIN tablet
Obat batuk sirup anak / COPARCETIN
136 SIRUP botol
137 Borax gliserin botol
138 Anti koagulan gel / THROMBOGEL Tube

OBAT GIGI
1 Devitalisasi pasta ( non arsen ) botol
2 Etil klorida semprot 100 ml botol
3 Eugenol-10 ml botol
4 Glass ionomer cement ART Set
5 Kalsium hidroksida pasta kotak
6 Klorfenol Kamfer Menthol ( CHKM ) botol
7 Mummifying pasta botol
8 Semen seng fosfat serbuk dan cairan botol
Temporary Stopping Fletcher serbuk
9 Set
dan cairan
10 Glass ionomer cement ART - 10 g Set

REAGEN
1 Reagen Zeil Nelsen Kit
2 Larutan HCL 0,1 N - 100 ml Botol
Rapit/urin stick 10'/100 strip ( Btl/100
3 Strip
strip )
4 Antigen A,B,AB,Rhesus set/ 4 vial
5 Rapit test kehamilan ( Box/50 strip ) Strip

INJEKSI
Aminofilin injeksi 24mg / ml - 10 ml /
1 ampul
2 Atropin Sulfat Injeksi 1 mg / ml ampul
3 Deksametason injeksi 5 mg/ml ampul
4 Difenhidramin HCl Injeksi 10 mg/ml ampul
Epinefrina HCl / Bitartrat Injeksi 0,1%
5 ampul
-Fitomenadion
1 ml (Vit K1) Injeksi 10
6 ampul
mg/ml - 1 ml
7 Lidokain HCL 2% + ampul
 8 Magnesium Sulfat injeksi vial
Metilergometrin Maleat Injeksi 0,200
9 ampul
mg - 1 ml
10 Oksitosin injeksi 10 IU / ml - 1 ml ampul
Lidokain Injeksi 2%
11 ampul
BAHAN HABIS PAKAI
Etakridin ( Rivanol ) larutan 0,1 % -
1 botol
300 ml
2 Etanol 70 % - 1000 ml botol
Lidokain jelly 2% ( Xylocain Jelly ) - 10
3 tube
gr.
4 Hidrogen Peroksida 3% - 800 ml botol
5 Jelly untuk USG / Doppler - 80 gr tube
6 Lisol 50% - 1000 ml botol
7 Povidon Iodida 10% - 30 ml botol
8 Povidon Iodida 10% - 300 ml botol
9 Etanol 70 % - 100 ml botol
ALAT KESEHATAN
1 Abbocath ( IV cateter ) No. 20 Set
2 Abbocath ( IV cateter ) No. 22 Set
3 Abbocath ( IV cateter ) No. 24 Set
4 Alat suntik sekali pakai 0,05 ml Set
5 Alat suntik sekali pakai 0,5 ml Set
6 Alat suntik sekali pakai 1 ml Set
7 Alat suntik sekali pakai 2,5 ml Set
8 Alat suntik sekali pakai 5 ml Set
9 Box slide, kapasitas 100 Buah
Catgut/Benang Bedah No.2/0 (Plain & Sachet
10 Cromic)
11 Catgut No.3/0 ( Plain with needle ) Sachet
12 Infusion set Anak Set
13 Infusion set Dewasa Set
14 Kapas pembalut / absorben 250 g bungkus
15 Kasa Pembalut 40 m x 80 cm Rol
16 Kasa Hidrofil Steril 16 x 16 Kotak
17 Kasa kompres 40/40 steril Rol
18 Kasa Pembalut 2 m x 80 cm Rol
19 Kasa Pembalut Hidrofil 4 m x 10 cm Rol
20 Kasa Pembalut Hidropil 4 m x 3 cm Rol
21 Kasa Pembalut Hidropil 4 m x 5 cm Rol
22 Kasa Pembalut Hidropil 4 m x 15 cm Rol
23 Masker Surgical Tie-on buah
24 Masker Surgical plus - 3 ply Ear loop buah
25 Objek glass / Slide buah
26 Ose kaca buah
27 Pita Lila buah
28 Plester 5 yard x 0,5 inc Rol
29 Pot Sputum pot
30 Sarung Tangan Examination ( L ) pasang
31 Sarung Tangan Examination ( M ) pasang
32 Sarung Tangan Examination ( S ) pasang
33 Sendok Obat buah
34 Silk ( Benag bedah sutra ) No. 3/0 set
35 Alkohol Swab lbr
36 Micropore 1/2' Rol
37 Jarum/needle 24 box/100
38 Pot urin 50 ml buah
39 Blood lanset 28G box/100
40 Safety Box 5 L dg waterprof Buah
26 27 28 29 30 31 JUMLAH
0
10
20 30 160
10 130
4 5 2 81
60 85 70 1580
0
10 20 375
40 50 370

0
30 60 60 1185
255 270 255 5409

4 4 3 74
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64 48 30 1381

2 2 38

55 40 10 531
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0

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79 83 64 1370

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26 27 28 29 30 31 JUMLAH
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