Jln. Negara No.40 Telp (0543) 5237010 Muara Komam Kab.

Paser Kaltim 76253

Jln. Negara No.40 Telp (0543) 5237010 Muara Komam Kab. Paser Kaltim 76253

DINAS KESEHATAN KABUPATEN PASER

Jln. Negara No.40 Telp (0543) 5237010 Muara Komam Kab. Paser Kaltim 76253
PUSKESMAS MUARA KOMAM

DAFTAR BON OBAT OBATAN

PUSKESMAS MUARA KOMAM
NO NAMA OBAT SATUAN PERMINTAAN PEMBERIAN
1 Ambroxol syr botol 50
2 Amoxicilin Syrup Kering 250 mg/5 ml Botol 100
3 Antasida DOEN Syrup Botol 100
4 Asam Tranexsamat Tablet 1000
5 Asam Tranexsamat Inj Ampul 20
6 Besi sulfat 300 mg (SF) Tablet 3000
7 Betametason Zalp Tube 50
8 Bioplasenton Salep Tube 50
9 Buscopan Inj Ampul 30
10 Catgut No.3/0 Sachet 10
11 Ciprofloxacin 500 mg Tablet 3000
12 Citrizin 10 mg Tablet 2000
13 Clindamycin 150 mg Tablet 2000
14 Co Amoksiclav / Danoclav Tablet 2000
15 CTM Tablet 2000
16 Cefotaxim Inj 1 gr Vial 20
17 Ceftriaxon Inj 1 gr Vial 20
18 Cefadroxil Tablet 3000
19 Deksamethason 0,5 mg Tablet 3000
20 Deksamethason Inj Ampul 30
21 Dekstrometorfan 15 mg Tablet 3000
22 Dekstrometorfan Syrup Botol 50
23 Domperidon 10 mg Tablet 3000
24 Furosemida 40 mg Tablet 2000
25 Gentamicin salep Tube 50
26 Gliserol Guayakulat 100 mg Tablet 3000
27 Handscun 7,5 Steril Buah 100
28 Handscun L Non Steril Buah 500
29 Hemafort Tablet 3000
30 Ibofrofen 200 mg Tablet 2000
31 Ibofrofen 400 mg Tablet 3000
32 Infusion set anak Set 300
NO NAMA OBAT SATUAN PERMINTAAN PEMBERIAN
33 Infusion set Dewasa set 300
34 Loperamide (Antidia) Tablet 1000
35 Metoklorpramide Tab Tablet 3000
36 Molagit Tablet 3000
37 OBH Cair Botol 50
38 Oksitetrasikliner Salep 3 % Tube 50
39 Oksitetrasikline Salepmata 1 % Tube 50
40 Omeprazole Tablet 3000
41 Tablet 3000
42 Paracetamol Drop Botol 50
43 Paracetamol syr Botol 100
44 Piroxicam 20 mg Tablet 2000
45 PP Test Strip 100
46 Prednison Tablet 1000
47 Ranitidin 150 mg Tablet 3000
48 Renger Laktat (RL) Colf 200
49 Salbutamol 4 mg Tablet 1000
50 Salisil Bedak Pot 50
51 Stesolit Rectal 10mg/2,5ml Tube 5
52 Sulfasetamide tetes 15% Botol 25
53 UnderPads Pcs 20
54 Vit B Com Tablet 5000
55 Vit C 250 mg Tablet 3000
56 Vit C 50 mg Tablet 3000
57 Zinc 200 mg Tablet 3000
58 Isotic Neolyson Tts Mata Botol 20
59 Ottopain Tts Telinga Botol 20
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Pengelola / Penanggung Jawab Obat

NO NAMA OBAT SATUAN PERMINTAAN PEMBERIAN

Yunia Tenmar Susanti, Amd. Far

Nip : 19870607 201001 2 029
 DINAS KESEHATAN KABUPATEN PASER
PUSKESMAS MUARA KOMAM
Jln. Negara No.40 Telp (0543) 5237010 Muara Komam Kab. Paser Kaltim 76253

DAFTAR BON OBAT OBATAN

PUSKESMAS MUARA KOMAM
NO NAMA OBAT SATUAN PERMINTAAN PEMBERIAN
1 Abbocat No.18 G PCS 50
2 Abbocat No.20 G Pcs

3 Abbocat No.22 G pcs

4 Abbocat No.24 G Pcs 100

5 Abbocat No.26 G PCS 100
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 10
14 Alkohol 70 % Botol 10
15 Alkohol 90 % Botol 10
16 Alloporinol 100 mg Tablet 3000
17 Ambroxol Tablet 3000
18 Ambroxol syr botol 100
19 Amlodipin 5 mg Tablet

20 Aminopillina Tablet

21 Aminopillina inj Ampul

22 Amitripilin 25 mg Tablet 100

23 Amoxicilin 250 mg Tablet

24 Amoxicilin 500 mg Tablet 5000

25 Amoxicilin Syrup Kering 125 mg/5 ml botol 100
26 Amoxicilin Syrup Kering 250 mg/5 ml Botol 100
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 3000

34 Antasida DOEN Syrup Botol 100
35 Anti Haemaroid Doen Suppo Suppo 50
36 Aqua pro Inj steril Botol

37 Aquadest Steril Colf

38 Asam Mefenamat 500 mg Tablet 3000

39 Asam Tranexsamat Tablet 3000
40 Asam Tranexsamat Inj Ampul 20
41 Asetosal 100 mg Tablet 100
42 Asetosal 500 mg Tablet 100
43 Acyclovir 400 mg Tablet 100
44 Acyclovir Krim 5 % Tube

45 Atropin Inj Ampul 10

46 Atropin sulfat 0,5 mg Tablet 100
47 Becefort Tablet 3000
48 Becefort syr Botol 200
49 Bisakodil (Dulcolax) Suppo 50
50 Besi sulfat 300 mg (SF) Tablet 10000
51 Betahistin Mesilat 6 mg Tablet 500
52 Betametason Zalp Tube 50
53 Bisopolol Tablet 50
54 Bioplasenton Salep Tube 50
55 bisturi (pisau bedah) PCS 20
56 Buscopan Tablet 3000
57 Buscopan Inj Ampul 30
58 Captropil 12,5 mg Tablet 3000
59 Captropil 25 mg Tablet 3000
60 Catopril 50 mg Tablet

61 Carbamazepin 200 mg Tablet 1000

62 Catgut No.2/0 Sachet

63 Catgut No.3/0 Sachet 25

64 Cimetidin Inj Ampul

65 Cimetidin Tab Tablet 3000

66 Ciprofloxacin 500 mg Tablet 3000
67 Citrizin 10 mg Tablet 3000
68 Clindamycin 150 mg Tablet 2000
69 Co Amoksiclav / Danoclav Tablet 3000
70 CTM Tablet 10000
71 Cefotaxim Inj 1 gr Vial 20
72 Ceftriaxon Inj 1 gr Vial 20
73 Cefadroxil Tablet 3000
74 Caviton Botol

75 Composit Solare Kotak

76 Chlorpheniramin Meleat Inj Ampul

77 Cyclofen (KB 1 bln) Inj Ampul 20

78 Cyclobalamin Ampul 100
79 Cyclogeston Inj Ampul

80 Deksamethason 0,5 mg Tablet 10000

81 Deksamethason Inj Ampul 25
82 Dekstrometorfan 15 mg Tablet

83 Dekstrometorfan Syrup Botol

84 Diazepam 2 mg Tablet

85 Diazepam Inj Ampul 20

86 Digoksin Tablet

87 Domperidon 10 mg Tablet 3000

88 Domperidon Suspensi 5mg/5ml Botol 50
89 Doxycyclin Tablet 2000
90 Efederin HCL 25 mg Tablet

91 Efinefrin Inj 0,1% 1ml Ampul 10

92 Extrac Belladon 10 mg Tablet 1000
93 Ericaf (Ergotamine) Tablet

94 Erytromicin 500 mg Tablet

95 Etambutol HCL 250 mg Tablet

96 Etambutol HCL 500 mg Tablet

97 Eti Klorida semprot Botol 3

98 Elastis Perban 3" Roll

99 Elastis Perban 4" Roll 10

100 Elastis Perban 6" Roll

101 Fenobarbital 30 mg (Luminal) Tablet

102 Fenobarbital Inj Ampul 20

103 Fenol Gliserol tts telinga Botol 50
104 Flunarizine 5 mg Tablet

105 Furosemida 40 mg Tablet 500

106 Furosemida Inj Ampul 10
107 Gentamicin Inj Ampul

108 Gentamicin salep Tube 50

109 Glibenglamida 5 mg Buah

110 Glicerin Botol

111 Gliserol Guayakulat 100 mg Tablet 5000

112 Glukosa Infus 10 % Colf

113 Glukosa Infus 40% Colf 20

114 Glukosa Infus 5 % Colf

115 Griseofulvin 125 mg Tablet

116 H2O2 Botol

117 Haloperidol 0,5 mg Tablet

118 Haloperidol 1,5 mg Tablet

119 Haloperidol 5 mg Tablet

120 Handscun 6,5 Steril Buah

121 Handscun 7 Steril Buah 300

122 Handscun 7,5 Steril Buah 300
123 Handscun S Non Steril Buah

124 Handscun M Non steril Buah 500

125 Handscun L Non Steril Buah 500
126 HCT 25 mg Tablet

127 Hemafort Tablet 3000

128 Hidrokartison krim 2,5% Tube 50
129 Ibofrofen 200 mg Tablet 3000
130 Ibofrofen 400 mg Tablet 3000
131 Ibofrofen Syr 100mg/5ml Botol

132 Infusion set anak Set 300

133 Infusion set Dewasa set 300
134 Oksitosin Inj Ampul 50
135 INH 100 mg Tablet
136 INH 300 mg Tablet

137 Isosorbid Dinitrat 5 mg Tablet 500

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

139 Kalsium Permanganat serbuk (PK) Pot 20

140 Kalsium Laktat ( kalk ) Tablet 7000
141 Kapas berlemak 500 gr Roll

142 Kapas pembalut 250 gr Roll

143 Kasa kompres 40/40 Steril Roll 50

144 Kasa Pemb 16 x 16 Steril Lembar 50
145 Kasa Pemb 40 x 80 M Roll 5
146 Kasa Pem 4mX5cm Roll

147 Kasa pem 4mX3cm Roll

148 Kasa pem 4mx3cm Elastis Roll

149 Kasa Pembalut 18x22 Roll

150 Kasa Batang 80 x 110m Roll 3

151 Kateter no 16 PCS

152 Kateter no 18 Pcs

153 Ketonazole Salep Tube 50

154 Ketonazole Tab Tablet 3000
155 Kinina Sulfat 222 mg Tablet 1000
156 Kinina Antipyrin inj 25% 2ml Ampul 10
157 Kinina Dinidroklorida inj 25% 2ml Ampul 10
158 Kloramfenikol 250 mg Tablet 3000
159 Kloramfenikol tts Telinga 3% Botol

160 Kloramfenikol Suspensi Botol 50

161 Kloramfenikol Salep Mata 1 % Botol 20
162 Kloroquina 150 mg Tablet

163 Kloroquina 250 mg Tablet

164 Klorpromazin 25 mg Tablet

165 Klorpromazin 100 mg Tablet 1000

166 Klorpromazin Inj 25 ml/ml 1 ml Ampul

167 Klorpromazin Inj 5 ml/ml 1 ml Ampul

168 Kotrimoksazol 480 mg Tablet

169 Kotrimoksazol 120 mg Tablet

170 Kotrimoksazol Suspensi Botol

171 Lar. Kenyon Botol

172 Lar. Metilen Blue Botol

173 lar. Turk Botol

174 Lar. Zeil Nelson Botol

175 Levonorgestral 75 mg Implant

176 Lidokain Inj Ampul 50

177 Lisol 50% Botol 20
178 Loperamide (Antidia) Tablet 3000
179 Loratadina 10 mg Tablet 3000
180 Masker Pcs 100
181 Mebendazol 100 mg Tablet

182 Medroxyprogesterone Asetat 150 mg INJ Vial 20

183 Metanol Botol 5
184 MetilErgometrina 0,125 mg Tablet 100
185 Metoklorpramide Tab Tablet 3000
186 Metilprednisolon 4 mg Tablet 2000
187 Metronidazole 250 mg Tablet

188 Metronidazole 500 mg Tablet 1000

189 Metronidazole Salp Tube

190 Matergin inj Ampul 20

191 Mikonazol Salep Tube

192 Molagit Tablet 3000

193 Natrium Diklopenak 50 Mg Tablet

194 Natrium Klorida Infus 0.9 % (NaCl) Colf

195 Nedle No.23 G Pcs 100

196 Nedle No. 25 G Pcs 100
197 Nedle No.27 G PCS 100
198 Nefedifine 10 mg Tablet

199 Nistatin 100.000 IU/g Tab Vaginal Tablet

200 Nystatin Drop Botol 20

201 OBH Cair Botol 50
202 Oksitetrasikliner Salep 3 % Tube 50
203 Oksitetrasikline Salepmata 1 % Tube 50
204 Oksitosin inj Ampul 50
205 Omeprazole Tablet 1000
206 Oralit 200 ml Sachet 10000
207 Papaverin Inj Ampul 20
208 Papaverin Tab Tablet 1000
209 Paracetamol 100 mg Tablet 2000
210 Paracetamol 500 mg Tablet 10000
211 Paracetamol Drop Botol 100
212 Paracetamol syr Botol 100
213 Pehacain Inj Ampul 50
214 Pembalut GIV Roll

215 Penitidin Inj Ampul

216 Pirazinamide Tab 500 mg Tablet

217 Piroxicam 20 mg Tablet

218 Plester 5 yard X 2 inci Roll 20

219 PP Test Strip 1000
220 Prednison Tablet 1000
221 Primaquina 15 mg Tablet

222 Propanolol 40 mg Tablet 100

223 Pyrantel Tablet 100
224 Ranitidin Inj Ampul

225 Ranitidin 150 mg Tablet 3000

226 Rifamfisin 300 mg Tablet

227 Rifamfisin 450 mg Tablet

228 Rifamfisin 600 mg Tablet

229 Reserpin 0,25 mg Tablet

230 Renger Laktat (RL) Colf

231 Renganol Lar Botol

232 Salbutamol 2 mg Tablet

233 Salbutamol 4 mg Tablet 1000

234 Salep -24 Tube 50
235 Salisil Bedak Pot 50
236 Simvastatin 10 mg Tablet

237 Stesolit Rectal 10mg/2,5ml Tube 10

238 sulfadoxixe Primexhamine Tablet

239 Sulfasetamide tetes 15% Botol 30

240 Sulture Silk 1/0 Sachet 30
241 Sulture Silk 2/0 Sachet 30
242 Sulture Silk 3/0 Sachet 30
243 Tetrasiklin 250 mg Tablet
244 tetraksiklin 500 mg Tablet 1000
245 Tiamfenikol 500 mg Tablet

246 Tramadol Inj Ampul

247 Treheksifenidil Hcl 2 mg Tablet

248 UnderPads Pcs 50

249 Orine Bag Steril Buah

250 Vit A 100.000 Kapsul

251 Vit A 200.000 Kapsul

252 Vit B Com Tablet 10000

253 Vit B1 50 mg Tablet 2000
254 Vit B1 Inj Ampul

255 Vit B12 Inj 0,5mg/ml Ampul

256 Vit B6 10 mg Tablet 3000

257 Vit C 250 mg Tablet 5000
258 Vit C 50 mg Tablet 5000
259 Vit K Inj Ampul 10
260 Vit K Tab Tablet 500
261 Wing Nedle No. 23 G Pcs

262 Wing Nedle No.25 G Pcs

263 Wing Nedle No. 27 G Pcs

264 Yodium Vovidon Lar 10 % 30 ml Botol

265 Yodium Vovidon Lar 10 % 300 ml Botol 5

266 Zinc 200 mg Tablet 5000
267 Griavita Kapsul 100
268 Isotic Neolyson Tts Mata Botol 50
269 Ottopain Tts Telinga Botol 50

Pengelola / Penanggung Jawab Obat

Yunia Tenmar Susanti, Amd. Far

Nip : 19870607 201001 2 029