Jumlah Sisa Obat 31 Desember 2013 Gudang & Apotek: Jenis Barang / Persedian Satuan

NO JENIS BARANG / PERSEDIAN SATUAN
Jumlah Sisa Obat 31 Desember 2013 Gudang & Apotek
1 Abbocat No.18 G PCS 15

2 Abbocat No.20 G Pcs 120
3 Abbocat No.22 G pcs 0
6 Alat suntik sekali pakai 1 ml Pcs 100
7 Alat suntik sekali pakai 2,5 ml Pcs 0
8 Alat suntik sekali pakai 3 ml pcs 0
10 Alprazolam Tab.0.5 mg Pcs 200
11 Arsuamon Tablet 0
12 Asering Colf 0
13 Albhotil Botol 0
14 Alkohol 70 % Botol 0
16 Alloporinol 100 mg Tablet 300
17 Ambroxol Tablet 1200
18 Ambroxol syr botol 103
19 Amlodipin 5 mg Tablet 360
20 Aminopillina Tablet 0
21 Aminopillina inj Ampul 60
22 Amitripilin 25 mg Tablet 500
23 Amoxicilin 250 mg Tablet 1320
25 Amoxicilin Syrup Kering 125 mg/5 ml botol 4
26 Amoxicilin Syrup Kering 250 mg/5 ml Botol 0
27 Amoxicilin Inj Ampul 0
28 Ampisilina 500 mg Tablet 2900
29 Ampisilina Syr botol 79
30 Ampisilina Inj Ampul 0
31 Antalgin 500 mg tab Tablet 0
32 Antalgin Inj Ampul 27
33 Antasida DOEN tab Tablet 3300
34 Antasida DOEN Syrup Botol 103
35 Anti Haemaroid Doen Suppo Suppo 2

36 Aqua pro Inj steril Botol 30
37 Aquadest Steril Colf 0
38 Asam Mefenamat 500 mg Tablet 100
39 Asam Tranexsamat Tablet 0
40 Asam Tranexsamat Inj Ampul 0
41 Asetosal 100 mg Tablet 0
42 Asetosal 500 mg Tablet 0
43 Acyclovir 400 mg Tablet 850
44 Acyclovir Krim 5 % Tube 36
45 Atropin Inj Ampul 0
46 Atropin sulfat 0,5 mg Tablet 0
47 Becefort Tablet 0
48 Becefort syr Botol 0
49 Bisakodil (Dulcolax) Suppo 0
50 Besi sulfat 300 mg (SF) Tablet 150
51 Betahistin Mesilat 6 mg Tablet 150
52 Betametason Zalp Tube 35
53 Bisopolol Tablet 0
54 Bioplasenton Salep Tube 0
55 Buscopan Tablet 0
56 Buscopan Inj Ampul 0
57 Captropil 12,5 mg Tablet 0
58 Captropil 25 mg Tablet 600
59 Catopril 50 mg Tablet 0
60 Carbamazepin 200 mg Tablet 0
61 Catgut No.2/0 Sachet 0
63 Cimetidin Inj Ampul 0
64 Cimetidin Tab Tablet 0
65 Ciprofloxacin 500 mg Tablet 900
66 Citrizin 10 mg Tablet 200
67 Clindamycin 150 mg Tablet 550
68 Co Amoksiclav / Danoclav Tablet 0
69 CTM Tablet 1000

70 Cefotaxim Inj 1 gr Vial 30
71 Ceftriaxon Inj 1 gr Vial 11
72 Cefadroxil Tablet 500
73 Caviton Botol 0
74 Composit Solare Kotak 0
75 Chlorpheniramin Meleat Inj Ampul 0
76 Cyclofen (KB 1 bln) Inj Ampul 0
77 Cyclobalamin Ampul 18
78 Cyclogeston Inj Ampul 0
79 Deksamethason 0,5 mg Tablet 2900
80 Deksamethason Inj Ampul 0
81 Dekstrometorfan 15 mg Tablet 2600
82 Dekstrometorfan Syrup Botol 56
83 Diazepam 2 mg Tablet 130
84 Diazepam Inj Ampul 19
85 Digoksin Tablet 500
86 Domperidon 10 mg Tablet 1100
87 Domperidon Suspensi 5mg/5ml Botol 0
88 Doxycyclin Tablet 0
89 Efederin HCL 25 mg Tablet 0
90 Efinefrin Inj 0,1% 1ml Ampul 14
91 Extrac Belladon 10 mg Tablet 1000
92 Ericaf (Ergotamine) Tablet 1200
93 Erytromicin 500 mg Tablet 0
94 Etambutol HCL 250 mg Tablet 600
95 Etambutol HCL 500 mg Tablet 900
96 Eti Klorida semprot Botol 1
97 Elastis Perban 3" Roll 0
100 Fenobarbital 30 mg (Luminal) Tablet 2730
101 Fenobarbital Inj Ampul 30
102 Fenol Gliserol tts telinga Botol 0
103 Flunarizine 5 mg Tablet 0

104 Furosemida 40 mg Tablet 400
105 Furosemida Inj Ampul 0
106 Gentamicin Inj Ampul 80
107 Gentamicin salep Tube 18
108 Glibenglamida 5 mg Buah 1800
109 Glicerin Botol 3
110 Gliserol Guayakulat 100 mg Tablet 3000
111 Glukosa Infus 10 % Colf 0
112 Glukosa Infus 40% Colf 0
114 Griseofulvin 125 mg Tablet 0
115 H2O2 Botol 0
116 Haloperidol 0,5 mg Tablet 660
118 Haloperidol 5 mg Tablet 835
119 Handscun 6,5 Steril Buah 0
120 Handscun 7 Steril Buah 0
122 Handscun S Non Steril Buah 0
123 Handscun M Non steril Buah 0
124 Handscun L Non Steril Buah 0
125 HCT 25 mg Tablet 0
126 Hemafort Tablet 0
127 Hidrokartison krim 2,5% Tube 19
128 Ibofrofen 200 mg Tablet 2600
130 Ibofrofen Syr 100mg/5ml Botol 57
131 Infusion set anak Set 30
132 Infusion set Dewasa set 50
133 Oksitosin Inj Ampul 0
134 INH 100 mg Tablet 1000
135 INH 300 mg Tablet 0
136 Isosorbid Dinitrat 5 mg Tablet 400
137 Jarum ( Bedah ) no,9 s/d 14 Buah 0

138 Kalsium Permanganat serbuk (PK) Pot 0
139 Kalsium Laktat ( kalk ) Tablet 1000
140 Kapas berlemak 500 gr Roll 2
141 Kapas pembalut 250 gr Roll 4
142 Kasa kompres 40/40 Steril Roll 0
143 Kasa Pemb 16 x 16 Steril Lembar 0
144 Kasa Pemb 40 x 80 M Roll 1
145 Kasa Pem 4mX5cm Roll 0
146 Kasa pem 4mX3cm Roll 0
147 Kasa pem 4mx3cm Elastis Roll 0
148 Kasa Pembalut 18x22 Roll 12
149 Kasa Batang 80 x 110m Roll 0
150 Kateter no 16 PCS 15
151 Kateter no 18 Pcs 8
152 Ketonazole Salep Tube 5
153 Ketonazole Tab Tablet 800
154 Kinina Sulfat 222 mg Tablet 0
155 Kinina Antipyrin inj 25% 2ml Ampul 0
156 Kinina Dinidroklorida inj 25% 2ml Ampul 0
157 Kloramfenikol 250 mg Tablet 3000
158 Kloramfenikol tts Telinga 3% Botol 25
159 Kloramfenikol Suspensi Botol 57
160 Kloramfenikol Salep Mata 1 % Botol 85
161 Kloroquina 150 mg Tablet 0
162 Kloroquina 250 mg Tablet 0
163 Klorpromazin 25 mg Tablet 0
165 Klorpromazin Inj 25 ml/ml 1 ml Ampul 0
166 Klorpromazin Inj 5 ml/ml 1 ml Ampul 0
167 Kotrimoksazol 480 mg Tablet 0
169 Kotrimoksazol Suspensi Botol 0
170 Lar. Kenyon Botol 0
171 Lar. Metilen Blue Botol 0

172 lar. Turk Botol 0
173 Lar. Zeil Nelson Botol 0
174 Levonorgestral 75 mg Implant 0
175 Lidokain Inj Ampul 60
176 Lisol 50% Botol 0
177 Loperamide (Antidia) Tablet 500
178 Loratadina 10 mg Tablet 0
179 Masker Pcs 0
180 Mebendazol 100 mg Tablet 60
181 Medroxyprogesterone Asetat 150 mg INJ Vial 0
182 Metanol Botol 0
183 MetilErgometrina 0,125 mg Tablet 0
184 Metoklorpramide Tab Tablet 500
185 Metilprednisolon 4 mg Tablet 1200
186 Metronidazole 250 mg Tablet 1200
188 Metronidazole Salp Tube 0
189 Mikonazol Salep Tube 71
190 Molagit Tablet 0
191 Natrium Diklopenak 50 Mg Tablet 2400
192 Natrium Klorida Infus 0.9 % (NaCl) Colf 105
193 Nedle No.23 G Pcs 100
194 Nedle No. 25 G Pcs 90
195 Nedle No.27 G 100
196 Nefedifine 10 mg Tablet 600
197 Nistatin 100.000 IU/g Tab Vaginal Tablet 27
198 Nystatin Drop Botol 0
199 OBH Cair Botol 0
200 Oksitetrasikliner Salep 3 % Tube 50
201 Oksitetrasikline Salepmata 1 % Tube 92
202 Oksitosin inj Ampul 0
203 Omeprazole Tablet 540
204 Oralit 200 ml Sachet 500
205 Papaverin Inj Ampul 0

206 Papaverin Tab Tablet 1000
207 Paracetamol 100 mg Tablet 0
209 Paracetamol Drop Botol 7
210 Paracetamol syr Botol 0
211 Pehacain Inj Ampul 0
212 Pembalut GIV Roll 0
213 Phenol glycerol Botol 20
214 Penitidin Inj Ampul 3
215 Pirazinamide Tab 500 mg Tablet 0
216 Piroxicam 20 mg Tablet 2220
217 Plester 5 yard X 2 inci Roll 0
218 PP Test Strip 0
219 Prednison Tablet 1000
220 Primaquina 15 mg Tablet 0
221 Propanolol 40 mg Tablet 0
222 Pyrental Tablet 0
223 Ranitidin Inj Ampul 0
224 Ranitidin 150 mg Tablet 100
225 Rifamfisin 300 mg Tablet 0
228 Reserpin 0,25 mg Tablet 0
229 Renger Laktat (RL) Colf 100
230 Renganol Lar Botol 0
231 Salbutamol 2 mg Tablet 400
232 Salbutamol 4 mg Tablet 0
233 Salep -24 Tube 95
234 Salisil Bedak Pot 30
235 Simvastatin 10 mg Tablet 330
236 Stesolit Rectal 10mg/2,5ml Tube 0
237 sulfadoxixe Primexhamine Tablet 1000
238 Sulfasetamide tetes 15% Botol 24
239 Sulture Silk 1/0 Sachet 0

242 Tetrasiklin 250 mg Tablet 0
243 tetraksiklin 500 mg Tablet 1100
244 Tiamfenikol 500 mg Tablet 0
245 Tramadol Inj Ampul 45
246 Treheksifenidil Hcl 2 mg Tablet 827
247 UnderPads Pcs 0
248 Orine Bag Steril Buah 0
249 Vit A 100.000 Kapsul 0
250 Vit A 200.000 Kapsul 0
251 Vit B Com Tablet 1000
252 Vit B1 50 mg Tablet 9000
253 Vit B1 Inj Ampul 82
254 Vit B12 Inj 0,5mg/ml Ampul 0
256 Vit C 250 mg Tablet 0
258 Vit K Inj Ampul 0
259 Vit K Tab Tablet 1300
260 Wing Nedle No. 23 G Pcs 0
261 Wing Nedle No.25 G Pcs 0
263 Yodium Vovidon Lar 10 % 30 ml Botol 10
265 Zinc 200 mg Tablet 1900
266 Griavita Kapsul 0
267 Isotic Neolyson Tts Mata Botol 0
Ottopain Tts Telinga Botol 0
Mengetahui
UPTD Puskesmas Muara Komam
H. Anang Jarkani, SKM

NIP.19721015 199303 1 009
jan feb mar apri mei juni juli ags sep okt nov des Pemakaian obat setahun
1 Abbocat No.18 G PCS
2 Abbocat No.20 G Pcs
3 Abbocat No.22 G pcs
4 Abbocat No.24 G Pcs
6 Alat suntik sekali pakai 1 ml Pcs
7 Alat suntik sekali pakai 2,5 ml Pcs
8 Alat suntik sekali pakai 3 ml pcs
9 Alat suntik sekali pakai 5 ml pcs
10 Alprazolam Tab.0.5 mg Pcs
11 Arsuamon Tablet
12 Asering Colf
13 Albhotil Botol
14 Alkohol 70 % Botol
16 Alloporinol 100 mg Tablet
17 Ambroxol Tablet
18 Ambroxol syr botol
19 Amlodipin 5 mg Tablet
20 Aminopillina Tablet
21 Aminopillina inj Ampul
22 Amitripilin 25 mg Tablet
23 Amoxicilin 250 mg Tablet
25 Amoxicilin Syrup Kering 125 mg/5 ml botol

26 Amoxicilin Syrup Kering 250 mg/5 ml Botol
27 Amoxicilin Inj Ampul
28 Ampisilina 500 mg Tablet
29 Ampisilina Syr botol
30 Ampisilina Inj Ampul
31 Antalgin 500 mg tab Tablet
32 Antalgin Inj Ampul
33 Antasida DOEN tab Tablet
34 Antasida DOEN Syrup Botol
35 Anti Haemaroid Doen Suppo Suppo
36 Aqua pro Inj steril Botol
37 Aquadest Steril Colf
38 Asam Mefenamat 500 mg Tablet
39 Asam Tranexsamat Tablet
40 Asam Tranexsamat Inj Ampul
41 Asetosal 100 mg Tablet
43 Acyclovir 400 mg Tablet
44 Acyclovir Krim 5 % Tube
45 Atropin Inj Ampul
46 Atropin sulfat 0,5 mg Tablet
47 Becefort Tablet
48 Becefort syr Botol
49 Bisakodil (Dulcolax) Suppo
50 Besi sulfat 300 mg (SF) Tablet
51 Betahistin Mesilat 6 mg Tablet

52 Betametason Zalp Tube
53 Bisopolol Tablet
54 Bioplasenton Salep Tube
55 Buscopan Tablet
56 Buscopan Inj Ampul
57 Captropil 12,5 mg Tablet
58 Captropil 25 mg Tablet
59 Catopril 50 mg Tablet
60 Carbamazepin 200 mg Tablet
61 Catgut No.2/0 Sachet
63 Cimetidin Inj Ampul
64 Cimetidin Tab Tablet
65 Ciprofloxacin 500 mg Tablet
66 Citrizin 10 mg Tablet
67 Clindamycin 150 mg Tablet
68 Co Amoksiclav / Danoclav Tablet
69 CTM Tablet
70 Cefotaxim Inj 1 gr Vial
71 Ceftriaxon Inj 1 gr Vial
72 Cefadroxil Tablet
73 Caviton Botol
74 Composit Solare Kotak
75 Chlorpheniramin Meleat Inj Ampul
76 Cyclofen (KB 1 bln) Inj Ampul
77 Cyclobalamin Ampul
78 Cyclogeston Inj Ampul
79 Deksamethason 0,5 mg Tablet
80 Deksamethason Inj Ampul
81 Dekstrometorfan 15 mg Tablet
82 Dekstrometorfan Syrup Botol
83 Diazepam 2 mg Tablet
84 Diazepam Inj Ampul
85 Digoksin Tablet
86 Domperidon 10 mg Tablet
87 Domperidon Suspensi 5mg/5ml Botol
88 Doxycyclin Tablet
89 Efederin HCL 25 mg Tablet
90 Efinefrin Inj 0,1% 1ml Ampul
91 Extrac Belladon 10 mg Tablet
92 Ericaf (Ergotamine) Tablet
93 Erytromicin 500 mg Tablet
94 Etambutol HCL 250 mg Tablet
96 Eti Klorida semprot Botol
97 Elastis Perban 3" Roll
100 Fenobarbital 30 mg (Luminal) Tablet
101 Fenobarbital Inj Ampul
102 Fenol Gliserol tts telinga Botol
103 Flunarizine 5 mg Tablet

104 Furosemida 40 mg Tablet
105 Furosemida Inj Ampul
106 Gentamicin Inj Ampul
107 Gentamicin salep Tube
108 Glibenglamida 5 mg Buah
109 Glicerin Botol
110 Gliserol Guayakulat 100 mg Tablet
111 Glukosa Infus 10 % Colf
112 Glukosa Infus 40% Colf
113 Glukosa Infus 5 % Colf
114 Griseofulvin 125 mg Tablet
115 H2O2 Botol
116 Haloperidol 0,5 mg Tablet
117 Haloperidol 1,5 mg Tablet
118 Haloperidol 5 mg Tablet
119 Handscun 6,5 Steril Buah
120 Handscun 7 Steril Buah
122 Handscun S Non Steril Buah
123 Handscun M Non steril Buah
124 Handscun L Non Steril Buah
125 HCT 25 mg Tablet
126 Hemafort Tablet
127 Hidrokartison krim 2,5% Tube
128 Ibofrofen 200 mg Tablet
129 Ibofrofen 400 mg Tablet

130 Ibofrofen Syr 100mg/5ml Botol
131 Infusion set anak Set
132 Infusion set Dewasa set
133 Oksitosin Inj Ampul
134 INH 100 mg Tablet
136 Isosorbid Dinitrat 5 mg Tablet
137 Jarum ( Bedah ) no,9 s/d 14 Buah
138 Kalsium Permanganat serbuk (PK) Pot
139 Kalsium Laktat ( kalk ) Tablet
140 Kapas berlemak 500 gr Roll
141 Kapas pembalut 250 gr Roll
142 Kasa kompres 40/40 Steril Roll
143 Kasa Pemb 16 x 16 Steril Lembar
144 Kasa Pemb 40 x 80 M Roll
145 Kasa Pem 4mX5cm Roll
146 Kasa pem 4mX3cm Roll
147 Kasa pem 4mx3cm Elastis Roll
148 Kasa Pembalut 18x22 Roll
149 Kasa Batang 80 x 110m Roll
150 Kateter no 16 PCS
151 Kateter no 18 Pcs
152 Ketonazole Salep Tube
153 Ketonazole Tab Tablet
154 Kinina Sulfat 222 mg Tablet
155 Kinina Antipyrin inj 25% 2ml Ampul

156 Kinina Dinidroklorida inj 25% 2ml Ampul
157 Kloramfenikol 250 mg Tablet
158 Kloramfenikol tts Telinga 3% Botol
159 Kloramfenikol Suspensi Botol
160 Kloramfenikol Salep Mata 1 % Botol
161 Kloroquina 150 mg Tablet
163 Klorpromazin 25 mg Tablet
164 Klorpromazin 100 mg Tablet
165 Klorpromazin Inj 25 ml/ml 1 ml Ampul
167 Kotrimoksazol 480 mg Tablet
169 Kotrimoksazol Suspensi Botol
170 Lar. Kenyon Botol
171 Lar. Metilen Blue Botol
172 lar. Turk Botol
173 Lar. Zeil Nelson Botol
174 Levonorgestral 75 mg Implant
175 Lidokain Inj Ampul
176 Lisol 50% Botol
177 Loperamide (Antidia) Tablet
178 Loratadina 10 mg Tablet
179 Masker Pcs
180 Mebendazol 100 mg Tablet
181 Medroxyprogesterone Asetat 150 mg INJ Vial

182 Metanol Botol
183 MetilErgometrina 0,125 mg Tablet
184 Metoklorpramide Tab Tablet
185 Metilprednisolon 4 mg Tablet
186 Metronidazole 250 mg Tablet
187 Metronidazole 500 mg Tablet
188 Metronidazole Salp Tube
189 Mikonazol Salep Tube
190 Molagit Tablet
191 Natrium Diklopenak 50 Mg Tablet
192 Natrium Klorida Infus 0.9 % (NaCl) Colf
193 Nedle No.23 G Pcs
194 Nedle No. 25 G Pcs
195 Nedle No.27 G
196 Nefedifine 10 mg Tablet
197 Nistatin 100.000 IU/g Tab Vaginal Tablet
198 Nystatin Drop Botol
199 OBH Cair Botol
200 Oksitetrasikliner Salep 3 % Tube
201 Oksitetrasikline Salepmata 1 % Tube
202 Oksitosin inj Ampul
203 Omeprazole Tablet
204 Oralit 200 ml Sachet
205 Papaverin Inj Ampul
206 Papaverin Tab Tablet
207 Paracetamol 100 mg Tablet

209 Paracetamol Drop Botol
210 Paracetamol syr Botol
211 Pehacain Inj Ampul
212 Pembalut GIV Roll
213 Penitidin Inj Ampul
214 Pirazinamide Tab 500 mg Tablet
215 Piroxicam 20 mg Tablet
216 Plester 5 yard X 2 inci Roll
217 PP Test Strip
218 Prednison Tablet
219 Primaquina 15 mg Tablet
220 Propanolol 40 mg Tablet
221 Pyrental Tablet
222 Ranitidin Inj Ampul
223 Ranitidin 150 mg Tablet
224 Rifamfisin 300 mg Tablet
227 Reserpin 0,25 mg Tablet
228 Renger Laktat (RL) Colf
229 Renganol Lar Botol
230 Salbutamol 2 mg Tablet
232 Salep -24 Tube
233 Salisil Bedak Pot

234 Simvastatin 10 mg Tablet
235 Stesolit Rectal 10mg/2,5ml Tube
236 sulfadoxixe Primexhamine Tablet
237 Sulfasetamide tetes 15% Botol
238 Sulture Silk 1/0 Sachet
241 Tetrasiklin 250 mg Tablet
242 tetraksiklin 500 mg Tablet
243 Tiamfenikol 500 mg Tablet
244 Tramadol Inj Ampul
245 Treheksifenidil Hcl 2 mg Tablet
246 UnderPads Pcs
247 Orine Bag Steril Buah
248 Vit A 100.000 Kapsul
250 Vit B Com Tablet
251 Vit B1 50 mg Tablet
252 Vit B1 Inj Ampul
253 Vit B12 Inj 0,5mg/ml Ampul
254 Vit B6 10 mg Tablet
255 Vit C 250 mg Tablet
257 Vit K Inj Ampul
258 Vit K Tab Tablet
259 Wing Nedle No. 23 G Pcs

260 Wing Nedle No.25 G Pcs

267 Ottopain Tts Telinga Botol 0
Mengetahui Pengelola / Penanggung Jawab Obat

H. Anang Jarkani, SKM Yunia Tenmar Susanti, Amd. Far

NIP.19721015 199303 1 009 Nip : 19870607 201001 2 029
LAPORAN PEMAKAIAN DAN LEMBARAN PERMINTAAN OBAT PUSKESMAS
Form : LPLPO PUSKESMAS
PUSKESMAS : Muara Komam PELAPORAN BULAN : Juni NO/TGL DOKUMEN
KECAMATAN : Muara Komam PERMINTAAN BULAN/PERIODE : Juni GFK
KABUPATEN : Kabupaten Paser PUSK
DINKE
PEMBERIAN
NO JENIS BARANG / PERSEDIAN SATUAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN SISA STOK STOK OPTIMUM PERMINTAAN JUMLAH KETERANGAN
INPRES ASKES APBD 1 APBD 2 LAIN''
1 2 3 4 5 6=(4+5) 7=(6-8) 8 9 10 11 12 13 14 15 16 17
1 Abbocat No.18 G PCS 40 40 0 40 100

2 Abbocat No.22 G Pcs 80 200 280 200 80 100
3 Abbocat No.23 G pcs 100 100 0 100 100
4 Abbocat No.24 G Pcs 100 200 300 200 100 100
5 Alat suntik sekali pakai 1 ml Pcs 700 700 0 700
6 Alat suntik sekali pakai 2,5 ml Pcs 200 200 0 200 500
7 Alat suntik sekali pakai 3 ml pcs 200 200 0 200 500
9 Alprazolam Tab.0.5 mg Pcs 0 0
10 Amlodipin 5 mg Tablet 0 0
11 Arsuamon Tablet 0 0
12 Asering Colf 40 40 0 40
13 Albhotil Botol 0 0
14 Alkohol 70 % Botol 20 20 1 19
15 Alkohol 90 % Botol 2 2 1 1 10
16 Alloporinol 100 mg Tablet 200 200 0 200 500
17 Ambroxol Tablet 2000 2000 500 1500
18 Ambroxol syr botol 200 200 50 150 200
19 Aminopillina Tablet 0 0
20 Aminopillina inj Ampul 0 0 30
21 Amitripilin 25 mg Tablet 0 0
PEMBERIAN
22 Amoxicilin 250 mg Tablet 1800 4800 6600 600 6000

24 Amoxicilin Syrup Kering 125 mg/5 ml botol 100 200 300 100 200 100
25 Amoxicilin Syrup Kering 250 mg/5 ml Botol 0 0 100
26 Amoxicilin Inj Ampul 60 60 0 60
27 Ampisilina 500 mg Tablet 400 2000 2400 0 2400
28 Ampisilina Syr botol 110 110 0 110
29 Ampisilina Inj Ampul 0 0 20
30 Antalgin 500 mg tab Tablet 0 0
31 Antalgin Inj Ampul 0 0 20
32 Antasida DOEN tab Tablet 2000 2000 500 1500 5000
33 Antasida DOEN Syrup Botol 0 0 200
34 Anti Haemaroid Doen Suppo Suppo 20 20 0 20
35 Aqua pro Inj steril Botol 48 48 0 48
36 Aquadest Steril Colf 58 58 0 58
37 Asam Mefenamat 500 mg Tablet 6000 6000 1000 5000
38 Asam Tranexsamat Tablet 0 0
39 Asam Tranexsamat Inj Ampul 0 0 50
40 Asetosal 100 mg Tablet 0 0
42 Acyclovir 400 mg Tablet 500 500 0 500
43 Acyclovir Krim 5 % Tube 100 100 0 100
44 Atropin Inj Ampul 50 50 0 50
45 Atropin sulfat 0,5 mg Tablet 0 0
46 Becefort Tablet 0 0 3000
47 Becefort syr Botol 0 0 200
48 Bisakodil (Dulcolax) Suppo 0 0 10
PEMBERIAN
49 Besi sulfat 300 mg (SF) Tablet 12000 12000 3000 9000

50 Betahistin Mesilat 6 mg Tablet 0 0 500
51 Betametason Zalp Tube 24 24 4 20 200
52 Bisopolol Tablet 0 0 500
53 Bioplasenton Salep Tube 10 10 10 0 200
54 Buscopan Tablet 0 0 2000
55 Buscopan Inj Ampul 0 0 30
56 Captropil 12,5 mg Tablet 600 2000 2600 600 2000
57 Captropil 25 mg Tablet 1000 1000 500 500
58 Catopril 50 mg Tablet 500 500 0 500
59 Carbamazepin 200 mg Tablet 0 0
60 Catgut No.2/0 Sachet 43 43 0 43
61 Catgut No.3/0 Sachet 144 144 0 144
62 Cimetidin Inj Ampul 0 0 20
63 Cimetidin Tab Tablet 4000 1000 5000 1000 4000
64 Ciprofloxacin 500 mg Tablet 1350 2000 3350 550 2800
65 Citrizin 10 mg Tablet 0 0
66 Clindamycin 150 mg Tablet 0 0 500
67 Co Amoksiclav / Danoclav Tablet 0 0 2000
68 CTM Tablet 6000 5000 11000 2000 9000
69 Cefotaxim Inj 1 gr Vial 30 30 0 30
70 Ceftriaxon Inj 1 gr Vial 20 20 0 20
71 Caviton Botol 0 0
72 Composit Solare Kotak 0 0
73 Cyclofen (KB 1 bln) Inj Ampul 0 0 100
74 Cyclogeston Inj Ampul 0 0 100
75 Deksamethason 0,5 mg Tablet 3000 3000 500 2500 3000
PEMBERIAN
76 Deksamethason Inj Ampul 0 0 200

77 Dekstrometorfan 15 mg Tablet 6000 3000 9000 1000 8000
78 Dekstrometorfan Syrup Botol 250 250 50 200
79 Diazepam 2 mg Tablet 1000 2000 3000 500 2500
80 Diazepam Inj Ampul 20 20 20 0
81 Digoksin Tablet 300 300 0 300
82 Domperidon 10 mg Tablet 1350 1350 350 1000
83 Domperidon Suspensi 5mg/5ml Botol 0 0 100
84 Efederin HCL 25 mg Tablet 3000 3000 1000 2000
85 Efinefrin Inj 0,1% 1ml Ampul 0 0 100
86 Extrac Belladon 10 mg Tablet 1000 1000 2000 1000 1000
87 Ericaf (Ergotamine) Tablet 0 0 1000
88 Erytromicin 500 mg Tablet 0 0
89 Etambutol HCL 250 mg Tablet 200 200 0 200
91 Eti Klorida semprot Botol 0 0 20
92 Elastis Perban 3" Roll 0 0
95 Fenobarbital 30 mg Tablet 500 500 50 450 2000
96 Fenobarbital Inj Ampul 0 0 30
97 Fenol Gliserol tts telinga Botol 0 0 50
98 Flunarizine 5 mg Tablet 0 0
99 Furosemida 40 mg Tablet 0 0
100 Furosemida Inj Ampul 0 0 30
101 Gentamicin Inj Ampul 70 70 10 60 20
102 Gentamicin salep Tube 50 50 0 50
PEMBERIAN
103 Glibenglamida 5 mg Buah 1000 1000 2000 300 1700

104 Gliserol Guayakulat 100 mg Tablet 2000 2000 4000 1000 3000
105 Glukosa Infus 10 % Colf 138 138 0 138
106 Glukosa Infus 40% Colf 0 0
107 Glukosa Infus 5 % Colf 200 200 400 25 375
108 Griseofulvin 125 mg Tablet 500 500 200 300
109 H2O2 Botol 13 13 0 13
110 Haloperidol 0,5 mg Tablet 300 300 0 300 2000
111 Haloperidol 1,5 mg Tablet 0 0 2000
112 Haloperidol 5 mg Tablet 0 0 2000
113 Handscun 6,5 Steril Buah 0 0
114 Handscun 7 Steril Buah 100 100 100 0 1000
116 Handscun S Non Steril Buah 0 0
117 Handscun M Non steril Buah 100 100 0 100 1000
118 Handscun L Non Steril Buah 100 100 100 1000
119 HCT 25 mg Tablet 5000 5000 1000 4000
120 Hemafort Tablet 0 0 3000
121 Hidrokartison krim 2,5% Tube 72 72 24 48 100
122 Ibofrofen 200 mg Tablet 2000 2000 500 1500
123 Ibofrofen 400 mg Tablet 500 500 0 500 3000
124 Ibofrofen Syr 100mg/5ml Botol 50 50 0 50 100
125 Infusion set anak Set 100 100 100 0
126 Infusion set Dewasa set 250 250 100 150
127 Oksitosin Inj Ampul 0 0 20
128 INH 100 mg Tablet 0 0
129 INH 300 mg Tablet 0 0 500
PEMBERIAN
130 Isosorbid Dinitrat 5 mg Tablet 300 500 800 100 700

131 Jarum ( Bedah ) no,9 s/d 14 Buah 20 20 0 20
132 Kalsium Permanganat serbuk (PK) Pot 6000 6000 1000 5000
133 Kalsium Laktat ( kalk ) Tablet 2000 2000 1000 1000 5000
134 Kapas berlemak 500 gr Roll 0 0
135 Kapas pembalut 250 gr Roll 10 10 0 10
136 Kasa kompres 40/40 Steril Roll 5 5 0 5 10
137 Kasa Pemb 16 x 16 Steril Lembar 0 0 20
138 Kasa Pemb 40 x 80 M Roll 0 0 2
139 Kasa Pem 4mX5cm Roll 10 10 0 10 10
140 Kasa pem 4mX3cm Roll 0 0 10
141 Kasa pem 4mx3cm Elastis Roll 0 0 10
142 Kasa Pembalut 18x22 Roll 5 5 0 5 10
143 Kasa Batang 80 x 110m Roll 0 0 3
144 Kateter no 16 PCS 10 10 20 0 20
145 Kateter no 18 Pcs 10 10 20 0 20
146 Ketonazole Salep Tube 12 12 0 12
147 Ketonazole Tab Tablet 1500 1500 0 1500
148 Kinina Sulfat 222 mg Tablet 0 0 3000
149 Kinina Antipyrin inj 25% 2ml Ampul 0 0 30
150 Kinina Dinidroklorida inj 25% 2ml Ampul 0 0 30
151 Kloramfenokol 250 mg Tablet 1100 1100 100 1000
152 Kloramfenikol tts Telinga 3% Botol 24 24 0 24 100
153 Kloramfenikol Suspensi Botol 90 90 0 90
154 Kloramfenikol Salep Mata 1 % Botol 50 50 0 50 100
155 Kloroquina 150 mg Tablet 0 0 1000
156 Kloroquina 250 mg Tablet 500 500 0 500 1000
PEMBERIAN
157 Klorpromazin 25 mg Tablet 0 0 2000

158 Klorpromazin 100 mg Tablet 1000 1000 0 1000 1000
159 Klorpromazin Inj 25 ml/ml 1 ml Ampul 0 0 30
161 Kotrimoksazol 480 mg Tablet 2000 2000 0 2000
163 Kotrimoksazol Suspensi Botol 235 235 0 235
164 Lar. Kenyon Botol 0 0
165 Lar. Metilen Blue Botol 0 0
166 lar. Turk Botol 0 0
167 Lar. Zeil Nelson Botol 0 0
168 Levonorgestral 75 mg Implant 0 0
169 Lidokain Inj Ampul 120 120 0 120
170 Lisol 50% Botol 0 0
171 Loperamide (Antidia) Tablet 0 0 1000
172 Loratadina 10 mg Tablet 200 200 0 200 500
173 Masker Pcs 100 120 220 20 200
174 Mebendazol 100 mg Tablet 180 180 0 180
175 Medroxyprogesterone Asetat 150 mg INJ Vial 65 65 45 20 100
176 Metanol Botol 0 0
177 MetilErgometrina 0,125 mg Tablet 0 0 1000
178 Metoklorpramide Tab Tablet 500 1000 1500 200 1300 3000
179 Metilprednisolon 4 mg Tablet 0 0 1000
180 Metronidazole Tablet 0 0 2000
181 Metronidazole Salp Tube 0 0 200
182 Mikonazol Salep Tube 80 48 128 0 128 100
183 Natrium Diklopenak 50 Mg Tablet 50 200 250 0 250 3000
PEMBERIAN
184 Natrium Klorida Infus 0.9 % (NaCl) Colf 220 220 20 200
185 Nedle No.23 G Pcs 300 300 0 300
186 Nedle No. 25 G Pcs 60 100 160 0 160
187 Nedle No.27 G 0 0 200
188 Nefedifine 10 mg Tablet 0 0 500
189 Nistatin 100.000 IU/g Tab Vaginal Tablet 100 100 0 100
190 Nystatin Drop Botol 0 0 30
191 OBH Cair Botol 50 50 100 0 100
192 Oksitetrasikliner Salep 3 % Tube 25 25 0 25 50
193 Oksitetrasikline Salepmata 1 % Tube 37 25 62 0 62 50
194 Oksitosin inj Ampul 0 0 30
195 Omeprazole Tablet 0 0
196 Oralit 200 ml Sachet 3000 500 3500 500 3000 2000
197 Papaverin Tab Tablet 0 0 2000
198 Papaverin Inj Ampul 0 0 30
199 Paracetamol 100 mg Tablet 0 0 1000
200 Paracetamol 500 mg Tablet 8000 8000 1000 7000
201 Paracetamol syr Botol 150 150 50 100
202 Pehacain Inj Ampul 0 0 100
203 Pembalut GIV Roll 0 0
204 Penitidin Inj Ampul 0 0 30
205 Pirazinamide Tab 500 mg Tablet 5000 5000 0 5000
206 Piroxicam 20 mg Tablet 1500 1500 0 1500
207 Plester 5 yard X 2 inci Roll 10 10 2 8 20
208 PP Test Strip 0 0 500
209 Prednison Tablet 0 0 200
210 Primaquina 15 mg Tablet 200 200 0 200
PEMBERIAN
211 Propanolol 40 mg Tablet 0 0

212 Ranitidin Inj Ampul 115 115 115 0 100
213 Ranitidin 150 mg Tablet 0 0 3000
214 Rifamfisin 300 mg Tablet 100 100 0 100
217 Reserpin 0,25 mg Tablet 0 0
218 Renger Laktat (RL) Colf 60 200 260 50 210 100
219 Renganol Lar Botol 0 0
220 Salbutamol 2 mg Tablet 500 500 300 200 1000
221 Salbutamol 4 mg Tablet 0 0 1000
222 Salep -24 Tube 132 132 32 100
223 Salisil Bedak Pot 22 22 0 22 100
224 Simvastatin 10 mg Tablet 0 0 2000
225 Stesolit Rectal 10mg/2,5ml Tube 0 0 30
226 sulfadoxixe Primexhamine Tablet 0 0
227 Sulfasetamide tetes 15% Botol 0 0 20
228 Sulture Silk 1/0 Sachet 0 0 100
231 Tetrasiklin 250 mg Tablet 0 0
232 tetraksiklin 500 mg Tablet 0 0
233 Tiamfenikol 500 mg Tablet 0 0
234 Tramadol Inj Ampul 0 0 30
235 Treheksifenidil Hcl 2 mg Tablet 300 300 100 200 500
236 UnderPads Pcs 0 0 50
237 Orine Bag Steril Buah 100 100 50 50 100
PEMBERIAN
238 Vit A 100.000 Kapsul 350 350 0 350

239 Vit A 200.000 Kapsul 1000 1000 0 1000
240 Vit B Com Tablet 5000 5000 1000 4000
241 Vit B1 50 mg Tablet 5000 5000 500 4500
242 Vit B1 Inj Ampul 0 0 30
243 Vit B12 Inj 0,5mg/ml Ampul 0 0 30
244 Vit B6 10 mg Tablet 5000 5000 5000
245 Vit C 250 mg Tablet 0 0
247 Vit K Inj Ampul 0 0 30
248 Vit K Tab Tablet 200 200 50 150
249 Wing Nedle No. 23 G Pcs 0 0
250 Wing Nedle No.25 G Pcs 0 0
252 Yodium Vovidon Lar 10 % 30 ml Botol 0 0
254 Zinc 200 mg Tablet 0 0
255 Griavita Kapsul 0 0 3000
256 Isotic Neolyson Tts Mata Botol 0 0 20
257 Ottopain Tts Telinga Botol 0 0 20

Plt. UPTD Puskesmas Muara Komam
H. Anang Jarkani, SKM Yunia Tenmar Susanti

NIP.19721015 199303 1 009 Nip : 19870607 201001 2 029
PUSKESMAS : Muara Komam PELAPORAN BULAN : Juli NO/TGL DOKUMEN
KECAMATAN : Muara Komam PERMINTAAN BULAN/PERIODE : Juli GFK
DINKES
PEMBERIAN
1 2 3 4 5 6=(4+5) 7=(6-8) 8 9 10 11 12 13 14 15 16 17
1 Abbocat No.18 G PCS 40 0 40 20 20 100

2 Abbocat No.22 G Pcs 80 200 280 125 155 200
3 Abbocat No.23 G pcs 100 100 50 50 200
4 Abbocat No.24 G Pcs 100 200 300 200 100 200
5 Alat suntik sekali pakai 1 ml Pcs 700 700 200 500 200
6 Alat suntik sekali pakai 2,5 ml Pcs 200 200 400 400 0 500
7 Alat suntik sekali pakai 3 ml pcs 200 200 400 400 0 500
9 Alprazolam Tab.0.5 mg Pcs 50 50 0 50
10 Amlodipin 5 mg Tablet 0 0 0 1000
11 Arsuamon Tablet 0 0 0 1000
13 Albhotil Botol 0 0 0 20
14 Alkohol 70 % Botol 19 19 19 0 30
15 Alkohol 90 % Botol 1 1 1 0 30
17 Ambroxol Tablet 1500 2000 3500 3500 0 3000
18 Ambroxol syr botol 150 200 350 250 100 200
19 Aminopillina Tablet 0 0
21 Amitripilin 25 mg Tablet 0 0
23 Amoxicilin 500 mg Tablet 4000 5000 9000 9000 0 10000
24 Amoxicilin Syrup Kering 125 mg/5 mlbotol 200 200 400 350 50 200
25 Amoxicilin Syrup Kering 250 mg/5 mlBotol 0 0 0 200
28 Ampisilina Syr botol 110 110 60 50 100
29 Ampisilina Inj Ampul 0 0 0 20
30 Antalgin 500 mg tab Tablet 0 0 0 2000
31 Antalgin Inj Ampul 0 0 0 20
32 Antasida DOEN tab Tablet 1500 5000 6500 6000 500 5000
33 Antasida DOEN Syrup Botol 0 0 0 200
34 Anti Haemaroid Doen Suppo Suppo 20 20 40 40 0 50
35 Aqua pro Inj steril Botol 48 48 48 0 100
37 Asam Mefenamat 500 mg Tablet 5000 6000 11000 10500 500 3000
38 Asam Tranexsamat Tablet 0 0 0 1000
39 Asam Tranexsamat Inj Ampul 0 0 0 20
40 Asetosal 100 mg Tablet 0 0 0 2000
42 Acyclovir 400 mg Tablet 500 500 1000 800 200 2000
43 Acyclovir Krim 5 % Tube 100 100 100 0 200
44 Atropin Inj Ampul 50 50 50 0 20
45 Atropin sulfat 0,5 mg Tablet 0 0 0
46 Becefort Tablet 0 0 0 3000
47 Becefort syr Botol 0 0 0 200
48 Bisakodil (Dulcolax) Suppo 0 0 0 20
49 Besi sulfat 300 mg (SF) Tablet 9000 3000 12000 12000 0 10000
50 Betahistin Mesilat 6 mg Tablet 0 0 0 1000
51 Betametason Zalp Tube 20 24 44 44 0 100
54 Buscopan Tablet 0 0 0 3000
55 Buscopan Inj Ampul 0 0 0 20
56 Captropil 12,5 mg Tablet 2000 2000 4000 3500 500 1000
57 Captropil 25 mg Tablet 500 1000 1500 1000 500 1000
58 Catopril 50 mg Tablet 500 500 1000 200 800
59 Carbamazepin 200 mg Tablet 0 0 0
60 Catgut No.2/0 Sachet 43 43 3 40 20
61 Catgut No.3/0 Sachet 144 144 4 140 20
62 Cimetidin Inj Ampul 0 0 0 20
63 Cimetidin Tab Tablet 4000 1000 5000 4000 1000 3000
64 Ciprofloxacin 500 mg Tablet 2800 2000 4800 1800 3000 2000
65 Citrizin 10 mg Tablet 0 0 0 1000
66 Clindamycin 150 mg Tablet 0 0 0 1000
67 Co Amoksiclav / Danoclav Tablet 2000 2000 500 1500
68 CTM Tablet 9000 5000 14000 12000 2000 10000
69 Cefotaxim Inj 1 gr Vial 30 30 20 10 20
70 Ceftriaxon Inj 1 gr Vial 20 20 10 10 20
71 Caviton Botol 0 0 0
72 Composit Solare Kotak 0 0 0
73 Cyclofen (KB 1 bln) Inj Ampul 0 0 0 50
75 Deksamethason 0,5 mg Tablet 2500 3000 5500 4500 1000 5000
76 Deksamethason Inj Ampul 0 0 0 50
77 Dekstrometorfan 15 mg Tablet 8000 3000 11000 3000 8000
79 Diazepam 2 mg Tablet 2500 1000 3500 76 3424
80 Diazepam Inj Ampul 0 0 0 0 20
81 Digoksin Tablet 300 300 600 400 200
82 Domperidon 10 mg Tablet 1000 1000 1000 0 3000
83 Domperidon Suspensi 5mg/5ml Botol 0 0 0 200
85 Efinefrin Inj 0,1% 1ml Ampul 0 0 0
87 Ericaf (Ergotamine) Tablet 0 0 0 500
88 Erytromicin 500 mg Tablet 0 0 0
91 Eti Klorida semprot Botol 0 0 0 10
92 Elastis Perban 3" Roll 0 0 0
95 Fenobarbital 30 mg Tablet 450 500 950 450 500 1000
96 Fenobarbital Inj Ampul 0 0 0 20
98 Flunarizine 5 mg Tablet 0 0 0
99 Furosemida 40 mg Tablet 0 0 0 500
100 Furosemida Inj Ampul 0 0 0 20
102 Gentamicin salep Tube 50 50 50 0 100
103 Glibenglamida 5 mg Buah 1700 1000 2700 1000 1700
104 Gliserol Guayakulat 100 mg Tablet 3000 2000 5000 4500 500 10000
106 Glukosa Infus 40% Colf 0 0 0
108 Griseofulvin 125 mg Tablet 300 500 800 100 700
109 H2O2 Botol 13 13 13 0 20
110 Haloperidol 0,5 mg Tablet 300 300 100 200 1000
111 Haloperidol 1,5 mg Tablet 200 200 -1800 2000
112 Haloperidol 5 mg Tablet 0 0 0 1000
113 Handscun 6,5 Steril Buah 0 0 0
114 Handscun 7 Steril Buah 0 50 50 50 0 300
115 Handscun 7,5 Steril Buah 0 0 0 300
116 Handscun S Non Steril Buah 0 0 0
117 Handscun M Non steril Buah 100 100 200 200 0 500
118 Handscun L Non Steril Buah 100 100 100 0 500
119 HCT 25 mg Tablet 4000 4000 4000 0
120 Hemafort Tablet 0 0 0 3000
121 Hidrokartison krim 2,5% Tube 48 72 120 20 100 100
122 Ibofrofen 200 mg Tablet 1500 2000 3500 1500 2000 1000
124 Ibofrofen Syr 100mg/5ml Botol 50 50 100 50 50 100
125 Infusion set anak Set 0 100 100 100 0 50
126 Infusion set Dewasa set 150 250 400 400 0 100
128 INH 100 mg Tablet 0 0 0
131 Jarum ( Bedah ) no,9 s/d 14 Buah 20 20 40 40 0 50
133 Kalsium Laktat ( kalk ) Tablet 1000 6000 7000 6000 1000 2000
134 Kapas berlemak 500 gr Roll 0 0 0
135 Kapas pembalut 250 gr Roll 10 10 20 10 10
136 Kasa kompres 40/40 Steril Roll 5 5 10 10 0
137 Kasa Pemb 16 x 16 Steril Lembar 0 0 0 1000
143 Kasa Batang 80 x 110m Roll 0 0 0 4
144 Kateter no 16 PCS 20 10 30 10 20 50
145 Kateter no 18 Pcs 20 10 30 10 20 50
146 Ketonazole Salep Tube 12 12 24 12 12
151 Kloramfenokol 250 mg Tablet 1000 1000 500 500
154 Kloramfenikol Salep Mata 1 % Botol 50 50 30 20
156 Kloroquina 250 mg Tablet 500 500 500 0
157 Klorpromazin 25 mg Tablet 0 0 0 2000
159 Klorpromazin Inj 25 ml/ml 1 ml Ampul 0 0
164 Lar. Kenyon Botol 0 0 0
165 Lar. Metilen Blue Botol 0 0 0
166 lar. Turk Botol 0 0 0
167 Lar. Zeil Nelson Botol 0 0 0
168 Levonorgestral 75 mg Implant 0 0 0
170 Lisol 50% Botol 0 0 0
171 Loperamide (Antidia) Tablet 0 0 0 5000
172 Loratadina 10 mg Tablet 200 200 400 300 100 2000
173 Masker Pcs 200 120 320 220 100
175 Medroxyprogesterone Asetat 150 mg Vial
INJ 20 20 20 0 50
176 Metanol Botol 0 0 0 20
178 Metoklorpramide Tab Tablet 1300 1000 2300 1300 1000 3000
179 Metilprednisolon 4 mg Tablet 0 0 0 3000
180 Metronidazole Tablet 0 0 0 3000
181 Metronidazole Salp Tube 0 0 0 50
182 Mikonazol Salep Tube 128 48 176 76 100 200
183 Natrium Diklopenak 50 Mg Tablet 250 200 450 450 0 3000
185 Nedle No.23 G Pcs 300 300 100 200 500
186 Nedle No. 25 G Pcs 160 100 260 60 200 500
187 Nedle No.27 G 0 0 0 500
188 Nefedifine 10 mg Tablet 0 0 0 1000
189 Nistatin 100.000 IU/g Tab Vaginal Tablet 100 100 0 100 100
190 Nystatin Drop Botol 0 0 0 20
191 OBH Cair Botol 100 50 150 100 50 100
192 Oksitetrasikliner Salep 3 % Tube 25 25 50 50 0 100
193 Oksitetrasikline Salepmata 1 % Tube 62 25 87 87 0 100
195 Omeprazole Tablet 0 0 0 2000
196 Oralit 200 ml Sachet 3000 500 3500 1500 2000 5000
197 Papaverin Tab Tablet 0 0 0 3000
198 Papaverin Inj Ampul 0 0 0 20
200 Paracetamol 500 mg Tablet 7000 8000 15000 14000 1000 10000
201 Paracetamol syr Botol 100 150 250 250 0 500
202 Pehacain Inj Ampul 0 0 0 50
203 Pembalut GIV Roll 0 0 0
206 Piroxicam 20 mg Tablet 1500 1500 700 800 1000
207 Plester 5 yard X 2 inci Roll 8 10 18 10 8 20
208 PP Test Strip 0 0 0 100
211 Propanolol 40 mg Tablet 0 0 0
217 Reserpin 0,25 mg Tablet 0 0 0
218 Renger Laktat (RL) Colf 210 200 410 210 200
219 Renganol Lar Botol 0 0 0
220 Salbutamol 2 mg Tablet 200 500 700 400 300 1000
221 Salbutamol 4 mg Tablet 0 0 0 2000
222 Salep -24 Tube 100 100 100 0 100
224 Simvastatin 10 mg Tablet 0 0 0 1000
225 Stesolit inj inj 0 20
226 Stesolit Rectal 10mg/2,5ml Tube 0 0 0 20
227 sulfadoxixe Primexhamine Tablet 0 0 0
228 Sulfasetamide tetes 15% Botol 0 0 0 20
229 Sulture Silk 1/0 Sachet 0 0 0 50
232 Tetrasiklin 250 mg Tablet 0 0 0
233 tetraksiklin 500 mg Tablet 0 0 0
234 Tiamfenikol 500 mg Tablet 0 0 0
235 Tramadol Inj Ampul 0 0 0 20
236 Treheksifenidil Hcl 2 mg Tablet 200 300 500 300 200 1000
237 UnderPads Pcs 0 0 0 30
239 Vit A 100.000 Kapsul 350 350 350 0 1000
240 Vit A 200.000 Kapsul 1000 1000 1000 0 1000
241 Vit B Com Tablet 4000 5000 9000 9000 0 20000
242 Vit B1 50 mg Tablet 4500 5000 9500 7500 2000 10000
243 Vit B1 Inj Ampul 0 0 0 3000
244 Vit B12 Inj 0,5mg/ml Ampul 0 0 0 20
245 Vit B6 10 mg Tablet 5000 5000 5000 0 10000
246 Vit C 250 mg Tablet 0 0 0 10000
247 Vit C 50 mg Tablet 0 0 0 10000
248 Vit K Inj Ampul 0 0 0 10
249 Vit K Tab Tablet 150 150 50 100 500
250 Wing Nedle No. 23 G Pcs 0 0 0
251 Wing Nedle No.25 G Pcs 0 0 0
253 Yodium Vovidon Lar 10 % 30 ml Botol 0 0 0 50
255 Zinc 200 mg Tablet 0 0 0 3000
256 Griavita Kapsul 0 0 0 3000
257 Isotic Neolyson Tts Mata Botol 0 0 0 50
258 Ottopain Tts Telinga Botol 0 0 0 50

NIP.19721015 199303 1 009 Nip : 19870607 201001 2 029
PUSKESMAS : Muara Komam PELAPORAN BULAN : Agustus NO/TGL DOKUMEN
KECAMATAN : Muara Komam PERMINTAAN BULAN/PERIODE : Agustus GFK
DINKES
PEMBERIAN
1 2 3 4 5 6=(4+5) 7=(6-8) 8 9 10 11 12 13 14 15 16 17
1 Abbocat No.18 G PCS 40 40 40 0 100

2 Abbocat No.20 G Pcs 80 200 280 80 200
3 Abbocat No.22 G pcs 100 100 100 0 200
4 Abbocat No.24 G Pcs 240 20 260 20 240
5 Alat suntik sekali pakai 1 ml Pcs 700 200 900 400 500
10 Amlodipin 5 mg Tablet 0 0 0
11 Arsuamon Tablet 0 0 0 500
13 Albhotil Botol 0 0 0
14 Alkohol 70 % Botol 19 19 19 0 20
15 Alkohol 90 % Botol 1 1 1 0 20
17 Ambroxol Tablet 1500 3000 4500 0 4500
18 Ambroxol syr botol 400 50 450 50 400
19 Aminopillina Tablet 200 200 0 200
20 Aminopillina inj Ampul 14 14 0 14
PEMBERIAN
21 Amitripilin 25 mg Tablet 0 0 0
22 Amoxicilin 250 mg Tablet 6000 6000 0 6000
24 Amoxicilin Syrup Kering 125 mg/5 mlbotol 200 200 400 0 400
25 Amoxicilin Syrup Kering 250 mg/5 mlBotol 0 0 0 200
27 Ampisilina 500 mg Tablet 2400 2400 400 2000
29 Ampisilina Inj Ampul 10 20 30 20 10
31 Antalgin Inj Ampul 40 30 70 30 40
32 Antasida DOEN tab Tablet 3000 5000 8000 1000 7000
33 Antasida DOEN Syrup Botol 150 150 50 100
34 Anti Haemaroid Doen Suppo Suppo 20 50 70 20 50
35 Aqua pro Inj steril Botol 48 100 148 48 100
37 Asam Mefenamat 500 mg Tablet 5000 3000 8000 1000 7000
38 Asam Tranexsamat Tablet 0 0 0 1000
39 Asam Tranexsamat Inj Ampul 0 0 0 20
40 Asetosal 100 mg Tablet 0 0 0
42 Acyclovir 400 mg Tablet 500 800 1300 300 1000
46 Becefort Tablet 0 0 0 3000
47 Becefort syr Botol 0 0 0 200
PEMBERIAN
48 Bisakodil (Dulcolax) Suppo 0 0 0 10

49 Besi sulfat 300 mg (SF) Tablet 9000 9000 1000 8000 3000
53 Bioplasenton Salep Tube 0 0 0 0
54 Buscopan Tablet 0 0 0 3000
55 Buscopan Inj Ampul 0 0 0 30
57 Captropil 25 mg Tablet 500 500 500 0 1000
60 Catgut No.2/0 Sachet 43 48 91 5 86
61 Catgut No.3/0 Sachet 144 144 144 0 100
63 Cimetidin Tab Tablet 4000 3000 7000 1800 5200
64 Ciprofloxacin 500 mg Tablet 4800 4800 200 4600
68 CTM Tablet 0 10000 10000 2000 8000
69 Cefotaxim Inj 1 gr Vial 30 30 0 30
70 Ceftriaxon Inj 1 gr Vial 20 20 0 20
73 Cyclofen (KB 1 bln) Inj Ampul 0 0 0 20
74 Cyclogeston Inj Ampul 0 0 0 20
PEMBERIAN

76 Deksamethason Inj Ampul 100 50 150 50 100
77 Dekstrometorfan 15 mg Tablet 8000 8000 1000 7000
79 Diazepam 2 mg Tablet 2500 2500 0 2500
85 Efinefrin Inj 0,1% 1ml Ampul 17 17 0 17
87 Ericaf (Ergotamine) Tablet 0 0 0 500
91 Eti Klorida semprot Botol 0 0 0 10
95 Fenobarbital 30 mg Tablet 2600 2600 0 2600
96 Fenobarbital Inj Ampul 0 0 0
PEMBERIAN

103 Glibenglamida 5 mg Buah 1700 1700 100 1600
109 H2O2 Botol 13 20 33 13 20
110 Haloperidol 0,5 mg Tablet 300 300 0 300
114 Handscun 7 Steril Buah 150 200 350 50 300
118 Handscun L Non Steril Buah 0 0 0
119 HCT 25 mg Tablet 4000 4000 4000 0 3000
120 Hemafort Tablet 0 0 0 5000
124 Ibofrofen Syr 100mg/5ml Botol 50 50 0 50
125 Infusion set anak Set 25 100 125 0 125
126 Infusion set Dewasa set 150 200 350 50 300
127 Oksitosin Inj Ampul 0 0 0 20
PEMBERIAN

131 Jarum ( Bedah ) no,9 s/d 14 Buah 20 51 71 1 70
134 Kapas berlemak 500 gr Roll 0 0 0
136 Kasa kompres 40/40 Steril Roll 5 5 5 0
137 Kasa Pemb 16 x 16 Steril Lembar 0 0 0 50
139 Kasa Pem 4mX5cm Roll 10 10 10 0
143 Kasa Batang 80 x 110m Roll 0 0 0 3
144 Kateter no 16 PCS 20 5 25 0 25
145 Kateter no 18 Pcs 20 8 28 0 28
148 Kinina Sulfat 222 mg Tablet 0 0 0 1000
149 Kinina Antipyrin inj 25% 2ml Ampul 0 0 0 1000
150 Kinina Dinidroklorida inj 25% 2ml Ampul 0 0 0 20
151 Kloramfenikol 250 mg Tablet 1000 1000 1000 0
152 Kloramfenikol tts Telinga 3% Botol 24 24 24 0
PEMBERIAN

161 Kotrimoksazol 480 mg Tablet 2000 2000 2000 0 5000
163 Kotrimoksazol Suspensi Botol 235 235 235 0 300
169 Lidokain Inj Ampul 120 50 170 50 120
171 Loperamide (Antidia) Tablet 0 0 0 3000
172 Loratadina 10 mg Tablet 200 200 0 200
173 Masker Pcs 200 200 50 150
175 Medroxyprogesterone Asetat 150 mgVial
INJ 20 20 20 0 30
176 Metanol Botol 0 0 0
178 Metoklorpramide Tab Tablet 1300 1000 2300 2000 300
180 Metronidazole Tablet 0 0 0
182 Mikonazol Salep Tube 128 48 176 0 176
PEMBERIAN
183 Natrium Diklopenak 50 Mg Tablet 690 2000 2690 90 2600

184 Natrium Klorida Infus 0.9 % (NaCl) Colf 200 200 160 40 200
185 Nedle No.23 G Pcs 300 200 500 400 100
186 Nedle No. 25 G Pcs 160 200 360 260 100
187 Nedle No.27 G 0 0 0 100
191 OBH Cair Botol 100 120 220 20 200
192 Oksitetrasikliner Salep 3 % Tube 25 100 125 0 125
193 Oksitetrasikline Salepmata 1 % Tube 62 100 162 24 138
196 Oralit 200 ml Sachet 3000 1000 4000 100 3900
200 Paracetamol 500 mg Tablet 7000 8000 15000 1000 14000
201 Paracetamol syr Botol 100 200 300 125 175
205 Phenobarbital

207 Piroxicam 20 mg Tablet 1500 1200 2700 0 2700
PP Test Strip 0 0 0 200
PEMBERIAN

212 Ranitidin Inj Ampul 0 20 20 0 20 20
213 Ranitidin 150 mg Tablet 0 0 0 5000
218 Renger Laktat (RL) Colf 210 210 10 200
220 Salbutamol 2 mg Tablet 200 200 400 100 300 1000
222 Salep -24 Tube 100 100 50 50
225 Stesolit Rectal 10mg/2,5ml Tube 0 0 0 20
233 Tiamfenikol 500 mg Tablet 0 0 0 3000
235 Treheksifenidil Hcl 2 mg Tablet 2200 2200 0 2200
PEMBERIAN
236 UnderPads Pcs 0 0 0 50

238 Vit A 100.000 Kapsul 350 200 550 0 550
239 Vit A 200.000 Kapsul 1000 200 1200 800 400
240 Vit B Com Tablet 4000 10000 14000 5000 9000
241 Vit B1 50 mg Tablet 4500 10000 14500 6500 8000
244 Vit B6 10 mg Tablet 6000 6000 1000 5000
245 Vit C 250 mg Tablet 0 0 0
246 Vit C 50 mg Tablet 7000 7000 1000 6000
248 Vit K Tab Tablet 1400 500 1900 700 1200
251 Wing Nedle No. 27 G Pcs 180 180 0 180
254 Zinc 200 mg Tablet 200 200 0 200
256 Isotic Neolyson Tts Mata Botol 0 0 0 20
257 Ottopain Tts Telinga Botol 0 0 0 20

PEMBERIAN

NIP.19721015 199303 1 009 Nip : 19870607 201001 2 029
PUSKESMAS : Muara Komam PELAPORAN BULAN : September NO/TGL DOKUMEN
KECAMATAN : Muara Komam PERMINTAAN BULAN/PERIODE : September GFK
DINKES
PEMBERIAN
1 2 3 4 5 6=(4+5) 7=(6-8) 8 9 10 11 12 13 14 15 16 17
1 Abbocat No.18 G PCS 0 0 0 0 100

2 Abbocat No.20 G Pcs 200 200 0 200
3 Abbocat No.22 G pcs 0 0 0 0 100
4 Abbocat No.24 G Pcs 240 240 40 200
6 Alat suntik sekali pakai 2,5 ml Pcs 700 700 0 700
10 Amlodipin 5 mg Tablet 60 60 0 60
11 Arsuamon Tablet 0 0 0 0 100
12 Asering Colf 38 38 18 20 40
14 Alkohol 70 % Botol 0 0 0 0 10
15 Alkohol 90 % Botol 0 0 0 0 10
16 Alloporinol 100 mg Tablet 1000 1000 500 500
17 Ambroxol Tablet 4500 4500 3000 1500 3000
18 Ambroxol syr botol 400 400 150 250
PEMBERIAN
1 2 3 4 5 6=(4+5) 7=(6-8) 8 9 10 11 12 13 14 15 16 17

21 Amitripilin 25 mg Tablet 0 0 0 0
22 Amoxicilin 250 mg Tablet 6000 6000 5000 1000
24 Amoxicilin Syrup Kering 125 mg/5 ml botol 400 400 200 200 200
25 Amoxicilin Syrup Kering 250 mg/5 ml Botol 0 0 0 200
32 Antasida DOEN tab Tablet 7000 7000 900 6100
33 Antasida DOEN Syrup Botol 100 100 100 0 300
38 Asam Tranexsamat Tablet 0 0 0 0 2000
39 Asam Tranexsamat Inj Ampul 0 0 0 0 30
PEMBERIAN
1 2 3 4 5 6=(4+5) 7=(6-8) 8 9 10 11 12 13 14 15 16 17
45 Atropin sulfat 0,5 mg Tablet 0 0 0 0

46 Becefort Tablet 0 0 0 0 3000
47 Becefort syr Botol 0 0 0 0 200
48 Bisakodil (Dulcolax) Suppo 0 0 0 0 20
50 Betahistin Mesilat 6 mg Tablet 0 0 0 1000
52 Bisopolol Tablet 0 0 0 0
54 Buscopan Tablet 0 0 0 0 2000
55 Buscopan Inj Ampul 0 0 0 0 30
58 Catopril 50 mg Tablet 500 500 100 400 500
59 Carbamazepin 200 mg Tablet 0 0 0 0
60 Catgut No.2/0 Sachet 86 86 66 20 20
61 Catgut No.3/0 Sachet 0 0 0 0 20
63 Cimetidin Tab Tablet 5200 5200 200 5000
65 Citrizin 10 mg Tablet 500 500 500 0 500
66 Clindamycin 150 mg Tablet 0 0 0 0
68 CTM Tablet 8000 8000 5000 3000 10000
69 Cefotaxim Inj 1 gr Vial 30 30 30 0 30
PEMBERIAN
1 2 3 4 5 6=(4+5) 7=(6-8) 8 9 10 11 12 13 14 15 16 17
70 Ceftriaxon Inj 1 gr Vial 20 20 20 0 30

71 Caviton Botol 0 0 0 0
72 Composit Solare Kotak 0 0 0 0
73 Cyclofen (KB 1 bln) Inj Ampul 0 0 0 0 50
74 Cyclobalamin Ampul 18 18 0 18
75 Cyclogeston Inj Ampul 0 0 0 0
83 Domperidon 10 mg Tablet 0 0 0 0 5000
84 Domperidon Suspensi 5mg/5ml Botol 0 0 0 0 300
88 Ericaf (Ergotamine) Tablet 0 0 0 0 500
89 Erytromicin 500 mg Tablet 0 0 0 0
92 Eti Klorida semprot Botol 0 0 0 0 10
93 Elastis Perban 3" Roll 0 0 0 0
PEMBERIAN
1 2 3 4 5 6=(4+5) 7=(6-8) 8 9 10 11 12 13 14 15 16 17

96 Fenobarbital 30 mg (Luminal) Tablet 2600 2600 1100 1500
98 Fenol Gliserol tts telinga Botol 0 0 0 0
99 Flunarizine 5 mg Tablet 0 0 0 0
101 Furosemida Inj Ampul 25 25 25 0 20
102 Gentamicin Inj Ampul 80 80 10 70
103 Gentamicin salep Tube 50 50 50 0 100
105 Glicerin Botol 2 2 0 2 5
108 Glukosa Infus 40% Colf 0 0 0 0
111 H2O2 Botol 20 20 20 0 10
116 Handscun 7 Steril Buah 300 300 200 100
118 Handscun S Non Steril Buah 0 0 0 0
PEMBERIAN
1 2 3 4 5 6=(4+5) 7=(6-8) 8 9 10 11 12 13 14 15 16 17
120 Handscun L Non Steril Buah 0 0 0 0 500

121 HCT 25 mg Tablet 0 0 0 0
122 Hemafort Tablet 0 0 0 0 5000
123 Hidrokartison krim 2,5% Tube 120 120 48 72
129 Oksitosin Inj Ampul 0 0 0 0
130 INH 100 mg Tablet 0 0 0 0
131 INH 300 mg Tablet 0 0 0 0
132 Isosorbid Dinitrat 5 mg Tablet 700 700 200 500
134 Kalsium Permanganat serbuk (PK) Pot 0 0 0 0 50
135 Kalsium Laktat ( kalk ) Tablet 5000 5000 0 5000
136 Kapas berlemak 500 gr Roll 21 21 0 21
138 Kasa kompres 40/40 Steril Roll 0 0 0 0
139 Kasa Pemb 16 x 16 Steril Lembar 0 0 0 0 10
140 Kasa Pemb 40 x 80 M Roll 0 0 0 0 10
142 Kasa pem 4mX3cm Roll 0 0 0 0 10
143 Kasa pem 4mx3cm Elastis Roll 0 0 0 0 10
144 Kasa Pembalut 18x22 Roll 25 25 25 0
PEMBERIAN
1 2 3 4 5 6=(4+5) 7=(6-8) 8 9 10 11 12 13 14 15 16 17
145 Kasa Batang 80 x 110m Roll 0 0 0 0 4

146 Kateter no 16 PCS 25 25 2 23
147 Kateter no 18 Pcs 28 28 3 25
150 Kinina Sulfat 222 mg Tablet 0 0 0 0
151 Kinina Antipyrin inj 25% 2ml Ampul 0 0 0 0
152 Kinina Dinidroklorida inj 25% 2ml Ampul 0 0 0 0
153 Kloramfenikol 250 mg Tablet 0 0 0 0
155 Kloramfenikol Suspensi Botol 75 75 75 0 100
161 Klorpromazin Inj 25 ml/ml 1 ml Ampul 0 0 0 0
162 Klorpromazin Inj 5 ml/ml 1 ml Ampul 0 0 0 0
166 Lar. Kenyon Botol 0 0 0 0
167 Lar. Metilen Blue Botol 0 0 0 0
168 lar. Turk Botol 0 0 0 0
169 Lar. Zeil Nelson Botol 0 0 0 0
PEMBERIAN
1 2 3 4 5 6=(4+5) 7=(6-8) 8 9 10 11 12 13 14 15 16 17
170 Levonorgestral 75 mg Implant 0 0 0 0

172 Lisol 50% Botol 0 0 0 0
173 Loperamide (Antidia) Tablet 0 0 0 0 2000
174 Loratadina 10 mg Tablet 200 200 200 0 2000
175 Masker Pcs 150 150 50 100
177 Medroxyprogesterone Asetat 150 mg INJ Vial 0 0 0 0 50
178 Metanol Botol 0 0 0 0
179 MetilErgometrina 0,125 mg Tablet 0 0 0 0
181 Metilprednisolon 4 mg Tablet 300 300 0 300
182 Metronidazole Tablet 800 800 0 800
184 Mikonazol Salep Tube 176 176 32 144
185 Natrium Diklopenak 50 Mg Tablet 2600 2600 500 2100
187 Nedle No.23 G Pcs 100 100 0 100
188 Nedle No. 25 G Pcs 100 100 0 100
189 Nedle No.27 G 0 0 0 0 100
191 Nistatin 100.000 IU/g Tab Vaginal Tablet 100 100 0 100
193 OBH Cair Botol 200 200 120 80
194 Oksitetrasikliner Salep 3 % Tube 125 125 77 48
PEMBERIAN
1 2 3 4 5 6=(4+5) 7=(6-8) 8 9 10 11 12 13 14 15 16 17
195 Oksitetrasikline Salepmata 1 % Tube 138 138 18 120

196 Oksitosin inj Ampul 0 0 0 0
198 Oralit 200 ml Sachet 3900 3900 1900 2000
199 Papaverin Inj Ampul 0 0 0 0 30
200 Papaverin Tab Tablet 0 0 0 0 2000
205 Pembalut GIV Roll 0 0 0 0
206 Penitidin Inj Ampul 0 0 0 0
210 PP Test Strip 0 0 0 0 200
211 Prednison Tablet 0 0 0 0
213 Propanolol 40 mg Tablet 0 0 0 0
215 Ranitidin 150 mg Tablet 0 0 0 0 3000
219 Reserpin 0,25 mg Tablet 0 0 0 0
PEMBERIAN
1 2 3 4 5 6=(4+5) 7=(6-8) 8 9 10 11 12 13 14 15 16 17
220 Renger Laktat (RL) Colf 200 200 60 140

221 Renganol Lar Botol 0 0 0 0
224 Salep -24 Tube 144 144 0 144
227 Stesolit Rectal 10mg/2,5ml Tube 0 0 0 0 10
228 sulfadoxixe Primexhamine Tablet 0 0 0 0
233 Tetrasiklin 250 mg Tablet 0 0 0 0
234 tetraksiklin 500 mg Tablet 0 0 0 0
238 UnderPads Pcs 0 0 0 0 50
239 Orine Bag Steril Buah 60 60 60 0
240 Vit A 100.000 Kapsul 550 550 0 550
241 Vit A 200.000 Kapsul 400 400 0 400
242 Vit B Com Tablet 9000 9000 9000 0 10000
243 Vit B1 50 mg Tablet 8000 8000 8000 0 10000
244 Vit B1 Inj Ampul 0 0 0 0
PEMBERIAN
1 2 3 4 5 6=(4+5) 7=(6-8) 8 9 10 11 12 13 14 15 16 17

246 Vit B6 10 mg Tablet 5000 5000 5000 0 10000
247 Vit C 250 mg Tablet 0 0 0 0 10000
248 Vit C 50 mg Tablet 6000 6000 6000 0 1000
249 Vit K Inj Ampul 0 0 0 0 30
250 Vit K Tab Tablet 1600 1600 0 1600
252 Wing Nedle No.25 G Pcs 0 0 0 0
256 Zinc 200 mg Tablet 200 200 200 0 500
257 Griavita Kapsul 0 0 0 0 500
258 Isotic Neolyson Tts Mata Botol 0 0 0 0 50
259 Ottopain Tts Telinga Botol 0 0 0 0 50


NIP.19721015 199303 1 009 Nip : 19870607 201001 2 029
PUSKESMAS : Muara Komam PELAPORAN BULAN : Oktober NO/TGL DOKUMEN
KECAMATAN : Muara Komam PERMINTAAN BULAN/PERIODE : Oktober GFK
DINKES
PEMBERIAN
1 2 3 4 5 6=(4+5) 7=(6-8) 8 9 10 11 12 13 14 15 16 17
1 Abbocat No.18 G PCS 0 0 0

2 Abbocat No.20 G Pcs 200 200 50 150
3 Abbocat No.22 G pcs 0 50 50 0 50
4 Abbocat No.24 G Pcs 200 200 0 200
6 Alat suntik sekali pakai 2,5 ml Pcs 700 700 200 500
8 Alat suntik sekali pakai 5 ml pcs 400 400 0 400
10 Arsuamon Tablet 0 0 0
13 Alkohol 70 % Botol 0 0 0
15 Alloporinol 100 mg Tablet 500 500 100 400
16 Ambroxol Tablet 1500 2000 3500 1300 2200
17 Ambroxol syr botol 250 250 250 0
23 Amoxicilin 500 mg Tablet 0 0 0
24 Amoxicilin Syrup Kering 125 mg/5 ml botol 200 200 400 50 350
25 Amoxicilin Syrup Kering 250 mg/5 ml Botol 0 0
32 Antasida DOEN tab Tablet 6100 6100 2700 3400
38 Asam Tranexsamat Tablet 0 0 0
43 Acyclovir Krim 5 % Tube 25 25 0 25
44 Atropin Inj Ampul 0 0 0
49 Besi sulfat 300 mg (SF) Tablet 0 0 0
50 Betahistin Mesilat 6 mg Tablet 0 0
51 Betametason Zalp Tube 0 0 0
53 Bioplasenton Salep Tube 0 0 0
60 Catgut No.2/0 Sachet 20 24 44 20 24
68 CTM Tablet 3000 8000 11000 1000 10000
69 Cefotaxim Inj 1 gr Vial 0 0 0
70 Ceftriaxon Inj 1 gr Vial 0 0 0
74 Cyclobalamin Ampul 18 30 48 23 25
76 Deksamethason 0,5 mg Tablet 3600 3600 600 3000
79 Dekstrometorfan Syrup Botol 100 100 100
82 Digoksin Tablet 0 0 0
83 Domperidon 10 mg Tablet 0 0 0
87 Extrac Belladon 10 mg Tablet 0 0 0
90 Etambutol HCL 250 mg Tablet 0 0 0
91 Etambutol HCL 500 mg Tablet 0 0 0
92 Eti Klorida semprot Botol 0 0 0
101 Furosemida Inj Ampul 0 25 25 0 25
104 Glibenglamida 5 mg Buah 1600 1600 1600
105 Glicerin Botol 2 2 0 2
111 H2O2 Botol 0 5 5 0 5
119 Handscun M Non steril Buah 0 0 0
121 HCT 25 mg Tablet 0 0 0
134 Kalsium Permanganat serbuk (PK) Pot 0 0 0
135 Kalsium Laktat ( kalk ) Tablet 3000 3000 500 2500
138 Kasa kompres 40/40 Steril Roll 0 0 0
141 Kasa Pem 4mX5cm Roll 0 0 0
144 Kasa Pembalut 18x22 Roll 0 0 0
146 Kateter no 16 PCS 23 23 0 23
147 Kateter no 18 Pcs 25 25 0 25
148 Ketonazole Salep Tube 0 0 0
149 Ketonazole Tab Tablet 0 0 0
153 Kloramfenikol 250 mg Tablet 0 0 0
155 Kloramfenikol Suspensi Botol 0 0 0
156 Kloramfenikol Salep Mata 1 % Botol 0 0 0
164 Kotrimoksazol 120 mg Tablet 0 0 0
174 Loratadina 10 mg Tablet 0 0 0
175 Masker Pcs 100 100 50 50
176 Mebendazol 100 mg Tablet 0 330 330 0 330
177 Medroxyprogesterone Asetat 150 mg INJ Vial 0 0 0
178 Metanol Botol 0 0 0
182 Metronidazole 250 mg Tablet 0 800 800 200 600
186 Natrium Diklopenak 50 Mg Tablet 40 40 40
188 Nedle No.23 G Pcs 100 100 0 100
189 Nedle No. 25 G Pcs 0 0 0
190 Nedle No.27 G 400 400 400 0
192 Nistatin 100.000 IU/g Tab Vaginal Tablet 0 0 0
194 OBH Cair Botol 48 48 0 48
195 Oksitetrasikliner Salep 3 % Tube 120 120 6 114
196 Oksitetrasikline Salepmata 1 % Tube 0 0 0
199 Oralit 200 ml Sachet 0 0 0
207 Penitidin Inj Ampul 5 5 0 5
210 Plester 5 yard X 2 inci Roll 5 5 5
213 Primaquina 15 mg Tablet 0 0 0
214 Propanolol 40 mg Tablet 30 30 30 0
215 Pyrental Tablet 0 200 200 0 200
217 Ranitidin 150 mg Tablet 0 1000 1000 1000 0
218 Rifamfisin 300 mg Tablet 0 0 0
222 Renger Laktat (RL) Colf 0 0 0
226 Salep -24 Tube 144 144 24 120
227 Salisil Bedak Pot 0 0 0
228 Simvastatin 10 mg Tablet 0 0 0
242 Vit A 100.000 Kapsul 0 0 0
243 Vit A 200.000 Kapsul 0 0 0
244 Vit B Com Tablet 0 8000 8000 3000 5000
245 Vit B1 50 mg Tablet 0 8000 8000 2000 6000
247 Vit B12 Inj 0,5mg/ml Ampul 0 0 0
248 Vit B6 10 mg Tablet 0 8000 8000 4000 4000
249 Vit C 250 mg Tablet 0 0 0
250 Vit C 50 mg Tablet 1600 8000 9600 5600 4000
252 Vit K Tab Tablet 0 0 0
254 Wing Nedle No.25 G Pcs 15 15 15 0
256 Yodium Vovidon Lar 10 % 30 ml Botol 0 0 0
258 Zinc 200 mg Tablet 0 0 0


NIP.19721015 199303 1 009 Nip : 19870607 201001 2 029
PUSKESMAS : Muara Komam PELAPORAN BULAN : November NO/TGL DOKUMEN
KECAMATAN : Muara Komam PERMINTAAN BULAN/PERIODE : November GFK
DINKE
PEMBERIAN
1 2 3 4 5 6=(4+5) 7=(6-8) 8 9 10 11 12 13 14 15 16 17

2 Abbocat No.20 G Pcs 150 150 0 150
3 Abbocat No.22 G pcs 50 50 0 50 100
4 Abbocat No.24 G Pcs 200 200 0 200
16 Ambroxol Tablet 2200 2200 1300 900 3000
17 Ambroxol syr botol 0 0 -36 36 100
PEMBERIAN

23 Amoxicilin 500 mg Tablet 0 0 5000
24 Amoxicilin Syrup Kering 125 mg/5 ml botol 350 350 78 272
38 Asam Tranexsamat Tablet 0 0
39 Asam Tranexsamat Inj Ampul 0 0
44 Atropin Inj Ampul 0 0
PEMBERIAN
49 Besi sulfat 300 mg (SF) Tablet 0 0 10000

51 Betametason Zalp Tube 0 0 200
52 Bisopolol Tablet 0 0
53 Bioplasenton Salep Tube 0 0 100
57 Captropil 25 mg Tablet 500 1000 1500 700 800 1000
61 Catgut No.3/0 Sachet 0 0 20
66 Clindamycin 150 mg Tablet 0 0
67 Co Amoksiclav / Danoclav Tablet 30 30 30 0 2000
68 CTM Tablet 10000 10000 4000 6000
73 Chlorpheniramin Meleat Inj Ampul 20
PEMBERIAN
76 Cyclogeston Inj Ampul 0 0

79 Dekstrometorfan 15 mg Tablet 0 0 0
83 Digoksin Tablet 0 0
87 Efinefrin Inj 0,1% 1ml Ampul 11 11 11 0 20
90 Erytromicin 500 mg Tablet 0 0
91 Etambutol HCL 250 mg Tablet 0 0
93 Eti Klorida semprot Botol 3 3 2 1 5
101 Furosemida 40 mg Tablet 0 0 0
PEMBERIAN

106 Glicerin Botol 2 2 2 0 5
112 H2O2 Botol 5 5 0 5
122 HCT 25 mg Tablet 3000 3000 2000 1000
PEMBERIAN
130 Oksitosin Inj Ampul 0 0

135 Kalsium Permanganat serbuk (PK) Pot 0 0
136 Kalsium Laktat ( kalk ) Tablet 2500 2500 2500 0 10000
139 Kasa kompres 40/40 Steril Roll 0 0 50
141 Kasa Pemb 40 x 80 M Roll 0 0 100
142 Kasa Pem 4mX5cm Roll 0 0
143 Kasa pem 4mX3cm Roll 0 0
144 Kasa pem 4mx3cm Elastis Roll 0 0
145 Kasa Pembalut 18x22 Roll 0 0 3
146 Kasa Batang 80 x 110m Roll 0 0
147 Kateter no 16 PCS 23 23 0 23
148 Kateter no 18 Pcs 25 25 0 25
150 Ketonazole Tab Tablet 0 0
151 Kinina Sulfat 222 mg Tablet 0 0
152 Kinina Antipyrin inj 25% 2ml Ampul 0 0
153 Kinina Dinidroklorida inj 25% 2ml Ampul 0 0
154 Kloramfenikol 250 mg Tablet 0 0
155 Kloramfenikol tts Telinga 3% Botol 24 24 0 24
156 Kloramfenikol Suspensi Botol 0 0
PEMBERIAN

158 Kloroquina 150 mg Tablet 0 0
160 Klorpromazin 25 mg Tablet 100 100 0 100 1000
165 Kotrimoksazol 120 mg Tablet 0 0
176 Masker Pcs 50 50 0 50
178 Medroxyprogesterone Asetat 150 mg Vial
INJ 0 0 30
180 MetilErgometrina 0,125 mg Tablet 0 0
181 Metoklorpramide Tab Tablet 800 800 0 800
PEMBERIAN
184 Metronidazole 500 mg Tablet 800 800 100 700

189 Nedle No.23 G Pcs 100 100 0 100
190 Nedle No. 25 G Pcs 0 0 100
191 Nedle No.27 G 0 0 0 100
192 Nefedifine 10 mg Tablet 100 100 0 100 500
197 Oksitetrasikline Salepmata 1 % Tube 105 105 0 105
198 Oksitosin inj Ampul 0 0
199 Omeprazole Tablet 360 360 270 90 5000
200 Oralit 200 ml Sachet 700 700 0 700 3000
208 Penitidin Inj Ampul 5 5 5 0 20
PEMBERIAN

213 Prednison Tablet 0 0
214 Primaquina 15 mg Tablet 0 0
216 Pyrental Tablet 200 200 0 200
218 Ranitidin 150 mg Tablet 0 0 0 5000
219 Rifamfisin 300 mg Tablet 0 0
222 Reserpin 0,25 mg Tablet 0 0
227 Salep -24 Tube 120 120 2 118
228 Salisil Bedak Pot 0 0
PEMBERIAN
238 Tiamfenikol 500 mg Tablet 0 0

243 Vit A 100.000 Kapsul 0 0
244 Vit A 200.000 Kapsul 0 0
245 Vit B Com Tablet 5000 3000 8000 5000 3000 5000
246 Vit B1 50 mg Tablet 6000 3000 9000 3000 6000
248 Vit B12 Inj 0,5mg/ml Ampul 0 0
249 Vit B6 10 mg Tablet 4000 3000 7000 3000 4000 5000
250 Vit C 250 mg Tablet 5000 5000 0 5000 5000
251 Vit C 50 mg Tablet 4000 4000 4000 5000
253 Vit K Tab Tablet 900 900 0 900
259 Zinc 200 mg Tablet 0 0 3000
260 Griavita Kapsul 0 0

PEMBERIAN

NIP.19721015 199303 1 009 Nip : 19870607 201001 2 029
PUSKESMAS : Muara Komam PELAPORAN BULAN : Desember NO/TGL DOKUMEN
KECAMATAN : Muara Komam PERMINTAAN BULAN/PERIODE : Desember GFK
DINKES
PEMBERIAN
1 2 3 4 5 6=(4+5) 7=(6-8) 8 9 10 11 12 13 14 15 16 17

2 Abbocat No.20 G Pcs 150 150 100 50 200
3 Abbocat No.22 G pcs 50 100 150 90 60 200
4 Abbocat No.24 G Pcs 200 200 150 50 200
5 Abbocat No.26 G PCS 0 0 0 0 200
7 Alat suntik sekali pakai 2,5 ml Pcs 500 200 700 350 350 300
10 Alprazolam Tab.0.5 mg Pcs 100 100 100
12 Asering Colf 20 20 20
16 Alloporinol 100 mg Tablet 100 500 600 400 200 200
17 Ambroxol Tablet 900 2000 2900 2500 400 2000
18 Ambroxol syr botol 36 50 86 26 60 100
20 Aminopillina Tablet 200 200 200 0 300
PEMBERIAN

22 Amitripilin 25 mg Tablet 0 0 500
38 Asam Mefenamat 500 mg Tablet 300 3000 3300 1300 2000
39 Asam Tranexsamat Tablet 0 0 500
43 Acyclovir 400 mg Tablet 80 500 580 580 0 2000
44 Acyclovir Krim 5 % Tube 7 50 57 57 0 100
45 Atropin Inj Ampul 0 0
PEMBERIAN
47 Becefort Tablet 0 0
48 Becefort syr Botol 0 0
49 Bisakodil (Dulcolax) Suppo 0 0
51 Betahistin Mesilat 6 mg Tablet 300 300 300 0 300
52 Betametason Zalp Tube 50 50 50 0
53 Bisopolol Tablet 0 0
54 Bioplasenton Salep Tube 0 0
55 Buscopan Tablet 0 0
56 Buscopan Inj Ampul 0 0
61 Catgut No.2/0 Sachet 24 24 4 20 50
62 Catgut No.3/0 Sachet 0 0 200
63 Cimetidin Inj Ampul 0 0
67 Clindamycin 150 mg Tablet 0 0
68 Co Amoksiclav / Danoclav Tablet 0 600 600 600 0 2000
69 CTM Tablet 6000 6000 3000 3000 3000
72 Cefadroxil Tablet 3000
PEMBERIAN

78 Cyclogeston Inj Ampul 0 0
81 Dekstrometorfan 15 mg Tablet 0 0
82 Dekstrometorfan Syrup Botol 30 100 130 30 100
84 Diazepam Inj Ampul 20 20 5 15 50
85 Digoksin Tablet 0 0 500
88 Doxycyclin Tablet 500
96 Eti Klorida semprot Botol 1 3 4 2 2 3
PEMBERIAN

104 Furosemida 40 mg Tablet 0 0
109 Glicerin Botol 0 0 0 5
110 Gliserol Guayakulat 100 mg Tablet 1000 4000 5000 3000 2000 5000
115 H2O2 Botol 5 5 0 5
118 Haloperidol 5 mg Tablet 200 200 100 100 500
120 Handscun 7 Steril Buah 0 0
121 Handscun 7,5 Steril Buah 50 50 100 50 50
123 Handscun M Non steril Buah 100 100 200 200 0 500
PEMBERIAN
125 HCT 25 mg Tablet 1000 3000 4000 3700 300

131 Infusion set anak Set 50 50 50 0 300
132 Infusion set Dewasa set 50 50 50 0 300
133 Oksitosin Inj Ampul 0 0
136 Isosorbid Dinitrat 5 mg Tablet 0 0 0
137 Jarum ( Bedah ) no,9 s/d 14 Buah 53 53 53
138 Kalsium Permanganat serbuk (PK) Pot 0 0
142 Kasa kompres 40/40 Steril Roll 0 0
143 Kasa Pemb 16 x 16 Steril Lembar 0 0
144 Kasa Pemb 40 x 80 M Roll 0 0
145 Kasa Pem 4mX5cm Roll 0 0
146 Kasa pem 4mX3cm Roll 0 0
147 Kasa pem 4mx3cm Elastis Roll 0 0
148 Kasa Pembalut 18x22 Roll 0 0
150 Kateter no 16 PCS 23 23 23 0 100
PEMBERIAN
151 Kateter no 18 Pcs 25 25 25 0 100

152 Ketonazole Salep Tube 10 36 46 26 20
153 Ketonazole Tab Tablet 0 0
154 Kinina Sulfat 222 mg Tablet 0 0
157 Kloramfenikol 250 mg Tablet 0 0
159 Kloramfenikol Suspensi Botol 0 0
160 Kloramfenikol Salep Mata 1 % Botol 12 12 12 0 50
168 Kotrimoksazol 120 mg Tablet 0 0
PEMBERIAN

179 Masker Pcs 50 50 50
181 Medroxyprogesterone Asetat 150 mg INJ Vial 0 0 50
183 MetilErgometrina 0,125 mg Tablet 0 0
187 Metronidazole 500 mg Tablet 700 700 0 700
188 Metronidazole Salp Tube 0 0
190 Molagit Tablet 1000
193 Nedle No.23 G Pcs 100 100 100
194 Nedle No. 25 G Pcs 0 0
195 Nedle No.27 G 0 0
196 Nefedifine 10 mg Tablet 100 100 100
198 Nystatin Drop Botol 0 0
201 Oksitetrasikline Salepmata 1 % Tube 105 105 105
202 Oksitosin inj Ampul 0 0
PEMBERIAN
203 Omeprazole Tablet 90 90 90 0 3000

204 Oralit 200 ml Sachet 700 700 200 500 3000
206 Papaverin Tab Tablet 0 0
207 Paracetamol 100 mg Tablet 0 0
209 Paracetamol Drop Botol 56 56 36 20 100
211 Pehacain Inj Ampul 0 0
215 Piroxicam 20 mg Tablet 200 200 200
219 Primaquina 15 mg Tablet 0 0
220 Propanolol 40 mg Tablet 0 0
221 Pyrental Tablet 200 200 200
222 Ranitidin Inj Ampul 95 50 145 145 0 200
PEMBERIAN

231 Salbutamol 4 mg Tablet 0 0
232 Salep -24 Tube 118 118 118
233 Salisil Bedak Pot 0 0 50
244 Tramadol Inj Ampul 20 20 20 0 30
246 UnderPads Pcs 0 0
248 Vit A 100.000 Kapsul 0 0
249 Vit A 200.000 Kapsul 0 0
250 Vit B Com Tablet 3000 3000 6000 6000
251 Vit B1 50 mg Tablet 6000 3000 9000 9000
253 Vit B12 Inj 0,5mg/ml Ampul 0 0
254 Vit B6 10 mg Tablet 4000 3000 7000 7000
PEMBERIAN
255 Vit C 250 mg Tablet 5000 5000 10000 10000

258 Vit K Tab Tablet 900 900 900
260 Wing Nedle No.25 G Pcs 0 0
264 Zinc 200 mg Tablet 0 0 5000
265 Griavita Kapsul 0 0


NIP.19721015 199303 1 009 Nip : 19870607 201001 2 029
jan feb mar apri mei juni juli ags sep okt nov des Pemakaian obat setahun
1 Abbocat No.18 G PCS 5 40 40 40 20 0 0 145

2 Abbocat No.20 G Pcs 150 115 110 280 80 80 155 200 200 150 150 50 1720
3 Abbocat No.22 G pcs 50 212 100 100 100 50 0 0 50 50 60 772
4 Abbocat No.24 G Pcs 200 300 121 300 100 100 100 240 200 200 200 50 2111
5 Abbocat No.26 G PCS 0 700 110 700 700 700 500 500 500 300 300 0 5010
6 Alat suntik sekali pakai 1 ml Pcs 300 500 400 400 200 0 700 700 500 500 250 4450
7 Alat suntik sekali pakai 2,5 ml Pcs 500 315 200 200 0 600 300 550 550 350 3565
8 Alat suntik sekali pakai 3 ml pcs 550 370 160 300 20 0 550 400 400 400 300 3450
9 Alat suntik sekali pakai 5 ml pcs 400 100 100 50 200 100 100 100 200 1350
10 Alprazolam Tab.0.5 mg Pcs 100 100 0 0 60 260
11 Arsuamon Tablet 0 0 0 20 20 40
12 Asering Colf 20 20 27 40 40 40 40 38 20 285
14 Alkohol 70 % Botol 1200 19 20 19 0 0 0 1258
15 Alkohol 90 % Botol 1 1000 1 2 1 0 0 0 400 100 1505
16 Alloporinol 100 mg Tablet 100 600 275 200 200 200 200 1000 500 2200 900 200 6575
17 Ambroxol Tablet 900 3200 2300 1500 1500 0 4500 1500 0 36 400 15836
18 Ambroxol syr botol 36 267 150 150 100 400 250 60 1413
19 Amlodipin 5 mg Tablet 300 300 200 200 200 200 1400
20 Aminopillina Tablet 200 84 5360 84 14 10 0 5752
21 Aminopillina inj Ampul 300 0 0 300 25 625
22 Amitripilin 25 mg Tablet 2760 660 6000 1800 6000 8000 6000 1000 1440 360 34020
23 Amoxicilin 250 mg Tablet 360 4200 4000 4000 0 5100 0 760 18420
24 Amoxicilin 500 mg Tablet 282 200 100 200 50 400 200 350 272 500 2554
26 Amoxicilin Syrup Kering 250 mg/5 ml Botol 20 329 60 60 60 0 10 10 10 10 569
27 Amoxicilin Inj Ampul 10 29 2400 400 24 40 20 50 12 20 10 3015
28 Ampisilina 500 mg Tablet 200 65 3250 110 110 110 50 100 50 0 2000 6045
29 Ampisilina Syr botol 89 70 0 10 57 10 10 50 296
30 Ampisilina Inj Ampul 10 0 10
31 Antalgin 500 mg tab Tablet 700 60 183 40 0 40 30 30 30 600 1713
32 Antalgin Inj Ampul 30 5000 500 30 5560
33 Antasida DOEN tab Tablet 4400 0 100 0 150 58 2000 6708
34 Antasida DOEN Syrup Botol 58 20 32 20 20 0 50 0 10 10 50 270
35 Anti Haemaroid Doen Suppo Suppo 10 23 8500 48 48 48 0 100 80 70 70 10 9007
36 Aqua pro Inj steril Botol 70 55 400 58 58 58 58 56 50 50 50 70 1033
37 Aquadest Steril Colf 50 5000 20 5000 5000 500 7000 1300 0 300 50 24220
39 Asam Tranexsamat Tablet 2500 0 0 0 2500
40 Asam Tranexsamat Inj Ampul 650 0 0 0 650
41 Asetosal 100 mg Tablet 95 0 0 0 95
42 Asetosal 500 mg Tablet 500 500 200 1000 0 500 80 2780
43 Acyclovir 400 mg Tablet 80 20 100 100 100 0 125 25 25 7 0 582
44 Acyclovir Krim 5 % Tube 7 50 50 50 0 0 0 0 157
46 Atropin sulfat 0,5 mg Tablet 0 0 0 0
47 Becefort Tablet 1050 0 0 0 1050
48 Becefort syr Botol 120 0 0 0 120
49 Bisakodil (Dulcolax) Suppo 0
50 Besi sulfat 300 mg (SF) Tablet 9000 106 9000 9000 0 8000 0 35106
51 Betahistin Mesilat 6 mg Tablet 48 78 40 20 0 0 0 0 186
52 Betametason Zalp Tube 10 0 0 0 0 10
53 Bisopolol Tablet 0 10 0 0 0 0 10
55 Buscopan Tablet 1500 0 0 0 1500
56 Buscopan Inj Ampul 2900 100 2000 600 2000 500 200 0 0 0 8300
57 Captropil 12,5 mg Tablet 0 1100 1000 500 500 0 0 500 800 500 4900
58 Captropil 25 mg Tablet 800 700 500 500 800 500 400 400 300 1000 5900
59 Catopril 50 mg Tablet 300 0 0 0 250 550
60 Carbamazepin 200 mg Tablet 43 43 43 40 86 20 24 24 323
61 Catgut No.2/0 Sachet 24 62 600 144 144 144 140 0 0 20 1278
62 Catgut No.3/0 Sachet 2600 0 0 0 2600
63 Cimetidin Inj Ampul 3000 4000 4000 4000 1000 5200 5000 4500 4100 34800
64 Cimetidin Tab Tablet 4100 6000 100 4000 1350 2800 3000 4600 3400 3400 2650 3700 39100
65 Ciprofloxacin 500 mg Tablet 2650 250 90 250 0 500 0 950 85 2000 6775
66 Citrizin 10 mg Tablet 85 11900 0 0 0 0 11985
67 Clindamycin 150 mg Tablet 660 10 660 1500 300 180 30 0 3340
68 Co Amoksiclav / Danoclav Tablet 0 1000 2000 6000 9000 2000 8000 3000 10000 6000 0 47000
69 CTM Tablet 6000 800 2000 30 30 10 30 0 3000 11900
70 Cefotaxim Inj 1 gr Vial 235 20 20 10 20 0 305
71 Ceftriaxon Inj 1 gr Vial 4000 9000 0 0 0 13000
72 Cefadroxil Tablet 30 30 0 0 0 60
73 Caviton Botol 20 13054 20 0 0 0 13094
74 Composit Solare Kotak 220 0 0 18 25 263
75 Chlorpheniramin Meleat Inj Ampul 4300 2500 1000 7000 0 25 14825
76 Cyclofen (KB 1 bln) Inj Ampul 146 0 100 3600 3000 6846
77 Cyclobalamin Ampul 25 3000 3000 1000 6000 8000 8000 7000 38 38 4000 20 40121
78 Cyclogeston Inj Ampul 180 250 200 100 150 5000 0 30 5910
79 Deksamethason 0,5 mg Tablet 4000 200 1000 2500 3424 2500 100 2000 15724
80 Deksamethason Inj Ampul 30 480 750 1000 20 0 0 30 4000 4000 30 25 10365
81 Dekstrometorfan 15 mg Tablet 40 50 90 300 200 0 20 20 4000 4720
82 Dekstrometorfan Syrup Botol 30 48 5000 24 1350 1000 0 0 0 20 100 7572
83 Diazepam 2 mg Tablet 4000 67 67 0 0 0 3771 7905
85 Digoksin Tablet 900 0 17 3000 3000 6917
87 Domperidon Suspensi 5mg/5ml Botol 177 150 177 0 0 0 0 504
88 Doxycyclin Tablet 6000 16 0 0 0 6016
89 Efederin HCL 25 mg Tablet 6074 200 200 200 200 0 0 6004 12878
90 Efinefrin Inj 0,1% 1ml Ampul 0 4000 2500 200 200 200 0 0 7100
91 Extrac Belladon 10 mg Tablet 20 20 0 0 0 40
92 Ericaf (Ergotamine) Tablet 100 20 300 0 0 0 420
93 Erytromicin 500 mg Tablet 500 60 1000 0 0 0 1 1561
94 Etambutol HCL 250 mg Tablet 81 0 0 0 81
95 Etambutol HCL 500 mg Tablet 8000 40 5000 450 500 2600 0 16590
96 Eti Klorida semprot Botol 1 22 651 22 0 0 1500 1500 2 3698
97 Elastis Perban 3" Roll 1000 5 1000 0 0 0 59 1500 3564
98 Elastis Perban 4" Roll 104 0 0 0 59 163
99 Elastis Perban 6" Roll 25 0 600 0 625
100 Fenobarbital 30 mg (Luminal) Tablet 1500 200 900 200 0 25 600 0 1500 4925
101 Fenobarbital Inj Ampul 59 200 700 200 70 60 20 80 0 25 50 1464
102 Fenol Gliserol tts telinga Botol 70 50 50 0 50 70 70 25 385
103 Flunarizine 5 mg Tablet 255 1000 1700 1700 1600 0 70 6325
104 Furosemida 40 mg Tablet 900 2000 3000 500 0 1600 50 8050
105 Furosemida Inj Ampul 25 138 138 100 130 2 2 1400 25 1960
106 Gentamicin Inj Ampul 70 950 450 0 0 0 2000 0 67 3537
107 Gentamicin salep Tube 50 200 375 500 320 130 130 1000 50 2755
108 Glibenglamida 5 mg Buah 1400 290 300 700 0 0 120 1000 3810
109 Glicerin Botol 0 62 13 13 0 20 40 100 248
110 Gliserol Guayakulat 100 mg Tablet 1000 200 220 300 300 200 300 0 200 80 2000 4800
111 Glukosa Infus 10 % Colf 120 102 2000 1300 0 5 0 100 3627
112 Glukosa Infus 40% Colf 50 94 60 0 1000 110 1100 5 2419
113 Glukosa Infus 5 % Colf 80 93 1944 93 0 0 130 900 1100 0 4340
114 Griseofulvin 125 mg Tablet 0 2700 1700 0 0 300 500 0 900 6100
115 H2O2 Botol 5 5000 200 3000 0 0 0 5 8210
116 Haloperidol 0,5 mg Tablet 1100 138 79 138 0 0 100 0 1100 2655
117 Haloperidol 1,5 mg Tablet 900 200 100 0 500 0 900 2600
118 Haloperidol 5 mg Tablet 147 900 375 0 0 0 50 100 1572
119 Handscun 6,5 Steril Buah 100 4433 300 5000 4000 0 0 0 13833
120 Handscun 7 Steril Buah 11 21 13 0 0 0 100 145
121 Handscun 7,5 Steril Buah 50 100 200 300 48 100 120 0 50 968
122 Handscun S Non Steril Buah 1300 1300 1500 2000 0 0 1000 7100
123 Handscun M Non steril Buah 100 500 0 1000 72 59 0 1731
124 Handscun L Non Steril Buah 87 72 87 50 50 50 300 50 746
125 HCT 25 mg Tablet 1000 29 0 0 0 125 0 0 0 300 1454
126 Hemafort Tablet 9000 150 0 300 50 50 0 9550
127 Hidrokartison krim 2,5% Tube 50 3 0 0 100 90 50 0 293
128 Ibofrofen 200 mg Tablet 0 400 19 200 0 0 100 50 50 1000 1819
129 Ibofrofen 400 mg Tablet 0 47 0 0 0 50 500 597
130 Ibofrofen Syr 100mg/5ml Botol 50 1000 4000 300 700 0 700 0 50 6800
131 Infusion set anak Set 50 89 20 0 70 0 0 229
132 Infusion set Dewasa set 50 92 3 48 5000 0 0 500 500 0 6193
133 Oksitosin Inj Ampul 1900 3 1500 2000 1000 1000 3000 60 53 0 10516
134 INH 100 mg Tablet 300 3 500 0 0 0 53 856
135 INH 300 mg Tablet 86 37 50 10 10 12 5000 2500 7705
136 Isosorbid Dinitrat 5 mg Tablet 0 73 200 0 5 0 0 21 21 0 320
137 Jarum ( Bedah ) no,9 s/d 14 Buah 53 146 150 0 0 8 23 21 401
138 Kalsium Permanganat serbuk (PK) Pot 1380 0 0 0 20 1400
139 Kalsium Laktat ( kalk ) Tablet 0 118 10 0 0 0 2000 2128
140 Kapas berlemak 500 gr Roll 21 900 77 700 0 0 0 21 1719
141 Kapas pembalut 250 gr Roll 20 88 20 0 0 0 20 148
142 Kasa kompres 40/40 Steril Roll 9000 7000 5000 5 0 25 0 21030
143 Kasa Pemb 16 x 16 Steril Lembar 5500 1000 0 0 0 6500
144 Kasa Pemb 40 x 80 M Roll 21 800 21 10 20 20 25 0 917
145 Kasa Pem 4mX5cm Roll 22 60 10 10 20 20 28 0 170
146 Kasa pem 4mX3cm Roll 10 5 12 12 0 23 23 85
147 Kasa pem 4mx3cm Elastis Roll 2800 1500 1500 1000 0 25 25 23 6873
148 Kasa Pembalut 18x22 Roll 5800 0 0 0 25 5825
149 Kasa Batang 80 x 110m Roll 161 10 0 0 0 10 181
150 Kateter no 16 PCS 23 300 0 0 0 0 323
151 Kateter no 18 Pcs 25 2 1100 1000 500 0 0 0 2627
152 Ketonazole Salep Tube 10 5 5 24 24 0 0 20 88
153 Ketonazole Tab Tablet 8000 90 90 50 75 0 8305
154 Kinina Sulfat 222 mg Tablet 20 2000 20 50 50 20 0 0 24 2184
155 Kinina Antipyrin inj 25% 2ml Ampul 28 2166 20 0 0 0 24 2238
156 Kinina Dinidroklorida inj 25% 2ml Ampul 8 12 500 500 0 500 0 1520
157 Kloramfenikol 250 mg Tablet 1500 500 1500 0 1000 0 12 4512
158 Kloramfenikol tts Telinga 3% Botol 24 1000 1000 1000 2000 0 0 5024
159 Kloramfenikol Suspensi Botol 10 0 1000 100 1110
160 Kloramfenikol Salep Mata 1 % Botol 12 120 0 1000 1000 100 0 2232
161 Kloroquina 150 mg Tablet 275 2000 2000 1500 0 0 1000 6775
162 Kloroquina 250 mg Tablet 200 500 2000 2000 1400 0 0 6100
163 Klorpromazin 25 mg Tablet 100 50 235 235 100 0 550 400 0 1670
164 Klorpromazin 100 mg Tablet 1000 100 0 0 0 400 0 1500
165 Klorpromazin Inj 25 ml/ml 1 ml Ampul 601 0 0 0 150 751
166 Klorpromazin Inj 5 ml/ml 1 ml Ampul 35 0 0 0 79 114
167 Kotrimoksazol 480 mg Tablet 400 1400 0 0 0 2000 3800
168 Kotrimoksazol 120 mg Tablet 270 52 240 0 0 0 562
169 Kotrimoksazol Suspensi Botol 79 170 120 70 120 0 50 609
170 Lar. Kenyon Botol 0 369 3000 0 0 0 3369
171 Lar. Metilen Blue Botol 500 470 500 0 0 90 30 1590
172 lar. Turk Botol 200 200 100 200 0 30 730
173 Lar. Zeil Nelson Botol 780 780 100 200 100 150 0 2110
174 Levonorgestral 75 mg Implant 70 142 70 180 180 180 400 0 1222
175 Lidokain Inj Ampul 30 275 65 20 0 0 100 50 30 570
176 Lisol 50% Botol 152 0 0 0 330 50 532
177 Loperamide (Antidia) Tablet 1400 1300 0 0 0 270 2970
178 Loratadina 10 mg Tablet 60 500 1300 1000 300 0 3160
179 Masker Pcs 50 500 1700 0 0 0 2250
180 Mebendazol 100 mg Tablet 270 6900 0 0 1100 800 270 9340
181 Medroxyprogesterone Asetat 150 mg INJ Vial 137 200 128 0 0 300 800 1565
182 Metanol Botol 1100 850 450 80 128 100 176 800 600 4284
183 MetilErgometrina 0,125 mg Tablet 100 17300 200 50 250 0 2600 0 800 1200 22500
184 Metoklorpramide Tab Tablet 800 200 390 300 220 200 200 40 144 0 700 500 3694
185 Metilprednisolon 4 mg Tablet 200 95 160 300 300 200 100 2100 144 3599
186 Metronidazole 250 mg Tablet 1200 60 160 200 100 40 141 2000 3901
187 Metronidazole 500 mg Tablet 700 400 1000 400 0 0 100 130 120 700 3550
188 Metronidazole Salp Tube 200 300 200 0 400 100 100 130 1430
189 Mikonazol Salep Tube 141 4340 100 100 100 100 0 100 100 5081
190 Molagit Tablet 67 28 100 0 0 400 0 595
191 Natrium Diklopenak 50 Mg Tablet 120 25 375 25 50 100 50 200 100 100 0 1145
192 Natrium Klorida Infus 0.9 % (NaCl) Colf 130 75 9000 62 25 0 125 0 100 100 9617
193 Nedle No.23 G Pcs 100 2000 37 62 0 138 80 2417
194 Nedle No. 25 G Pcs 1800 0 0 48 48 1896
195 Nedle No.27 G 8100 25 8200 0 900 120 114 48 17507
196 Nefedifine 10 mg Tablet 100 3000 3000 2000 3900 0 3 12003
198 Nystatin Drop Botol 0 0 2000 360 2360
199 OBH Cair Botol 48 4400 200 7000 0 0 0 90 20 11758
200 Oksitetrasikliner Salep 3 % Tube 3 100 100 7000 1000 14000 0 700 50 22953
201 Oksitetrasikline Salepmata 1 % Tube 105 478 100 0 175 0 858
202 Oksitosin inj Ampul 0 0 1900 1900
203 Omeprazole Tablet 90 5 1900 5 0 0 0 4100 0 6100
204 Oralit 200 ml Sachet 700 21 100 21 0 0 0 200 2700 500 4242
205 Papaverin Inj Ampul 200 11 5000 5000 5000 300 0 25 15536
206 Papaverin Tab Tablet 600 106 1500 1500 1500 800 5000 0 11006
207 Paracetamol 100 mg Tablet 9 30 8 8 8 2700 5000 5 7768
208 Paracetamol 500 mg Tablet 2700 0 17 300 200 0 2000 5217
209 Paracetamol Drop Botol 56 7 0 0 5 200 200 20 488
210 Paracetamol syr Botol 25 13 200 200 200 200 0 0 200 0 1038
212 Pembalut GIV Roll 85 6900 80 115 0 0 0 0 7180
213 Penitidin Inj Ampul 0 600 3000 0 20 0 3620
214 Pirazinamide Tab 500 mg Tablet 200 2000 100 100 100 100 0 30 0 200 2830
215 Piroxicam 20 mg Tablet 200 200 200 200 200 200 0 0 200 1400
216 Plester 5 yard X 2 inci Roll 700 400 700 700 700 700 0 0 45 200 4145
217 PP Test Strip 1000 10 1000 0 0 0 0 95 2105
218 Prednison Tablet 440 350 410 60 210 200 0 0 1670
219 Primaquina 15 mg Tablet 12000 0 200 0 12200
220 Propanolol 40 mg Tablet 700 12200 200 200 300 0 140 140 13880
221 Pyrental Tablet 200 5950 0 300 0 140 6590
222 Ranitidin Inj Ampul 95 29 100 132 100 0 0 0 0 456
223 Ranitidin 150 mg Tablet 12 22 22 22 0 50 0 60 188
224 Rifamfisin 300 mg Tablet 9900 0 0 144 0 10044
226 Rifamfisin 600 mg Tablet 140 1000 0 0 480 120 1740
227 Reserpin 0,25 mg Tablet 3 0 0 0 118 121
228 Renger Laktat (RL) Colf 60 600 0 24 0 0 684
229 Renganol Lar Botol 570 0 0 0 390 960
232 Salep -24 Tube 118 0 0 0 118
233 Salisil Bedak Pot 0 0 0 0
234 Simvastatin 10 mg Tablet 390 20 10 0 0 0 300 720
235 Stesolit Rectal 10mg/2,5ml Tube 2200 13 2000 200 0 20 0 4433
236 sulfadoxixe Primexhamine Tablet 10 4 10 200 2200 20 2444
237 Sulfasetamide tetes 15% Botol 100 50 0 0 2200 2350
238 Sulture Silk 1/0 Sachet 36 50 350 350 20 60 0 20 886
239 Sulture Silk 2/0 Sachet 350 1000 1000 0 550 0 2300 20 5220
240 Sulture Silk 3/0 Sachet 1000 4000 0 400 550 2300 8250
241 Tetrasiklin 250 mg Tablet 0 4000 4500 0 9000 400 75 17975
242 tetraksiklin 500 mg Tablet 3000 4500 2000 8000 0 10 17510
244 Tramadol Inj Ampul 20 20 20 0 15 0 5000 0 5075
245 Treheksifenidil Hcl 2 mg Tablet 2300 5000 0 5000 0 6000 3000 2060 23360
246 UnderPads Pcs 0 0 0 0 6000 6000
247 Orine Bag Steril Buah 10 0 6000 0 0 6010
248 Vit A 100.000 Kapsul 20 20 200 150 0 0 0 4000 4390
249 Vit A 200.000 Kapsul 1150 150 100 1200 0 4000 6600
250 Vit B Com Tablet 3000 300 300 0 0 1600 4000 5000 14200
251 Vit B1 50 mg Tablet 6000 100 100 0 0 0 6200
252 Vit B1 Inj Ampul 200 200 0 180 0 580
253 Vit B12 Inj 0,5mg/ml Ampul 24 24 0 20 180 0 900 1148
254 Vit B6 10 mg Tablet 4000 5 5 0 9 15 0 4034
255 Vit C 250 mg Tablet 5000 500 500 0 200 5 250 6455
256 Vit C 50 mg Tablet 0 0 0 250 250
257 Vit K Inj Ampul 0 0 0 0
258 Vit K Tab Tablet 900 0 0 0 900
260 Wing Nedle No.25 G Pcs 0
267 Ottopain Tts Telinga Botol 0


NIP.19721015 199303 1 009 Nip : 19870607 201001 2 029

3 Abbocat No.22 G pcs 200
6 Alat suntik sekali pakai 1 ml Pcs 300
7 Alat suntik sekali pakai 2,5 ml Pcs 500
10 Alprazolam Tab.0.5 mg Pcs 100
11 Arsuamon Tablet
12 Asering Colf 20
13 Albhotil Botol

16 Alloporinol 100 mg Tablet 100

17 Ambroxol Tablet 2400
18 Ambroxol syr botol 50
19 Amlodipin 5 mg Tablet 21
20 Aminopillina Tablet 200
21 Aminopillina inj Ampul 60
22 Amitripilin 25 mg Tablet

25 Amoxicilin Syrup Kering 125 mg/5 ml botol 272

26 Amoxicilin Syrup Kering 250 mg/5 ml Botol
27 Amoxicilin Inj Ampul 10

28 Ampisilina 500 mg Tablet 1600
29 Ampisilina Syr botol
30 Ampisilina Inj Ampul 25

31 Antalgin 500 mg tab Tablet 700
32 Antalgin Inj Ampul 30
33 Antasida DOEN tab Tablet 4400
34 Antasida DOEN Syrup Botol 58
35 Anti Haemaroid Doen Suppo Suppo 10

36 Aqua pro Inj steril Botol 70
37 Aquadest Steril Colf 50
38 Asam Mefenamat 500 mg Tablet 300
39 Asam Tranexsamat Tablet
40 Asam Tranexsamat Inj Ampul
43 Acyclovir 400 mg Tablet 80

44 Acyclovir Krim 5 % Tube 77
45 Atropin Inj Ampul
46 Atropin sulfat 0,5 mg Tablet
47 Becefort Tablet
48 Becefort syr Botol
49 Bisakodil (Dulcolax) Suppo
50 Besi sulfat 300 mg (SF) Tablet 1410

51 Betahistin Mesilat 6 mg Tablet
52 Betametason Zalp Tube
53 Bisopolol Tablet
54 Bioplasenton Salep Tube
55 Buscopan Tablet
56 Buscopan Inj Ampul
57 Captropil 12,5 mg Tablet 0

58 Captropil 25 mg Tablet 800
59 Catopril 50 mg Tablet 300
60 Carbamazepin 200 mg Tablet

63 Cimetidin Inj Ampul
64 Cimetidin Tab Tablet 4100

65 Ciprofloxacin 500 mg Tablet 3100
66 Citrizin 10 mg Tablet 85
67 Clindamycin 150 mg Tablet
68 Co Amoksiclav / Danoclav Tablet 270

69 CTM Tablet 6000

70 Cefotaxim Inj 1 gr Vial
71 Ceftriaxon Inj 1 gr Vial
72 Cefadroxil Tablet
73 Caviton Botol
74 Composit Solare Kotak
76 Cyclofen (KB 1 bln) Inj Ampul
77 Cyclobalamin Ampul 25
78 Cyclogeston Inj Ampul
79 Deksamethason 0,5 mg Tablet 4000

80 Deksamethason Inj Ampul 30
81 Dekstrometorfan 15 mg Tablet
82 Dekstrometorfan Syrup Botol 30

83 Diazepam 2 mg Tablet 4000
84 Diazepam Inj Ampul 50
85 Digoksin Tablet
86 Domperidon 10 mg Tablet
87 Domperidon Suspensi 5mg/5ml Botol
88 Doxycyclin Tablet
89 Efederin HCL 25 mg Tablet 6074

90 Efinefrin Inj 0,1% 1ml Ampul 0
91 Extrac Belladon 10 mg Tablet
92 Ericaf (Ergotamine) Tablet
93 Erytromicin 500 mg Tablet
96 Eti Klorida semprot Botol 1

100 Fenobarbital 30 mg (Luminal) Tablet 1500

101 Fenobarbital Inj Ampul 59
102 Fenol Gliserol tts telinga Botol
103 Flunarizine 5 mg Tablet
104 Furosemida 40 mg Tablet
105 Furosemida Inj Ampul 25

106 Gentamicin Inj Ampul 70
107 Gentamicin salep Tube 50
108 Glibenglamida 5 mg Buah 1400
109 Glicerin Botol 3
110 Gliserol Guayakulat 100 mg Tablet 1000
112 Glukosa Infus 40% Colf

114 Griseofulvin 125 mg Tablet 0
115 H2O2 Botol 23
118 Haloperidol 5 mg Tablet
120 Handscun 7 Steril Buah

122 Handscun S Non Steril Buah
123 Handscun M Non steril Buah 100

124 Handscun L Non Steril Buah
125 HCT 25 mg Tablet 1000

126 Hemafort Tablet
127 Hidrokartison krim 2,5% Tube 50

130 Ibofrofen Syr 100mg/5ml Botol 105
131 Infusion set anak Set 50
132 Infusion set Dewasa set 50
133 Oksitosin Inj Ampul
136 Isosorbid Dinitrat 5 mg Tablet 300

137 Jarum ( Bedah ) no,9 s/d 14 Buah 53

138 Kalsium Permanganat serbuk (PK) Pot
139 Kalsium Laktat ( kalk ) Tablet 2000

140 Kapas berlemak 500 gr Roll 21
141 Kapas pembalut 250 gr Roll 20
142 Kasa kompres 40/40 Steril Roll
143 Kasa Pemb 16 x 16 Steril Lembar
144 Kasa Pemb 40 x 80 M Roll
145 Kasa Pem 4mX5cm Roll
146 Kasa pem 4mX3cm Roll
147 Kasa pem 4mx3cm Elastis Roll
148 Kasa Pembalut 18x22 Roll
149 Kasa Batang 80 x 110m Roll
150 Kateter no 16 PCS 23

151 Kateter no 18 Pcs 25
152 Ketonazole Salep Tube 10
153 Ketonazole Tab Tablet
154 Kinina Sulfat 222 mg Tablet
155 Kinina Antipyrin inj 25% 2ml Ampul
156 Kinina Dinidroklorida inj 25% 2ml Ampul
157 Kloramfenikol 250 mg Tablet
158 Kloramfenikol tts Telinga 3% Botol 24

159 Kloramfenikol Suspensi Botol
160 Kloramfenikol Salep Mata 1 % Botol 12



169 Kotrimoksazol Suspensi Botol 79

170 Lar. Kenyon Botol
171 Lar. Metilen Blue Botol
172 lar. Turk Botol
173 Lar. Zeil Nelson Botol
174 Levonorgestral 75 mg Implant
175 Lidokain Inj Ampul 30

176 Lisol 50% Botol
177 Loperamide (Antidia) Tablet
178 Loratadina 10 mg Tablet
179 Masker Pcs 50

180 Mebendazol 100 mg Tablet 270
181 Medroxyprogesterone Asetat 150 mg INJ Vial
182 Metanol Botol
183 MetilErgometrina 0,125 mg Tablet
184 Metoklorpramide Tab Tablet 800

185 Metilprednisolon 4 mg Tablet

188 Metronidazole Salp Tube
189 Mikonazol Salep Tube 141

190 Molagit Tablet
191 Natrium Diklopenak 50 Mg Tablet 2350

192 Natrium Klorida Infus 0.9 % (NaCl) Colf 130
193 Nedle No.23 G Pcs 100
194 Nedle No. 25 G Pcs
195 Nedle No.27 G
196 Nefedifine 10 mg Tablet 100

197 Nistatin 100.000 IU/g Tab Vaginal Tablet 100
198 Nystatin Drop Botol
199 OBH Cair Botol 80

200 Oksitetrasikliner Salep 3 % Tube 25
201 Oksitetrasikline Salepmata 1 % Tube 105
202 Oksitosin inj Ampul
203 Omeprazole Tablet 90

204 Oralit 200 ml Sachet 700
205 Papaverin Inj Ampul
206 Papaverin Tab Tablet

209 Paracetamol Drop Botol 56
210 Paracetamol syr Botol 25
211 Pehacain Inj Ampul 3
212 Pembalut GIV Roll
213 Penitidin Inj Ampul 0

214 Pirazinamide Tab 500 mg Tablet 200
215 Piroxicam 20 mg Tablet 200
216 Plester 5 yard X 2 inci Roll 5
217 PP Test Strip
218 Prednison Tablet 1000

219 Primaquina 15 mg Tablet
220 Propanolol 40 mg Tablet
221 Pyrental Tablet 200

222 Ranitidin Inj Ampul 95
223 Ranitidin 150 mg Tablet

227 Reserpin 0,25 mg Tablet
228 Renger Laktat (RL) Colf 60

229 Renganol Lar Botol
232 Salep -24 Tube 118

233 Salisil Bedak Pot
234 Simvastatin 10 mg Tablet 390

235 Stesolit Rectal 10mg/2,5ml Tube
236 sulfadoxixe Primexhamine Tablet 800

237 Sulfasetamide tetes 15% Botol

241 Tetrasiklin 250 mg Tablet
242 tetraksiklin 500 mg Tablet
243 Tiamfenikol 500 mg Tablet
244 Tramadol Inj Ampul 20

245 Treheksifenidil Hcl 2 mg Tablet 2300
246 UnderPads Pcs
247 Orine Bag Steril Buah 54

250 Vit B Com Tablet 3000

252 Vit B1 Inj Ampul 25
253 Vit B12 Inj 0,5mg/ml Ampul

257 Vit K Inj Ampul 45

258 Vit K Tab Tablet 900
260 Wing Nedle No.25 G Pcs

264 Zinc 200 mg Tablet
265 Griavita Kapsul
266 Isotic Neolyson Tts Mata Botol
267 Ottopain Tts Telinga Botol
Mengetahui
H. Anang Jarkani, SKM

NIP.19721015 199303 1 009

Jumlah Sisa Obat 31 Desember 2013 Gudang & Apotek: Jenis Barang / Persedian Satuan

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NO JENIS BARANG / PERSEDIAN SATUAN

Jumlah Sisa Obat 31 Desember 2013 Gudang & Apotek

1 Abbocat No.18 G PCS 15

35 Anti Haemaroid Doen Suppo Suppo 2

69 CTM Tablet 1000

103 Flunarizine 5 mg Tablet 0

137 Jarum ( Bedah ) no,9 s/d 14 Buah 0

171 Lar. Metilen Blue Botol 0

205 Papaverin Inj Ampul 0

239 Sulture Silk 1/0 Sachet 0

H. Anang Jarkani, SKM

1 Abbocat No.18 G PCS

2 Abbocat No.20 G Pcs

3 Abbocat No.22 G pcs

4 Abbocat No.24 G Pcs

5 Abbocat No.26 G PCS

6 Alat suntik sekali pakai 1 ml Pcs

7 Alat suntik sekali pakai 2,5 ml Pcs

8 Alat suntik sekali pakai 3 ml pcs

9 Alat suntik sekali pakai 5 ml pcs

10 Alprazolam Tab.0.5 mg Pcs

16 Alloporinol 100 mg Tablet

18 Ambroxol syr botol

21 Aminopillina inj Ampul

23 Amoxicilin 250 mg Tablet

24 Amoxicilin 500 mg Tablet

25 Amoxicilin Syrup Kering 125 mg/5 ml botol

27 Amoxicilin Inj Ampul

28 Ampisilina 500 mg Tablet

29 Ampisilina Syr botol

30 Ampisilina Inj Ampul

31 Antalgin 500 mg tab Tablet

32 Antalgin Inj Ampul

33 Antasida DOEN tab Tablet

34 Antasida DOEN Syrup Botol

35 Anti Haemaroid Doen Suppo Suppo

36 Aqua pro Inj steril Botol

37 Aquadest Steril Colf

38 Asam Mefenamat 500 mg Tablet

39 Asam Tranexsamat Tablet

40 Asam Tranexsamat Inj Ampul

41 Asetosal 100 mg Tablet

42 Asetosal 500 mg Tablet

43 Acyclovir 400 mg Tablet

44 Acyclovir Krim 5 % Tube

45 Atropin Inj Ampul

46 Atropin sulfat 0,5 mg Tablet

48 Becefort syr Botol

49 Bisakodil (Dulcolax) Suppo

50 Besi sulfat 300 mg (SF) Tablet

51 Betahistin Mesilat 6 mg Tablet

54 Bioplasenton Salep Tube

56 Buscopan Inj Ampul

57 Captropil 12,5 mg Tablet

60 Carbamazepin 200 mg Tablet

61 Catgut No.2/0 Sachet

62 Catgut No.3/0 Sachet